Why Bladeless and Custom LASIK?
By Jeffrey Martin, MD
Published on April 01, 2010
LASIK has been popular for over 15 years nationally, and the improvements in the laser eye surgery procedure since the beginning of LASIK have been dramatic. In the beginning, LASIK surgeons used blade machines called microkeratomes to make a flap in the superficial layers of the cornea as the first step of the LASIK procedure. The vision correction part of the procedure consisted of the eye doctor putting his measurements manually into the laser. The results were quite good but there were complications causing visual difficulty due to blade complications, as well as visual irregularities from the microkeratome laser vision correction ablations.
Today, LASIK is completely blade-free and customized at Dr. Jeffrey Martin's eye care practice in Long Island, New York. Dr. Martin states that since he started performing bladeless LASIK with Intralase, the incidence of flap complications has virtually disappeared. Intralase is a laser that creates small cavitation bubbles in rows that connect to form a flap. The creation of the flap is completely visible to the LASIK surgeon and there are no complications due to faulty blades or metal fatigue of microkeratomes. The laser vision correction part of LASIK is done with VISX CustomVue in Dr. Martin's practice. The Wavescan device takes a custom fingerprint of each patient's individual eyes. This automatically transfers to the laser in a specific way so that errors in data entry are eliminated. The laser eye surgery automatically centers, automatically tracks, and uses iris registration so that the ablation is perfectly placed on the eye. As we move from sitting to lying down, the eye can rotate up to 10 degrees and until we had iris registration, there was no good way to account for that. Results were good before, but with perfect alignment, the results have moved to the next level of perfection.