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Firstname: Marc
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07.08.2007, 00:29


Consists in cutting a flap in the cornea in order to access the tissue underneath.

Automated lamellar keratoplasty (ALK)
Laser Assisted In-Situ Keratomileusis (LASIK) is the most commonly performed refractive surgery procedure as of 2007. Surface treatment ablation has gained a renewed interest in recent years as evidence of good outcomes have been shown. LASIK is performed for a wide range of nearsightedness. The surgeon uses an instrument called a microkeratome to cut a flap of the corneal tissue (usually with about 160 micra in thickness). He then opens the flap like a hinged door, removes the targeted tissue in the corneal stroma beneath it with the excimer laser, and then replaces the flap. Some variations do not use a microkeratome but cut the flap with a laser (intralase).
Laser Assisted Sub-Epithelium Keratomileusis (LASEK) is a procedure that changes the shape of the cornea using an excimer laser to ablate the tissue from the corneal stroma, under the corneal epithelium, which is kept almost intact to act as a natural bandage.
EPI-LASIK is a new technique similar to LASEK, that uses an epi-keratome (rather than a trephine blade and alcohol) to remove the top layer of the cornea.
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07.08.2007, 00:29


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