LASIK surgery was developed in 1990 by Lucio Buratto and Ioannis Pallikaris as a joining of two prior techniques, keratomileusis and photorefractive keratectomy. It quickly 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. However, 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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For some farsighted people, results may diminish with age. If you are farsighted, the level of improved vision you experience after procedure may decrease with age. This can occur if your manifest refraction (a sight exam with lenses before dilating drops) is very different from your cycloplegic refraction (a eye-sight exam with lenses after dilating drops).
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Long-term data is not available. LASIK is a relatively new technology. The first laser was approved for LASIK eye surgery in 998. Therefore, the long-term safety and effectiveness of LASIK procedure is unknown.
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