How is the corneal flap made?
Presently, two methods for flap creation dominate the technology. The traditional method worldwide is with a metal, mechanical microkeratome. Until December, 2003, this was our preferred method and we progressed through several generations of technology. Results were excellent and complications were rare. Our method of choice now is the INTRALASE system, a bladeless technique using a femtosecond near-infrared laser. The IntraLase system is a less invasive, computer controlled approach with a unique level of precision which results in flaps which are more predictable and consistent in size, shape and depth; this technique further reduces the risk of complication. The procedure commonly causes a mild pressure sensation but rarely if ever causes pain or discomfort. Time is showing us that we are getting better visual results with this system. We continue to offer microkeratome capabilities for those patients who are deemed to do better with and/or prefer blade technology. However, for mos
