Overview of Lasik

One of the most popular ways to correct vision is with a procedure called LASIK (laser in-situ keratomileusis), which uses a laser to change the curvature of the cornea (outer window of the eye). LASIK has quickly become the procedure of choice for most patients because they recover quickly and have fewer side effects and complications than with other methods of vision correction. In fact, most LASIK patients notice a significant improvement in their vision soon after surgery. LASIK removes tissue within the cornea to treat low to high levels of nearsightedness, farsightedness and astigmatism.

To treat nearsightedness, the steep cornea is made flatter by removing tissue from the center of the cornea. This moves the point of focus from in front of the retina to directly on the retina.


Treating nearsightedness,
the cornea is made flatter

To treat farsightedness, the flat cornea is made steeper by removing tissue outside of the central optical zone of the cornea. This moves the point of focus from behind the retina to directly on the retina.


Treating farsightedness,
the cornea is made steeper

To treat astigmatism, the cornea is made more spherical — like a basketball instead of a football. This eliminates multiple focusing points within the eye and creates one point of focus on the retina. Astigmatism can be treated at the same time as nearsightedness and farsightedness.


Treating astigmatism,
the cornea is made more spherical

LASIK is for those who:

  • want to reduce or eliminate their dependence on glasses or contacts
  • are at least 18 years of age
  • have had a stable eye prescription for at least one year
  • have no health issues affecting their eyes
  • have no signs of glaucoma or cataracts

What to expect on surgery day

You will arrive at the laser center about half an hour prior to your procedure. Once you have been checked in you may be offered a sedative to help you relax. You will then be prepared for surgery. The area around your eyes will be cleaned and a sterile drape may be applied around your eye. Anesthetic eye drops will be used to numb your eyes; no injections or needles will be used. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.


The area around your eyes will be cleaned and
a sterile drape may be applied around your eye

Next, a laser called a Femtosecond laser will create a hinged flap of thin corneal tissue, and your doctor will gently fold the flap out of the way. During this process, you may feel a little pressure, but no pain. You will then be asked to look directly at a target light while the laser reshapes your cornea. The Excimer laser will be programmed with the information gathered in your pre-operative exam. The laser treatment will be completed in less than a minute or two, depending on the amount of correction needed. To finish the procedure, the protective layer will be folded back into place where it will bond without the need for stitches.

Following your procedure, your eye(s) will be examined with a slit lamp microscope. Then you will be given additional eye drops, and your eyes may be shielded for protection. Your vision will probably be a little blurry at first, so someone will need to drive you home. You should relax for the rest of the day. You may experience some discomfort for 12 to 24 hours, but this is usually alleviated with an over-the-counter pain reliever. Some people experience sensitivity to light, and watering or swelling of their eyes for a few days following their procedure.


Following your procedure, your eye(s) will
be examined with a slit lamp microscope
You will be asked to come back the next day for another examination of your eye(s). Most people can actually see well enough to drive the next day but it’s best not to drive until you have been examined. You should be able to resume your normal activities the day after surgery.
Vision can fluctuate for up to six months, but most people can see well enough to pass a driver’s license vision exam following their procedure.

Realistic expectations

The decision to have LASIK is an important one that only you can make. The goal of any refractive surgical procedure is to reduce your dependence on corrective lenses. However, we cannot guarantee you will have the results you desire. The vast majority of our patients are extremely happy with their vision after LASIK and can do most activities without dependence on corrective lenses.

Serious complications with LASIK are extremely rare. LASIK is a safe, effective and permanent procedure, but like any surgical procedure, it does have some risks. Many of the risks and complications associated with this procedure can be reduced or eliminated through careful patient selection and thorough pre-operative testing using the latest diagnostic technology.

After LASIK, you may experience some visual side effects. These visual side effects are usually mild and diminish over time. But there is a slight chance that some of these side effects won’t go away completely, such as feelings of dryness, glare and halos.

