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Laser eye surgery Intralase versus Microkeratome - which is best?

Published on 14th December 2011

There is much debate amongst eye surgeons about whether Intralase or Microkeratome is best for creating the corneal flap required in the LASIK procedure.

In traditional LASIK, a Microkeratome is used to cut a thin hinged flap and in Intralase a femtosecond laser is used instead. Many times a surgeon simply prefers one method of surgery over the other.

It's a bit like asking someone whether they prefer a Mercedes rather than a BMW - you will get conflicting answers depending on what your own personal preference is. There are potential complications creating corneal flaps with both the Microkeratome method and with the Intralase method and patients should know that there are advantages and disadvantages with both.

Most surgeons will agree however, that the skill and experience of the surgeon performing your treatment has as much to do with the outcome of your surgery rather than the actual tool used.

At Visualase, all our ophthalmologists are extremely experienced having performed over 50,000 procedures between them. They have all used and trialed the Intralase method and could see no distinct advantages over the Microkeratome method.

As you benefit from having your consultation with your treating surgeon here at Visualase, this is exactly the type of question you can ask your doctor directly.


All eye surgical procedures carry a level of risk including not obtaining the desired outcome, through to varying levels of visual loss. Your eye surgeon will discuss the risks and benefits, including ones specific to your circumstances, at the time of your pre-operative consultation.