LASIKblog

There is some buzz (although, not much) about a new LASIK procedure, called EpiLASIK. The surface layer of corneal cells, the epithelium, is removed with an oscillating, plastic blade, and the uderlying cornea is treated with the excimer laser. This seems to be a variation on LASEK, an older, seldom-used procedure, but one which has its advocates. Some doctors replace the epithelial sheet, while others remove it permanently. The sheet is suppose to act like a bandage, but it eventually gets replaced by regenerating cells. We've always thought that LASEK and EpiLASIK are misguided approaches to LASIK. Both are associated with significant pain, and a slow visual recovery. The selling point of these procedures is their safety when the cornea is too thin to perform conventional LASIK. However, we are not convinced that EpiLASIK, or LASEK are as good as PRK, the direct laser treatment of the cornea. They are certainly more difficult for the surgeon to perform. And, increased complexity often leads to increased complications. Our advice is to stick with LASIK, preferably using the IntraLase femtosecond laser to make the flap. If the cornea is too thin, opt for PRK rather than EpiLASIK, or LASEK.

Mitchell Friedlaender, M.D.
La Jolla, CA
ArtOfLASIK.com
JoyOfLASIK.com