Z-LASIK is Not IntraLase

April 25th, 2010

Patients are often confused by technical terms and nomenclature related to the LASIK procedures. Many patients are aware that there now exists a technology to create a LASIK flap with a laser rather than a blade. This type of LASIK has been coined “All-Laser LASIK” or “Blade-Free LASIK”. While the potential for a better LASIK procedure existed with All-Laser LASIK, this procedure had its own set of problems. With time, this technology was improved on and became accepted by patients and ophthalmologists. The original laser to create laser flaps was manufactured by “IntraLase” and the merits of this device has been so well established that over 50% of all LASIK procedures performed in the United States now utilize IntraLase. The Department of Defense has also recognized the benefits of IntraLase and all LASIK procedures performed by the military are performed with IntraLase.

Of course, with time, competing companies have developed similar laser technologies to create LASIK flaps. One such company, Ziemer, has developed a lower priced laser and has termed LASIK performed with the Ziemer laser Z-LASIK. But the consumer should beware, this lower priced IntraLase competitor is not as sophisticated and does not contain all the safety features of IntraLase.

Don’t be confused by Z-LASIK providers who tout that the military has approved “All-Laser” LASIK for aviators and combat troops. That statement is true but all LASIK procedures performed by the military (over 100,000 to date) are actually performed with the IntraLase device, not Z-LASIK. None of the top University Affiliated Eye Care Centers perform Z-LASIK. IntraLase has been been selected by unbiased sources to be superior to Z-LASIK. Don’t be swayed by savings of a couple hundred dollars. Choose the technology selected by our armed forces: IntraLase. And IntraLase is available right here in Raleigh at the Laser Eye Center of Carolina.

LASIK for Military Pilots

April 12th, 2010

Within the Department of Defense a total of 25 warfighter refractive surgery centers (Army: 12, Navy: 7, Air Force: 6) completed more than 312,000 refractive surgery procedures over the past 10 years. Laser vision correction has been allowed for all aspects of military service, including aviation, special operations, and support personnel. It is also approved for NASA astronauts.
The Navy is currently undertaking a study on US Naval aviators at the Naval Medical Center in San Diego and Portsmouth. To date, more than 200 aviators are in the study. Refractive errors up to -7.50 diopters are represented and the results have been outstanding. All procedures were performed with IntraLase and 90% were wavefront-guided; the exact same technology featured at the Laser Eye Center of Carolina for our LASIK patients.
All aviators were able to return to flight status within two weeks after myopic LASIK and within four weeks after hyperopic LASIK. Patient satisfaction was excellent three months after LASIK. One hundred percent were able to achieve 20/20 levels of vision. There were no complaints of significant glare, halos, haze or sharpness of vision. Ninety-eight percent felt that LASIK helped their effectiveness as a naval aviator and ninety-nine percent indicated that they would definitely recommend LASIK to their fellow aviators.
The US armed forces have embraced LASIK as a way to make troops “combat ready”. Over the years vision correction technology has evolved such that LASIK has proven to be a safe and effective procedure. But not all LASIK is equivalent. In order to achieve the phenomenal success illustrated in this latest study, IntraLase and wavefont-guided (Custom-Vue) LASIK is necessary. This premium LASIK comes at an increased cost and the wary consumer should not be lulled into the false notion that inferior, “imposter All-Laser” LASIK can achieve this level of success. Time and time again, large scale, commercially unbiased studies such as those conducted by the US armed forces have demonstrated the superiority of genuine iLASIK over other LASIK technologies.
Maybe you don’t need the type of vision needed to land a plane on an aircraft carrier, but couldn’t you benefit from the superior vision offered by genuine iLASIK in your activities of daily living? Raleigh area LASIK candidates can avail themselves of this “fighter pilot” grade vision at the Laser Eye Center of Carolina. Of course, all medical procedures carry with them some risks and to make sure you are a good candidate for iLASIK you are invited to come in for a free consultation with Dr. Dornic. Dr. Dornic will describe all your options and taylor a treatment plan that is personalized just for you.

Understanding IntraLase

March 15th, 2010

The first step of the LASIK procedure is the creation of a corneal flap. The purpose of the flap is to serve as a protective “lid” underwhich the vision correcting corneal reshaping is accomplished.
A laser has always been used to perform the reshaping but until IntraLase, the flap was created with instruments that contained a blade. The IntraLase Method is a 100% blade-free approach to creating your corneal flap. With the IntraLase Method, a blade never touches your eye.

