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LASIK Surgery is an in-office procedure performed at Dr. Pamel's Upper Eastside NYC LASIK offices. LASIK stands for laser in-situ keratomileusis, which means to treat the cornea with a laser. LASIK surgery involves creating a thin flap of corneal tissue using an automated device called a microkeratome. This part of the LASIK procedure requires about 10 seconds. Creation of the flap provides access to the central part of the cornea. The excimer laser is used to reshape the cornea by removing, or ablating, a microscopic layer of corneal tissue. Dr Pamel has a premiere New York City LASIK facility and has treated thousands of Manhattan LASIK Eye Surgery patients.
The corneal flap becomes more secure the longer the period of time that has passed from the original procedure. The corneal flap can be relifted using special instrumentation up to 5-10 years after the initial procedure. After the first week, it is rare that the corneal flap will dislocate under normal circumstances.
One of the many advantages to the lasik procedure is that if there is residual nearsightedness or farsightedness after the initial procedure, the flap can be re-lifted and additional laser treatment can be performed to treat this residual refractive error. This is called an enhancement. Enhancements are required between 2-5% of the time in our practice depending on the amount of original vision loss.
The greater the amount of refractive error preoperatively, the greater the likelihood enhancement will be necessary at some point following the procedure. Enhancements are required because the cornea did not fully respond to the original laser treatment or the effect of the treatment regressed. As living tissue, the cornea will vary in its response to the laser treatment from individual to individual.
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