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Refractive surgery is an optional eye surgery used to improve the refractive state of the eye and decrease or eliminate dependency on glasses or contact lenses. This can include various methods of surgical remodeling of the cornea ( keratomileusis ), lens implantation or lens replacement.
LASIK surgery is performed by an ophthalmologist who uses a femtosecond laser or a microkeratome to create a corneal flap to expose the corneal stroma and then an excimer laser to reshape the corneal stroma in order to improve visual acuity. [2] [3] LASIK is very similar to another surgical corrective procedure, photorefractive keratectomy (PRK ...
As with other forms of refractive surgery, keratoconjunctivitis sicca, colloquially referred to as 'dry eye,' is the most common complication of PRK, and can be permanent. In more advanced cases, recurrent erosions occur during sleeping from adherence of the corneal epithelium to the upper eyelid with rapid eye movement .
According to the PERK study, 58% of eyes were corrected within 1.00D of goal 3 years after surgery. Additionally, 76% of eyes had uncorrected vision of 20/40 or better at 3 years. [ 5 ] From 2 to 10 years post-operatively 43% of eyes had an increase in farsightedness by 1.00D or more.
Refractive surgery aims to correct errors of refraction in the eye, reducing or eliminating the need for corrective lenses. Keratomileusis is a method of reshaping the corneal surface to change its optical power. A disc of the cornea is shaved off, quickly frozen, lathe-ground, then returned to its original power. Automated lamellar keratoplasty
ReLEx Small incision lenticule extraction (SMILE), second generation of ReLEx Femtosecond lenticule extraction (FLEx), is a form of laser based refractive eye surgery developed by Carl Zeiss Meditec used to correct myopia, and cure astigmatism.