LASIK, C-LASIK, BLADELESS LASIK, ASA, ICL

Re-Vision : Redefining Vision, First and Foremost in eye care, the best has become even better. At GROVER EYE LASER & ENT HOSPITAL, we believe that we can change the way you see this this world without glasses or contact lenses. Multifocal Laser and Wave-front Guided Lasik are available to help achieve glasses free vision even better than 6/6 or 20/20. Various advanced lasers at our hospital provide highly scientific ,safe, precise and permanent glasses removal treatment. There are regular hardware changes with frequent software upgrades having many unique features, latest upgrade in January 2016.

With the launch of the latest 6th Generation Navex Laser System including the Nidek C-LASIK CX-III Quest laser at GROVER EYE LASER & E.N.T. HOSPITAL , we have achieved the distinction of being one of the few centres in country to have acquired this state of the art technology. Advanced Bladeless Lasik & the latest C-LASEK, Epi-C-LASIK, Advanced Surface Ablation (ASA) and Multifocal Laser available.

WHY GLASSES REMOVAL AT GROVER EYE LASER HOSPITAL

  • Most experienced surgeons doing Glasses Removal Surgery & Lasers since 1988.
  • One of the FIRST CENTRE in India to start LASIK Laser in 1995
  • Our centre boasts the best Laser machines- the FDA approved Navex Quest Laser System with NIDEK Laser and Final Fit Software , which ablates the corneal tissue minimally and Torsion Error Correction for most accurate cylinder number correction. There are regular hardware changes and frequent software upgrades.
  • Best Results with Latest wavefront technology, Aspheric, Optimised & Customised LASIK to diagnose & treat higher order aberrations also. There is Slit scanning & variable spot-size scanner with most advanced flat top beam profile.
  • We have India’s only Nidek Objective Accommodation measurement system.
  • THE ONLY CENTRE IN INDIA for Presbyopia treatment. MULTIFOCAL LASER VISION CORRECTION is done for the simultaneous correction of both distance and near vision numbers after the age of 40 years. After Multifocal LASER both distance and near glasses are removed. It is best for all plus numbers at all ages and for all minus, plus or double numbers near age 40 years.
  • Advanced Epi-LASIK & ASA Laser in thin cornea or cornea too flat or too steep which are unsuitable for LASIK.
  • Team of highly qualified and Experienced doctors with dedicated and highly trained staff for meticulous pre-laser screening protocol and post laser follow up.
  • Eye microsurgery dexterity, technical expertise in handling lasers & medical electronics along with an in depth understanding of refraction and the optics of the human eye is giving outstanding results in laser vision correction at our hospital.
  • Largest number of highly satisfied patients over the years.

NEW DIAGNOSTIC FACILITIES AND ADVANCED LASIK LASER

Corneal Topography / Pentacam and Pachymetry (Corneal Thickness Test) are important investigations for LASIK treatment. OPTICAL PATH DIFFERENCE SCAN or O.P.D. Scan (Aberrometer) is a highly sophisticated test that measures and analyses any other imperfections (aberrations) in the eye’s optical pathway from the cornea, lens, vitreous cavity and retinal surface . This guides the LASER to correct any high or low order aberration in the eye in addition to the correction of spherical or cylinder number. Also there is north India's only objective Accommodation measurement system for proper refractive evaluation.

Accurate pre-laser tests are important

A computer can only be as accurate as the input data. Strict adherence to scientific guidelines at GROVER EYE LASER & E.N.T. HOSPITAL along with high ethics, detailed and accurate pre-laser tests and technological expertise with years of cumulative experience in laser eye treatment since 1988, Excimer & LASIK LASER treatment since 1996, have made our laser vision correction results comparable to the best centers in the world. Re-correction or enhancement is needed in less than 0.5% of our patients. Doctors at this hospital do not hesitate to reject a candidate for LASIK or laser vision treatment if all scientific & medical parameters are not accurately met in a particular eye.

Optical path difference (OPD) Scan with Final Fit software

North India’s only Objective Accommodation measurement system in use.

Verification of refraction (glasses number) with Phoropter system

1.Standard LASIK

LASIK started a revolution in glasses removal technique. In this a thin slice of corneal tissue flap is created and lifted with an attached hinge. With excimer laser ablation, correction of glasses number is done on the corneal stromal bed and then the flap is replaced in original position. Often called the “flap and zap” procedure. It is a precise, fast, safe and permanent correction for removal of glasses. Now developments as detailed below have even further refined the outcome and increased patient satisfaction.

