What is laksik. Laser vision correction. What is Lasik Operation - Lasik

06.08.2020 Popular treatment
Lasik (Lasik) - Laser specialized keratomiasis - classic operation for intrastromal (deep) laser vision correction, in which a special microsurgery device is a micro-coheter, the surface of the cornea is pre-formed, which allows laser radiation to be operated on the surface of the horny shell, but in its depth.
The Lasik correction method significantly reduces the recruitment period of visual acuity and postoperative discomfort compared to LASK and FRK operations, where the laser exposure occurs on the surface of the cornea. Complete reduction of vision occurs within 5-7 days.
In our clinic, we also conduct a laser correction of vision by improved techniques, which are based on the principle of Lasik. This is a patented technique of a REC, which allows you to take into account the individual features of the patient refraction (in a number of clinics, similar operations are called Super Lasik), as well as the most modern method of laser correction (femto-support operation), in which the formation of the flap is made by a femtosecond laser, without applying Cutting tool.
Nevertheless, the classic Lasik surgery remains very popular and demanded due to much more Low cost.


Indications to Lasik

LASIK Laser Correction Technique allows you to correct refractive disorders. The operation is recommended for patients with visual disabilities:
  • With weak and medium myopia (up to 5.0 diopters)
  • astigmatism up to 1.75 d


Contraindications

To conduct a vision correction, Lasik is contraindicated:
The possibility of carrying out the laser correction of Lasik in each particular case is established by the profile specialist of the new look clinic after receiving and diagnosing.


Preparation for Lasik operation

Planning the laury operation, it is important to consider the following points:
  • Contact lenses change the shape of the cornea, and its recovery to a normal state will take at least 7 days. Therefore, it is necessary to switch to glasses in advance before the operation.
  • The day before the operation in the eyes stop using cosmetics - and caring, and decorative.
  • Despite the low invasiveness of Lasik operation, it is better to take care of who will accompany you after the procedure home.


Stroke Operation Lasik

In the process of LASIK laser correction, the excimer laser acts on the surface layers of the stromium of the cornea, changing its refraction. With the help of a microcratom (a special device used in the microsirrough eye), the finest flap from the surface layers of the cornea tissue 120-130 microns is preformed. The formation of the flap followed by its shift allows an excimer laser to work on a deeper cornea layer (stroma).
After photoablation, the flap is placed in the processing place. This method pursues the main goal - the integrity of the epithelium layer performing a natural protective function. Painful sensations are minimized, closer options are excluded, distortion of objects, minimum recovery period.
Short-term Laser Operation on Lasik's Eyes lasts 10-12 minutes.
For laser Operations The cornea of \u200b\u200ba person begins to correctly refract the rays and the focus of the rays focuses on the retina of the eye and therefore a person sees without glasses and lenses.


Postoperative period

When Lasik's Laser Correction (LASIK) is completed, in the first minutes after surgery, the patient can feel a slight burning or sensation foreign bodiesHowever, these consequences are short. There may be a desire to lose your eyes, but it is categorically prohibited.
After the operation, Lasik:
  • Significant physical exercise and non-contact sport is prohibited within 10-14 days;
  • Use of cosmetics - is prohibited within 14 days;
  • Contact sports is prohibited within 1-1.5 months.


Vision after laser correction Lasik

Laser correction Lasik's view is easily and painlessly removes myopia weak and middle degree, astigmatism weak degree, farewellness of a weak degree. As a result of safe intervention, the patient is returned to excellent vision. You get independence from glasses and contact lenses. After a day, patients can lead a familiar lifestyle. It is recommended to refrain a couple of days from the active washing of the eyes. Complete reduction of vision after the Lasik operation occurs within 5-7 days.

Lasik - eye operation. Reviews for this method of correction, rather contradictory are obtained. To judge their reliability can only pass through all the stages of the procedure and attending physicians who are watching patients after their recovery of vision with a unique impact of LASIK laser keratomiasis.

There are several options for conducting an operation to correction by Lasik

Impressive high-tech direction of ophthalmology of laser surgery of the eyes. The effective method of restoring vision, correction, apply doctors if there is a myopia, hyperopia ,. After it, with good forecasts, you will no longer need patients contact lenses and glasses.

