California

Many people don’t fully understand the details of LASIK eye surgery, even those who are undergoing or about to undergo the procedure. Don’t be someone who waits until afterwards to discover the things you should have known beforehand. Be an informed consumer, especially with something as important as your vision.

Your eyes are precious, so choosing a Lasik surgeon, Oklahoma City or in the wilds of Alaska, is one of the most important decision you'll ever make. All vision correction surgery is done by highly qualified physicians - some more qualified than others, so how do you choose? After all, it's your vision that's at risk, and the results of poor surgery could be devastating. So find the best surgeon possible.

Some eye doctors and laser surgery clinics advertise on television or in the newspaper. In Oklahoma City, the primary newspaper is the Oklahoman, and vision ads generally run in the section featuring health and science news. The usefulness of advertising for the purpose of choosing a surgeon is limited, however. You shouldn't base your choice of a surgeon purely on price, nor should you be swayed by flashy advertising into believing that the surgeon or clinic with the best advertising is the best person for the job.

Instead, you should contact the surgeon's office and ask them if they're associated with an academic medical center. In Oklahoma City that might be the University of Oklahoma Health Sciences Center, the OU College of Medicine, or the Oklahoma City Department of Veterans Affairs Medical Center, but there are others.

Eye surgeons who are affiliated with teaching hospitals generally stay up to date on all the latest procedures and breakthroughs in their field, as opposed to private practice eye doctors who may see a lot of clients but don't stay on top of the best new procedures.

Asking for referrals form your usual eye care professional is a good idea, too. Tell your optometrist or ophthalmologist that you want to know who the best lasik surgeons. Oklahoma City or any other location will have a wide selection, and contact your choice right away. Most Lasik surgeons will see you free of charge or for a minimal fee on your first visit so you can discuss your options and the cost of the procedure.

If you're new to Oklahoma City and don't have a regular eye doctor, you can search for laser surgeons and other eye care professionals in the area by visiting the website for the American Academy of Ophthalmology (www.aao.org) which allows you to search for a doctor near you.

Dealing With Dry Eye After Lasik Surgery

The following are the pros and cons behind two of the most common misconceptions about LASIK.

1. “After the procedure, I’ll never need glasses or contacts again!”

Depending on your age at the time of the procedure and the issues with your vision that you’re trying to correct, you may or may not continue to need glasses or contacts, either immediately after surgery or possibly later on, as you age.

This is not to say that the procedure can’t be both effective and life-changing. It can be, and it generally is. The vast majority of patients who undergo the procedure report significant improvement in their vision.

It allows California drivers to drive without glasses within days of their surgery. A small percentage require “enhancement” surgery, which is a second procedure, conducted to fix any over- or under-correction of your vision resulting from the first procedure.

Also, many people, as they age (generally between the ages of 40 and 50), develop poor vision for reading (called presbyopia). If you had LASIK surgery in California prior to developing presbyopia, you could still need reading glasses as you get older. Presbyopia is sometimes treated with Monovision LASIK, which corrects one eye for distance vision and the other eye for close vision.

How to choose a LASIK Eye surgeon in California

Dry eye has been long recognized as a postoperative side effect of Lasik surgery. Studies have concluded that clinically detectable dry eye is present nearly universally following Lasik surgery, even when patients do not normally experience dry eye symptoms. There are a couple of causes of dry eye problems. First, when the corneal flap is created during the Lasik procedure, either a steel blade or a laser must cut through the corneal tissue and corneal nerves are disrupted in the process. The deeper this cut, the more likely the disruption to nerve tissue. The laser reshaping of the cornea further disrupts the nerve tissue. During the time while the nerve tissue heals and regenerates, the reflex to tear and blink is significantly diminished; thus creating the dry eye problem.

The quality and smoothness of the corneal surface and tear layer is important for quick recovery of good visual acuity. The tear layer is actually the first optical surface that light hits when it enters the eye during the Lasik procedure. If that tear layer is irregular or deficient, it can create a poorer visual image, with heightened "ghosting" or "fuzziness."

To maximize my patients' vision postoperative, I suggest approaching the problem of dry eye with a basic regimen that includes the following:

1) A good preoperative evaluation for preexisting dry eye problems and maximizing the surface condition prior to performing Lasik.

2) The usage of the Intralase FS lasers for making the initial Lasik flap rather than the steel razor blade microkeratome.

3) The good use of artificial tears and gel lubricants postoperative, even if the patient does not complain of dry eye symptoms.

I also suggest that patients use cyclosporine 0.05% eye drops (Restasis) twice per day for one month postoperative. Studies have shown that this regimen can improve visual outcomes and reduce the need for enhancements after Lasik surgery. It appears that the improved quality of the tear layer can actually improve a patients vision, so that they are less likely to feel the need for additional or touch up surgery. This not only improves the patients overall experience but decreases the possibility of any secondary side effects or complications that could occur with a second procedure, however rare that would be.

Ultimately, attention to detail with every aspect of surgery enhances the outcomes as well as patient satisfaction in the long run. That's why surgeons need to pay so much attention to new and innovative technologies and medications on every level as they are developed.

Types of Laser Surgery Following Cataract Surgery: Lasik, PRK, YAG Laser

lasik beats

Your eyes are precious, so choosing a Lasik surgeon, Oklahoma City or in the wilds of Alaska, is one of the most important decision you'll ever make. All vision correction surgery is done by highly qualified physicians - some more qualified than others, so how do you choose? After all, it's your vision that's at risk, and the results of poor surgery could be devastating. So find the best surgeon possible.

Some eye doctors and laser surgery clinics advertise on television or in the newspaper. In Oklahoma City, the primary newspaper is the Oklahoman, and vision ads generally run in the section featuring health and science news. The usefulness of advertising for the purpose of choosing a surgeon is limited, however. You shouldn't base your choice of a surgeon purely on price, nor should you be swayed by flashy advertising into believing that the surgeon or clinic with the best advertising is the best person for the job.

Instead, you should contact the surgeon's office and ask them if they're associated with an academic medical center. In Oklahoma City that might be the University of Oklahoma Health Sciences Center, the OU College of Medicine, or the Oklahoma City Department of Veterans Affairs Medical Center, but there are others.

Eye surgeons who are affiliated with teaching hospitals generally stay up to date on all the latest procedures and breakthroughs in their field, as opposed to private practice eye doctors who may see a lot of clients but don't stay on top of the best new procedures.

Asking for referrals form your usual eye care professional is a good idea, too. Tell your optometrist or ophthalmologist that you want to know who the best lasik surgeons. Oklahoma City or any other location will have a wide selection, and contact your choice right away. Most Lasik surgeons will see you free of charge or for a minimal fee on your first visit so you can discuss your options and the cost of the procedure.

If you're new to Oklahoma City and don't have a regular eye doctor, you can search for laser surgeons and other eye care professionals in the area by visiting the website for the American Academy of Ophthalmology (www.aao.org) which allows you to search for a doctor near you.


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