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Refractive Surgery: LASIK

LASIK (pronounced "LAY-sik") stands for laser in-situ keratomileusis. It's a technique for reshaping corneal tissue to help you see better without glasses or corrective lenses. This procedure uses an excimer laser, which produces a concentrated beam of cool ultraviolet (UV) light. Each pulse of the laser can remove a tiny portion of corneal tissue. LASIK can be used to correct hyperopia, myopia, and astigmatism.

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What to Expect During the Procedure

  • Before treatment, you may be given medication to help you relax.

  • Eyedrops numb your eyes. A device is used to keep your eyes open.

  • You may feel light pressure, but no pain, as your surgeon creates the flap in your epithelium (top layer of the cornea). The flap is folded back, remaining attached to the cornea.

  • Your surgeon uses a computer-guided excimer laser to reshape the cornea. Laser treatment lasts for 10–90  seconds.

  • The flap is put back into place. The corneal tissue sticks to itself while it heals.

  • After treatment, your vision will start to improve right away. It should become stable in 1–3 months.

Pros of LASIK

  • Little, if any, postoperative pain

  • Fast recovery

  • Very accurate, even for severe refractive problems

  • Serious postoperative haze unlikely

  • Structure of cornea remains intact

Cons of LASIK

  • Risk of flap complications, infection, or inflammation

  • Risk of blurred or distorted vision

  • Possible temporary or permanent dry eye

  • Risk of night vision problems, such as halos, glare, or starbursts

  • Possible undercorrection or overcorrection

  • Possible loss of best corrected vision

Publication Source: Ellis W. A patients guide to refractive surgery. El Cerrito, CA: Eye Center of Northern California, Inc.; 1995.
Publication Source: Grene RB. Patient centered comanagement in refractive surgery. Thorofare, NJ: SLACK Inc.; 1995.
Publication Source: Machat JJ. Excimer laser refractive surgery: practice and principles. Thorofare, NJ: SLACK Inc.; 1996.
Publication Source: Salz JJ, ed Corneal laser surgery. St. Louis, MO: Mosby; 1995.
Publication Source: Stewart WB, ed Surgery of the eyelid, orbit, and lacrimal system. San Francisco, CA: American Academy of Opthalmology; 1993; No. 2.
Online Medical Reviewer: Evans, Monica Nicole, MD
Date Last Reviewed: 9/1/2010
Date Last Modified: 6/23/2003
© 2000-2012 Krames StayWell, 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.