Epi-lasik enhancement

If you are thinking about having Lasik, IntraLasik, PRK, LASEK, Epi-Lasik, RLE, or P-IOL eye surgery, this is the forum to research your concerns or ask your questions.

Epi-lasik enhancement

Postby an94 » Sat Dec 01, 2007 4:55 am

According to this web site an enhancement after Epi-Lasik cannot be done again with Epi-Lasik because Bowman's layer is ablated. Does this ablation of Bowman's layer also occur after PRK? Also would you comment on the pros and cons of Epi-Lasik vs. PRK.
Posts: 7
Joined: Mon Aug 13, 2007 11:50 pm

Postby LasikExpert » Sun Dec 02, 2007 4:43 am

Epi-Lasik is exactly like PRK. The only difference is the manipulation of the epithelial cells (outermost soft layer of corneal cells). With PRK, LASEK, and Epi-Lasik, the Bowman's layer within the treatment zone is ablated away.

The reason Epi-Lasik is not recommend for enhancement surgery is that without the Bowmans, the blunt microkeratome blade used for Epi-Lasik will not make a smooth glide across the cornea. It may dive into the cornea, causing an irregular surface.

There have been many debates in ophthalmic circles for and against Epi-Lasik. The majority (but not all) have expressed that Epi-Lasik does not have any true advantages over LASEK and may have only slight advantages over PRK.
Glenn Hagele
Volunteer Executive Director

Lasik Info &
Lasik Doctor Certification

I am not a doctor.
Site Admin
Posts: 3309
Joined: Fri May 12, 2006 6:43 am
Location: California

Return to Thinking About It

Who is online

Users browsing this forum: Google [Bot] and 5 guests