In the world apply different methods, Only a professional from medicine will be able to determine which one is acceptable in each individual case:

  • Popular among doctors and patients is the use of super elasty. After a careful examination of the patient, the ophthalmologist will appoint a surgery, based on the features of its body, so the results are mainly positive.
  • The basic laury is less effective, since the technique does not provide for the accounting of individuality in the structure. This method restore violations of vision in clinics that are not equipped with modern devices.
  • Femto Lasik is performed by a slice from the cornea with a special laser.
  • The use of femto super elasty is no different from a simple case for conducting surgical actions, except that before starting the operation in humans examine the structure of his eyes.
  • Presby Lasik corrected vision in humans, if close items are poorly displayed in their opinion. Doctors seek excellent environmental vision at any sensible distance.
  • The FRK method enjoys doctors as gentle, if a citizen has contraindications to apply other procedures.
  • Patients in the presence of a thin cornea is difficult to choose acceptable treatment, in rare cases they use epithe lasik.

Each of the presented methods in its own way special, modern ophthalmology applies them, and effectiveness depends on the state of the health of each individual example.

What stages are included in the procedure


Operation takes a little time and is usually carried out in an outpatient mode.

With the help of laser correction, corrections are achieved, disturbed visual functions in a safe way. Methods do not have age limitations, but doctors are recommended by potential applicants, proceeding with rehabilitation from 18 to 56 years, this period is considered the most ideal.

The duration of surgical intervention of each eye proceeds within 10 minutes without pain. The pain blocks the entered anesthetic. Operations are performed in outpatient conditions. Vision changes are estimated after a couple of hours. According to observations, the stability and predictability of the results are noticed.

IN recovery Process Included:

  1. preparatory procedures;
  2. carrying out the operational method;
  3. medical observations after surgery;
  4. postoperative care.

Applicants are prepared for visual adjustments as follows:

  1. before the medical process, the use of soft contact lenses is excluded within 2 days, and tight 14 days;
  2. do not apply decorative cosmetics on the skin around the eyes three days before surgery;
  3. it is prohibited on an operating day of shave with lotion, the use of spirits, cologne
  4. after events, it is impossible to engage in hygienic procedures on the head for several days, it is better to perform in advance;
  5. there is no special claims to the diet of special complaints, but, as with any surgery of the surgeon to the body, it is not necessary to saturate without measure to be saturated.

Adjust vision by laser three stages:

  • create surface flap on the eye, the special tool is removed on the side;
  • change the shape of the cornea in accordance with the individual structure and visual features of the person operated on;
  • return, disturbed fabric when it is created in the first step, to the place for later adheated.

After the laser intervention, there are no seams, the scars on the eyeballs, the hitch of the flap occurs without a trace.

Pros and cons


Despite the modernity of the method, he also has its pros and cons

It is necessary to take into account the possibility of forming no comfortable sensations after the corrective actions of the surgeon in the eye of the eye, but it is impossible to touch them, the more rubbed, so as not to shift the fabric.

The advantage of the method is that the patient can get rid of shortcomings in vision at once in two eyes, except for special exceptions. Minus serves: for such treatment, hospital sheets are not issued, although the doctors advise peace for several days, and start working only after their control examinations.

In general, one of the advantages can be a list:

  • no pain;
  • operation, as well as rehabilitation, pass in a short time;
  • there are no postoperative traces;
  • correction is provided by S. wide spectrum opportunities in correction of vision;
  • side effects are minimized;
  • a high percentage of performance is achieved.

In addition to the conditions prescribed by the doctor after medical events, the patient can immediately include in the usual life for him.

Negative moments serve:

  1. exodus is not guaranteed;
  2. changes in the corneal layer are possible;
  3. if it is necessary to make it impossible to implement it;
  4. sometimes pupil decentralization occurs;
  5. minimum, but risks exist.

Cons are present in any surgical intervention. It is possible to avoid them only a thorough examination of the organism and a mandatory prevention from ophthalmologists about possible consequences.

