Type of Surgery

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Last updated: 11/24/2009

Preparation

There are several tests and procedures that are performed prior to LASEK eye surgery. In addition to visual acuity tests (typical vision tests) that are performed both with and without corrective lenses, the health of the eye is carefully examined....

The eye health exam includes a slit lamp inspection, a dilated eye exam, and tonometry, which tests pressure within the eye. In addition to these general studies, there are some procedures that are often performed prior to vision correction surgery. Corneal topography is almost always performed. In this test, the shape and curvature of the cornea are analyzed. Infrared pupillometry is a sophisticated way of measuring the maximum size of the pupil. Wavefront analysis produces a two dimensional map of the front of the cornea to look for unusual or atypical features of the cornea. One test that can sometimes dictate the choice between LASIK and LASEK is the Schirmer test. The Schirmer test attempts to quantify the degree to which dry eyes are a problem. Patients with dry eyes may require LASEK over LASIK. In patients with severely dry eyes, however, refractive eye surgery may not appropriate at all.
 
If you wear rigid lenses, you may be advised to stop wearing them for a few weeks prior to LASEK. Even soft contacts should be avoided for a few days prior to the procedure. You should refrain from wearing eye makeup on the day of the procedure. Since the procedure is under local anesthesia, you are free to eat a small the day of the LASEK surgery. If you are ill or running a fever, your LASEK procedure will be postponed for your safety.


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This video shows how vision is dependent on light entering the front of the eye and focusing on the retina at the back of the eye. When this focus cannot be accomplished by the eye muscles or lens of the eye, it results in nearsightedness or farsightedness. Sometimes changes in the cornea can correct these errors of refraction.

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Physiology of the Cornea

Most laser vision correction procedures like LASIK involve shaping the cornea so that light can be properly focused on the back of the eye, or retina. This video shows how the anatomy of the eye works to harness light so that we can see. The role of the cornea in vision is also discussed.

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Crisp images from our world require that light is focused on the back of the eye. When light cannot focus properly, it is called an error of refraction and is often caused by an irregular or improperly shaped cornea. LASIK improved errors of refraction in the eye by reshaping the cornea, as the animation explains.

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Any object that we see is a collection of light energy focused on the retina. The lens of the eye helps us see near and far things equally well. This animation describes how the lens of the eye changes to accommodate and focus light.

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This narrated animation describes the function of the major structures of the eye, namely the pupil, iris, lens, cornea, and retina.

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Other Information

Approximately 56% of all patients achieve results of 20/20 or better and over 90% achieve 20/40 or better (which is good enough to drive without corrective lenses in most regions).1 Those with moderate to high myopia (greater than 7 diopters) have a lesser chance of achieving that result. As technique and technology improve, the results continue to improve.


From: Eye Surgery Education Council

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