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.

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

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 Massachusetts 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 Massachusetts 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 Massachusetts

The total expenditure and the operation cost of LASIK eye surgery is of great importance to many people. The laser eye operation is the most effective and useful method of eye operation in today's modern world. This method of eye treatment has proved itself as a more secure method in comparison to all other existing ways of vision treatment. In the last several years the usefulness of this kind of eye treatment has greatly increased. One important feature of this kind of treatment is that you do not need to take leave from your office for this operation. So it is one of the best types of eye treatment that saves your precious time, money, and gives you the best kind of treatment with 100 percent result.

Before you go for this treatment, you need to consult a registered eye specialist. The doctor suggests whether you are able to under the operation or not. You will be asked for operation only if you are fit enough for it. However, you can also judge yourself whether you are fit enough for the operation or not by remembering if have you ever suffered from any kind of eye disease or not. The operation is suitable only for people greater than eighteen years old.

When you ask for the charges of eye operation from your doctor, they usually tell you the cost of one eye. So you need to double that amount for your pair of eyes. Usually the cost of LASIK eye surgery lies in between 500 to 2500 USD. The most professional surgeons usually charge 2500 USD; this is because their operations are less problematic in comparison to fresh surgeons who might charge as low as 500 USD. So it is suggested to prefer the most experience surgeons

It is also possible that the most experienced surgeon demands more than the above mentioned maximum rates. This is because they first give you enough time to mentally prepare yourself for the operation; they share each and every aspects of the operation with the patients before attempting the operation. Be aware not to select any surgeon for your operation who hesitates to answer your questions regarding your operation.

Be aware not to compromise on your most important part of body (eye) for the sake of saving money by selecting the least expensive doctor for your eye operation. Fully investigate before selecting your surgeon, because it is also possible that the most expensive surgeon would be less skilled and professional. So the best selection of your surgeon is the most important factor in your eye operation.

Your doctor must provide you the best treatment. For this purpose confirm the cost of your operation prior to surgery. Do not simply rely on the cost published in the classified.

Make sure to find out about the cost of each and every thing regarding operation which includes the cost of your regular improvement trips to your doctor, medical reports, medicines, and travel cost etc. Confirm whether all these expenses are included in the cost you are being told by medical staff in the hospital or not.

In short, it is better to find out the most beneficial and skilled doctor than spending less money for your vision operation.

Laser Eye Surgery Complication - 6 Dangers Of Eye Surgery

lasik touch up

Eye wear may be a fashion accessory, but when you depend on it for seeing the world, it's a lot more. Today, many people are turning to refractive laser eye surgery, such as Lasik surgery, to improve their vision. However, this high-cost surgery is normally not paid for by insurance because it fails to meet the conservative therapy test and is classified as cosmetic. This trend is shifting.

We are seeing an increasing number of circumstances where refractive eye surgery is determined to be medically necessary and, therefore, payable by the insurance provider. For example, if conservative therapy treatments fail or if a patient is intolerant of contact lenses and cannot wear glasses because they might pose a risk in their job (e.g. police or firefighters), refractive eye surgery may be the most medically viable treatment option.

Conservative Therapy Options:

Examples of conservative therapy treatments include the following:

Photorefractive keratectomy (PRK) - a refractive laser surgical procedure that is often done (and covered) for a patient that suffers from recurrent corneal erosion (e.g. diabetics). With PRK, a laser is used to remove corneal tissue to correct vision problems.

Patching, epithelial debridement (mechanical removal of faulty tissue), and bandaged contact lens placement - treatments that often don't work.
Stromal puncturing - a procedure involving the physician puncturing the anterior corneal stroma - can also be used but can fail or result in permanent vision loss. In such cases, PRK is the best alternative for removing the damaged cells (or membranes) and possibly correcting the vision problems.

Physicians can help patients who are in medical need of laser eye surgery make a stronger case by initiating the following:

Document a full medical history of the patient's eye complaints
Show proof that the patient has not responded to conservative treatments and that the purpose of the surgery is for medical reasons other than simply improved eyesight.

Still, even when the physician does this, each decision is taken on a case-by-case basis and is subject to the extenuating circumstances clearly noted in the patient's medical record.

For more information about medical necessity reviews on cases like this, visit our website or call us at 1-800-400-9916.

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