Epi-lasik eye surgery

Epi-lasik eye surgery in Iran

Epi-Lasik eye surgery

What Is Epi-LASIK and How Does It Compare to Other Refractive Surgeries?

Epi-Lasik surgery steps

After Epi-LASIK

Advantage and disadvantage of Epi-LASIK vs. Epi-LASEK

Complications

How long does EPI Lasik take to heal?

Is Lasik surgery a permanent fix?

Is EPI Lasik detectable?

Is EPI Lasik Safe?

What are the disadvantages of laser eye surgery?

Is smile better than Lasik?

 

Many people around the world who are nearsighted, farsighted, or have astigmatism use Epi-LASIK eye surgery as a long-lasting solution to restore diminishing vision. it helps people to have an even more beautiful, shiny face by getting rid of all kinds of glasses and its side effects on face. It is very similar to LASIK and LASEK, but here the flap created on the cornea is thinner than a LASIK flap. This can be an advantage for patients with thinner-than-normal corneas. unlike LASEK, an alcohol solution typically is not applied to the eye in epi-LASIK to loosen epithelial cells from the underlying corneal stroma. Some doctors find this reason good enough to prefer epi-LASIK over LASEK, since alcohol is toxic to epithelial cells and can increase healing time after the procedure.

 

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What Is Epi-LASIK and How Does It Compare to Other Refractive Surgeries?

LASEK involves an alcohol solution producing epithelial detachment on the cornea; the solution is rinsed off, the epithelium flap is removed, and then laser ablation is performed to reshape the cornea. In traditional LASIK, that flap is removed with a very small, sharp knife, and in some newer procedures, the flap is removed with a second set of lasers. Although LASEK was first pioneered in 1996, and approved by the U.S. Food and Drug Administration (FDA) shortly after that, epi-LASIK has largely replaced the procedure because there is no alcohol solution involved, reducing the risk of damage from the solution and shortening the recovery time after surgery.

 

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Epi-Lasik surgery steps

the steps of the procedure include:

  1. Anesthetic eye drops are put into the eye undergoing the procedure.
  2. The epithelial flap is created by separating the top epithelial layer from the cornea.
  3. The sheet is pushed off to the side.
  4. An excimer laser reshapes the underlying corneal tissue.
  5. The epithelial sheet is, most likely, returned to its original position.
  6. A bandage contact lens is applied, which will be removed a few days later.

 

After Epi-LASIK

Your vision probably will not be perfect immediately: In three days many patients do have 20/40 or even 20/20 vision, but others take longer possibly three or six months to reach their final result. Usually you can drive within a week after surgery.

These recovery times are significantly longer than with LASIK, which usually allows people to achieve good vision from the same day up to a few weeks later and to drive by the day after surgery.

As with any laser eye surgery, after Epi-LASIK it is very important to follow your surgeon's instructions exactly, because the quality of the final vision you achieve is affected by how well your corneas heal. Don't neglect to use the eye drops or other medications your doctor prescribes, and don't miss any follow-up appointments.

 

 

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Advantage and disadvantage of Epi-LASIK vs. Epi-LASEK

There are certain major factors to consider when deciding between epi-LASIK and epi-LASEK.

  • Cost
  • Risk
  • Healing time and recovery
  • Outcome and expectations

These should be discussed with your doctor prior to any surgical procedure. Since both epi-LASIK and epi-LASEK make permanent changes to the structure of the cornea, it is important to be very informed.

Typically, LASIK surgery costs on average of about $2,000 per eye depending on specific measurements and considerations. Epi-LASIK may cost slightly more, as it is a more delicate procedure requiring more precision and training on the part of the surgeon. Since an epi-LASEK procedure includes components of both LASEK and epi-LASIK, it may carry a slightly more elevated cost as well.

In general, corrective laser eye surgery is not covered by insurance since it is usually considered to be an elective procedure. That being said, there are many options for financing laser eye surgery, including payment plans and specialized credit cards or loans. When you factor in the cost of prescription eyeglasses or contacts over time, laser eye surgery can actually save you money in the long run.

Epi-LASIK and epi-LASEK cannot decrease the risk for presbyopia, age-related farsightedness. Your vision can still change with aging, and you may require reading glasses at some point.

