E-LASIK or Epi-LASIK

E-LASIK or Epi-LASIK. This is a newer, advanced procedure in which a special micro-keratome is used to make a flap of only the clear outer skin layer (the epithelium). This exposes the stroma, the excimer laser is used to re-shape the cornea, and the epithelial flap is replaced and a contact lens is placed as a bandage. This procedure is used wherever a LASIK flap is not appropriate or desired, such as with thin corneas, corneal dystrophies, or where the patient does not want a LASIK flap. It has also been used very successfully by Dr. Motwani in cases of high prescriptions, which require high amounts of tissue for re-shaping. Since the entire stromal depth is available for the re-shaping, it creates a higher margin of safety also.

Source: Dr. Motwani.