Laser refractive surgical procedure method

A method of performing a laser refractive surgical procedure, comprising the steps of:

• a) applying a first pharmaceutical agent to an eye, the first pharmaceutical agent suitable for reducing an adhesion of an epithelium to a Basement Membrane;
• b) raising an intraocular pressure of a eye having a cornea to around 80 mm Hg or higher;
• c) contacting the with a blade, the blade oscillated at an oscillation frequency of approximately between 5,000 revolutions/minute and 20,000 revolutions/minute, the intraocular pressure of the eye being raised to 80 mm Hg or higher;
• d) advancing the blade across the cornea at a speed of approximately between 1.0 millimeter/second and 2.0 millimeters/second so that the blade penetrates the epithelium so as to expose but not penetrate a Bowman's Membrane of the cornea;
• e) irradiating the Bowman's Membrane and underlying stromal tissue with ablative laser radiation to effect a refractive change in the cornea;
• and
• f) applying a second pharmaceutical agent to the eye, the second pharmaceutical agent suitable for invigorating the health and viability of the epithelium.

A method of performing a laser refractive surgical procedure, comprising the steps of:

• a) measuring an eye, such measurements including one of more of a wavefront analysis, a manifest refraction, a cycloplegic refraction, an anterior and posterior corneal surface shape, a location of the anterior and posterior surfaces of the natural lens, an axial length and a curvature of the retinal pole
• b) applying a first pharmaceutical agent to an eye, the first pharmaceutical agent suitable for reducing an adhesion of an epithelium to a Basement Membrane;
• c) raising an intraocular pressure of the eye having a cornea to around 80 mm Hg or higher;
• d) contacting the cornea with a blade;
• e) advancing the blade across the cornea so that the blade penetrates the epithelium so as to expose but not penetrate the Bowman's Membrane of the cornea;
• f) irradiating the Bowman's Membrane and underlying stromal tissue with ablative laser radiation to effect a refractive change in the cornea;
• and
• g) applying a second pharmaceutical agent to the eye, the second pharmaceutical agent suitable for invigorating the health and viability of the epithelium.