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Lasik Surgery Explained

A question you may be asking yourself right now, WHAT IS LASIK EYE SURGERY? A quick method to permanently improve your vision.

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First there were glasses, than came contacts and finally Lasik surgery arrived. There has been a continuous advancement in technology to help improve vision. The difference is that glasses and contact lenses offer a temporary fix whereas Lasik eye surgery now is a permanent fix.

Lasik eye surgery has now been around for close to thirty years. It was introduced in the US in the mid nineties. At that time If you were in school, in diapers or a twinkle in your parent eyes you are a good prospect for Lasik eye surgery. If you are a baby boomer the chances of still qualifying for Lasik vision correction are dim. You should instead look at PIE or Presbyopic Implant in Eye.

Lasik is a type of eye surgery in which an extremely precise computer controlled laser is used to reshape the corneal surface so as to fix irregularities that have impaired your vision. The cornea is the front part of the eyeball, the white part around the iris. Lasik eye surgery corrects: Near-sightedness (myopia) Far-sightedness (hyperopia) and Astigmatism. It does not correct presbyopia, which causes the need for reading glasses that overtakes all of us once we reach the age range of 40-50. Presbyopia treatments must deal with the stiffening lens and weakening eye muscles rather than just modifying the corneal surface.

What are the steps of Lasik eye Surgery?

Step 1:

  • Designing a partial thickness cornea flap using an automated machine or a femto second laser.

Step 2:

  • iDesign Wavefront active track laser to change thickness and hence shape of the Cornea

Step 3:

  • Re-position the corneal flap and seal it
Idesign wavescan lasik

How Lasik Works:

Lasik stands for Laser In-situ Keratomileusis, a procedure designed “to shape the cornea from within.” During Lasik surgery, this is exactly what happens: your cornea is re-shaped using a state-of-the-art Excimer laser. The laser vaporizes tiny amounts of corneal tissue such that the cornea is made less steep. Then the light rays will focus on your retina and you’ll be able to see clearly. 

This improves your eyes’ ability to focus, providing you with clear vision. Lasik eye surgery is done to enhance the natural vision and gain freedom from glasses and contact lenses. The eye cannot be made longer or shorter. We therefore alter the focusing power of the eye. As with a camera where we can add or remove lenses to get a good picture. Lasers achieve this feature by changing the shape of the clear front part of the eye called the cornea. Before Lasik is performed, every microscopic irregularity that is affecting your vision will be mapped out using an advanced technology called Wavefront Diagnosis. This “map” of your eyes will then be used to guide the Excimer laser in re-shaping your cornea, helping it target and correct each irregularity. The result is clear, unhindered vision that does not require dependence on glasses or contact lenses.

Does Lasik eye surgery hurt?

This is something which is on everyones mind. Many people are concerned if Lasik eye surgery will be painful. They also wonder if they will be awake or asleep. Some are concerned with keeping their eyes open while others worry about holding their eyes still. Lets. start by saying in Dr. Khanna’s hands the surgery is not painful. You may experience some pressure and feel the temperature of the liquids instilled into your eyesIT IS NOT PAINFUL. No, Lasik does not hurt!

There are certain steps we take in our practice to keep it a pleasurable  experience. The first step is education about the procedure. Our wonderful staff gives a preview of the laser suite and the entire process. We allow prospective Lasik candidates to talk to patients who have had Lasik recently. This method alleviates anxiety. Xanax or Versed before the procedure also helps lessen the remaining anxiety.

Watch Lasik Expert Rajesh Khanna MD talk LIVE about what is Lasik Eye Surgery and if it can correct your vision!

Correcting Myopia with Lasik Eye Surgery

Glasses and/or contact lenses are the most common treatment method for myopia. However, Lasik can permanently correct your myopia, granting you the crystal clear vision you’ve always wanted without the need for 

eyewear. This incredibly effective refractive surgery procedure works by changing the shape of your cornea, allowing light to properly focus on the surface of your retina.

Correcting Hyperopia with Lasik Eye Surgery

In hyperopic vision the cornea is too flat. So the light rays are refracted too little and come to a focus behind the retina. So again we see a blurry image. Most people with hyperopia do not need treatment until later in life.

 When you are young, your eyes are usually able to adjust to compensate for farsightedness. However, people with more pronounced hyperopia may benefit from glasses and contact lenses to relieve the amount of stress on their eyes. Lasik eye surgery is capable of treating a wide range of hyperopia cases with excellent results. This incredibly effective refractive surgery procedure works by changing the shape of your cornea, allowing light to properly focus on the surface of your retina. However, some people may not be perfect candidates for Lasik. With hyperopia an innovative SUPERLASIK technique may be used instead of Lasik to make vision correction possible for a wider range of myopia patients.

Correcting Astigmatism with Lasik Eye Surgery

Astigmatism consists of small irregularities on the corneal surface such that vision is uneven and has blurry areas. While glasses and contacts are an effective treatment method for astigmatism, they can be limiting, 

especially if you have an active lifestyle. Many people with severe cases of astigmatism can completely transform their vision through Lasik eye surgery. If you have an astigmatism, Lasik works by treating the source of your astigmatism: the shape of your cornea. With targeted laser energy the surgeon will precisely alter the shape and curvature of your cornea, allowing light to focus properly for the first time. Most astigmatism patients are excellent Lasik candidates. However, your eyes may have certain characteristics that would prevent you from having a successful outcome with Lasik. If this is the case a doctor may recommend PRK (Photorefractive Keratectomy) as an alternatives.

You probably know many relatives and friends who have this procedure. Yet, for most people the word Lasik incites some fear. (When I starting doing lasik 25 years ago Lasik was not a word but an acronym). Some people manifest the fear  while they are researching the topic what is lasik eye surgery. Others hold on to the fear till the day of lasik intervention. The fear is universal. It is an evolutionary mechanism in our DNA. Scientifically it is termed as Menace reflex. If anything comes close to our eyes we immediately shut our lids. The big elephant on this page has to be addressed – – The fear of going blind.  If lasik is performed by experienced skilled surgeons using the latest safer equipment, the chances of going blind are almost zero.

Now lets turn our attention to frequently asked questions about lasik eye surgery. ( coming soon)



By Dr. Rajesh Khanna, MD