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In the first step of All-Laser LASIK, a femtosecond laser is used to prepare the cornea for laser vision correction. Next, an wavefront excimer laser reshapes the underlying cornea to the desired optical correction. All-laser LASIK is blade-free procedure that is a refinement of the original LASIK procedure, which included the use of a microkeratome blade. Several scientific studies have compared the performance between various microkeratomes and the Intralase femtosecond laser (see references below). Though modern microkeratome blades were automated and quite safe, the All-laser LASIK procedure does offer several distinct advantages (listed below), in terms of vision results and safety profile. In my personal experience, I have found that femtosecond lasers are especially advantageous in certain patients with thin, flat or steep corneas or dry eyes. Also, the blade-free All-laser LASIK method may provide additional peace of mind for patients that are apprehensive about their procedure. We have also been impressed with the rapid visual recovery, shorter surgical times, less dry eye symptoms compared to the initial prototypes of the femtosecond laser.