The Eye Practice

Some people are not well-suited for laser eye surgery, typically due to a high degree of myopia (nearsightedness) that is not significantly corrected through laser procedures. Many feel they are resigned to glasses or contact lenses for the rest of their lives.

Fortunately, this is not the case. There are alternatives for those of you whose vision cannot be corrected well by laster surgery.

ICL or Phakic Lens Implants

ICL stands for “Implantable Contact Lens,” and fits over the natural lens of the eye, which is important for focusing flexibility. “Phakic” is the other term for the Intra-Ocular Lens (IOL, ICL), and it is meant to enhance, not replace, your natural lens.

The implants go behind the iris, but in front of the lens to correct and enhance your vision. The procedure is based on cataract surgery, but the natural lens is not removed.

     

Who Will Benefit?

The best candidates for ICL or Phakic lens implants typically fall into the following categories:

    Ages 18-40
    Chronic Dry Eye problems
    Severe Myopia (nearsightedness) - anything between -5.00 to -20.00 diopters
    Typically healthy eyed, with no history of retinal detachment
    Little to no astigmatism (less than 2.5 diopters)
    Stable eyesight, with no changes over .5 diopters within a six month period
    No presbyopia or hyperopia present (no mix of nearsightedness and farsightedness — the surgery is not suitable to correct hyperopia or presbyopia)
    Those who have thin corneas and have been disqualified from laser surgery

These implants are temporary and removable. Inevitably, as we age, cataracts develop, and the lens implant will have to come out. If, for any reason, the procedure needs to be reversed, it can be done easily.

Benefits & Risks

There are a number of benefits and advantages, and minimal risks with lens implants.

    There is less risk of post-operative issues, such as halos, glare, impeded night vision, and difficulty seeing in low light than with laser surgery.
    Unlike laser procedures and lensectomy, the structure of the eye does not change. This means that you will retain your natural focusing abilities.
    Post-operative pain and discomfort is almost entirely eliminated.

There are three risks with ICL or Phakic lens implants:

Infections. Although rare, it is possible that an infection in the eye can develop, causing complications. These risks are minimized by using a thoroughly sterile environment.

Premature cataracts. In very rare cases, premature cataracts develop. This risk can be minimized with an experienced eye surgeon, however.

Glaucoma. Also not common, but it is possible by trying to squeeze the artificial lens into position, the internal drainage system of the eye can block, which in turn raises the pressure in the eye and causes glaucoma to occur.

You don’t have to tolerate corrective lenses that make your eyes look strange, or deal with contact lens maintenance constantly. If you have been told that laser eye surgery is not for you because of severe myopia, thin corneas, or severe dry eye, you may want to discuss ICL or Phakic lens implants with your us. Dr Jim Kokkinakis can help you determine if you are a good candidate for the procedure, and teach you about the risks and benefits of the surgery.

 

Laser Eye Surgery is certainly not for everyone.  In fact at least 25% of the people that inquire about Laser Eye Surgery are suitable for a variety of reasons.  It is imperative to be screen by someone that is experienced in who is suitable as treating unsuitable patients can turn out to be disastrous.  

If you’ve been disappointed to find out that you are not eligible for laser eye surgery, either due to your age, or that your prescription vision correction is too high to make laser surgery worthwhile, you don’t have to resign yourself to being stuck with glasses or contacts for the rest of your life. Actually, there is an alternative that you might find fitting for your vision needs.

REFRACTIVE LENSECTOMY

This procedure, called a refractive lensectomy, is ideal for many patients who do not fit the criteria for laser eye surgery. Basically, a lensectomy does not reshape the cornea as it would with lasers — instead, the natural lens of the eye is removed (hence the name “lensectomy”), and replaced with a permanent, human-made polymer lens. This new lens allows the eye a bit more flexibility with focusing (refractive - especially at distances), and will reduce or eliminate your dependence on glasses or contact lenses.

                         

Best Candidates

The ideal patients for a lensectomy typically fall into the following categories:

•    Age 45 and over
•    Have been disqualified from laser procedures, due to thin corneas or other reasons
•    Have signs of cataracts (early stages)
•    High prescriptions, either nearsighted or farsighted
•    Have a dependency on corrective lenses for both nearsightedness and farsightedness
•    Have no signs of other eye ailments (such as glaucoma or potential retinal detachment).

