Surface Ablation for Vision Correction in Special Cases at Erdem Hospital

LASEK (Laser Epithelial Keratomileusis) is a type of surface ablation laser eye surgery used to correct refractive errors (Myopia, Hypermetropia, and Astigmatism). It is considered a modified version of PRK (Photorefractive Keratectomy) and is typically recommended for patients who are not suitable candidates for LASIK due to having a thin cornea, irregular corneal surface topography, or engaging in contact sports.

The procedure avoids the creation of a permanent, deep corneal flap, thus preventing flap-related complications.

At Erdem Hospital, our specialists select LASEK (or its related surface treatments like PRK/No-Touch) as a safer alternative for patients whose corneal anatomy or lifestyle presents higher risks with flap-based procedures.

The LASEK Procedure

LASEK is an outpatient procedure performed under topical (eye drop) anesthesia.

1. Epithelium Management: Unlike PRK (where the epithelium is discarded) or LASIK (where a permanent flap is created), LASEK uses a dilute alcohol solution to soften the corneal epithelium (the outermost layer). The epithelium is then gently lifted or folded aside as a single sheet.
2. Laser Ablation: An Excimer laser is used to precisely reshape the underlying corneal tissue (stroma), correcting the refractive error.
3. Repositioning and Bandage Lens: The epithelial sheet is repositioned back over the treated area. A therapeutic bandage contact lens is then placed on the eye for several days (usually 4 to 7 days) to protect the cornea and aid in the epithelial healing process.

Recovery Profile

The main trade-off for the structural safety of LASEK is a longer and more uncomfortable initial recovery compared to LASIK or SMILE.

• Pain/Discomfort: Patients should expect moderate stinging, burning, and light sensitivity for the first 2–3 days (until the epithelium heals). This discomfort is managed with prescribed anesthetic and analgesic drops/medication.
• Visual Recovery: Initial blurry vision persists until the epithelial layer heals (typically 4–7 days). Full visual clarity may take 2–3 months or up to six months as the vision stabilizes.
• Return to Activity: Patients typically need to take 1–2 weeks off work (especially for computer use). Driving and face washing must be avoided for the first few days.

What's Included in the LASEK Treatment Journey

A comprehensive package ensures diagnostic and aftercare support:

• VIP airport-hotel-hospital transfers so you're never navigating on your own.
• A three-night stay in premium accommodation.
• Pre-surgery consultation and detailed diagnostic assessments (Corneal Topography and Pachymetry).
• The LASEK Surgical Procedure itself (both eyes typically treated on the same day).
• A full aftercare kit with required antibiotic and steroid eye drops, pain medication, and protective sunglasses.
• One year follow-up support to monitor healing and visual stability.
• English-speaking staff and interpreters so nothing gets lost in translation.

Frequently Asked Questions

• Is LASEK more painful than LASIK? Yes, the initial recovery (first 2–3 days) is more painful than LASIK/SMILE because the surface layer is manipulated.
• Who is the ideal candidate for LASEK? Patients with thin corneas, suspicious topography, or those who participate in contact sports (where a LASIK flap could be dislodged).
• What is the advantage over PRK? LASEK may offer a slightly less painful experience and faster visual rehabilitation than traditional PRK.
• Can LASEK be customized? Yes, LASEK can be combined with advanced mapping techniques (like Wavefront or T-CAT) to personalize the ablation.
• What is the risk of haze? White scarring (Haze) is a potential risk in surface ablation, though the use of Mitomycin C during the procedure has significantly reduced this complication.
• How long must I wear a bandage lens? Typically, for 4 to 7 days, until the epithelial layer has healed.
• Can LASEK treat high myopia? LASEK is generally not preferred for high myopia (above -6 diopters) due to a higher risk of haze and regression.

Restoring Confidence Through Specialized Vision Correction

LASEK is a testament to safe, effective vision correction for those who cannot undergo flap surgery. At Erdem Hospital, we understand the need for a solution that respects the integrity of your cornea. With 37 years of experience in patient care, our specialists ensure precise application and dedicated aftercare, providing a path to clear, reliable vision.