Better Vision

2. C-LASIK

The unique feature of C-LASIK is that it studies each individual eye like an individual fingerprint and corrects accordingly. Hence this Lasik was called individualized or i-Lasik and now is called CUSTOMISED LASIK or C-LASIK as each treatment parameter is specially programmed for a particular eye. This makes C-LASIK treatment results superior to that of correction of only spectacle numbers by earlier Standard LASIK laser .

The special Wavefront Plus with Final Fit and Multi-Point ablation by C-LASIK laser system has the world’s best tissue saving wavefront technology which ablates even less than 10 microns of corneal tissue per diopter corrected and has optimized aspheric correction. With this the accuracy and safety of glasses removal laser treatment has achieved new standards at Grover Eye Laser & E.N.T. Hospital.

There is also the latest high speed eye tracker with on-line torsion error correction, automatic iris pattern recognition for best alignment of cylinder axis with aspheric zone and both the small spot & scanning slit ablation, thus taking the advantage of technical advancements on all fronts.

3. FEMTOLASER & BLADELESS LASIK LASER

In Bladefree / Bladeless LASIK surgery, a Femtolaser laser is used to create the flap. It creates the corneal flap by forming a layer of bubbles beneath the outer layer of the cornea with the use of rapid pulses of light. The flap is lifted, the underlying cornea reshaped with an excimer laser, and then the flap is replaced in its original position. The bladefree LASIK is safer for patients with thinner corneas, or too steep or too flat corneas who may not have been ideal candidates for LASIK with Blade. It is variously called i-Lasik or z-Lasik. The advantages of this laser are its increased precision and more safety.

4. SMILE – FLAPLESS LASER EYE SURGERY (RELEX SMILE)

The femtosecond technology has recently been used for a new technique for performing laser vision correction on the cornea viz. Refractive Lenticule Extraction called RELEX for short or Small Incision Lenticule Extraction or it’s abbreviation called ‘SMILE’. It uses a femtosecond laser to separate a thin lenticule (or disc) of corneal tissue from within the cornea. This disc or lenticule is then removed through a small incision and the net effect on the corneal shape corrects the patient’s short-sightedness (or myopia). Currently the technique is used only for moderate short-sightedness and astigmatism.

SMILE has limited US FDA approval, that too, only for certain patients above 22 years of age, so not advised at our hospital till better version and fully approved machine is developed.

5. ADVANCED SURFACE ABLATION (ASA)

While LASIK eye surgery is helpful for around 70-80% of our patients who are hoping to have laser vision correction procedures, it is not always the recommended choice for everyone.

INDICATIONS FOR ASA The benefit of ASA is that the vision correction laser beam works right on the surface of the cornea without the need for a flap.

Patients who have thin corneas, irregular corneas, dry eyes, high powered glasses, certain occupations (eg. Professional Boxers, Armed Forces, Police etc.) or certain hobbies (such as football, karate etc.) choose to have more superficial vision corrections through surface ablation procedures.

ADVANTAGES:

1) Surface ablation avoids all the flap-related complications seen in LASIK, including incomplete flaps, free caps, buttonhole flaps, flap striae, dislocated flaps, flap melts, epithelial ingrowth and DLK.

2) It is the safest glasses removal laser especially in case of thin cornea although the recovery takes somewhat longer. Now advanced epi c-lasik and bladeless technique is used for many cases with less corneal thickness or high refractive error.

ASA / EPI-C-LASIK IS PROVING TO BE SAFER THAN EVEN I-LASIK OR RELEX SMILE LASERS FOR THIN CORNEA.

