Laser-assistedin situkeratomileusis (LASIK) involves the creation of a corneal flap and remodelling of the corneal stroma. This conventionally used a mechanical microkeratome but these devices are associated with variations in the flaps produced. The development of femtosecond excimer laser technology over the past 10 years has markedly improved the safety and efficiency of flap cutting during LASIK and provides superior performance. The Wavelight® FS200 laser is a recent development in femtosecond laser systems. This instrument is calibrated when switched on and prior to application of the applanation cone to the cornea surface, ensuring consistency in flap cutting. The Wavelight FS200 laser has a rapid firing speed that reduces the energy requirement, makes flap lifting easier, reduces procedure time and improves patient comfort. The system also provides consistency of flap diameter and thickness and allows for individualisation of flap morphology based on the patient’s condition. This article discusses clinical experience with the Wavelight FS200 laser for flap cutting in LASIK surgery.
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