Since everyone heals somewhat differently, some patients may over react to the procedure and some may under react resulting in overcorrections and undercorrections. Once the eye has stablized (3 to 6 months) you and your doctor can discuss whether a re-treatment could help fine tune your vision if you are over or under corrected.

After a thorough eye exam, you and your doctor will determine if LASIK is an option for you. If you are a good candidate, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

Zeiss ReLEx SMILE

Do Your EYES SMILE?

ReLEx® SMILE from ZEISS is the first and only small incision lenticule extraction (SMILE) laser vision correction solution currently available.

DR. KHAMBATI is one of the FIRST IN THE COUNTRY to perform ReLEx SMILE.

 The Next Generation Laser Vision Correction Beyond LASIK.  100% Bladeless, Flapless & Painless!

 

The SMILE procedure has become the 3rd generation of laser vision correction after PRK and LASIK.

ReLEx SMILE is at the forefront of laser vision correction with a procedure that is redefining refractive laser surgery as we know it. ZEISS is the only company to provide a way for treating patients with this minimally invasive procedure.

How ReLEx SMILE Works?

Unlike LASIK, the SMILE procedure is performed without creating a flap.

In ReLEx SMILE, tiny pulses of femtosecond laser pass through the outer portion of the cornea to carve out a lenticule (corresponding to the refractive error to be corrected) which is then quickly extracted.

Explore the advantages of ReLEx SMILE from ZEISS:

  • SMILE is a single step laser treatment, an all laser LASIK.
  • It is 100% bladeless and flapless.
  • Entire LASIK treatment only on one laser.
  • Less invasive, no tissue ablation, no flap related risks.
  • Flapless keyhole procedure.
  • Post laser discomfort is minimal.
  • More stable cornea as it preserves the strength of the cornea as it makes 1/5th the size of a bladeless flap.
  • Keyhole procedure with a self-sealing micro incision which is less than 1/5th the size of a bladeless flap.

ReLEx SMILE is Beneficial for the following Candidates:

  • High powers achieve better quality of vision.
  • High powers have more stability with less chances of regression (powers coming back).
  • Those prone to dry eyes.
  • Those with corneal surface issues due to contact lens overuse.
  • Those in careers like frequent travels, extreme sports, Army, Navy, Air Force, Police, where recovery should be quick and safe.
  • Removes the disadvantages of discomfort and long recovery of other surface treatments like LASIK.

Zeiss VisuMax Femtosecond Laser

Carl Zeiss has over 160 years of experience in the development of optics and Zeiss high performance optics are key to providing an optimum corneal flap. In general, patients who qualify for LASIK are also candidates for the VisuMax laser corneal flap treatment, and thus will benefit from its accuracy and gentleness.

Carl Zeiss began developing optics in 1840. His company, Carl Zeiss Meditec, went on to become the foremost leader in highly precise optics. The quality of the German engineering is known worldwide for its unsurpassed high quality. Zeiss is a leader in many fields of optics, from lenses, telescopes, microscopes and sporting optics.

VisuMax-224x168The same precise engineering has been used to develop the VisuMax femtosecond laser. The VisuMax is so precise that it requires 7 times less energy than other femtosecond lasers. Less energy is always key when treating the delicate tissue of the cornea. The high precision of the optics combined with the low energy create better outcomes for patients who are treated on the VisuMax femtosecond laser.

Gentle Treatment

Patient comfort was a high priority for the engineers at Carl Zeiss Meditec. Other femtosecond lasers use high suction during the creation of the corneal flap. This higher pressure can be uncomfortable and cause the patient to lose vision during the creation of the flap.
The VisuMax laser is incredible advancement in patient comfort. The comfort provide by the VisuMax creates a much better surgical experience for the patient. The VisuMax laser used a curved surface like a contact lens. The curved surface is natural to the cornea and creates a comfortable experience for the patient. Patients that have had treatment on the VisuMax compare their experience to putting in a contact lens.
Doctors enjoy the increased safety when using the VisuMax for “bladeless” LASIK. Most potential complications can occur when using a mechanic blade to create the cornea flap. Doctors have embraced “bladeless” LASIK because of the increased patient safety and ease of use.
During treatment the VisuMax femtosecond laser uses very precise optics to focus the laser energy. A femtosecond laser uses focused laser energy to create very small bubbles inside the cornea. The VisuMax places these tiny bubbles inside the cornea in a pattern that creates a corneal flap.
The doctor can create a very precise flaps that are unique to each patient. This flexibility and precision allow for a greater range of treatment options than are available with a mechanical blade.