 

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Complications

Although relatively uncommon, the following are some of the more frequently reported complications of Epi-LASIK:

  • Slower or delayed epithelial healing
  • Duplication of epithelium
  • Over/undercorrection
  • Visual acuity fluctuation
  • Halos around light sources
  • Starbursts around light sources
  • Decentered ablation
  • Corneal Haze
  • Epithelium erosion
  • Loss of epithelial flap

 

How long does EPI Lasik take to heal?

In most cases, the scratches made on the surface of the cornea for PRK, LASEK and Epi-LASIK heal within 5-7 days. A bandage contact lens is left in the eye during this time to promote healing. Eye drops are also given to help healing. Occasionally, though, it can take up to several weeks for the surface cells to heal, during which time the vision can be blurry.

 

 

 

Is Lasik surgery a permanent fix?

During laser eye surgery, a laser is used to remove a pre-determined amount of tissue and once the tissue is removed, it cannot grow back. Therefore, the result of a laser vision correction procedure is permanent. LASIK eye surgery is permanent for the treatment of vision problems including nearsightedness (myopia), farsightedness (hyperopia), and astigmatism. Because LASIK uses a laser to physically reshape the cornea to improve its focusing ability, this makes it a permanent treatment for the existing vision prescription at the time of surgery.

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Is EPI Lasik detectable?

When lasik is done, a part of your cornea is taken out which makes it thin. When a torch light is thrown on it, the thinned down thickness can be made out. Its detectable and the detection depends on the testing done, or examination carried out, the examining doctors skill and experience plus the manner tested.

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Is EPI Lasik Safe?

It is important to understand the potential risks of this elective vision-improving procedure before deciding if you want to pursue it yourself.  It is also important to know that the reports of side effects are often several years old, and advances in LASIK technology have greatly improved outcomes for the millions of people who have undergone this procedure.  LASIK has a 96% patient satisfaction rate. The latest research indicates that LASIK has a 99% success rate in achieving 20/40 vision or better, and a 90% success rate in achieving 20/20 vision or better.

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What are the disadvantages of laser eye surgery?

There are some disadvantages to LASIK eye surgery:

  • LASIK is technically complex. Rare problems may occur when the doctor creates the flap, which can permanently affect vision. This is one reason to choose a surgeon who is very experienced at performing these surgeries.
  • LASIK can rarely cause a loss of "best" vision. Your best vision is the highest degree of vision that you achieved while wearing your contacts or eyeglasses.

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Is smile better than Lasik?

Originally, these procedures involved very small scalpels to make incisions and reshape the cornea or lens; however, most modern versions involve programmed lasers for much of the procedure. This reduces the time in the operating room, reduces the invasiveness, and improves surgical accuracy and healing time. It also reduces cost.

  • LASIK basics:This acronym stands for laser-assisted in situ keratomileusis. During the procedure, a laser removes tissue from the cornea, so it can reshape and refract light correctly to the retina, at the back of your eye.

The procedure takes about 15 minutes per eye, and local anesthesia is used. You remain awake during the procedure. Healing takes a day or two. Most people return to work the next day, although you should avoid activities like moderate to intense exercise, especially swimming, for a few weeks.

During the LASIK procedure, your eye surgeon will use a device to make a small flap in your cornea. They will either use a microkeratome (a miniscule, machine-guided scalpel) or a specialized femtosecond laser. Then, they will remove some corneal tissue to reshape the cornea, using an excimer laser.

The amount and location of removed corneal tissue depends on the type of refractive error you have, but LASIK can correct all types of refractive errors, including combined refractive errors. For example, astigmatism can occur alongside either farsightedness or nearsightedness.

  • SMILE basics:This acronym stands for small incision lenticule extraction (SMILE). It is a newer type of laser refractive eye surgery based on LASIK. Although this procedure has been used worldwide for over 10 years, the FDA approved the process and associated devices for the U.S. market in 2016.SMILE specifically treats nearsightedness, or myopia. It is considered less invasive than LASIK because it does not require creating a flap in the cornea to reshape it.

The setup for SMILE surgery is like LASIK in many ways. You receive numbing eye drops, the laser is preprogrammed with a map of your cornea, and you lie or sit down for about 15 minutes per eye while the laser reshapes your cornea. The healing time is about the same, but there is less risk of scarring on the cornea or the corneal flap detaching from your eye. You will also not be moved from one device to another, because there is only one laser involved, so you have a lower risk of dry eye as a side effect. SMILE is a good option for people with myopia who are not good LASIK candidates.