BENEFITS OF ADVANCED ASPHERIC C-LASIK AND ASPHERIC EPI-C-LASIK, ASA TREATMENT OVER LASIK LASER

  • C-Lasik. Laser parameters are personalized for each individual eye as per the measurement and analysis from O.P.D.Scan (aberrometry ) and pupilometry so C-LASIK & Epi-C-LASIK ASA laser provides better vision than what is possible with glasses or contact lenses in many cases.
  • The C-LASIK, ASA Epi-C-LASIK system has many advanced built-in safety features like ultra-fast eye tracking, iris-pattern recognition, on-line torsion error correction and auto stop that help to optimize the success of all minus, plus & cylinder number treatment .
  • Available clinical data shows that patients treated by Aspheric C-LASIK, Epi-C-LASIK & Aspheric ASA have less problems in night driving than patients undergoing treatment with a standard Lasik laser due to better aspheric optic & transition zones.
Lasik
OPD

Final Fit Software

Lasik

YOU MAY BE A CANDIDATE FOR WAVE-FRONT GUIDED, ASPHERIC laser treatment IF YOU :

  • Are above 18 years of age with stable spectacle power. Any plus, minus, cylinder number or bifocal / progressive add glasses provided that other eye tests are normal.
  • Want to get rid of glasses/removal of glasses by latest laser technology
  • Are troubled by scattered light (Aberrations), Night Glare.
  • Have been told that your cornea is too thin or pupils are too big for standard Lasik Laser .
  • Need vision correction for complicated or high numbers or need sharper vision for low numbers.

6. LASIK XTRA

WHAT IS LASIK XTRA ?

In certain cases with thin cornea or other specific medical condition we perform LASIK in combination with corneal collagen cross-linking with riboflavin (C3R or CXL) and are achieving extremely promising results. The goal of cross-linking in combination with LASIK (i.e. LASIK XTRA) is to improve LASIK outcomes in general, that is to ensure corneal stability from a biomechanical point of view and avoid corneal ectasia from a safety point of view.

HOW DOES LASIK XTRA WORK?

The procedure involves a combination of Ultraviolet A (UVA) light and riboflavin (B2 one of the sub-types of vitamin B). In C3R riboflavin acts as a cornea collagen crosslinking helping agent and in addition protects the rest of the structures of the eye from scattered UV light due to its yellow colour.

LASIK XTRA PROCEDURE

The patient first undergoes the planned LASIK operation where an anesthetic is applied to the eye and a flap cut into the cornea in one of two ways – either using a femtosecond laser or a microkeratome tool. The flap is lifted and the excimer laser reshapes the cornea to correct the way in which light reaches the eye. In the next step Riboflavin solution is instilled onto the cornea. The eye is allowed to soak Riboflavin for a couple of minutes after which the cornea is rinsed clean and its flap restored. A short duration ultra violet light is then directed on the eye. This has the effect of binding or creating cross-linking between the collagen molecules.

It can also be used with Epi-LASIK and ASA. The C3R procedure can also be done years after the original LASIK surgery has taken place. In other words, the two treatments don’t have to be taken together.

7. NEAR VISION CORRECTION, PRESBY-LASIK AND ADVANCED MULTIFOCAL LASER VISION CORRECTION

In advanced Multifocal laser vision correction, simultaneous correction of all distance, intermediate and near vision numbers is done. This was so far not possible with any Lasik laser system in the world and Mono-Vision correction was done wherein one eye was corrected for distance and the other eye for near.

Multifocal Laser Vision correction is very useful for patients above 35 years of age having any spectacle number and for all plus number glasses users above 18 years of age. Multifocal Lasik can be done at age 50+ also if there is no cataract or any other contraindication in the eye.

Since June 2008, Grover Eye Laser & E.N.T. Hospital is the first hospital in India to have developed and used advanced multizone Lasik creating multifocal corneal correction. Now new MULTIFOCAL LASER has also been added to correct both distance and near vision simultaneously in both eyes.

Our hospital has Objective Accommodation measurement system for accurate data input for Multifocal Laser Vision correction. With this Dr.Rohit Grover & Dr.Sujata Grover have joined the select group of only few doctors world-wide known to have developed such a technique. This also increases contrast sensitivity in most patients.

This gives much better results as compared to Presbyopic-Lasik, Presby Max, Kamara Inlay rings etc.

Multi focal laser vision correction for Presbyopia

Presbyopia is the progressive inability of the eye to focus clearly on near objects. It happens to everyone as a natural part of aging. The lens changes shape to accommodate the differences in light coming from objects at different distances. The human lens gradually stiffens and loses the ability to change shape. By the time we are in our 40s, the stiffness has progressed to the point that light rays from close objects cannot be properly focused, and we begin to experience blurred vision when we try to do tasks that require up-close focus, such as reading or needlework. Presbyopia eventually affects everyone, even people who are already farsighted (hyperopic) or nearsighted (myopic). Because people who are farsighted already have difficulty focusing on near objects, they may experience presbyopia a little earlier in life. People who are nearsighted may find that their near vision is better when they read without their glasses.

