Femtolasiq or lasik is there a difference? The difference between LASIK and Super LASIK. What is the difference between these laser correction techniques

Hundreds of PRK and LASIK vision correction surgeries are performed every day around the world. Patients are confused in terms, because the names do not fully convey the essence of the procedure. LASIK is a classic laser eye correction method, and Femto LASIK is a variation of the standard method. In turn, PRK correction is carried out using an excimer laser. It is important that as a result, a person refuses to use glasses or lenses. Methods are constantly being improved, for their implementation, ultra-precise equipment is needed.

Description of procedures

LASIK (LASIK, Laser Assisted in Situ Keratomileusis) is an up-to-date and harmless method of restoring vision. This high-class operation makes it possible to correct even very difficult cases of myopia, hyperopia and astigmatism. A characteristic property is the laser radiation itself, it interacts directly with the inner layers of the cornea of ​​the eye. In this case, its outer part is bent around by a small incision of the surgeon. Advantages of this method:

• recognized by ophthalmologists as the most effective and safe;
• the desired effect is achieved with minimal risk of complications;
• it is possible to correct vision in two eyes at once, without long-term hospitalization of the patient.

Disadvantages of this correction method:

• Age. The procedure is carried out only at the onset of 18 years. Due to childhood and adolescent vision changes, this may reduce the effectiveness of the operation.
• Complications. A standard operation can cause complications in the form of the formation of an incorrect flap of corneal tissue.
• Medical contraindications: diseases of the eyelid, structural features of the eye.

Modernized techniques based on LASIK

After the spread of LASIK technology, developments in the field of laser vision correction improved and several modifications were developed based on this method. One of them is Femto LASIK - an upgraded version of the LASIK technique. The only difference is that there is no surgical intervention: an incision on the cornea from the outside is performed by a laser.

Benefits of the Femto LASIK method:

• delicate section of corneal tissue;
• guaranteed painless procedure;
• rehabilitation is much faster - within a few hours.

A significant disadvantage for a certain category of the population may be the price of this technology. For many who wish, such a luxury is simply not available for objective reasons. Leading ophthalmologists also believe that the Femto LASIK method does not correlate the price and the effect of the procedure, the overestimated cost is due to expensive equipment that is used in the correction process.

Other methods using laser radiation

• PRK - photorefractive keratectomy - the first way to restore vision with an excimer laser. The laser changes the outer shell of the corneal tissue and works like a scanner. The cornea is damaged and protective lenses are used to eliminate discomfort.
• SuperLasik - using a professional microkeratome device, a flap is made on the cornea of ​​​​the eye and folded back, and at the end of the operation it returns to its place, suturing is not required. The laser installation does not affect the nerve endings, this is different from the LASIK technique. Super lasik guarantees the painlessness of the operation, restoration of vision occurs on the day of the operation.
• REIK operation - refractive-corrective excimer laser intrastromal keratectomy - this procedure is another variation of the LASIK technique. Vision improves throughout the year. A person can even drive a car as early as 5-6 hours after the operation. This technique is not common and is carried out in several clinics around the world.

Differences of the LASIK technique

Before using Superlasik, it is necessary to undergo various examinations, as it is necessary to precisely program the device.

The difference between LASIK and SuperLASIK is that in the latter, the computer program includes more indicators and takes into account the structures of the patients' eyes. However, the Super LASIK method was considered a way to restore perfect vision by changing the cornea, while increasing visual acuity compared to conventional correction. Patients experienced discomfort due to perfect vision. Superlasik is used only in exceptional cases - the curved outer part of the cornea.

The difference between FemtoLASIK and standard LASIK is the use of a femtosecond laser. Nevertheless, the advantages of this method are not so obvious: the scar after the laser is rougher and visible to the doctor after the operation. With an experienced surgeon and when safety measures are followed, the result of LASIK is even better. In addition, the cost of femto is greatly exaggerated according to expert ophthalmologists. But the prospects of this method are clearly visible.

Femto Lasik is a modernized excimer laser procedure designed to correct visual acuity. The advantage of femtolasiq is the absence of a mechanical effect on the surface of the cornea, which minimizes the exacerbation of an ophthalmic disease.

Advantages of the femtolasiq technique

The method allows using modern technologies to the maximum, reduces the risk of complications, eliminates instrumental impact on the eye, and provides comfortable and quick correction. All these advantages cause the high cost of the procedure.

