The LASEK method is a further development of PRK (photorefractive keratectomy) and is one of the first laser eye surgery methods. In both methods, doctors remove the corneal layer using a laser. The special feature is that this is done without cutting a corneal flap.
A flap is a circular, wafer-thin layer of the outer cornea @ RFBSIP /AdobeStock
The laser procedure corrects the patient's visual defect by changing the refractive power on the surface of the central corneal surface. With the LASEK method, the most superficial layer of the cornea (epithelium) is also preserved. This is not the case with the PRK method.
The procedure for LASEK surgery is similar to the LASIK method. The only difference is that LASEK surgery does not require an incision in the deeper layers of the cornea. Doctors simply carefully remove the superficial layer (epithelium). They then fold this layer to the side, carry out the excimer laser treatment and fold the epithelial lid back again.
The healing process with LASEK is similar to that of PRK, as a superficial corneal wound is created in both cases.
The epithelium renews itself completely within six weeks. Modern LASEK can possibly alleviate post-operative discomfort, but does not achieve the "complete" comfort of LASIK.
The individual steps of LASEK are as follows:
- Using a circular knife (microtrephine), doctors make a circular incision in the most superficial layer of the cornea (the corneal epithelium).
- Using an alcohol solution, doctors detach the corneal epithelium from its base.
- Using a small spatula , the doctor pushes back the epithelium.
- The doctor then uses the laser treatment to change the surface curvature of the cornea (depending on the severity of the visual defect).
- After the laser treatment, he pushes the epithelium back again.
The special features of the LASEK method are
- Good predictability of the target refraction
- Correction takes place on the corneal surface without a corneal incision
- Less dependent on corneal thickness
- Slower recovery than with LASIK(4 to 6 weeks, fluctuations in vision possible)
- Significant soreness possible in the first few days after treatment (but can be treated with medication)
- Not reversible (effect cannot be reversed)
- Subsequent correction possible (same procedure as for initial surgery)
- Very safe procedure, as there are no corneal incision complications
- Also suitable for thinner corneas as no incision is made
Specialized laser eye centers or selected laser eye specialists are responsible for LASK operations.