At AllAboutVision.com, a new feature on the blade vs. bladeless LASIK debate has been published, with two respectable LASIK surgeons coming in with their own viewpoints. While we’ve talked about this before (here, and here) at Lasik World, this feature brings with it some new information direct from the specialists.

For one, they highlight a phenomenon known as edema (swelling), which only occurs with IntraLase laser use. This phenomenon results from the additional laser energy from the IntraLase laser, and can delay healing by up to a week. Moreover, they also clarify that while the flaps created by either method, i.e. microkeratome or IntraLase, are technically different, their effects are similar (at least until more research is done).

More importantly, the cost factor is explained. IntraLase flaps cost around US$300 more per eye compared to flaps created with a microkeratome. So, if cost is a real factor for you, you might want to ask your eye doctor to go with the blade.

There are many other differences explained, such as the optimal choice of method when a patient has glaucoma, or has had prior flap complications. But I believe it would be better if you read it for yourself.