Hi, Dr Khanna here and today we’re going to do a lot of comparisons, because there are different questions asked.
“Which Lasik Laser is best?” So there are multiple kind of lasers, the top three are: the VISX from Johnson-Johnson, Aligrator from Alcon, and shuwen (? 0:21), but out of the three, only the first two are FTA approved.
“Which Lasik clinic is the best?” Now that’s a very tough question, but they have to look at three elements. They should have: the best lasers, surgeons who are the best and experienced, and they being able to give you the best personalized care. So you have to look at these factors in whichever city you are, and select the best.
“Which is better Lasik or PRK?” Both are good surgeries, the surgeon had to decide which is safer for you. So in general, PRK or variations like Lasek and epi-Lasik are safer for you because they don’t cut into corneal. But they can also have their own side effects like haze. Lasik is more popular, because it’s faster healing because you can get back to work sooner, and you don’t want to be struggling to get your vision improved. So Lasik is faster, but PRK is safer.
“Which is better Lasik or Lasek?” Lasek is that form of PRK, where we remove the top layer by chemical instead of by hand, and I think Lasek is safe, in fact we can even do Lasek with in patients with (INAUDIBLE – 1:50), whereas that’s an absolute contraindication in Lasik. For 75% of the people, Lasek would be a better option.
“Which is better Lasik or ICL?” Lasik is less intrusive, it’s more on the surface, but ICL is indicated when there is a mismatch in the amount of corrections to be delivered in the amount of corneal available for safety. So in general I’d say if you have 520micro corneal and then the fraction is minus 12, ICL, but if you have a 460micro corneal and minus 6, ICL. But like for other scenarios like 520 corneal with minus 3 diopter refraction, Lasik would be a better choice, because it is less invasive, less side effects and you don’t penetrate inside the eye.
“Which is better, smile versus Lasik?” I think we did a whole video on this, but just to summarize what’s available in the US, Lasik, like I design Lasik and treat astigmatism, hyperopia, and myopia, whereas smile can only treat myopia and Lasik heals much faster than smile.
“Why does Lasik cause dryness?” Because it cuts the nerves, but that is not supposed to be permanent.
“Are we awake during Lasik?” Yes, it’s important to remain awake. We do you and anxiolytic or Sedative to keep the edge off, nut you need to be looking at the laser light, and the laser light has to focus on you so that the position of the delivery of laser is maintained.
And here is another question which is a big mis-normal , “Why do Lasik Doctor wear glasses?” Few doctors do wear, because it’s everybody’s individual, but there was a recent general study in (INAUDIBLE – 4:05) surgery, and 70% of refractive surgeons have had Lasik eye surgery, so because you see one or two people who wearing and then that gets spread, that’s not true. So most of the refractive surgeons have had Lasik.
“Which is cheaper, Lasik or Lasek?” I think pricing is dependent on how the business is run, because the cost to do both surgeries, Lasik, Lasek, or epi-Lasik, super-Lasik is similar. But there might be more follow ups required with Lasek and epi-Lasik, and in epi-Lasik, another special instrument is used. So some practices have the same price, so that price does not affect the best choice, and other practices grade it. They have different packages, but just to summarize, the pricing should be relatively same.
“Are Lasik prices negotiable?” That again becomes a business question, and I’m sure all Lasik centers usually have some discounts running, and you should specifically ask. There are a lot of centers like us, and where we learnt from, our mentors… we give special discounts to the armed forces, and to cops and firefighters, teachers, so you should always try to get some discounts and ask based on your profession. And if discounts are not available, the next thing is to try to get interest free payment plans.
And I think that comes to the end, apart from one more interesting question, “Can I pay for Lasik eye surgery with bit coins?” And I think that is also getting more popular ad that your answer might be yes right now.
Thank you for listening, have a wonderful day, use your money for investment, not for burning and throwing it away.
Best Laser Lasik Eye Surgery is being offered at Khanna Vison Institute located at Westlake Village and Beverly Hills. Idesign Lasik surgery is one of the best things to happen in the advance of lasik eye surgery. Why are we calling it Best Laser Lasik Eye Surgery? Lets look at the facts.Continue reading
Hi, Dr Khanna here, and today’s questions are related to our workforce, because people are interested to know ‘when can they go back to work?’
