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 certain farsighted clients, results may diminish with age. If you are farsighted, the level of improved eye-sight you experience after operation 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 vision exam with lenses after dilating drops).
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Results are generally not as good in clients with very large refractive errors of any type. You should discuss your worries with your doctor and realize that you might still require glasses or contacts after the procedure.
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