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Category: LASIK

How LASIK Is A Life-Changing Procedure?

Introduction

LASIK is an acronym for ‘laser-in-situ keratomileusis’. It is a common and popular surgery for correcting refractive errors. Refractive errors such as nearsightedness, farsightedness or astigmatism can be treated with LASIK. The surgery works by reshaping the cornea using laser technology thereby allowing the light to travel without any obstacle onto the retina that is located in the back of the eye.

It is a very fast procedure and recovery time is rapid. You can get rid of wearing glasses and contact lenses. If you are a regular lens or glass wearer, you know the struggle of using them daily. LASIK can be the best solution for you to eliminate all your daily troubles.

If you ask, ‘Is LASIK a life-changing procedure’ then the answer is ‘yes. It can give you the dream vision that you want for a long time.


Why should you choose LASIK over Glasses and Contacts?

Glasses
You might discover that glasses are more convenient than any other visual aids. But everything has its advantages along with disadvantages.

  • Glasses can’t always be flexible. Some are rigid and breakable.
  • If you prefer to go with trends, you have to spend a lot of your money on glasses. Because you are very well aware that trends will change almost every year or even in six months. So considering glasses as a fashion accessory will cost you.
  • In winters, glasses will fog up. You have to keep cleaning them again and again, that will become too frustrating sometimes.
  • You have to take a cleaner and cleaning cloth along with you all the time. Using something else as the cleaner can scratch your lenses.

Contacts
People who don’t like wearing glasses prefer contact lenses in their day to day life.

  • Wearing contacts is not an easy task at all. Touching your eye is also scary sometimes.
  • It takes too much time and care in handling and storage of lenses
  • You can’t carry your contacts easily while travelling. You have to take all the accessories along with it. If you leave any of them, it will become problematic to you.
  • Contact lenses generally make your eyes dry. You have to keep a solution for your eyes to keep your eyes from getting dry.
  • You also risk getting an eye infection.

Why do you hesitate to get LASIK?

As eyes are the most sensitive part of the body, it is natural to have many questions regarding the procedure that claims to give a life-changing experience. You might wonder about the safety of the procedure. The procedure might seem scary to you. But after getting reviews from patients you can get total satisfaction about the procedure and you can go for LASIK without any fear.

Reasons for getting LASIK

  • LASIK is a procedure in which there is negligible pain.
  • It is a procedure with no bandages or stitches
  • LASIK allows retouches after years to correct new refractive errors
  • Rapid recovery
  • Experience improved vision within a few hours
  • You do not have to spend money on expensive glasses, contact lenses and other accessories.

Expenses of the LASIK eye surgery
The cost of surgery depends upon the complexity of the refractive error of the surgery but the approximate expense for the surgery is in the range of Rs. 95,000 to 1,45,000.

Pre-operative care

  • You are recommended to not wear contact lenses 24 hours prior to surgery
  • Do not wear makeup, perfume or any hair product before the procedure
  • Do not wear wool or fleece
  • Do not drive to the hospital yourself. Having a relative or friend with you is advisable.

Post-operative care

  • You should wear clear glasses for the next 48 hours after the surgery.
  • You have to use eyedrops in the post operative period for upto a month, until there is complete healing.
  • You can also use eye drops whenever your eyes feel dry.
  • You should not rub your eyes.
  • Do not use any screen such as TV, computer or smartphones for prolonged hours.
  • You can read books for limited time.
  • Stop drinking alcohol.
  • Say no to smoking.
  • Avoid driving for a week

Conclusion

LASIK can give you visual freedom. It is a precise procedure that allows you to enjoy your daily activities. You do not need to wear glasses and contact lenses all the time. It has wonderful outcomes with no cut and stitch procedure. You can say goodbye to your old glasses and contact lenses with LASIK.

Benefits Of Lasik For Athletes

Introduction

In today’s competitive world, every person wants to have a significant advantage over the other. Athletes are not an exception to this. They practice and work hard to achieve success. Vision plays a vital role in the performance of athletes. Athletes need a perfect vision for excellent perception, hand-eye coordination, and quick response. Unfortunately, the result of their hard work and years of practice can suddenly change because of poor eyesight/ thick glasses. To achieve a successful career, the athletes require perfect vision. LASIK surgery is one of the options that provide several advantages to athletes who re dependant on glasses.

What Is Lasik?

LASIK stands for LASER in-situ keratomileusis. This procedure helps people correct several refractive errors such as nearsightedness, farsightedness, and astigmatism. The cornea is the upper transparent layer of the eye. It helps in focusing light and assists in creating an image on the retina. The corneas focus light on the retina to create a perfect image. However, in people with refractive errors, the light may either focus in front or beyond the retina resulting in blurr vision.

People generally use glasses or contact lenses to create a clear retinal image and hence perfect vision. However, these have some disadvantages, especially in the case of athletes. LASIK surgery helps in reshaping the cornea. It will help the cornea focus the light correctly on the retina. LASIK is a painless surgery completed in 15 minutes to 30 minutes. It provides immediate results in most patients.

Sports And Benefits Of Lasik

The doctor performs LASIK surgery in patients of all types. However, one section that achieves significant benefits from LASIK is athletes. LASIK eliminates the need for contact lenses, resulting in tremendous convenience to the athletes. It also improves the overall performance. Players primarily related to the following sports achieve significant benefits from LASIK:

  • Football: Football is the game of speed. There is a high risk of breaking the glasses. The contact lenses may also get cloudy due to sweat and dust. LASIK surgery is effective in such athletes.
  • Golf: Several sports persons playing golf have opted for LASIK surgery to improve their performance as there is a need to view the goal, which is far away.
  • Baseball: Baseball players require sharp vision.There is a high risk of breaking the glasses. LASIK surgery helps in improving vision without glasses and contact lenses.
  • Swimming: People cannot swim with their contact lenses. It will increase the chances of eye infection. Those who are professional swimmers / scuba divers especially benefit from LASIK.
  • Boxing: Athletes cannot box with their glasses on. LASIK surgery is the perfect choice for them.

