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Bladeless Femto LASIK to Restore Vision

Femto LASIK is one of the most popular bladeless techniques to correct refractive errors, i.e., myopia, hyperopia, and astigmatism. At Pristyn Care, we leverage the advanced Femto LASIK technology to help people and restore their vision in the safest way possible.

Femto LASIK is one of the most popular bladeless techniques to correct refractive ... Read More

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    Dr. Varun Gogia (N1ct9d3hko)

    Dr. Varun Gogia

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    Dr. Vitthal Gulab Satav

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    location icon City Space, Office 113–115, Nagar Rd, Viman Nagar
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Femto LASIK Eye Surgery: Clear Vision Without Blades

Femto LASIK has become one of the most relied-upon procedures for someone who wishes to undertake a long-term vision correction and relief from glasses or contacts. This technique provides greater precision and safety than traditional LASIK methods that use a mechanical blade. The potential complication of the flap is minimized with the use of femtosecond laser technology. Ophthalmologists recommend it to people with nearsightedness, farsightedness, and astigmatism.

In recent years, the Femto LASIK eye procedure has become a preferred choice for both doctors and patients due to its high success rate and minimal recovery time. Clinical data show that over 96% of patients who undergo LASIK procedures achieve 20/20 vision or better, and it continues to show strong outcomes in terms of safety and effectiveness.

• Disease name

Myopia, Hyperopia, and Astigmatism

• Surgery name

Femto Lasik

• Duration

10 to 15 Mintues

• Treated by

Ophthalmologist

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What is Femto Lasik and Femto LASIK eye surgery?

Femto LASIK, short for Femtosecond Laser-Assisted in Situ Keratomileusis, is a modern form of eye surgery used to correct refractive errors like nearsightedness (difficulty seeing far objects), farsightedness (difficulty seeing near objects), and astigmatism (blurred vision due to irregular corneal shape). In this method, eye surgeons use a femtosecond laser instead of a mechanical blade to create a flap on the cornea, which is the clear, dome-shaped surface at the front of the eye.

The term “femtosecond” refers to an extremely short unit of time, allowing the laser to make quick and highly precise cuts. This step is followed by the use of an excimer laser, which reshapes the underlying corneal tissue to enhance light focus onto the retina. The retina is the light-sensitive layer at the back of the eye responsible for sending visual signals to the brain.

Because the flap is created using a laser instead of a blade, the procedure is more controlled and consistent. This often results in better safety, faster healing, and more accurate vision correction than traditional methods.

Are you going through any of these symptoms?

Femto LASIK: Step-by-Step Procedure

LASIK is a surgical procedure designed to correct vision by reshaping the cornea so that light entering the eye can be properly focused onto the retina. The retina is the inner layer of the eye that processes visual information and sends it to the brain.

This refractive surgery treats three main refractive errors:

  • Myopia (nearsightedness) – difficulty seeing distant objects clearly

  • Hyperopia (farsightedness) – difficulty seeing close objects clearly

  • Astigmatism – blurred or distorted vision due to an uneven corneal shape

Step-by-Step Overview of the LASIK Procedure

The Femto LASIK treatment procedure involves the following steps:

  1. Eye Preparation – The procedure begins with numbing eye drops to prevent discomfort. A small device called a lid speculum is used to keep the eye open and still during the procedure, similar to how clamps hold an object steady during delicate work.
  2. Flap Creation – A thin flap is made in the outer layer of the cornea. In Femto LASIK, this is done using a femtosecond laser instead of a blade, allowing for more precision. The flap is gently lifted, much like lifting the cover of a book, to access the tissue underneath.
  3. Corneal Reshaping – An excimer laser emits cool ultraviolet light to reshape the inner cornea. This laser removes microscopic layers of tissue to improve how light is focused on the retina, correcting vision problems like myopia, hyperopia, or astigmatism.
  4. Flap Replacement – The flap is then repositioned back into place. It bonds naturally without stitches and starts healing right away.
  5. Post-Procedure Care – Patients are given antibiotic and anti-inflammatory drops. Most experience sharper vision within 24 hours, though full recovery takes a bit longer.

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Eligibility and Contraindications for Femto LASIK

Though the Femto LASIK treatment offers excellent results for many, not all patients are suitable for this procedure. Determining eligibility involves a thorough evaluation of ocular and systemic health, while contraindications identify the conditions that may increase the risk of complications or surgical failure.