Advantages of the procedure:

1. High efficiency. The procedure involves the dissection of the boundaries of the upper layer of the cornea with the utmost care and precision. This allows you to preserve the natural sensitivity of the eye. The flap is created using a femtosecond laser (a special ophthalmic device). It makes it possible to have a beneficial effect on vision in the future. The patient retains the ability to distinguish objects in any conditions.
2. Safety. Femtolasiq is the safest procedure. The doctor pre-models the parameters of the flap individually for each patient. When determining the thickness, radius and structure of the flap, it is possible to minimize damage to the natural structure of the cornea.
3. Efficiency. The procedure is extremely fast. Corneal gloss is created in 5-6 seconds, correction takes about 30 seconds.
4. Fast recovery. After femtolasiq, the patient needs little time to fully recover. This is due to the absence of mechanical resection of the cornea during the procedure.
5. Reducing complications. After the procedure, the risk of developing astigmatism and other complications is reduced tenfold (in comparison with).
6. Absence of pain. During the procedure, the patient is free from discomfort.
7. Extensive application possibilities. It is indicated for people with visual acuity disorders that cannot be corrected with medications and the lasik technique. This occurs with the thin matter of the cornea and the presence of defects in its structure (for example, with severe myopia).
8. The absence of fear. The patient at almost all stages of the procedure has the opportunity to follow the process, which deprives him of discomfort and fear.

In Russian clinics, the procedure costs over 50 thousand rubles. An ophthalmologist's consultation (5-7 thousand rubles) is additionally paid. If there are difficulties with the retina (problems with strength, etc.), additional therapy will require 10-12 thousand rubles. The procedure in clinics abroad will cost the patient 1500-2500 dollars.

Indications and contraindications

Like any other procedure, Femto Lasik has a number of indications and contraindications. It should be noted that, unlike other laser vision correction technologies, the list of contraindications is quite small.

Indications:

1. Myopia. Recommended for myopia up to 10 diopters. At least in practice, doctors are limited to these values. In theory, a correction of -15 diopters is acceptable. The appropriateness of the procedure will depend on the individual characteristics of a particular patient.
2. Farsightedness. The operation is valid in values ​​up to +4 diopters.
3. Astigmatism. Correction of pathology by the femtolasiq method is possible at its threshold of 5 diopters.

Contraindications:

1. Age up to 18 years. In children and adolescents, the eyeball is still developing. Any manipulation to correct visual acuity can cause unstable side effects.
2. Age from 45 years. In older people, age-related transformations of the lens begin, and many age-related disorders occur. The procedure will not harm the health of the patient, but the effect will either not be, or it will be temporary. Ophthalmologists recommend alternative methods for correcting visual acuity for older people.
3. Pregnancy and lactation. At this stage, a woman's thyroid gland is extremely unstable, the hormonal background is constantly changing. Due to the error in the hormonal status, it is impossible to accurately assess the constancy of the effect of the procedure. The operation will be useful, but there is no guarantee of success.
4. Constant leaps of vision throughout the year. With regular changes in the indicators of myopia or hyperopia, the procedure is not recommended.

1. Active progress of the cataract, accompanied by severe deterioration of vision.
2. Diseases that negatively affect the protective functions of the body, in history, as well as infectious diseases. These are AIDS, multiple sclerosis, lupus erythematosus, rheumatoid arthritis and so on. These conditions directly interfere with the body's ability to support healing.
3. The patient regularly takes drugs that depress visual function.
4. The functionality of only one eye was preserved.
5. The patient is susceptible to conditions that thin the surface of the cornea. Femto Lasik can lead to a sharp deterioration in vision in the future, which will only increase the need for cardinal surgery.
6. Excessive addiction to alcohol and drugs.
7. Inflammation of the visual system develops. Before the procedure, it is required to eliminate the infection.

Femtolasiq can aggravate dry eye syndrome.

Preparing for the operation

Preparation for surgery should include avoiding contact lenses a couple of weeks before the procedure. Contact lenses contribute to the germination of blood vessels in the material of the cornea, which complicates the operation using the femtolasiq method.

Two weeks before the operation, the attending physician consults with the patient, questions him for chronic and infectious diseases, performs an ophthalmological examination, and assesses the condition of the operated area. If factors and errors are found that can adversely affect the course of the operation, it is necessary to postpone the procedure and completely eliminate them. Naturally, provided that this is feasible, otherwise the operation is canceled and an alternative method of vision correction is chosen.