How does the IntraLase Method work?
Tiny pulses of laser light pass harmlessly through the outer portion of your cornea and form a uniform layer of microscopic bubbles just beneath the surface of your eye. Just prior to LASIK surgery, the doctor can lift the corneal flap by gently and easily separating the tissue where these bubbles have formed.
While LASIK complications are rare, when they do occur they are primarily related to the creation of the flap. The IntraLase Method virtually eliminates the most severe complications associated with LASIK.

IntraLase is a blade-free or all-laser procedure but the educated consumer needs to beware. Not all LASIK centers touting All-laser LASIK are offering IntraLase. Some may be offering a less refined procedure that lacks some of the safeguards of IntraLase.
To date, the IntraLase Method has been used in hundreds of thousands of LASIK procedures around the world.
The creation of the flap itself takes only about 15-20 seconds per eye after the application of numbing eyedrops. Including preparation time, the LASIK procedure takes about 10 minutes total.
The IntraLase Method is quickly becoming the preferred method among doctors, patients and the US military to create a corneal flap.
Dr. Dornic has been performing IntraLase for the past several years and is the first Raleigh area ophthalmologist to perform IntraLase.

LASIK Now for Summer Fun Later

March 7th, 2010

Summer for many people means fun in the water.  But swimming and other water activities with contact lenses are contraindicated for safety reasons.  There are no contact lenses approved for use in the water and soft contact lens manufacturers place specific warnings about wearing contact lenses in the water. Contact lens wearers are especially prone to a devastating eye infection from the Acanthamoeba organism which is found in lakes, hot tubs and other contaminated water sources. Some eye doctors suggest air tight goggles over the contacts but these are not fail safe. Prescription glasses and goggles may not be comfortable or practical for all water activities.
Many patients have found LASIK or other vision correction procedures the answer to increasing their enjoyment of water sports and other outdoor activities. But to take full advantage of a summer of spectacle independence, you’ll need to plan now. That’s because LASIK has it’s own set of restrictions. First, wavefront guided LASIK generally requires at least one to two weeks out of your contact lenses (glasses only) before the procedure. Then, you’ll need to stay out of the water and avoid contact sports for one to four weeks after.
So, if you’ve been looking forward to summer and would like to enjoy such activities as swimming, surfing and yes, even scuba diving why not call today for a free, no-obligation consultation to find out if there is a vision correction procedure that is right for you. We are centrally located for Cary, Raleigh LASIK candidates and we offer convenient evening consultations.

Is Laser Eye Surgery Cosmetic?

February 21st, 2010

Many people have taken the stance that refractive surgery is cosmetic, similar to a cheek implant, nose job or breast augmentation. The eyes are perfectly fine; a pair of glasses will make everything nice and clear, right? But isn’t this analogous to a patient who needs hearing aids to hear or a cane to walk? The perception that LASIK and other refractive surgeries are cosmetic is perpetuated by individuals who aren’t dependent on glasses. These individuals don’t realize what a burden glasses or contacts are. They may not have experienced how a dependence on visual aids can impact the activities of daily living. This line of thinking is reinforced by the insurance industry. Most plans do not cover refractive surgery. Cosmetic makeover shows typically include LASIK because many patients look better without glasses. But the real benefit of Lasik is not that the patient looks better, rather it is that the patient functions better.

Refractive Errors are a Defect

It is an enigma to me how our myopic ancestors functioned or even survived before the correction of refractive errors were possible. Nearsighted individuals clearly were at a competitive disadvantage. I would not want to be a poorly seeing mid-evil warrior!
Marco Polo brought the concept of eyeglasses back to Europe from the Orient. But eyeglasses and contact lenses are prosthetic devices just as are hearing aids and ankle braces. For many years, man has strived to permanently correct their vision with drugs, eye exercises or surgery. As it turns out, surgery has proven to be the only, permanently successful solution. Over the past 50 years strives have been made to make vision correction more precise and safer. The fact that a much higher percentage of ophthalmologists have had LASIK than the general population is testament to the perceived success of these goals.

