{"id":4094,"date":"2014-03-26T10:58:37","date_gmt":"2014-03-26T10:58:37","guid":{"rendered":"http:\/\/nova-creative.com\/plv\/?page_id=4094"},"modified":"2020-02-13T15:11:40","modified_gmt":"2020-02-13T07:11:40","slug":"prk","status":"publish","type":"page","link":"http:\/\/103.11.207.10\/~perthlas\/types-of-surgery\/prk\/","title":{"rendered":"PRK Laser Eye Surgery"},"content":{"rendered":"<p><strong>PRK \u2013 Photo-Refractive Keratectomy<\/strong> differs from LASIK in that the Excimer laser is applied directly to the corneal surface to smoothly reshape this surface and correct the refractive error.<\/p>\n<div style=\"text-align: justify;\">\n<p>PRK involves the manual removal of the most superficial layer of the cornea (the epithelium) or using the laser to directly remove the epithelium (TEMLA), before the laser correction begins.\u00a0 The underlying corneal tissue surface is then re-shaped with the Excimer laser.\u00a0 After the surgery, a contact lens is placed over the eye to assist with healing and comfort.<\/p>\n<\/div>\n<p style=\"text-align: justify;\">The surface epithelial layer heals over several days to cover the treated area and grows to the new shape.\u00a0 Some discomfort can occur during this healing process.\u00a0 Vision may be blurred until the epithelium has regrown, usually within 4 to 7 days.\u00a0 Further improvement typically continues over several weeks.<\/p>\n<p style=\"text-align: justify;\">Corneal haze (scarring) is a significant side effect with PRK as the eye heals; haze can cause or exacerbate symptoms such as regression, glare and haloes. However, PRK continues to be an effective, safe treatment for low refractive errors.\u00a0 The higher the refractive error, the greater the potential for scarring with PRK.<\/p>\n<p style=\"text-align: justify;\"><strong>LASEK \u2013 Laser Assisted Epithelial Keratomileusis<\/strong> LASEK is a slight modification to the PRK procedure. After the Excimer laser treatment, the thin layer of epithelium is placed back into position and a contact lens applied to assist with healing and comfort levels. This treatment has slightly longer healing times than PRK and is now rarely performed.\u00a0 Results were identical to PRK.<\/p>\n<p style=\"text-align: justify;\"><strong>TEMLA \u2013 Trans-Epithelial Minimal Laser Ablation<\/strong> is a further modification to PRK.\u00a0 The Excimer laser is applied directly to &#8220;vaporise&#8221; the surface epithelium before the laser reaches the permanent layer of the cornea (the stroma).\u00a0 A uniform epithelial thickness of 50-60 microns is <span style=\"display: inline !important; float: none; background-color: transparent; color: #333333; font-family: Georgia,'Times New Roman','Bitstream Charter',Times,serif; font-size: 16px; font-style: normal; font-variant: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: justify; text-decoration: none; text-indent: 0px; text-transform: none; -webkit-text-stroke-width: 0px; white-space: normal; word-spacing: 0px;\">programmed<\/span> to be removed prior to the re-shaping. Unfortunately, the epithelium is not of uniform thickness and visual results are more variable due to the less precise underlying stromal treatment.\u00a0 Although still occasionally used, this technique has largely been abandoned except for damaged, scarred corneas.<\/p>\n<p style=\"text-align: justify;\"><strong>ASLA \u2013 Advanced Surface Laser Ablation<\/strong> is another word for standard PRK. In the 1990&#8217;s, the original broad beam lasers were replaced by &#8220;new technology&#8221; flying spot lasers.\u00a0 All modern excimer lasers now use flying spot techniques.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PRK \u2013 Photo-Refractive Keratectomy differs from LASIK in that the Excimer laser is applied directly to the corneal surface to smoothly reshape this surface and correct the refractive error. PRK involves the manual removal of the most superficial layer of the cornea (the epithelium) or using the laser to directly remove the epithelium (TEMLA), before [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":4081,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-sidebar.php","meta":[],"_links":{"self":[{"href":"http:\/\/103.11.207.10\/~perthlas\/wp-json\/wp\/v2\/pages\/4094"}],"collection":[{"href":"http:\/\/103.11.207.10\/~perthlas\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/103.11.207.10\/~perthlas\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/103.11.207.10\/~perthlas\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/103.11.207.10\/~perthlas\/wp-json\/wp\/v2\/comments?post=4094"}],"version-history":[{"count":0,"href":"http:\/\/103.11.207.10\/~perthlas\/wp-json\/wp\/v2\/pages\/4094\/revisions"}],"up":[{"embeddable":true,"href":"http:\/\/103.11.207.10\/~perthlas\/wp-json\/wp\/v2\/pages\/4081"}],"wp:attachment":[{"href":"http:\/\/103.11.207.10\/~perthlas\/wp-json\/wp\/v2\/media?parent=4094"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}