On the day of the operation, you can not use cosmetics (even decorative ones), take alcohol and smoke, use medicines, especially those that help thin the blood.

In preparation for the operation, do not use perfumes and aftershave lotions. It is recommended to wash your hair thoroughly before the operation, since after it it is prohibited for 3-5 days due to the risk of injuring the eyes. On the day of the operation, you can eat normal food, but before arriving at the clinic, it is better to limit yourself to light meals.

You should not drive for the diagnosis and correction of ophthalmic disorders. It is better to use the services of a taxi or ask relatives. Laser correction is carried out only if the patient has a reliable companion. This is due to the fact that after the operation, specific changes in vision may occur for some time.

Action of Femto Lasik and procedure steps

A femtosecond laser uses a beam of infrared light. This is how accurate and precise separation of the horny tissue at a certain depth is carried out. This process is called photobreak.

The laser sends a short pulse into the outer layer of the cornea, resulting in the formation of microbubbles. They arise in the neighborhood, gradually merge and form a bundle. After working with a femtosecond laser, the doctor bends the formed valve and corrects the underlying layers using an excimer laser. This makes it possible to give the cornea the correct shape, change the power of refraction of light and improve visual acuity.

The femtosecond laser makes it possible to make the surface of the corneal dissection border ideally smooth, while avoiding mechanical impact on the corneal tissues. The valve is formed according to individual parameters set in advance. They are determined in the process of studying the pathology of the visual system.

Capabilities of non-contact valve forming technology:

• improvement of contrast characteristics;
• increased clarity of vision;
• restoration of visual function with a thinned cornea;
• reduction of the recovery period after surgery;
• minimization of side effects, complications and relapses.

Procedure steps

1. Painkillers are instilled into the eyes. So the eye loses sensitivity, the patient is relieved of pain and discomfort during the procedure.
2. The patient is placed on a table near the equipment. A small flashing light will be located exactly above the operated area. It is needed to keep the patient's gaze during the procedure. Slight eye aversion will not affect the result, but significant eye aversion will disrupt the procedure. Professional equipment corrects movements and tracks the desired area with a slight deviation.
3. A vacuum instrument, which is shaped like a cylinder, is placed over the eye. Under the influence of a laser, it is attached to the eye.
4. The activity of the laser leads to the fact that a flap is isolated from the outer layer of the cornea. Its parameters are determined by the doctor long before the procedure. The duration of the separation is 5-6 seconds.
5. The flap is removed, allowing the laser to work on the deeper layers of the cornea.
6. Small and short bursts of energy allow the transformation of the cornea. Changes are needed to adequately focus the light rays.
7. After exposure to the cornea, the flap is returned back. Stitching is not required, as the layers of the cornea grow together instantly.

The guide for the operator is the patient's card with pre-set parameters of the operation. This allows you to accurately perform the procedure.

What happens immediately after the operation

• the patient is left in the clinic for 1-1.5 hours for a follow-up eye examination;
• the doctor must ensure the successful outcome of the procedure, check the fit of the upper layers of the cornea;
• sometimes patients experience profuse lacrimation, burning, slight discomfort and increased sensitivity to light;
• you can’t panic with jumps in vision, they usually go away the next day;
• only with the permission of the doctor, the patient can leave the clinic;
• for the comfort of the patient, he will be given dark glasses to protect his eyes from light;
• patients are also given special drops that will help protect against infection and reduce discomfort;
• You can only return home with an escort.

For the most part, after femtolasiq, patients begin to see the same way as with glasses or lenses, or many times better. Some have improved visual acuity up to 120-150%. After evaluating all the advantages of the procedure, we can say that femtolasiq is a highly effective and safe method of vision correction. The high cost of the operation pays off significantly during a comfortable life without glasses and contact lenses.

Features of rehabilitation

After the operation, you are allowed to take a shower and wash your face lightly. From the third day, it is allowed to wash your hair, but only by tilting it back. It is necessary to control the process and prevent water, especially soap, from getting into the eyes.

Cosmetics should not be used for three days after the operation. In the early days, bright light will irritate your eyes, so you should wear dark glasses. It is recommended to sleep on your side, in the first couple you can not sleep on your stomach, as you can damage your eyes with a pillow. At the same time, slopes and moderate physical activity are not prohibited.