Athletes and the Military Undergo LASIK

Scores of professional athletes including football players, baseball players and members of the National Basketball Association have had LASIK. Over 80 professional golfers have had LASIK; Tiger Woods being the most well known. Many athletes feel that being free of glasses or contact lenses improves their game and are not having the procedure performed to improve their appearance. The U.S. Military has seen the advantage of laser vision correction and now provides it for many of their enlisted personnel. Likewise, many active patients find glasses or contact lenses impractical for many activities of daily living.

Not Just for the Rich and Famous

In recent years, the cost of traditional laser vision correction has come down. But the educated consumer should not just search out the lowest price. Doing so means that that the individual may not be benefiting from the improved success rates and safety of such advances as wider treatment zones, smoother treatment surfaces, pupil trackers and wavefront technology. Be sure that you are dealing with an experienced refractive surgeon who makes use of the latest technological advances, that the laser room is environmentally controlled and that strict infection prevention controls are in place.
Don’t despair if your medical insurance does not cover your laser eye surgery. Flexible medical spending accounts and insurance discounts offer real savings. Low or no-interest financing options can help fit laser vision correction into most people’s budget. Vision correction is a recognized income tax deduction. Many patients who have had their vision corrected feel that it was one of the best investments they have ever made. More patients are candidates for vision correction today and success rates are higher than ever. Laser eye surgery is not just cosmetic and there has never been a better time to have your vision corrected than right now.

LASIK Eye Surgery for Emergency Workers

February 7th, 2010

Concerned about being able to see, has had an increase in emergency personnel having the lasik surgery procedure done. Usually they will choose the Lasik with IntraLase Method.
While LASIK has always been a safe and effective procedure, the IntraLase Method offers patients the benefits of LASIK without the blade. With its enhanced safety profile and superior visual outcomes, the IntraLase Method has been the procedure of choice for the US military and is quickly becoming the procedure of choice for policemen, firemen, EMTs and other rescue personnel.
Dr. Dean Dornic of the Laser Eye Center of Carolina has noticed an uptick in emergency personnel from the Raleigh Durham area seeking LASIK vision correction surgery.
“Glasses and/or contact lenses may not be practical for emergency personnel.” said Dornic. “It’s also common for a contact lens wearer to seek LASIK before shipping out overseas for relief efforts such as is currently going on in Haiti where hygiene may be an issue.”
Being able to see without worrying about losing glasses or discomfort from contact lenses allows many emergency workers to perform their jobs safely and more efficiently.

Patient Satisfaction with LASIK

December 27th, 2009

Patient satisfaction after LASIK remains consistently high but no medical procedure has a satisfaction rate of 100%. Why are so many patients delighted with their results and others disappointed? Obviously there exists a group of patients who have had had unanticipated complications but this is fairly rare. One of the more common reasons may be unrealistic patient expectations.
Why should a patient seek vision correction surgery? To reduce dependence on glasses or contact lenses. Occasionally however, patients undergo LASIK or other refractive surgery because of dissatisfaction with the quality of their vision in glasses or contact lenses. If the surgeon is not attuned to this, expectations may not be met and dissatisfaction results.
For example, around the age of forty, patients commonly develop presbyopia, or a reduction in focusing ability. In glasses, a common solution is bifocal glasses in which the top of the glasses are utilized to view distance objects and the bottom correct for near. The LASIK procedure can eliminate the need for glasses for distance (ie driving) but patients may still need reading glasses for near tasks. If the patient is not aware of this before undergoing the procedure, disappointment can result.
Another example is the patient who notices a decline in the quality of his vision who repeatedly has his glasses remade because he feels the doctor “just can’t get the prescription right”. Finally, out of frustration he seeks the counsel of a LASIK surgeon. If the surgeon fails to extract the real reason the patient is seeking vision correction, the opportunity to perform diagnostic testing to detect subtle cataracts, retinal or optic nerve disorders may be missed. The patient may be free of his glasses but still be left with quality of vision issues and dissatisfaction with the result.
LASIK is a safe and reliable procedure which has had years of refinement. It may not, however, be the best procedure for all patients and all vision problems. Because we are not a “LASIK only” center we can treat a wide variety of vision disorders and customize a treatment program specifically for you. Our goal is no surprises and total patient satisfaction. Come in today for a free, no-obligation, consultation.