SYMPTOMS
  • 1. Difficulty reading at a previously comfortable distance (words appear blurred)
  • 2. Needing to hold reading material or other close objects further away from your eyes to gain clarity
  • 3. Needing brighter light to see clearly (bright light constricts the pupils, which increase the depth of focus)
  • 4. Difficulty reading late at night, or when you are tired or stressed
  • 5. Eye discomfort, fatigue or drowsiness when doing close work because of the strain of eye muscles working to change the lens shape.
  • 6. Headaches

1. By MULTIFOCAL LASIK, Near Vision Correction, PRESBY-LASIK especially if you have both , a significant distance number, and also, a separate near number. Multifocal LASIK is best suited for all plus numbers even for age 18 or above and for all minus numbers age 35 and above.

2. Presbyopia is also treatable with corrective lenses. Glasses are the simplest way to regain near-vision clarity.

If you already wear corrective lenses for nearsightedness or farsightedness you may need two sets of prescriptions -- one for distance vision and one for near vision. Glasses may have bifocal lenses, in which the upper portion of the glass is corrective for distance and the lower portion for near vision.

If you don't already wear corrective lenses or you wear contact lenses, you may opt to wear simple reading glasses only when necessary to magnify near objects..

3. Contact lenses can also be used to treat presbyopia, although many people find it difficult to adjust to them. Bifocal contact lenses can be made, or you may opt for monovision lenses, in which one eye has a contact lens with a prescription for distance vision, and the other eye has a contact lens for near vision. We will help determine the best course for you.

8. IMPLANTABLE CONTACT LENS (ICL) OR PHAKIC I.O.L., TICL : Staar Visian ICL, Implantable Collamer Lens

These lenses implanted in the eye to work with the crystalline (natural) lens to correct spectacle errors. Because an ICL can correct a wider range of myopia or hypermetropia than laser refractive procedures, implantable contact lenses are often turned to as an alternative for patients unfit for LASIK surgery .

Implantable Contact Lens (ICL) are the good option in

1) High Minus or High Plus specs power with or without cylinder numbers.

2) In lower powers they are preferred when the cornea is thin and LASIK is not advisable for some reason.

ICL is of two types

Spherical (ICL) and ICL Toric (or TICL) .

Spherical ICL lens corrects only spherical power of glasses.

Toric ICL lens corrects cylinder along with spherical power of glasses .

1. What Are Implantable Collamer Lenses (or Implantable Contact Lenses) ICL ?

ICL or phakic intraocular lenses, are lenses implanted in the eye to work with the natural crystalline lens of the eye to correct refractive error with or without astigmatism .

ICL can correct high refractive error in thin cornea which cannot be corrected with lasik or epi lasik laser .. implantable contact lenses are considered as an alternative to LASIK SURGERY.

2. What Is The Difference Between ICLs And IOLs?

The main difference between implantable collamer lenses and traditional IOLs is the fact that an ICL works in conjunction with the eye's crystalline lens .it is done in a young patient who has no cataract and an IOL replaces the eye's natural lens during cataract surgery .. IOLs are used to treat Cataract and (ICL) Implantable contact lenses treat refractive error (glasses removal) .

3. Are Implantable Collamer Lenses Safe?

Yes. Although all surgical procedures carry some risk of complications, implantable collamer lenses have a proven track record of safety if carried out by a certified surgeon. (See Certificate attached)

4. Will I Feel the ICL after the Procedure?

No. Although you may experience slight discomfort during the procedure, you should not be able to feel a properly implanted ICL.

ICL / IPCL involves implanting an ultra thin lens of a special design and the required power permanently in the eye. This lens is placed over the natural lens inside the eye, thereby correcting the spectacle power of the eye. This is generally a procedure for LASIK reject cases and should not be done indiscriminately without a proper LASIK work-up facility.

Only certified ICL Eye Hospital in the region

Bioptics Refractive Surgery is done for selected cases in our hospital wherein two or more techniques are combined (eg.LASIK & ICL) to give even more refined results in difficult cases.