What Are The Benefits Of Lasik For Athletes?

There are several advantages of LASIK surgery in athletes. Some of them are:

  • Better vision: Excellent vision is more than an advantage for the athletes. It is a necessity. Whether it is hitting the ball or anticipating the move of the opponent, perfect vision is required for good performance. Better vision improves the performance of the athletes without any risk of eye injury due to breaking of glasses or contact lens related eye infection.
  • Superior vision in all weathers: Sports are held in different parts of the world in various weather conditions. They may be in summer, winter, rainy, or dusty. Vision improvement through LASIK surgery provides superior vision in all weather conditions than glasses and contact lenses.
  • Get back to the game quickly: LASIK surgery offers fast recovery. As a result, athletes undergoing LASIK surgery may soon join their training sessions.
  • Convenience:Glasses during sports results in significant inconvenience. They may break during contact sports. In some sports, the glasses also come as an obstruction with wearing face and head helmets. Dirt, pollution, and sweat in contact-lens wearers cause irritation and risk of eye infection. LASIK surgery helps to increase convenience in athletes.
  • More sports options: LASIK surgery offer various sport options for the players. Many athletes who were good in particular sports were unable to join them due to poor vision and the risk of wearing glasses and contact lenses. With the LASIK surgery, these players choose to take any sports of their interest.
  • Also many who desire to do adventure sports such as Scuba diving , Sky diving , LASIK helps them attain freedom from glasses and contact lenses to pursue their passion.

Conclusion

LASIK surgery is a fast, effective and excellent way to correct the vision in athletes with nearsightedness, farsightedness or astigmatism. It offers several advantages and improves performance. It also reduces the risk of injury (wearing glasses) and risk of eye infection (during wearing of contact lenses).

Can Lasik Surgery Be Done Twice?

Introduction

Vision-related problems are most common nowadays. Wearing spectacles is sometimes difficult for the person. So to remove the spectacles and improve the vision and other eye problems, modern technology has come up with LASIK surgery. LASIK surgery is painless treatment and very effective to correct eye glasses numbers. It uses laser to treat corneal surface and curvature irregularities. The advantage of these modern techniques over ancient techniques is they do not cause any damage to the eyes and the surrounding tissue. The recovery rate is better in this treatment than in others. People who opt for LASIK surgery get normal eyesight without spectacles. Rarely do a few patients who undergo LASIK surgery need a touch up treatment the second time.

Lasik Surgery Touch Up Or Enhancement

LASIK surgery is the most common and most preferred for treating vision-related problems. This technique uses a laser procedure to correct vision-related problems and corneal irregularities. This technique is the alternative treatment for contact lenses and spectacles. More than 90% of the patients treated with this technique have successfully recovered from vision problems. Only 1 to 5% of the patients need to undergo the LASIK surgery enhancement. LASIK surgery enhancement means undergoing a touch up laser by relifting the corneal flap and applying some more laser to correct the residual power of the glass. It is not a failure of LASIK eye surgery but a difference in response of the laser to corneal healing. The results of LASIK surgery enhancement are very good and predictable compared to other surgical procedures when done twice.

Timing Between The Lasik Treatment And Enhancement

The most important thing for successfully enhancing LASIK or depends on the time between the first treatment and the second touch up treatment. The enhancement of LASIK surgery can only be done when the residual power of the eye is stabilized after the first LASIK surgery. Therefore, it is recommended to wait for 2-3 months before enhancement treatment .Sometimes blurred vision may occur after the first surgery, which may go within a few weak, so the first surgery can’t be assumed to not having given the desired result. If the vision is not back within a couple of months, the patient can undergo Touch up LASIK or enhancement.

Repetition Of Pre Lasik

The pre-LASIK evaluation needs to be done once again to confirm that touch up treatment is possible or not. Sometimes the corneal thickness may be inadequate in which case an enhancement is not possible. During pre-LASIK check, it is important to know whether the cornea is of specific thickness or too thin to undergo surgery. If the cornea of the patient is too thin, then the patient is unable to undergo second LASIK surgery.

Type Of Procedure Required For Repeating Lasik Surgery

The procedure for repeating LASIK surgery depends on the thickness of the residual bed below the flap and the type of procedure used in the first surgery.

Excimer laser ablation: If the thickness of the corneal bed is sufficient, then the excimer laser is used for ablation to correct the eyesight number. If sufficient thickness is not present, then other methods are adopted.

Surface ablation: In this procedure, the flap is not raised; instead, the laser is performed on the eye’s corneal surface. This procedure helps to correct the power even in cases where the corneal thickness is less and where touch up cannot be done on the strongly bed under the corneal flap .The patient is advised to put antibiotic medication so the infection does not occur in the eye. LASIK surgery can be done more than twice, but it is not needed further because, in the first surgery, more than 95% of the patient’s vision is corrected. Therefore, only a few people need to undergo second LASIK surgery.

Conclusion

LASIK eye surgery is only the best way of removing spectacles. More than 98% of the people who have their lasik done get rid of their spectacles. LASIK surgery is not a short-term but a long-term treatment for vision-related. If residual power has remained, the patient can undergo second LASIK surgery without causing any damaging effect on the eyes. The Touch up laser surgery procedure is safe even when done the second time.

How Safe Is Lasik Surgery In Covid-19?

