Customised Blade LASIK — Clear Vision Achieved in 24 Hours

PATIENT PROFILE

THE PROBLEM

Condition

The patient presented with bilateral myopia and astigmatism, diagnosed when she was approximately 9 years old. For the past decade, she had relied entirely on prescription spectacles to carry out everyday tasks. The refractive error was moderate in severity and affected both eyes equally, making unaided vision impractical for academic, clinical, and social settings.

Emotional & Psychological Impact

Wearing glasses through school and into medical college had become a source of persistent discomfort and self-consciousness for this patient. As a young woman entering a clinical environment, the inconvenience of spectacles during long study hours, lab work, and examinations added to the frustration. She had watched her mother benefit from the same surgery at the same hospital a decade earlier, which ultimately gave her the confidence to seek the procedure herself. The decision was not impulsive. It came after ten years of dependence, a trusted family recommendation, and a clear desire for a permanent, comfortable solution.

CONSULTATION & TREATMENT PLAN

What Was Assessed During the Consultation?

• Degree of myopia and astigmatism bilaterally
• Corneal thickness and curvature to confirm candidacy for blade LASIK
• Pupil size and wavefront aberration profile for customised ablation planning
• Patient’s visual goals: complete freedom from spectacles, especially for academic use
• Medical fitness and absence of contraindications for refractive surgery

Why Was This Procedure and Technique Chosen?

The surgeon opted for customised blade LASIK based on a thorough assessment of the patient’s corneal profile and refractive needs. The patient had adequate corneal thickness to support a microkeratome-created flap, which is a well-established and reliable technique with a long safety record. The customised ablation profile was selected to address not just the refractive error but also to minimise higher-order aberrations unique to this patient’s eyes. As the patient noted, the use of a blade rather than a femtosecond laser did not compromise outcomes. Both approaches achieve comparable results when patient selection and surgical execution are appropriate.

• Customised ablation chosen to address individual corneal wavefront profile
• Blade microkeratome selected based on corneal parameters and surgeon preference
• Single-session bilateral correction for maximum convenience and faster rehabilitation
• Procedure performed within an established hospital setting for anaesthesia support and safety

PROCEDURE DETAILS

Step-by-Step Overview

• Pre-operative corneal markings confirmed with patient in upright position
• Patient positioned and topical anaesthetic eye drops administered
• Microkeratome blade used to create corneal flap with precision
• Corneal flap carefully lifted to expose stromal bed
• Customisedexcimer laser ablation applied to correct myopia and astigmatism
• Flap repositioned and aligned; natural adhesion confirmed without sutures
• Procedure completed bilaterally within a single session

POST-OPERATIVE RESULTS

The patient reported clear, unaided vision within 24 hours of the procedure. She expressed that her visual clarity matched what the surgical team had described in pre-operative counselling. Medication compliance was maintained as advised, and no discomfort or adverse effects were noted during this initial recovery phase.

OUTCOMES AT A GLANCE

PATIENT FEEDBACK

“I came here because my mother had this surgery 10 years back and she had an amazing experience. I had my surgery done yesterday and it was a painless surgery. I am on my medications as they asked me to, and if you follow it properly, the clarity is damn good. I feel really good now.”

Profile: Female · 19 years · Medical College Student · Mumbai

Procedure: Customised Blade LASIK ·Kenia Eye Hospital, Mumbai · May 2026

Surgeon: Dr. Vishal Kenia ·Kenia Eye Hospital

POST-PROCEDURE CARE & RECOVERY

Instructions Given to Patient

• Prescribed antibiotic and anti-inflammatory eye drops; use as directed for full course
• Avoid rubbing eyes at all times during the healing period
• Protective eye shields to be worn during sleep for the first week
• Avoid swimming, dusty environments, and exposure to direct sunlight without UV-protective glasses
• Screen time to be minimised for the first 48 hours; increase gradually
• Follow-up appointments as scheduled: Day 1, Week 1, Month 1, Month 3, Month 6

Recovery Timeline