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All-laser LASIK uses laser energy from a femtosecond laser rather than a handheld blade to create the corneal flap. Tiny pulses of laser light pass through the cornea and form a layer of tiny bubbles beneath the surface of the eye; this step takes approximately 10 to 20 seconds. Then, an excimer laser is used to reshape the underlying corneal tissue to fix the refractive error. After the necessary modifications have been made, the flap is restored to its original position where it seals itself.

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