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SILK Surgery: Diagnosis & Treatment

SILK Surgery, short for Smooth Incision Lenticule Keratomileusis, is an advanced laser vision correction procedure that can eliminate or reduce the need for glasses or contact lenses. This innovative surgical method can drastically improve your vision quality by correcting refractive errors like myopia (nearsightedness) and astigmatism. The benefits of SILK eye surgery over other laser eye surgeries make it a coveted treatment for vision problems. Contact Pristyn Care and consult with the best ophthalmologists for SILK laser eye surgery. Fill in the form or call us on the number mentioned on the page to book an appointment with the best eye surgeon nearby.

SILK Surgery, short for Smooth Incision Lenticule Keratomileusis, is an advanced laser vision ... Read More

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What is SILK Surgery?

SILK Surgery is a pioneering vision correction method to treat myopia and astigmatism. The process begins with the application of numbing eye drops, after which an advanced femtosecond laser is used to carefully create a small disc-shaped lens, also known as a lenticule, within your cornea. This lenticule is then removed, resulting in the reshaping of your cornea and the consequent correction of any refractive errors.

Unlike traditional LASIK, SILK Surgery does not necessitate the creation of a corneal flap, categorising it as a flapless surgery. This attribute reduces recovery time, lowers the risk of complications, and enhances patient comfort. Compared to other refractive surgical options, SILK Surgery offers improved visual outcomes and fewer side effects. The entire procedure is fast, minimally invasive, and boasts a high success rate.

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What Are The Types Of SILK Surgery?

SILK Surgery can be classified into two main types depending on the refractive error it’s treating:

  • SILK Surgery for Myopia (Nearsightedness): This type of SILK procedure can correct nearsightedness up to 8 diopters. Myopia makes distant objects appear blurred, while close objects can be seen clearly. SILK surgery for myopia corrects this by reshaping the cornea so light entering the eye can be properly focused.
  • SILK Surgery for Astigmatism: Astigmatism is a common condition where the eye does not focus light evenly onto the retina, resulting in blurred or distorted vision. SILK surgery for astigmatism can correct this condition of up to 3 diopters by making precise changes to the shape of the cornea.

Each type is designed to rectify specific vision errors and improve your quality of life by reducing or even eliminating your dependency on glasses or contact lenses.

Diagnosis Before Silk Eye Surgery

Before proceeding with SILK Surgery for myopia and astigmatism, a comprehensive eye examination is conducted by your ophthalmologist. This diagnostic stage involves several tests, including:

  • Corneal Topography: This test maps the curvature and thickness of your cornea in great detail, helping to determine your exact refractive errors, such as the degree of myopia or astigmatism.
  • Retinal Evaluation: Your doctor conducts a thorough examination of the retina located at the back of your eye. This specialised imaging technique ensures that no underlying eye conditions could adversely affect the outcome of the SILK Surgery.
  • Pupil Dilation: Eye drops are used to dilate your pupils, providing the doctor with an unobstructed view of your internal eye structures and ascertaining their suitability for the SILK procedure.
  • Refractive Measurements: Precise measurements of your refractive errors, including the power and axis of any astigmatism, are taken by the ophthalmologist. These insights guide the laser treatment during the SILK Surgery.

What Is The Procedure For SILK Surgery?

The SILK Surgery comprises several steps to correct refractive errors:

  1. Preparation: On the day of the surgery, your eye will be numbed with eye drops to ensure you don’t feel any discomfort during the procedure.
  2. Corneal Flap Creation: A thin flap is created on the cornea using an instrument called a microkeratome or a femtosecond laser. This flap is gently lifted to expose the underlying corneal tissue.
  3. Reshaping the Cornea: Your surgeon will use an excimer laser to reshape the corneal tissue based on your specific prescription. This precise reshaping allows light to focus properly on the retina, improving your vision.
  4. Flap Repositioning: After the cornea has been reshaped, the corneal flap is carefully repositioned back into place. It adheres naturally without the need for stitches.

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Who Is The Right Candidate For SILK Surgery?

SILK Surgery is a revolutionary procedure for correcting refractive errors, but it may not be suitable for everyone. Your ophthalmologist will evaluate your eligibility based on several factors, such as:

  • Extent of Refractive Error: SILK Surgery is best suited for individuals with moderate to high degrees of myopia or astigmatism.
  • Age: The procedure is typically recommended for adults over 18 whose eyes have stopped growing and whose prescription has remained stable for at least one year.
  • General Eye Health: A detailed assessment will be carried out to ensure that there are no additional eye conditions or diseases that could impede the procedure or recovery.
  • Corneal Thickness: As the surgery involves the reshaping of the cornea, having a cornea of sufficient thickness is crucial.

