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The IRIS Experience

PRK Surgery Step-by-Step

Step 1

  • The eye is anaesthetized using drops.
  • An eyelid spreader is used to keep the eye open.
Step 2
  • A small metallic ring is placed and centered on the surface of your eye.
  • A few drops of 20% alcohol are then put in that ring for 20 seconds in order to weaken the skin-like surface layer of the cornea (epithelium).
  • The alcohol is removed with a surgical sponge and the ring is removed.
  • The loose epithelial cells are brushed off to expose the underlying layer of the cornea.
Step 3
  • The ophthalmologist will ask you to stare at a green flashing light. The light will appear blurred and irregular like a cloud. Try to stare at any point in the centre of this cloud.
  • The laser is aligned and centred on your eye under the laser microscope and the position of your pupil recorded by the eye tracking system.
  • The Eye Tracker allows the laser to follow the micro-movements of your eye during surgery to maintain good alignment of the treatment.
  • If your eyes moves outside the tracker zone, the laser stops automatically. Once the ophthalmologist is able to achieve a good re-alignment, the laser is reactivated and picks up the treatment exactly where it left off.
Step 4
  • The computer-assisted Excimer laser vaporizes tissue layers and precisely sculpts the cornea according to the planned correction.
  • You will experience no pain during the laser treatment.
  • The rapid pulsations of the laser make a buzzing noise.
  • The vaporized cells form a sort of smoke releasing a distinctive odour akin to burning hair.
  • The laser correction takes less than 30 seconds, depending on the amount of correction.
Step 5
  • The ophthalmologist uses cold saline solution to irrigate the treatment area. You may feel the liquid draining out of the side of your eye.
  • A soft bandage contact lens is inserted on the exposed cornea to protect the surface while the epithelium regenerates. This lens will be removed 4-5 days after surgery.
  • The eyelid spreader is gently removed.