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Epi-LASIK is a laser vision correction procedure that is very similar to LASIK and LASEK, and may be a good alternative to these procedures for certain eyes.In epi-LASIK, the flap created on the cornea is thinner than a LASIK flap. This can be an advantage for patients with thinner-than-normal corneas.
The epi-LASIK flap is very similar to the thin flap created in LASEK surgery. 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. In epi-LASIK, the flap is separated from the underlying corneal layer (the stroma) with an instrument called an epithelial separator that has an oscillating plastic blade that has a thin blunt edge.
And unlike in LASEK, an alcohol solution typically is not applied to the eye in epi-LASIK to loosen epithelial cells from the underlying corneal stroma. Some surgeons prefer epi-LASIK over LASEK for this reason, since alcohol is toxic to epithelial cells and can increase healing time after the procedure.
After the epi-LASIK flap is created, it is folded back and the underlying central stroma is reshaped with an excimer laser — steps identical to those performed in LASIK.
Because the epi-LASIK flap is so thin, the surgeon typically will apply a soft contact lens over the flap when it is repositioned after the laser treatment. The contact lens acts as a bandage to increase comfort and allow new epithelial cells to grow onto the cornea more quickly for faster healing.
Your surgeon or eye doctor will remove the bandage contact lens at one of your early follow-up visits a few days after your epi-LASIK procedure.
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.
If you are considering LASIK, but your doctor says you need Epi-LASIK instead, ask why.
It’s not for everyone, but many surgeons who perform Epi-LASIK consider it a better option than LASIK for some patients. These include people who have thin corneas, with insufficient tissue for a good LASIK flap.
Epi-LASIK also may be safer than LASIK for people who have professions or hobbies that increase the chance of being hit in the eye (such as soldiers, police officers, boxers and racquet sports enthusiasts) because there’s no risk of the flap being dislodged.
If you have Epi-LASIK, you will likely experience some discomfort after the procedure. This is usually manageable with over-the-counter painkillers. The discomfort after Epi-LASIK is reportedly less than that experienced after PRK or LASEK.
Ans. In fact not at all, as what is treated in LASIK is by making a ‘cut’ or ‘flap’ in the thickness of the cornea. In EpiLASIK there is no ‘cut’ on the eye. Corneal Haze is not seen in our centre, but also only possible in EpiLASIK if one has not used the eye drops as prescribed (as these need to be used for 12 weeks).
An important point to understand night vision issues. This is independent of LASIK and EpiLASIK but is more to do with the capabilities of the laser system. In our experience with the laser technology we use, we have never faced permanent night vision problem. In our practice, till date we have not seen glares, haloes etc. This also depends on one test which checks your pupil size dynamically in light and dark, which is part of your evaluation process with us. In fact our laser is one of the best for re correcting such issues of older lasers with Topolink treatments
Again, this is to do with the laser being used. The Concerto Laser that we are using, has capabilities of treating powers as high as -12.00D to -14.00 D, and also the advantage of corneal savings. So, we can still treat some patients more safely than other lasers can.
Excellent point, as this is what I mean by the doctor’s experience and processes in place. Dr Anand Shroff does all checks himself and fo him it is not just important that your power will be treated and that you become 20/20. He wants you to be 20/happy! Which is why he does the refraction himself with and without dilation and also one of the only doctors to apply wavefront guided technology by using the aberrometer which most centres do not have.
LASIK has been around since about 20 years in clinical practice. It was under clinical trials for long before this. Any effects on the cornea and the eye have been studied in great depth. With us, Dr Shroff would not do any procedure on healthy eyes unless he was sure of its effects. EpiLASIK is just a modification in the initial steps of LASIK using a special disposable kit, the laser used to treat the powers remains the same.
The anesthesia is in the form of ‘numbing eye drops’. There is no injection or any other form like general anesthesia for which you need to modify your meal timings. Please eat a full breakfast in the morning but keep about an hour’s gap between its times with the procedure timing.
EpiLASIK is a superficial eye procedure. The laser does not enter the eyes. So, any age related changes or eye issues related to diabetes/ blood pressure, which may arise later in life will continue to do so, whether you do LASIK/ EpiLASIK, use glasses or lenses. However, today’s cataract procedures are also helped by using lenses which give you benefit for near and far vision. Hence, all you need to do is inform the treating doctor regarding the history of having undergone LASIK/ EpiLASIK and the doctor will use the appropriate formula to order your lens..
That is our aim too! And as long as you are enjoying 20/20 vision today with glasses or lenses, you can expect to have no compromise in that. In rare cases (usually higher powers and that too less than 1 of 300 patients) we need to fine tune the procedure in a second step which is called enhancement or re treatment. This rate is less than 0.4% in our centre. In the first year this is included in your fees as it would be directly related to the primary treatment. Later in life a change in prescription may only happen if you are a serious computer user and for this we advise you to wear computer prescription glasses which Dr Shroff will be prescribing post procedure..
Yes, usually the rough days are Day 1 and 2 where we do not expect you to feel like doing anything related to work. However, after that its easier and by the end of the week you feel normal to resume full work, visit sites/ offices etc. Only activity we ask you to avoid for 7 days is driving.
Cash or credit card (there is no surcharge). If cheque payments are made, then they need to be cleared a few days before the procedure date.
Usually, the data taken is valid for 3 months; however we always check your records with Dr Anand Shroff and revert back if he wants to see you once again.
We as a policy do not share or upload our client`s photos or any kind of credentials, until and unless Client specifically asks us to post, hence, based on The Question Epi-LASIK before and after results. In fewer circumstances we might be able to share Epi-LASIK before and after results in the form of photos.
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