LASIK surgery was invented in 1990 by Lucio Buratto and Ioannis Pallikaris as a melding of two prior techniques, keratomileusis and photorefractive keratectomy. It promptly became popular because of its greater precision and lower frequency of problems in comparison with these former two techniques. Today, faster lasers, larger spot areas, bladeless flap incision, and wavefront-optimized and guided techniques have greatly improved the reliability of the procedure as compared to that of 1991. Nevertheless, the fundamental limitations of excimer lasers and undesirable destruction of the eye's nerves have spawned research into many alternatives to "plain" LASIK, including all-femtosecond correction (Femtosecond Lenticule EXtraction, FLIVC), LASEK, Epi-LASIK, wavefront-guided PRK, and modern intraocular lenses.
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Some people may develop severe dry eye syndrome. As a result of treatment, your eye may not be able to produce enough tears to keep the eye moist and comfortable. Dry eye not only causes discomfort, but can reduce visual quality due to intermittent blurring and other visual symptoms. This condition may be permanent. Intensive drop therapy and use of plugs or other procedures may be required.
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You may be under treated or over treated. Only a certain percent of patients achieve 20/20 vision without spectacles or contacts. You may require additional operation, but additional surgery may not be possible. You may still need glasses or contact lenses after procedure. This may be true even if you only required a very weak prescription before surgery. If you used reading glasses before treatment, you may still need reading glasses after operation.
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