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IntraLasik vs. Traditional


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IntraLasik vs. Traditional, Cynthia, 10/15/2002
LASIK and Keloids, James J. Salz, MD Los Angeles, CA 10/15/2002, (#1)
keloid, Steven - Chelmsford, MA, 10/16/2002, (#2)
Intralase vs Traditional Blade..., dan - Oakland, CA, 2/04/2004, (#3)
Microkeratome vs. Laser, Hayley - New York, NY, 1/26/2005, (#4)

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"IntraLasik vs. Traditional"
Posted by Cynthia on 01:40:14 10/15/2002
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Please give me your opinion on the IntraLasik procedure where laser instead of microkeratome is used to create the flap on the cornea.

3 years ago, I was turned down by an opthamologist for LASIK because I tend to form scars and kiloids on my skin. The opthamologist was particularly concerned about scars forming on my cornea as a result of making the incision to create the flap.

I am wondering if IntraLasik will be of benefit to be over the traditional method. Would IntraLasik reduce the risk of LASIK for a candidate like me?

Thank you.

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1. "LASIK and Keloids"
Posted by James J. Salz, MD on 12:10:12 10/15/2002
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>Please give me your opinion on the
>IntraLasik procedure where laser instead of
>microkeratome is used to create the
>flap on the cornea.

>3 years ago, I was turned down
>by an opthamologist for LASIK because
>I tend to form scars and
>kiloids on my skin. The
>opthamologist was particularly concerned about scars
>forming on my cornea as a
>result of making the incision to
>create the flap.

>I am wondering if IntraLasik will be
>of benefit to be over the
>traditional method. Would IntraLasik reduce
>the risk of LASIK for a
>candidate like me?

>Thank you.
There is no evidence that LASIK or even PRK for that matter causes abnormal corneal healing in Keloid formers and I do not think there is any difference in this risk whether the flap is created with the Intralase or a regular Keratome. I have used the intralase on several eyes and I am very imprssed with it.

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2. "keloid"
Posted by Steven - Chelmsford, MA on 08:41:37 10/16/2002
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For what it is worth, I had a keloid scar on my chest and told my doc about it pre-lasik. He did prescribe me an oral steroid as a precaution but I had no problems with scarring whatsoever! Granted, that is only a study of one but I read another study where they had operated on 20 such pts. with no ill effects. I am not a Dr. however so you need to go by your own judgment and that of your doctor, of course.
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3. "Intralase vs Traditional Blade LASIK"
Posted by dan - Oakland, CA on 06:29:24 2/04/2004
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Intralase makes dozens of microexplosions under the epithelial layer of the cornea. When it comes time to remove the flap it is like opening velcro. As such it is no better than traditional LASIK. Safetly statistics are not significantly better. In the future, Intralase will be the standard. At the present, I would recommend the microkeratome, specifically the Hansatome. Ask again in 2006 and I might answer differently.
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4. "Microkeratome vs. Laser"
Posted by Hayley - New York, NY on 12:35:02 1/26/2005
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I would liket to hear the general opinion amoung Laskik experts as to whether cutting the corneal flap with a laser or with the microkeratome blade is better. Any Doctors' opinions (and past patients) would be greatly appreciated.
Thanks,
Hayley
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