LASIK



LASIK (Laser-Assisten in situ Keratomileusis) is the most popular method in the world to repair eye refraction (Myopia, Presbyopia, or Astigmatism). The LASIK surgery is performed by an ophthalmologist who uses a laser or microkeratome to reshape the eye's cornea in order to improve visual acuity. For most patients, LASIK provides a permanent alternative to eyeglasses or contact lenses

LASIK was first introduced in Indonesia by JEC on 1997. And until 2015, JEC has conducted nearly 30,000 LASIK procedures with a keep evolving technology.

Before introducing the LASIK procedure to Indonesia, JEC has provided Photorefractive Keratectomy (PRK) procedure since 1993, as a procedure for correcting minus cylinder in the eye, by reshaping the surface of the cornea. Along with the development of technology, this action is not much conducted anymore except in special cases such as thin cornea.

LASIK action is suitable for everyone who needs a practical appearance to support the dynamic activity, because LASIK action will eliminate dependence on glasses or contact lenses.

Terms for LASIK Candidate

  • Age 18 and over
  • Both eyes must be healthy
  • Removing soft contact lens for 14 days or a hard contact lens for 30 consecutive days prior to LASIK action
  • Not being pregnant or breastfeeding.
Due to the differences in the conditions of each person, it is advisable to consult with our ophthalmologists team at JEC, which has handled nearly 30,000 LASIK surgery.

LASIK Steps



1. The first step is to create a layer on the cornea (flap).
This stage was originally used the technique Mikrokeratom (Blade), where the flap is made manually with a very small surgical instruments. The process of making the flap is then developed using Femtosecond Laser, also called Bladeless Laser Surgery. JEC has been using this technology since 2006.

Currently JEC uses 3 types of femtosecond LASIK technology. Intralase 150 kHz first used by JEC in 2006, Ziemer 2500 kHz in 2008, and the latest femtosecond technology; Ziemer crystalline 5000 kHz since 2012 and Z2 Lasik since 2013.

2. The second stage is the laser irradiation at the inside of the cornea to reshape the cornea, after a flap is open.
The aim is to eliminate refractive error (minus, plus, and cylindrical) with Excimer Laser. Excimer Laser aims to establish a new corneal surface. JEC currently has 2 machines Excimer Laser ie Allegreto Wavelight EX500 and 7D Schwind Amaris 1050sHz.

After irradiation is completed, the flap is returned to its original position. In less than 3 minutes flap will cling by itself without the need for stitches. This procedure entirely uses the advanced technology with a very high degree of accuracy. LASIK without Knife Surgery (Bladeless Laser Surgery) produces a very smooth surface, thus improving the quality of vision

JEC also the pioneer who introduced the Femtosecond Laser technology in Indonesia. Femtosecond Laser is an infrared rays with more accuracy than other laser technologies. The Fentomsecond  Laser can cut with a very low levels of heat, and work in ultra short impulses light which able to make a hole as small as 1 / 100mm in just 1/4 trillion per second.

The Fentomsecond technology was introduced by JEC in 2006 with the Intralase 150 kHz, and in 2008 the machine was upgraded to a more advance Fentomsecond Laser Ziemer 2500 kHz.

In 2012, JEC adds the Ziemer CrystalLine 5000 kHz. With the availability of the advance technologies in JEC, has made JEC as the most complete and advance LASIK service in Indonesia today. These technologies made the LASIK procedures at JEC to become more efficient, faster, and more comfortable. Suitable for everyone who already 18 years old and over, who are active and wish their activities not getting impended by glasses or contact lenses. Of course, LASIK is also suitable for seniors who are still active generation activity.

Here are the available LASIK Service at JEC.

7D LASIK
7D Z-Lasik is the fastest LASIK technology today. This technology utilised to removing minus, plus, and astigmatism condition on our eyes with a higher accuracy and improved safety level from the previous technology.

Z2-LASIK
JEC started utilise Z-Lasik from 2008. Z-Lasik is an improvement from the IntraLASIK. The technology was produced by the Ziemer Group, a Swiss based multinational company with great reputation in the Ophtalmology field

The technology already approved by the US Army, US Navy, US Air Force, Marine Corps and NASA improve eyesight.


