Do you think you know everything about
LASIK?
Make your decision carefully after you have some answers. Why
should I go to Dr. Miler for my laser vision correction?
| 1. |
Dr. Miller is a board certified
ophthalmologist who practices state of the art laser
vision correction techniques, such as wavefront analysis,
to provide her patients with the best possible outcome. |
| 2. |
You will only see Dr. Miller, no
technicians or optometrists, for all of the preoperative
workup, surgical procedure, and postoperative care. |
| 3. |
Dr. Miller has extensive operative
experience and has had excellent outcomes. You can
even speak directly with some of the office staff that
have had LASIK by Dr. Miller. |
1. What is LASIK?
LASIK
stands for laser in-stu keratomileusis. This and other refractive procedures such as PRK uses a laser
to reshape the front part of the eye to change its refractive ability.
2. How
does laser vision correction work?
Laser vision correction changes the shape of the cornea, the clear
front part of your eye, to correct for the prescription in your
glasses. If you are myopic, nearsighted, your cornea is flattened.
If you are hyperopic, farsighted, your cornea is made steeper. And
if you have astigmatism, your cornea is made more spherical.
3.
What
is the difference between PRK and LASIK?
PRK treats visual
problems by removing tissue from the surface of the cornea. First
the doctor removes the top layer of cells from the cornea,
generally with a small brush, and then performs the laser
treatment on the "bare" corneal tissue. After the
treatment is completed, a bandage contact lens is placed on the
eye mainly for comfort purposes and to allow the cornea to heal.
The surface of the eye is generally completely healed by 1 week.
|
 |
LASIK differs from PRK
in that it corrects vision by reshaping the corneal tissue beneath
the surface of the cornea rather than on the surface. In LASIK, an
instrument known as a microkeratome is used to make a flap in the
cornea. This flap is reflected back and the laser treatment is
applied to the remaining corneal bed. The flap is then
repositioned where it can rebond without stitches. Because LASIK
is performed under a corneal flap, there is less surface area to
heal, less post-operative discomfort, less need for post-operative
medication, and more rapid return of vision. However, also because
of the creation of the flap, LASIK carries more surgical risk than
PRK. |
4. What
is the procedure like?
After entering
the laser room, you will sit in a chair which will then be
reclined and positioned so that your eyes are under a microscope.
The technician will then clean the area around your eyes and put
numbing drops in each of them. I will then put a more numbing
medicine in your eye and keep it open with a small device. I then
use the microkeratome to make the flap in your cornea.
During this phase, you might feel some pressure, you will probably
not be
able to see anything, and you will hear a buzzing sound. Once the
flap is cut, I apply the laser. During this phase, you will hear
the laser making some clapping and banging noises. When the laser
is finished, I put the flap down, apply some eye drops and make
sure everything is properly positioned. Then I repeat the process
in the other eye. The laser procedure itself generally takes less
than one minute. However, the total operative time, to prepare the
patient and the eye and to complete the procedure, is about 20
minutes per eye. 5.
Will
I be in pain during or following the laser
procedure?
All surgical procedures entail some type of discomfort, however,
the discomfort associated with laser vision correction is minimal.
During surgery, sufficient and appropriate anesthesia is achieved
by topical medication. Most patients experience only pressure
sensations from the instrument used to hold the eye open and/or
from the microkeratome. Following the procedure, discomfort is again
minimal, being mostly scratching/burning eye sensations and light
sensitivity. The doctor will prescribe appropriate medication to help
relieve any pain the patient might experience. 6.
When can I expect to see better?
Some people see better
almost immediately. None the less, most people are seeing very
well by the net day after surgery.
7.
When
can I return to my daily activities?
Generally people return
to work approximately two days following LASIK. Due to the time
needed for the cornea to heal following PRK however, patients
usually do not return to work for 3 to 5 days following the
procedure. |
|
8.
Do
you perform wavefront/custom cornea?
Yes. Wavefront is a new
technology in laser vision correction that helps to optimize the
results of this treatment. This system looks at all of the
details of your cornea in order to customize a laser treatment
just for you. According to the wavefront clinical trials, 98% of
treated patients have vision of 20/20 and 71% are as good as
20/15. Beside the initial screening process, the procedure is the
same. However, not all patients are appropriate candidates for
wavefront treatments. Dr. Miller will perform all the necessary
tests and will then review the results to determine if wavefront
custom ablation is right for you. 9.
Am
I too old for laser vision correction?
As people get older,
the ability to see things clearly up close diminishes, a condition
known as presbyopia. The question with laser vision correction
then becomes whether to correct the vision to see clear up close
or to see clear in the distance. Some patients choose to correct
their vision for distance and then to use reading glasses for near
work. However, another option is monovision. In monovision, one
eye is corrected for near vision while the other is corrected for
distance. Monovision is not for everyone, however, so Dr. Miller
will recommend that you "try it out" first with contact
lenses for a few days. 10.
Am I a good candidate
for laser vision correction?
In
general, the ideal refractive surgery patient has a healthy cornea and must
not have had a significant change in their prescription for the last year. To
determine if refractive surgery is right for you, Dr. Miller will
perform a comprehensive series of tests on your eyes and will discuss
with you your lifestyle and general state of health.
 |
 |
Click here for
LASIK financing
application |
|
1150 Amboy Avenue
Edison, New Jersey
(732) 548-3200
|
203 Route 9 South
Marlboro, New Jersey
(732) 617-1800
|
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