Introduction

Many hospital and medical practices have been affected during the COVID 19 pandemic due to several changes in protocols. The ophthalmology procedures are also affected in this pandemic.

LASIK eye surgery is a selective procedure which means it is not a medical emergency. It has been the world’s most popular surgery that corrects farsightedness, nearsightedness and astigmatism.

How Covid-19 Affects The Eyes?

Many organs in the body, including the respiratory tract, are lined by mucous membrane. The membrane is susceptible to the coronavirus. It also lines the surface of the eye and inside surface of eyelids and is known as the conjunctiva.  The virus transmission through conjunctiva is a rare condition but can cause conjunctivitis. In this condition, your eye appears pink & the inner membrane (conjunctiva) gets inflamed.

The typical general body symptoms associated with the coronavirus are fatigue, fever and a dry cough and the primary mode of transmission still is infected droplets. The evidence of infection transmission through the eyes is not well studied and documented, but, it may be possible that the coronavirus may spread through the eyes.

Is There Any Risk In Undergoing Lasik Surgery In Covid-19?

Many people are enquiring if LASIK surgery is safe during COVID 19 pandemic. Due to the increased risk of spreading infection through a contact lens, many people opt for LASIK surgery for vision correction.

LASIK surgery helps in getting rid of contact lenses and foggy glasses, especially in health care professionals who have a high risk of acquiring a virus. The procedure is safe when it is done by taking proper necessary precautions.

How To Prepare For Lasik Surgery In Covid-19?

It is necessary to prepare yourself before deciding to treat your eyes with LASIK surgery. Consider the following measures to prepare for the surgery.

  • You should find a skilled and experienced surgeon who performs the surgery with the highest level of safety and care.
  • The doctor may conduct a COVID-19 test before surgery.
  • If you are eligible, you should get vaccinated for COVID-19.
  • Before entering the centre, it is necessary to check the body temperature and other symptoms such as cough. The surgery should be avoided if a patient is diagnosed with any of the symptoms.
  • The patients should maintain social distancing and hand hygiene. They should wear the mask and washed clothes.
  • The patients should have no stress and should not come with an empty stomach before surgery.
  • The patient should bring the prescription and prescribed medicines.

How To Take Care After The Lasik Surgery?

Generally, LASIK surgery has a quick recovery time. However, there are certain precautions one should take to avoid complication and ensure healing. The following postoperative care is required to obtain better results.

  • Sleeping for few hours immediately after the surgery will prevent discomfort and accelerate recovery.
  • Use eye drops such as antibiotic eye drop to prevent eye infection, steroid eye drops to decrease inflammation, and artificial eye drops to avoid irritation.
  • It is advised to avoid rubbing your eyes for at least two weeks after the surgery to prevent any infection and flap damage .It also reduces the risk of COVID-19 transmission if you have accidentally touched the surface contaminated with coronavirus.
  • You should wear protective plastic shields or glasses to avoid accidental rubbing while sleeping for at least three to four nights after the surgery. Wear sunglasses or dark glasses to protect your eyes from bright light. It speeds up corneal healing.
  • Instead of taking showers, you should take a bath to protect your eyes from water, shampoo and soap that can cause infection.
  • You should avoid driving for at least a day after the surgery. However, restrictions on driving depend on the healing process of your eyes. While driving, do not forget to wear a mask.
  • One should restrict applying any creams, lotion or other cosmetics around the eyes for at least two weeks after the surgery. It is necessary to prevent contamination through make-up products.

What The Evidence Concludes About Lasik Surgery In Covid-19?

LASIK comes under elective therapy as it does not treat any life-threatening disease. Further, like other surgeries, the risk of COVID-19 spread is not high due to the not so close proximity of the patients and the surgeons. In a study done in Dubai, it was found that the procedure is safe if the surgeons follow all the protocols of COVID-19 and have access to personal protective equipment.

Conclusion

LASIK surgery not only improves your vision but also provides you with additional benefits. However, proper precaution should be taken before opting for LASIK surgery. Follow all the instructions provided by your doctor. Wear masks all the time in the hospital until the doctor or nurses ask you to remove them just before the surgery.

What if I move, Blink or sneeze during Lasik?

This is quite common apprehension for any surgical procedure, what if the treatment doesn’t go as the way it was planned. In case of Lasik, what can happen if I move, blink or sneeze during the procedure? To answer all your apprehensions, we came to a thought of writing this article.

What is Lasik?

Lasik surgery is a corrective procedure for eye power defects like nearsightedness, farsightedness and astigmatism. For normal vision, cornea is bent in such a way that it refracts light on to the retina resulting in a clear image. Due to various reasons when cornea shape is altered, it leads to a blurry image.

During Lasik surgery procedure, A special type of  laser is used to reshape the cornea. Although eye glasses and contact lenses provide the same function, but Lasik provides a kind of permanent solution and you can get an improved vision without the use of eye glasses.

Lasik Procedure

Lasik is a very short procedure of 20 minutes. You lie back on the reclining chair and a numbing eye drop is placed in your eye. A suction ring is placed and your eye doctor with the help of femto and excimer laser, raises a flap and by a programmed laser, your eye surgeon reshapes the part of defective cornea. After reshaping of cornea, the flap is placed back. Flap heals by itself, without any stitches.

What if I blink?

To answer this, before the Lasik procedure, as we mentioned, a numbing eye drop is placed and suction is placed. So stop worrying about blinking, as there will not be a possibility for you to blink. Moreover a special instrument by way of a lid speculum is used to keep your eyes open. Combination of eye drop and device helps you to have a smooth experience.

What if I sneeze?

