Epi-lasik surgeryPatient evaluationIs the same as patient evaluation in lasik For more information click hereBefore Epilasik surgeryBefore epi-lasik surgery a topical antibiotics can be applied prophylactically and also NSAIDs can be applied for pain.Patient is positioned on the operating table and the fellow eye is covered Epi-lasik procedureSkin surround the eye is cleaned and drop of topical anesthesia is applied and the eye is widely opened with lid speculum.The periphery of the cornea is marked with circles to allow the surgeon to know the reference points to replace the epithelial flap over the corneal bed at the exact position. The epikeratome or subepithelial separator is applied to the cornea and the suction is activated.This epikeratome will separate the epithelium from the underlying stroma and then the suction is removed. Not like microkeratome which will cut through the corneal stroma. The epithelial flap is lifted and the underlying corneal stroma is revealed. Corneal ablation is initiated with excimer laser and then the corneal bed and the epithelial flap are hydrated. After that the flap is replaced to the same place and the eye is left to dry for 2-5 minutes to allow adhesion with the underlying cornea
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