There are no restrictions on pregnancy after laser eye surgery. According to statistics, the percentage of complications after surgery is minimal.

Possible such complications and side effects:

1. Negative reaction to brightness. It becomes difficult for the patient to distinguish luminous objects. Usually this effect is temporary, it is successfully stopped by eye drops.
2. Surrounded by iridescent halos of bright objects. This phenomenon is also temporary, disappearing rather quickly.
3. Cutting and dryness in the eyes. To eliminate this complication, doctors prescribe moisturizing drops for 15 days after surgery (along with anti-inflammatory drugs).

What not to do after surgery:

• visit the pool, sauna and steam room 1-2 months after exposure to the eyes;
• taking a bath should be replaced with a short shower also for up to 2 months;
• you should not visit the beach and solarium for 1.5 months after the operation;
• you can not sunbathe and swim in salty sea water, this will slow down the healing process;
• you should not organize picnics and similar events a month after the procedure (you can injure your eyes).

For the first two weeks after the operation, it is worth giving up alcohol, cosmetics, prolonged use of the computer and driving.

What is the difference between LASIK and FEMTOLASIK

In addition, during the Femto Lasik procedure, the corneal flap is individualized depending on the parameters of the visual system of each patient. This method makes it possible to significantly improve visual function, increase sensitivity, and ensure good perception of objects in low light.

LASEK (LASEK) and LASIK (LASIK) are some of the most popular laser vision restoration surgeries. They are similar in many ways, but they also have distinctive features. We will find out what they are and the choice in favor of which one is worth making.

What is LASIK?

LASIK, or laser keratomileusis, is a surgical procedure to correct nearsightedness, farsightedness, and astigmatism. During it, the surgeon makes an incision on the cornea, thus obtaining a flap from its surface layer. The doctor pushes it aside and vaporizes the deep stroma with a laser, that is, it changes the shape of the cornea, correcting the refractive error. After that, the flap returns to its original place.

The operation is completely painless. Visual functions are restored in a few hours. The chance of complications is very low. It is important to follow all the recommendations of the doctor during the rehabilitation period. However, complications are still possible. They appear as:

• flap deformities due to trauma, touch;
• clouding of the cornea;
• inflammation;
• protrusion of the cornea, keratoconus.

The LASIK method has a number of limitations. It is not possible with a thin cornea. It cannot be used to correct severe myopia. These shortcomings can be leveled by LASEK.

What is the LASEK method?

The difference between the two methods lies in the procedure itself. If an incision is made during LASIK, then LASEK involves the formation of a flap from the surface layer of the cornea in a different way. Its essence is as follows: alcohol is applied to the surface for 20-30 seconds, due to which the connection between the epithelium and the lower layers of the cornea is weakened (that is, chemical treatment is carried out). Next, the flap is folded and moved to the side, the laser beam corrects the visual pathology, and the flap is returned to its place. A special one is superimposed over the operated area. It is removed by the surgeon after 2-3 days.

The postoperative period is much shorter. The risk of complications is even lower than after LASIK. This method of correction is safer, it is less traumatic, since there is no need to cut the cornea. In this regard, its thinning is not considered a contraindication to LASEK. LASEK is prescribed not only for myopia and hypermetropia. It is suitable for patients who need to correct higher order aberrations.

Another difference between the two types of transactions is the price. The cost of LASEK is much lower. However, in clinics, prices do not differ much, so the choice of method is usually not related to its cost. Both techniques guarantee the correction of the refractive error by 100%. The type of procedure is determined by the doctor after a thorough examination of the patient. If necessary, other operations may be prescribed (EPI-LASIK, SUPER-LASIK, REIK).

In Nizhny Novgorod, only in the clinic "Vizus-1" - these operations are performed on a laser device of the latest generation.

With the help of the LASIK method, uncomplicated cases of refractive errors are well eliminated, more complex cases are better handled by the more modern SuperLASIK operation. The surface of the cornea is not disturbed, and the surgical intervention takes place on the middle layers of the cornea. A few days later, high visual acuity develops.

The clinic operates an excimer laser EC-5000CX-III -NAVEX Quest "(Japan) (the most modern laser of the latest generation in the region, 2010) on which the SuperLasik operation is performed. After a diagnostic examination, you will be recommended a correction method suitable for your situation, which will give the best result.