Understand that it is a very short duration and routine procedure. Most of 20 minutes time is used in preparation and planning of surgery and laser is used only for few seconds in each eye. Now if you are worried for sneezing in that small period, that’s highly unlikely. Laser fixed on the eye is for very brief period.

What if I move?

We know one thing for sure that you and your eyes will show some kind of movement, so when we talk about Lasik, it has an advanced eye tracking system which is always fixed and positioned on the eye. If you sneeze, move or blink, laser will stop and wait and compensate for the readjustment and will start its work after reaching the correct position.

To summarize your apprehensions, shortest answer to your worries is that sneezing, blinking and moving does not have any effect on the surgery outcome.

To schedule an appointment with one of our experts or to know more about our various corrective and treatment modalities, feel free to contact us at 61549999 or visit our clinic at….

Importance Of Vision In Athletics

Introduction

Eyes are essential for playing any sports. Not only it is essential, but in certain cases, the performance of the player depends upon his visual acuity. The vision can be used in sports in various manners, and training of the eyes is important to take advantage of the opponents.

Use Of Vision In Athletics

Vision plays an important role in athletics. Apart from strength, stamina, and skills, it is the vision that provides competitive advantages to the player. It is the reason why many teams areinvesting in vision exercises for their players. The demand for visual performance varies from sport to sport. Some of the visual skills required in athletics are:

Depth perception: Judgment of distance is important for playing any sport. Depth perceptionis an important requirement for many sports.

Hand-eye- and – body coordination: There should be perfect hand-eye-body coordination in sports.For example, in cricket, the ball is seen with the eyes and hit with the hands.

Colour vision: Appropriate color vision is important in various sports such as football, where the players have to distinguish between the team players and opponents based on the color of their jerseys.

Contrast Sensitivity: The players should have the perfect vision that clearly distinguishes between the light and dark.

Visual memory: Visual memory is also important in various sports such as football and cricket.It allows the athlete to memorize the position of the particular player and retrieve the memory while handling the ball.

Visual reaction time: The visual reaction time of the athlete should be fast enough to place himself in the correct position based on the demand of the situation.

Visualization: Visualization at the back of the mind regarding the possible tricks and strategies is of prime importance in sports. It should be done while concentrating simultaneously on the ongoing moment of play.

Dynamic visual acuity: Dynamic visual acuity is important in various sports such as racing,football, and cricket. The player should be able to visualize the fast-moving objects so as to perform at ones best ability.

Visual concentration: Eyes, while the player is playing sports, sees a lot of different things such as the fans and the audience. However, the eye should be trained in such a way so that they focus on important things.

Peripheral vision: The players should able to look at what is happening at the sides well without having to turn their head in that particular side or direction.

Eye-tracking: Eye tracking is the phenomenon of tracking the fast-moving objects without much focusing on them, thereby increasing the reaction time.

How Vision Affects The Athlete’s Performance?

The performance of the athletes due to vision is affected in the following ways:

Visual search: Through the visual search, the athletes determine, plan, and implement their strategy. Visual search tracks fast-moving objects. Visual search provides comprehensive information about the movement of the opponent.

Anticipation: Anticipation plays an important role in providing a competitive advantage. The anticipation is the clue provided to the players during visual search.

Vantage point: Vantage point plays an important role in various sports. The player should have an accurate vision and must be able to observe the motion of the object at the right angles.

Testing Vision Of Athletes

The testing of vision of the players is a part of a routine health examination. The following tests are performed to determine the status of vision in players:

Snell en Eye Chart: It is a method to evaluate the level of eyesight. If the player has reduced eyesight or visual acuity, he may be advised to wear the glasses or contact lenses or undergo lasik laser vision correction surgery.

Eye Dominance Tests: An eye dominance test is done to determine which eye has the dominant vision. It is important for people who are in photography. Eye dominance tests are done through the Miles test or Dolman method.

Contrast Sensitivity Tests: Poor contrast vision may pose a problem in looking at high contrast objects or when the object is placed in dim light. The contrast can be improved through eyeglasses with lens tint.

Ocular Alignment Tests: These tests are done to ensure that both the eyes are working in alignment. The tests used for determining the alignment are Cover tests and Hirschberg test.

Depth Perception Measurements: Howard-Dolman Apparatus is used for determining the depth perception and ability of the player in visualizing in the three-dimensional space.

Training Of Vision In Athletes

There are various training strategies available to improve the visual acuity and visual performance of the athletes depending upon the requirement of the sports. Through the visual feedback, the trainers get an idea about perception and visual performance. Various sports vision improvement exercises are available that works on motor learning, vision science,bio mechanics, and neuroanatomy. Regular vision screening also plays a role in maintaining healthy vision.

How to choose the best LASIK Centre and LASIK surgeon in Mumbai?

Ocular migraines

Unlike many other surgeries, it is more convenient to find surgeons of LASIK or Relax SMILE laser vision correction. But an abysmal eye surgery could affect negatively as an abysmal heart surgery. So consulting the best LASIK surgeon in Mumbai plays a prime role. A qualified LASIK surgeon would possess an authorized long run fellowship training at best hospitals, international reputed quality care,  laser vision correction and a great willingness and ability cope up with the patients throughout their medical journey until solving their problems.

Selecting an unrivalled LASIK surgeon and a finest LASIK Centre in Mumbai include several factors to consider. Those are;

LASIK fellowship training in long run.

Vision issues that can be cured by using spectacles are only corrected with the naked eye. Our eyes are very special for that can only be treated well with a specialist LASIK surgeon in Mumbai for a better and safe outcome. It’s very important to check your doctor’s credentials and make sure he/ she has a fellowship training in an internationally reputed centresfor at least a couple of years in LASIK and relax SMILE to avoid risks.

