These methods, devices, and structures are useful in the field of
ophthalmology; the devices and methods relate variously to separating or
lifting corneal epithelium from the eye preferably in a substantially
continuous layer, placing a lens or other suitable ocular or medical
device beneath the epithelial membrane, and to the resulting structures
formed by those procedures. The de-epilthelialization devices generally
utilize a non-cutting separator or dissector that is configured to
separate the epithelium at a naturally occurring cleavage surface in the
eye between the epithelium and the corneal stroma (Bowman's membrane),
specifically separating in the region of the lamina lucida. The separator
or dissector may have a structure that rolls or vibrates (or both) at
that cleavage surface or interface during the dissection step. The
separated epithelium may be lifted or peeled from the surface of the eye
to form an epithelial flap or a pocket. The epithelium may then be
replaced on the cornea after a refractive procedure or after placement of
an ocular lens (or other subepithelial device) on the eye. The
subepithelial device may comprise a wide variety of synthetic, natural,
or composite polymeric materials. The step of replacing epithelial tissue
upon the subepithelial device or upon the anterior corneal surface
promotes epithelial healing.