Operation SuperLasik

In addition to myopia, farsightedness and astigmatism, there are subtle violations of the optics of the eye - aberrations of a higher order (affect contrast, color perception, twilight vision, glare, halos, etc.) Super LASIK surgery allows you to achieve the best result with such violations. The goal of Super LASIK is to bring the optics of the eye closer to the theoretical ideal.
The special feature of Super LASIK is the most precise laser "resurfacing" of the cornea based on preliminary aberration analysis data. It became possible to measure and eliminate absolutely all irregularities (pathological irregularities) of the cornea.
A fundamentally new approach to the study of corneal aberrations makes it possible to take into account all the smallest features of its structure and calculate the correction zones as accurately as possible. With the help of a special computer program, the data of aberrometric analysis are transferred to the laser. Vision is simulated, demonstrating its predictable quality. The account goes on microns. The laser beam selectively corrects only those areas of the cornea that have a deviation from the norm. Absolutely all aberrations that affect the quality of vision are eliminated. The accuracy of this approach is so great that it became possible to correct aberrations resulting from surgery performed on other excimer lasers.

This approach is maximally personalized and makes it possible to obtain an ideal surface of the entire cornea. As a result, not only high visual acuity is restored (which often exceeds 1.0), but also its optimal quality (clearness, brightness, contrast, lack of light and double vision). Such indicators remain unchanged even in the evening and at night.

The difference between lasik surgery and super lasik surgery - video

Good day!!!

My review is based on personal experience and I hope it will help many to do right choice. I will divide it into points in order to make it easier for you to navigate in a fairly voluminous review.

• About me and my eyes. A little about contact lenses and the decision to change something.
• Preparation for laser vision correction
• Day "X"
• Life after laser vision correction.

★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★

ღღღ About me and my eyes ღღღ

My eyesight problems started at the age of 7. I got my first glasses at the age of 9, then my eyesight was somewhere (-2.5). The glasses were with an insert from the bottom of ordinary glass, so that at school it was convenient for me to write in a notebook and at the same time look into the distance at the blackboard. I, like many others, felt uncomfortable, because. I thought that I was bespectacled (bespectacled, four-eyed, etc.) ... I was firmly convinced that it didn’t suit me and therefore I poked them in every possible way, if only other children would not see me ...

I was growing up, and my eyesight was falling ... By the age of 16, my eyesight was (-6.25). 3 pairs of points have already been changed behind him. The latter were stylish in a black frame that was fashionable at that time, but it was still uncomfortable for me to walk in them: in winter, the glasses freeze, they fog up from the steam, the view is limited to the frame of the glasses. And I continued to ignore them as much as possible ... I didn’t greet my acquaintances first, because I didn’t see them. I didn’t see the number of minibuses, but what’s there to hide, I really didn’t see anything further than my nose!๏̯͡๏ I can’t imagine how I walked without glasses, but I walked!!!

At the age of 17, I decided to switch to contact lenses. These were super Feel! I remember the first time I looked at nature in them... At grass, earth, leaves on trees, dewdrops on the grass. I saw every little thing, every insect!!!

I wore lenses for 5 long years ... I would have continued to wear them if not for some disadvantages:

Everyday "take off in the evening - put on in the morning."

Buying fairly expensive lens sterilization solutions.

Buying the lenses themselves every month, and this also cost a decent penny.

The lenses could break, so I had to buy a new pair ahead of schedule.

The lenses could get stuck in the eye. Yes, it is quite unpleasant, and especially unpleasant is the attempt to free them from the eye trap!

Everywhere and everywhere you need to carry a container with a solution, and you never know what.

It is necessary to constantly wear drops to moisturize the eyes.

A significant disadvantage of lenses is also the possibility ny harm when they are worn for a long time, namely:

Poor care and cleaning of contact lenses can lead to the rapid multiplication of harmful microorganisms that provoke the onset of eye infections.

Wearing old lenses for a long time can lead to scarring of eye tissue and even complete loss of vision.
Even the most “breathable” lens models are not able to provide a normal flow of oxygen. As a result, by the end of the day there is discomfort, dry eyes. Necrosis or tissue death may develop.
Prolonged wearing of lenses often leads to mechanical damage to the cornea of ​​the eye.
As you can see, there are also many pitfalls in wearing lenses.

