No Touch Laser Transepithelial
Photorefractive Keratectomy (TransPRK)
Who is
suitable for NoTouch laser treatment?
Almost all patients suffering from
short-sightedness with or without astigmatism are suitable.
It is especially ideal for physically active
people like boxers, wrestlers, martial arts exponents, soldiers, military jet
pilots and all occupations with a high risk of being hit in the eye.
SmartSurfACE is customized with corneal
wavefront-guided treatment at our clinic for even better results.
It can also be combined with accelerated
corneal collagen crosslinking to reshape and strengthen the eye. This is
especially useful in patients with highly distorted and diseased eyes like
patients with Keratoconus. It is also useful to remove scars from prior
infections to the eye. It is also a preferred treatment method for correcting
some of the complications from the SMILE procedure.
What
are the things I should note before TransPRK Surgery?
You will be
advised on the following before you come in for your pre-assessment for
suitability and before the actual day of the surgery.
·
Do not wear
soft contact lenses 7 days before your first pre assessment and before surgery.
·
Do not wear
hard contact lenses (RGPs) 14 days before your first pre assessment and before
surgery.
·
Do not apply
any eye makeup 2 days before surgery.
·
Do not apply
any perfume on the day of surgery.
·
Do not apply
any products on your eyes or face on the day of surgery.
·
Bring your
sunglasses on the day of surgery as you may experience glare after surgery.
·
You do not
need to fast before the surgery, there is no food restriction.
·
Do not drive
on the day of surgery.
·
Expect to
stay for about 2 hours, even though the procedure will only take about 30
minutes.
The
Procedure
NO touch
(TransPRK) laser rapidly removes the corneal surface layers without the need of
any flap (as in LASIK) or pocket creation (as in SMILE). There is no suction
applied or blade scraping the eye as in Epi-LASIK.
Nothing needs
to touch the cornea. Balanced salt solution is used to clean the eye and the
all-laser SmartSurfACE treatment is commenced. 30 to 40 seconds later, the
treatment is complete!
A thin
transparent contact lens which is usually removed in 3 to 4 days after the
SmartSurfACE treatment is placed over the eye to facilitate rapid healing
and visual recovery.
During this time, the eye is a little sore
and analgesia is given. Many patients can see an immediate improvement but it
takes a week to a month for vision to reach its full potential.
What
to expect after TransPRK Surgery?
Some patients may encounter blurry vision for
the first few weeks and may need glasses for reading until their vision
stablises. Your eyes may feel sensitive but this can be much reduced with the
prescription eyes drops and medication.
You should rest at home after surgery,
observe good hygiene and adhere to the following.
For one week:
·
NO exercise
which gets sweat in your eyes (you can use a sweat band and exercise in a
clean indoor gym environment)
·
NO water
& soap in contact with your eyes
·
NO makeup and
eye products
·
DO NOT rub or
scratch your eyes
·
Wear
sunglasses outdoor
·
Eye shields
to be worn sleeping/nap time
·
Eye drops to
be instilled regularly as instructed
·
It is
advisable to avoid swimming for 3 months and use UV Eye protection for a year.
Any
side effects and/or complications of TransPRK Surgery?
TransPRK Surgery has a very
good safety profile and a very high success rate. However, like any other
surgery, there are potential side effects that one should be aware of and must
be able to accept a small amount of risk. Proper testing before the
procedure can identify patients who are at a higher risk of long-term complications.
There maybe some visual
aberrations such as – glare, halos, starbursts, and problems with low-light or
night vision, and dryness of the eyes. These are the more common side
effects of TransPRK. Most patients experience some of these symptoms
immediately after the surgery but they improve as they recover, so most require
no treatment.
Dry
eyes
This is fairly common and
almost all patients experience some degree of dry and gritty feeling during the
recovering period. This can be eased with the frequent use of lubricating eye
drops.
Night
Vision Problems
During the first few weeks
or months, one might experience halos, glare and starbursts at night. This
condition usually improves with time.
Under-correction,
over-correction, or astigmatism
In some cases, corrective
eyewear or contact lenses may still be required for the few activities which
are more visually demanding. This can be due to the way an individual’s eye
responds to the laser, or can be caused by variance in the way each eye heals after
surgery. An enhancement procedure may be done in such cases.
Other Risks
exceptional to TransPRK
Haze which is a diffuse
scarring of the lasered cornea can cause blurring of vision in a few people but
this can be prevented with medication and good UV Eye protection after the
surgery.
What
is the recovery time?
3 days for the wound to
close during which one feels uncomfortable. A special bandage contact
lens will can be worn overnight for these few days will be placed on the eye to
improve comfort and removed when the wound is closed. Clarity of vision
returns soon after but can take several weeks in some individuals.
Benefits
of TransPRK
·
No touch –
all laser
·
It removes
the epithelium more precisely and easily than manual PRK
·
The wound
surface is usually smaller so it heals quicker
·
The
epithelium and stroma can be removed at the same time and with greater accuracy
·
Overall
treatment time is shortened
·
It minimises
further the risks of corneal dehydration
Price
No TOUCH Eye Laser (TransPRK): EUR €550 - €1,000 Book Now!
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Author &
Surgeon: Dr.Sezgin Ceylan,MD
Posted: May 11, 2021 at 13:50 UTC
Last Updated: Feb 5, 2024 at 11:41 UTC
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