Clearer Vision
Glasses & Contacts - Optical Center

Vision Correction -Surgical/Laser

Medical/Surgical
Eye Care

 LASIK
 
Frequently Asked Questions
WHAT IS LASIK?
LASIK, (Laser Assisted In-Situ Keratomileusis) is a vision procedure that uses a laser to change the shape of the cornea (the clear dome over the colored part of the eye), improving it’s ability to focus.
 


THREE STEPS TO CREATE CLEAR VISION!

· STEP ONE: Using the Hansatome Microkeratome, our surgeon creates a small protective flap of corneal tissue, thinner than the thickness of a credit card, on the surface of the eye.  This protective flap is gently lifted back.

· STEP TWO: The VISX Excimer Laser applies a cool beam of light which gently reshapes the cornea, allowing images to be more sharply focused onto the retina.

· STEP THREE: The protective flap is then gently placed back in its original position and begins healing immediately.
 

WHAT KEEPS THE FLAP FROM MOVING?
  The flap adheres to the inner surface of the eye immediately after returning the flap to its original place. The epithelial layer of the eye begins to seal the edges of the flap within just a few hours. Gradually, the eye continues to settle and heal completely. You cannot rub your eye and move the flap once the initial healing period has passed.
 
WHO IS A CANDIDATE?
  A patient of at least 18 years of age with a stable prescription for one year, good eye health, sufficient corneal thickness and good general health.

  Nearsightedness, farsightedness and astigmatism can all be correction with LASIK. 

  Non candidates include some diabetic patients, some rheumatoid arthritis patients, all pregnant or breast feeding mothers or patients with severe glaucoma, patients with cataracts may or may not be candidates based on  severity and progression.  This will be determined b your doctor. 

  ONLY YOUR DOCTOR CAN DETERMINE IF YOU ARE A GOOD CANDIDATE, DURING YOUR COMPLEMENTARY AND COMPREHENSIVE EVALUATION.
 

CAN ALL VISION PROBLEMS BE CORRECTED?
  LASIK can reduce or eliminate nearsightedness, farsightedness, and astigmatism.

  It will NOT cure the age related condition known as presbyopia, the inability to see up close after age 40. There is, however a procedure made just for presbyopic patients. See the information regarding CK (conductive keratoplasty)

   There is another alternative to reading glasses that does use the LASIK procedure. It is known as “monovision”.   At Advanced Eye Center, we have been performing successful monovision for years. Our refractive coordinator and doctors will explain it in more detail during your free evaluation.  
 
 WHAT ABOUT THE “OTHER GUYS” WITH AMAZING PRICES?
  A lot of the “other guys” use deceptive and misleading advertising to attract patients into their office. Most patients do not qualify for the advertised price. Usually, the advertised $999 eye will become several thousand after the patient has to purchase their pre and post op medication, follow-up visits and enhancements. The amount of prescription the patient needs corrected adds additional fees.
  Some Laser vision correction centers utilize yesterday’s technology- older lasers that do not have 3-D eye tracking, variable spot scanning, and larger treatment areas/ blend zones. These are important for a good visual outcome. There have even been centers reported to re-use instruments on patients that were intended for one use. There are a lot of ways to “cut costs” but not at the expense of your vision.
  Most importantly, our surgeons are here 7 days a week for you both before and after your procedure. Many “high volume” centers bring in doctors from out of town, or even out of state. Where will your surgeon be when you need him?
  At “discount” centers, your pre-op and post-op care will be farmed out to others, including those with no medical license. Another way some centers have cut-rate prices is to have staff with little or no training in the LASIK procedure.
  For a CBS online expose’ of some local “cost cutters” with misleading advertising, click here: http://www.cbsnews.com/stories/2003/03/26/health/main546240.shtml. (you will be directed to another page, hit BACK to return)
 
WHAT KIND OF LASER DO YOU USE?
  We use the most advanced and proven laser, the Visx StarS4 Active Trak excimer laser with variable spot scanning, 3-D eye tracking, and larger treatment zone capability with wavefront technology available. We use this laser on all our LASIK patients.  We never use older, outdated or cheaper lasers, even on the “easy” cases.  Even patients with a small prescription deserve the latest technology.
 