IntraLASIK
Was first conducted in Indonesia in 2006 by the JEC. LASIK without a scalpel using Intralase Femtosecond Technology (IFS) at 150 kHz combined with the German technology machine; Allegretto Wave 400Hz EyeQ (Excimer Laser) which is the world's fastest LASIK machine in during the era. Currently the JEC had upgraded IntraLASIK technology with the latest technology.


The difference between Z-LASIK and IntraLASIK

NO
Z-LASIK 5000 KHz
IntraLASIK 150 KHz
1A more flexible and comfortable docking procedure.
A less comfortable docking procedure.
2Not leaving any mark.

Still leave a mark
3More precise and more stable irradiation by the excimer laser irradiation on the cornea surface
The first generation of the femtosecond technology. (Bladeless LASIK Surgery)
4Recommended by US Army, US Navy, US Air Force, Marine Corps dan NASA.
Recommended by NASA dan US Air Force


LASIK XTRA
LASIK Xtra is a procedure performed after LASIK action to bind collagen fibers in the cornea, to increase the strength of the cornea. This action is intended for patients with weak or thin cornea to reduce the risks after the LASIK procedure.


The LASIK Xtra procedure usually performed thirty seconds after the regular LASIK procedure is completed, to improve the durability of LASIK correction in patients.


The process of LASIK Xtra
  • Doctors shed riboflavin (vitamin B2) on the cornea.
  • The riboflavin soaked area of the cornea, then irradiated with ultraviolet light A (UVA)
  • Light will bind (cross-links) the collagen fibers in the cornea, build a more powerful cornea and lock the result of LASIK action.
The LASIK Xtra procedure can also be done even if the action LASIK has been performed several years earlier. Your doctor will probably give advice this procedure if deemed necessary.


No Touch LASIK
If the patient’s eye minus condition is above 14 or been diagnosed with thin cornea (below 500 microns), then usually the ophthalmologist will suggest the No Touch LASIK procedure.

With the No Touch LASIK, the whole ablation process is done digitally without any equipment touching the surface of the cornea.

Microkeratome LASIK (M-LASIK)
JEC also the pioneer in utilizing Microkeratome in Indonesia in 1997. Microkeratome is a microsurgery procedure using a very small scalpel, to make a 83-200 micrometer sized flap on the cornea. Our cornea, usually between 500-600 micrometer thick.

1 micrometer = 0.0001 centimeter

Advance Surface Ablation (PRK, LASEK dan EpiLASIK)
Some patients with the thin cornea condition, usually not recommended for the LASIK procedure. They usually suggested to undergo Surface Ablation to correct the refractive problem.

Advance Surface Ablation is an effective technology to correct eyesight by utilising laser. The technology will fix the minus, plus and the astigmatism with a very minimal touch to the eye’s surface. The technology also known as Photo-Refractive Keratectomy.

You’ll be suggested to undergo this procedure if.
Your cornea is too thin.
Your eyes relatively dry.
Athletes with many body contacts, like boxing, wrestling, etc
The result for Advanced Surface Ablation are as good as LASIK in the long term. But the healing process usually took longer. During the healing process, ophthalmologist usually suggesting the use of contact lenses. The lenses will be put on and put out by the doctor, so the patient doesn’t need to touch the contact lenses.


Always consult every of your condition with the ophthalmologists team at JEC for a comprehensive information about procedures that’ll fit to your condition.




Keratoconus eye condition.




Crosslinking
Crosslinking is the primary procedure to improve the condition of patients with Keratoconus.
Keratoconus terms taken from the Latin, kerato (cornea) and Conus (horn or cone). If the condition is already in an advanced state, the shape of the patient's eyes will look like a cone when viewed from the side. Because of the abnormalities of the shape of the eyes, the vision of course will be disrupted.

The symptoms are mostly similar to symptoms of other visual disturbances, such as blurred vision or excessive glare. Therefore, you should consult your doctor at JEC if you experience any interfere with your vision.

Keratoconus can be caused by various things, one of which is due to an enzyme imbalance that weaken the corneal tissue. Also caused by excessive direct UV exposure. Keratoconus conditions generally can be repaired, or to inhibit the process by strengthening ties through the action of collagen crosslinking.

Patients with the Keratoconus condition can not undergo LASIK procedure. Always consult your visual health to the JEC. The doctors are always committed to  provide you the best assistance for your vision, then do not hesitate to consult to improve the quality of your life.

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