Epi-LASIK is a laser imaginative and prescient correction procedure that is very much like Lasik and Lasek and can be a great opportunity to these strategies for positive eyes. In epi-Lasik, the flap created at the cornea is thinner than a Lasik flap. This can be an advantage for patients with thinner-than-everyday corneas.
The epi-Lasik flap is very just like the skinny flap created in LASEK surgery. In both methods, the flap contains the most unaffected cells from the very thin outer layer of the cornea, referred to as the epithelium.
The difference is how the epi-Lasik and lasek flaps are produced.
A LASEK flap is created with a device that has a pointy blade. In epi-Lasik, the flap is separated from the underlying corneal layer (the stroma) with an instrument referred to as an epithelial separator that has an oscillating plastic blade that has a thin blunt edge.
And in contrast to in LASEK, an alcohol solution commonly isn’t carried out to the eye in epi-Lasik to loosen epithelial cells from the underlying corneal stroma. Some surgeons decide upon epi-Lasik over lasek for this reason, because alcohol is toxic to epithelial cells and can increase recuperation time after the procedure.
After the epi-Lasik flap is created, it is folded lower back, and the underlying central stroma is reshaped with an excimer laser — steps identical to those accomplished in Lasik.
Because the epi-Lasik flap is so skinny, the health practitioner usually will practice a soft touch lens over the flap when it is repositioned after the laser treatment. The contact lens acts as a bandage to boom consolation and permits new epithelial cells to develop onto the new cornea fast for quicker restoration. Your surgeon or eye health practitioner will remove the bandage touch lens at one among your early follow-up visits some days after your epi-Lasik procedure.
Your vision possibly will no longer be best immediately: in three days, many sufferers do have 20/40 or even 20/20 vision. However, others take longer — possibly three or six months — to attain their very last result. Usually, you could pressure within every week after surgery.
These recovery times are drastically longer than with Lasik, which generally permits humans to attain good imaginative and prescient from the equal day up to 3 weeks later and to pressure by using the day after surgery.
As with any laser eye surgery, after epi-LASIK it’s miles very critical to follow your health care provider’s commands exactly because the first-class of the very last imaginative and prescient you gain is tormented by how properly your corneas heal. Don’t forget about to use the eye drops or other medicines your medical doctor prescribes, and don’t pass over any follow-up appointments.
Who can have epi-Lasik
If you are considering Lasik, but your health practitioner says you want epi-Lasik instead, ask why.
It’s now not for everyone; however, many surgeons who perform epi-Lasik recollect it a higher choice than Lasik for a few patients. These encompass people who’ve thin corneas, with inadequate tissue for a remarkable Lasik flap.
This surgery also can be more secure than Lasik for people who’ve professions or pastimes that boom the hazard of being hit in the eye (including soldiers, police officers, boxers and racquet sports activities enthusiasts) because there may be no threat of the flap being dislodged.
If you’ve got epi-LASIK, you’ll likely enjoy some pain after the procedure. This is typically achievable with over the counter painkillers. The discomfort after epi-Lasik is reportedly less than that experienced after prk or LASEK.