So the first question, “When can I return to work?” So it depends on the kind of work you do. So most people can go bat to work the next day, I know some people in the financial industry who go back to work the same day in the night because they save it on the laptop. But it’s best to keep the eyes closed on the first day, so the earliest you should return to work the next day. But for Nurses and Doctors who are exposed to bugs in the hospitals, it’s better to wait 48 -72 hours, so the epithelium is fully healed, so bugs don’t find a way to enter into your Lasik flaps. At the same time, same thing applies to people who may be in the in the agricultural industry working with animals like (INAUDIBLE – 1:00) or taking care of horses, so in those instances, it’s better to wait 2-3 days before going to work .
But here’s a question women ask more often. “When can I wear makeup, because I don’t want to go to work without makeup?” So within 48 – 72 hours again, you can start wearing makeup. We just want the flap to heal completely, so nothing is able to penetrate inside.
“How young can I be to have Lasik?” The FTA approved range is from 18 onwards, but off FTA, we can do it even younger, and there has to be certain indications for that. For most common indication for doing Lasik, and I’ve done laser vision correction on as young as 13, is when one eye is amblyopic or lazy, and then you are worried because of contact lenses intolerance, the eye should not become totally lazy. So you to stimulate that nerve pathway, so in those instances you can do. Another time you can do, is when kids are going to college and they’re more (INAUDIBLE – 2:17) some kids cannot handle contact lenses by themselves, or more prone to infections since Lasik eye surgery is safer than contact lenses. If the refraction has stabilized, usually in girls, it stabilizes by 15years, whereas in boys, 17 – 18, but if you have done serial exams and found that refraction is stable, then it can be done.
“How does Lasik work?” Lasik works by reshaping the front part of the corneal, so that the incoming light gets focused on the retina on a single point. So that means astigmatism, nearsightedness and farsightedness can all be treated.
“How long does Lasik take to heal?” So there are three steps in the healing of Lasik eye surgery. The first one is like immediately I finish doing the eye surgery, within 1-2 minutes, negative suction created by the endothelium makes the flap attach to the bed. Just like a (INAUDIBLE – 3:27) it sticks back, so this is the first stage of healing.
The second stage is within 48-72 hours when the epithelium which has been cut grows back over the cart and spreads to all the sides. This is the second stage, and this is what we want to wait for before sending you work or apply makeup etc.
But the third stage is the long term. Over the next few months fibrosis occurs. So the flap is stuck down even more tightly.
So initially, two minutes, then 48-72 hours and finally many months.
Hope all these questions and answers are continuing to help educate you about Lasik eye surgery. Have a good day.
See a testimonial from a Lasik patient who has 20/20 after Lasik surgery with Dr. Khanna from the Khanna Institute of Lasik and Refractive Surgery: http://youtu.be/p8Zzm8b2II4
Lasik eye surgery proves to give a person a permanent corrected vision and this is why more people want to try this recent advancement. It is also known as the painless and safest procedure. However, there are some limitations as to what you can do right after having the treatment.
· Staring at Bright Lights
The patients of Lasik eye surgery will be given dark sunglasses just to dim the light he or she can see. This is because you should have a gentle view of the surroundings and this is also to prevent you from scratching your eyes.
One is not allowed to drive since the patient still needs to depend on other people after a few days or weeks or as long as the healing process is happening. Not being permitted to drive also prevents your eyes from having tiny debris such as dust.
· Applying Cosmetics
Cosmetics may infect the eyes so it must thoroughly be avoided. Otherwise, the healing process will not be completed successfully. Cosmetics include false eyelashes. The only allowed cosmetic is the eye drops since it helps in keeping your eyes moisturized.
Though exercising has no direct effect to the eyes of a patient having Lasik eye surgery treatment, physicians still prohibit doing routines as a precautionary measure. It is recommended that physical fitness must only be done after a month of having the treatment. The patient must rest most of the time and must not take long in front of the television and computers.
· Drinking Alcohol
Alcohol can halt the effects of any type of medication taken by a person so it must be avoided as well after having Lasik eye surgery.
