LASIK is known as "laser marking of the eye". The phrase Lasik is derived from the words “Laserin situkeratomileusis”. Lasik is a technique applied to the transparent layer (cornea) at the front of the eye. In this technique, a type of shaving is applied to the transparent layer of the eye with EXCIMER LASER with a wavelength of 193 nm, and the cornea is shaped. For this, first, a superficial cover is removed from the transparent layer with a special knife called microkeratome. Then, after the middle layers of the transparent layer are shaped with a laser, the cover is closed and the process is completed.
PRK, photorefractive (photorefractive) is a word derived from the words keratectomy. Here, too, the cornea is shaped, but the laser is applied directly to the front surface of the cornea without the use of special cutters.
LASIK and PRK are irreversible surgical procedures.
Refractive surgery is performed by people who do not use glasses or contact lenses or who do not use various types of surgery. Those who cannot use them for some reason, see them as a serious obstacle for themselves, or have problems with their appearance, profession, career, sports, etc. It is an irreversible surgical intervention that is offered to the consumer market for the first time in the history of medicine, and is desired by people who assume that they have a disability. These initiatives include, e.g. It is different from surgical interventions in diseases such as glaucoma, retinal detachment and cataract surgery, which can result in blindness when performed on the patient.
The person who chooses Refractive Surgery is not sick, he has a refractive error (ametropia) in his eye. Refractive surgery is performed to "Correct" existing ametropia by surgically changing the cornea. There is no such thing as a disease without a patient and its treatment. The reason why we are talking so long is to correct the distortion in the perspective on refraction errors. If you consider an ametropic person as a patient, so-called treatment procedures may necessarily come to the fore. However, these people are not sick, they are people with ametropic refractive errors, they are not treated, they make their choices in favor of glasses, contact lenses or Refractive Surgery under the guidance of a physician "with their own free decision and conscious approval".
In some commercials or TV programs for advertising purposes. The eagle eye is mentioned. No matter what kind of surgery is performed on the eye, your eye will look like an eagle. It does not seem physiologically possible for it to gain functions like the eye.
It can be argued that today, every person wants to see normal without correction, and at least they are under intense propaganda and advertising pressure on this issue. In this context, free-liberal market economy, private entrepreneurship, capital market, industrial society, post-industrial society, computer society, communication-media age, scientific technological revolution, globalization, new world order, etc. No matter what it is called, no matter how it is characterized, ultimately we are faced with a capitalist consumer society - multinational monopolies and their laws, especially today's only super state, the USA, and the consumption models imposed on the whole world from there. For this reason, both the physician and the person requesting refractive surgery must be alert and conscious.
The issue of what should be the ethical approach to these patients is also on the agenda. I am of the opinion that in the Refractive Surgery procedure, the person has the right to conscious consent and decision-making, and that he/she must consciously participate in the final stage of decision-making. The risks and benefits of the transaction should be discussed in detail, and the person's behavior, needs, and right to actively participate in the decision-making phase should be prioritized.
ONE A CHOICE, THE OTHER A WISH
- To ophthalmologists –
Which one is happier:
The one struggling for eagle vision
Even though he sees fully?
A little Who starts to choose many shapes
When you can't see anything?
Dr.H.Kadircan KESKİNBORA (from the poetry book I AM WATER)
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