Why do we offer the VisuMax laser for bladeless all laser LASIK?
• Patient Safety
• Better outcomes
• Quicker recovery time
• Unsurpassed patient comfort

Flap creation with the VisuMax is a completely bladeless procedure. The creation of the corneal flap with the VisuMax is very fast and takes approximately 20 to 30 seconds, while the complete LASIK procedure may take approximately 15 minutes.

A very accurately focused laser beam is guided through to the cornea in a computerized treatment that is unique to each patient. The laser beam moves across and through the cornea, creating a layer of very tiny bubbles under its path. These bubbles quickly disappear, and the tissue above the bubbles becomes the corneal flap that can be easily lifted by your surgeon.

Everyone has a curved cornea. Nature often provides us with the best answers, and the VisuMax features a unique, curved contact glass to maximize patient comfort. This technology allows for the patient to maintain visual sight during the entire procedure. This is possible since the curved contact interface attaches to the cornea during the treatment and the cornea is only slightly flattened, which prevents unnecessarily high intraocular pressure and stress to the eye. This provides maximum comfort and it allows you to see throughout the entire procedure, unlike with microkeratomes or other femtosecond lasers, where your vision is “blacked out” for a while and patients have reported feeling uncomfortable pressure. Patients often describe the VisuMax procedure like the insertion of a soft contact lens.

Due to the Zeiss high performance optics, the laser beam is guided very precisely to the desired depth, resulting in most accurate flap thickness. In addition, the laser beam is directed in a very focused manner, which allows the doctor to apply only minimum laser energy to the eye during the treatment. As a result, the tissue outside the defined area of the cut remains untouched.

Since the VisuMax is able to create very thin corneal flaps, some patients who were previously not a candidate for LASIK due to thin corneas, are now benefiting from the procedure, thanks to the VisuMax. Your doctor will make the final determination.

Benefits of Blade-Free

The VisuMax laser provides more stability and greater flap precision when compared to LASIK. LASIK’s greatest complication is flap problems after surgery. Because blade free is so precise, this risk is significantly reduced.

The blade-free Lasik vision correction surgery can produce real benefits for some patients. They include:
• Decreased risk of flap complications.
• Decreased incidence of postoperative dry eye
• Unlike other alternatives to LASIK, it preserves many of the benefits of LASIK including a short and largely pain-free recovery.
• More accurate outcomes in terms of patients’ postoperative vision.
• Benefits of vision correction surgery are available to those who might have previously been poor candidates.
• Less pressure on the eye during the surgery.
• Reduced incidence of patients needing a second operation to correct their vision.
• Flaps created with a laser are less likely to become dislodged later.

Zeiss Mel 80 Excimer Laser System

ZEISS camera lenses were recognized as the world’s highest quality after their introduction in the 1800s. In the late 1980s, ZEISS optical lenses became the technology of choice for the developers of vision correction lasers.

Carl Zeiss became a notable manufacture of optics in Jena Germany in 1840. His company went on to develop revolutionary optics for microscopes and all types of optical devices. To this day, Zeiss is known worldwide as a leader in the manufacturing of highly precise quality optics.
Zeiss utilized their extensive history in optics to develop their fourth generation Mel 80 excimer laser.

