
Should I choose Femtosecond Intra-Lasik & traditional Lasik?
In all forms of Lasik procedures, a cornea flap in the eye must
be cut opened in order for the laser to shape the eye lenses.
The IntraLase® laser was approved by the FDA in 2001, it is the
first and only laser technology approved for use in the first
step of the LASIK procedure, creating the corneal flap. And the
only difference between traditional Lasik and IntraLasik
is that
the flap is created using a femtosecond laser
microkeratome rather than with a mechanical microkeratome or steel blade.
So, how should we choose the Intra-Lasik or microkeratome Lasik?
Better vision results
The main advantages of Intra-Lasik with femtosecond laser
is reduce the harm for corneal than creating the corneal flap
with microkeratome. The metal blade of microkeratome can create
uneven edges on the flap even cause to scars, which can lead to
vision defects like astigmatism. The issues is less to happen
with the femtosecond laser of Intra-Lasik. Intra-Lasik has been shown clinically to deliver
better visual outcomes in both standard and microkeratome Lasik
procedures with more patients achieving visual acuity of 20/20,
20/15 and even 20/12.5.
Thin corneas may be good candidates for Intra-Lasik
The Intra-Lasik with femtosecond laser
also make it possible for individuals with thin corneas to
undergo the procedure. The thin corneas about 500 to 600 microns
are considered to be ineligible for the microkeratome Lasik
because the microkeratomes will cut about 100 to 200 microns.
The Intra-Lasik with femtosecond laser
only need to cut a flap as thin as 100 microns. People who are
ineligible for traditional LASIK because of thin corneas may be
good candidates for Intra-Lasik.
Severe dry eye symptoms has been greatly improved
The clinical studies show that use of the mechanical
bladed microkeratome of Lasik is responsible for a significant
amount of dry eye symptoms. However, the Intralase flaps
markedly reduce nerve injury and allow for rapid nerve
regeneration compared to old microkeratome methodology. The
severe dry eye symptoms has been greatly improved with the
Intralase of Lasik.
Cost of IntraLase® system is the biggest factor in why surgeons do not use
The greatest disadvantage of the microkeratome over
the Intra-Lasik with femtosecond laser is the cost.
The cost of a Femtosecond laser is about $500,000 and there is
an annual maintenance fee of approximately $70,000, and a cost
of disposable suction ring about $200 per eye. A microkeratome
can be purchased for $35,000 or less, there are no annual
maintenance fees and the cost of a blade is around $50 for both
eyes.
And cost of IntraLase® system is probably the biggest
factor in why many surgeons do not use the Intra-Lasik with femtosecond laser
technology. Another disadvantage that almost no consideration is
that the procedure with femtosecond laser
takes a little more time than traditional Lasik surgery.
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