Eligibility Criteria for Femto LASIK

Not every patient is a fit for Femto LASIK. The screening process focuses on factors that ensure a safe surgical experience and stable long-term vision improvement. Key eligibility requirements include:

  1. Age: Being born before the age of 18 ensures stabilized eye growth and refractive error.

  2. Stable prescription: for at least 12 months with no significant change in vision.

  3. Cornea thickness: at least 500 microns thick is considered sufficient for creating the flap and reshaping the cornea.

  4. Normal corneal topography: no signs of keratoconus or irregular corneal surface.

  5. Clear eye health: free from any active infection, dry eye, or inflammation.

  6. Overall health:  Free from uncontrolled diabetes, autoimmune diseases, or conditions affecting healing.

  7. Not pregnant or nursing: Hormonal changes can affect corneal shape and tear film stability.

  8. Appropriate pupil size: Large pupils might predispose one to nighttime vision problems.

Realistic Expectations: Should comprehend benefits and limitations and be prepared mentally for an array of results.

Who Should Avoid LASIK and Why?

Certain ocular and systemic conditions can disqualify a patient from undergoing Femto LASIK due to safety concerns or poor visual outcomes. These contraindications are divided into absolute and relative, depending on the level of risk they pose.

1. Keratoconus or Corneal Ectasia Susceptibility

Patients with keratoconus, forme fruste keratoconus, or thin and irregular corneas are at high risk of corneal weakening (ectasia) after surgery. Even early or subclinical forms of ectatic disease are considered absolute contraindications.

2. Severe Dry Eye Syndrome

Pre-existing dry eye can be worsened by LASIK due to the impact on corneal nerves. Severe dry eye can delay healing, increase discomfort, and affect visual quality.

3. Autoimmune and Connective Tissue Diseases

Conditions like rheumatoid arthritis, lupus, and Sjögren’s syndrome compromise wound healing and increase the risk of complications such as corneal haze, scarring, or infection.

4. Uncontrolled Diabetes Mellitus

High blood sugar levels can interfere with the body’s ability to heal after surgery and cause fluctuating vision, making accurate correction difficult.

5. Pregnancy or Lactation

LASIK should not be performed during pregnancy or breastfeeding due to hormonal changes that affect corneal shape and tear production. These fluctuations can alter refractive measurements and healing response.

6. Immunocompromised State

Patients with HIV/AIDS, those undergoing chemotherapy, or taking long-term immunosuppressive therapy may not heal properly and are at greater risk of infection.

7. Cataracts or Retinal Disorders

Patients with visually significant cataracts or conditions like macular degeneration should be managed with other surgeries. LASIK will not address problems stemming from the lens or retina.

8. Active Herpes Simplex Virus (HSV) Keratitis

A history of HSV eye infections can lead to recurrence triggered by laser energy. Active HSV is an absolute contraindication.

9. Unstable Refractive Error

Patients whose prescriptions are still fluctuating are not good candidates, as results may not last long and may require further surgical intervention.

Key Advantages of Femto LASIK Eye Surgery

Femto LASIK eye surgery offers a modern, blade-free alternative to traditional LASIK, delivering improved safety, accuracy, and visual outcomes. By using a femtosecond laser to create the corneal flap, the procedure eliminates the need for mechanical blades and allows for more controlled and predictable outcomes. It is most often used to correct refractive errors such as myopia, hyperopia, and astigmatism.

Key Benefits of Femto LASIK include:

  • High Surgical Precision
    It grants very precise flap creation with the use of femtosecond lasers, reducing the chances of irregular flaps and ensuring overall safety.

  • Reduced Complication Rates
    Consistency in flap thickness and better alignment of flaps eventually decrease the chances of errors and risks during the healing process after surgery.

  • Faster Recovery
    With minimal tissue disruption, most patients can resume their normal schedules in 24 to 48 hours after surgery.

  • Improved Visual Quality
    There are many occasions when patients report visual acuity with crispness and contrast, mostly under low illumination.

  • Personalized Treatment
    Laser parameters can be tailored according to the patient’s corneal shape and thickness to maximize correction.

Summary Table

Benefit Explanation
Faster recovery Return to routine activities within 1–2 days
High success rate Over 90% achieve 20/20 vision or better
Greater accuracy Enhanced control with laser-based flap creation
Long-term stability Results generally remain effective for many years

Possible Complications and After-Effects of Femto LASIK Eye Surgery

While the Femto LASIK eye procedure is considered a safe and effective procedure, it still involves certain risks like any surgical treatment. Most patients recover well and experience lasting improvement in vision, but a small percentage may encounter short-term or long-term side effects. Understanding these possible outcomes is important for setting realistic expectations and making informed decisions.

