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Bladeless LASIK

Bladeless LASIK, also known as femtosecond LASIK, is a revolutionary advancement in the field of eye care. This procedure eliminates the need for a mechanical blade, offering higher precision and safety. Whether you are dealing with near-sightedness, far-sightedness, or astigmatism, Bladeless LASIK can bring a clear change. At Pristyn Care, you will find skilled doctors experienced in performing Bladeless LASIK surgery. Don’t wait anymore; book an appointment with Pristyn Care today!

Bladeless LASIK, also known as femtosecond LASIK, is a revolutionary advancement in the ... Read More

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    Dr. Chanchal Gadodiya

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What is Bladeless LASIK?

Bladeless LASIK is an innovative procedure that treats refractive errors in our vision. These errors might include conditions like myopia (near-sightedness), hypermetropia (far-sightedness), and astigmatism. Rather than using a mechanical blade, bladeless LASIK surgery employs a femtosecond laser to create a precise corneal flap. This method significantly enhances the safety and accuracy of the procedure.

The procedure is performed by an experienced ophthalmologist and is typically conducted as an outpatient process, which means you can return home on the same day. Bladeless LASIK is renowned for its high success rates and fast recovery times, making it an attractive option for those seeking effective and swift vision correction.

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What Are The Types Of Bladeless LASIK?

Bladeless LASIK encompasses several different techniques, each designed to correct vision with utmost accuracy. Here are the types of bladeless LASIK surgery:

  • Femto LASIK: This method uses a femtosecond laser to create a precise corneal flap, followed by an excimer laser that reshapes the cornea.
  • i LASIK: An advanced variant of Femto LASIK, i LASIK integrates wavefront technology to customise the treatment as per individual eye characteristics.
  • Intralase LASIK: This technique exclusively utilises the Intralase femtosecond laser to create the corneal flap, assuring high precision and a lower risk of complications.
  • All Laser LASIK: This method uses lasers for both flap creation and corneal reshaping, ensuring a blade-free experience throughout the procedure.
  • Z LASIK: This variant incorporates advanced tracking systems to heighten precision during laser application, minimising errors during surgery.

SMILE (Small Incision Lenticule Extraction): This is a newer technique that uses a femtosecond laser to create a lenticule within the cornea, which is then removed through a small incision—preserving more corneal tissue compared to traditional LASIK.

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Diagnosis Before Bladeless LASIK Surgery

Before you undergo a bladeless LASIK surgery, a thorough eye examination is conducted to identify refractive vision errors. This assessment involves several specialised tests, which include:

  • Nearsightedness (Myopia): This condition makes it difficult for you to see distant objects clearly.
  • Farsightedness (Hyperopia): If you have trouble focusing on close objects, you may be suffering from hyperopia.
  • Astigmatism: This condition causes distorted or blurred vision due to an irregular shape of the cornea.

The diagnostic tests include:

  • Refraction Test: This test determines the exact prescription needed for glasses or contact lenses by measuring how light refracts in your eye. It helps the ophthalmologist determine the specific vision correction required for the LASIK procedure.
  • Corneal Topography: This technique creates a detailed map of the cornea’s curvature, helping to identify any irregularities or abnormalities. It assists in customizing the LASIK procedure to ensure that the reshaping of the cornea is accurate.
  • Pachymetry: This test measures the thickness of the cornea, which is crucial for determining whether you have enough tissue for the LASIK procedure. A thinner cornea may disqualify you from LASIK or require alternative treatments.
  • Intraocular Pressure Measurement: This test measures the pressure inside the eye, which is essential for detecting conditions like glaucoma. By ruling out elevated pressure, this test ensures your eye health is optimal for surgery.

These tests help ophthalmologists evaluate your eye health, assess refractive errors, and customise your LASIK treatment plan to optimise outcomes and minimise risks.

What Is The Procedure For Bladeless LASIK?

Bladeless LASIK surgery involves a specific procedure, which typically includes these steps:

  • Preparation: Anaesthetic drops are applied to numb your eyes. A device named a lid speculum is used to keep your eyelids open during surgery.
  • Creation of the Flap: A femtosecond laser creates a thin flap in the cornea with high precision, minimising thermal damage, and ensuring uniform thickness.
  • Lifting the Flap: The flap is gently lifted to expose the underlying corneal tissue for reshaping.
  • Reshaping the Cornea: An excimer laser removes a calculated amount of corneal tissue based on your specific refractive error. This reshaping corrects vision by altering how light enters your eye.
  • Repositioning the Flap: After reshaping, the flap is carefully repositioned over the treated area without stitches, allowing it to adhere naturally as it heals.
  • Post-Operative Care: Patients may experience a hazy vision initially, which typically clears within a few hours. Follow-up appointments are scheduled to monitor healing and visual outcomes.

The entire Bladeless LASIK procedure usually takes less than 30 minutes, and patients can generally return to normal activities within a day or two.

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Who Is The Right Candidate For Bladeless LASIK?

The decision to undergo bladeless LASIK is typically made by an ophthalmologist based on the patient’s symptoms, visual impairment, and the impact of refractive errors on their daily activities and quality of life. These criteria include:

  • Visual Symptoms: Bladeless LASIK is considered appropriate when refractive errors significantly impact a person’s vision, leading to problems with daily activities such as reading and driving.
  • Impact on Daily Life: Refractive errors can interfere with an individual’s ability to perform daily activities essential for daily life, such as driving, reading, or working. If refractive errors affect the person’s quality of life and independence, bladeless LASIK may be considered.