· Taking a Bath in a Shower
It is advisable that no water shall enter the eyes for the first few days after the treatment so taking a bath with a shower must be avoided. However, one can wear goggles as an eye protection.
All types of surgery surely have do’s and dont’s and knowing the things above Things to Avoid After Lasik Eye Surgery can help you make your treatment successful.
By Rajesh Khanna, MD
Lasik Vision Expert and Host of Hangout with Laserman
Hi, today’s questions are more directed for women, because they are related to pregnancy childbirth. But also men need to be understanding, so they can know when it’s the best time for doing Lasik.
“Can Lasik be done when a woman is pregnant?” Lasik can be done, but it’s best avoided in the first trimester, and later on it depends more on “why are we doing it?” Because we have to be aware of two things, 1, can Lasik affect the baby in the tommy? Number 2 are the eyes stable? So we have preoperative history of the curvature of the eye, the numbers of the eye and the other similar of when the person presents to us, Lasik can be done. But in the first trimester, we don’t want to avoid any trauma to the eye because we don’t want to be putting drops, because it can affect the fetus. So the first trimester, we totally avoid, it’s almost contraindicated. In the second and third trimester, if somebody really wants… because you know a lot of times, what really happens very busy women procrastinate and put off Lasik eye surgery because of not having leave from work, and when the time comes, of pregnancy and they’re thinking of child birth that they will have to carry their glasses, or they may not have contact lenses, or contact lens intolerance has set in, they might want to do in the third trimester, when the baby is already developed would be a good time to do.
“Can Lasik be done when breastfeeding?” Again this is a relative contraindication, because you don’t want to be doing surgery and then if you put drops it could go into the milk into the baby’s mouth. But the amount of the drop we put is very minimal, and the Paediatricians will tell you that does not have any much effect on the baby. And we can even avoid putting many drops by reaching down, by occluding the eye with punctual occluders, so the drops stay in the eye. And we can put long acting drops, but again, we have to make sure that the eyes are stable. And usually as a rule of thumb, we like to wait six months, sometimes it’s not possible very long because, like I can give you an example of an editor, she came in and she was in her mid-30’s, she said, “I’m starting my family really late and I want to have my kids quick before I turn 40, so I may not get time like I (INAUDIBLE – 2:48)stop breastfeeding for a year or more, because I want to be breastfeeding for up to a year, and I want to have another baby.” So around six months would be a good time, but in special situations, we can even do earlier.
“When to get enhancement for Lasik” That bar keeps shifting. 20years ago, when we started doing Lasik, we wouldn’t even enhance anybody above 20 – 40, but today we enhance even people who are 20 – 20. The difference in our technology is more accurate with better outcomes, and we even go after minimal astigmatism like .75 diopters. Why? If you feel that it’s still residual diplopia like we discussed in the previous video because of the astigmatism, or there is not sharpness to see distance, and if that bothers you, even with (INAUDIBLE – 3:52), and even if you’re a lie short of 20-20, we can do that. So it’s more dependent on you, if it’s really bothering you and if the surgeon feels it’s something going after. Sometimes it’s more like a number, if is a quarter and the person just likes it when glasses are put, that might have more to do with cutting off some hydroboration’s (? – 4:13) glare something, and that time antiglare glasses like we mentioned she put in that (INAUDIBLE – 4:20) might be more helpful.
“When can I watch TV after Lasik?” Only good shows should be watched on TV, I’m just kidding. So on the same day of Lasik, it’s better to avoid being on laptop or TV because the light emanating from (INAUDIBLE – 4:36) can dry out your eyes, and when you’re watching something interesting, you might not remember to blink. Normally, a person blinks 16times a minute, but when you are reading a very interesting book or watching a show, you don’t, then eyes can dry out. So best avoid 24 – 48 hours, you can start listening to music and just occasionally open your eyes and watch.
Hope these questions are helpful, stay tuned for our next set.
LASIK eye surgery is capable of treating a wide range of candidates with excellent results. However, not everyone is an ideal candidate for LASIK. Certain medical conditions and unique anatomical factors can put patients at an increased risk of an unsatisfactory outcome, or simply limit the success of your results.
