USAEyes Lasik grant application.
How to Choose
A Lasik Doctor
Find Certified Surgeon
50 Tough Lasik Questions
Ask Lasik Expert
Lasik Q&A Forum
Top Articles
What is Lasik?
Lasik Cost
Lasik Results
Wavefront Custom iLasik
Bladeless Lasik
Lasik Patient Survey
Lasik Alternative
Top Articles
Monovision Lasik
PRK, LASEK, Epi-Lasik
RLE Lens Exchange
Lasik Groupon
$1,500 Off Lasik

Image of Lasik doctors certification logo.

This website is accredited by Health On the Net Foundation. Click to verify.   The website complies with the HONcode standard for trustworthy health information: verify here.


CLAPIKS can resolve minor undercorrection or overcorrection from Lasik, Bladeless Lasik, PRK, LASEK, and Epi-Lasik.


Contact Lens Assisted Pharmacologically Induced Kerato Steepening (CLAPIKS) is a process to correct residual hyperopia, (farsighted, longsighted) myopia, (nearsighted, shortsighted) and possibly astigmatism after conventional or custom wavefront Lasik, Bladeless Lasik, PRK, LASEK, Epi-Lasik, RK, or similar laser assisted refractive surgery with the use of extended wear contact lenses and the nonsteroidal anti-inflammatory drug (NSAID) Acular (ketorolac tromethamine, Allergan). This is an off label use of the eye drops. CLAPIKS is similar to orthokeratology, but is significantly different by the use of Acular.

Surgeons have successfully treated hyperopic overcorrection following Lasik, LASEK, PRK, Epi-Lasik, and RK, by molding the cornea with a tight fitting contact lens and Acular. CLAPIKS has shown to be effective on patients who have been overcorrected by 0.50 to 3.00 diopters of hyperopia following refractive surgery. This is a new technique and doctors are still discovering its application and limitations.

There is some concern about NSAID's side effects of corneal melting. Allergan has not reported melting in people with normal corneas. CLAPIKS has initially been used only with Acular, but other NSAIDs may be appropriate. Patients with collagen diseases or other corneal melt problems should not be treated with this technique.

The process usually takes several weeks of continued contact lens fitting and use of the drug before significant refractive change is achieved. Click CLAPIKS for a copy of the CLAPIKS protocol, suitable for an eye doctor. To view this file, you must have Acrobat Reader.

Looking For Best Lasik Surgeon?

If you are ready to choose a doctor to be evaluated for conventional or custom wavefront Lasik, Bladeless Lasik, PRK, or any refractive surgery procedure, we recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Doctor.

Personalized Answers

If this article did not fully answer your questions, use our free Ask Lasik Expert patient forum.

Last updated

"Consider and Choose With Confidence"TM

A few of the communities where Lasik doctors are certified by USAEyes :