Abstract
<h4>EXCERPT</h4> <p>During the past 5 years of our Advanced Surface Ablation Congress, the focus of presentations and discussions surrounded the advancements in surface ablation techniques and technology with an evolution from laser epithelial keratomileusis (LASEK) to epi-LASIK to flapless epi-LASIK and surface ablation procedures with the use of mitomycin C (MMC) and other pharmacologic agents. All of these modifications in surface ablation have been categorized as “advanced” because they reflect an effort to minimize the pain, haze, and delayed visual recovery experienced with surface ablation. Although LASIK does not experience these wound-healing effects because of the preservation of the intact epithelium and basement membrane attachments onto Bowman’s layer, LASIK does experience biomechanical shifts in aberration profile due to the cutting of collagen fibers. Hence, advanced surface ablation attempts to improve on its wound-healing issues while seeking to maintain the biomechanical benefits of surface ablation to characterize the optimal laser vision correction procedure.</p>
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