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Here are some of the major differences in SMILE vs. LASIK:

  • LASIK treats all refractive errors. SMILE treats myopia with or without astigmatism, but not farsightedness or astigmatism by itself.
  • LASIK requires a flap to be cut in the cornea, so the excimer laser reaches the inside of this part of your eye. SMILE reshapes the top of the cornea to flatten it.
  • LASIK is not a good choice for people who have thin corneas. SMILE can still benefit nearsighted people who have thin corneas.
  • LASIK has better recovery from side effects at a seven-day follow-up point compared to SMILE, although there was no difference in recovery rates at one month after the operation.
  • LASIK patients report slightly lower satisfaction with their procedure compared to people who chose SMILE, but both procedures have high patient satisfaction long term. Ultimately, most people who get either procedure are happy with the results.
  • LASIK, and other types of refractive surgery like photorefractive keratectomy (PRK), can treat higher-order aberrations (HOAs) that impact night vision, while SMILE cannot treat these issues.
  • LASIK is a less demanding procedure for eye surgeons, while SMILE is newer and requires more intensive training. Fewer surgeons specialize in SMILE.
  • LASIK has been around for about 20 years, and there are few new developments with the procedure. SMILE is new to the U.S. and there are exciting developments, according to eye surgeons.

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10 common question about Epi-lasik eye surgery

1What is the difference between Lasik and Epi Lasik?
In epi-LASIK, the flap created on the cornea is thinner than a LASIK flap. ... In both procedures, the flap contains only cells from the very thin outer layer of the cornea, called the epithelium. The difference is how the epi-LASIK and LASEK flaps are produced. A LASEK flap is created with a tool that has a sharp blade.
2Is EPI Lasik detectable?
At three days after the operation, 75 percent of epi-LASIK patients reported 20/40 vision or better; and at one week, 90 percent reported 20/40 or better vision. When epi-LASIK was performed bilaterally, 75 percent of patients reported that they had 20/40 or better vision within one day after surgery.
3Which is better Lasik or PRK eye surgery?
Though PRK recovery takes a bit longer than recovery from LASIK eye surgery, PRK is still commonly performed and offers advantages over LASIK for some patients. ... The main difference between PRK and LASIK is the first step of the procedures.
4What does EPI Lasik stand for?
Epi-LASIK is a refractive surgery technique designed to reduce a person's dependency on eyeglasses and contact lenses. Invented by Dr. Ioannis Pallikaris (Crete, Greece), the technique is basically an automatic LASEK without alcohol; it can be better considered as superficial LASIK.
5What is the best corrective eye surgery?
LASIK is a type of refractive eye surgery. In general, most people who have laser-assisted in-situ keratomileusis (LASIK) eye surgery achieve 20/25 vision or better, which works well for most activities.
6Can Lasik be detected?
Answers (2) Lasik surgery can definitely be detected. ... LASIK surgery can be detected because cornea becomes extremely thiner after LASIK or Smile LASIK. LASIK is refractive surgery to correct myopia, hypermetropia & astigmatism, refractive surgery also include intraocular lend procedure.
7Is Lasik allowed in Navy?
Candidates with LASIK / PRK at entry level are not permitted in National Defence Academy (NDA), Navy and Air Force as well as at entry level of Other Rank (OR) and Junior Commissioned Officers (JCOs). In Army, the candidates who have undergone LASIK / PRK will not be considered for aircrew duties.
8How long does it take for vision to stabilize after Lasik?
three to six months Full recovery varies by patient, and it may take three to six months for your vision to fully stabilize. During this time, your LASIK surgeon will meet with you regularly to check on your vision.
9What is C Lasik?
MedlinePlus. 007018. LASIK or Lasik (laser-assisted in situ keratomileusis), commonly referred to as laser eye surgery or laser vision correction, is a type of refractive surgery for the correction of myopia, hyperopia, and astigmatism.
10Can you go blind from Lasik?
This is extremely rare but has happened. LASIK surgery itself does not cause blindness, and most cases of LASIK complications are avoidable by following aftercare procedures set forth by your surgeon. ... The most uncomfortable part of LASIK surgery, according to what our patients tell us, is the pressure from the laser.

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