If you have the need for bifocals or multifocals, and are over age 45, then you might be a good candidate for a lensectomy procedure. You may be able to eliminate your need for corrective lenses entirely, or ditch the bifocals and just need reading glasses.

While lensectomy greatly improves your focusing capability, it does not always correct it entirely, and, if you still have the ability to focus well (in other words, your eyesight is still flexible), you will lose your natural focus powers. Therefore, this procedure is best for those who are older than 45 years, and have lost that ability through the natural aging process. 

Surgery & Recovery

The surgery is quite simple, and you would not be put under general anesthesia —you would only be given a sedative if needed, and a topical anesthetic would be used. Your natural lens is removed, and the manufactured lens is put in its place. No stitching is required (in the majority of cases), as the incision that is made seals itself through your eye’s natural pressure, and then heals itself.

There is little discomfort during the healing process, and many patients are able to see clearly in just a few hours after the operation. If you have astigmatism, it will be corrected during the procedure using limbal relaxing incisions (LRIs) —tiny incisions in the cornea —which will alleviate astigmatism symptoms.  Lately lens implants have been designed that also correct astigmatism, which has nearly made the relaxing incision procedure obsolete.

During recovery, you may experience occasional blurriness as tear film and fluid in the cornea fluctuate. Additionally, light sensitivity is often reported for several weeks after the surgery.

If you are interested in this procedure, discuss it thoroughly with Dr Jim Kokkinakis. He can detail the risks and assess you for candidacy for this procedure.  Call us on 9290 1899 or <CLICK HERE> for an appointment.

Sometimes, there’s just something about the words “blade” and “eye” that don’t want to go together. No patient enjoys the thought of having any kind of flap cut into their eye — even though the procedure is relatively safe. However, there are risks of complications when using a microkeratome blade, especially if the flap is cut too thickly. You may just not like the idea of having a blade cutting a flap open to ready your eye for the laser portion of the procedure. 

Cutting the Flap: Complications

In fact, there are several potential complications with cutting a flap for LASIK, particularly with the blade. The flap can be too thin, too thick, misshapen, incomplete, or cut off completely. All of these mishaps can result in complications with the eye, and vision problems. Additionally, the problem with cutting flaps is that they can become wrinkled if you rub your eye, or later on down the road, if you are involved in contact sports. Finally, the flaps do not always heal completely, and are weakened, and can become decentered. 

A Safer Alternative

Eye surgeons and eye care professionals are turning toward surface laser ablation as a safer alternative. There are several reasons for this:

•    Surface laser ablation uses no blades. There is no cutting into the surface of the eye, reducing the chance of complications from the flap never healing properly, and other potential complications.
•    Surface laser ablation reduces the risk of postoperative dry eye. Because the nerve endings are not cut (as there is no cutting involved), your tear secretions are not as readily affected.

•    Surface laser ablation has positive treatment outcomes without the regular LASIK complications. This is a safer alternative, and, while no surgery is 100% safe, some of the normal risks are reduced with this procedure.

 

Above are images of eyes that have been freshly lasered with no flap.  Notice the irregular finish.  This gives an inferior vision result to Lasik in the first week or so, from which time this irregularity heals and the vision will finally match the Lasik result in most cases.

Procedure

Surface laser ablation uses excimer lasers to reshape the surface of the cornea to correct vision. It is indicated for people with myopia (nearsightedness), hyperopia (farsightedness), and astigmatism, and who have thin corneas.

Many people think this is the old PRK procedure. While it is similar in principle, the advancement of technology has greatly improved the procedure itself, as well as recovery times. Improvements include:

•    Being able to drive within 24-48 hours from surgery (with PRK, it took at least one full week, and up to six months to see full results of the procedure).
•    You would have less discomfort with surface laser ablation as it’s practiced today, thanks to improved excimer lasers, better post-operative contact lens “bandages” and comfort drops.

There are several types of surface laser ablation that can be used, to customize treatment to your specific vision needs: Epi-LASIK, where the epithelial cells are removed with a tiny separator, LASEK, where the epithelial cells are loosened with an alcohol solution and then removed manually, and trans-epithelial PRK, where the epithelial cells are ablated with the same laser that will be used to reshape your corneas.

Talk to Dr Jim Kokkinakis at The Eye Practice to determine which procedure is right for you.

Laser Eye Surgery depending on the patient and the outcome required can come in many forms.  By far the most common is LASIK.