FOR YOUTUBE VIDEO TALK COMPARING VARIOUS LASER PROCEDURES CLICK ON THE LINK BELOW

COMPARISON OF VARIOUS LASER PROCEDURES FOR GLASSES REMOVAL

LASER TYPES Excimer Laser PRK LASIK Microkeratome (Conventional) Femto-LASIK (No Blade / Bladefree) C-LASIK Small Incision Lenticule Extraction RELEX SMILE No Cut, No Flap Epi C-LASIK,
ASA - Advanced Surface Ablation
Pre-Op Patient Selection
1 Suitability for Various Spectacle Numbers For Low to Moderate Numbers For all Low to High Numbers For all Low to High Numbers Moderate suitability only. Can not correct Low -0.5 or any plus numbers High suitability. Can correct Very Low -0.5 to Very High Numbers
2 Suitability for Thin Cornea Yes No No Moderate but causes more corneal tissue loss Maximum safety & accuracy
3 Suitability for previously Operated Lasik or Repeat Yes (conditional) Yes (conditional) Yes (conditional) No Yes
4 Safety for High Risk Jobs & Contact Sports High Moderate Moderate High Highest
5 Multifocal Number Correction after age 40 No Possible Possible No Possible
Operative Conditions
6 Flap Complications,
Flap Displacement
No Flap 1 in 100 eyes 1 in 250 eyes Flapless so no flap complication Flapless so no flap complication
7 Corneal Cut No Nearly 300°/ 20 mm Nearly 300°/ 20 mm Nearly 45° / 2 to 3 mm No Cut
8 Splitting or separation of Corneal Layers No Yes Yes Yes No
9 Microkeratome Blade Complications No Yes No No No
10 Advanced Astigmatism Cylinder Cyclotorsion & Wavefront Treatment for axis & better contrast No Yes Yes Not Possible so Less Accurate Cylinder Axis Alignment Yes
11 Permanent Mark on Cornea Moderate Cut Mark Visible Cut mark visible Cut mark visible No mark, so safer for medical test
12 Incomplete Lenticule Extraction Complication No No No Yes No
13 Corneal Bowman's Layer Wrinkles Complication No Yes Yes Yes No
14 Gas Bubble Breakthrough Complication No No Yes Yes No
15 Maintenance of Corneal Architecture Some Compromise Some Compromise Some Compromise Less Compromise Least or no Compromise
Post-Operative Consideration
16 Pain after the procedure Intense for 48 hours Discomfort for a few hours Discomfort for a few hours Mild Discomfort for a few hours Mild to moderate
17 Vision Recovery Poor for 3-4 days, recovers gradually over a few weeks Quick ( 12 to 24 hours ) Quick ( few hours ) Quick to Moderate Slow but very safe and end result is same or better
18 Corneal Haze Moderate No No Minimal,transient Minimal, transient
19 Enhancement or repeat procedure in case of residual power Difficult Possible Possible Not Possible Possible
20 Dry Eyes after Laser Mild Mild to moderate Mild to moderate Mild or none Mild or none
21 Return to Routine Activities 7 to 10 days 1 day 1 day 1 day 6 to 7 days
22 Night Glare and Large Pupil Problems Moderate(if haze) Mild Mild Mild Least or none as large Optic zone
23 Restrictions on Swimming 2 Months 1 Months 1 Months 1 Week 2 weeks
24 Steroid Eye Drops 8 to 10 weeks 3 Weeks 3 Weeks 2 to 3 Weeks 4 to 5 weeks
Conclusion
25 Overall Safety Safe Fairly Safe Safer More Safe Safest
26 Accuracy 0.25 microns 0.25 microns 0.25 microns 4.0 microns error 0.25 microns
27 Glasses Number Correction Accuracy + /- 0.02 Diopter but regression +/- 0.02 Diopters +/- 0.02 Diopters +/- 0.33 to 0.66 Diopters error +/- 0.02 Diopters
28 Keratoconus & Corneal Ectasia Risk Low Moderate Moderate Low to Moderate Least
29 Long term Results Average Very Good Very Good Under Investigation Extremely Good
30 US - FDA APPROVED Yes Yes Yes Limited Approval Yes

CONTRAINDICATIONS FOR GLASSES REMOVAL CORNEAL LASERS

Corneal diseases, keratoconus, significant dry eyes, unoperated cataract or glaucoma, significant retinal pathology , uncontrolled diabetes, connective tissue disorder etc.

