LASIK
is a shortened term standing for "LAser in SItu
Keratomileusis". This correction procedure utilizes
two devices to alter the degree of near-sightedness
in an eye; the excimer laser and the microkeratome.
After anesthetic eyedrops are put on the eye, a suction
ring is centered over the cornea of the eye. This
suction ring stabilizes the position of your eye and
increases the pressure to a level that is needed for
proper functioning of the microkeratome.
The
guide tracks on this suction ring are used to provide
a precise path for the microkeratome. The microkeratome
is a very precise instrument that is the "keystone"
in the LASIK procedure. This device is a mechanical
shaver that contains a sharp blade that moves back
and forth at high speed. This shaver is placed in
the guide tracks of the suction ring and is advanced
across the cornea using gears at a controlled speed.
This process creates a partial flap in the cornea
of uniform thickness. The flap is created with a portion
of the cornea left uncut to provide a hinge.
After
the suction ring and microkeratome have been removed,
the corneal flap is folded back on the hinge exposing
the middle portion of the cornea.
The
excimer laser is then used to remove tissue and reshape
the center of the cornea. The amount of tissue removed
is dependent upon the degree of near sightedness that
is being corrected. This portion of the LASIK procedure
is almost identical to the PRK procedure, except that
in the PRK the surface of the cornea is treated without
the creation of the corneal flap.
In
the final step, the hinged flap is folded back into
its original position. The front surface of the eye
is now flatter since the flap conforms to the underlying
surface. In effect, the change made in the middle
of the cornea is translated to the front surface of
the cornea.
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