Posts Tagged ‘PRK’

When LASIK is “Iffy”

Sunday, September 18th, 2011

LASIK may not be your best option.

Some patients are great candidates for LASIK: they have an eyeglass prescription associated with a high success rate, they have no contradictory conditions and they have reasonable expectations. Other patients may not be a candidate for vision correction surgery and another, third group of candidates may be described as “iffy”. We’ve seen a number of these patients over the years. Many are seeking a second opinion or may have some misconceptions about LASIK eye surgery and need to be educated on why they are not ideal candidates.
The unfortunate truth is that LASIK cannot correct every vision malady. There are some prescriptions that cannot corrected with final good optical quality and there are some eyes for whom LASIK is not suitable and can even be dangerous. Most reputable LASIK providers will not offer surgery to patients when it is clearly contraindicated. Of course, there are various shades of gray. Some eyes may have a reasonable chance of having good results from LASIK but may not be ideal. Now suppose you are a “LASIK-only” provider dependent on high volume in order to be financially viable. Chances are you will be tempted to offer LASIK to a patient with less than perfect credentials under the assumption that the odds are in your favor.
But what if you were the patient? Wouldn’t you want to know that you were a less than ideal LASIK candidate and be interested in hearing about other procedures offering a safer side-effect profile and higher success rate? Today there are numerous options, besides LASIK, that are available to reduce dependence on glasses. Some of these options include PRK, OmniLase, Implantable Contact Lenses, CK and Refractive Lens Exchange. To insure you are offered all available vision correction options, our advice is to seek the opinion of a surgeon offering various procedures. Listen carefully to the risks and side effects of each option. If LASIK is “iffy” you might just want to cross it off your list and choose a procedure more suitable to you and your particular vision problem.

LASIK Can’t “Do It All”

Sunday, July 3rd, 2011

Consider LASIK Alternatives

This Independence Day got me to thinking about patients and their desire to be independent of their eyeglasses. For patients seeking LASIK, often there is a ‘tipping point’ such as a contact lens related problem or it’s time to go in for their exam with the prospect of exam fees, contact lens fitting fees and the purchase of new glasses or contact lenses. Sometimes the patient just got back from a vacation or participated in an event where glasses got in the way. Or maybe the patient just got tired of pushing their glasses up their nose, putting in their contact lenses every morning or waking up unable to see. This is the point where they come in to see me. Often they are happy with what I tell them but a significant number are disappointed to learn that LASIK may not offer them everything they are looking for or is just not advised.

LASIK is a great procedure and has been around for a number of years. However, there remains a very specific ‘subset’ of patients for which LASIK is ideal. This subset includes patients between the ages of 18 and 40 without pre-existing dry eye problems, keratoconus or certain other eye diseases. The patient may have small amounts of farsightedness, or nearsightedness and/or astigmatism below a certain amount. Now don’t misunderstand me, almost half of my LASIK patients are not in this ideal category (usually because they are over the age of 40) but what I am saying is that patients who are not ideal may want to consider LASIK alternatives like Visian Implantable Contact Lenses, PRK or refractive lens exchange. The alternative is to accept certain compromises: an example might be the need for reading glasses.

The Laser Eye Center of Carolina offers more than just LASIK because LASIK is limited in who can benefit from the procedure and what it can offer. If you have a desire to become independent of glasses, consider all your options: not just LASIK.

Meet the Surgeon

Sunday, April 17th, 2011

“When I went for my consultation they told me I might have LASIK or I might have PRK depending on what the surgeon says,” said the exasperated patient sitting in our exam chair. That’s because when the patient went for their consultation, they didn’t actually meet with the surgeon: they met with a technician who was not qualified to make a decision as to the suitability for LASIK. We have heard similar stories of patients who were canceled or had their procedure abruptly changed on the day of the procedure when the surgeon recognized that their patient, scheduled for LASIK, was actually a poor LASIK candidate. This type of scenario is much more likely to play out at a discount LASIK center where LASIK is performed on everyone unless a specific contraindication is detected.
But today there are a number of refractive surgery procedures and the best strategy is to select the procedure that is safest and most likely to result in a successful outcome. Sometimes a patient is a good candidate for more than one procedure and a discussion of different potential side-effects, expected longevity of the procedure and costs would be appropriate. Obviously it is poor form to operate on a patient never examined by the surgeon as this increases the possibility that something might be missed. In addition, the patient may be placed at a disadvantage if the procedure to be performed on them is sprung on them moments before the scheduled surgery time.
Our advice? Meet the surgeon. This gives you the opportunity to evaluate and feel comfortable with the individual who will be performing surgery on your eyes. You will have the assurance in knowing that a qualified doctor was able to judge the appropriateness of your eyes for surgery and had an opportunity to select the best treatment for your particular vision problem. It will also give you the opportunity to ask questions and feel comfortable that you are fully informed of your choices, risks, side effects and expectations. At the Laser Eye Center of Carolina, we perform a number of different vision correction procedures and every patient is personally examined by Dr. Dornic. Before you leave the consultation, you will have a thorough understanding of your options and have an opportunity to digest the information before making a final decision. Second thoughts or forgot to ask something during the consultation? Every patient gets Dr. Dornic’s email address and, of course, phone calls or return office visits are always welcome. We want you to feel just as good about your decision to have vision correction as we feel confident in our ability to deliver excellent results.

A Second Chance at Better Vision

Sunday, September 27th, 2009

Some patients who have had vision correction procedures such as RK or LASIK in the past may find that there vision or vision needs have changed. Even cataract patients may wish to gain more independence from glasses. A not uncommon situation is a patient who seeks us out after having cataract surgery, corneal transplant, RK or LASIK in the past with a desire to improve their vision. Thankfully, in the great majority of cases we can offer something to improve their situation. Often patients can have their LASIK or PRK procedures repeated or fine-tuned. It is also usually possible to combine vision correction procedures. We have performed LASIK and PRK many times for patients who have had past RK procedures or cataract surgery. So if you have had past eye surgery and are not totally satisfied with your vision, why not come in for a complimentary consultation and find out what we can do for you?