Note:CONTACT LENS USERS ARE ADVISED TO DISCONTINUE LENSES BEFORE CHECK-UP.

FAQs

  • Full form of LASIK is Laser-Assisted in-situ Keratomileusis.
  • Excimer & LASIK Laser is a unique type of "cold" Laser that does not burn the tissue.
  • It involves the reshaping of the corneal curvature to give you good sight without the aid of any glasses or contact lenses.

LASIK surgery is a laser procedure that corrects a wide range of near-sightedness (myopia), far-sightedness (hyperopia), astigmatism (cylinder) and Presbyopia(reading glasses for near after forty).

It is being performed for over 25 year, with millions of happy patients from all over the world. Excimer, LASIK is being done at Grover Eye Laser Hospital for past 20 years, so doctors here are very experienced.

  • Clear vision without glasses and contact lenses.
  • If you are intolerable to contact lenses, then laser is the only solution .
  • You may consider certain career opportunities (e.g. Air Force, Merchant Navy, Pilots, Air Hostesses, Sportsmen) which otherwise would not have been possible.
  • Wider scope of vision than what your glasses provide.
  • Myopia or Minus (-) numbers.
  • Hyperopia or Plus (+) numbers.
  • Astigmatism or cylindrical numbers
  • Bifocal or progressive number glasses removal done with Multifocal Laser Correction only at Grover Eye Laser Hospital
  • It is a new standard for Laser vision correction in which "Eagle's Eye Vision" or a precise level of correction is attained.
  • It takes care of the personal aberrations of the eye and corrects the unique imperfections of each individual's vision. Higher order aberrations such as Glare, Haloes, and star-bursts are taken care of which can not be corrected with standard LASIK procedure which cures only lower order aberrations
  • Provides better vision than that is possible with glasses , contact lenses and Non- Customized Lasik Laser .

ACCURATE PRE LASIK TESTS are important :- A computer can only be as accurate as the input data. Strict adherence to scientific guidelines at GROVER EYE LASER & E.N.T. HOSPITAL along with high ethics, detailed and accurate pre-laser tests and technological expertise with years of cumulative experience in laser eye treatment and glasses removal since 1988 and Excimer, LASIK LASER treatment since 1996, have made our laser vision correction results comparable to the best centers of the world. Re-correction or enhancement is needed in less than 0.1% of our patients.

Before deciding to undergo LASIK procedure, you should be:

  • Over 18 years of age.
  • Your number should be stable for at least six months.
  • You should not be pregnant.
  • You should be off your contact lenses a few days before the laser.
  • Your cornea should be of adequate thickness as assessed by your doctor.

There are many complications if you are wearing contact lenses on daily basis. On other hand LASIK is safer and comfortable than contact lenses.

Contact Lens patients are more prone to eye allergies and eye infections, including corneal ulcers which may lead to drop in vision permanently, as compared to a normal person.

There is no upper age limit for which LASIK can be done provided there are no other contra indications for LASIK in the eye . But after the age of 40-45 years, you will require reading glasses even after the standard LASIK laser in which only distant glasses are removed.

But in Multifocal Lasik laser which is the simultaneous correction of both distance and near vision numbers in presbyopia ( i.e. after the age of 40 years or more also) both distance and near glasses are removed. It is best for all plus numbers at all ages and for all minus,plus or double numbers(bifocal glasses) after age 40 also.

If you are not suitable candidate for LASIK you can consider ICL (Implantable Contact Lens) or Epi-LASIK, ASA Advanced Surface Ablation.

World-wide LASIK laser treatment has become the gold-standard in safety & accuracy for eye sight correction. Though being one of the safest methods for the permanent removal of glasses, there may be a few instances of over or under correction, infection, corneal haze,wrinkles and glare. The reasons for these problems are generally not technical but are due to different healing responses which vary from person to person.

LASIK complications can occur though this is very rare with modern machines & more than 20 years experienced laser surgeons at our hospital.