How much money did I spend on wearing lenses?

• 1 pair of lenses for a month "Aquaview oasis" worth about 600 rubles.

5 years = 60 months.

Total 60×600= 36,000 rubles spent on lenses.

• Solution for lenses "Renu" 240 ml costs about 360 rubles. Enough for an average of 1.5 months with regular use (there is also a volume of 120 ml - 250 rubles, 360 ml -410 rubles).

This solution was bought 60 ÷ 1.5 = 40 months.

Total 350×40 = 14,000 rubles per solution.

• Let's add to this amount about 5,000 rubles for force majeure circumstances(buying two pairs of lenses at once, buying lenses to replace torn ones, buying additional solution)

Total: 55,000 rubles were approximately spent on wearing lenses for 5 years!!!

ღღღPreparing for surgeryღღღ

One day I started thinking about laser vision correction. She frightened me, but at the same time attracted me. I slowly read the forums and one day I decided to visit a doctor in a special paid clinic. I chose the Excimer clinic in St. Petersburg.

In order for the doctors to have an idea about the condition of my eyes, I had to undergo an examination. This diagnosis should have been made taking into account the following points:

1. Do not wear contact lenses for about 14 days. This is due to the fact that wearing them leads to swelling of the surface of the cornea. Edema significantly increases the thickness of the cornea, and this may affect the result of the study, because. discrepancy between the thickness of the cornea and the degree of myopia may affect the admission to the operation.
2. Arrive without makeup.
3. Don't drive. This is due to the fact that for the examination it will be necessary to drip drops that dilate the pupils for a day, and this will lead to a decrease in near visual acuity and a negative reaction to bright light.
4. Refrain from strong visual loads.
5. It is necessary to bring the entire ophthalmic archive with you. All certificates, extracts, conclusions, etc.

The examination procedure is as follows:

☛ Standard Poll about past illnesses, reactions to medications, etc.

"Auto" - automatic, "refracto" or "ref" - refraction, that is, the power of refraction, "kerato" - cornea, "metria" - measurement.

It shows the "pros" and "cons" of your vision, measures the curvature of the upper surface of the cornea and determines the parameters of laser radiation.

☛ Determination of visual acuity.

☛Non-contact tonometry. Measurement of intraocular pressure.

During this measurement, the tonometer shoots a portion of air of a certain force into the eye. From this action, the cornea slightly flexes, and intraocular pressure counteracts this air shock. Indicators should be no more than 20 - 21 mm Hg. Art.

For me, this is not a very pleasant procedure. Pulls me decently away from her

☛ Biomicroscopy.

An ophthalmologist examines the eyelids, the white of the eyeball, the cornea, the lens, the iris, and the vitreous body under high or low magnification. It can also look at the fundus.

☛Perimetry.

Checking the field of view, which allows you to fit half the horizon into both eyes. The patient looks in the center, directly in front of him at a certain mark. At different distances and in different directions from this mark, small specks of light appear, which can be of different sizes, colors and intensities. The subject does not look at these spots, but notices them "from the corner of his eye"

With this procedure, diseases of the retina, optic nerve and all eye contact can be detected.

☛ Ophthalmoscopy.

This is where a wide pupil is needed. The iris does not interfere and not only the central part of the pupil is visible, but also the periphery. This procedure requires a bright light that illuminates the fundus of the eye and special lenses to allow focusing. The doctor asks you to look at your little finger, then at your ear, then at other landmarks, thus gradually examining all areas of the retina. This procedure allows you to identify diseases of the retina and optic nerve head.

☛ Ultrasound procedure.

A scan. Determines the size of the anterior chamber of the eye, the thickness of the lens.

B - scan. Can diagnose retinal detachment, intraocular tumors, etc.

☛ Pachymetry. Measurement of corneal thickness.

Normally, it is 500 - 550 micrometers.

Here is such a set of procedures that must be carried out for a complete examination. On average, this is about 1 hour of time.

︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶

I went through all these procedures ... and in the end, the doctor decided to wait 1 year! This would allow me to find out whether I have progressive myopia or not, and in general to follow the change in vision parameters.

At that time, I was not very upset, because when I saw all these devices, doctors, the atmosphere, fear for my eyes again instilled in me ... ๏̯͡๏

Each of us has this fear quite big. On the Internet and through a large number of acquaintances / unfamiliar people, all sorts of horror stories keep popping up.