The use of a femtosecond laser improves the safety profile, but complications related to healing, vision clarity, and corneal structure can still arise in rare cases.

Common Short-Term Effects

Most of these effects are temporary and resolve within a few days or weeks:

  • Dry Eyes
    Reported in up to 30–40% of patients one month after surgery. Most improve within six to twelve months; around 1% may have persistent dryness after one year

  • Glare or Halos
    Common visual aberrations affecting roughly 17–20% of patients; typically resolve within three to six months
  • Blurred or Fluctuating Vision
    Some may notice minor vision changes during the first week; vision usually stabilizes within a few days to weeks.

Less Common but Possible Complications of Femto LASIK Refractive Surgery

Though uncommon, these complications can be more serious and may require additional treatment:

  • Flap-Related Issues
    Complications such as flap displacement, folds, buttonholes, or diffuse lamellar keratitis (DLK) can occur. The incidence ranges from approximately 0.2% to 2.3%, depending on the surgical technique and patient-specific factors.

  • Infection or Inflammation
    As with any eye surgery, there is a small risk of infection or inflammation. Prompt treatment with antibiotics or anti-inflammatory eye drops typically prevents long-term damage. These complications are very rare, with an estimated incidence of 0.04% or less.

  • Epithelial Ingrowth
    In rare cases, surface cells may grow beneath the corneal flap. This may require minor surgical correction if it interferes with vision or flap integrity.

  • Overcorrection or Undercorrection
    The laser may remove too much or too little corneal tissue, resulting in residual vision errors. In some cases, enhancement surgery can help correct the issue.

Complications Overview

  • Dry Eyes
    Severity: Low
    Very common. Temporary dryness and irritation due to reduced tear production.

  • Glare or Halos
    Severity: Low
    Common in the early healing phase, especially at night. Usually fades over time.

  • Refractive Errors (Over/Undercorrection)
    Severity: Moderate
    Less common. May require enhancement surgery if vision isn’t fully corrected.

  • Flap Displacement
    Severity: Rare
    Uncommon. May occur if the corneal flap doesn’t heal perfectly.

  • Infection or Inflammation
    Severity: Rare
    Very rare. Managed with antibiotics or anti-inflammatory drops if caught early.

  • Epithelial Ingrowth
    Severity: Rare
    Occurs in less than 1% of cases. Surface cells grow under the flap; minor surgery may be needed.

Medical Evaluation Before Femto LASIK

Before Femto LASIK, a full medical and eye health check is done to make sure the patient is fit for the procedure. This helps avoid risks and improves the chance of success.

  1. Medical and Eye History Review
    Doctors check current and past medications, general health issues like diabetes or immune conditions, past eye surgeries, injuries, and family history. This helps spot anything that may slow healing or affect results.
  2. Discussion of Expectations and Risks
    The doctor will talk with the patient about what to expect, based on vision needs and lifestyle. This helps set realistic goals and makes sure the patient understands the possible risks and improvements.
  3. Tear Film and Dry Eye Testing
    Dry eyes must be treated before surgery. These tests check the tear film’s quality and amount to avoid healing issues or discomfort after the procedure.
  4. Dilated Fundus Exam
    With the pupils dilated, the doctor examines the retina and optic nerve. Any issues found here, like retinal tears, must be treated before surgery.

Vision Assessment Tests Before Femto LASIK

These tests focus on the structure and condition of the eye, especially the cornea and visual clarity. They are used to plan a safe and effective surgery.

  1. Visual Acuity and Refraction
    This test checks how clearly the patient can see and measures the current prescription. The prescription should be stable for at least 6–12 months before surgery.
  2. Wavefront Analysis
    This test shows how light travels through the eye. It helps detect even small optical flaws and allows for a highly personalized laser correction.
  3. Corneal Topography / Tomography
    A detailed map of the cornea’s shape is created to spot any irregularities like keratoconus. This helps in planning the exact laser pattern for correction.
  4. Pachymetry
    This test measures corneal thickness. A certain thickness is needed to safely create the flap. If the cornea is too thin, the doctor might suggest a different treatment.
  5. Pupil Size Measurement
    Pupil size in low light is measured to check the risk of night vision problems like halos or glare after surgery.

Summary of Pre‑LASIK Evaluation

Test Area Purpose
Medical & Eye History Ensure eligibility and optimize treatment planning
Refraction & Wavefront Analysis Confirm stable prescription and map visual aberrations
Topography & Pachymetry Examine corneal shape and thickness
Pupil Measurement Predict visual side effects under low-light conditions
Tear Film Assessment Detect and manage dry eye before surgery
Retina & Optic Nerve Exam Identify inner-eye issues that could affect outcomes

These tests form the backbone of a safe and effective Femto LASIK procedure plan. They allow clinicians to assess candidacy, customize treatment, mitigate risks, and inform patients fully before surgery.