  • The first possible Lasik complication is an eye(s) infection immediately following the procedure. Infections can be controlled by instilling antibiotic eye drops and other medicines.
  • The second possible Lasik complication is of rare occurrence in which there are problems in fashioning the flap. This may include an incomplete flap, eccentric flap, free flap or an irregular flap. The solution to most of these complications is to postpone the surgery and repeat it after few months, with little or no adverse consequences. By using Blade Free Procedures, ( e.g. by using the femtosecond laser), flap making complications can be reduced.
  • The third lasik complication is inflammation in the interface ,DLK or interface keratitis, leading to transistory drop in vision following Lasik .
  • Another complication of LASIK is keratectasia, or a bulging forward of the cornea due to excessive thinning. We take care not to excessively thin the cornea therefore we do E-lasik /Lasek / ASA in thin Cornea and in very high numbers as an alternative to Lasik Laser. In some cases it can be spontaneous. This condition may lead to a severe drop in vision, and may be helped by wearing special contact lenses or C3R treatment.
  • Other complications of LASIK include undercorrection or overcorrection (which can be corrected by an enhancement laser in most cases), glare or haloes around lights, especially at night, dry eyes, and an increased sensitivity to pain.
  • Flap wrinkles may occur spontaneously or by rubbing the eyes too soon. These can be smoothened.
  • Glare or haloes around lights, especially at night, dry eyes are problems which recover spontaneously in most cases.

Yes, the effects of procedure are permanent. However, LASIK has no effect on the natural progression of your numbers, hence it should be done if your numbers are stable and age is above 18 years.

The vision recovers mostly by evening same day after LASIK and you can go back to work in few days.

Yes. Your profession or work environment will not be a limiting factor.

You will not require distance glasses in most of the cases. But after 40 years you will need reading/near work glasses, like any other normal person.

Yes, if your corneal thickness is adequate, you should be able to get rid of your glasses completely. But certain patients may have a small residual number for which usually no glasses are required.

Most Patients think that after the LASIK you cannot go back to your glasses or lenses or use colored contact lenses if required, but it is not so, and you can use contact lenses or glasses after the laser also, if needed.

Yes, usually both the eyes are done in the same sitting. This saves a lot of time for the patient and the doctor. But if you are an apprehensive patient and want to get one eye done at a time, it can be done.

  • Do not rub the eye or splash water into the eyes for one to two weeks.
  • Avoid eye make up for the first two weeks.
  • The vision may be blurred for the first few hours after the Laser and improves dramatically thereafter.
  • Few patients may have slight irritation and discomfort for the first 2-3 hours after the Laser, which can be relieved with the help of medicines and proper rest.
  • Next morning itself you are like a normal person and attain good vision without glasses.
  • Recovery of final vision may take about a weeks time.

Myth: LASIK is new technology…. I want to wait till it matures

Facts:
  • LASIK is not new. The first LASIK procedures were done over 25 years ago and it is being done at our hospital for past 20 years..
  • More than 40 million LASIK procedures have been done worldwide since 1997. It is the most common procedure after tooth extraction and cataract surgery.
  • In India alone more than half a million procedures are done every year

Myth: No ophthalmologist (eye surgeon) undergoes LASIK

Facts:
  • Not true at all. In fact, lots of ophthalmologists have undergone LASIK. As a percentage of the population, more ophthalmologists have undergone LASIK than any other profession. Ophthalmologists do undergo LASIK themselves. More importantly, many close relatives or children of ophthalmologists have undergone LASIK. What better proof of LASIK safety?

Myth: The number comes back after 10 years, the effect wears off with time…

Facts:
  • The eye changes shape till around the age of 18-21. Once you stop growing, the bones around your eyes fuse, and eyes stop growing too. Once this happens, your refractive error becomes stable.
  • If LASIK is used to correct a stable refractive error, there is rarely any change in the refractive error subsequently.
  • LASIK results remain stable over decades.
  • We ourselves have been performing Laser Refractive Surgery since more than 20 years. Nothing is more gratifying for us than meeting an old patient and finding out that they are perfectly happy with their vision several years after LASIK. Even children of many such patients have undergone LASIK at our hospital (2nd. Generation of LASIK patients).

Myth: LASIK is only for women who want to look better,,,,
Here is a small list of the many reasons people want to get rid of their spectacles and contact lenses.

Facts:
  • Some organizations, like the army, police, railways etc. do not tolerate refractive errors. But they have approved LASIK and recommend it in most situations. Even US Air Force Pilots & Astronauts of NASA undergo LASIK treatment.
  • People who are actors, active sportspersons find spectacles and contact lenses a huge burden. The list of celebrity sportspersons who have had LASIK done include Tiger Woods, Greg Maddox, cricket players and many others who do not wish to disclose.
  • Long term use of contact lenses often causes allergies, eye dryness and intolerance. For such individuals, LASIK is the best alternative.
  • It is simply more convenient not to wear spectacles and contact lenses. They need frequent cleaning, get lost, or broken or scratched. Glasses fog up in the rain.

