Tag: Lasik surgeon

Tales From the Lasik Waiting Room

As an experienced Lasik patient I thought I might give a glimpse into the worst part of the Lasik procedure… the waiting room. I have had a Lasik procedure twice, the second being a follow up since one of my eyes needed additional work after the healing procedure was complete. I was distinctly less nervous about the second procedure, and observed and talked to a number of the other Lasik clients that were waiting with me.

One was a young woman in her early twenties who talked incessantly trying to keep her mind off of any of the Lasik brochures and information on the table. She had been thoroughly oriented to both the Lasik operation and post-op procedures, but had brought along a few stuffed animals to keep her company during the operation. Most Lasik physicians recommend a minimum age of 18 due to sufficient maturity of the eye, but maybe waiting for some emotional maturity might be another factor. On the other hand, I wondered what I looked and sounded like waiting for my first Lasik operation.

Talking to a few of the other Lasik clients, I realized I was not the only one in for a second Lasik procedure. Two others were like me in that they did not get sufficient improvement in their vision to satisfy themselves or the Lasik surgeon. In all of our cases, our first Lasik procedure of several months earlier went well, and none of us were particularly nervous.

It did surprise me, considering that it was 6:30 AM, of the variety of clothing styles of the Lasik clients. Most of us, considering the hour and the rather frigid temperature of the Lasik operating room and the waiting room, were dressed in snug and warm sweat suits or other comfortable wear. One Lasik patient was dressed in formal business attire with full makeup.

This puzzled me for at least two reasons: any makeup, lotions, or other things that could get into the eye are forbidden for at least 24 hours before the surgery, and it is highly recommended to go home and sleep as quickly as possible after the Lasik procedure. The only thing I could figure out was that she wasn’t actually getting a Lasik procedure, but no one else is there at 6:30 AM. Her dominating and withering look made me decide that any pre-Lasik conversation with her was better left unsaid.

I was probably the fourth person escorted into a waiting room for a final discussion on Lasik post-op procedures, but I could not tell how long I had been waiting. I think they avoid clocks for a very good reason. The lady two seats down from me was calm enough about her Lasik procedure to go back to sleep while waiting, which seemed like an eminently sensible idea.

Each patient is offered a mild sedative before the Lasik procedure starts. It is mainly for psychological purposes, as my first Lasik experience was not painful at all. I did take it for my first experience, but my own Lasik history and the others I have heard in the waiting room make me think that I don’t need it. But I take it anyway, just in case.

I hope that this window into a Lasik waiting room helps give the attitude that for most people it is not a dreaded procedure, and for those of us that have had Lasik done, a rather uneventful one.

Eliminate Your Fears of Lasik!

Thinking about eye surgery using a Lasik procedure is a big step, and many people are a little hesitant to ask the questions that they have. The Lasik procedure, though widely talked about, is not discussed in detail, and people tend to fear the unknown. This report addresses some of the more commonly held fears, and talks about the experience for the vast majority of people that undergo a Lasik procedure.

A most common fear when thinking about a Lasik procedure, or really thinking about any surgery in general, is the possibility of pain during or after the operation. Since the Lasik surgeon works on patients that are conscious, this is a widely held apprehension. In every operation the Lasik surgeon applies numbing drops into the eyes before the procedure starts, and the patient is also given a mild sedative to relax them and make sure that they are comfortable. Though a small pressure to the eye may be felt during the Lasik procedure, the process itself is relatively pain free.

The surgeon does use a laser in the eye to help reshape the cornea during the Lasik procedure. Many folks are worried about the laser being shone directly into the eye, or that they might look away and, due to this, develop a serious complication with their eyes and the Lasik laser beam effects. In actuality, the laser is only active for ten to fifteen seconds for each eye, and the Lasik machine has a tracking system that allows the beam to be on only when the eye is in the correct position.

Another general fear for people contemplating a medical procedure is fear of “the scalpel”. Any Lasik procedure uses only a very small microkeratome blade to approach the eye, or some more recent Lasik innovations have the laser itself created the flap and avoid using any hard surface at all. There is no reason to be concerned about a scalpel, for the Lasik physician does not use one.

Many wonder about the horror stories they hear about this or any other operation, and wonder about serious consequences like going blind. According the government statistics taken by the FDA, there are no reported cases of blindness due to a Lasik operation. Actually, the risk of a serious permanent complication due to the Lasik procedure is less than 1 percent, and the risk of any permanent complications even if not serious (such as light halos) is 3 percent or less. It is extremely rare for a patient to not have improved vision after a Lasik procedure.

If the thought of being awake and having your eyes open during the Lasik procedure bothers you, remember that you will be given a mild sedative for the procedure, and that your eyes will have numbing drops administered to them. If the thought of actually seeing the Lasik physician’s hand approaching your eye is bothersome, be comforted that the surgeon applies drops to the eye that blacks out the vision in that eye for ten to fifteen seconds, which is long enough for the procedure to be done for that eye.