Description of indications and contraindications


Before the operation, you will spend thorough diagnosis of vision and find out the permissibility of surgery
  • adult patients with stable vision during the year;
  • if the diagnosis showed myopia, hypermetropy, astigmatism within the diopter to be corrected.

Excluded to interfere with patients:

  1. tuberculosis;
  2. diabetes;
  3. infectious, viral diseases.

With availability:

  • in arthritis and arthrosis;
  • pregnancy;
  • signs of onocopathology;
  • rights in vision.

The detection of the influenza state, ORVI will lead to an increase in the risk of infection and extends the recovery period. Operational actions are possible after full cure with stabilization in health deviations.


Competently fulfill postoperative recommendations to prevent the development of complications

Attending the clinic follows a diagram of the recovery period. Usually an ophthalmologist checks the result on another day after the procedure is fulfilled, before that it is not necessary to get rid of protective linings. It is necessary to sleep with them at least 7 nights.

To use their use, the doctor will write drops, they should not be neglected, refuse. It requires compliance with strict sanitation, before any action wash your hands.

It is necessary to refuse time:

  1. from washing the head;
  2. sports activities;
  3. visits to pools;
  4. cosmetics;
  5. places with increased smoke and contaminated airspace.

The usual way of life will come in a week, except for the fulfillment of certain conditions, which the doctor will warn in advance.

To eliminate unwanted consequences, it is necessary to adhere to the rules:

  • sleep on the back;
  • it is impossible to physically explore the condition of the eyes;
  • you can do everything, but it is better to recover, and then start reading, driving by car;
  • perform all medical appointments;
  • eliminate the use of ne. boiled water for washing in the first week;
  • it is impossible to use patches, taking alcohol.

The detection of symptoms with unpleasant sensations is the first reason to appeal to the doctor.

Price issue

The cost depends on the status of the clinic and the region of surgical intervention.

Affect the price:

  • type of procedure;
  • complexity;
  • place of execution.

Average prices in Russia from 30 to 100 thousand rubles.

What people say

The final decision of the applicant for improving vision often depends on the reviews coming from simple patients.

For example, Anna Gordienko fulfilled the correction in 2017, she left her mind: "After Super Lasik, an ophthalmologist described possible consequencesBut they did not come. I did not go to work for a week, took a vacation. The result is favorable, the vision is fully restored. "

Oleg Krivtsov said: "It was not possible to achieve the ability to see 100% laser correction, but I am not indignant, since the items began to be displayed with amazing clarity."

Experts analyze incoming complaints if they are present. Basically, patient claims for the high cost of services, and violations in postoperative state occur from non-compliance with the regime and councils of medical personnel.

Visual display of laser vision correction you will find on the video:

Lasik is one of the modern painless methods of getting rid of points and lenses. Laser keratomiasis combines microsurgical manipulations + excimer-laser agents. The operation is carried out on the cornea of \u200b\u200bthe eyeball, as a result of which its transformation occurs.

The principle of laser keratomilosis is the advantages of the method of Lasik for vision correction

The list of positive sides of this method of treatment is quite large:

  • The upper shell of the cornea remains unharmed. The evaporation of the corneal tissue is carried out at the level of the middle layer.
  • No needs in hospitalization. Due to the small-acting procedure under consideration, the patient may return home a day when manipulation was performed.
  • For rehabilitation, no time is required, so it is realistic to renew the work / learning within a few days after the procedure.
  • Improved eyesight occurs through a read hours after the end of the correction. Although some patients need more time for this, this phenomenon is determined individually.
  • The ability to conduct a correction immediately on both bodies of vision. Make a break between the correction of one, the second organ of vision is not necessary.
  • Local anesthesia, which is practiced during the manipulation does not cause side phenomena, promotes the lack of pain at the time of correction.
  • The postoperative period is characterized by minimal discomfort, which is self-destruction in the shortest possible time. The patient has no need for a continuous wearing of special protective bandages on the eyes. Although in order to protect the eyes from the wind, dust, sunlight doctors recommend first time after correction to use darkened glasses. Side effects Rarely arise.
  • Changes in the turn of the cornea after the procedure under consideration does not occur.
  • Many patients need to use glasses, lenses after the specified manipulation does not occur. If the cause of poor vision was concrete violations of visual acuity - myopia / farsightedness, the unified correction will be enough to resume the ability in the aspect of the vision. However, if the patient began to see badly against the background of a certain agence, the correction will not give a static result, it is necessary to take care of the elimination of the ailment.
  • The Lasik method correction cannot provoke impairment. The exception will be those cases when a doctor worked with laser equipment that does not have sufficient experience with such a technique. In addition to high cost, these medical devices need competent application in practice.

