One of the most common concerns about LASIK eye surgery is whether it causes pain. The good news is that LASIK is designed to be virtually pain-free. With advanced laser technology, numbing eye drops, and a quick procedure time, most patients experience only mild pressure during the surgery and minimal discomfort during recovery.

Why LASIK Is Considered a Painless Procedure

Pre-Surgery Comfort Measures

Before the procedure begins, a LASIK specialist applies anesthetic eye drops to numb the surface of the eyes. These drops prevent patients from feeling pain during the surgery and ensure a comfortable experience throughout the procedure. Unlike other forms of surgery, LASIK does not require general anesthesia or heavy sedation, eliminating concerns about post-procedure grogginess.

What Patients Feel During LASIK

The LASIK procedure involves creating a thin corneal flap using a femtosecond laser. Some patients report feeling a sensation of mild pressure, but not pain. A specialized instrument gently holds the eyelids open, which may feel unusual but does not cause discomfort. The excimer laser, used to reshape the cornea, emits a cool beam of light that corrects refractive errors with extreme precision, ensuring accuracy and comfort.

Minimally Invasive, Bladeless Technology

Advancements in LASIK technology have led to the widespread use of bladeless LASIK, which enhances precision and reduces potential discomfort. Instead of using a blade, the procedure relies on laser pulses to create the corneal flap, making it even more comfortable for the patient.

Post-LASIK Recovery: Managing Mild Discomfort

Common Post-Procedure Sensations

After LASIK, patients may experience mild irritation, dryness, or a sensation similar to having an eyelash in the eye. These symptoms are temporary and usually subside within a few hours. Patients receive lubricating eye drops to keep their eyes moist and reduce any initial dryness.

Healing Timeline

Most LASIK patients notice improved vision within hours, with full stabilization occurring over the following weeks. Mild light sensitivity and occasional fluctuations in vision are normal but typically resolve as the eyes heal. Resting the eyes, avoiding screen time for the first few hours, and wearing protective eyewear as instructed can aid in a smoother recovery.

When to Contact Your Surgeon

While pain is rare, any prolonged discomfort or unusual symptoms should be discussed with your LASIK provider. Severe pain is not a normal side effect and should be reported immediately to rule out complications.

Why LASIK Is a Comfortable Vision Correction Option

Fast and Efficient Procedure

The entire LASIK procedure takes approximately 10-15 minutes for both eyes, making it one of the quickest elective surgeries available. With minimal downtime, most patients return to normal activities the next day, making LASIK a convenient option for those seeking clear vision without glasses or contacts.

Patient Success and Satisfaction

Millions of people have successfully undergone LASIK, with the vast majority reporting high satisfaction rates. The procedure’s safety, speed, and effectiveness make it an appealing option for individuals with nearsightedness, farsightedness, and astigmatism.

Final Thoughts: LASIK and Comfort

For those concerned about pain, LASIK is a safe and comfortable procedure with a quick recovery time. Thanks to advanced numbing techniques, bladeless laser technology, and expert surgical care, patients can undergo LASIK with confidence. If you are ready to experience clear vision without glasses or contacts, schedule a consultation with a LASIK specialist today.

References

American Refractive Surgery Council. (2023). LASIK procedure statistics and patient satisfaction. https://americanrefractivesurgerycouncil.org/laser-eye-surgery-lasik-success-rate/

Food and Drug Administration. (2022). LASIK eye surgery: Patient information. https://www.fda.gov/medical-devices/lasik/what-lasik

Smith, J., et al. (2021). Patient experiences in modern LASIK procedures. Journal of Refractive Surgery, 45(3), 112-125.

Disclaimer: Individual experiences may vary. Consult with a qualified eye care professional to determine your candidacy for LASIK eye surgery.

The post Does LASIK Eye Surgery Hurt? (Is LASIK Painful?) appeared first on LasikPlus.

LASIK (Laser-Assisted In Situ Keratomileusis) has revolutionized vision correction, offering a precise and effective solution for refractive errors such as myopia, hyperopia, and astigmatism. Over the decades, technological innovations have continuously refined LASIK procedures, enhancing safety, accuracy, and patient outcomes. Among the most significant advancements are the WaveLight® laser system and Contoura® Vision technology, both of which provide unmatched customization and visual clarity.

As LASIK technology evolves, integrating cutting-edge computer-guided lasers and corneal mapping tools, patients benefit from improved precision, reduced recovery time, and minimized post-surgical complications such as halos and glare. We will explore the latest developments in LASIK technology and how they shape the future of vision correction.

Why Does Technology Matter in LASIK?

LASIK relies on advanced laser systems to create a corneal flap and reshape the eye’s curvature for optimal vision correction. Unlike earlier techniques that used microkeratome blades, modern LASIK employs femtosecond and excimer lasers to enhance precision, safety, and patient comfort.