If you’ve decided on LASIK to correct your vision, you’ve probably found out that there are many different types of laser eye surgery. Also, you’ve probably also found out there are a number of different instruments that can be used to complete the LASIK procedure.

One of the biggest debates among doctors, and, subsequently, among patients, is the use of the Femtosecond laser versus the microkeratome blade. A simple look at the differences between the two are presented below — from the perspective of patients and their doctors.

A Comparison, Side-By-Side

There are several reported differences between the use of the femtosecond laser and the microkeratome blade, by both doctors and patients. Below are several points to examine when considering LASIK surgery.

•    Discomfort levels. Some doctors have reported that patients seem to experience more feelings of pressure and discomfort during the procedure with the femtosecond laser than patients who have had the surgery with a microkeratome blade.

•    Recovery time. While recovery time with LASIK, both using a femtosecond laser or microkeratome blade, is similar. However, some patients report fuzzy vision for the first week or so with femtosecond, but not with microkeratome. However, there are some conflicting reports that femtosecond has faster visual accuracy recovery over microkeratome usage.

•    Length of time in surgery. The actual time in surgery with femtosecond usage is longer than with microkeratome blade usage.

•    Cost. Femtosecond is more expensive than microkeratome.

 

•    Accuracy of flap shape and completeness. Some doctors report that the flap creation is cleaner and sharper with femtosecond laser usage, and a thinner flap can be created with femtosecond lasers — the thinner the flap, the better the post-surgical outcomes.

•    Risks and complications. The difference in risks and complications is often said to be negligible. However, for patients with certain eye conditions, such as epithelial basement membrane dystrophy, a microkeratome blade is not advisable, and a femtosecond laser is the better choice.

•    Evolution of technology. Side-by-side, improvements of both the femtosecond laser and the microkeratome blade come along often enough to not put one too far ahead of the other.

Ultimately, finding a doctor you trust who uses the tools you want used on your eye is the important part. The treatment outcomes for both femtosecond laser use and microkeratome blades are similar, and have negligible differences in risk. In fact, the differences between femtosecond laser and microkeratome depend on physician and patient comfort and experience. When consulting with your eye doctor, you will want to take into consideration some of the following things:

•    Do you have any conditions that would make one piece of technology the superior choice over the other?

•    What kind of tools does your eye doctor or surgeon have the most experience with?

•    What kinds of complications have they seen with their patients, with both femtosecond laser usage, and microkeratome blade usage?

Dr Jim Kokkinakis has worked as a consultant and an optometrical educator in the largest Laser Vision Correction Centre in Australia for 6 years between 1996 and 2002.  During this time up until now he has seen thousands of patients that have had the procedure.  He is therefore very experienced in choosing the right procedure and the right laser Eye Surgeon for the appropriate patient.  Call us on 9290 1899 now to make an appointment to work out if Laser Eye Surgery is right for you.

Laser Eye Surgery to try and reduce the dependence on glasses has been around in Australia since 1991.

These days some people who are tired of having to wear glasses and contact lenses all the time often find themselves looking into LASIK eye surgery to correct their vision problems.

If you’re one of the many looking for an alternative to traditional vision correction, you might be wondering about LASIK and other laser eye surgeries.

Which one is best?

There are many different types of laser eye surgeries, and determining which one is “best” could be misleading. The better question might be, “which one is best for you?”

•    PRK Surgery: This is the “pre-LASIK” surgery that was developed in the 1980s. It stands for “photorefractive keratectomy,” and uses a cool ultraviolet light beam to ablate corneal tissue to reshape the cornea. Recovery takes a lot longer than with LASIK, but it is often a better alternative for patients with thin corneas.

•    LASIK: “Laser-assisted in situ keratomileusis” is a popular choice for many people due to its fast recovery time (as short as a day in many cases), and reshapes the cornea with cool ultraviolet light — after creating a flap in the cornea, which can be done with a special tool called a microkeratome, or a laser. This surgery is not recommended for people with very thin corneas.

•    Wavefront LASIK: This is also known as “custom LASIK,” and follows regular LASIK procedures. It is not for people with thin corneas, but will often work for those have high degrees of nearsightedness, farsightedness, or astigmatism.

 

•    LASEK: Standing for “laser epithelial keratomileusis,” and is different from PRK and LASIK procedurally. A thin, epithelial layer is removed prior to reshaping the cornea with a laser, and then replaced onto the surface of the eye. This surgery is for those with thin or steep corneas so much so that LASIK is inappropriate for them.