Some of the risk factors for LASIK eye surgery include:
These factors are also known as “contraindications” – meaning they are reasons to withhold medical treatment. However, if you have one of these contraindications, you may qualify for a different type of laser vision correction. For example, people with thin or irregular corneas often qualify for LASEK or SUPERLASIK.
If you have further questions about LASIK eye surgery, please contact The Khanna Institute today to schedule your free LASIK screening. We serve patients throughout the Los Angeles area, with offices in Beverly Hills and Westlake Village, California.
Hi, it’s Dr Khanna – we are tackling questions relating to Presbyopia.
Our first question is, “Can Presbyopia be corrected?” The answer is yes, Presbyopia can be corrected. We can use glasses, contact lens to overcome the effects of presbyopia, but if you want to totally correct it, we have to do a surgical procedure.
“Can presbyopia be reversed?” Yes we can reverse the ageing eyes, by putting in presbyopia by putting in presbyopia implant inside the eye. And that’s why it answers the next question.
“Can presbyopia be cured?” Yes, presbyopia can be cured and ageing eyes can be reversed with ‘PIE’ which is acronym for ‘Presbyopia Implant in Eye’
“Can presbyopia correct myopia?” No, presbyopia cannot correct myopia, but myopia helps in deferring the onset of presbyopia. Because myopia means that a person is nearsighted, they can see near but not far, so they wear glasses to see far. But when they take the glasses off, they can see near. So when they become presbyopic, the nearsightedness helps them, but after some point in time, the help vanishes.
“Can presbyopia cause headaches? Can presbyopia cause dizziness?” The answer is yes, and I’ll give you examples of this engineer, who is working on small microchips, and because of presbyopia, he tries to be very focused, he developed so much headaches and dizziness… that he had already been referred to orthopedics, neck surgeons, neurologists, and the only thing that cured him was PIE, when we did Presbyopia implant in his eyes, then he was able to get natural vision, and his awkward sitting posture was eliminated.
“Can presbyopia cause blindness?” Blindness in the sense of you not being able to see near. So it will be blindness for near, if you don’t use glasses or contact lens. And that must have been the case in smaller villages, and third-world countries where they can’t afford glasses, they’re not able to see near. And it’s also a manifestation of more of the industrialized world. Because as farmers, you may not need a lot of near vision, you don’t read, you plough, you milk cows and you may not notice the loss of near vision as you would notice when you’re on the computers or reading all the time.
Can presbyopia improve? With some exercises you can get improvement in presbyopia, especially during the early part when the presbyopia first starts. Doing some exercises like closing one eye and forcing your eye to read, and then doing the same on both, and then opening and trying to focus in and trying to bring it in gradually, that can help. So I think that’s one of the advantages you can get, but if you are 60 years old and already wearing, there’s unlikely to be a dramatic improvement. But some people get improvement when they develop cataracts, and that’s on their second sight. Because when nuclear sclerotic cataracts do a lot, it acts like a magnifying lens and makes you near sighted, so a person can then read, which they were not able to read before.
“Will Lasic make presbyopia worse? Presbyopia has got no sighted around its fixed stage, Lasic is not going to make it worse, it can mask the presbyopia. So in a farsighted person, doing Lasic can improve your reading and defer presbyopia. Whereas in a myopic person, if you correct for a near sighted parson, next they might have a need for reading glasses.
“Will everybody get presbyopia? Yes, everybody sooner or later gets presbyopia.
“Will surgery help presbyopia?” Yes, surgery does help presbyopia, and we are going to get into the details of presbyopia implants in our next set of questions. After this one which says
“Will Lasic correct presbyopia?” Lasic cannot correct presbyopia it can counteract the effect of presbyopia. What I’m trying to say here is, Lasic works on the static corneal, whereas presbyopia is a problem of the dynamic lens. So Lasic cannot cure or reverse presbyopia, it can help mask the effect. So if somebody is farsighted and we do Lasic, then your vision can improve. Or if somebody is planar and we make we make one eye for reading called blendo mono-vision , then they can be free of readers. But it does not cure presbyopia. The only thing that cures presbyopia and reverses ageing eyes is ‘PIE’ or ‘Presbyopia Implant in Eye’
In our next set of questions and answers will be related to presbyopia implant procedures. Thank you and stay tuned.