Mel-80-224x168 USAThe MEL™ 80 is the latest excimer laser to receive FDA approval. The MEL™ 80 is a top quality Carl Zeiss Meditec product, designed to make the correction of vision defects, more patient-friendly and individual. All the parameters of this ultramodern work platform are oriented towards increasing efficiency, achieving optimum treatment results and the rapid recovery of vision. Key factors here are the very high speed treatments, and the high-performance eyetracker system that increases safety for patients.
• The fasted laser which leads to shorter treatment times and better outcomes.
• A lightning fast 1050 hertz eye tracker for a safer more accurate treatment.
• The latest laser cleared for FDA approval.
• A wavefront optimized treatment pattern that results in better correction and less glare at night time.
• A “flying spot” laser that utilizes a small treatment beam for a more accurate treatment profile and better vision.

Carl Zeiss Meditec has been a refractive surgery pioneer for more than 20 years. Combining its finest optics with the most advanced excimer laser technology available, Carl Zeiss Meditec brings you laser vision correction with a fourth-generation laser platform, the MEL 80.”MEL” stands for “Meditec Excimer Laser.”

The MEL 80 is a fourth generation Carl Zeiss excimer laser platform, taking vision correction to a new level. By reshaping the human cornea to its most natural shape during treatment, your vision can now be similar to the quality of lenses on which Carl Zeiss has built its reputation. The goal is to deliver high resolution vision with a custom treatment unique to your prescription. Carl Zeiss engineers created this advanced vision correcting technique using the latest wavefront techology innovations. This scientific method takes into consideration not only the clarity of vision from the shape of your eye, but it also treats other irregularities within your eye that may prevent you from having a higher quality of vision. One of the fastest excimer lasers in the world, your treatment is completed within seconds.

VISX STAR S4™ Excimer Laser System

VISX laser systems have been used to perform millions of laser vision correction procedures in the U.S. and around the world. Every year, more doctors use VISX lasers to perform laser vision correction surgery than any other system. The VISX STAR S4 is one of the most advanced systems on the market today. This technologically advanced laser offers faster treatments using variable spot beam technology and an eye tracking system that tracks in all three dimensions.

The VISX STAR S4 can be used in combination with VISX CustomVue™ to address the unique imperfections of each individual’s vision. CustomVue can provide our patients with the potential to experience better vision than is possible with glasses or contact lenses.


VISX STAR S4 ActiveTrak™ excimer laser

Why we’ve chosen the VISX STAR S4 Excimer Laser System:

  • The STAR 4 variable beam technology allows the doctor to treat patients with different laser beam sizes and shapes, determined by each patient’s visual needs.
  • The VISX Exclusive SmartBeam™ technology adjusts beam size according to treatment, minimizing the amount of corneal tissue that needs to be removed.
  • With ActiveTrak™ 3D eye-tracking technology, the laser detects and compensates for small eye movements by guiding the laser beam to keep it centered precisely over the treatment area.
  • VISX’s exclusive Active Trak™ is the only system that allows the doctor to track eye movement in all three dimensions. Having the beam centered correctly on the eye at all times helps ensure precise results.
  • Unlike other lasers with eye-tracking technology, ActiveTrak requires no pupil dilation, leading to an even quicker recovery time.
  • VISX laser systems produce an extremely smooth surface on the cornea after the procedure. Smoother ablations, as they’re known, promote faster healing and result in better visual outcomes.
  • VISX laser systems achieve an optical zone that may result in reduced problems with night vision.
  • VISX laser systems require a shorter procedure time than many lasers, which enhances comfort and may reduce the risk of postoperative complications.

For more information about the VISX STAR S4 Excimer Laser System go to: http://www.visx.com

For a list of FDA approved lasers go to: http://www.fda.gov/cdrh/lasik/lasers.htm

Epi-LASIK

Epi-LASIK is a laser vision correction technique that combines the advantages of PRK and LASIK and eliminates most of their disadvantages.

PRK uses amoils brush to remove the surface epithelium (the thin layer of skin covering the front surface of the cornea). Then the surface of the eye is treated with the laser. After the procedure, a bandage contact lens is placed in the eye for 4 to 6 days while the epithelium slowly regenerates itself.