‘Cornea’ fellowship board certification.

Cornea is the front part of the eye where the LASIK is done. Only a fine LASIK surgeon in Mumbai with a suitable qualifications can tactfully handle the surgery efficiently and effectively even with the post-surgery issues. Thus, making sure that our doctor has a board license apart from the basic qualification is a must.

Scientific credentials and repute

The LASIK surgeon in Mumbai that you choose should be updated of all the available knowledge and advancements of LASIK, Relax SMILE and so on. And also he/she should be practicing evidence based medicine. These requirements are the icing on the cake. The surgeon you choose should be famous enough that he is invited to do lectures for learning doctors in other parts of the world as it emphasizes his own smartness.

Experience

The LASIK centres in Mumbai and the LASIK surgeons in Mumbai that you consult should have at least 10 – 15 years of reputed service. To consult a surgeon who has done over 10,000 LASIK surgeries with different areas of issues is most welcomed and would give a best result for the patient.

Versatile Surgeons

One noticeable factor apart from the above is the versatility of the LASIK surgeon in Mumbai since LASIK is not only the job he should be able to handle with variety of procedures. Being thorough in LASIK, Femto LASIK, Relax SMILE, PRK, EpiLASIK, LASEK and clear lens replacementand the current technology is essential to have trust in them. The surgeon who has above qualities can deal with any type your vision disorders.

Technology

Choosing the good technology place is equally important as choosing the best surgeon. Make sure the LASIK Centre in Mumbai has excimer laser and femtosecond laser to provide LASIK, Relax SMILE laser vision corrections and Femto LASIK. Using VISUMAX lasers in the centres are very much advisable since that is the current world wide best tool trending to perform all types of techniques. Additionally, the technology should also be the safest.

Infrastructure

Always note that you are treating your eyes. So have a first class facilitated clean atmosphere when choosing for a non-problematic solutions. Never consider a gloomy place for a comparatively cheaper price.

Own Centre Or Travels To Other Centres

It’s preferable to make sure that the LASIK surgeon has his/her own LASIK centre. Because if he owns one he might have had so many own experiences than having few in another Centres that he travels.

Advertisements

Several surgery centres have their own ways to advertise their LASIK centres in Mumbai. Such as, through internet, newspapers, televisions and radio channels and etc. Some advertisements are in detail and some are not. We should not only consider the cheaper price amount they mention in the advertisements and go for a doctor.

Referrals

You can get information about the best surgeons from your regular doctor. Having referrals is important to know about the LASIK surgeons in Mumbai in your area. You also can call the reputed doctors you know from far and inquire about the best ones in your surrounding and ask for recommendation.

What Are The Things To Be Considered Before Lasik Treatment?

Cataract surgery in mumbai

Introduction

Lasik surgery is done to improve vision. It alters the shape of cornea so that the light properly gets focused on retina resulting in clear vision. Like with any other surgical process, various precautions and questions comes in the mind of person planning to undergo Lasik surgery.

What Are The Things To Be Considered Before Lasik Treatment?

Following are some of the tips you should consider before having Laser surgery:

  • Know about your surgeon: Know about your surgeon’s experience and the number of successful surgeries done by him/her. Choose a certified doctor for your treatment.
  • Know about the risk of Lasik treatment: As this is a surgical process which involves a vital organ i.e. eye, you should ask your doctors about the risk involved in Lasik surgery.
  • Ask questions about surgery: To avoid any surprise factor and anxiety, you should ask every minute detail’s related to Lasik surgery.
  • Learn for recovery process: Know the time and the recovery process, for example, how much time to wait for doing a physical activity such as sports, and using makeup.
  • Ask for LASIK alternative: If you are not a good candidate for Lasik surgery ask your doctor about the alternative treatment.
  • Get information about the refractive error: If you have severe myopia, you may require a repeat procedure known as refinements. More myopic a patient is, more are the chances of requiring refinement surgery.
  • Follow pre-surgery instruction: Your doctor may ask you to stop wearing the contact lenses. Patients who wear soft contact lenses should stop wearing 2 weeks before surgery while patient wearing hard lenses should stop them 3 weeks before surgery.
  • Know you are a good candidate for this surgery: Not all candidates are good for this treatment. The comprehensive ocular evaluation will determine your candidature for Lasik surgery.

Is Lasik Safe In Long Term?

Lasik treatment is safe and effective in the long term. With this surgery, the structure of the cornea is altered and near-sightedness, farsightedness, and astigmatism are corrected. In this procedure, the surgeon uses the excimer laser for removing the tissues of cornea. Lasik surgery is a permanent treatment and generally does not have any time limitation.

Does Lasik Surgery Cause Pain?

Lasik treatment usually does not cause pain before and after treatment. In rare case, the post-operative Lasik surgery causes pain in your eyes. If you have significant pain after surgery, immediately contact your doctor. Before performing a Lasik surgery, the doctor will administer an eye drop to avoid any type of pain and discomfort during surgery. Some doctor will also prescribe medications to relax your body during a Lasik treatment. As there is no incision on the eyes, this surgery does not involve any stitches. However, your doctor will prescribe you various antibiotics to prevent post-operative infections. You may feel some pressure on the eye after this treatment.

What Is The Best Age For Having Lasik Surgery?

Lasik surgery shows a good result at any age. But some factors affect this surgery at different age such as:

  • Lasik surgery at 18 ages: Lasik surgery is done at age 18 and over 18. But for best result, you wait for a few more years because, until age 24, your eyesight changes continuously.
  • Lasik surgery at 25-40 ages: Lasik is generally performed at 25-40 age. At this age, the stability of prescription of contact lens and eyeglasses is good which is prerequisite for a good candidate for Lasik.
  • Lasik surgery at 40-55: If you are a non-smoker and have good health after reaching this age range or do not have any medical history, you may have Lasik surgery.
  • Lasik surgery after 56: After 56, there are high chances that the person may suffer from cataract. Lasik in cataract is not recommended unless the cataract is stable and not significantly affecting vision.

