© Copyright 2026 American Medical Association. All rights reserved.
Keratomileusis is a specialized surgical procedure classified as a type of keratoplasty, which focuses on the reshaping of the cornea to achieve the desired curvature. This surgical intervention is primarily aimed at correcting refractive errors, thereby enhancing visual acuity for the patient. The procedure involves the meticulous use of an operating microscope to ensure precision during the operation. Initially, the anterior lamella, which is the outer layer of the cornea, is carefully peeled back to expose the underlying corneal tissue. A specific section of this tissue is then excised and subjected to a freezing process. This step is crucial as it allows for the subsequent reshaping of the posterior surface of the corneal tissue. The reshaping can be accomplished through various methods, including the use of a lathe, laser, or knife blade, depending on the specific requirements of the procedure. Once the corneal tissue has been appropriately reshaped, it is sutured back into its original position. To protect the eye post-surgery, a patch or shield may be applied, ensuring that the area remains undisturbed during the initial recovery phase.
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