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Lasik
Flaps
A
microkeratome is a precision surgical instrument
with an oscillating blade designed for creating
the corneal flap in LASIK surgery.
The
normal human cornea varies from around 500 to
600 micrometers in thickness; and in the lasik
procedure, the microkeratome creates a 100 to
200 micrometer thick flap.
The
microkeratome uses suction to fixate and
stabilize the eye. It elevates intraocular
pressure, enabling a hinged lamellar corneal
flap to be created.
Microkeratomes may differ in orientation
(down-up and horizontal) and propulsion (manual
linear rail or planetary gear with pivoting
head). Blades can be turbine or electrically
driven.
Refractive surgery demands different
microkeratomes to customize optical zones for
hyperopic ablation and individuals with large
pupils.
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