“What is the most advanced laser eye surgery?”
I am a 32 year old male. I want to know what is the most advanced laser eye surgery?
9 Answers
There are multiple laser technologies used in ophthalmology for various reasons. For example, Femtosecond laser is used in LASIK and cataract surgery, among others. The ND:YAG is photodisruptive and can be used to remove posterior capsular opacities which may occur after cataract surgery. Still others like the argon blue-green laser or frequency doubled ND:YAG are photocoagulative and are used to burn tissue to induce scarring to repair retinal tears.
Ophthalmologists employ many of these tools, depending on the pathology and the requirements of the specific case.
Ophthalmologists employ many of these tools, depending on the pathology and the requirements of the specific case.
There are many different lasers available and it would really depend on what type of correction you are interested in pursuing. If it is distance vision, then LASIK would serve your purpose well, but you would need an exam to determine if you are a candidate.
JS
JS
Smile by Swiss.
Dr. LMJ
Dr. LMJ
Fentosecond.
Alan J. Franklin, MD, PhD
Alan J. Franklin, MD, PhD
Lasers are used for different eye conditions. If you are asking about laser vision correction, the most recent development is the SMILE procedure. SO
SMILE from Zeiss is the most advanced laser treatment, not necessarily better for everyone. All-laser LASIK has been around for long and is really good and advanced, either with Intralase or SMILE laser.
There are many types of laser eye surgeries. If you’re interested in vision correction then lasik is still the gold standard.
That's a good question, but there is more breadth to this answer. Even within Ophthalmology, there are many different lasers for different types of laser surgeries.
LASER, as you know, is an acronym for Light Amplification by Stimulated Emission of Radiation.
There are common in office laser procedures, like the Yttrium Aluminum Garnet (YAG) laser used for posterior capsule opacification after cataract surgery, or to create peripheral iridotomies (little hole in the iris) to prevent acute angle closure glaucoma in at-risk individuals. This type of laser creates a focused burst of energy that breaks open tissue.
Another laser that is commonly used is the Q-switched, frequency doubled YAG laser for open angle glaucoma treatment of the angle or drain of the eye. This procedure is called Selective Laser Trabeculoplasty (SLT) and is commonly used throughout the country as one of the primary treatments of this condition to help decrease eye pressure. This laser uses less than 1% of the energy of the older laser that this new laser replaced (a similar surgery called ALT). This gentler laser stimulates the tissue to induce the body’s natural processes to improve aqueous outflow and thus decrease eye pressure.
There are also Argon and Diode lasers that are used for photocoagulation, or creating little focused burns of the tissue. This may be done to create a barrier around a small retinal tear to prevent it from becoming a large retinal detachment. It could also be used to extinguish aqueous producing cells that lead to higher pressures in glaucoma patients where other treatments have failed. Some lasers are used to treat certain types of cancers.
The Femtosecond laser is used to create cleavage planes in translucent tissues by creating a series of tiny contiguous micro-pulses. Femtosecond lasers have come into use in the last 20 years, and more especially in the last decade, not only for creating a corneal flap in LASIK surgery, but also for very precise corneal limbal relaxing incisions to decrease astigmatism, for precisely shaped corneal buttons for corneal transplants, and most recently, to assist in cataract surgery creating precisely shaped incisions and openings in the cornea and in the cataract lens.
LASIK surgery, or similar surgery called Advanced Surface Ablation surgery (similar to PRK) has used an excimer laser since the 1990s to ablate the anterior portion of the cornea, carefully and permanently reshaping it to decrease one’s dependents on glasses or contact lenses. Hundreds of thousands have safely benefited from this procedure over these decades, and the latest technology and approaches to patient screening has made this surgery even safer than the first years of its use.
I have only ever performed “All Laser LASIK” (bladeless LASIK) for my LASIK patients because it is the safest approach and what I would want for myself and my family members. I have treated other surgeons and physicians, pilots and engineers, deploying troops and four-star generals with this procedure and with great success. Just this past week I treated a veterinarian who went from 20/200 uncorrected (legally blind) before surgery, to 20/20 uncorrected in both eyes the day after surgery. He said what many have said: “This is life changing! Thank you! I’m so glad I had this done.”
Advances in technology have enabled improvements in the delivery systems of lasers of all types, decreasing the time required for the different procedures, improving their repeatability, and creating pulsed algorithms that deliver less energy to the tissue. All of these lasers are very safe and precise and have been of great assistance for eye surgeons/physicians (known as Ophthalmologists) to help treat their patients for many different conditions.
Dr. Kurt W. Andreason, MD
LASER, as you know, is an acronym for Light Amplification by Stimulated Emission of Radiation.
There are common in office laser procedures, like the Yttrium Aluminum Garnet (YAG) laser used for posterior capsule opacification after cataract surgery, or to create peripheral iridotomies (little hole in the iris) to prevent acute angle closure glaucoma in at-risk individuals. This type of laser creates a focused burst of energy that breaks open tissue.
Another laser that is commonly used is the Q-switched, frequency doubled YAG laser for open angle glaucoma treatment of the angle or drain of the eye. This procedure is called Selective Laser Trabeculoplasty (SLT) and is commonly used throughout the country as one of the primary treatments of this condition to help decrease eye pressure. This laser uses less than 1% of the energy of the older laser that this new laser replaced (a similar surgery called ALT). This gentler laser stimulates the tissue to induce the body’s natural processes to improve aqueous outflow and thus decrease eye pressure.
There are also Argon and Diode lasers that are used for photocoagulation, or creating little focused burns of the tissue. This may be done to create a barrier around a small retinal tear to prevent it from becoming a large retinal detachment. It could also be used to extinguish aqueous producing cells that lead to higher pressures in glaucoma patients where other treatments have failed. Some lasers are used to treat certain types of cancers.
The Femtosecond laser is used to create cleavage planes in translucent tissues by creating a series of tiny contiguous micro-pulses. Femtosecond lasers have come into use in the last 20 years, and more especially in the last decade, not only for creating a corneal flap in LASIK surgery, but also for very precise corneal limbal relaxing incisions to decrease astigmatism, for precisely shaped corneal buttons for corneal transplants, and most recently, to assist in cataract surgery creating precisely shaped incisions and openings in the cornea and in the cataract lens.
LASIK surgery, or similar surgery called Advanced Surface Ablation surgery (similar to PRK) has used an excimer laser since the 1990s to ablate the anterior portion of the cornea, carefully and permanently reshaping it to decrease one’s dependents on glasses or contact lenses. Hundreds of thousands have safely benefited from this procedure over these decades, and the latest technology and approaches to patient screening has made this surgery even safer than the first years of its use.
I have only ever performed “All Laser LASIK” (bladeless LASIK) for my LASIK patients because it is the safest approach and what I would want for myself and my family members. I have treated other surgeons and physicians, pilots and engineers, deploying troops and four-star generals with this procedure and with great success. Just this past week I treated a veterinarian who went from 20/200 uncorrected (legally blind) before surgery, to 20/20 uncorrected in both eyes the day after surgery. He said what many have said: “This is life changing! Thank you! I’m so glad I had this done.”
Advances in technology have enabled improvements in the delivery systems of lasers of all types, decreasing the time required for the different procedures, improving their repeatability, and creating pulsed algorithms that deliver less energy to the tissue. All of these lasers are very safe and precise and have been of great assistance for eye surgeons/physicians (known as Ophthalmologists) to help treat their patients for many different conditions.
Dr. Kurt W. Andreason, MD
Excimer last vision correction
