Lasik Developments
New Developments in Lasik Lasers
The lasers used in Lasik eye surgery represent some of the most astounding developments in
technology.
The marvels of modern medicine are represented in these lasers. The precision and sensitivity
has restored vision to millions in less than a decade.
.....................Not all lasers, however, are created
equally. The FDA approves each type of laser for certain procedures. There is no Lasik laser, or model, that is suitable
for all surgeries.
The greatest difference between most of these lasers is the way they deliver the beam to the eye
and track the eye's movement, and the cut pattern.
The cleaner, narrower, cut creates less post surgery complications, and increases the patient's
chances of enjoying 20/20 vision.
There are two broad categories of lasers, broad beam and scanning.
Within the scanning categories, there are two subcategories: slit scanning, spot
scanning.
Broad-Beam Lasers
Broad-beam lasers utilize a beam diameter ranging from 6 to 8 millimeters to cut the
cornea. Use of these lasers generally shortens the amount of time necessary to complete the procedure. However, they may decrease the
success rate by making it more difficult to seamlessly return the flap, and fill in the hole.
On the other hand, these lasers reduce the risk of overcorrection due to pupil
movement. The larger diameter of these beams increase complications, but improved techniques and laser models has overcome this risk.
Slit Scanning Lasers
Slit scanning lasers use a smaller bean. The beam is linked to a rotational device, which
has slit holes to enlarge the area to be cut. The beam scanning across the holes offers higher precision. Slit scanning lasers
provide a more uniform beam and create smoother cuts than broad-beam lasers - improving results.
There is slightly greater chance of overcorrection with a slit scanning laser.
Spot Scanning Lasers
Spot scanning lasers are also called "flying spot" lasers. They use a small diameter beam
of only 0.8 to 2 millimeters. This beam is scanned across the cornea in order to create the area to be cut. Spot scanning lasers
potentially create the smoothest cut. They are capable of producing customized cuts and treating irregular astigmatism.
Eye-Tracking
Many new lasers contain an eye-tracking system. This system links the position of the eye
to the laser. Lasers without this system make it necessary for the patient to fixate on a distant object and keep the eye perfectly still
throughout the procedure. This is uncomfortable, and may be impossible for hyper, nervous, or easily stressed people.
There are two different types of eye-tracking laser systems. The first is called "open
loop." With open loop tracking, a video based tracking system monitors the pupil's location. If the eye moves beyond a predetermined
setting, it stops the procedure.
The other form of tracking system is the "closed loop." This system tracks the eye's
movement, and makes adjustments according to the movement, unlike the open loop system, closed loop never interrupts the procedure.
IntraLase Lasers
Many surgeons use IntraLase lasers to perform Lasik eye surgery. The IntraLase laser is
capable of cutting the "flap" that needs to be in order to reach the cornea for shaping. This laser creates a very precise pattern
consisting of small, overlapping spaces.
It works at a high speed that pulses at one quadrillionth of a second. This allows the
tissue to be both targeted and divided at a moleculer level, removing the needs for heat or damaging impact on the tissue.
The IntraLase laser utilizes computer software to guide the beam. This software instructs
the beam to apply a series of tiny bubbles on the central layer of the cornea. This results in a corneal flap that is at a precise
pre-determined depth and diameter. This technology is used on thin corneas.
Through the variety of lasers available for use in Lasik surgery, eye surgeons are capable of
creating a better out-look for millions of people. Patients can visit the FDA site to learn more about which lasers are approved for that vision
problems.
Lasik Developments
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