Q. Repeat PRK or Photorefractive Keratotomy possible? Hi, welcome this is Dr. Khanna. I’m going to speak to you about a very interesting topic which came up this morning. Somebody who ten years ago had PRK which is photorefractive keratectomy. If you remember, PRK came before Lasik about 20 to 25 years ago. I remember doing my first one in 1997 or so. At that time, we did not have all the advanced lasers that we do now, nor did we have advanced medicines and drops like today, so a lot of the experiences patients had with PRK was very bad. In fact, that’s why we don’t do PRK today and we’ve gone on to Super Lasik, Epi Lasik or Laser Scraper modifications. Today, it’s a much more comfortable journey.
The topic we are coming to is, if you had PRK 10, 15, or 20 years ago and you need a touch up, what’s the best option? The best option would depend on your age. Let’s say you’re in your 40s, the touch up is likely to be less than one or two diopters. In those cases, we would to have to check your cornea with the latest methods of pachymetry and topography mapping to see if, by any chance, Lasik is possible. Ninety percent of the time, PRK might have been done because Lasik was not an option, but there might be 10% of cases that were done because Lasik was unavailable, or the surgeon was not very confident with Lasik at the time.
It’s important to come for a full exam so we can analyze what’s best for you. There are some people who will have corneal weakening or excess refractive numbers, in those cases you would want to see if implantable collamer lens (ICL) might be an option. Let’s say you’re about 55, then before we do a laser touch up, we would first have to discuss other options like presbyopic implants.
Yes, I missed the one age range for 40 to 55, right? That’s interesting because in that group there can be multiple options available and we’ll have to discuss your lifestyle, look at the numbers, and then come up with a better solution. There is no fixed answer for that age group.
As a summary, if you’re less than 40, laser touch up with PRK or rarely with Lasik, might be an option. If you’re above 55, presbyopia implants might be the first option. In 40 to 55, one of these previous two options might work depending on your lifestyle.
If you have any more questions about PRK, Lasik, touch ups or enhancements, feel free to write to us. Thank you and have a wonderful day.
Did you feel that earthquake? Yes, we were rocked by an earthquake with the epicenter being near Channel Islands. We were very lucky, we didn’t have any injuries, and nothing broke down. But, two patients came today with some interesting observations and stories and I wanted to relate them to you.
One patient recently had Lasik with us. He said when the earthquake struck he was one of the special invitees who has the alarm on his phone which goes off a few seconds before an earthquake strikes. He was able to pack his bag and rush out of the building before the earthquake struck. The second patient who came said yesterday he realized why we should have Lasik eye surgery.
He had just taken off his glasses and was rubbing his eyes or something like that when the earthquake struck. When everybody started rushing out, he ran out as well; however, he couldn’t see well because he wasn’t wearing his glasses causing him to hit his head on the door as a result.
He came in today saying, now I need Lasik eye surgery. This is just one of the examples I’ve come across in my twenty-six years helping people see better. One of the small things in life which can change when you have better vision during some big things like a natural calamity like in a storm, Hurricane Katrina, et cetera. Or, an earthquake like yesterday.
When vision becomes one of the most important things in regards to our safety, it’s at that time that we realize how important it is for our emergency responders like firefighters to have good vision when they run into smoke, rubble, and fire to save people.
I’m sure you have other interesting stories where either you’ve already experienced the benefits of having Lasik eye surgery, or you wish you had Lasik eye surgery. We would love to hear from you, so send us your stories.
Lasik Earthquake Safety lesson is over
Thank you. This is Dr. Khanna signing off.
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Hi. Welcome. This is doctor Khanna. I want to talk to you about fear of eye surgery. This lesson is divided into three parts. Today’s lesson is on why we are so afraid of eye surgery. In the forth coming lesson, we will discuss how to overcome the fear. Why are we so afraid of eye surgery, we have to delve back into evolution, our upbringing and find some answers there. People are always afraid of the dark. Remember when you were a kid; you thought that there might be a monster in the closet or under the bed. People are afraid to go to the graveyard but today it is so much better. There are streetlights everywhere and we have a phone with flashlight on it.