Myth: The procedure is painful….

Facts:
  • Hardly. All patients are given anesthetic drops in the eye before the procedure. And they then don’t have much sensation during the procedure. The procedure takes barely 5-6 minutes per eye, and while they feel the doctor working on the eye, they do not feel pain.
  • For a couple of hours after LASIK, there is certainly some pain and discomfort. But it is always transient, and we give our patients pain killers to deal with the discomfort for some time after the procedure.

Note:Better vision in the blink of an eye. All Gain without Pain. That is the promise of LASIK.

Myth: It can’t correct Farsightedness (Plus (+ve) numbers)…

Facts:
  • In fact, it can. Farsightedness or hyperopia can be corrected with +ve power lenses. Patients with hyperopia can typically see well for distance when they are young, and then start having difficulty in seeing distant objects as they grow older. But modern lasers specially the latest Multifocal Lasik Laser can easily treat hyperopia with excellent results and stability.

Myth: It cannot correct people more than age 40….

Facts:
  • People over age 40 require 2 types of correction. One correction for distance, the other for near .It is done through MULTIFOCAL Lasik LASER . Near Vision or Distance Vision, we have a cure for everyone.

Myth: If you blink or move during the procedure, something will go wrong…

Facts:
  • Our lasers are equipped with sophisticated eye trackers to take care of those fine eye movements, and place the laser spots exactly where intended even if the eye moves a little. If you move too much the auto-tracking system automatically stops laser firing within a millionth of a second and starts again only on recentering.

Myth: If something goes wrong, then nothing can be done about it

Facts:
  • Far from the truth. The truth is that if you suffer an undercorrection or overcorrection, you can simply get the treatment enhanced (enhancement or touch-up laser procedure).
  • Our center is equipped with sophisticated wavefront-guided and topography-guided correction platforms, to give you the most accurate treatment, customized to your eyes.

Myth: I am afraid that I will go blind…

Facts:
  • Every act has a risk, no one can guarantee the complete absence of adverse outcomes. The issue is really of how high the risk is, and what the percentage of adverse outcomes are. And what are the risks of the alternatives-spectacles and contact lenses. It is a high benefit vs. a very low risk ratio.
  • We have not had a single case of an eye infection post LASIK. In contrast studies show that 1 in 300 patients who wear extended wear contact lenses suffer from a serious eye infection.
  • Experienced Doctors, Latest Technology at our hospital : these change the odds dramatically.

Myth: After LASIK, if you get a cataract, then it is very difficult to correct and find the right Intra Ocular Lens…

Facts:
  • It is true that finding the right intraocular lens requires a more considered choice after LASIK than in someone who has not undergone any procedure. However, it is not difficult in most cases now. Post-LASIK IOL Power calculators are available on all industry and doctors’ association websites, and are directly available in modern instruments meant to find out the correct IOL power for a person.
  • The results are best if enough data is available about the LASIK procedure itself. This is always provided to all our patients in the LASIK Discharge summary provided by our hospital.

Myth: LASIK does not work well-Some people are happy, but….

Facts:
  • C-LASIK results are great .
  • 99% of our patients had a post-operative error of less than 0.5 diopters.
  • Studies show that more C-LASIK corrected patients achieve a visual acuity of 20/20 or better, than people who currently wear glasses .
  • C-LASIK results show that contrast sensitivity improves after LASIK.
  • With advanced techniques like wavefront and topography guided treatments, Femto-LASIK and wavefront-optimized corrections, C-LASIK provided better vision than glasses, without any compromise in night vision.

Myth: We don’t know anything about the long term safety after LASIK

Facts:
  • LASIK in its modern form is practiced worldwide for more than 25 years (more than 20 years in our hospital). Given the large numbers of LASIK procedures performed, if there was an issue with long term safety, the number of LASIK procedures would not have kept going up all over the world. So far, there is no one who has shown, in any scientific manner, that there are any reasons to doubt the long term safety of LASIK .

The number of patients who have undergone Lasik laser worldwide has been estimated to be more than 4 crores by March 2015.

MULTIFOCAL LASIK LASER

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