In 1981, Rangaswamy Srinivasan working at IBM Research Lab discovered that an ultraviolet excimer laser could etch living tissue in a precise way with no thermal damage to the surrounding area. He named the phenomenon Ablative Photodecomposition (APD). Srinivasan and his co-inventors performed tests using the excimer laser and a conventional, green laser to etch organic matter. They discovered that while the green laser produced rough incisions, damaged by charring from the heat, the excimer laser produced clean, neat incisions. In 1983, Srinivasan worked with an ophthalmic surgeon to develop APD to etch the cornea.
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Results are generally not as good in patients with very large refractive errors of any type. You should discuss your worries with your doctor and realize that you might still need spectacles or contacts after the operation.
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For some farsighted people, results may diminish with age. If you are farsighted, the level of improved eye-sight you experience after treatment may decrease with age. This can occur if your manifest refraction (a vision exam with lenses before dilating drops) is very different from your cycloplegic refraction (a sight exam with lenses after dilating drops).
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