The cost of the procedure will vary, depending on the reputation of the clinic, where the correction will be carried out, as well as the degree of myopia, hyperopia, astigmatism. On average, the price will start from 400 dollars for 1 eye. It is also worth considering the cost of consultation ( from $ 50. ), necessity individual program Treatment (the price is negotiated with the doctor).

Indications and Contraindications to the operation

The manipulation under consideration should be carried out in such cases:

  • The person is involved in such working conditions, where the use of glasses / lenses is unacceptable :
  1. Activities occurs in areas in which a lot of dust, smoke, gas. Employees of mines are ranked here, drill equipment machines, people of other similar specialties.
  2. The work is the need for instant response to those who arose situations (people of military specialties, policemen, firefighters).
  • By appointing a doctor. Often this concerns those situations where one eye operates better than the other (myopia, astigmatism, hyperopia). A healthy body due to lack of treatment loses the ability to adequate focusing in the necessary objects.

In the above-mentioned situations, the Correction on the Lasik method is permissible only in cases where the patient:

  • There is no violation of the functioning of the cornea, the retina.
  • Reaching that age when you can talk about the final formation of the eyeball. Such a border is the 18th anniversary. When establishing astigmatism, it is better to postpone the procedure until the patient execution is 21 years.
  • It has in its history record about the lack of regression of visual acuity within 1 year. Otherwise, the operation will not be effective.

Do not recommend it to carry out this kind of eye correction, if the patient is a pregnant woman / nursing mother . This is justified by the fact that in this period occurs hormonal imbalancewhich is able to temporarily influence the indicators of view. Correction consequences may have unstable results, so the best option Correction is a period of at least 1 month after the completion of lactation. In the aspect of the effect on the pregnancy itself / childbirth, no effect is provided by the manipulation.

Treatment on the method of Lasik is contraindicated, if:

  • There is, which is constantly developing, affecting urgency.
  • the cornea of \u200b\u200bthe eye that sees badly, has too thin shell.
  • The patient has autoimmune, vascular ailments, diseases associated with protective reactions Organism: multiple sclerosis, AIDS, rheumatoid arthritis. The presence of such diseases negatively affects the abilities of the body.
  • The regular use of drugs, which adversely affect organs of vision is confirmed.
  • There are diseases conducive to the thinning of the top ball of the cornea. If a person still decides to hold a correction on the Lasik technique, a significant impairment of vision in the future can occur, which will require more cardinal surgical manipulations.
  • The patient has problems in the aspect of retinal detachment. There were no measures to eliminate such ailment.
  • Only one eye functions.

Not contraindicated, but it is undesirable to conduct the Operation in question in such cases:

  • There are infectious damage to the eye / whole organism.
  • Man suffers. In the implementation of the correction, this syndrome may increase, which will affect the rate of lostedness of the flap.
  • Available allergic reaction For those or other products / drugs, which is characteristic of a regular method of medication.

Stages of Lasik Operation - Video of Laser Keratomylez

Preparation period:

  • Before the beginning of the manipulation under consideration, the doctor finds out the patient a list of accepted drugs, an allergic history, the presence of additional ailments.
  • If there are no contraindications to the correction, the patient is offered a few days before the correction to use moisturizing eye drops (artificial tear).
  • The day before the procedure can not be taken alcoholic beverages.