Did The Use Of Glasses Get Completely After Lasik Surgery?

Lasik treatment in a patient with vision problem significantly reduces the need for eyeglasses. The need for glasses after Lasik treatment depends on the age of the patient and other types of vision problems. In some cases, people wear eyeglasses, particularly during reading.

Can A Person Have Lasik Surgery Twice?

There are no limits, how much time you may undergo this procedure. People may require enhancement surgery or refinement surgery if the prior Lasik failed to achieve the desired vision. But secondary Lasik and Lasik enhancement are based on thickness and size of cornea. The ophthalmologist will evaluate the condition of your eyes and analyze the risk involved with Lasik surgery depending upon your age and other parameters. There is a risk involved with secondary Lasik surgery and many patients are not eligible for enhancement surgery.

LASIK AND LASEK: Process, Benefits, And Differences

Digital Eye Strain

Introduction

LASIK and LASEK are important surgical options for the treatment of refractive errors such as near-sightedness, far-sightedness, and astigmatism. Both surgeries have their advantages and disadvantages. The third important surgery used for a similar purpose is PRK. All the three procedures operate on the cornea and alter the shape of the cornea for improving the focus of light on the cornea. The doctor will comprehensively evaluate the health of the cornea and suggest the patient the best surgical option which can be performed with minimum side effects along with the desired outcome.

LASIK Treatment

LASIK surgery is one of the best and most common surgeries conducted for refractive errors. This surgery is used to treat near-sightedness, far-sightedness, and astigmatism. Full form of LASIK is laser-assisted in-situ keratomileusis. The best advantage of this surgery is the speed of improving vision. Most of the improvement is obtained just after the surgery while the remaining vision gets stabilized within a few days after surgery.

LASIK surgery is virtually painless surgery. The time required to perform the surgery is just 20-25 minutes. The patient can see clearly without any eyeglasses or contact lens just after the surgery.

All patients may not be the right candidate for LASIK surgery. Comprehensive analysis of the eye is done to determine whether LASIK surgery is the correct option to correct refractive error. If the person failed to fulfill the criteria required to undergo LASIK surgery, the doctor may discuss other options available such as LASEK, PRK or Phakic IOL surgery. If the patient suffers from refractive errors, he should search for the best LASIK treatment in Mumbai.

With a femtosecond laser or surgical tools such as microkeratome, the surgeon forms a flap on the corneal surface. The surgeon then folds the flap to get access to the stroma of the cornea. With the excimer laser, the surgeon ablates a small number of corneal tissues to reshape the cornea. As the surgery involve the eye, which is a vital organ, the patient should undergo surgery from the best LASIK specialist in Mumbai.

Reshaping of cornea helps in focusing the light right on the retina. This will help in clear vision which was not possible without eyeglasses or contact lenses before surgery.

Advantages Of LASIK Treatment

LASIK is one of the most preferred and old treatments for correcting refractive error. It is because of various advantages which are offered by LASIK surgery. Following are some of those advantages:

Pain-free: LASIK surgery is done through LASER and thus does not cause any pain. Mild irritation can be experienced in some patients.

Cost-effective: LASIK is a cost-effective surgery keeping in view the benefits it provides. The patient does not have to spend money on eyeglasses and contact lenses after LASIK surgery.

Life-long: The effects of the surgery are life-long and revision surgery is required only in few cases. However, the enhancement surgery can be done once the patient suffers from age-related long-sightedness.

No stitches required: As there is no incision done through instruments and the whole process is done under guided LASER, there is no need for stitches and bandages.

Rapid results: LASIK surgery provides rapid results. The patient can see immediately within a few hours after surgery.

LASEK Treatment

The LASEK treatment was first done in 1996 when the first LASEK surgery was done by Azar, however, it was Massimo Camellin who coined the term LASEK and helps popularize this surgical process.

LASEK(Laser-Assisted Subepithelial Keratectomy) surgery combines the advantages of LASIK (Laser in-situ keratomileusis) and PRK (Photorefractive keratectomy) while avoids their complications and disadvantages.

Like with other surgeries for correcting the refractive error through corneal reshaping, LASEK also uses excimer laser for corneal correction. During LASEK surgery, a partial incision is done on the edges of the cornea with the help of the trephine blade. Sterile ethanol solution is used to detach the epithelium from one side. Ablation with the excimer laser is then done. The corneal flap is repositioned to its original position.

For healing of the epithelium, a bandage contact lens is placed which remains for the time till cornea heals. Various pre-operative ocular evaluation tests are done to confirm the candidature of the patient to undergo LASEK surgery. These tests include Uncorrected visual acuity, tonometry, cycloplegic refraction, dilated fundus examination, slit-lamp examination, and ultrasound corneal pachymetry. Schirmer’s test is also done to evaluate the extent and severity of dry eyes, which is one of the factors to be considered while performing LASEK surgery.

Advantages Of LASEK Treatment

LASEK treatment is more advanced treatment in the field of refractive correction surgery. It offers various advantages to the patients. It imbibes the advantages of LASIK and PRK while minimizing the complications of LASIK and PRK. Following are some of the advantages of LASEK:

Thin corneal flap: The risk of complications associated with LASEK surgery is less as compared to LASIK an PRK as only a very thin epithelial layer is removed for performing surgery.

Minimum dry eyes: The chances of dry eyes are less in LASEK surgery as compared to in LASIK surgery. Patients undergoing LASEK surgery have to administer artificial tears less frequently.