What if ….

… Will the operation go badly and I will lose my sight completely?

… in old age, my eyesight will deteriorate sharply, and I will go blind?

… get an infection?

… vision will start to fall again?

… vision will fall during childbirth after surgery?

… Will I feel pain during the operation?

〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷 〷

But a year has passed and I'm ready for a feat again. This year I'm already determined!

I studied all the necessary literature, weighed all the pros and cons, read numerous reviews, including those on the “ay recommendation”, joined a group on Vkontakte, where information about clinics, about the operation itself, was constantly updated, and Again, I read the reviews of the lucky ones who have already gone through this. I saw negative reviews, and sad and depressing ... But they were a minority!

I decided to choose another clinic. This time it was the Medi laser vision correction clinic. I again refused lenses for 2 weeks and came to the examination with the result of a diagnosis a year ago ...

I again steadfastly went through all the procedures and heard the following: "Everything is fine. There are no negative changes. We are ready to take you to the operation!” Then the doctor gave me a consultation.

Here is an excerpt from that conversation:

︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶

There is a good chance that your vision will deteriorate slightly after the operation. you have a fairly large minus (-6.5). In myopic people, the shape of the eyeball is changed, it is more elongated. With the help of the operation, we cannot bring this form into a normal state. The vision correction operation itself is aimed at giving you the opportunity to see well without using additional aids - glasses, lenses, etc. Possible rollback of vision, but, as a rule, it will not be more than a third of the original. (Ie in my case up to -2). If the final result does not suit you, we can make a free additional vision correction, if there are no contraindications. It is important to remember that for a reoperation it is necessary that remained sufficient thickness of the cornea. It's like a pencil that we constantly sharpen. The more we sharpen it, the shorter it becomes.

After the operation, it is undesirable to become pregnant and give birth in the next year.

︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶ ︵ ︶

I was offered a choice of Lasik and Femtolasiq.

• Lasik

LASIK is a microsurgical vision correction method in which the laser directly affects the middle layers of the cornea without affecting the upper epithelium.

During the operation, the doctor using a scalpel - macrokeratome cuts and lifts the upper layers of the cornea. Next, the laser gives the cornea the desired shape, after which the flap is placed in its original place. This is a mechanical way.

• Z - Lasik (Femtolasiq )

Z - Lasik (Femtolasiq ) - innovative technology laser femtosecond vision correction (new in 2013 ). Unique Swiss equipment - fcapacitance laser - takes laser eye microsurgery to a new level of precision, safety and patient comfort.This technology makes it possible to form a corneal flap before correction using a laser beam, rather than a mechanical microkeratome (microknife), as was the case before. That is, all manipulations with the patient's eyes are made without contact.

Thus, I was faced with a choice.

Traditional Lasik with a scalpel… Bueeee

Femtolasiq with special equipment without a scalpel… True, this is still some kind of innovation in 2013., not particularly tested in Russia .... hmmmm

Yes, and the cost of the operation is significantly different.

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Lasik for my both eyes with high myopia - 56 320 rubles…

Femtolasiq with high myopia - 77,955 rubles ... (20% discount)

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I thought for a long time, but after family negotiations, I decided to choose Femto. I was scheduled for the day of surgery. 24. 08. 2014.

ღღღ Day X ღღღ

I live in the region and it takes me about 1.5 hours to get to the clinic. I was lucky, because I had an escort in the car - my young man. I went to the clinic and for some reason I was not particularly worried.

At Medi, I was met and taken to the operating room. A sweet girl put an anesthetic in my eyes and gave me a dressing gown and shoe covers. I started to get nervous… Although I heroically said that I was not worried, everything was fine with me, I was ready to fight!

15 minutes passed and I was taken to the operating room. There was a couch, and a huge frightening apparatus hung over it ... They laid me down and gave me a plush dog, which I grabbed with all my strength with my hands.

"Let `s start?" - said the doctor and rushed ...

First, they covered one eye with a special surgical cloth to work on the other eye. I felt that a dilator was being inserted into me. In fact there were no discomfort.

Further, with my cloudy eye, I saw how the doctor lifts the detached flap with some instrument. Rinse eyes with cool solution. They brought another apparatus closer to me and told me to keep a close eye on the red dot. The process of laser operation began, which did not last long. Crackling was heard and the smell of burning was felt, perhaps you know the smell of scorched hair ...

