Dr. Stephen Updegraff promotes all laser LASIK. Blade-free LASIK may sound like a good idea, but wait until you read about the risks of this latest technology. Bladeless IntraLase LASIK has risks, side effects and complications. Laser-created flaps introduced new problems not found with LASIK using a blade.
Some of the reported complications of femtosecond lasers are opaque bubble layer, corrugated corneal stromal bed, extreme light sensitivity, partial flaps, rainbow glare, torn flap, vertical gas breakthrough, epithelial ingrowth, flap necrosis, diffuse lamellar keratitis (DLK), corneal perforation, incomplete flap, decentered flaps, small flaps, slipped flaps, flap folds, traumatic flap dislocation, gas bubbles in the anterior chamber, optic nerve damage, flap tears, haze, macular hemorrhage, infection, stromal cell necrosis, inflammation, keratocyte cell death, corneal nerve damage, goblet cell reduction, and interface particles.
Read more about problems of bladefree IntraLase femtosecond laser technology at this link: All Laser LASIK
Read reports of bad outcomes and complications filed with the FDA related to all laser, bladeless IntraLase LASIK: Link
Vincent P. de Luise, MD: "...a flap is a flap is a flap. Not making a flap is safer than making a flap, regardless of the method employed... it's still a flap no matter how you slice it." Source