No Flap to heal: As only the thin layer is removed in LASEK surgery and there is no removal of internal layers, people with LASEK surgery can resume sporting activities early as compared to LASIK surgery. The bandage contact lens is effective in healing the epithelial layer.

Proven results:Results of LASEK are comparable to LASIK surgery with fewer complications.

What Is The Difference Between LASIK And LASEK?

Various surgical options are available for correcting refractive errors. The refractive errors corrected most commonly are myopia, hyperopia, and astigmatism. Common surgical options include LASIK, LASEK, and PRK.

Following are some of the differences between LASIK and LASEK:

Evaluating the thickness of cornea:It is possible that all the options are not available for a particular patient. This may be due to the corneal thickness. The doctor will evaluate your cornea and advise the best possible surgery. If the patient is not eligible for LASIK, he may undergo LASEK surgery.

Recovery time: The recovery time for LASIK is less as compared to LASEK surgery. In LASIK surgery the patient began to see immediately or a few hours after surgery while LASEK surgery starts showing its impact after three days.

Disadvantages: Although the recovery time in LASEK is more but the risk involved is less due to a different process for surgery. LASEK causes less severe dry eyes as compared to LASIK surgery.

Process of surgery: LASEK and LASIK surgery have different processes. While LASEK only cut the uppermost layer of the cornea, LASIK generally involves a deep incision.

Lasik Surgery in HIV Positive Patients – Safety and Success

Cataract surgery in mumbai

Grant Justin, MD, San Antonio, shared the result of a study at a recent ASCRS Meeting 2019 refractive surgery complications and risk Factor for HIV positive patients in the military. The objective of the study were to assess the frequency of refractive surgery performed on HIV positive active duty service member, retirees, and their dependents, and risk factors for postoperative complications in these patients.

The FDA recommends against refractive surgery in HIV positive patients or other individuals with immunodeficiencies, and the American Academy of Ophthalmology (AAO) says controlled autoimmune diseases are a relative contraindication for refractive surgery of 285 refractive surgeons found that about half of them consider HIV positive patients acceptable candidates for surgery, Dr. Justin said.

Surgery Updates

The new study analyzed refractive surgery frequency and outcomes in patients that were part of the Natural History Study a cohort of HIV positive active duty service members and retirees from the Department of Defense started in the early 1980s.

The study looked at patients from this cohort who had LASIK, PRK, and other corneal refractive procedures after being diagnosed as HIV positive. The result showed that none of the patients who received LASIK had any complications, but several patients who had received PRK and RK had complications involving corneal ulcers and Keratitis.

The study found it is critical to review a patient’s CD4 cell counts, viral loads, and whether they are on Highly Active Antiretroviral Therapy (HAART), Dr. Justin said. Patients who have poor compliance with their HAART medications may have poor compliance with postop drops, he said. He recommends surgeons consider doing unilateral surgery in these patients because of the risk of infection.

Non Invasive Treatment For Patients Unsatisfied with their Vision Following Cataract or Lasik Surgery

Digital Eye Strain

Rajesh Rajpal, MD, Mc- Lean, Virginia discussed how corneal collagen cross linking could be implemented as a refractive procedure post-cataract surgery in addition to being a treatment for keratoconus.

Cross linking involves using oxygen, riboflavin, and UV light to stabilize the cornea. But the PiXL device (Avedro), which is not yet available in the United States, allows physicians to customize the crosslinking treatment by incorporating corneal topography measurements and an eye tracker. The end result is the ability to reshape the cornea by creating a customizable area of UV light application, Dr. Rajpal said.

Only epithelium-off crosslinking procedures are approved in the United States, but a Phase 3 clinical trial of epithelium-on crosslinking for keratoconus is currently being conducted. This modified crosslinking procedure uses a combination of a different formulation of riboflavin, supplemental oxygen, and an accelerated protocol to make the procedure non-invasive and could easily be transformed into a standalone refractive treatment, according to Dr. Rajpal.

Eye tracking allows the device to Selectively activate the riboflavin by only shining the UV light on specific areas of the cornea. The device could treat myopia by crosslinking only the central portion of the cornea and for treating hyperopia by cross linking a donut-shaped portion of the peripheral cornea.

The corneal epithelium is a barrier to all three components of the crosslinking reaction: It reduces absorption of riboflavin into the stroma, blocks the UV light, and blocks the oxygen from getting to the site of action. But the PIXL system uses “boost goggles” to bring more oxygen to the corneal surface, which benefits the crosslinking reaction and allows the procedure to have a greater effect while the epithelium is on, Dr. Rajpal said.

The primary patient population for this procedure would be emmetropic presbyopes wanting good near vision after cataract surgery, but the population could expand to include slightly myopic or hyperopic presbyopes who want good distance and near vision. A Phase 2 clinical trial for the PiXL procedure is slated to begin this year.

Say good – bye to dependence on glasses and contact lenses

Ocular migraines

So what can CustomLASIK do for me?

Clinical studies have shown that CustomLASIK can improve not only you can see but also how well you can see. In the past, vision was measured using a standard vision chart. If you could see the letters, the doctor would proclaim your vision as a number, such as 20/20, 20/100, etc. But now, with CustomLASIK, doctors are also able to focus on the quality of your vision. Many patients who have had undergone custom LASIK procedure, report clear vision than ever before. It’s as if someone had taken an ink pad ans freshly stamped each letter on the vision chart in bold black letters. Because Custom LASIK corrects the unique imperfections in each individual’s vision, it is likely that the patient will have improved night vision.

What does CustomLASIK cost?