When LASIK is Not an Option

December 20th, 2009

As most patients know, LASIK is not an excellent option for everyone. Some patients may not be ideal candidates because their prescription is outside recommended limits, their corneas may be too thin or their may simply be a better procedure for their particular visual problem. Many Raleigh NC area patients have consulted us after finding out that they faced unexpected risks or an uncertain result with LASIK. Many were pleasantly surprised to learn the solution to their visual problem was implantable lenses, refractive lens exchange, Intacs or some other procedure that they may never have heard of. For many patients, LASIK offers the chance for spectacle and contact lens independence. Other patients may find that one of several other vision correction procedures might be a better choice. If you are contemplating LASIK, you owe it to yourself to contact a center like the Laser Eye Center of Carolina that offers more than LASIk to be assured that you are offered the best procedure for your unique vision problem.

The LASIK “Lifetime” Guarantee

November 27th, 2009

If you are contemplating a vision correction procedure, you might be tempted by LASIK centers offering a “lifetime guarantee”. But before you bite, consider that such “guarantees” are not always what they seem. The lifetime guarantee often comes with strings, severe restrictions and undisclosed costs.
What’s the catch?
1. The lifetime guarantee only applies to patients within certain parameters. They typically are not available for farsightedness, or for patients with more significant amounts of nearsightedness or astigmatism.
2. The lifetime guarantee only applies if you get an excellent outcome on your initial LASIK procedure. The guarantee is void if you need an enhancement or “touch-up” procedure.
3. The guarantee only applies if your vision changes to significantly more nearsightedness (worse than 20/40). What if you drift to 20/30 or become farsighted as you age? Sorry, you’re on your own.
4. The guarantee allows only for additional LASIK procedures. Of course, there is a limit to the number of times a LASIK procedure can be performed and the guarantee does not apply to procedures such as conductive keratoplasty which may be a better option for you as you age.
5. The center determines the advisability of further LASIK. This does not allow for the participation of the patient in the decision making.
6. The “lifetime” referred to may be the lifetime of the center. With the current economic downturn, most LASIK-only centers are operating in the red. One large center in Charlotte, NC recently closed its doors. We have seen several patients who were patients of now defunct laser centers who found that their lifetime guarantees were worthless.
7. You may be required to undergo yearly exams at an affiliated doctor’s office. Miss one of these mandated exams and your guarantee becomes void. But what difference does it make how often you go in for an exam or where you go? The truth is, unless you have diabetes, glaucoma or some other eye condition, eye exams every two to three years may be sufficient according to the American Academy of Ophthalmology. Such restrictions are an unnecessary burden and expense making it difficult and in some cases, impossible for a patient to meet their obligation under this arrangement.

At the Laser Eye Center of Carolina, we take a much more pragmatic approach toward our commitment to you. We offer more than just LASIK and we’ll be here to offer whatever procedure is right for you. We have a results oriented approach from the start. If we can’t get you an unrestricted drivers license, you don’t pay. The decision for an enhancement is made between you and the doctor with no artificial barriers; we’ll even enhance 20/20 eyes if a patient is too farsighted. The need for an initial enhancement does not void our ability to do subsequent procedures.
With today’s technology, the overwhelming majority of patients will continue to enjoy excellent vision for the rest of their lives and will not require additional procedures. But, if your vision or your visual needs change we’ll be there to offer whatever procedure is necessary to allow you to function at your peak. And once you’re a patient, you’ll never pay more than 50% of our regular rate for an elective vision procedure. Once you read the fine print on those “lifetime guarantees” from LASIK-only centers we think you’ll agree that our simple, no-quibble commitment and our ability to offer a variety of vision correction procedures is your “guarantee” that you will be satisfied with your vision for many years to come.

Why a “LASIK-Only” Center Isn’t Always Best

November 22nd, 2009

So you’re ready to free yourself from your dependence on glasses or contacts. What’s the next step? Call a LASIK center? Think again!
A center that performs LASIK-only may not offer the procedure that is right for you. For some patients, implantable contacts, CK or refractive lens exchange may be the best option. A LASIK-only center can’t offer these options. Worse yet, they may be tempted to offer LASIK when it is ill suited for you. And even if LASIK is the best procedure initially, what if another procedure is better as an enhancement?
To insure that you are offered the procedure that is right for you, consult a surgeon who is able to offer all eligible vision correction options. Dr. Dornic of the Laser Eye Center of Carolina has been performing vision correction procedures for over eleven years and is experienced in all FDA-approved vision correction procedures. He can offer the procedure and technology with the highest success rate and lowest risk for your unique vision problem.