Dr. Dean Ellis, a leading LASIK surgeon, explains the significance of these advancements:

“When LASIK first came out, the treatment was done in the central part of the cornea to flatten it. This led to an increase in spherical aberrations, causing glare and halos at night. With today’s technology, we can soften that transition and preserve the cornea’s natural shape, reducing side effects and improving outcomes.”

Additionally, innovations such as eye-tracking systems allow for real-time adjustments during the procedure, ensuring accuracy even if a patient moves slightly.

In the video below, Dr. Ron Allen explains more about the importance of LASIK technology:

WaveLight® Laser Technology: A New Standard in LASIK Precision

The WaveLight® EX500 Excimer Laser System represents a breakthrough in LASIK technology, featuring wavefront-optimized treatments that minimize higher-order aberrations (HOAs) for clearer, sharper vision. Unlike traditional LASIK, which focuses solely on correcting refractive errors, wavefront-optimized LASIK maintains the natural curvature of the cornea, significantly reducing night vision issues like halos and glare.

Key Features of the WaveLight® EX500 Laser System:

• Wavefront-optimized ablation: Reduces post-LASIK complications by preserving the cornea’s natural shape.
• Fastest excimer laser on the market: Delivers treatment in just a few seconds per eye, improving comfort and reducing exposure time.
• Advanced eye-tracking technology: Compensates for even the slightest eye movement, ensuring unparalleled precision.

Contoura® Vision: Personalized LASIK for Unmatched Visual Clarity

Contoura® Vision, developed by Alcon, is an advanced topography-guided LASIK system that personalizes treatments for each patient. By integrating corneal topography and wavefront-guided measurements, Contoura® Vision maps the eye’s unique irregularities, allowing for an ultra-precise, tailored procedure.

How Contoura® Vision Works:

1. Corneal Topography Mapping: Captures over 22,000 data points to analyze the cornea’s shape and abnormalities.
2. Customized Laser Correction: The system uses this detailed map to guide the laser in reshaping the cornea with unmatched accuracy.
3. Improved Post-Surgical Vision: Patients report reduced halos, sharper vision, and better contrast sensitivity compared to traditional LASIK.

Clinical studies indicate that over 90% of Contoura® Vision patients achieve 20/20 vision or better post-surgery, with many surpassing their pre-surgery best-corrected vision.

Comparing Top LASIK Laser Technologies

Femtosecond Lasers: Precision Flap Creation

• IntraLase® iFS: A high-precision femtosecond laser known for its enhanced safety and reliability.
• Alcon FS200: Offers low pulse energy, allowing for customizable corneal flap creation with minimal tissue disruption.
• Zeiss VisuMax®: Pioneers bladeless LASIK, ensuring ultra-precise corneal flap formation and improved healing times.

Excimer Lasers: Corneal Reshaping for Optimal Vision

• Alcon Contoura® Vision: Topography-guided technology for the most personalized LASIK treatments.
• WaveLight® EX500: Industry-leading speed and precision, with wavefront-optimized ablation.
• VISX Excimer Lasers: FDA-approved technology widely used for reliable LASIK procedures.
• Nidek EC-5000: A versatile laser system offering precision in treating diverse refractive errors.

The Future of LASIK and Beyond

While modern LASIK technology is already highly advanced, researchers continue to explore next-generation vision correction techniques. Dr. Ellis notes that implantable lens technologies may soon complement or even replace LASIK for certain patients, especially those with severe refractive errors or age-related vision changes.

“I do believe the technology isn’t going to change much in the foreseeable future because it’s that good. But ongoing research in laser applications and lens implants could further enhance treatment options.”

One promising development is customized femtosecond laser procedures, which could refine corneal reshaping even further. Additionally, biomechanical corneal analysis is being explored to predict how individual eyes respond to LASIK, ensuring even better personalization and outcomes.

Is LASIK Right for You? Schedule a Consultation Today

With continuous advancements in LASIK technology, vision correction has never been safer or more effective. The best way to determine if LASIK is right for you is to schedule a consultation with an experienced surgeon. At LasikPlus, we offer state-of-the-art LASIK procedures tailored to your specific vision needs.

Book your free LASIK consultation today and take the first step toward a clearer, sharper future.

Reference:

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We aim to provide a detailed comparison to empower you to discuss the best option for your unique needs with your ophthalmologist.

Understanding LASIK and LASEK: The Fundamental Differences

LASIK (Laser-Assisted In Situ Keratomileusis) and LASEK (Laser-Assisted Sub-Epithelial Keratectomy) represent different approaches to corneal reshaping. LASIK involves creating a corneal flap, while LASEK works by removing and preserving the epithelial layer. This fundamental difference impacts everything from the surgical process to recovery outcomes.

The LASIK Procedure

In LASIK surgery, ophthalmologists create a thin corneal flap using either a microkeratome or a femtosecond laser. This flap is gently lifted, allowing the surgeon to reshape the underlying corneal tissue using an excimer laser. Following the reshaping, the flap is replaced, acting as a natural bandage to promote rapid healing.

