Bladeless or All-Laser LASIK is a type of laser eye surgery that doesn’t use blades but two different kinds of lasers to correct vision problems like nearsightedness, farsightedness, and astigmatism.
Bladeless or All-Laser LASIK is a type of laser eye surgery that doesn’t use blades but two different kinds of lasers to correct vision problems like nearsightedness, farsightedness, and astigmatism.
During the procedure, LASIK corrects the patient’s vision by altering the curvature of the cornea – the transparent outer layer of tissue that covers your eye.
In the lasik article, we have described the 6 steps of the LASIK procedure in some detail. In this article, we would only like to focus on three distinct stages of All-Laser LASIK:
The creation of a flap in the cornea is done using a special type of laser called a femtosecond laser rather than a bladed instrument called a microkeratome. This adds an extra layer of safety to the procedure.
The flap is lifted so that the surgeon can apply a second type of laser to the underlying surface and remodel the cornea to correct your specific prescription. The laser used for treatment is therefore different than the one that creates the flap. The second laser allows light to perfectly focus in your eyes and form a sharp image. The type of laser treatment used in this stage is a distinct consideration from the one that forms the flap and is still very important to the visual quality and sharpness. Many centers that use the bladeless methods may use an inferior laser for the treatment part to cut costs. This may result in an inferior visual outcome. So make sure that you know which type of LASIK specifically you are getting. Bladeless LASIK by itself is not specific enough. For more info on this process see Topography guided LASIK / Contoura®
The flap is repositioned and adheres to the underlying tissue. This permanently corrects your vision
The creation of flap in the cornea is done by using a special type of laser called a FEMTOSECOND LASER, rather than a bladed instrument called a microkeratome. This adds an extra layer of safety to the procedure.
The flap is lifted so that the surgeon can apply a different laser to the underlying surface and remodel the cornea to correct your specific prescription. The second laser allows light to perfectly focus in your eyes and form a sharp image. Make sure you are aware of which type of laser correction you are getting. Bladeless LASIK by itself is not specific enough therefore this may result in an inferior visual outcome. The treatment here could be either prescription-based or topography-guided Lasik/Contoura®
The flap is repositioned and adheres to the underlying tissue. This permanently corrects your vision
In traditional LASIK, the flap is created by using a device called a microkeratome, which contains a blade.
In All-Laser LASIK, at the Cohen Eye institute, we perform 100% of our LASIK procedures using a femtosecond. This is known as All-Laser LASIK or Bladeless LASIK.
In the past, when flaps were created manually using a microkeratome blade, there were more frequent flap complications which could prevent the surgery from being completed or even affect the quality of vision.
Using a femtosecond laser, Dr. Cohen is able to create a precise flap with greater accuracy and safety.
All-Laser LASIK is the safest form of LASIK surgery currently available.
Once the flap is created, a different type of laser called an excimer laser is used to reshape the cornea.
There are different types of excimer lasers on the market and at Cohen Eye Institute, we only use the best laser that is available – the Alcon Allegretto 500.
This device offers the sharpest vision compared to other older models (VISX, NIDEK, etc.). It is also the only platform that allows a type of treatment customization called Topography-guided LASIK or Contoura®.
FDA studies show that the Contoura® (this) has been able to provide visual acuities that are superior to 20/20 vision (the “normal” vision that a person can see from 20 feet away).
Dr. Sapna Parikh reports on the very first case of an ICL in New York performed by Dr. Ilan Cohen.
The surgeon, Dr. Ilan Cohen talks about “the unique” features of Implantable Collamer® Lens surgery as compared with LASIK.
No matter what equipment is being used, the most important factor in achieving the sharpest vision safely is the surgeon.
The surgeon’s expertise and experience are crucial to the proper planning and execution of the surgical plan.
As a cornea specialist with more than 20 years of experience, Dr. Cohen is uniquely positioned to provide you with the quality of vision and safety that you deserve.
Perhaps that’s the reason that more than 1000 doctors entrusted their eyes to Dr. Cohen.
If you are considering All-Laser LASIK surgery to improve your vision, then contact Cohen Eye Institute for more information and book a screening where we thoroughly examine your eyes and explore your vision goals.
Together, we decide which solution is best for you. No matter which procedure you chose in the end, patients have entrusted their eyes to Dr. Cohen for more than 20 years with this and other procedures.
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When looking for a doctor to do my LASIK surgery, I was searching for someone with deep subject matter expertise, who is precise with a high degree of attention to detail, and who enjoyed and was enthusiastic about what they did.
I met Dr. Cohen through the recommendation of one of my ophthalmology friends when I was looking to get LASIK surgery. I am 20/15 in both eyes and have never had a problem. Thank you Dr. Cohen!
I chose Dr. Cohen for my cataract surgery with a multifocal lens implant because over the last 20 years of knowing him and referring many of my patients to him, he never made a mistake. I couldn’t be happier with my vision.
Dr. Ilan Cohen is one of the finest surgeons I could possibly imagine. He has done multiple surgeries, he’s handled incredibly complicated cases. He is one of the finest doctors and I am more than happy to recommend him.
When it comes to mine or my family’s eyes, Dr. Cohen is my number one choice. Why? Because I have seen his results, and they are far superior than most surgeons in the area. If you want the best results, it’s Dr. Cohen that you have to go to.
Dr. Cohen is one of the finest surgeons I know. I have seen plenty of his LASIK post op results which have been excellent. I would not hesitate to send any of my family members to him.
I have known Dr. Cohen for over 10 years through his reputation and personal interaction. He is one of the best surgeons that I know. When working on a complicated case, I will call Dr. Cohen because his opinion is very important to me.
I have co-managed hundreds of patients with Dr. Cohen who have had all kinds of refractive surgery. Each procedure is tailored to the patient's particular eye.
I have been the director of an ophthalmology surgical center for the last 30 years. I personally know over 100 eye surgeons. If a member of my family needed eye surgery, Dr. Cohen would be the one to perform it.
I've been an optometrist for 19 years, and I've worked with a number of different surgeons. I think Dr. Ilan Cohen has some of the best hands that I've ever seen.
When I think of doctor Ilan Cohen, I think of the best. Dr. Cohen and I have been involved in some of the most exciting research projects. Dr. Cohen, in my opinion is one of the best surgeons on this plant.
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