Laser Engineering and Applications

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PRK

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Laser Engineering and Applications

Definition

Photorefractive Keratectomy (PRK) is a type of laser eye surgery used to correct vision problems like myopia, hyperopia, and astigmatism by reshaping the cornea. This procedure utilizes an excimer laser to remove a thin layer of corneal tissue, allowing light to properly focus on the retina, thus improving vision without the need for glasses or contact lenses.

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5 Must Know Facts For Your Next Test

  1. PRK was one of the first laser eye surgeries approved by the FDA and has been widely used since the late 1980s.
  2. The procedure is performed on an outpatient basis and usually takes less than 30 minutes per eye.
  3. After PRK, patients may experience discomfort and blurry vision for a few days, but these symptoms typically improve as healing occurs over a few weeks.
  4. PRK is often recommended for patients with thinner corneas or those who are not suitable candidates for LASIK due to its flap-creating step.
  5. The visual outcomes of PRK can be similar to LASIK; however, PRK may take longer for full vision stabilization due to the healing process of the surface of the cornea.

Review Questions

  • How does PRK differ from LASIK in terms of surgical technique and post-operative recovery?
    • PRK differs from LASIK primarily in that it does not create a flap in the cornea. Instead, PRK involves removing the outer layer of the cornea (the epithelium) before using an excimer laser to reshape the underlying corneal tissue. This difference affects recovery; while LASIK patients may experience rapid vision improvement due to the flap, PRK patients may have a longer recovery time with more discomfort initially as the surface heals.
  • Discuss the advantages and potential risks associated with undergoing PRK as a corrective vision procedure.
    • One of the main advantages of PRK is that it can be performed on patients who have thinner corneas or other conditions that may disqualify them from LASIK. Additionally, since PRK does not involve creating a flap, thereโ€™s a lower risk of flap-related complications. However, potential risks include discomfort during recovery, slower visual stabilization, and possible undercorrection or overcorrection of vision. It's important for patients to weigh these factors with their eye care provider.
  • Evaluate how PRK fits into the broader context of advancements in laser ophthalmology and its impact on patient outcomes.
    • PRK represents a significant advancement in laser ophthalmology, showcasing how technology can enhance surgical techniques to improve patient outcomes. With continuous improvements in laser technology and preoperative diagnostics, PRK offers a reliable option for vision correction that has proven effective for many patients. The success rates and safety profiles have improved over time, contributing to an overall increase in refractive surgeries. As more options like PRK become available, they provide patients with tailored solutions based on individual eye health needs and lifestyle preferences.

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