The epikeratome laser-assisted keratomileusis procedure, (Epi-LASIK) uses a unique epikeratome to mechanically separate the epithelium to make a flap, similar to a traditional LASIK flap. Unlike LASIK, no sharp blades or knives are required.

Advantages of Epi-LASIK

  • The epikeratome eliminates the need for the alcohol used in PRK and LASEK. Since alcohol is toxic to epithelial cells, removing the alcohol application from the procedure results in faster healing and less pain for patients.
  • The epikeratome produces a precise, reproducible separation of the epithelium. With Epi-LASIK, many of the flap complications of LASIK are reduced.
  • Epi-LASIK results in less post-operative haze. The epithelial flap may protect the bare surface of the stroma (the inner tissue of the cornea) after laser treatment and prevent the influx of inflammatory cells from tears.
  • Because the corneal nerves are not severed as with LASIK, there’s a lower risk of extended post-operative dry eye problems.
  • Epi-LASIK is is often a better option than LASIK for those with thin corneas. With this procedure, approximately thirty-five percent less tissue is removed. That means that many patients who have thin corneas are now candidates forlaser vision correction.
  • Epi-LASIK provides a more predictable outcome for wavefront guided “Custom” laser vision correction. Perhaps because LASIK can induce third order aberrations

Epi-LASIK PROCEDURE

  1. Only the epithelium is separated
  2. The laser is centered and the ablation is performed
  3. The surface has been reshaped
  4. The epithelial flap is repositioned

Epi-LASIK is for those who:

  • want to reduce or eliminate thir dependence on glasses or contacts
  • are at least 18 years of age
  • have had a stable eye prescription for at least one year
  • have no health issues affecting their eyes
  • have no signs of glaucoma or cataracts

What to expect on surgery day

You will arrive at the laser center about half an hour prior to your procedure. Once you have been checked in you may be offered a sedative to help you relax. You will then be prepared for surgery. The area around your eyes will be cleaned and a sterile drape may be applied around your eye. Anesthetic eye drops will be used to numb your eyes; no injections or needles will be used. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.


The area around your eyes will be cleaned
and a sterile drape may be applied around your eye

 

Next, the epikeratome will be used to create a hinged epithelial sheet, which will be reflected onto a contact lens. During this process, you may feel a little pressure, but no pain. You will then be asked to look directly at a target light while the laser reshapes your cornea. The Excimer laser will be programmed with the information gathered in your pre-operative exam. The laser treatment will be completed in less than a minute or two, depending on the amount of correction needed. Then, the epithelial sheet will be replaced along with the contact lens.
Your vision will probably be a little blurry at first, so someone will need to drive you home. You should relax for the rest of the day. You may experience some discomfort for 12 to 24 hours, but this is usually alleviated with an over-the-counter pain reliever. Some people experience sensitivity to light, and watering or swelling of their eyes for a few days following their procedure.


Following your procedure, your eye(s) will
be examined with a slit lamp microscope

Realistic expectations

The decision to have Epi-LASIK is an important one that only you can make. The goal of any refractive surgical procedure is to reduce your dependence on corrective lenses. However, we cannot guarantee you will have the results you desire. The vast majority of our patients are extremely happy with their vision after Epi-LASIK and can do most activities without dependence on corrective lenses.

Serious complications with Epi-LASIK are extremely rare. Epi-LASIK is a safe, effective and permanent procedure, but like any surgical procedure, it does have some risks. Many of the risks and complications associated with this procedure can be reduced or eliminated through careful patient selection and thorough pre-operative testing using the latest diagnostic technology.

After Epi-LASIK, you may experience some visual side effects. These visual side effects are usually mild and diminish over time. But there is a slight chance that some of these side effects won’t go away completely, such as feelings of dryness, glare and halos.

Since everyone heals somewhat differently, some patients may over react to the procedure and some may under react resulting in overcorrections and undercorrections. Once the eye has stablized (3 to 6 months) you and your doctor can discuss whether a re-treatment could help fine tune your vision if you are over or under corrected.

