Not all LASIK procedures are the Same: Microkeratome vs. Femto LASIK

When it comes to vision correction with LASIK surgery, there are two methods all laser LASIK with a femto second laser or the original technique with a Microkeratome LASIK. Both techniques aim to improve vision by reshaping the cornea, but they differ in terms of technology, cost, and precision. Understanding these differences can help you make an informed decision if you’re considering LASIK for your vision needs.

What is Microkeratome LASIK?

Microkeratome LASIK is the traditional method of LASIK surgery. It involves using a mechanical blade, called a microkeratome, to create a thin flap in the cornea. This flap is then lifted to allow the eye surgeon to reshape the underlying corneal tissue using an excimer laser. Once the laser reshaping is complete, the flap is repositioned and left to heal.

What is Femto LASIK?

Femto LASIK, also known as femtosecond laser-assisted LASIK, is a more advanced version of LASIK surgery. Instead of using a mechanical blade to create the corneal flap, a femtosecond laser, which emits ultra-fast pulses of light, is used. This laser is highly precise and can create a flap with far more accuracy and consistency than the mechanical microkeratome. The rest of the procedure, including the reshaping of the cornea, is similar to the traditional LASIK approach, involving the use of an excimer laser.

Cost: Microkeratome vs. Femto LASIK

One of the biggest differences between these two LASIK methods is cost. Microkeratome LASIK is generally the more affordable option of the two. The lower cost can be attributed to the fact that the microkeratome is a mechanical tool and does not require the advanced technology of a femtosecond laser. The higher price of Femto LASIK reflects the cutting-edge technology, as the femtosecond laser is a sophisticated, high-precision tool that requires a larger investment by the eye clinic.

Advantages of Microkeratome LASIK

The main advantage of Microkeratome LASIK is its lower cost, and thousands of procedures have been historically performed globally, before the development of femtosecond laser technology. 

Disadvantages of Microkeratome LASIK

However, there are a few downsides to the Microkeratome technique. One of the biggest disadvantages is that the mechanical blade can cause irregularities in the corneal flap, leading to complications such as flap dislocation or uneven healing. Additionally, the precision of the microkeratome is not as high as that of the femtosecond laser, meaning that patients do not get the same level of customisation in their flap creation. This can be especially important for individuals with thinner corneas or more complex refractive issues.

Advantages of Femto LASIK

Femto LASIK, by contrast, offers superior precision in flap creation. The femtosecond laser can create a perfectly uniform flap, reducing the risk of complications and improving the overall outcome. The laser also allows for more customisation in terms of flap size and depth, making Femto LASIK an excellent choice for patients with unique corneal characteristics. Additionally, Femto LASIK has a lower risk of flap-related issues and tends to have a quicker recovery period.

Disadvantages of Femto LASIK

The main disadvantage of Femto LASIK is the investment cost to practices in advanced laser technology.   The advanced technology and equipment involved in Femto LASIK contribute to a higher cost.

While Microkeratome LASIK remains a more affordable option, Femto LASIK offers a higher degree of precision making it a safer and better choice for patients. Ultimately, the decision between Microkeratome and Femto LASIK will depend on your individual, preferences, and laser eye surgery provider.

Vision Care Clinic LASIK

Consulting with an experienced corneal consultant and LASIK surgeon can help determine which procedure is right for you which is why we offer a FREE laser eye surgery screening to help you assess your eligibility for LASIK surgery and take the first step toward clearer vision.

Call our team today on 0117 905 7722 to book your screening today.

Published 22nd January 2025
by Rebecca
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When it comes to vision correction with LASIK surgery, there are two methods all laser LASIK with a femto second laser or the original technique with a Microkeratome LASIK. Both techniques aim to improve vision by reshaping the cornea, but they differ in terms of technology, cost, and precision.

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