How It Works
laser eye surgery

How does laser eye surgery work?

laser eye surgery

People with defective eyesight can undergo laser- assisted in-situ keratomileusis (LASIK) eye surgery to correct their vision. LASIK involves using an ultraviolet laser beam to remove tissue and alter the shape of the cornea at the front of the eye.

If, say, the cornea is not perfectly spherical, light rays entering the eye won’t focus on a single point on the retina, causing diminished vision. However, by reshaping the cornea, light rays can be refracted (bent) as they pass through the cornea to focus light properly.

A computer maps the shape of the patient’s cornea before calculating exactly how much tissue needs to be removed. Using a fine knife called a microkeratome, a flap is sliced on the surface
of the cornea and folded out the way. The main laser light doesn’t penetrate the eyeball, but rather it pulses, vaporising the tissue on the surface of the cornea. The flap is then folded back and heals without the need for stitches, resulting in instantly improved vision.

The actual surgery takes a surprisingly short amount of time. From the point at which the numbing drops get popped in, the creation of a flap, reshaping and replacing it should take between 15 and 30 minutes, with full vision returning within 24 hours.

Laser eye surgery
How LASIK eye surgery works

What else can laser eye surgery do?

Laser eye surgery is not limited to curing long and short-sightedness. Modern technology is also able to cure astigmatism, which happens when a person’s cornea is an irregular shape, which means light doesn’t enter the retina cleanly and is bounced about, resulting in blurred vision. The laser is able to reshape the cornea.

The cornea in a short-sighted eye is bent too much, so when light enters, the image gets formed too early and becomes blurry when things are far away. The opposite applies to long-sightedness, as the cornea isn’t bent enough and the image hasn’t been formed by the time it hits the retina.

What is 20/20 vision?

We’ve all heard about 20/20 vision, but what exactly does that mean? Well, eye specialists have worked out how tall letters have to be for a normal eye to be able to see them at 20 feet (6.1 metres). Someone with 20/20 vision can see letters of that height from 20 feet, meaning their vision is just as expected. Someone with 20/40 vision can see something at 20 feet that a person with normal vision can see at 40 feet (12.2 metres). So, the bigger the second number, the worse the vision.

Discover more amazing technology in the latest issue of How It Works magazine. It’s available from all good retailers, or you can order it online from the ImagineShop. If you have a tablet or smartphone, you can also download the digital version onto your iOS or Android device. To make sure you never miss an issue of How It Works magazine, make sure you subscribe today!

Plus, take a look at:

Science of vision: How do our eyes an able us to see?

What is the maximum distance the human eye can see if unobstructed?

Top 5 facts about vision

 

 




  • James Michael Catalan

    can lasik or laser technology cure keratoconus?

  • Diana De Veld

    In fact, in most cases of short-sightedness the problem isn’t that the cornea is bent too much. The problem is that the eye has grown too much, resulting in a too large distance between cornea and retina. By flattening the cornea through laser technology the image is focused at a longer distance, that is: at the right position at the retina.