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Myopia or nearsighted vision results when your eyeball is too long, or
if the front, center surface of the eye (the cornea) is curved too much.
Light will focus in front of the retina, causing blurry vision. This is
not a disease but a normal variation in the shape of the eye.
A laser emits cool pulses of ultraviolet light which cleanly, precisely
and smoothly removes a very small amount of tissue at the front of the
eye. This corrects the problem curve of the cornea and allows light to
focus properly on the retina, resulting in clearer vision.
Improved, clearer vision. Ninety-seven out of 100 of our patients achieve
20/40 vision or better, which means they can drive, work or play sports
without glasses or contact lenses.
Doctors performed the first procedure in 1987. Studies to date report
excellent vision stability for more than 10 years after treatment.
No cases of blindness have occurred in the close to one million procedures
performed worldwide, to date. There is a very small risk of infection
2 out of 1,000 individuals. When it arises it is handled by antibiotics.
The risk is extremely low because the soft contact lens applied acts as
a bandage to protect the eye from dust or other particles. Should your
eye drift off focus during the procedure, the doctor can stop the laser
instantly and restart treatment when your eye is once again focused.
You might experience night glare. Night glare appears as "halos"
around lights. This usually subsides in the first few months following
laser correction.
Hyperopia occurs when an eye is too short for the cornea's curvature.
Light rays entering the eye focus behind the retina and, as a result,
a blurred image is produced.
Astigmatism can exist alone or in combination with nearsightedness or
farsightedness. With this condition your eye becomes oval-shaped like
a football instead of round, causing distortion when the eye tries to
focus.
Presbyopia is commonly known as "old age vision". It is a condition
where there is a diminished power of the eye in accommodating near-to-far
distances. This arises from loss of elasticity of the lens, as is typical
with aging over 40. Laser surgery does not treat this condition.
Generally, to determine if you are a candidate, the technician or doctor
will read your glasses and refract your eyes to determine your prescription.
If it permits, a topography of your eyes will be taken, which reads the
surface of the eye. We will discuss the surgery procedure and inform you
about our financing program.
The doctor uses an FDA approved laser (either VISX or Summit brand).
It is an excimer laser, which is a cool beam laser that ablates cells
from the cornea, reshaping the surface.
No, the actual Excimer laser surgery procedure does not hurt. Before
surgery, you are given medicated drops to numb your eyes. Some patients
do experience discomfort during the first 12-24 hours after surgery, and
medication is available if you are uneasy about this possibility.
You can have the procedure and be back to your normal day-to-day activities
very quickly. Most people return to work within two days. Generally, one
day for LASIK and two to three days for PRK.
Generally, it is not covered by insurance because they consider it an
elective procedure. You should, however, check with your individual insurance
company to verify their coverage.
During treatment you sit in a chair which is very much like a recliner-type
chair. Your head is secured in the chair to prevent movement. You are
fully conscious and only numbing anesthetic eye drops are used. You will
be instructed to stare at a light while the laser pulsing occurs. A special
device will be used to prevent blinking during the procedure.
As the flap on the cornea is made (about the thickness of a contact lens)
you may hear mechanical noise. It is important that you do not squeeze
your eye and continue breathing normally during this part of the procedure.
After the flap is made and the microkeratome (below is a picture of microkeratome)
is removed, your vision will return but it will be very hazy.
The surgeon programs a computer which controls the laser pulses with
a precision that a surgeon alone could never duplicate. The computer calibrates
and maps the exact measurements of your eye. The laser pulses occur for
about 20 to 60 seconds.
Laser vision treatment itself is painless. There may be some discomfort
in the days following the treatment. It is important that you keep your
eyes closed as much as possible after surgery and do not rub the eyes.
Protective shields are placed on the eyes at night so that you don't
accidentally rub the eyes in your sleep.
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