Refractive surgeons Dr. Scott Perkins and Dr. Robert Fintelmann discuss what a patient can expect when they have the LASIK procedure performed.

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www.bakersfieldlasik.com Dr. Gregory A. Stainer in Bakersfield, California is a highly trained LASIK surgeon who knows that good communication between patient and doctor is essential for success. Dr. Stainer will take the time to learn exactly what your wishes are for improvement, and then explain in detail what you can expect during the LASIK eye surgery procedure. For more information about LASIK laser eye surgery, or to contact Dr. Stainer, please visit http You may contact Dr. Gregory A. Stainer at: Gregory Stainer, MD Southwest Eye Care & Laser 4649 Planz Road Bakersfield, CA 93309 Phone (866) 825-2199 Website: www.bakersfieldlasik.com

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Dr. Todd Fladen inserts a foldable intraocular contact lens (ICL, Staar Surgical)into a near sighted myopic patient. This procedure is ideal for a patient who either is not a good candidate for lasik as determined by an experienced lasik surgeon or perfers not to have laser vision correction surgery due to fears of lasik flap or wavefront surface laser ablation. The Fladen Eye and Lasik Center is Stark CountyPremier Comprehensive Eye Care Center specializing in all forms of Refractive Surgery including Customized Wavefront Lasik or laser Surface Ablation, ICL (intraocular contact lens) and Cataract Surgery with in the intraocular insertion of Multifocal AMO ReZoom and Alcon ReSTOR lens implants to reduce or eliminate the need for glasses for distance, intermediate (newspaper, playing cards) and near vision (reading, sewing). Dr. Todd Fladen and The Fladen Eye and Lasik Center also specializes in the correction of nearsightedness (myopia), farsightedness (hyperopia) and astigmatism. To determine if you would be an excellent candidate for the Staar Intraocular Contact Lens (ICL) or laser vision correction on our VISX Star4 Excimer Laser, visit us on line at www.ThrowAwayYourGlasses.com or www.FladenEyeCenter.com. For your Free VIP consultation with Dr. Todd Fladen, Call Today….See Tomorrow. The Fladen Eye and Lasik Center services Akron, Canton, and Cleveland, Ohio. The Fladen Eye and Lasik Center…The Clear Choice “Bringing Your World into Focus” The Fladen Eye and …

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LASIK is by far the most prevalent and safest refractive surgery procedure. It has been employed to treat a host of visual anomalies. Since it’s a surgery, people often harbor a false belief that LASIK is a painful procedure. In fact, LASIK is a relatively painless technique, and what the patient experiences during and after the surgery can be categorized as mild discomfort rather than pain.

LASIK is performed with the patient awake and mobile, and this certainly corroborates that the operation is relatively painless. The surgeon typically administers a mild sedative (for instance Valium) and anesthetic eye drops. LASIK involves creation of a flap of corneal tissue. This hinged flap may be created with a microkeratome (a surgical blade) or a femtosecond laser. During this initial step of flap formation, the patient may experience a little bit of pressure on the eye.

In the following step, the flap is folded back to reveal the middle section of the cornea, in order to make way for precise ablation by the excimer laser. Then the flap is repositioned to allow natural healing. Upon completion of the surgery, the patient may experience discomfort, scratchiness and irritation, akin to the sensation of wearing an uncomfortable contact lens. Such irritable sensation can be soothed with the aid of eye drops, and it normally wears off within a few hours after surgery.

Since the laser ablation is performed the middle section of the cornea and under the LASIK flap, the cornea does not register the fact that it has been surgically operated. As the wound response is subdued, the patient experiences speedy visual recovery and almost no pain.

However, as with any surgery, LASIK has associated complications that may force the patient to bear greater discomfort after surgery. A few of such nagging complications include dry eyes, visual acuity fluctuation, halos or starbursts around light sources at night, double vision, light sensitivity, and several flap related problems.

All in all, LASIK is a safe and efficacious procedure, which is virtually painless. Though the patient may experience mild discomfort due to potential complications, the complication rate itself is quite meager. If presented with the question of whether LASIK hurts or not, I would certainly say that it’s a painless procedure.

Finding a LASIK surgeon that you are confident about will be able to give you more information about laser eye surgery.

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Many eye surgeons use the wavefront-guided VISX system, which is known as CustomVue. The Iris registration is a hardware upgrade installed on this system.

Wavefront-guided LASIK

It’s also called Custom LASIK, for good reason.