•    Epi-LASIK: While similar to both LASIK and LASEK, Epi-LASIK uses different tools in order to preserve epithelial cells. This type of surgery works best for patients who have lower degrees of myopia. The recovery time is longer than with LASIK, with final results of vision improvement sometimes taking as long as six months.

•    Bladeless LASIK: The procedure is similar to LASIK, but uses 100% lasers (femtosecond) in order to cut the corneal flap and to reshape the cornea. While complications with regular LASIK are rare, bladeless LASIK reduces the risks even further.

Currently, LASIK is not appropriate for people with presbyopia (both near and farsightedness), although PresbyLASIK is currently being developed for approval in the United States, it is approved in other countries. If you’re in the US and have presbyopia, you may want to talk to your eye care professional about getting in on a trial study. In Australia PresbyLASIK is available but success is far from guaranteed.  It compromises distance and near vision to try and get an overall independence.  Some people will love it, some people will hate it - careful assessment and boxing in of expectations are required.

Some laser surgeries for the eye are not for everybody. People with diabetes, autoimmune disorders such as AIDS, lupus, rheumatoid arthritis, or similar disorders, or eye conditions such as glaucoma, retinal disease, cataracts, or corneal scarring, possibly would not do well with the surgery.

Discuss your personal options with Dr Jim Kokkinakis at The Eye Practice.  He has worked part-time in the largest laser centre in the country from 1996 to 2002.  During this time he was responsible for the Laser Eye Surgery education program and lectured nationally and internationally on Laser Eye Surgery - its advantages, its disadvantages, its complications and it solutions - make an appointment now for a Laser Eye Surgery Assessment on 9290 1899 or book an appointment online by <CLICKING HERE>.

Laser Eye Surgery has progressed in leaps and bounds since the 80's when it was first introduced.  In Australia the first laser eye surgery procedure was performed in 1991.

When the layperson thinks Laser Eye Surgery, they will normally think of "getting rid of glasses".  There is no doubt that a significant portion of Laser Eye Surgery is done for vision correction but it also has multiple other applications when it comes to eyes from glaucoma treatment, to macula degeneration treatment, to diabetic retinopathy treatment to lately, having application for cataract treatment.

Even though Laser Eye Surgery has many applications in the eye, it is not the same laser that is used in all parts of the eyes.  Different frequencies (colours) and intensities are used.

The latest Laser Eye Surgery uses the Femtosecond laser.  That's all well and good but what is it?  More importantly what are its uses and what advantages does it bring to the table for a prospective patient?

  

The Femtosecond laser has been developed primarily for vision correction.  The larger eye laser centres seem to have upgraded to this technology.  Why?

They have upgraded because it brings some distinct advantages:

1. LASIK, the main laser vision correction procedure requires a thin flap to be made using the top 20% of the cornea.  Older procedures used a mechanical device called a microkeratome.  Even though this instrument was quite accurate it still caused some imperfections.  The Femtosecond laser is able to create this flap more accurately.  We have now seen many procedures with flaps created by the Femtosecond laser. There is no doubt it is a better way of doing Laser Eye Surgery for vision correction.
2. The Femtosecond Laser will eventually do the vision correction component.  Currently the patient needs to be moved to another laser device for this.
3. Corneal Transplants are not that common when compared to other eye procedures like cataract but the Femtosecond laser has been shown to have some application in this highly technical eye surgery area.  The old cornea is normally cut out with a mechanical device called a trephine.  It seems that this now will be relegated to an antique by the Femtosecond Laser.
4. Cataract Surgery has evolved over thousands of years to what is now an unbelievably accurate and safe procedure.  The Femtosecond Laser has evolved into this very mature surgical technique to make it even better. Or so it seems.

Currently at The Eye Practice we follow this technology very carefully as we prefer to refer our patients to the best surgeons, who offer the latest but proven procedures.  We highly recommend laser Eye Surgery using the Femtosecond laser but currently are still following its use for cataract surgery.  It seems that with cataract surgery, there is still a learning curve that many of the surgeons are still going through.

One thing is for sure.  Femtosecond Eye Laser Surgery is here to stay.  Its application will slowly permeate through eye surgery and will have many applications, which will only mean safer and better procedures for those seeking them.  Call us on 92901899 or Book an Appointment Online if you would like to find out whether you are suitable for Femtosecond Eye Laser Surgery.

