Laser Epithelial Keratomileusis (LASEK)
Meet Dr. Randa M. Garrana, Our LASIK Specialist
When it comes to LASIK surgery, experience matters. Dr. Randa M. Garrana has performed more than 41,000 LASIK procedures and completed a prestigious Fellowship from Harvard in Cornea, External Disease, and Refractive Surgery.
As one of the leading authorities in refractive and corneal surgery, Dr. Garrana brings unparalleled expertise to every procedure at Associated Eye Physicians & Surgeons of New Jersey. Her advanced training and extensive surgical experience ensure that you receive the highest standard of care as you take the first step toward clearer vision.
Understanding LASEK
This section explains what makes LASEK different and why many patients choose it for vision correction.
An excimer laser removes microscopic amounts of corneal tissue to correct nearsightedness, farsightedness, and astigmatism. The outer layer of the cornea, called the epithelium, is gently loosened, moved aside, and then replaced after the laser treatment.
LASEK is often recommended for people with thin corneas, active lifestyles, or a history of dry eye. It may also suit those who have been told that LASIK is not the best choice for their eyes.
The procedure preserves more corneal tissue, lowers the risk of flap related complications, and can cause fewer dry eye symptoms compared with LASIK.
Visual recovery can be slower than LASIK, and mild discomfort such as light sensitivity or grittiness is common during the first few days after surgery.
The LASEK Procedure
Here is a step by step look at what happens before, during, and right after the surgery.
Your eye is numbed with anesthetic drops, and a lid speculum keeps the eyelids open. You focus on a flashing light so the laser can align precisely with your cornea.
A diluted alcohol solution loosens the epithelial cells. The surgeon lifts this thin layer, sets it aside, and keeps it moist so it can be replaced later.
The excimer laser removes tissue according to a computer guided map of your eye. This step changes the corneal curvature so light focuses sharply on the retina.
After the laser work is done, the surgeon repositions the epithelial layer and places a soft bandage contact lens on the eye. Antibiotic and steroid drops help prevent infection and control inflammation.
Recovery and Healing
Proper care after surgery is vital for clear, long lasting vision.
The epithelial layer usually heals within one day, but the bandage lens stays in place for about four days. Mild irritation or grittiness is normal during this time.
Prescribed pain relievers and medicated eye drops ease symptoms and support healing. Rest and avoidance of strenuous activity are advised for the first week.
Several check ups allow the surgeon to track healing, remove the bandage lens, and adjust medications as needed.
Most patients enjoy stable, improved vision for many years. A small degree of regression can occur, especially in very high prescriptions, but the overall benefit remains significant.
LASEK Compared to Other Procedures
Understanding the differences among laser surgeries helps patients choose the option that best fits their needs.
LASIK creates a deeper corneal flap and usually offers faster visual recovery. LASEK avoids this flap, preserves more tissue, and reduces the risk of dry eye, making it safer for people with thin corneas or contact sports.
Both are surface procedures, but PRK removes the epithelium completely and lets it grow back. LASEK replaces the layer, which can mean less pain, quicker comfort, and a lower chance of corneal haze.
Who Benefits from LASEK
Several groups of patients may gain special advantages from this surface based laser surgery.
LASEK preserves corneal thickness, maintaining structural strength while still correcting vision.
Because fewer corneal nerves are disturbed, tear production often returns to normal faster than after LASIK.
Athletes, military personnel, and first responders avoid the risk of flap injury since LASEK is flap free.
Patients with wide pupils may notice fewer night time halos or glare after LASEK compared with LASIK.
For strong nearsightedness or farsightedness, LASEK can offer broad correction without weakening the cornea.
Frequently Asked Questions
Below are answers to common questions we hear about LASEK.
The procedure itself is painless because of anesthetic drops. Mild discomfort, light sensitivity, or a gritty feeling can occur for a few days, but these symptoms are managed with medication.
Most patients can drive within one week once vision has cleared and the bandage lens is removed. Always wait for your surgeon's approval.
Many people achieve 20/20 vision or better, yet some may still need light prescription glasses for certain tasks, especially as the eyes age.
The cornea stays reshaped for life, but natural aging or very high prescriptions can cause slight changes over time. Enhancement surgery is possible if needed.
Your Vision, Our Focus
Our dedicated eye care team is committed to guiding you through every step of the LASEK journey, from evaluation to long term follow up. We look forward to helping you achieve clear, comfortable vision with a treatment plan tailored to your unique needs.
Dr.Khan is my doctor. He is awesome. Checks my eyes on yearly bases & does my BOTOX injections in office 😎 hands down won’t regret him
Mimi Duran
Prompt, skilled, courteous, and excellent service in a well established office.
Anthony Posteraro
Staff nice and friendly. Dr. Liva is a great doctor. Always pleased with visits.
David Lima
Dr. Arnett has provided excellent medical attention for my retina eye surgery and has a very professional and positive bedside manner. I would highly recommend him.
R. T
I enjoy my experience every year i go and everyone is so kind especially the provider jacob very insightful! Only place i go to get my eyes checked !
Saniya Gregory