Femto-LASIK: A New Approach to Laser Vision Correction

The S.V. Malayan Ophthalmological Center has 13 years of experience in laser vision correction. Since 2002, over 6,000 laser procedures (PRK, LASIK) have been performed at the Center.

In 2010, Dr. Elena Malayan, Head of the Diagnostic and Laser Treatment Department, was the first in Armenia to perform LASIK vision correction. LASIK is a relatively new refractive surgery technique, known for its high effectiveness and favorable recovery. In March 2014, the Center introduced the advanced Femto-LASIK method, particularly beneficial for patients with thin corneas or complex refractive errors.

Thanks to Femto-LASIK, it also became possible to correct astigmatism in keratoconus patients using intrastromal corneal rings. This method retains all the advantages of traditional LASIK while offering major improvements. Unlike standard LASIK, Femto-LASIK uses a laser beam—not a mechanical blade—to create the corneal flap. The FS200 WaveLight femtosecond laser creates an ultra-thin flap within seconds, with precise control over thickness, diameter, and positioning.

Unlike other models, this laser allows highly accurate focusing at any corneal depth. It also requires the shortest flap creation time of any femtosecond laser on the market. The FS200 is integrated with the Center’s excimer laser, forming a unified system. Its sharp-angled flap edges promote faster healing and fewer complications.

The absence of mechanical impact is a key benefit, significantly reducing surgical risks and post-op complications.

Femto-LASIK Benefits:

• High effectiveness with minimal side effects and fast recovery

• Patient comfort during the procedure with no blackout or vision loss

• Rapid visual recovery, with no incisions during flap creation

• Correction for patients with thin corneas

• Clear vision in low light conditions (twilight, night, rain, fog)

Surgeons at the Center follow global advancements and regularly adopt new treatments to help more patients achieve excellent vision. The Center continues to lead in treating myopia, hyperopia, and astigmatism with cutting-edge techniques.

Femto-LASIK is speed, reliability, precision — and the future of laser vision correction.

Dr. Elena Malayan shared insights about the newly introduced laser system in an interview:

What makes the new laser unique?

“Excimer laser surgeries, which we already performed, are now even safer, more accurate, and faster. It allows us to treat eyes previously considered inoperable, such as those with thin corneas or high myopia. These were once high-risk cases; now, we can treat them safely.”

How long have you used this system, and what’s the feedback?

“We’ve been using it for about two months. In general, we’ve been doing laser surgeries since 2006. Recovery is consistent, but this new system stands out medically and reduces future risks.”

What conditions is the laser used for?

“It treats myopia, hyperopia, and astigmatism. Soon, we’ll use it for keratoconus, which is a hereditary condition and common in Armenia. Patients with keratoconus were once ineligible for laser surgery—now they have options.”

How does Armenia rank in ophthalmology today?

“In both laser and general eye surgery, Armenia is not behind international standards. There is no recognized surgery we can’t perform here. Laser procedures are incredibly accurate—likely the only surgeries where we can precisely predict the outcome.”

What about patients from abroad?

“We treat many patients from abroad, especially Armenians living overseas. These surgeries cost significantly more abroad.”

Is staff training provided for the new technology?

“Yes, training is mandatory. I’ve trained in Moscow’s Excimer Clinic and the Helmholtz Eye Institute. Our specialists constantly undergo training, which is essential for getting the most out of the technology.”

What trends are emerging in eye disease statistics?

“Young people are now more attentive to their health and appearance. In the past, people ignored minor complaints. Today, more patients come in. Health awareness is growing, and myopia and hyperopia are more common due to screen time and driving.”

Preventing eye problems — what helps?

“Structure your workday properly—especially if you read, write, or use a computer all day. Even with no symptoms, avoid sitting at a screen for hours without breaks. Avoid reading in poor lighting and get regular eye checkups.”

Myopia, Hyperopia, and Astigmatism Treatment via LASIK

Initial full eye evaluations are completed in one day using the latest equipment from ALCON, operated by highly qualified specialists. This device is unique in Armenia and was manufactured in 2011.

In 2011, Dr. Elena Malayan performed Armenia’s first LASIK procedure with this system. Hundreds of patients have since been successfully treated, with up to 100% visual correction achieved.

LASIK is the most common procedure for myopia correction, but it’s also highly effective for astigmatism and hyperopia. As the most advanced vision correction method, LASIK combines microsurgery with excimer laser technology. It’s the most tissue-sparing and effective method, preserving the corneal layer structure. It has virtually no limitations for correcting all degrees of refractive errors and astigmatism.

Why is LASIK so popular?

1. Return to work and normal life the next day

2. Extremely short recovery time — vision often improves within hours

3. No damage to corneal surface layers

4. Local anesthesia via drops, well tolerated by patients

5. Painless post-op period

6. No corneal haze after surgery

7. High safety standards using next-generation laser equipment