 

Laser Eye Surgery is synonymous with throw away your glasses and contact lenses but...

Throwing away glasses and contact lenses can sometimes be achieved with other eye procedures, which most people have not heard about.  In this post and in future posts we will go through a number of procedures; some that use the Laser, and some that don't. Ultimately these Eye procedures are designed to minimise the use of glasses and contact lenses.

The first Laser Eye Surgery Procedure was performed in Australia in 1991.  Our principal  optometrist Dr Jim Kokkinakis started consulting at the largest laser Eye Surgery Centre in Australia between 1996 to 2002.  During this time he saw thousands of patients seeking independence from glasses or contact lenses.  These days, a day does not go by, that he is not explaining, referring or seeing patients that have had these procedures done.

What most people do not realise is that Laser Eye Surgery is not the only way to eliminate glasses and contact lenses.  There are a number of slightly more invasive procedures that can also achieve a great visual result. 

Which is the best procedure though?

This will depend on a number of variables, but before we go into those let us discuss what are the possible procedures that can be performed on the eyes to eliminate dependence on glasses and contact lenses.  They are:

1. LASIK - this is an acronym for Laser Assisted In Situ Keratomileusis. LASIK is by far the most popular Laser Eye Surgery and Vision Correction Surgery done at this point in time.

 

                          LASIK procedure Video

2. ASLA: This is an acronym for Advanced Surface Laser. This procedure is reserved for eyes that have thin corneas, that LASIK surgery is not safe for.  Its main disadvantage is that the healing time is weeks instead of days. 

When comparing results after 3 months of healing to LASIK, the results are very similar.  It is imperative that if your corneas are borderline thin that your Laser surgeon chooses to do ASLA for you. 

By having Dr Jim Kokkinakis of The Eye Practice do your assessment, he will independently calculate your suitability and recommend a surgeon that will do the correct procedure for you.

 

                                                      ASLA Explained

In our next post we will discuss two other Vision correction procedures, when Laser Eye Surgery is not appropriate. They are called ICL and a Refractive Lens exchange.  These procedures are no where near as common as LASIK or ASLA but certainly are reasonable options for people that are very motivated to correct their vision.  More on these interesting procedures soon.

In the mean time if you are interested in Laser Eye Surgery, do not hesitate to call 9290 1899 or Book an Eye Test appointment ONLINE now.

Laser Eye Surgery is constantly in the news and being advertised.  A day does not go by without Dr Jim Kokkinakis either seeing a patient after laser eye surgery or discussing the option as a possible vision solution.

As previously discussed laser eye surgery is not as popular as contact lenses or glasses.  Most people that are interested in laser eye surgery decide not do go ahead for fear of something going wrong.  After all our eyes are precious and unless it becomes 100% guaranteed most of us will continue to use contact lenses or glasses.

So what happens to the small group that finally take the plunge and decide they will go ahead and correct their vision with laser eye surgery?

Once you have decided to go ahead, the next most important decision to make is who will perform the laser eye surgery procedure?  There are a number of logical ways you can approach this difficult thought process:

1. Ask a friend, who they consulted and if they were happy with the result.
2. Listen out or read the next advertisement about Laser Eye Surgery and use them.
3. Monitor the advertising and see who is the cheapest.
4. Ask an independent optometrist to assess you and go through the pros and cons of the procedure. They will normally have a relationship with a laser eye surgery ophthalmologist, who they trust and have seen their results.

If all laser eye surgery ophthalmologists were the same and used the same equipment, then it is perfectly logical to go with the cheapest.  If they were all the same then why would one charge $900 per eye and another charge $3000 per eye?

What the advertising does not tell you is:

1. Is the surgeon a corneal ophthalmologist? - This in Dr Jim Kokkinakis' opinion is an important consideration, as they specialise in precisely the part of the eye that will get lasered.  In the event of a complication it is imperative to be seen by a corneal specialist to guarantee the best possible outcome.
2. Does the cheap laser centre use the latest equipment (for example the femptosecond laser to create the flap)?
3. Does the cheap laser centre use the latest wavefront algorithms to minimise optical aberrations?

CLICK HERE for an article on cheap laser centres and their pitfalls.

Price on any product or service is about value.  Cars can be purchased for $15,000 or $150,000. I am sure everyone understands there is a difference between cars in different price brackets.