Operation itself takes place in several stages:

  • The use of anesthesia is 15-20 minutes before the procedure. Practiced eye drops.
  • Operating creates a cornea flap, the thickness of which ranges from 160 microns, radius - not more than 4.5 mm. By means of a microcess. The latter is a medical instrument that functions on the same principle as the planer. This device is used to cut the upper line of the cornea, which is the most responsible moment in the entire manipulation. The first active stage of this procedure is 5-7 seconds.
  • The flap is cut off in such a way that its partial connection with the cornea is preserved. Cropped plot folded to the side.
  • Due to the excimer laser, the liquidation of the fundamental composite cornea (stroma) occurs. The duration of this phase is from 30 seconds to 1 minute. The process of fixing the eye will depend on the model of the laser: it can hold directly operating; Blocking is carried out by compensating laser system systems. From the patient's side can be stated unpleasant odors, impulses minor strength. This is explained by the presence of acoustic waves, which are produced by a laser.
  • The zone on which the impact was produced is washed.
  • Cropped corneal flap is returned to its original location. The establishment of seams in this technique is not envisaged - the severity of the corneal matter occurs instantly.

The duration of the correction is about 20 minutes (together with anesthesia) . After the operation, the patient must be in the clinic about 2 hours.

If after the specified period of exacerbation time does not occur, it is allowed to go home.

Restoring after the operation of Lasik - Are there any restrictions after laser keratsomeuriza?

After the procedure under consideration, the patient may have such adverse effects:

  • The presence of bright haloes in the process of contemplating objects.
  • Discomfort when opening / closing the century, associated with dry, thumbnail. In order to minimize such an effect, it is necessary to use special eye drops that will be appointed by an ophthalmologist. After using such drugs, a short blurry, nebula, may occur. If the pain is strong - the doctor prescribes painkillers.
  • Inability to be in bright illuminated rooms.
  • Infection of the operated surface.
  • The complexity of visualization of objects in a darkened room, where weak light. Such a phenomenon can accompany the operated 6 months or more.
  • Oscillations of visual acuity.

To reduce the risk of negative consequences, the first visit to the ophthalmologist is recommended. 1-2 days after the correction . Subsequently, visits to the specified specialist should be organized within 6 months.

To protect the operated eye from external stimuli, a set of events must be performed:

  • Cannot use contact lenses, if not approved by the doctor.
  • During the first 14 days after the correction, it should be refrained from cosmetic treatments with eyes: creams, shadows, mascaras for eyelashes should be postponed for this period.
  • Throw eyes contraindicated.
  • Water entering the operated organ is undesirable. On the first day after the operation, it is better not to wash it, - wipe your face through cotton tampons. My head is allowed for 3-4 days after the procedure, avoiding soap bubbles In the mucous eye.
  • From visiting baths, saunas, solariums for one month after surgery should be abstained.
  • To protect against infection in the first three weeks, you should not swim in the rivers, seas, visit the pools.
  • To minimize the likelihood of damage to the operated authority, it is necessary to refuse to participate in mass events in the first month.

Reviews

Good day! In 2009, finally decided to restore vision with the help of laser technologies (LASIK). The operation was done in one of the private clinics of St. Petersburg. Before this event, both eyes were identical poorly: -6. After the procedure of my joy there was no borders - a confident unit. However, after 2 months, my vision fell to -1. When I turned to the doctor, he explained the indicated phenomenon by the fact that I have too thin shell on the cornea, such a decrease in vision is considered normal. Although before operations, the same doctor was aware of the state of my cornea, and assured me in a favorable outcome of the procedure. 6 months have passed: in the present time my vision fell even lower (-1.5). What do I do not know further: doctors advise the operation to repeat. Assimate reluctance: first, money is not small, secondly, the performance is not guaranteed as I was convinced of personal experience.

His eyes I treated with a laser in a Moscow private clinic about a year ago. Before the procedure, the left and right eyes were seen on -6, after - vision was completely restored. On the same day, about 25 patients were present in the hospital about identical laser correction. Some of them saw at the reception in a month - no one complained about the consequences. In terms of the postoperative period, I want to note a minor redness of the eyes, thread. The next day, all this ended. So I advise this method, do not be afraid to experiment: one day the flower pot can fall on your head, but this does not mean that it should be closed at home, and do not go anywhere.