My heart was beating throughout the operating room, it seemed that everyone heard his knock

The work of the laser was completed, the doctor again treated the eye with a solution and covered the patch.

I knew every move of the doctor, because before that I watched a video of how the operation was going on ... Yes, I tickled my nerves before that

Laser correction took 15 minutes. I will note It didn't hurt at all, but it was terribly scary! Especially when they did the first eye! During the treatment of the second eye, I already calmed down and calmly endured the whole complex of procedures. After the end of the "torture", when the apparatus was pushed back, I was already cloudy, but I saw the features of my doctor's face!!!

After the operation, I was sent to the waiting room for 30 minutes. And they put my young man there so that I would not be bored. Ohhh he then saw me not in the best possible way!

The action of the anesthetic was coming to an end, and I began to feel all the “charms” of this procedure ... It felt like a lot of sand was poured into my eyes .. They watered very much and wanted to close, although I was instructed not to close them until the doctor examined. It was very uncomfortable and unpleasant! It's like someone is trying to close them by force, and I'm resisting it ... Those 30 minutes seemed like an eternity! Then the doctor came, shone a bright light into my eyes, which were dead from pain, examined me and let me go home.

The road home was also terrible. Yes, and we were driving home on Friday traffic jams .. In the back seat I was ready to climb onto the roof of the car .. I was wearing sunglasses that did not really cover my eyes from the sun .. An aquarium of my tears constantly formed under the glasses. But I endured, buffed and endured

When we arrived home, about 2 hours had passed after the operation ... I already went into the apartment without feeling pain. She sat on her sofa and for the first time saw the numbers of the clock from the far corner. I smiled and got high, eating a piece of cake on nerves

I spent that night on my back, as the doctor advised me to sleep in this position. I'd like to note, that there were no traces of exposure on my eyes, except for redness.

I was also banned for a month from:

rub your eyes;

lift weights;

Do sport;

Engage in hand-to-hand combat

Well, do not paint for 2 weeks! I steadfastly endured it, fortunately, even before the operation I dyed my eyelashes with resistant black paint

The next morning I drove to the clinic to check out the first results. Everything went well, and the vision in one eye was +1!!!, in the second it was slightly less than one. The doctor said that this is normal, the vision will still settle down for a while.

He made an appointment for me in 2 weeks and in a month. This is how I lived, rejoicing in my new eyes, instilling the solution given to me. However, there were some other vision problems. White color and bright lights I saw blurring halos. Up close, vision was a little blurry. Then it passed, and after the next visit, my vision became -0.7 and -0.8 in both eyes .. She fell. ๏̯͡๏ A month later, the check showed -0.6 and -0.5, respectively ...

ღღღ Life after laser vision correction ღღღ

It's been over a year now and my vision was stable. I can't see in full force, but I'm happy with the result! My (-6, 5) then and (-0.5) now - this is heaven and earth! I am extremely happy that I decided to have the surgery! Let the result be a little less than ideal, but this vision will be more than enough for me for life! The only thing is that you may have to buy glasses to drive a car ... But even they will be thin, and not with huge fat lenses that make your eyes smaller!

Outcome

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A little about the cost of the procedure

For me, it has become a tidy sum. I had a big minus (-6.5). I chose the new expensive technology Femtolasiq. Maybe it's prank, and it was possible to limit myself to standard Lasik ... But I chose less risk and more comfort. Diagnostic examination cost me 2500 rubles. But since I had the operation in this clinic, this amount was later removed from the total cost of the operation. Those. diagnostics were free.

Above, I calculated the average cost of a 5-year contact lens wear and received 55 000 rubles. For the operation, I gave roughly 77 955 . Wearing contact lenses would eventually surpass the cost of vision correction surgery. Also Wearing contact lenses has its downsides about which I wrote above.

At the moment, it seems to me that I have always been sighted! For a very long time I weaned myself from searching for glasses in the morning under my pillow, and from the desire to remove lenses that are not there in the evening! Everything else I forgot like a bad dream!

I will subtract one star for the unpredictability of the result after the operation and the possibility of obtaining not 100% vision ...

★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★

Thank you for your attention! I hope I helped you make the right decision!

Good luck and take care of your eyes!!!