Femto LASIK VS Contoura Vision

Aspect Femto LASIK Contoura Vision
Type of Procedure Blade-free LASIK using two lasers (femtosecond + excimer) Topography-guided LASIK based on detailed mapping of the cornea
Technology Uses a femtosecond laser to create a corneal flap and an excimer laser to reshape the cornea Maps up to 22,000 points on the cornea for highly personalized treatment
Level of Customization High – suitable for standard refractive errors Very high – corrects both refractive errors and minor corneal irregularities
Visual Outcomes Clear vision, good correction for myopia, hyperopia, and astigmatism Enhanced clarity, contrast sensitivity, and reduced halos and glare
Ideal Candidates Individuals with a stable prescription and healthy, regularly shaped corneas Individuals with irregular corneas, night vision problems, or who want superior results
Safety Blade-free, lower risk than traditional LASIK Extremely precise and safe due to detailed corneal mapping
Suitability Good for general vision correction needs Best for those seeking the most refined and sharpest visual results

Femto LASIK Eye Surgery Cost Breakdown

In India, the Femto LASIK eye procedure is available in most metro cities and offers cost-effective care with advanced technology. Prices vary based on hospital reputation, surgeon experience, and equipment quality.

Top Indian Cities and Their Approximate Costs:

  • Delhi/NCR: ₹90,000 to ₹1,30,000 for both eyes

  • Mumbai: ₹1,00,000 to ₹1,50,000

  • Bengaluru: ₹90,000 to ₹1,40,000

  • Hyderabad: ₹85,000 to ₹1,25,000

  • Chennai: ₹90,000 to ₹1,20,000

  • Kolkata: ₹80,000 to ₹1,10,000

  • Pune: ₹85,000 to ₹1,20,000

These costs generally include pre-surgery testing, consultation, and post-surgery follow-up for a short period. This technology makes it slightly more expensive than traditional LASIK but offers better precision and faster recovery.

Global LASIK Surgery Costs

Country Avg. Cost (Both Eyes) Price in INR (Approx.)
United States $2,500 – $4,000 ₹2,08,000 – ₹3,30,000
United Kingdom $2,400 – $3,500 ₹2,00,000 – ₹2,90,000
UAE (Dubai) $2,200 – $3,000 ₹1,82,000 – ₹2,50,000
Singapore $2,000 – $2,800 ₹1,66,000 – ₹2,30,000
Thailand $1,500 – $2,200 ₹1,25,000 – ₹1,82,000

Femto LASIK offers a precise, blade-free solution for vision correction, making it a top choice for those who qualify. While it comes at a higher price than conventional LASIK, its safety, accuracy, and faster healing make it worth the cost for many patients. Whether patients are considering treatment in India or abroad, it’s better to compare the price along with the clinic’s experience, surgeon’s skill, and quality of care.

Considering Femto LASIK as an option, consult a certified ophthalmologist to understand who is the right candidate(eligibility criteria). Taking a step today could mean seeing the world more clearly tomorrow.

FAQs around Femto LASIK Surgery

Is the Femto LASIK eye procedure permanent, or will I need it again later?

Femto LASIK offers long-term vision correction and in most cases, the results are permanent. However, natural ageing can still affect eyesight, with conditions like presbyopia often appearing in the 40s or 50s. In some rare cases, enhancement surgery may be required if vision changes significantly over time.

Can Femto LASIK be done on both eyes at the same time?

Yes, it is standard practice to treat both eyes during the same session. This approach is safe, efficient, and more convenient for the patient. Surgeons monitor each step carefully, and both eyes typically heal together, minimizing the overall recovery period. However, in certain complex or high-risk cases, the doctor may choose to treat one eye at a time.

How long does the Femto LASIK surgery take?

The actual laser part of the surgery takes only a few minutes per eye, typically under 10 minutes total. However, with preparation, anesthesia, and post-procedure observation, the full visit to the surgical center may last around 1.5 to 2 hours. Most of that time is spent on preparation and safety checks.

Can Femto LASIK correct very high power prescriptions?

It is suitable for a wide range of prescriptions, but it has limitations. Generally, it works well for:

  • Myopia up to -10.00 D
  • Hyperopia up to +4.00 D
  • Astigmatism up to ±5.00 D

For extremely high powers, the corneal tissue removal may be too much for safe reshaping. In such cases, phakic intraocular lenses (ICL) or refractive lens exchange (RLE) may be safer and more effective.