What Are The Benefits Of SILK Surgery?

SILK Surgery, a state-of-the-art laser vision correction procedure, offers an array of benefits over traditional procedures like Laser-Assisted In Situ Keratomileusis (LASIK) and Small Incision Lenticule Extraction (SMILE). Let’s delve into these advantages:

  • Reduced Risk of Complications: SILK Surgery is a flapless, minimally invasive approach that significantly decreases the risk of complications associated with other laser vision correction techniques.
  • Rapid Recovery: Most patients can resume their regular within 24 hours post-surgery.
  • Superior Visual Outcomes: The potential for achieving 20/20 vision or better is higher compared to other procedures.
  • Reduced Side Effects: Patients undergoing SILK Surgery experience fewer instances of dry eyes, halos, and glare than those who opt for LASIK or SMILE.
  • Effective Astigmatism Correction: SILK Surgery can correct higher levels of astigmatism, up to 6 diopters.

How To Prepare For SILK Surgery?

Prior preparation can significantly impact the success of your SILK surgery. Here are some steps you should take:

  1. Discontinue Contact Lens Use: It’s crucial to follow your surgeon’s instructions regarding contact lens wear before surgery. Typically, you’ll need to stop wearing contact lenses for a specified period before your procedure. This allows your corneas to return to their natural shape, providing more accurate measurements for the surgery.
  2. Adjust Medications: Inform your surgeon about any medications you’re taking, including over-the-counter drugs and supplements. Some medications may need to be adjusted or temporarily stopped before surgery to reduce the risk of complications or interactions with anaesthesia or post-operative medications.
  3. Stay Makeup-Free: On the day of your surgery, it’s essential to avoid wearing eye makeup, including mascara, eyeliner, and eyeshadow. Makeup particles can increase the risk of infection during and after the procedure. Your surgeon will likely provide specific instructions on when you should stop using eye makeup before surgery.
  4. Follow Directions: Your surgeon will provide you with detailed pre-operative instructions tailored to your individual needs. These instructions may include guidelines on eating and drinking before surgery, what to wear, and any other preparations you need to make. It’s essential to follow these directions closely to ensure a smooth and successful surgical experience.

Recovery Tips and Precautions To Follow After SILK Surgery?

A satisfactory recovery from SILK surgery hinges on careful adherence to post-operative instructions. Here are some tips to aid your recovery process:

  • Avoid Touching Your Eyes: Resist rubbing or touching your eyes. In case of irritation, use soft tissue to dab at tears gently.
  • Rest Your Eyes: Keep your eyes closed as much as possible on the day of the procedure; this aids recovery.
  • Use Prescribed Eye Drops: Use the eye drops as directed by your doctor to ward off infection and promote healing.
  • Limit Strenuous Activities: For a few weeks post-surgery, avoid activities that might strain the eyes or risk injury.
  • Gradual Resumption of Normal Activities: Under the guidance of your doctor, resume your normal activities, such as screens, driving, and sports.

Potential Risks Or Complications Associated With SILK Surgery

Though SILK surgery is largely safe with excellent outcomes, like any surgical procedure, there are potential risks involved. Some of these include:

  • Infections: Post-operative infections, though rare, can occur and should be reported to your doctor immediately.
  • Inflammation: Any inflammation should be promptly noted and brought to the attention of your doctor.
  • Visual disturbances: Occurrences such as halos or glare should be mentioned to your doctor at the earliest.

It’s vital to communicate with your doctor regarding any discomfort or issues you might experience after the surgery.

What Is The Cost Of SILK Surgery In India?

