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LASIK vs. LASEK: Understanding the Differences and Choosing the Right Vision Correction Method for You.

by OK2BU 2024. 1. 22.

Vision plays a crucial role in modern life, but with the widespread use of devices like smartphones, maintaining good eyesight has become challenging for many. As a result, an increasing number of people are considering vision correction surgeries such as LASIK or LASEK, in addition to traditional options like glasses or contact lenses. However, LASIK and LASEK, the two major vision correction procedures, have distinct differences. In this blog post, we will explore their characteristics, advantages, and disadvantages to help you determine which surgery may be more suitable for you.

 

LASIK vs. LASEK: Understanding the Differences and Choosing the Right Vision Correction Method for You.
Vision correction surgery is a personalized decision based on individual eye conditions and lifestyles.

 

Basic Principles of LASIK and LASEK

LASIK and LASEK both utilize lasers to reshape the cornea and correct conditions like myopia, hyperopia, and astigmatism. However, the primary difference lies in the way each procedure treats the cornea.

LASIK: Creating a 'Flap' for Laser Reshaping

LASIK involves cutting a thin flap on the upper part of the cornea, lifting it, applying laser treatment to the corneal tissue, and then repositioning the flap. This process is often described as creating a 'flap.' LASIK is known for its minimal pain and quick recovery, but caution is required as the corneal flap may be susceptible to displacement from external impacts even after surgery.

LASEK: Removing the Epithelium

In contrast, LASEK does not create a corneal flap. Instead, it involves removing the epithelium (outer layer of the cornea) and directly applying laser treatment. This leads to a longer recovery time compared to LASIK, as the epithelial cells need time to regenerate. While LASEK may cause more discomfort, the regenerated epithelial cells exhibit resilience to external impacts.

 

Determining the Appropriate Surgery

To decide which surgery is suitable for an individual, several factors need consideration.

Corneal Shape and Degree of Astigmatism

Not everyone is a candidate for LASIK or LASEK. Cases with asymmetrical corneal shapes or severe astigmatism may not be recommended for surgery due to the risk of complications such as corneal ectasia.

Stability and Safety Considerations

LASEK, with its minimal impact on the deep layers of the cornea, tends to be safer for individuals with thin corneas. LASIK, on the other hand, may be avoided for those with concerns about corneal stability.

Lens Implantation or Possibility of Enhancement

In cases where vision may deteriorate post-surgery, lens implantation or enhancement procedures might be considered. However, these options are subject to specific conditions, such as adequate anterior chamber depth and no presbyopia.

 

Post-Surgery Vision Maintenance

Even after surgery, maintaining good vision requires adherence to certain precautions. Prolonged near work can accelerate myopic regression, and dry eye symptoms may require ongoing management. Rubbing the eyes, especially after corneal thinning from surgery, should be avoided.

 

LASIK and LASEK – Tailoring the Choice to the Individual

Vision correction surgery is a personalized decision based on individual eye conditions and lifestyles. LASIK and LASEK each have their unique features, and finding the most suitable procedure for an individual is crucial. Continuous research and technological advancements aim to provide better options for those dreaming of a life without glasses. It is essential to seek advice from eye care professionals, engage in thorough consultations, and make informed choices to achieve stable and effective vision correction.