What is bladeless custom LASIK?

  • Bladeless LASIK offers some advantages over traditional standard LASIK

  • Bladeless procedures tend to be more predictable and offer fewer flap complications

  • Custom LASIK treats your unique eye qualities, where traditional standard LASIK treats your glasses prescription

  • Customised procedures treat higher-order aberrations which minimizes risk of glare, halos, blurring and poor night vision after LASIK

What is bladeless custom LASIK?

Bladeless Custom LASIK – no cutting and personalized just for you



We were the first LASIK center in New York to invest in the Alcon WaveLight® Refractive EX500 and FS200 lasers, which together comprise a best-in-class bladeless custom LASIK platform.

Numerous clinical studies show excellent outcomes with bladeless custom LASIK — a recent study showed 100 percent of patients enjoyed 20/20 vision without eyeglasses the day after surgery.

Blade vs Bladeless LASIK

With a blade

  • Traditional LASIK procedures involved the use of a microkeratome, a surgical instrument with an oscillating blade, to create the thin corneal flap that hinges back to reveal the underlying corneal tissue.

  • Microkeratomes (the oscillating blade) make the procedure go faster and tends to be more comfortable for the patient because there is less suction involved.

  • Some ophthalmologists argue that microkeratomes make a meniscus flap (thinner in the middle) which may lead to more flap complications, but there is no consensus data on this

  • Some studies exist that show there can be a higher rate of inducing higher order aberrations (vision distortions) with blade flaps versus laser flaps

  • A microkeratome may be a safer option in cases where the patient has had previous LASIK surgery and wants a retreatment

  • Many surgeons charge less for microkeratome-based LASIK


  • Instead of using a mechanical system, in bladeless LASIK we use a different kind of laser called Femtosecond laser to create the flap. This laser produces super small micro explosions within the tissue. The computer controlled system will place these little dots within the cornea very close together – like dots on the postage stamp – and then I can go in, find that plane and separate the flap from the rest of the cornea

  • Many surgeons prefer bladeless LASIK because it helps avoid (but not completely eliminate) flap complications (e.g. free caps – unattached flaps, partial flaps or buttonholes (improperly formed flaps) or an epithelial slough (damaged eye tissue)

  • Flap predictability – many surgeons argue that you get the same thickness flap with a laser no matter what the curve of the cornea is. With a blade, the more curved a cornea is, the thinner the flap in the center, which increases the risk of a buttonhole

  • Some surgeons argue that clarity and crispness of vision can be delayed (for a few days to a week) after the procedure because the energy involved in making the flap with a laser can lead to additional edema (swelling) of the flap

  • Additional fees often apply for all-laser procedures

Traditional vs Custom LASIK

Standard LASIK

  • Conventional LASIK uses information from your eyeglass prescription to correct vision

  • Eyeglass prescriptions are measured in .25 diopters (e.g., -1.25 D and -1.50 D), which is quite a wide berth, and refractive errors can be measured in much smaller increments. Thousands of people can have the same eyeglass prescription, yet slightly different visual needs

Custom LASIK

  • Custom LASIK, on the other hand, involves comprehensive testing to evaluate your refractive error(s) in .01 increments — much smaller units than conventional LASIK

  • Sophisticated technology is used to map out the unique qualities of your eye, including the curvature of the cornea and how light travels through the eye to reach the retina

  • This detailed information is used to carefully program the laser that performs the custom LASIK treatment

  • Therefore, LASIK treatment is highly personalized to your eye’s unique characteristics and specific visual errors

  • Another advantage of custom LASIK is that it identifies and reduces higher-order aberrations, which are minor imperfections known to affect visual quality even after the refractive error has been corrected. Reducing higher-order aberrations minimizes the risk of experiencing glare, halos, blurring and poor night vision after LASIK