Imagine Sherlock Holmes going out in the night when there is fog and mist around. There is an inherent fear in us coming from the times we lived in the forest. In the night, predators would come out and that fear has continued. Another thing you might have heard of is insomnia, when people are unable to sleep. It is very interesting why some people find it difficult to fall asleep and the simple answer might surprise you. The answer could be that they are afraid that they may not be able to get up if they go to sleep. They are afraid to lose their consciousness and go into a semi-conscious state. It is inculcated in every culture. Each civilization that is present on earth celebrate the festival of light in the dark days. That is their hope to overcome the darkness.
Another fear the people have is for the white coat. It is funny that people can check their blood pressure at home and it is okay and then they come to the hospital and see the white coat and the blood pressure shoots up. These are all evolutionary mechanisms that are built in for safety to preserve us and they all stack against us. There is one more called the menace reflex; when something comes near the eyes or when we sneeze, they instantly close. That is encoded in our DNA.
Corneas and eyes are every important. In fact, some evolutionary biologists feel that this reflex may have pre-dated the existence of eyes. Small microorganism who do not have eyes have had light shun on them and they immediately move away. All those things combined in the subconscious and conscious mind are all playing to develop fear about eye surgery. Do not feel fearful.
In the next lesson, we are going to come up with methods that are time tested and true to see, how we can overcome the fears regarding eye surgery. Thank you
Interviewer: Hi guys, today we are hanging out with the laser man and we are going to ask you a few question. How are you doctor?
Doctor Khanna: Fine, thank you and welcome to this show.
Interviewer: Okay, the first thing I would like to know. Since you have been talking about laser surgery, how long does it last?
Doctor: There are two answers to that if I understand correctly. First, what I understand is how long will the procedure take. The procedure takes a minute or two per eye. The second part if I understand correctly is; will it last me a lifetime or not. In the modern technology of ‘eye design laser surgery’, it is a lifetime outcome. 20 to 25 years ago, with the other conventional lasers, it never lasted long. All infrared group was incorrect and it did not last. Without confusing you, if you are in your 20’s to 40’s and you are a good candidate for ‘Lasik’, which is a computer, controlled active laser eye design technology. The imperfections will be wiped off for life. So it is a lifetime investment.
Interviewer: Wonderful. Now that we have asked about this part, I would like to ask you what the side effects or after effects, we can have from this surgery?
Doctor: That is a very good question. We need to know about that so that we can plan ahead and in our practice we avoid those side effects. The most common being dry eye. Because we know that, we are fashion a flapping Lasik eye surgery. Whenever you do a flap whether it is by laser or by automatic microkeratomes, you end up cutting the cornea nerves. The cornea nerve supplies the eye with sensation, which helps in the production of tears. Around 3-6 months after Lasik, while the cornea nerves are recovering there can be dry eyes. We start patients on artificial tears ointment and even put in (inaudible 02:12) to preserve the natural tears. Another side effect, which used to be more common but it is less common but still occurs is ‘glaring halos’ in the post-operative period. Treating the dry eye does decrease that incidence but is somebody is inconvenienced we do prescribe yellow tinted glassed that people wear for driving bikes which cuts of the glare.
Finally, there can be under correction or over correction with eye design technology but the incidence is very little. To make sure it does not occur we have nomograms we apply and this should measure the refraction between one to three months to make sure we hit a point and brought the patient down to zero. Those are the common side effects. In some patients, especially the younger ones there can be some inflammation in the post-op period. We do start steroid drops but do not worry these are not bulk up your muscles, they are very low dose. They do help to prevent and treat the inflammation. Infection is always a treat, we do not see it commonly but we start topical antibiotics drops a day before and we continue for 5-7 days after surgery.
Those are the common side effects that we see and we work hard to prevent any of them from occurring.
Interviewer: Very nice. We have gotten to understand two things today. The first was about the laser, how long it takes and how long does it last. The second thing you were talking about was the side effects. Now that you have mentioned this few things, we just want to know if it is different for each customer or for each person?