The cost of CustomLASIK is generally higher than the cost of conventional LASIK. CustomLASIK is performed using some of the most advanced technology in the vision industry. The procedure combines the technology of the wavefront analyzer with the precision of a computerized laser and the skill of the eye surgeon.

How will I know what procedure I need to have?

Your surgeon is the best person to tell you which procedure is the best suited for you. Everyone’s eyes are different and your eyes may best be treated with CustomLASIK. Schedule a consultation with-your eye doctor & together, you can determine which procedure is right for you.

What is CustomLASIK?           

CustomLASIK is a procedure that involves the use of a wavefront analyzer which enables your surgeon to customize the Conventional LASIK procedure to your individual eye. This customized procedure can result in patients seeing clearer and sharper than ever before.

What is the difference between CustomLASIK Conventional LASIK?

CustomLASIK uses an equipment called the wavefront analyzer (aberrometer) to accurately measure the way light travels thru the eye. The resulting map of the eye is then programmed into the laser, and the laser treats the eye based on the personalized 3D map. CustomLASIK helps to treat “higher order” aberrations, which are tiny imperfections in the optical system of eye. They have a significant impact on quality of vision. In fact, higher order aberrations have been linked to visual glare and halos. Higher order aberrations were previously untreatable with contact lenses, glasses or conventional LASIK.

Is the actual LASIK part, performed the same way? Or is it a completely different procedure?

The actual LASIK procedure is performed in exactly the same way in both Conventional LASIK and CustomLASIK. However, the pre-op testing for conventional LASIK and custom LASIK differ greatly. The wavefront analyzer used with CustomLASIK brings a whole new level of knowledge and accuracy for the surgeon to perform this advanced procedure.

LASIK – Answers To Frequently Asked Questions

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What is the Basic for patient selection in LASIK surgery?

The patient should:

  • Be above 18 years of age.
  • The patient’s vision and his prescription lens power must be stable over the past six months.

What diagnostic tests are required before one can undergo LASIK procedure?

Besides routine eye examination two preoperative tests –  Topography &  Pachymetry are performed.

Topography maps the refractive power of the cornea, identifies certain Corneal conditions like Keratoconus. Pachymetry measures the thickness of the cornea.

What is the range of power that the LASIK technique can treat successfully?

Provides the corneal Thickness is adequate, the LASIK technique can correct

  • Myopia from -1.00 to 15.00D
  • Hyperopia from +1.00 to +6.00D
  • Astigmatism from +1.00 to +6.00D & -1.00 to – 6.00D

Can both eyes be treated on the same day?

Yes, LASIK can be performed on both eyes on the same day.

Does the patient require to stay at the laser Centre?

No, LASIK is an In-clinic procedure and the patient can go home within Thirty minutes of its completion.

Is LASIK painful?

Lasik is not a painful procedure because the cornea is numbed with eye drop anesthesia.

However there may be mild discomfort and minimal pain during and after the Procedure, Depending upon the tolerance level of the patient.

When can a person get back to work after undergoing the LASIK procedure?

Patients can usually return to normal Work and routine after a day or two of treatment.

Does LASIK does not affect the colour, shape or size of the eye?

No, LASIK does not affect the colour, shape or size of the eye.

If you have any questions that are not dealt with in this article, do pick up the phone and ask for an appointment. We are always at hand to answer questions raised by our patients.

Different Treatments For Removing Eye Glass Numbers

Cataract surgery in mumbai

Introducing High Technology Treatment from Ojas

LASIK ( Laser-in Situ keratomileusis) is the latest breakthrough in vision technology that has transformed the lifestyle of spectacle and contact lens users all over the world.

LASIK eliminates a life-time of dependence on glasses and contact lenses in just a matter of seconds. The thousand of operations we have successfully handled over the 20 years, has given us an acute understanding of the fear and apprehension people have with even the most advanced and safest of procedures like LASIK.

This book is an attempt to offer you insights into how LASIK works and what its effects are. Also, we shed light on the latest improvement in LASIK technology that has given the world an even better and true-to-the-eye advanced procedure in the form of custom LASIK.

PRK – Photorefractive Keratectomy

Prior to LASIK, PRK was the most commonly performed laser vision correction surgery. This procedure also utilizes the excimer laser to reshape the curvature of the cornea and correct nearsightedness, farsightedness & astigmatism. PRK is useful in patients with thin corneas. Again, the excimer laser is used in the treatment of corneal opacity, corneal scars & superficial corneal dystrophy.

Lasek – Laser Epithelial Keratomileusis

In this procedure, diluted alcohol solution is used to soften the epithelial flap. It is then moved to one side & the excimer laser is administered to correct the vision defect. Lasek is useful in Patients with thin or flat Corneas who are poor candidates for LASIK.

EPI-LASIK

In this Procedure, the epithelial flap in first lifted with an epikeratome and after administering the laser, the flap is rolled back to normal position. Patients with thin corneas are advised this procedure.

Phakic Intra Ocular Lens ( IOL ) Implantation

In this procedure, the surgeon places an artificial lens either on the iris or behind the iris (ICL) and in front of the eye’s natural lens to correct vision defects.

This Procedure is ideal to correct high degrees of nearsightedness (Myopia) and farsightedness (Hyperopia). Toric phakic IOL is the latest development in correcting cylindrical powers along with high spherical power of the eye.

Refractive lens exchange (RLE)

In this procedure the clear lens is removed from the artificial lens is implanted in its place. This lens has-in Refractive power and is specifically implanted to meet the patient’s visual needs RLE is useful in treating high degree of nearsightedness & farsightedness.

Ojas Eye Hospital A Center of Excellence for Contoura Vision, Femto Bladefree Lasik in Mumbai, India.