This introduction has hopefully addressed the most common fears about the Lasik procedure. For anyone that might gain a better life quality with improved vision, please visit your local Lasik clinic and discuss the procedure in detail with the professionals there.

What is True About Intra Lasik?

Now that Lasik vision correction surgery has been accepted for a number of years, there are several popular options for the procedure. One of these is IntraLasik, or Intralase, or bladeless Lasik. As the name implies, there is no cutting of the eye with a blade, instead the flap in the eye is made using a laser. Since bladeless Lasik is a newer procedure, there are a number of opinions around about how well this procedure works. Let’s look at several of these and determine which of these are true or false.

First, more Lasik clients get 20/20 vision or better using IntraLasik. Any Lasik procedure cannot guarantee perfect vision for every client, though more than 90% get results to at least 20/40 vision. However, it is true that the new techniques of IntraLasik do get even better statistics for giving clients clear vision.

Some are concerned that the laser that makes the corneal flap is standard, and cannot be tailored to each individual eye like can be done by the Lasik surgeon when using a blade. This is not true. The Lasik physician has control over the use of the laser for each individual in the same way that he can control the microkeratome blade.

IntraLasik can be used for both a standard and a custom Lasik procedure. This is true. Custom Lasik procedures using Wavefront technology (another somewhat recent advance in Lasik vision correction) can easily be used with a laser making the initial flap. This custom Lasik procedure, though more costly, is of great benefit for people with unusual eye shapes or problems.

Some have heard that using the laser is less accurate than the standard Lasik procedure. This is not true, since lasers can be controlled to micron level accuracy. This gives the Lasik physician extreme control to create exactly the flap needed for this particular individual eye: the precise size, shape, and depth for successful completion of the Lasik procedure.

Another common fallacy is that IntraLase has not been around long enough for trusted Lasik physicians to have confidence in it. On the contrary, many of the most honored Lasik physicians strongly endorse IntraLase due to the track record of very good results from the Lasik procedures. In addition, the quality of the machines and the precision that they give these Lasik physicians is very impressive. Many of the top flight Lasik doctors recommend this as a procedure of choice, assuming cost is not a significant variable in the decision of which Lasik procedure to use.

Similar to the objection above, some people think that Intralase is not a sufficiently test Lasik procedure option. On the contrary, more than one million of these procedures have been performed, and the impressive track record for this Lasik procedure has been discussed above. More and more Lasik physicians are trained in this option, and we will see many more such Lasik procedures in the future.

We hope that this discussion of bladeless Lasik has given more accurate information to those considering this Lasik technique. Please discuss this option with the professionals at your local Lasik center.

What is a Wavefront Lasik Procedure Like?

Let’s walk through what a client experiences when attending a Lasik center for a Wavefront Lasik procedure. The procedure itself generally only takes between five and ten minutes for each eye in total, and both eyes are done during the same procedure. The actual time to reshape the eye with the Lasik excimer laser is usually less than 15 seconds per eye.

Any person’s vision problems are generated by small “aberrations” within the eye that prevents the light from focusing objects as they should. The Lasik equipment locates and classifies these aberrations and then processes them so that the Lasik physician will correct these and allow the light to focus properly once the eye has healed.

In a Wavefront Lasik procedure, the patient stares at one point while a light is sent into the eye, which is reflected back and read by a Lasik Wavefront sensor. The distortions in this reflected light are mapped using a small computer within the Lasik system, and then this information is used to guide the laser that treats the eye.
Once the light creates the map for the eye, the Lasik surgeon has to create a small flap to access the cornea. This is done using a laser (this type of Lasik procedure is known as IntraLasik, or bladeless Lasik) or a small blade known as a microkeratome.

This flap is then opened to allow the cornea to be reshaped by the Lasik system.The excimer laser actually reshapes the cornea, which is the crucial part of the Lasik procedure. In order to determine exactly how to reshape it, the map created earlier by the Wavefront sensor is used to direct the beam of light accurately. The Lasik physician uses these precise tools to get the clearest vision results possible.

This custom Lasik procedure can not only correct such standard problems as nearsightedness, but can also address aberrations that create light halos, glare, haze, or starburst patterns. Once the Lasik physician determines that all relevant aberrations have been eliminated, he replaces the flap in its proper position, where it adheres normally and will heal naturally.

As mentioned earlier, this entire Lasik process takes between ten and fifteen minutes per eye. A patient gets a mild sedative and eye numbing drops to make the procedure both relaxing and painless. Most people notice an improvement in vision due to Lasik almost immediately.

Once the Lasik procedure is finished, you will get some eye drop medication to lubricate and protect your eyes. This medication (and the liquid in the drops themselves) may cause some blurring, and so for this reason (and to avoid any eyestrain) you should arrange for someone else to drive you home. It is also a good idea to go to sleep as soon as possible after the Lasik operation in order to promote even faster healing.

To promote optimal healing the Lasik physician often gives a plastic shield to wear over your eyes for the first night or two. Follow closely any recommendations by the Lasik physician. Do further investigation into this great new Lasik procedure, and get a clearer focus on your future!