A Look At Other Types Of Refractive Eye Surgery


LASIK surgery is not the only type of refractive eye surgery that is routinely performed on patients. Radial keratotomy (RK) as well as photorefractive keratectomy (PRK) and a variety of other kinds of refractive surgeries are often performed to reshape the corneal tissue and in so doing, to improve the focus of the eye or eyes.

When radial keratotomy (RK) is performed an extremely sharp knife is made use of to cut a variety of slits in the cornea in order to change the shape of it. The very first kind of refractive surgery put into play to reshape the cornea area by way of a special laser and a sculpting procedure was photorefractive keratectomy (PRK). LASIK came along later on.

The same type of laser that is used for LASIK surgery is also used for photorefractive keratectomy the majority of the time. What makes the difference between the two surgeries is the method by which the middle section of the cornea or stroma is laid bare before the laser is used on it and it is vaporized. When LASIK is done, a flap of skin is cut in the layer of the stroma and this skin is then folded back. However it is different when it comes to PRK. In this case, the epithelium (or the top part of the cornea) is gently scraped away to reveal the stromal layer under it all.

But there are still other types of refractive surgery. Another common type is known as thermokeratoplasty. When thermokeratoplasty is used, heat is administered to the cornea of the eye to reshape it in a way that focus will be restored. Often the heat comes by way of a laser however it is not the same kind of laser that is used in LASIK or PRK eye surgery. Two other refractive tools that are often used include corneal ring segments that are directly placed into the stroma of the eye and specially made and fitted contact lenses that serve to reshape the cornea on a temporary basis. This reshaping by way of contact lenses is known as orthokeratology.

The Food and Drug Administration (FDA) in the United States makes sure that the sale of lasers used for LASIK and other kinds of eye surgeries are carefully regulated. Approval from the FDA is needed in order for a company or an individual to buy a medical device or tool that can legally be sold anywhere in the United States. In order to get approval it is necessary to make an argument for why the tool is safe as well as effective for the use it is going to be for. After a medical tool has gone through all the proper tests and has been approved by the FDA, a physician can use it however he sees fit to help a patient. This is often referred to as "off-label use." The FDA in no way regulates how medicine is practiced by doctors or off-label use. The FDA has a lot of leeway in some matters but it in no way is allowed to tell any member of the medical community how to determine care for patients.


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