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
If you live in Camarillo LASIK eye surgery could change your life. As you drive down on the busy 101 freeway towards Thousand Oaks the marine layer may prevent may hamper your vision by clouding your glasses. iDesign lasik eye surgery may be the solution you are seeking. As of march 2018 idesign Lasik is only available at Khanna Vision Institute.
When you are shopping at the outlet malls, good vision is required to see all those price tags. Unless you want to ignore the prices and just let someone else pay the bills. For the common folks procedure is important consideration.
We offer financing options and lay away solutions to patients seeking to improve their vision. We sacrifice profits to make better eyesight more available. What we don’t cut costs on is quality and customer service. That is our pride.
We provide options other than lasik like superlasik. At least seventy percent of people who come to our office for a Lasik consult are deemed not to be candidates. We do attract many people including movie actors.
There are many factors which may require another procedure – these include age, power of your glasses, your lifestyle and sports habits. When a thorough detailed eye screening is performed with OCT and Topography more people are weeded out. The combination of shape and thickness is the most important factor for safety of lasik. If these are normal NEVER have lasik performed on your eyes. Have a second opinion with us.
Don’t worry – ICL( Implantable Collamer lens) , PIE (Presbyopia Implant in Eye), Intacs options deliver equally good results.
The first step is a short drive to our office. Come and meet us and see which vision correction procedure may be the best for you.
So drive up from Camarillo and give us a chance to help you. Living in Camarillo Lasik will enhance your life. Golf scores might finally improve.
Date: March 19 2018
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