My vision problems stretch from the time of the 5th grade, when I decided to make a piercing on the ears. Since then, until the moment of treatment, the laser had 3 of both eyes. The procedure was solved for a long time, chose the metropolitan private clinic. The doctor advised the Correction on the Lasik method (laser). At that time (2011), together with the advice of an ophthalmologist, the operation spent 30 thousand rubles. It became excellent to see, but the eyes began to show sensitivity to everything: to smoke, dust, wind, even for cosmetics! He applied to many doctors, everyone claims that the results obtained are for life, to fix them unreal. I think that this kind of procedures should be approached as at least to use the services of exclusively verified surgeons!

Not one month was solved on the correction of his bad vision. So that it was not so scary, pulling a girlfriend along with him. She had an identical problem. Lasik produced 4 years ago, after which the contact lenses were removed, and they did not use them more. This type of operation is absolutely safe, there can be no terrible consequences. Is that the operating doctor gets illiterate. But here it is already a matter of human factor, not the method itself.

Good day. In October last year, Lasik's correction was successfully implemented. One eye saw on +6 (right), the second is +8. Now my vision is perfect. However, dry eyes syndrome is still present! I do not know how to get rid of it: I tried a lot of eye droplets, expensive gels, who appointed a doctor. At first, Lacrycii helped, but after a couple of weeks everything returned again. When I look at the bright objects, luminous circles flashes in the eyes. The doctor said in six months, everything will pass, but also the deadlines come, and negative phenomena are still present.

Both eyes have seen badly, and there was a difference in diopritations. On one it was -4, on the second -2. Such a difference very preventedly focus on the items, it was unrealistic to choose lenses / glasses. The clinic chose a long time: went to one, said that the thin layer of the cornea is not a problem, there they regularly carry out such correction, has never had complaints from anyone. Such fabulous unreality was alarmed, I decided to find another hospital. There I was warned that with a cornea like my such procedures may not always be fruitful, instructed about a number of probable outcomes. Here I also produced a laury operation. The result obtained is more than satisfied: the vision is 100%. In the first two weeks it was impossible to sit near the computer, television. Behind the wheel of the car sat in a day.

Lasik's operation was produced in Kiev in July 2013. I advise those who decide to make such a procedure immediately after its completion call a taxi, go home and go to bed in order not to feel discomfort. What I remember about restrictions after the correction:

  • you can not drink alcohol, painting your eyes - 2 weeks. This ban was the most difficult for me;
  • walk to saunas / wage, apply heavy physical loads;
  • rub eyes (sometimes I wanted to do it!).

Two weeks after the operation dripped her eyes with artificial tears, which was attributed to my doctor. I also drank tablets - I do not remember the name. I advise you to go outside in darkened sunglasses: the eyes are protected not only from sunlight, but also from dust, wind.

A couple of years ago in Tambov did a laser correction for: right-hand -7, left -8, astigmatism. The procedure itself lasted about 25 minutes, after another 2 hours in the clinic, and home. During the procedure, the pain did not experience absolutely no! When the action of painkillers ended, it began a terrible burning in both eyes, - it was impossible to touch the centuries. Three days later, these pains ended. I used some drops that the doctor prescribed, drank antibiotics. It was not well able to see well: in a month came to the results 1 - the right eye, -0.5 - left. It was impossible to sit three weeks near the computer, play sports, make makeup. The result is generally satisfied.

The most popular method of laser correction of view in the world, according to which several millions of operations are performed annually.

What is Lasik?

