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LASEK is performed as an outpatient procedure using topical anesthesia with eyedrops. Dr. Gayton uses an alcohol solution to loosen and slide back the epithelium, the outermost layer of the cornea, to expose the corneal tissue beneath it. A cool excimer laser is used to permanently reshape the cornea, and the epithelium is either placed back into position, where it will selfadhere, or is removed completely, in which case the epithelium heals inward from the corneal periphery in just a few days.This type of laser vision correction does not require any corneal incision at all.