After a thorough eye exam, you and your doctor will determine if Epi-LASIK is an option for you. If you are a good candidate, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

Bladeless IntraLase™ FS Laser


IntraLase FS Laser

The IntraLase FS Laser brings a new level of safety and assurance to vision correction surgery by providing an all-laser approach for optimal precision. Now, the accuracy of a computer-controlled laser may be used to create the corneal flap for LASIK, providing unprecedented control and the ability to customize the flap for each of our patients.

Traditionally, the creation of a corneal flap was performed with a mechanical, hand-held device (known as a microkeratome) which moved across the cornea to cut the flap.


With Intralase, the corneal flap is made
with a laser instead of a microkeratome

Because many LASIK complications are attributed to the unpredictable performance of the microkeratome, the new IntraLASIK all-laser surgical approach is being eagerly embraced across the US. Now, The IntraLase FS laser is a safer, computer-controlled alternative to a mechanical microkeratome for creating corneal flaps in the LASIK procedure. Although mechanical microkeratomes are safe, they can cause complications in 1 in 2500 or 5000 cases. Using the IntraLase FS Laser takes LASIK safety to the next level by significantly reducing the chance for removing that rare complication.

LASIK using the IntraLase FS Laser is called IntraLASIK. To make the corneal flap, the IntraLase FS Laser, the laser beam is focused into a tiny spot of energy that passes harmlessly through the outer layers of the cornea until reaching its exact focal point within the central layer of the cornea. There the corneal flap procedure is initiated, silently and painlessly, with remarkable precision. The IntraLase FS Laser can also be used to create the channels and entry cuts for placement of Intacs. Using the IntraLase FS Laser for this procedure assures that the two segments are placed at the exact same depth and removes the need for making the more surgically difficult mechanical channel.

Researchers are exploring the possibility of using the IntraLase FS Laser in other procedures, such as cornea transplants and glaucoma treatment.

Why we’ve invested in the IntraLase FS Laser:

  • IntraLASIK provides our patients with an extra margin of safety by eliminating potential complications from mechanical microkeratomes.
  • IntraLASIK allows us to perform LASIK on patients with thin corneas because we can make a precisemore shallow flap, which allows us to correct higher levels of refractive error.
  • IntraLASIK provides both the patient and the surgeon with a higher level of confidence knowing the creation of the flap will be without complications. Patients and surgeons relax more during the procedure making it more enjoyable for all.
  • IntraLASIK makes laser vision correction an all laser procedure, which significantly adds to its precision and predictability.
  • IntraLASIK also creates better fitting flaps. Once put back in place, these flaps form a tight seal, making flap dislocation after the procedure more difficult.
  • The corneal flap procedure with IntraLASIK, using the IntraLase FS Laser is painless and more comfortable as there is much less pressure placed on the cornea with the laser vs the mechanical microkeratome.

For more information about IntraLASIK, go to http://www.intralase.com/

*IntraLASIK proprietary software is offered exclusively by IntraLase Corp. IntraLase and IntraLASIK are trademarks of IntraLase Corp.

PRK

PRK (Photo-Refractive Keratectomy) was the first procedure performed using the Excimer laser. It corrects vision by reshaping the cornea. The difference between LASIK and PRK is that with LASIK a corneal flap is created and the laser is applied to the inner tissue of the cornea. With PRK, the epithelium (or outer skin of the cornea) is removed and a laser is applied to the surface of the cornea. PRK can be used to correct low to high levels of nearsightedness, farsightedness and astigmatism.

PRK

LASIK

To treat nearsightedness, the steep cornea is made flatter by removing tissue from the center of the cornea. This moves the point of focus from in front of the retina to directly on the retina.

To treat farsightedness, the flat cornea is made steeper by removing tissue outside of the central optical zone of the cornea. This moves the point of focus from behind the retina to directly on the retina.

