Refractive Surgery


Refractive corneal surgery is a type of eye surgery that is performed to correct vision problems such as nearsightedness, farsightedness, and astigmatism. The goal of the surgery is to reshape the cornea, the clear, dome-shaped surface of the eye, in order to more accurately focus light onto the retina and improve vision. There are several different types of refractive corneal surgery, including laser-assisted in situ keratomileusis (LASIK), photorefractive keratectomy (PRK), and small incision lenticule extraction (SMILE).

Purpose of the Surgery

The main purpose of refractive corneal surgery is to correct vision problems and reduce or eliminate the need for eyeglasses or contact lenses. It is usually performed on people who have a stable eyeglass prescription and are not candidates for other vision correction methods, such as eyeglasses or contact lenses.

Conditions that may be treated with refractive corneal surgery include:

  • Nearsightedness (myopia)
  • Farsightedness (hyperopia)
  • Astigmatism
  • Presbyopia (difficulty seeing objects up close)

Types of Refractive Corneal Surgery

Laser-Assisted In Situ Keratomileusis (LASIK)

LASIK is the most common type of refractive corneal surgery. It involves the use of a laser to reshape the cornea and correct vision problems. The procedure is performed on an outpatient basis and typically takes about 20 minutes per eye.

During the procedure, the eye surgeon will first numb the eye with anesthetic drops. The surgeon will then create a thin flap on the surface of the cornea using a special tool called a microkeratome or a femtosecond laser. The flap is then lifted, revealing the underlying corneal tissue.

Next, the surgeon will use an excimer laser to reshape the corneal tissue. The laser removes precise amounts of tissue from the cornea based on the patient's eyeglass prescription. The flap is then repositioned and allowed to heal naturally.

Photorefractive Keratectomy (PRK)

PRK is a type of refractive corneal surgery that is similar to LASIK, but it does not involve the creation of a corneal flap. Instead, the outer layer of the cornea (the epithelium) is removed and the underlying corneal tissue is reshaped using an excimer laser. The epithelium will then regenerate naturally over the next few days.

PRK is usually recommended for patients with thin corneas or other conditions that may make them poor candidates for LASIK. It may also be used as an alternative to LASIK for patients with a high degree of nearsightedness or astigmatism.

Small Incision Lenticule Extraction (SMILE)

SMILE is a newer type of refractive corneal surgery that is similar to LASIK, but it involves the creation of a small incision in the cornea rather than a flap. The procedure is performed using a laser to create a small lenticule (a piece of tissue) within the cornea. The lenticule is then removed through the small incision, resulting in a reshaping of the cornea and improved vision.

SMILE is typically recommended for patients with mild to moderate nearsightedness or astigmatism. It may be a good option for patients who are not candidates for LAS

 

Comments

Popular posts from this blog

ABETALIPOPROTEINEMIA (BASSEN-KORNZWEIG SYNDROME) Retinopathy

What is myopia?

Scleritis