FemtoLASIK is likely to drop to 5-7%, as is FRK. It has two advantages: first, there is less evacuated tissue compared to SMILE with a small correction, because the lenticule must have at least 30 microns to grasp it. Secondly, after it, sharp vision appears faster — this is a day or two, not 4 days, or even a week. For some, this is important.
In Russia, the situation is slightly worse: LASIK is still made because of low prices (equipment for this operation costs from 50 to 80 thousand euros, and the operating room with the VisuMax Carl Zeiss femtolaser — half a million euros). SMILE is quite a little common. The problem is the high price and, as a result, the low experience of surgeons — for example, some colleagues have more than 20 thousand FemtoLASIK operations for all their surgeons, but only a few or dozens are SMILE. The problem is that, as one German headline said, ” Refractive surgery needs a surgeon again.” That is, you need to do something with your hands, and the cadres that were prepared for LASIK do not do anything with their hands. Hence the question of qualification. Dropouts and — many where in the world the reputation of a spoiled SMILE several surgeons who are not very well know how to work manual. Therefore, if you are dissuaded from this method in the clinic-it is better to listen, most likely, they do not want to risk knowing their surgeon. Many surgeons are afraid of the new, because they are afraid of complications. This is a normal human trait: to leave everything as it was before.
By the way, LASIK will live in our market for a long time, at least for the reason that old lasers from Europe go not only to third world countries, but also to Russia, and “settle” in low-cost clinics.
— I made FemtoLASIK, FLEX, superlasik or FRK a long time ago… didn’t I have to?
If you were doing PRK for a price rather than an indication, you don’t have a Bowman membrane, and it really wasn’t the best idea. However, as long as you don’t have problems with intraocular pressure, the risks are very low. PRK is a good operation with a 20-year history, and it was done accurately and efficiently. Because there is very, very, very difficult to make a mistake at the time of the operation itself.
If you did FemtoLASIK or its analogues, a few years have passed and there are no problems-congratulations, most likely, there will be no problems anymore — the risk for the next 20 years is only about 1-2%.
If you are going to make a correction and choose between SMILE and FemtoLASIK not because of the financial component, then SMILE is slightly better. However, now in Russia, if you are going to do FemtoLASIK-know that a sensible surgeon can do this operation with a minimum of risks, the technology itself is worked out, experts in the world know it perfectly, prices are generally earthly. A few years ago, I personally made a laser correction for both my mother and daughter, and many of my colleagues did laser correction for themselves and their loved ones.
And there is a SMILE. This is a reduction in the probability of side effects, roughly speaking, from 2-5% to 0.5%. And both naturally reversible and irreversible. Bowman’s membrane is minimally injured, and many nerves are preserved, which would have been destroyed with other methods of correction. But it is more expensive, and requires the skills of a surgeon. If you trust your doctor and are willing to pay for reducing the risk of irreversible complications — the choice is quite obvious.
In the next post will answer all the remaining questions, more information about the course of the operation, protecting the laser from a different sort of emergency cases of the interruption, and the story about the structure of the eye at the micro level, to be clear, how are regenerative processes. A little later, I will tell you more about the world and Russian clinics that are worth paying attention to.