What Are The Benefits Of Bladeless LASIK?

Bladeless LASIK, a recent advancement in the field of eye care, offers several benefits over traditional methods. Some of these benefits include:

  • Enhanced Precision: The use of a femtosecond laser in bladeless LASIK allows for more accurate flap creation. This leads to better visual outcomes and a reduced risk of complications such as flap irregularities and astigmatism.
  • Increased Safety: By eliminating the mechanical blade, the risk of corneal abrasions and flap-related issues is significantly decreased. The uniformity in flap thickness contributes to a safer procedure.
  • Faster Recovery: Patients typically experience quicker recovery times with bladeless LASIK. Many return to their regular activities within 24 hours after the procedure.
  • Reduced Discomfort: Bladeless LASIK is generally a more comfortable procedure, with minimal pain reported during and after surgery.

Broader Eligibility: Bladeless LASIK can be performed on patients with thinner or irregular corneas who may not qualify for traditional LASIK.

How To Prepare For Bladeless LASIK?

Before you undergo bladeless LASIK surgery, there are several important steps to follow:

  • Consultation: Schedule a comprehensive eye exam, which will include tests for refractive errors and corneal thickness to check your suitability for the procedure.
  • Stop Wearing Contacts: You should stop wearing contact lenses (soft or hard) for a specified period before the consultation as they can change your cornea’s shape.
  • Discuss Medications: Share details about any medications you are taking with your surgeon, including over-the-counter drugs and supplements.
  • Arrange Transportation: As you might experience temporary changes in vision after surgery, make sure someone is available to drive you home.
  • Follow Pre-Operative Instructions: Ensure to adhere strictly to any specific instructions provided by your surgeon regarding the use of eye drops or other preparations.

What Are The Recovery Tips and Precautions To Follow After Bladeless LASIK?

After bladeless LASIK, it’s vital to take proper care of your eyes. Here are some general recovery tips:

  • Rest Your Eyes: Avoid strenuous activities in the initial days following surgery and give your eyes sufficient time to heal.
  • Use Prescribed Eye Drops: As directed by your surgeon, use antibiotic and anti-inflammatory eye drops to prevent infection and reduce inflammation.
  • Avoid Rubbing Your Eyes: Be gentle with your eyes, as rubbing can displace the corneal flap.
  • Wear Sunglasses: Protect your eyes from bright lights and UV rays by wearing sunglasses when outdoors.

Attend Follow-Up Appointments: Regular check-ups are crucial to monitor healing and ensure optimal results.

Potential Risks Or Complications Associated With Bladeless LASIK

While bladeless LASIK is generally safe, like any surgical procedure, it carries some potential risks. It’s essential to be aware of these possibilities:

  • Flap Complications: While rare, issues like dislocated flaps or epithelial ingrowth can occur.
  • Dry Eyes: Some patients may experience temporary dry eye symptoms post-surgery. However, these usually resolve with time.
  • Visual Disturbances: Effects like halo, glare, or fluctuating vision can occur but often diminish over time as the eyes heal.
  • Infection Risk: Even though it’s minimised compared to traditional methods, there is a slight risk of infection due to surgical intervention.

FAQs

What is the technology used in bladeless LASIK surgery?

Bladeless LASIK surgery utilises advanced femtosecond laser technology to create a thin flap in the cornea of the eye without the use of a blade. This precise laser technology offers improved safety and precision compared to traditional LASIK methods.

How long does the effect of bladeless LASIK last?

The effects of bladeless LASIK are usually permanent. However, vision may change slightly over time due to ageing or other health-related factors. Regular eye exams can help ensure that any changes are detected and addressed promptly.

How long does the bladeless LASIK procedure take?

The entire bladeless LASIK procedure usually takes about 15 to 20 minutes for both eyes. However, the actual time under the laser is typically less than a minute per eye. The rest of the time is spent preparing and positioning you for the procedure.

Is there any pain during or after bladeless LASIK surgery?

During bladeless LASIK surgery, numbing drops are applied to your eyes to minimise any discomfort. While you might feel slight pressure during certain parts of the procedure, most patients do not experience any significant pain.

When can I resume my regular activities after bladeless LASIK surgery?

Most patients can return to their normal activities within a day or two after their bladeless LASIK surgery. However, it’s important to follow your doctor’s advice and avoid strenuous activities such as swimming or contact sports for at least a week to prevent possible complications.

What precautions should one take before undergoing bladeless LASIK surgery?

Your doctor will provide specific instructions, which may include cessation of contact lens wear and avoidance of eye makeup several days before the procedure.

How often are follow-up visits required after bladeless LASIK?

Typically, your doctor will schedule your first follow-up visit within 24 to 48 hours of your bladeless LASIK surgery. Further follow-ups may be scheduled over the next several months based on your individual healing process.

Can bladeless LASIK be performed if I have had previous eye surgeries?

The suitability for bladeless LASIK in such cases depends on various factors like type of previous surgery and current eye health, among others. Your doctor can provide the best advice after a thorough examination.

What's the difference between bladeless LASIK and traditional LASIK?

The primary difference between bladeless LASIK and traditional LASIK is the method used to create the corneal flap. Traditional LASIK uses a microkeratome blade, while bladeless LASIK utilises a femtosecond laser, providing a safer and more precise procedure.

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Medically Reviewed By
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Dr. Piyush Kapur
28 Years Experience Overall
Last Updated : March 5, 2025

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