SILK Surgery, a type of laser vision correction procedure, varies in cost across India, depending on several factors. Here are a few aspects that can significantly influence the total cost:

  1. Type of Hospital or Clinic: The choice of healthcare facility where you undergo SILK surgery can significantly impact the cost. Different hospitals or clinics have varying pricing structures based on factors such as reputation, amenities, and level of care provided. High-end hospitals or specialised eye clinics may charge more for their services compared to smaller, community-based facilities.
  2. Location of The Clinic: The clinic’s geographical location also plays a significant role in determining the cost of SILK surgery. In metropolitan cities where the cost of living and operational expenses are higher, healthcare facilities tend to charge higher fees to cover these overhead costs. Conversely, clinics located in smaller towns or rural areas may offer more affordable pricing due to lower overhead expenses.
  3. Technology and Equipment: The level of technology and equipment available at the eye care centre can influence the cost of SILK surgery. Clinics equipped with the latest advancements in ophthalmic technology and state-of-the-art surgical equipment may charge higher fees to cover the investment and maintenance costs associated with these resources. Additionally, surgeons who specialise in using advanced techniques or technology may command higher fees for their expertise.
  4. Surgeon’s Expertise and Reputation: The experience and reputation of the surgeon performing the SILK surgery can also impact the cost. Highly skilled and renowned surgeons with a track record of successful outcomes may charge higher fees for their services. Patients often place value on the expertise and reputation of the surgeon when making decisions about their eye care, which can influence pricing.
  5. Additional Services and Amenities: Some clinics may offer additional services or amenities as part of their SILK surgery package, such as post-operative care, follow-up appointments, or access to diagnostic testing. These extras can contribute to the overall cost but may also enhance the patient experience and satisfaction.

Is SILK Surgery Covered Under Insurance?

In most cases, SILK Surgery isn’t covered by standard health insurance due to its classification as an elective, non-essential procedure. However, exceptions do exist where partial or full coverage may be provided. For instance, if you have a high degree of refractive error (myopia or astigmatism) of 7.5 diopters or more.

The insurance coverage might also include hospital room charges, expenses related to ophthalmology treatment, and teleconsultations with specialists. However, it’s crucial to note that pre-existing eye conditions or diseases are usually excluded from coverage for SILK Surgery.

Bear in mind that teleconsultation with specialists might be covered, but in-person outpatient (OPD) consultations often aren’t. Therefore, it’s vital to thoroughly peruse your insurance policy to understand how much of your SILK surgery expenses could be covered.

FAQs Related to Silk Surgery

Is the SILK surgery procedure painful?

A common concern among patients is the discomfort involved in surgical procedures. However, with the SILK surgery, pain is considerably minimised because it is a minimally invasive procedure. Post-operative discomfort can be managed effectively with medications prescribed by your doctor.

What distinguishes SILK surgery from other surgical procedures?

SILK surgery stands out due to its minimally invasive nature. It uses precise instruments, allowing the surgeon to operate with smaller incisions, leading to less tissue damage, less post-operative pain, and quicker recovery times compared to traditional open surgeries.

Can SILK surgery be performed as an outpatient procedure?

Some SILK surgeries can be conducted on an outpatient basis, meaning you can go home on the same day of the operation. However, this largely depends on the complexity of the individual case and your doctor’s judgment.

How long does it typically take to recover from SILK surgery?

Recovery times for SILK surgery vary depending on the individual patient’s health condition and the complexity of the surgery. However, due to its minimally invasive design, patients often start feeling better within a few days, with complete recovery typically ranging between two to six weeks.

Which health conditions can affect my eligibility for SILK surgery?

Health conditions, such as diabetes, hypertension, or heart disease, may affect your eligibility for SILK surgery. It’s crucial to discuss all your health issues with your doctor, who will assess your overall health before deciding if SILK surgery is suitable for you.

What kind of anaesthesia is used in SILK surgery?

Most often, general anaesthesia is used during SILK surgery, which means you’ll be asleep and not feel anything during the procedure. However, depending on the complexity and location of the operation, local or regional anaesthesia may also be used.

Can I drive post-SILK Surgery?

It would be best if you refrained from driving until you have fully recovered from SILK Surgery. The medication administered during the operation can affect your ability to drive safely. It’s advisable to consult your doctor when you can drive again.

Does SILK Surgery guarantee a complete cure?

While SILK Surgery has high success rates in treating various conditions, it does not guarantee a 100% cure rate. The results depend on individual health status, the extent of disease progression, and the patient’s adherence to post-surgery care and precautions.

How can I prevent complications after SILK Surgery?

Post-operative care is crucial to minimising complications after SILK surgery. Following all your doctor’s instructions carefully, including taking prescribed medications, following a balanced diet, maintaining proper hygiene, and attending all follow-up appointments, will maximise your chances of a smooth recovery.

How long does the SILK Surgery take?

The entire procedure lasts only around 30 minutes. Vision improvement can typically be noticed within the first 24 hours.

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