Have a Happy & Healthy New Year! - the Parklander
Have a Happy & Healthy New Year! - the Parklander
Have a Happy & Healthy New Year! - the Parklander
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MEDICINE & HEALTH<br />
LASIK WITHOUT A BLADE:<br />
Advanced Surface Ablation (ASA)<br />
Ten years have now passed since Laser Vision Correction was approved by<br />
<strong>the</strong> US Food and Drug Administration. During this decade, millions of<br />
patients have chosen this procedure and have been able to reduce or eliminate<br />
<strong>the</strong>ir dependence on glasses or contact lenses in <strong>the</strong> USA and around<br />
<strong>the</strong> world. Most of <strong>the</strong>m will tell you that LASIK is <strong>the</strong> best thing that<br />
<strong>the</strong>y have ever done for <strong>the</strong>mselves. Many o<strong>the</strong>rs have been told that <strong>the</strong>y<br />
are not good candidates for <strong>the</strong> procedure or have expressed fear of <strong>the</strong><br />
surgical blade in <strong>the</strong> flap maker (microkeratome). And so <strong>the</strong>y have waited.<br />
Perhaps ASA is what <strong>the</strong>y have been waiting for.<br />
The original use of <strong>the</strong> Excimer laser treated refractive errors by <strong>the</strong><br />
removal of <strong>the</strong> surface skin of <strong>the</strong> eye and <strong>the</strong> use of <strong>the</strong> laser to bring<br />
about a permanent change in <strong>the</strong> shape of <strong>the</strong> corneal subsurface and<br />
<strong>the</strong> skin grew back quickly. This is called PRK and is still a frequently<br />
performed method of producing laser vision correction.<br />
A few years later, LASIK was invented. In LASIK, a microkeratome<br />
with a sharp blade is used to create a flap into <strong>the</strong> front part of <strong>the</strong> cornea,<br />
<strong>the</strong> flap is lifted and <strong>the</strong> laser energy is delivered to <strong>the</strong> sub-surface tissue.<br />
The corneal flap is replaced at <strong>the</strong> end of <strong>the</strong> treatment. The big advancement<br />
in LASIK is <strong>the</strong> speed of visual recovery and <strong>the</strong> greater comfort<br />
that LASIK provides over PRK.<br />
Advanced Surface Ablation is one step fur<strong>the</strong>r in safety and reliability.<br />
In ASA, <strong>the</strong> outer skin of <strong>the</strong> cornea is gently lifted (not destroyed) and<br />
<strong>the</strong> laser is applied to <strong>the</strong> sub-skin layers of <strong>the</strong> cornea. The skin may be<br />
re-attached to <strong>the</strong> cornea or removed at <strong>the</strong> end of <strong>the</strong> treatment.<br />
The skin flap of ASA is an advancement over <strong>the</strong> corneal flap of<br />
LASIK in that <strong>the</strong> skin flap is virtually without complication. Any skin<br />
flap irregularity can be discarded along with <strong>the</strong> corneal skin and <strong>the</strong> corresponding<br />
laser surgery can be completed without concern. The eye will<br />
reform new skin in a matter of a few days.<br />
50 JANUARY 2007<br />
LASIK ASA<br />
The benefits of ASA are greatly increased by coupling <strong>the</strong> corneal skinflap<br />
technique with a Custom Laser Treatment that is guided by Wavefront<br />
analysis of each person’s individual eyeglasses needs. Custom<br />
Treatment or Wave-front guided treatment has been proven to have a<br />
higher likelihood of 20/20 or better visual results than has traditional<br />
LASIK. ASA is particularly useful in patients with thin corneas or dry<br />
eyes who might o<strong>the</strong>rwise not be good candidates for LASIK.<br />
Everything one does or doesn’t do has some degree of risk. Glasses<br />
might break or cut a person’s eye and contact lenses might be lost or cause<br />
a serious eye infection. Interestingly, <strong>the</strong> US Army is offering free surface<br />
ablation laser vision correction to troops who are likely to be sent to Iraq.<br />
Imagine <strong>the</strong> risk to a soldier in a combat situation who has just broken or<br />
lost his only pair of eyeglasses or contact lenses.<br />
Advanced Surface Ablation combined with Wave-front guided custom<br />
treatment provides <strong>the</strong> best and safest of all of <strong>the</strong> refractive surgery<br />
options available today.<br />
You can learn more about Advanced Surface Ablation with Wave-front<br />
guided Custom Ablation and <strong>the</strong> o<strong>the</strong>r refractive surgery options available<br />
to you at www.FLEI.com, by doing an internet search, or by calling Fort<br />
Lauderdale Eye Institute.