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LASEK Eye Surgery

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LASEK is an eye surgery that combines many of the benefits of other vision correction surgeries.

Laser epithelial keratomileusis, or LASEK, combines benefits of the two most commonly performed procedures -- LASIK and PRK. LASEK eye surgery is used to treat astigmatism, nearsightedness, or farsightedness.

What Are the Advantages of LASEK Eye Surgery?

LASEK surgery includes several advantages, including:

  • Complications associated with creating and reattaching the flap in the cornea are avoided.
  • LASEK eye surgery causes dry eye less frequently than LASIK eye surgery.

In LASEK eye surgery, a microkeratome, a blade used to make an incision in the cornea, is not used to create a flap like it is in LASIK surgery. Instead, the outer layer of the cornea is lifted -- after a finer blade called a trephine is used -- and then loosened with a 20% alcohol solution. A laser is then used to reshape the remaining surface of the cornea.

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What Are the Disadvantages of LASEK Eye Surgery?

Disadvantages of LASEK eye surgery include:

  • Longer visual recovery time compared to LASIK eye surgery. Many LASEK patients will not fully recover functional vision for one to two weeks while their eye heals, which is similar to the healing time experienced in PRK eye surgery. LASIK patients often have good vision by the day after surgery.
  • LASEK eye surgery may cause more pain and discomfort than LASIK , but less pain than PRK surgery. Most LASEK patients say the discomfort lasts about two days or less.
  • Patients need to wear a "bandage contact lens" for about three or four days after LASEK eye surgery to serve as a protective layer between your blinking eyelids and the treated eye surface, which is not necessary after LASIK.
  • Patients must use topical steroid drops for several weeks longer than after LASIK eye surgery.

 

What Are the Side Effects of LASEK Eye Surgery?

LASEK eye surgery shows side effects less frequently than is seen with PRK, however side effects may occur. These may include:

  • Sensation of having a foreign object in your eye (lasts anywhere from one to four days)
  • Temporarily reduced vision under poorly lit conditions (up to 12 months)
  • Dry eyes, requiring the use of moisturizing drops (up to six months)
  • Hazy or cloudy vision (should disappear within six to nine months)

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