Epi-LASIK Philadelphia: Advanced Surface Ablation in HD
jslewisMDPC asked:
Bladeless Epi-LASIK (EpiLASIK) can be performed on patients not qualifying for LASIK. This surgery is less vulnerable to trauma and no flap complications have been reported. Many feel contrast sensitivity is superior to LASIK and that Epi-LASIK does not produce as much dry eye or other visual disturbances. Dr. James Lewis has performed Epi-LASIK for several years with excellent results.
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After some research, I have discovered that removing the epithelial flap is becoming an increasingly common practice as benefits of epi-lasik are generally attributed to the clean and abrupt edge and the superior surface of stroma after epithelium removal. However, some surgeons still replace the flap, although it is not clear whether this really affects outcomes. I posted my original comment before doing the appropriate research.
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I see. Thank you for the explanation. However, I think the debate on the standard procedure for epi-lasik is far from over. I believe the data published so far is insufficient to form any kind of standardized procedure. Therefore, I think many surgeons do replace the flap.
So in your opinion, the epi-k keratome removes the epithelium more completely and produces a better surface for ablation? Is this, then the only benefit of epi-lasik over PRK? Thank you for the lively discussion!
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Originally Epi-LASIK involved the replacement of the epithelial flap AND it was not that easy! When a patient had one flap successfully reattached it healed SLOWER than the eye in which the epithelial flap was lost. At that point epi-LASIK was redefined. Unlike PRK, Epi-LASIK “cleaves” the epithelium from Bowman’s membrane without toxic chemicals (alcohol) or scraping (brush). High magnification in this video shows the quality of the resulting corneal surface. Epi-LASIK beats PRK hands down.
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Originally Epi-LASIK involved the replacement of the epithelial flap AND it was not that easy! When a patient had one flap successfully reattached it healed SLOWER than the eye in which the epithelial flap was lost. At that point epi-LASIK was redefined. Unlike PRK, Epi-LASIK “cleaves” the epithelium from Bowman’s membrane without toxic chemicals (alcohol) or scraping (brush). High magnification in this video shows the quality of the resulting corneal surface. Epi-LASIK beats PRK hands down.
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Epi-lasik? Are you kidding? In epi-lasik, the epithelial flap is placed back onto the cornea. This video claims it is epi-lasik, but the surgeon completely REMOVES the flap and never places it back on the cornea. This is more like PRK, nowhere near epi-lasik. Would you please comment on this?
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Be concerned about your safety and avoid the complications by being prepared. check out safelasikguide [dot] com and read the whole site before you make a decision.