Lasik (Lasik, Leaceik, Lasik) is the most popular method of laser correction in the world in which several millions of operations are performed annually. Lasik is the abbreviation of the full name of the Laser Assisted in Situ Keratomileusis operation, proposed by Greek Dr. Palliakaris in 1990.
To date, Lasik is the safest, high-tech and time-tested method of laser vision correction, which allows to obtain high visual acuity and stability. Lasik is used to correct myopia, hyperopia and astigmatism, allowing patients to get rid of wearing glasses and contact lenses.
Why did this technique become so popular?
Lasik has several advantages over other refractive operations. Namely:
  • Fast recovery vision
  • No pain
  • Short time operation
  • Lack of seams and scar
  • Stability of results
The essence of the LASIK method is to use the "cold" ultraviolet beam of the excimerlaser to change the optical force of the cornea. Changing the refraction of the cornea allows you to achieve accurate focusing of the beams of light on the retina of the eye, which determines the high visual sharpness. Patients with myopia have too cool the shape of the cornea, and the goal of Lasik make it more flat. Patients with farsightedness, on the contrary, need to be attached to the cornea of \u200b\u200ba coolest form. With astigmatism, the cornea is given correct spherical form.
The last modification of this technique was called Super Lasik or personalized vision correction. The difference from the standard Lasik technique is that the prosecution of the patient's cornea structure is used for vision correction. A special device - the roototopographer scans the cornea of \u200b\u200bthe eye through several thousand points, creating an extreme map of its surface and refracting force. These data is transferred to the antimellaser program and the recovery of vision occurs according to the individual parameters of each patient. The result is the highest possible vision with high definition and contrast, especially in the evening, as well as visual acuity, often exceeding 100%.
The LASIK operation consists of 3 main stages:
  • Creating a flap of cornea
  • Laser correction
  • Return of the cornea flap in its original position
One of the most important stages of the entire operation is to create a cornea flap. To date, there are two ways to create it:
  • Classical technique using a microcratic
  • More modern technique using a femtosecond laser
The LASIK operation was created using mechanical microcratoms, which have the perfect quality surface surface of the corneal flap. Femtosecond lasers only in recent years began to approach these parameters to mechanical microcratoms, but due to high costs do not have the mass distribution in Russia. When using a femtosecond laser, the operation is called Femto Lasik and can be carried out both according to a standard correction program and according to personalized corneal topographic data.

Before Operation Lasik

If you are going to get rid of glasses and contact lenses, making a laser correction of vision by the Lasik method, the first step should be the choice of a professional ophthalmic clinic and a refractive surgeon. This is undoubtedly one of the most important steps depending on the patient.
In order to decide whether you are a good candidate for the fulfillment of Lasik, your eye physician will hold a complete diagnostic examination in order to verify the health of the eyes of the eyes, the exclusion of contraindications and the definition of the vision correction program. At consultation, you can evaluate the projected outcome of the operation, which will correspond to your urgency sharp with full correction with glasses or contact lenses. The doctor will also carefully ask you about the existing common diseases and accepted drugs that may eliminate the possibility of carrying out the operation or postpone it for a certain period.
The doctor may prescribe a preventive injection of various eye drops, for example, to reduce the manifestations of the "dry eye" syndrome after Lasik, which is often found in patients undergoing refractory operation.
If there is appropriate equipment in the clinic, you may be offered to conduct a super-lasik correction. In this case, you will be examined on a special topograph, the information obtained will be laid in a computer of an excimer member for a personalized operation.
If it turns out that the lasik method is contraindicated for any reason, the doctor will offer alternative, more secure methods of view correction methods, such as FRK, LASK or Epi-Lasik. There are also a number of vision correction techniques and without the use of a laser, for example, the implantation of facile lenses.
For more information about whether you are a good candidate for Lasik, please read the article "Is Lasik suitable for me?".

What happens during Lasik?