Well the same applies to laser eye surgery.  If you are considering laser eye surgery call us on 9290 1899 or MAKE AN ONLINE APPOINTMENT HERE.

Dr Jim Kokkinakis spent 6 years as consultant in the largest laser eye centre in the country and over the years has seen thousands of patients have successful outcomes.  See him before you make your surgeon choice, as he can refer you to corneal surgeons, who use the latest and best equipment.

 

Laser Eye Surgery is one of the most asked about vision options at The Eye Practice.

As mentioned in a previous post Dr Jim Kokkinakis has consulted for the leading laser centre in the country for a period of 6 years between 1996 and 2002.  He has seen all the complications that can occur, while at the same time seen the overwhelming positive results that usually occur.

It is estimated that around 1/1000 people that have laser eye surgery will have a significant complication that they perceive as devastating.  This does not mean blindness but means that the patient is significantly worse off than they were before the procedure.  We will leave the in depth details of the various complications for another post, but for now just profile, who we think is a good laser surgery candidate:

1. Up to -8.00 Diopters of myopia - it seems that once you try and do more than this the shape of the eye is changed to the point where the vision can be distorted and the patient ultimately not happy.
2. Up to -4.00 Diopters of astigmatism - again beyond this accuracy and final visual quality is less than ideal.
3. Up to +4.00 Diopters of hyperopia.
4. A corneal thickness of greater than 500 microns.
5. Older than 25 years of age and younger than 35 years of age - doing laser eye surgery during this age one can expect roughly 20 years of total independence from any optical aids like glasses or contact lenses.
6. Minimal dry eye problems - dry eye syndrome is a common side effect of laser eye surgery, therefore if there is any pre-existing condition it is likely that after the surgery there can be significant irritation and fluctuating vision, which could be difficult to treat.

What we find fascinating is that the ideal age bracket is not the most common done.  The most common person that has laser eye surgery is in fact a male between the ages of 38 and 42.  We believe that this type patient is quite likely going through a mid-life crisis, which along with the Harley Davidson purchase and getting rid of the glasses, is all about feeling younger.

Another interesting statistic is that laser vision eye surgery (in Australia) tends to be more popular from the beginning of spring through till the beginning of autumn.  It has something to do with better weather, getting outdoors and enjoying the lifestyle.  Glasses and contact lenses can be perceived as a nuisance.  Laser eye surgery gets prioritised more often during these seasons.  Human psychology  is an amazing thing!

If you think you are a good candidate for laser eye surgery call us at The Eye Practice on 9290 1899 or CLICK HERE to make an online appointment so we can check you for suitability.  Successful laser eye surgery patients will tell you, it was one of the best decisions they made in their life.

 

Laser Eye Surgery at the Eye Practice has a history dating back into the 1990's, when it all started.  In fact back in those days our principal Optometrist, Dr Jim Kokkinakis was convinced that Laser Eye Surgery would eventually replace all others forms of vision correction.  He felt that glasses and contact lenses would become archaic devices buried in history. He was so convinced that this would occur that he applied for a consultant position in the largest laser centre in the country and was lucky enough to get the job, back in 1996.

It is now 2011, so why are most people still wearing glasses and contact lenses?

                   

There are a few reasons why people that wear glasses and contact lenses choose not to go ahead with Laser Eye Surgery.  The main reason believe it or not is that they fear something going wrong!

Is this fear reasonable?  Probably not as the risk of something going wrong can be related to driving a car. The risk of something significantly going wrong with Laser Eye Surgery is not much different to getting killed or permanently disabled in a car accident.

Even though they are similar in risk; no one stops driving yet less than 2% of the population goes ahead with Laser Eye Surgery.  This might seem bizarre but it is a normal response.

Our stance on Laser Eye Surgery is that we believe it is a great procedure, as long as you fit the appropriate profile.  At The Eye Practice we are in a position to:

1. Independently assess you for suitability with the latest technology.
   
2. Explain clearly realistic expectations.
3. Refer you to the best surgeons.
4. Manage you in the after care process, when you can feel vulnerable.

What do we mean by vulnerable?  After surgery different individuals will heal in different ways.  We have monitored thousands of patients over the years and we understand the healing process very well.  Careful after care is important.

In future posts we will discuss advances in Laser Eye Surgery and how it applies to different vision categories.  We will also discuss what issues do not make patients appropriate candidates.  Stay tuned.