Customization in Lasik occurs in various forms and is together called as Customized Lasik.
1. Higher order abberations are measured qualitatively and quantitatively and the treatment profile is generated in such a manner so as to create a prolate anterior corneal surface just as it exist in a normal eye.
2. Optic Zone is kept higher than the Mesopic Pupil size so as to minimize the incidence of Glare, haloes and other night Vision abnormalities.
3. A 2 mm transition Zone is created to blend the optic zone and the normal cornea which effectively buffers the curvature changes from the treatment area to the untreated area and smoothens the edges that minimizes the occurence of HOA's Post operatively
4. The Transition zone has an aspheric profile which can be modified as per the needs of the individual patient.
5. Smaller thickness flaps such as 90 microns and 130 microns additionally enable higher safety margins against any postoperative ectasia that might have occured in the older generation keratomes.
6. Flap related complications are minimized due to customization of ring size and stop value which was not possible previously in a single size fits all microkeratome.
7. TopoGuided Lasik enables treatment of abnormal corneas with irregular elevations documented topographically which was not possible in the older generation Excimer Laser Machines.