WHAT IS CUSTOM LASIK?
   Wavefront (often called custom LASIK) is a relatively new and exciting technology that measures the eye in ways we never could in the past. It was modified from technologically advanced telescopes used to see very far into space. In the past we could only check your prescription in a room with the eye chart, but wavefront LASIK uses light rays to capable of reading 200 individual points in the eye and making a “blueprint” of your eye. This information is transferred into the laser and guides the laser during your LASIK treatment, specific to the unique shape of your eye.
  Be cautious about other centers advertising they have wavefront technology. There are several different “brands” that will measure a waveform, but only a few are FDA approved to link to the laser. At Advanced Eye Center, our Wavescan interfaces with our laser using the latest technology available, the VISX Star 4 Active Trak excimer laser. VISX was the first laser the FDA approved to use Wavescan images for treatment.
 
WHAT KIND OF RESULTS CAN I EXPECT AND WILL IT LAST FOREVER?
   Depending on your prescription and how quickly you heal, LASIK results can be seen right away.  Patients can often see a clock on the wall in the laser room immediately after the procedure. 
  Since LASIK permanently reshapes your cornea, your results last a lifetime.  Patients that have had the procedure up to ten years ago still enjoy their corrected vision.  The results of LASIK are considered permanent.  Your vision may change again in the future due to an eye condition or natural aging of the eyes.  The chances of going completely back to the blurred vision you may have today is highly improbable.
 
DOES THE PROCEDURE HURT?
  LASIK is considered a painless procedure. There are no needles, no stitches, no
bandages.  We use local anesthetic (numbing) eye drops.  The rare person may feel some minor discomfort or a scratchy sensation for a few hours following the procedure, but most patients are quite comfortable after having a short nap and using the eye drops that we provide.
 
WHAT ARE ENHANCEMENTS?
    Enhancements, also called "touch-ups," or "retreatments" are usually done in 3 months if needed.  If, for any reason, there is any residual prescription remaining after your procedure, we would evaluate this at one of your follow up visits and re-treat at your convenience. At Advanced Eye Center we have less than a 1% enhancement rate (much lower than the national average), but it's nice to know touch-ups are included if you should need them.
 
WHAT DOES THE COST OF THE PROCEDURE COVER?
    Your fee covers your evaluation, all the extensive pre-operative testing, your consultation with the refractive coordinator, your consultation with the doctor, the facility fee, the doctor's fee, the procedure itself, all supplies used during the procedure, all of your eye drops, medications, all of your post-operative care for one year and any enhancements should you need them, which will be evaluated at the three-month post-op mark.
 
WHAT WILL THE EVALUATION BE LIKE?
  You will make an appointment to be seen at a time that is convenient for you.  You will meet a technician who will begin the in-depth exam that includes completely painless extensive testing.  This information will provide the physicians with precise and detailed information necessary for your personalized treatment. 
  We will measure your corneal thickness, take a personalized corneal map and do a dilated and undilated refraction, measure your intra-ocular pressure, and check your vision. 
  You will then have a personal consultation with the refractive coordinator to discuss the LASIK procedure in detail, and have all of your questions answered.
  You will then meet with the doctor of your choice to develop a personalized and custom plan specifically for your eyes.  This is also the opportunity to ask any further questions you may have. You will need to allow approximately 2 hours for this comprehensive eye examination.
  The doctor will determine if you are a good candidate for LASIK, we will not do the procedure unless you fit the criteria for a ideal LASIK patient.
  You can drive yourself to and from your evaluation and we have dilation reversal drops for your convenience.
 
IS LASIK COVERED BY MY INSURANCE PLAN?
Not usually, however we encourage you to contact your employer and your insurance company. LASIK is now more affordable than ever with a flexible monthly payment plan.  Vision Fee Plan (VFP) is a financing company we work with that has monthly payments as low as $76 and APR's as low as 5.9%.  There is also a 12 months, same a cash option with no up front payment. Click here to link directly to the Vision Fee Plan site.  www.visionfeeplan.com
 
ARE THERE ANY RISKS?
Less than 1% of all patients experience any vision reducing complications. We have had no cases of blindness resulting from LASIK.  Although very uncommon, side effects of LASIK can include delayed healing, haze, flap complications, corneal irregularities, dry eyes and glare at night.  A careful and thorough review of all benefits and risks will be addressed during your consultation and evaluation.
 
WHAT WILL MY RECOVERY BE LIKE?
Most LASIK patients usually see very well the next day.  So well , in fact, the majority of our patients drive themselves to their one day post operative appointment, and return to work that day.  Your recovery time will depend on how high your prescription was, and on personal healing patterns.
 
 
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