To treat astigmatism, the cornea is made more spherical — like a basketball instead of a football. This eliminates multiple focusing points within the eye and creates one point of focus on the retina. Astigmatism can be treated at the same time as nearsightedness and farsightedness.

PRK is for those who:

  • want to reduce or eliminate their dependence on glasses or contacts
  • are over 18 years of age
  • have had a stable eye prescription for at least one year
  • have no health issues affecting their eyes
  • have corneas too thin for LASIK
  • have large pupils

What to expect on surgery day

You will arrive at the laser center about half an hour prior to your procedure. Once you have been checked in you may be offered a sedative to help you relax. You will then be prepared for surgery. The area around your eyes will be cleaned and a sterile drape may be applied around your eye. Anesthetic eye drops will be used to numb your eyes; no injections or needles will be used. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.

Next, your doctor will remove the epithelium, a thin layer of protective skin that covers the cornea. You will be asked to look directly at a target light while the laser reshapes your cornea. The laser will be programmed with the information gathered in your pre-operative exam. The laser treatment will be completed in less than a minute or two, depending on the amount of correction needed.

 

Following your procedure, your eye(s) will be examined with a slit lamp microscope. Your eyes may be shielded for protection. Your vision may be blurry or hazy for one to five days. You will experience some discomfort as the epithelium heals and covers the treated area. Eye drops, pain medication and possibly a protective contact lens can be used to minimize this discomfort. Most patients resume normal activities within one to three days. Vision can fluctuate for up to six months.

Realistic expectations

The decision to have PRK is an important one that only you can make. The goal of any refractive surgical procedure is to reduce your dependence on corrective lenses. However, we cannot guarantee you will have the results you desire. The vast majority of our patients are extremely happy with their vision after PRK and can do most activities without dependence on corrective lenses.

PRK is a safe, effective and permanent procedure, but like any surgical procedure, it does have some risks. After PRK, almost everyone experiences some visual side effects.These visual side effects are usually mild and temporary and have a tendency to diminish over time. But there is a slight chance that some of these side effects won’t go away completely, including light sensitivity, glare and halos. Serious complications to PRK are extremely rare.

Since everyone heals somewhat differently, some patients may over react to the procedure and some may under react resulting in overcorrections and undercorrections. Once the eye has stablized (3 to 6 months) you and your doctor can discuss whether a re-treatment could help fine tune your vision if you are over or under corrected.

After a thorough eye exam, you and your doctor will determine if PRK is an option for you. If you are a good candidate, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed.Be sure you have all your questions answered to your satisfaction.

Vision Correction Provider Checklist

The decision to have laser or surgical vision correction is an important one that you should make carefully, not quickly. Choose a practice that focuses on safety, diagnostic technology, post-operative follow-up. Obviously, the experience of the surgeon is extremely important as well. We hope you will choose Lake Lazer Eye Center as your provider, but if you’re shopping around, use this checklist to compare.

Does the surgeon perform at least 1,000 vision procedures per year?
Yes
No
Does the surgeon use an Intralase laser to perform Intralasik?
Yes
No
Does the surgeon use FDA-approved customized lasers, such as Zeiss Mel 80, Zeiss VisuMax, Visx Star S4 and Intralase FS laser?
Yes
No
Does the center use wavefront analysis to take measurements of the eye pre-operatively and post-operatively?
Yes
No
Does the center have access to multiple lasers and non-laser technologies to allow the surgeon to choose the best treatment method for each patient?
Yes
No
Does the center measure the size of the patient’s pupils in order to ensure the appropriate treatment zone is used to avoid post-operative side effects?
Yes
No
Does the practice test for dry eye before the procedure?
Yes
No
Does the surgeon use powderless gloves? (Many doctors do not wear gloves to save money).
Yes
No
Does the center sterilize all the instruments for each eye and use a separate blade (in traditional LASIK) for each eye? (Another cost savings step that is not as safe.)
Yes
No
Does the center take the time to explain complex issues such as monovision and presbyopia and how they will affect your vision after age 40?
Yes
No