Lasik is an outpatient operation, and after some time after it, you will leave the clinic. Be sure to ask anyone to accompany you, since you can not get behind the wheel yourself.
When concluding an agreement with the contract for the provision of medical services, you will be offered to sign a voluntary informed consent to the Lasik operation.
Despite the deposit of Lasik technology, it requires a very delicate performance, which is possible only in the conditions of a professional clinic and an experienced surgeon.
Before the operation, your attending doctor will conduct a control examination of the eye, some patients can offer to take sedatives. Then they are carried out in the surgical department of the clinic and will be changed into operating clothes.
First, the anesthetizing drops are twisted in your eyes several times, and you will not feel pain during the entire operation. You will be laid on the excimerlaser operation table, the surgeon will hold an accurate center for your eye relative to the laser. As a rule, the operation is performed at both eyes, first on the right, then on the left. A special strut will be installed in the operated eye, which will not allow him to blink, the second eye can do it calmly.
Next follows the stage of formation of corneal flap. Regardless of the tool - a micro-microratom or femtosecond laser, a fixing vacuum ring will be installed on the eye, providing the correct position and the absence of eye movements to exclude problems as a flap. During the operation of the microcess, a light buzzing noise or buzzer signals is heard, the patient completely disappears an image for 20-30 seconds, then the light returns. As a result, on the surface of the cornea, the finest flap on a leg with a thickness of about 0.1 mm is created, on the device resembling ancient clock with a lid. The surgeon gently assigns the flap side.
The operation of the excimer member is the active part of the operation, when the laser beam evaporates the specified number of cornea fabric under the patient correction program. The greater the number of diopters, which must eliminate the laser, the longer the work lasts. During the laser operation, the patient looks at the luminous label from a few seconds to a minute, which depends on the amount of correction and parameters of the excimerlaser. The more modern excimerlaser installation, the less time the work of the laser lasts, which greatly facilitates the patient's task and reduces the psychological stress. The patient can also feel a peculiar smell. ultraviolet radiation.
After the laser correction stage, the surgeon gently returns a corneal flap, which is fixed to the cornea due to the adhesion forces without bleaching. In some cases, contact lens can be installed for greater security.
All operation takes 5-7 minutes on one eye.
All operation takes 5-7 minutes on one eye. Usually Lasik is performed simultaneously in both eyes, although some patients prefer to take a break in one week.
After completion of the procedure, the patient remains 1-2 hours in the Chamber under the supervision of personnel, after which the doctor conducts a test inspection, gives all the recommendations and releases home until the next day. The patient can disturb the tearing, rubbing and the feeling of sand in the eyes. Bright light can enhance these sensations, so it is necessary to protect the eyes with dark glasses. Day After surgery, you need to avoid any touch to the eye, so as not to shift the corneal flap. The prerequisite for the successful result of the operation is strictly observing all restrictions and appointments of the attending physician. The patient receives a detailed treatment regimen from 2-3 types of drops for the entire postoperative period.

After Lasik

The next day after surgery, the patient comes to a test inspection. In most cases, by this time, visual acuity is as close as possible to the predicted, but already without glasses and contact lenses. A visual acuity can vary and slightly varying for several days or weeks, while the active healing process is underway, which depends on the individual characteristics of the patient.
The patient can proceed to his work or study the day after the Lasik surgery.
Lasik refers to cosmetic procedures, and in most clinics is not issued a sick leave. In principle, the patient can start working or studying the day after the operation, if it does not contradict the restrictions. Of course, the ideal option will spend 2-3 days to the second control inspection. A visit to the doctor is also required for 4 days after the operation, after 1 week and 1 month. The control examination is usually carried out after 6 months and 1 year.
For successful recovery and the achievements of maximum results after laser correction should be observed a number of restrictions in postoperative period. In the clinic you will be given a memo, how to behave after the Lasik surgery. In different clinics and different doctors, the quantities and timing of restrictions may vary.

Results Lasik

Most people reaches 100% of visual acuity after Lasik, and sometimes more. Do not forget that the main task of Lasik is to save the patient from wearing glasses and contact lenses, therefore visual acuity is less than 100% are also considered a good result.
Sometimes, especially if a high degree of myopia was corrected, the patient will still need contact lenses or glasses for full correction, but they will be much weaker than the original. In rare cases, having received high visual acuity after surgery, patients may mark a gradual impairment of vision in a remote period, the so-called "regression". It may be associated with progressive myopia when eyeball Still continues to grow long. This question can be discussed with the surgeon in order to determine whether it is possible to perform a detectation by repeated Lasik.
Even if you have excellent vision after Lasik, by 40 you can still require reading glasses or multifocal contact lenses. This is a normal physiological process called Presbyopia. Your vda vision will remain clear, but when working at close range you will experience difficulties.
With the correct selection of candidates for surgery and a thorough examination, postoperative complications arise in less than 1% of cases. These include eye infection, dry eye syndrome, rainbow circles from bright light sources, etc. Most of them are well treatable or significantly reduce their manifestations over time. Read more about this in the article "Risks and Complications Lasik".

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