The Procedure
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What is bladeless LASIK?
Quick Answer: Bladeless or 'all-laser' LASIK uses a femtosecond laser instead of a blade to create the corneal flap.
Bladeless LASIK (also called all-laser LASIK) represents an advancement in how the corneal flap is created.
Traditional vs. Bladeless
| Feature | Traditional | Bladeless |
|---|---|---|
| Flap creation | Microkeratome blade | Femtosecond laser |
| Precision | Good | Excellent |
| Flap thickness | Variable | Highly precise |
| Complications | Slightly higher | Lower |
| Cost | Lower | Higher |
How Bladeless LASIK Works
Femtosecond Laser
- Delivers ultrafast pulses (femtoseconds = quadrillionths of a second)
- Creates precise layer of microscopic bubbles
- Bubbles separate tissue, creating the flap
- Computer-controlled for exact depth and diameter
Benefits
1. Precision: Flap thickness accurate within 10-15 microns
2. Customization: Flap size, shape, and thickness adjustable
3. Safety: Lower complication rate
4. Predictability: Consistent results
5. Thinner flaps possible: Preserves more corneal tissue
Is Bladeless Better?
Advantages
- More precise flap creation
- Fewer flap complications
- Better for thinner corneas
- Reduced risk of irregular astigmatism
Considerations
- Costs more (typically $200-500 more per eye)
- Takes slightly longer
- Temporary suction causes brief discomfort
- Some patients see floaters initially
Should You Choose Bladeless?
Bladeless is generally recommended because:
- Higher safety profile
- Better precision
- Most surgeons consider it standard of care
- Worth the additional cost for most patients
Most practices in Atlanta now use bladeless technology as their primary method.
Related LASIK Surgeons
Kris F. Gillian, MD
Georgia Eye Associates
AC
Andre Cohen, MD
Marietta Eye Clinic
JW
Jonathan Woolfson, MD
Woolfson Eye Institute
Related LASIK Practices in Atlanta
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