The Star Malaysia - Star2

ReLex Smile improves vision

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VISION correction surgery, also called refractive and laser eye surgery, is considered safe with predictabl­e results and has been approved by the armed forces in many countries and even Nasa astronaut candidates in the United States.

In recent years, tremendous advancemen­ts have been made in this field.

A new procedure called ReLEx Smile is potentiall­y changing the practice of refractive surgery for the next decades.

Unlike convention­al LASIK, ReLEx Smile procedure does not create a flap and involves only one laser ( the femtosecon­d laser).

Instead of vapourisin­g cornea tissue to correct the underlying short- sightednes­s and astigmatis­m, ReLEx Smile carves out a small piece of corneal tissue called a lenticule in the cornea, which is removed through a small keyhole incision ( about 2.5mm to 4mm only).

This single- step, all- in- onelaser operation only takes about 30 seconds to perform correction for one eye and about 15 minutes for both eyes.

This laser treatment is extremely fast and uses very low energy and the procedure is odourless and silent, so there is less discomfort.

Patient also feels more comfortabl­e because the suction on the eye during the treatment is gentler and there is no frightenin­g “blackout” or bleeding ( red eye) during the procedure or swelling of the eye after.

Foreign body sensations and mild discomfort may be experience­d by some patients after the procedure, but that usually lasts for just a few hours.

Due to the smaller wound by minimally invasive surgery, ReLEx Smile results in a much stronger eye and less immediate post- operative discomfort and tearing.

A small incision also means fewer corneal nerves are severed during the procedure, which also means less dry eye.

With no flap created, flap displaceme­nt or dislodgeme­nt is not an issue.

ReLEx Smile is a good option for those involved in contact sports.

Most patients will experience a dramatic improvemen­t in vision a day after the surgery and remain stable days after.

All excimer laser procedures are subject to inconsiste­ncy based on difference­s in corneal hydration, laser fluence projection, reflection losses, temperatur­e and humidity in the laser room and other environmen­tal factors that are hard to control.

In the ReLEx Smile procedure, the only variable affecting tissue removal is the accuracy of the femtosecon­d laser’s optomechan­ics, which are unaffected by environmen­tal conditions.

It is likely that with ReLEx Smile there will be less need to develop personalis­ed nomograms for different machines, locations or surgeons.

If the present direction and volume of research is any guide, a large proportion of tomorrow’s femtosecon­d technologi­cal advances and discoverie­s will be based on mastery of treating refractive errors without even touching the cornea.

All treatment will be intrastrom­al and ReLEx Smile is now the most advanced procedure available.

Choosing laser eye correction is not a decision you should take lightly.

Keep in mind that laser vision correction is still a surgical procedure that carries surgical risk, although the risk involved is negligible and the success rate is very high.

Have your eyes properly evaluated and examined by the eye surgeon prior to surgery.

Be sure you discuss all options in detail before making any final choices.

This article is contribute­d by KPJ Pusat Pakar Mata Centre For Sight.

For details, call 03- 4022 6222 ( KL), 03- 7804 4051 ( PJ) or visit www. kpjcfs. com

A talk and free retina eye photograph­y for those 40 years and above will be held on Aug 8 at 11am at 1- 1, Jalan SS23/ 15, Taman SEA, Petaling Jaya. Contact 03- 7804 4051 for registrati­on.

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 ??  ?? In a single step, the laser creates a refractive lenticule and a small incision of less than 4 mm in the intact cornea – virtually regardless of the ambient conditions or corneal structure.
In a single step, the laser creates a refractive lenticule and a small incision of less than 4 mm in the intact cornea – virtually regardless of the ambient conditions or corneal structure.
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