Bladeless vs Traditional

Is Bladeless IntraLase LASIK better than traditional LASIK? LASIK surgeons often disagree on the subject, but the reality is that different patients may have different flap creation needs.

Bladeless IntraLase describes the way the flap is created in the first step of the LASIK process – in the Bladeless version, a corneal flap is created using a targeted laser, and in traditional LASIK, the corneal flap is created using a hand-held instrument called a microkeratome. Some physicians prefer the laser method, claiming that is reduces risk and human error. Others prefer the hand-held cutting method because it allows for more surgeon control. Here is a brief description along with some pros and cons of both flap creation methods:

Traditional LASIK with Microkeratome

The eye surgeon uses a hand-held microkeratome, or small blade, to actually cut the top layer of the cornea or epithelium, referred to as the corneal flap. The flap is then hinged and set aside to allow for laser treatment.

  • Microkeratome flap creation is less expensive
  • Less eye suction is used during hand-held creation
  • Risk of flap swelling (edema) may be less with the microkeratome
  • Associated with a higher rate of vision disturbances following LASIK
  • Blade flap complications are present

Bladeless IntraLase LASIK (All-Laser LASIK)

The eye surgeon directs a state-of-the-art, high energy laser onto the corneal surface and the laser creates the thin corneal flap. The IntraLase Laser uses sophisticated femtosecond technology to create a very precise flap.

  • IntraLase is FDA-approved for safety
  • IntraLase eliminates risks associated with blade flap creation (such as buttonhole flaps or detached flaps)
  • Flap predictability is better
  • Accuracy is enhanced
  • It is easier to center the flap
  • Can create a thinner flap and leave more corneal tissue behind for treatment

All in all, LASIK is one of the safest vision enhancing procedures available in the field of eye care today. And both methods will help you accomplish your goal of vision enhancement with LASIK. But if you feel safer when laser technology is used, and are more comfortable with the idea of flap creation using IntraLase technology rather than a hand-held blade, Bladeless IntraLase LASIK using femtosecond technology may be your best bet.

Learn more about Bladeless IntraLase LASIK and find out if you are a good candidate for vision correction. If you are in San Diego, La Jolla, Mira Mesa, or Scripps Ranch, call or email Advanced Eye & Laser Center of California, Inc., today for your free LASIK surgery consultation with Dr. Huynh and his experienced eye care team.