Lasik

LASIK eye surgery can be an alternative to glasses or contact lenses done for the correction of certain common vision problems.

LASIK (laser-assisted in situ keratomileusis) is a type of laser refractive surgery — the best known and most commonly

performed. In general, a special type of cutting laser is used to precisely change the shape of your cornea — the dome-shaped

transparent tissue at the front of your eye — to improve vision.

LASIK surgery is essentially pain-free and takes only about 15 minutes for both eyes. The results — improved vision
without eyeglasses or contact lenses — begin immediately after the procedure and vision usually continues to improve and
stabilize over a few days.

LASIK surgery: Is it right for you?

If you're tired of wearing eyeglasses or contact lenses, you may wonder whether LASIK surgery is right for you. LASIK is a type of
refractive eye surgery.

In general, most people who have laser-assisted in-situ keratomileusis (LASIK) eye surgery achieve 20/25 vision or better, which
works well for most activities. But most people still eventually need glasses for driving at night or reading as they get older.

Your results depend on your refractive error and other factors. People with mild nearsightedness tend to have the most success
with refractive surgery. People with a high degree of nearsightedness or farsightedness along with astigmatism have less
predictable results.

What does LASIK eye surgery involve?

There are several variations of laser refractive surgery. LASIK is the best known and most commonly performed. Many articles,
including this one, will use the term "LASIK" to refer to all types of laser eye surgery.
Normally, images are focused on the retina in the back of your eye. With nearsightedness (myopia), farsightedness (hyperopia)
or astigmatism, they end up being focused elsewhere, resulting in blurred vision.

 Nearsightedness (myopia) is a condition in which you see nearby objects clearly, but distant objects are blurry. When your
eyeball is slightly longer than normal or when the cornea curves too sharply, light rays focus in front of the retina and blur
distant vision. You can see objects that are close more clearly, but not those that are far away.
 Farsightedness (hyperopia) is a condition in which you can see far objects clearly, but nearby objects are blurry. When you
have a shorter than average eyeball or a cornea that is too flat, light focuses behind the retina instead of on it. This blurs
near vision and sometimes distant vision.
 Astigmatism causes overall blurry vision. When the cornea curves or flattens unevenly, the result is astigmatism, which
disrupts focus of near and distant vision.

Traditionally, blurry vision is corrected by bending (refracting) light rays with glasses or contact lenses. But reshaping the cornea
(the dome-shaped transparent tissue at the front of your eye) it will also provide the necessary refraction and vision correction.
Before a LASIK procedure your eye surgeon will assess detailed measurements of your eye. Then he or she will use a special
type of cutting laser to precisely alter the curvature of your cornea. With each pulse of the laser beam, a tiny amount of corneal
tissue is removed, allowing your eye surgeon to flatten the curve of your cornea or make it steeper.
Most commonly, the surgeon creates a flap in the cornea and then raises it up before reshaping the cornea. There are also
variations in which a very thin flap is raised or no flap is used at all or no flap at all, is raised. Each technique has advantages and
disadvantages.
Individual eye surgeons may specialize in specific types of laser eye procedures. The differences among them are generally
minor and none are clearly better than any others. Depending on your individual circumstances and preferences you may
consider:
 Photorefractive keratectomy (PRK). With PRK, rather than forming a flap, the top surface (epithelium) is scraped away. This
corneal abrasion takes three or four days to heal, resulting in moderate pain and blurred vision in the short term.
It was thought that these drawbacks were outweighed by the theoretical advantage that PRK was safer for people who are
more likely to be struck in the eye — for example, those involved in contact sports, law enforcement or the military. But
even with standard LASIK, the risk of eyeball rupture is still very low, so there is probably no significant advantage with PRK.
LASIK is also a better option than PRK for correcting more severe nearsightedness (myopia).

 Laser-assisted subepithelial keratectomy (LASEK). LASEK is similar to LASIK surgery, but the flap is created by using a special
cutting device (microkeratome) and exposing the cornea to ethanol. The procedure allows the surgeon to remove less of the
cornea, making it a good option for people who have thin corneas. For people at greater risk of eye injuries, LASEK does not
have any significant advantages over LASIK.
 Epithelial laser-assisted in-situ keratomileusis (epi-LASIK). In an epi-LASIK procedure, your surgeon separates the
epithelium from the middle part of the cornea (stroma) using a mechanized blunt blade device (epikeratome) and reshapes
the cornea with a laser. This procedure is similar to LASEK.
 Implantable lenses. Corrective lenses can be surgically inserted in the eye to improve vision. This is routinely done as part of
cataract surgery (in which the old, cloudy natural lens is removed). It may also be an alternative to LASIK for older adults
who may need cataract surgery in the future.
Younger people with high degrees of nearsightedness that cannot be satisfactorily treated with corrective lenses may also
be offered implantable lenses. But this is not a routine option for most people.

 Bioptics. Bioptics combines one or more techniques, such as implantable lenses and LASIK, to treat nearsightedness or
farsightedness. Again, this is not an option for most people seeking refractive eye surgery.

Who is suitable for Advanced LASIK Surgery?

Advanced LASIK Surgery is only for those above 18 years of age and those with stable refractive power. However, every eye is
not suitable for the treatment.

It might surprise you that we turn down many patients who come to us for this procedure because of irregularities in corneal
architecture, which makes the eye unsuitable for laser treatment. At Anjit Eye Care, our consultants will examine your eyes
using equipment known as ORB Scan & Aberrometer. To assist them, please do not wear soft contact lenses for a week and
rigid lenses two weeks before hand. If you have any old prescriptions for lenses and glasses, please bring them along with you.
Dilatation of the pupils may temporarily blur your vision for a few hours.

SLIT LAMP IMAGING MODULE and NON-CONTACT TONOMETER (ZEISS)

A complete eye examination is done, including tonometry and a posterior dilated exam. Special attention is paid to the
anterior segment part of the exam

PENTACAM (NIDEK) and ATLAS TOPOGRAPHER (ZEISS)

1. Pachymetry
2. Keratometry
3. Corneal Topography
4. Wavefront Analysis

SURGICAL EQUIPMENTS
MICROKERATOME (Moria SBK): used to create the flap during LASIK surgery, which is more safe, accurate and precise. We can
create thin flap too, in custom cases.

ZEISS MEL 90: is the excimer laser that is used to shape the cornea after the flap is being made to remove the glasses of the
patient. Specially designed for the needs of the modern refractive surgeon, the MEL 90 incorporates proven safety as well as
individually configurable options. The outstanding intra-operative ablation speed of up to 1.3 seconds per diopter creates
entirely new treatment prospects. Safe eye tracking The MEL 90 is equipped with an active eye tracker with an excellent
response time to provide high-level treatment safety with very stable results. We provide topo-guided LASIK surgery which is
more accurate and customized according to patients’ cornea.

PRESBYOND Laser Blended Vision The MEL 90 is also a first-rate platform for treating presbyopic patients. With the optional
PRESBYOND Laser Blended Vision module, we offer an advanced and true binocular laser correction method that far exceeds
the limitations of conventional monovision. In many cases, patients can read without glasses the very same day. We can
perform the following surgeries using this excimer laser LASIK/LASEK, PRK, PTK. The range of the power that can be treated is as
follows:
Myopia: -1D to -12D
Hyperopia: +1D to +6D
Astigmatism: ±1D to ±6D

Surgeries that can be done:

1. LASIK /LASEK (Laser-assisted in situ keratomileusis)

2. PRK (Photorefractive Keratectomy)
3. PTK (Phototherapeutic Keratectomy)
4. ICL (Implantable contact lens)