Is Femto LASIK covered by insurance in India or other countries?

Femto LASIK is usually not covered by standard health insurance, as it’s seen as a cosmetic procedure. But some corporate or government plans may offer partial reimbursement. Employees should always check with the insurer or HR for exact details.

When can I resume work after Femto LASIK?

Most people are able to return to desk jobs or light non-strenuous work within 24 to 48 hours after the procedure. However, jobs involving physical activity, exposure to dust, or screen-heavy environments may require up to a week of adjustment. Surgeons recommend avoiding prolonged screen use and UV exposure for the first few days post-surgery.

What precautions should I follow after Femto LASIK surgery?

Key precautions include:

  • No rubbing the eyes for at least a month
  • Avoid water and makeup near the eyes for 1–2 weeks.
  • Wear sunglasses outdoors to protect from UV light.
  • Limit screen use for the first 24–48 hours.

 Follow-up visits are mandatory to track healing. Use prescribed antibiotic and lubricating drops as directed to prevent infection and dryness.

How is Femto LASIK different from SMILE eye surgery?

SMILE (Small Incision Lenticule Extraction) is another type of laser vision correction, but it doesn’t involve creating a corneal flap. Instead, a small disc of tissue is removed from within the cornea through a tiny incision.
Key differences:

  • SMILE is flapless and typically used for myopia and astigmatism.
  • Femto LASIK is more versatile, corrects a wider range of errors, and offers faster visual recovery in many cases.
    The choice depends on eye shape, corneal thickness, and the specific refractive error.

Can the LASIK surgery be done after cataract surgery?

Yes, LASIK can be used after cataract surgery to fine-tune the remaining refractive error if the patient experiences blurred or imperfect vision. This is known as LASIK enhancement and is done only after the eye has fully healed from cataract removal (usually a few months). However, it must be carefully assessed based on corneal thickness and stability post-cataract surgery.

What if I blink or move during LASIK surgery?

Modern LASIK uses real-time eye tracking and pauses if there’s excessive movement. A speculum keeps eyelids open, and most patients feel little discomfort. Mild sedatives or reassurance help manage anxiety.

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Medically Reviewed By
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Dr. Varun Gogia
18 Years Experience Overall
Last Updated : August 14, 2025

What Our Patients Say

Based on 7 Recommendations | Rated 5.0 Out of 5
  • RD

    Rampyare Dadlani

    verified
    5/5

    Femto LASIK surgery with Pristyn Care transformed my life. Their team's professionalism and warmth put me at ease. The surgery was quick, painless, and the results have been outstanding. I'm thrilled to bid farewell to glasses, thanks to Pristyn Care

    City : Nagpur
  • RK

    Ravinder Kher

    verified
    5/5

    After Femto LASIK at Pristyn Care, the world is a different place. The procedure was smooth, and the recovery was well-guided. I'm amazed at the rapid improvement in my vision. Pristyn Care truly delivered on their promise of exceptional care and exceptional results.

    City : Guwahati
  • AR

    Ashwini Reddy

    verified
    5/5

    Femto LASIK surgery at Pristyn Care was a revelation. Their team's expertise and attention to detail were impressive. The surgery was quick and virtually painless, and my vision improved significantly within days. Thank you, Pristyn Care, for this remarkable journey!

    City : Chennai
  • RD

    Rudranath Dasgupta

    verified
    5/5

    Femto LASIK at Pristyn Care was a life-changing experience. The entire team's dedication and expertise were commendable. The surgery itself was quick and precise, and my vision started improving almost immediately. Pristyn Care's care and attention made all the difference.

    City : Nashik
  • PD

    Premshankar Damani

    verified
    5/5

    Choosing Pristyn Care for my Femto LASIK surgery was the best decision. Their cutting-edge technology and skilled surgeons made the process seamless. I experienced minimal discomfort post-surgery and saw a remarkable improvement in my vision. Pristyn Care exceeded my expectations!

    City : Patna
  • PN

    Priya Nag

    verified
    5/5

    Choosing Pristyn Care for my Femto LASIK surgery was the best decision I made. The medical team was incredibly attentive and answered all my questions. The procedure was seamless and performed with utmost precision. Thanks to Pristyn Care, I am now living without the limitations of vision correction devices. I can't express enough gratitude for their expertise and compassionate care. I highly recommend Pristyn Care to anyone considering Femto LASIK surgery for improved vision and enhanced quality of life.

    City : Bhubaneswar