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Precise
& Uniform Flaps1
IntraLase provides the highest degree of precision and
uniformity. IntraLase's Micron-level precision creates
significantly more predictable and accurate flap dimensions,
including, most critically, reproducible flap thickness,
within ± 10 microns, whereas variability with
microkeratomes has been reported up to ± 40 microns.
This increased precision preserves valuable corneal
tissue and improves the predictability of the LASIK
treatment.
Comparison
of Flap Shape:
 |
 |
- precise flap diameter
- uniform depth
- optimal hinge location
- beveled edge
- precise centration
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- irregular flap shape & diameter
- non-uniform depth
- varying hinge location
- uneven edge
- decentered |
Comparison
of Variations in Flap Thickness: |
 |
 |
Minimal variation in flap depth
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Significant variation in flap depth |
Above: Topographical (Artemis) scans
mapping variations in flap thickness. Colour variations
indicated changes in thickness, as shown on indicator
bar beside each scan (e.g. blue indicates thinner
sections around 30 microns, while red indicates
thicker sections over 200 microns). A consistent
colour indicates uniform flap thickness.
As shown, variations in thickness of a hand-held
microkeratome are typically two to three times greater
than that of the IntraLase FS laser. |
Stronger, More Stable Corneal Flaps2
Corneas consist of numerous interconnected layers of thin
tissue (called the collagen matrix), which creates the
shape and strength of the cornea.
When a hand-held microkeratome cuts across the cornea
at varying depths, it severes layers of tissue thereby
weakening the cornea.
Unlike the microkeratome, the IntraLase FS laser (as shown
above) creates a uniform flap depth without cutting across
the structural layers of the cornea. As such, IntraLase
flaps (and the cornea) are much stronger and more stable,
resulting in optimal visual outcomes. Smoother
flaps3
The IntraLase laser cleanly and completely divides the
flap at a molecular level, resulting in a much smoother
corneal surface. IntraLase flaps improve the accuracy
of the LASIK procedure, which results in better visual
results. As well, they are self-sealing with greater adhesion,
which improves healing time and minimizes the risk of
complications, such as flap dislocation and visual defects.
Below: Corneal flap scans from a Scanning Electron Microscope
(300x magnification), showing the smoother surface of
an IntraLase FS flap, compared to a flap made with the
latest Zyoptix XP microkeratome.
Click
to enlarge image...
Thinner corneal flaps4
IntraLase can consistently produce corneal flaps as thin
as 100 microns. In turn, IntraLase makes LASIK a viable
option for patients with thin or flat corneas, previously
considered inoperable. Beveled edges
IntraLase flap feature a distinctive beveled edge, which
allows for precise repositioning, alignment and seating
of the flap after LASIK is completed. This allows for
better resistance against unwanted movement and infiltration
of foreign debris. More sterile corneal
surface
The IntraLase laser eliminates the risk of residual blade
debris being left on or embedded within the corneal surface.
REFERENCES:
1. Durrie DS.
How IntraLase raised the bar in refractive surgery.
Cataract Refract Surg Today. July 2003 (suppl):1-2.
2. Alió JL, Ortiz D, Piñero D. Flap biomechanics with
femtosecond and mechanical microkeratomes. Data presented
at: European Society of Cataract and Refractive Surgeons;
September 10-14, 2005; Lisbon, Portugal.
3. Data on file, IntraLase Corp.
4. Will B, Kurtz RM. IntraLase is best. In: Probst LE,
ed. LASIK: Advances, Controversies, and Custom. Thorofare,
NJ: SLACK; 2004:397-402.
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