blade-less LASIK step-by-step

LASIK screening


Dr. Adelson will perform a screening examination of your eyes to determine if you are a good candidate for refractive surgery. If so, a more extensive pre-operative evaluation will be scheduled for a later date.

discontinue contact lenses

If you currently wear soft contacts, you will need to stop wearing them for up to 2 weeks prior to your second comprehensive evaluation. If you wear contacts every day, we understand that this may be a tremendous inconvenience. Your cornea molds to the shape of your contacts and it takes time (without the contacts) for the cornea to return to its natural shape. This is the most accurate way to determine whether you are a good candidate for Laser Vision Correction.

pre-operative evaluation

During this examination, Dr. Adelson will thoroughly evaluate your eyes to confirm you are a good candidate. Included in the exam are tests for corneal thickness, pupil size, refractive error, astigmatism, etc. These tests are all painless. Dr. Adelson will talk with you about any existing medical conditions that may affect your suitability for refractive surgery. He will also discuss your expectations to ensure laser vision correction surgery is right for you.

what to expect surgery day

bladelesslasic2There are no restrictions on eating, drinking or medications before the procedure, but be sure to eat a light meal. Wear comfortable, relaxing clothing. Leave all jewelry, pagers, and cellular phones at home. Do not wear hairspray, perfume, make-up, or cologne.

You will arrive at our Northville office (hyperlink to map) an hour prior to your procedure. Once you have been checked in you may be offered a sedative to help you relax. You will then be prepared for surgery. The area around your eyes will be cleaned and a sterile drape may be applied around your eye. Anesthetic eye drops will be used to numb your eyes; no injections or needles will be used. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.

the procedure

Our technicians will position you in a proper, comfortable position under the laser’s microscope. Your other eye will be covered during the procedure. To prevent unnecessary blinking, a painless device called a speculum is used to gently cushion the eyelids. During the procedure itself, you will notice:

  1. The laser makes a clicking sound during the treatment. You will not feel any discomfort during the procedure. The laser will create tiny pulses of laser light that pass through the outer portion of the cornea and form a layer of microscopic bubbles just beneath the surface of your eye. Dr. Adelson then separates the corneal tissue at the bubble layer and folds it back, thus creating your flap. You will feel no pain.
  2. You will then be asked to look directly at a target light while the laser reshapes your cornea. The laser will be programmed with your unique eye information. The laser treatment will be completed in less than a minute or two, depending on the amount of correction needed. To finish the procedure, the protective layer will be folded back into place where it will bond without the need for stitches.
  3. Following your procedure, your eye(s) will be examined with a slit lamp microscope. Then you will be given additional eye drops, and your eyes may be shielded for protection.

You will be escorted to an examination room where you will relax for 5 – 10 minutes. During this time, your vision will be very fuzzy. This is normal. Dr. Adelson will examine your eyes before you leave the laser center to ensure that the LASIK flaps are in proper position. You will receive a post-operative kit containing drops to use following surgery. Please follow all instructions.

post operative

Please go directly home following your procedure and rest. Many patients will take a nap. Avoid reading and computer work. Do not swim, exercise, play sports, jog, take a hot bath or shower, or get water or soap in your eyes. After 4 hours you may administer the first eyedrops. Please use the sunglasses provided for you in the kit to protect the eyes and provide comfort. The clear shields should be placed over the eyes while sleeping. Do not expect excellent vision on the day of your procedure, as the cornea takes time to heal. However, the day after surgery, your vision will be improved.

day after LASIK

For your examination the next morning you will see Dr. Adelson back in his Northville office (hyperlink). Your vision may still be blurry on the day after Blade-less LASIK and it may take a week or more to improve but most patients’ vision is improved almost immediately. Patients are to continue their medications as instructed and follow-up as scheduled.

follow up appointments

Dr. Adelson will tell you when you need to be seen again for an examination. Typically, patients are seen several times the month of the procedure and then again at 3 months, 6 months, and 1 year.

what can you do/not do after LASIK

It is best to rest as much as possible the day of your Blade-less LASIK procedure. Avoid reading or working on the computer. Under no circumstances are you to exercise or participate in sports. The corneal flap created during the LASIK procedure is a delicate structure that needs to heal into place.

Do not participate in sports until several weeks after surgery and then only after Dr. Adelson has approved the activity. No swimming or hot tubs. Showers and baths are fine after the first day evaluation, but avoid getting water in your eye(s) for 3 weeks. Do not wear make-up for the first week. If you experience redness, decreased vision, pain, or have an accident involving your eyes, call our office immediately. If you have any questions or concerns, give us a call at 866-340-EYES