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No, LASIK or PRK does not improve the level of your vision. It may be said it improves your vision in the sense that you may no longer need to wear corrective lenses to see. But it does not cure or improve vision problems such as macular degeneration, diabetic retinopathy, lazy eye, etc.

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No web page nor even a one on one discussion with your doctor could ever cover every possible risk. But some of the possible ones are:

  • Overcorrection
  • Undercorrection
  • Infection
  • Blurred vision
  • Glare
  • Loss of clarity or contrast of vision

(Many of the above symptoms are similar to problems with contact lenses.)

Recent studies have indicated contact lenses may pose a greater risk than LASIK surgery

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Very few people need full time correction after the surgery. When undercorrection occurs it is usually to such a slight degree “part time” wear of glasses for special circumstances is usually adequate. In the rare case, yes contact lenses can be fit.

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  1. Do not rub your eye for seven days
  2. Do not rub your eye for seven days
  3. Do not rub your eye for seven days. (The above is repeated 3 times because of it’s importance. Rubbing the eye in this period could dislodge the corneal flap and require another procedure and greatly slow healing)
  4. Wear a protective shield home from the surgery and at bedtime for seven days.
  5. No makeup for seven days
  6. No swimming or hot tubs for seven days.
  7. Use your drops as instructed.

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There are MANY factors that need to be evaluated to determine if a patient is a candidate for LASIK.

Some general guidelines for CustomVue LASIK:

  • Up to -10.00 diopters of nearsightness
  • Up to +3.00 of farsightedness
  • Up to -3.50 diopters of astigmatism
  • A stable prescription
  • Minimum 21 years of age.
  • Sufficient Corneal Thickness.

For Standard LASIK the prescription range is broader:

  • +6.00 to -14.00 diopters
  • up to 4 diopters of astigmatism

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The procedure is designed to last for the rest of your life. The current information indicates the cornea when modified will remain stable once the healing is done and it will stay modified permanently. There have been cases of regression (the nearsightedness or farsightedness returning), but they have been rare and have been retreatable.

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Your vision and refraction will be measured in several ways with and without drops. The drops used during this evaluation are stronger that the typical eye drops used in a “routine examination”, and your vision will be blurry up close and your eyes sensitive to light for about 12 hours. The front surface of your eye will be examined with a microscope and computer to ensure you are a candidate for the procedure. A examination of the eye will also be performed to ensure there are no other ocular conditions that would interfere with the procedure. An in depth “informed consent” will be given to ensure you understand the procedure and the possible complications.

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First, we get you ready for the procedure with a series of eye drops. We explain the entire procedure with you, so you are aware of what happens next.  The total time in the LASIK Suite with the doctor is usually less than 10 minutes.

After your initial eye drops, we walk you into the LASIK Suite, where you lie down on the surgical bed. Your head rests in a horseshoe shaped pillow, so it feels stable and secure.

The doctor then holds your eye open with a lid holder, and more numbing drops are added.

A small metal ring, called a microkeratome, is placed on your eye, and a light pressure is applied.  Your vision will go dark for a few seconds.  You will then feel a slight vibration when the flap is being created.

The doctor then removes the ring, your vision comes back, and the flap is done! The doctor then opens the flap (which is a very thin 140 microns), and centers you under the laser.  The doctor will let you know how long the laser will be applied.  He will count down for you, so that you know when the laser will be done.

When the laser treatment is complete, the doctor will irrigate the eye, and close the flap, smoothing it back into place.  He will remove the lid holder, and check that the flap is back in place.

He will then repeat the process with the other eye.

After both eyes are done, you will walk over to the slit lamp for a final check.  The doctor will walk you out to the post op area, where more drops will be applied, and your post op instructions will be given.  We will put your sunglasses on, and send you home with instructions to keep your eyes closed for the remainder of the day.

Total time at the LASIK center is usually about one hour total.

 

 

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Both PRK and LASIK are designed to be painless. Anesthetic drops will be used just before the surgery begins to ensure you feel no pain. Pressure sensations, vibrations and touch are all expected but do not cause discomfort.

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There are a lot of factors which determine if you’re a good candidate. You must be 21 years or older. Your prescription must be within range of treatment. Your eyes should be in good health. A discussion with your eye doctor will be a much better way to determine if you’re a good candidate.

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PRK and LASIK are both effective surgical procedures for correcting nearsightedness, astigmatism, and farsightedness. The top layer of cells are removed using PRK exposing the treatment area, while LASIK involves making a flap from these cells to expose the area. The end results are very similar, it’s just a matter of how and when they are achieved.

  • PRK has a higher risk of residual cornea haze though the rate is still very low.
  • There is less discomfort after LASIK
  • The final result is quicker with LASIK
  • Less postoperative drops are usually required for LASIK

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  • Overcorrection
  • Undercorrection
  • Infection
  • Blurred vision
  • Glare
  • Loss of clarity or contrast of vision
  • (Many of the above symptoms are similar to problems with contact lenses.)
  • It is impossible to cover every possible complication from refractive surgery or any surgery.

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No. There are some pre-operative procedures that must be completed beforehand. If you are over 40 it is important that you understand that to date PRK OR LASIK cannot correct the need to wear glasses for reading (presbyopia). The tests that must be completed before your refractive surgery procedure are:

  • Eye History & Examination to determine refractive error, absence of eye disease and your expectations of the procedure. (Previous examinations or your current glasses should be obtained to determine if your prescription is stable.)
  • Corneal topography (a topographical map of your eyes)
  • Pachymetry – A measurement of the thickness of your corneal to determine if the surgery is possible.
  • Hard and gas permeable contact lenses should be removed 3 weeks prior to testing and if there is any question as to the stability of the refraction, they should be left out until the refraction is stable.
  • Soft contact lenses should be removed 1 week prior to testing.
  • It is essential that contact lenses are removed for the appropriate time before testing.

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No. No honest surgeon can guarantee you 20/20 vision after the surgery. In our experience we have had results of better than 20/20 vision (20/15), and most with vision 20/20 to 20/40 (20/40 vision will pass a driver’s test in Pennsylvania.)

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There are very few, if any, insurance companies that currently cover the surgery. Most insurances consider LASER vision correction to be cosmetic, or part of normal vision care (which usually isn’t covered). Please contact your insurance provider to see if they offer any coverage for LASIK.

We do offer financing with a 0% interest option to help make the surgery more affordable.  

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