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Laser Vision Correction

Laser Vision Correction is a procedure that corrects vision by reshaping the cornea using the precision of excimer laser technology.  It is one of the most popular forms of vision correction due to its accuracy, safety, quick recovery time, wide range of correction and minimal discomfort.  The entire procedure takes only a short time, both eyes can be done the same day, and no stitches or patches are necessary. Our doctors personally discuss with each patient their individual needs and expectations and determine which treatment option is best.

Treatment Options

LASIK

LASIK (Laser Assisted in-Situ Keratomileusis) and PRK (Photo-Refractive Keratectomy) are the two most common forms of laser vision correction (LVC). Both procedures use the excimer laser to reshape the corneal curvature. Reshaping the corneal surface allows the light to properly focus on the retina (as with glasses and contacts), providing clear vision. Laser eye surgery is becoming increasingly popular as people discover how much it can change their lives.

LASIK Laser Vision Correction

PRK

PRK is a procedure that corrects vision by reshaping the cornea using the precision of excimer laser technology. It is one of the most popular forms of vision correction due to its accuracy, safety, quick recovery time, wide range of correction and minimal discomfort. The entire procedure takes only a short time, both eyes can be done the same day, and no stitches or patches are necessary.

Implantable Collamer Lenses (ICLs)

An Implantable Collamer Lens (ICL) works with the eye to correct vision.  Unlike traditional contact lenses that go on the surface of the eye, the ICL is positioned inside the eye between the iris and the natural lens where it stays indefinitely.  If your vision changes dramatically, however, it can be removed from the eye.

Frequently Asked Questions

LASIK

Does LASIK hurt?  

Because the cornea is numbed with eye drop anesthesia, patients report little to no discomfort during the procedure.  Some patients experience some scratchiness or grittiness for a few hours following while others did not experience any discomfort at all.  We ask everyone to go home and take a nap immediately after his or her LASIK procedure.  For any discomfort that remains after your nap, Advil or Tylenol is usually sufficient.

When will I be able to see?

Many patients notice an immediate improvement in their vision and have functional vision the very next day.  Full visual results are typically reached within one to three weeks but individual results do vary.

When can I return to work, drive, and do my normal activities? 

You can resume most normal activities such as driving, working or walking, the day after your procedure.  Exercising and more vigorous activities can be resumed after the first week.  For women, eye makeup cannot be worn for one week and they should purchase new mascara to avoid bacteria.  Swimming or contact sports such as basketball or racquetball should be delayed for three weeks.

What if my eye moves during the treatment or I blink?

During the procedure a device will gently hold your eyelids open, which will prevent you from blinking.  In addition, at Spivack Vision Center the laser we use involves advanced eye tracking technology.  The laser will be constantly and minutely adjusted to the position of your eye at any given time.  In fact, every four to six milliseconds the eye’s location is measured and the laser is automatically aligned.  If, at any time, your eye moves too quickly or out of the range, the laser will pause and wait for your eye to move back into position.

Will I need to wear glasses after?  

Most patients who have undergone Blade-Free iLASIK at Spivack Vision Center no longer need glasses for their daily activities.  However, if you’re over 40 and did not elect for MonoVision LASIK, there is a possibility that you will need reading glasses because of the natural aging process of the eye.  This condition, presbyopia, occurs as you get older.

What’s the difference between PRK vs LASIK?

PRK and LASIK are both eye procedures to reshape the cornea with the objective to produce clearer vision.  In LASIK surgery, the surgeon creates a corneal flap in the first step of the procedure.  However, in PRK, the surgeon instead removes the cornea’s outer membrane called the epithelium.  In both procedures the second step is performed in the same manner, with an excimer laser reshaping the cornea.

Why wouldn’t I qualify for LASIK?

Patients with thin corneas are typically better candidates for PRK.  In fact, many patients choose PRK over Lasik in part to avoid potential problems associated with creating the corneal flap, especially those with hobbies like boxing and martial arts.

Implantable Collamer Lenses (ICLs)

What is an Implantable Collamer Lens (ICL)?

An Implantable Collamer Lens (ICL) works with the eye to correct vision.  Unlike traditional contact lenses that go on the surface of the eye, an ICL is positioned inside the eye between the iris and the natural lens where it stays indefinitely.  If your vision changes dramatically, however, it can be removed from the eye.

Am I a candidate?

If you are between 21 and 45 and nearsighted, you are an excellent candidate for an ICL.  It is preferable that you have no previous ophthalmic surgery or history of ophthalmic disease such as glaucoma, iritis, or diabetic retinopathy.

What if I have thin corneas or dry eye?

The cornea is the curved portion on the front surface of the eye. An ICL does not have any effect on the cornea and may be appropriate if you have thin corneas.  ICLs do not cause or contribute to dry eyes.  If you have dry eyes, ask your doctor if an ICL may be the best vision correction option for you.

What are the potential risks?

As with any surgical procedure, there are potential complications associated with the surgery itself; these include: irritation of the conjunctiva, corneal swelling, eye infection, non-reactive pupil and irritation of the iris.  In the vast majority of cases, these complications are short term, transient in nature, and will be treated by the doctor performing the surgery.

Other complications that can occur are associated with the correction of your vision; these include: halo and/or glare around lights, under or over correction of your vision (which may require retreatment), induced dry eye, and induction of higher order aberrations that can impact quality of vision.  ICL procedures do not cause or worsen dry eye and the lens can be removed if needed.  Early complications reported at the time of surgery or within the first week after an ICL surgery include: removal and reinsertion of the lens at the time of initial surgery; removal or replacement of the ICL after surgery; pupillary block resulting in raised eye pressure, which may necessitate the creation of an additional peripheral iridology to improve fluid flow, or by clearing the iridotomy made prior to implantation of the lens.

Potential Complications that can occur after the first week post-surgery include: the development of small cloudy areas or opacities on your natural crystalline lens, which may or may not cause visual symptoms – in a very limited number or cases these opacities can become more widespread and develop into a cataract.  Other complications include an increase in the rate of endothelial cell loss (a loss that occurs naturally with age) from the back surface of the cornea (which may require lens explanation and could result in a corneal transplant) and an increase in the pressure inside of the eye (post-op drops are used to minimize pressure increase).

You should carefully review all of the benefits and risks of an ICL eye surgery with your eye care professional before making the decision to proceed with the procedure.