LASIK and PRK and laser vision correction can be magical in giving us eyesight, but for the small percentage of people who end up having poor outcomes and blurry vision after LASIK and PRK it can end up being a major problem in their life.
This need not be the case, technology and procedures exist to fix virtually and LASIK complication, PRK complication, or virtually any other laser vision complications.
Most complications are due to de-centration of the original laser ablation or the creation of an irregular laser ablation pattern by the system. This causation of these can be from poor or slow tracking systems in older lasers or by the use of poorly resolved mapping systems that try to improve corneal shape. These systems can lead to surgically induced corneal irregularity, which is described in scientific parlance as an increase in higher order aberrations, or HOA.
It is possible to literally reconstruct the cornea and the original incorrect laser shape into a new even space by removing the irregular tissue segmentally micron by micron to make the round regular shape that we expect from a good laser correction. In addition, any corneal irregularity can be fixed in the same way even if it comes from an irregular flap or other irregularities caused from corneal surgery such as RK or cataract incisions.
Dr. Motwani has also invented the procedure for treating the part of the corneal irregularity that the eye tried to “fix” itself, by variably changing the epithelial thickness (the clear skin on top of the cornea) to mask low and high spots of irregularity. These masked irregularities cannot be detected by the topography systems that create the repair map. By using a trans-epithelial approach customized by depth of epithelial compensation, a greater amount of the irregularity can be removed. This is the CREATE Protocol (Corneal Repair Epithelium and Topography Enhanced). This has been validated in peer-reviewed original research clinical studies publications, as well as multiple United States patents and patents pending.
The CREATE Protocol procedure reconstructs the cornea micron by micron into a more ideal, uniform shape with a reduction in overall corneal irregularity, whether surgery induced or natural biologic. It is difficult with current technology to exactly fine tune the prescription of the new improved corneal shape, so a second simple residual refractive correction enhancement is scheduled as part of a CREATE Protocol procedure 4 months after the reconstructive procedure.
The final CREATE Protocol result should improve clarity and decrease negative visual phenomena as well as create a whole new shape of the cornea which can be seen on topography and the visual results.
We have created a YouTube channel with dozens of videos documenting patient interviews, surgeries, and how treatments work. Please follow the link below to watch these.
