LASIK Eye Surgery (cont.)
J. Bradley Randleman, MD
Dr. Randleman received his BA degree from Columbia University in New York City. He earned his MD degree from Texas Tech University in Lubbock, Texas, where he was elected to the Alpha Omega Alpha Medical Honor Society. He completed his residency training at Emory University, serving as Chief Resident in his final year. He then completed a fellowship in Cornea/External disease and refractive surgery at Emory University.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- What is LASIK eye surgery?
- How does LASIK work?
- What is refractive error?
- What are the primary types of refractive error?
- How do glasses or contacts improve vision in people with refractive errors?
- What happens to vision when we age?
- Are there different types of LASIK?
- What is conventional LASIK?
- What is wavefront-optimized LASIK?
- What is wavefront-guided LASIK?
- What other types of refractive surgery are available?
- Am I a good candidate for LASIK?
- What is my doctor looking for during my evaluation?
- What are the risks of LASIK?
- How do I find the right doctor?
- What should I expect before, during and after surgery?
- What are the advantages of LASIK surgery?
- What are the disadvantages of LASIK surgery?
- LASIK checklist
- Find a local Eye Doctor in your town
What happens to vision when we age?
During our youth, the natural lens has the ability to change shape and power. This allows us to focus on close objects through a process of lens power change called accommodation. As we age, the natural lens becomes stiffer and loses the ability to change shape. This is termed presbyopia, which is the loss of accommodation, and the need for reading glasses, bifocals, or other visual aids to facilitate near work.
LASIK cannot directly "fix" accommodation, but there are a variety of strategies that can be successful, including blended vision or monovision, in which one eye is corrected for better distance vision and one eye is corrected for better near vision.
Are there different types of LASIK?
There are a variety of different types of lasers used in ophthalmology. All LASIK procedures are performed with a specific type of laser (excimer laser), so in one sense, all LASIK procedures are similar. However, there are a variety of different laser manufacturers, including
- Bausch & Lomb, and
- Nidek, among others, that have all designed specific excimer lasers.
Further, there are different types of laser ablations that can be performed (see below), including conventional laser treatments, wavefront-optimized treatments, and wavefront-guided treatments. Finally, a completely different type of laser (femtosecond laser) can be used instead of a mechanical microkeratome to create the LASIK (corneal) flap.
What is conventional LASIK?
Conventional LASIK is the ablation pattern available on most lasers that treats directly based upon the patient's glasses prescription, with fixed treatment parameters for each patient. This type of treatment is effective for most patients but can result in more visual aberrations such as glare, halos, and night vision issues than other forms of laser treatment.
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