Doctor: Yes. Not everybody is a candidate for laser eye surgery. There are certain criteria that they must fit in before we can qualify them. Age being the first, if you are less than 18 years old, you are very mature and have developed cataracts or gone beyond 50 years of age, Lasik may not be the best choice for you. In that age group between 18 and 50, we have to see if your cornea has good uniformed thickness and shape. Shape and thickness of the cornea is important and any systemic disease has to be considered. Finally, your refraction has to be stable, which is usually the case between 18 to 50 years of age. We do like to make sure, so that we do not hit a moving target. If all those qualify and your prescription had to be under 10 diopters and depending on the corneal thickness, we have to see how much tissue can be ablated so that the safety zone is empty.
To summarize, we look at age, refraction, third the stability of refraction, fourth the corneal shape and fifth the corneal thickness.
Interviewer: So it depends on every individual.
Doctor: Every individual is unique as is their eye and all of them must pass these criteria. If there is any red flag on any of that, then we cannot do Lasik for that person. We would have to switch to another kind of therapy like EPILASIK, SUPERLASIK, ICL or presbiopic implant in the eye.
Interviewer: To ensure that the eyes are going to be well kept, well maintained and well done. How do you confirm that the patient would deserve this Lasik or another Lasik that you just spoke about?
Doctor: That is another beautiful question that you have asked me. What we like to do is; we want to know what the patient wants out of the procedure. We know all the procedure we have and what they can give to the patient. Each patient is different, 18-4 it is easier because they want good distance and the eye will change its shape using the muscles to see near. If they qualify, Lasik will be the first choice but if the prescription were high for example -15, we would offer them ICL. If a patient is about 4 or definitely above 55, then ‘SUPERLASIK’ or presbyopic implant in eye is a better choice. The difference being Lasik static vision and presbyopic gives dynamic vision. What I mean by that is; there are three zones of vision.
Distance: when you are driving a car and you want to see far
Middle: which was never important 20 years ago but is definitely important now. For seeing I phones, laptops and dashboard of the car.
Close: for reading and to see small bottles
Lasik can give you one of these three. That is why they say under 50 Lasik works well, because when you see one zone distance, the muscles are strong enough to show you the other two zones by changing the shape of the lens. When you are above 50, the lens is not able to change shape. If you do Lasik, you are able to set their vision for distance, middle or near. Whereas, ‘presbyopic’ gives you all three; distance, middle and near. That is a better choice for people above 50 and Lasik is a better choice for people below 50.
Interviewer: Fantastic. Thank you so much doctor. I am personally convinced about what you have said. I would definitely come up with more questions some other time. It is great to hang out with you. I am looking forward to seeing you again and coming up with questions that the customers or people will ask me
Doctor: Thank you so much. Have a wonderful day
Actually all products have been withdrawn and company has shut down.
The better alternative is PIE or Presbyopia Implant in Eye.
The Raindrop Near Vision Inlay is made from a microscopic hydrogel that has been designed to improve the near vision that your eye has lost due to the natural aging process, otherwise known as presbyopia. Presbyopia is most commonly treated using reading glasses. With Raindrop Near Vision Inlays you will no longer have to worry about putting your glasses on and off again!
The microscopic hydrogel that is used to make the Raindrop Near Vision Inlay is composed of almost 80% water. This makes for a more effective nutrient diffusion and allows for it to easily transfer through the cornea. The characteristics of the Raindrop Near Vision Inlay are almost identical to the human cornea, making it an ideal alternative to reading glasses.
The procedure for implanting the Raindrop Near Vision Inlay is similar to the procedure for Lasik eye surgery. It is an outpatient procedure where the Raindrop Near Vision Inlay is implanted just beneath the surface of the eye. To do this, they use a specialized laser to create a thin and circular flap in the cornea. The surgeon then lifts the flap and lays the lens into place and waits for it to adhere. Once the lens is adhered they can now close the flap and that completes the procedure. The whole procedure only takes about 15 minutes and there is minimal recovery time, with most patients returning to their normal routines the next day! If you are ready to put down those reading glasses and improve your vision give us a call and schedule your consultation today! 310 482 1240