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 found 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 expectations with your doctor and realise that you could still require glasses or contacts after the operation.
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Certain people develop debilitating visual symptoms. Certain clients develop glare, halos, or double vision that may seriously affect night sight. Even with great eye-sight on the vision chart, some people do not see as well in situations of low contrast, such as at night or in fog, after operation as compared to before treatment.
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