In the diagnostic stage the wavefront system takes many measurements of each cornea in tiny detail. From these, it makes 3_D maps, which it displays on the system’s computer monitor. The information contained in these maps is used to calibrate the laser for treatment.

Nobody else in the world has eyes exactly like yours. These maps are created in such tiny detail that they can’t be mistaken for anybody else’s, and the laser treatment based on them will be unique to you. It’s an entirely customized treatment.

A small Achilles’ heel in Custom LASIK

In between the time the eyes are diagnosed and mapped by Wavefront-guided LASIK, and the time of treatment, if the eyes change at all, the laser needs to be adjusted to match.

Eye movements

When you lie down for your treatment on the patient bed that’s part of the wavefront unit, you’re moving your eyes from a vertical to a horizontal orientation, and in that change, sometimes the eyes rotate, which is called cyclotorsional movement.

The eyes could make other movements too, in between the mapping stage and the treatment:

The size of the pupil can change if the ambient lighting changes

The head may turn slightly to one side

That means that the measurements done on your eyes while you were sitting will be very slightly wrong now that you’re lying down for treatment. The wavefront diagnostic information needs to be slightly modified to align the laser to the eyes’ new positions.

Previous ways of aligning treatment

Your eye surgeon needs a reference point for aligning the laser during treatment. In the past there have been two ways of setting the reference point:

1. Manual – with a sterile pen, the eye surgeon made tiny marks on the cornea to indicate where the laser would be focused during treatment. At the time of treatment, he manually positioned the patient’s head so as to line the laser up with the marks.

This method was prone to human error at times. Also, the ink used to make the marks was short-lived, drying up after a minute or so.

2. Semi-automatic – The outlines of both the pupil and the iris were used as reference points and with the eyes dilated to enlarge the pupil, tiny marks were manually made outside the iris to indicate where treatment should be focused.

This method took longer, as the eyes had to be dilated, and it also allowed human error to creep in at times.

Automatic iris registration

The outside boundary of the iris does not change, only the inside boundary when the pupil changes size. So iris registration uses the center of the pupil as the reference point, targeting the laser beam on that center, as it relates to the outside of the iris.

During treatment, the Wavefront software works with two images of your eye:

The pre-operative image contained in the 3-D map

The present-time image as you’re receiving treatment

If there’s any movement during treatment, it automatically and continuously re-matches the two images to each other, causing the laser to re-target on the prescribed treatment area.

Because of this continual automatic readjustment of the laser, your eye surgeon can treat exactly those areas which his or her diagnostic tests revealed as needing treatment.

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www.schallhornvision.com In this video learn more about the military’s vision correction program designed to recruit & enhance the vision of our soldiers. Custom Lasik allows the eye surgeon to individualize your treatment, yielding better results. The program is intended to diminish soldier dependence on glasses and contacts — making them more efficient and safe. Results have shown a dramatic increase in our soldiers’ ability to see at night. For more detailed information, please visit our website.

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Expert surgeon Carl T. Hartman, MD, speaks on PBS’ American Health Journal about cataracts and implants, LASIk and co-managment with family optometrist. www.longbeachlaser.com

http://www.youtube.com/watch?v=FvPheXtG6vU&hl=en

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Implantable contact lenses, also known as ICLs, are a popular alternative to LA Lasik surgery. ICLs are tiny plastic or silicone lenses inserted inside the eye, behind the cornea. These lenses bend the incoming light rays and can correct a very wide range of nearsightedness.
Like Lasik surgery Los Angeles intraocular implants have been used successfully for many years to help many people see better.  ICLs are also used to replace the eye’s crystalline lens when it turns cloudy, forming a cataract. To treat cataracts, the natural crystalline lens inside the eye is removed and replaced with an artificial lens. When used to treat nearsightedness, the natural crystalline lens remains inside the eye, and intraocular implants are placed in front of the crystalline lens. When the crystalline lens remains and an additional lens is placed inside the eye, that lens is known as a “phakic” lens.

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Wavefront is an optical technology that was refined by astronomers who used Wavefront data to adjust telescopes. Early LASIK was done based on measurements obtained from a physical examination and less refined methods of determining the best shape for your cornea. Wavefront technology changed all of that, and today, most corneal surgeries are done using Wavefront LASIK technology for both diagnostic and corrective eye procedures.

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We’ll match any price, because the difference isn’t in the price, the difference is in the surgeon.

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