The LASEK Procedure

LASEK takes a different approach by treating the epithelium (the outer layer of the cornea) with either a diluted alcohol solution to loosen it (LASEK) or a plastic blade (Epi- LASIK). This layer is carefully preserved and moved aside while the surgeon reshapes the underlying corneal tissue. The epithelial layer is then repositioned and secured with a bandage contact lens to facilitate healing.

Comparing Candidacy Requirements

Ideal LASIK Candidates

The best candidates for LASIK typically have:

• Corneal thickness of at least 550 microns
• No history of eye disease or severe dry eye
• Stable vision prescription for at least one year
• Good overall eye health
• Age 18 or older

Ideal LASEK Candidates

LASEK may be more suitable for individuals with:

• Thinner corneas (below 550 microns)
• Active lifestyles with risk of eye trauma
• Profession-related restrictions on LASIK
• Tendency toward dry eye syndrome
• Higher risk of corneal flap complications

Long-Term Outcomes and Success Rates

Research indicates comparable long-term success rates between LASIK and LASEK, where

• 96% of LASIK patients achieve 20/20 vision or better
• 94% of LASEK patients achieve 20/20 vision or better
• Both procedures show similar stability after one year
• Patient satisfaction rates exceed 95% for both procedures

Financial Considerations

The cost of LASIK and LASEK can vary depending on your location, the technology used, and the surgeon’s experience. However, they are relatively comparable where the ave

rage cost of LASEK eye surgery is about the same as LASIK, ranging from $3,000 to $6,000 for both eyes. While neither procedure is considered medically necessary, health insurance typically doesn’t cover it. However, you may find providers who offer discounts or have a relationship with a specific health plan that offers the procedure at a reduced cost.

Both LASIK and LASEK are effective procedures for correcting refractive errors. The “best” choice depends on your individual circumstances, including your corneal thickness, eye health, medical health, and lifestyle.

By partnering with your optometrist or ophthalmologist, and having a comprehensive eye exam, it will allow you to make an informed decision that empowers you to achieve clearer vision and improve your quality of life.

Take the next step and schedule a FREE consultation at a LasikPlus center near you to determine candidacy and options.

Sources

CareCredit. (Paretts, S, 2023). Lasek vs. Lasik: Which One Is Right for You? Retrieved from https://www.carecredit.com/well-u/health-wellness/lasik-vs-lasek/

Cochrane Library. (Kuryan, J, Chuck, R, Cheema, A. 2017). Laser‐assisted subepithelial keratectomy (LASEK) versus laser‐assisted in‐situ keratomileusis (LASIK) for correcting myopia. Retrieved from https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011080.pub2/full

Mayo Clinic. (2023). LASIK Eye Surgery. Retrieved from https://www.mayoclinic.org/tests-procedures/lasik-eye-surgery/about/pac-20384774

National Library of Medicine. (n.d.).  LASEK results. Retrieved from  https://pubmed.ncbi.nlm.nih.gov/12683256/

WebMD. (Seltman, W, 2024).  LASEK Eye Surgery. Retrieved from https://www.webmd.com/eye-health/eye-health-lasek-laser-eye-surgery

Disclaimer: This information is for general knowledge and informational purposes only and does not constitute medical advice. Consult with a qualified healthcare professional for diagnosis and treatment of any medical conditions.

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The Evolution of LASIK: A 30-Year Journey

In 1985, Dr. Stephen Joffe founded Laser Centers of America, the precursor to LasikPlus, with a vision to make laser-assisted vision correction accessible across the United States. By 1995, we opened our first laser vision correction center in Cincinnati, Ohio, performing pioneering procedures following FDA trials. The subsequent FDA approval of LASIK in 1997 marked a significant advancement in vision correction technology. Embracing this innovation, we rebranded as LasikPlus in 1998, offering affordable LASIK surgeries by employing our own physicians, ensuring consistent quality and care.

Generations of Clear Vision: A Family Legacy

Over the past 30 years, we’ve had the privilege of serving multiple generations within families. Grandparents who chose LASIK decades ago have witnessed their children and grandchildren follow in their footsteps, opting for the same life-changing procedure. This family tradition emphasizes the trust and satisfaction our patients place in us, highlighting the lasting benefits of LASIK across different age groups.

LASIK vs. Long-Term Costs of Glasses and Contacts

Investing in LASIK not only enhances quality of life but also offers significant financial benefits over time.

The Cumulative Expense of Glasses and Contacts

• Contact Lenses: Regular contact lens wearers spend approximately $200 to $700 annually*, depending on lens type and prescription. Over 30 years, this amounts to $6,000 to $21,000.
• Eyeglasses: With the average pair costing around $200*, and considering periodic replacements due to prescription changes or wear and tear, individuals may spend between $6,000 to $10,000 over a lifetime.

The One-Time Investment in LASIK

At LasikPlus, we are committed to providing exceptional value for our patients. This means not only affordability through our Guaranteed Financing Program but also a dedication to the best results for you.

The national average for LASIK ranges from $1,500 to $5,000 per eye, according to Market Scope’s recent US Ophthalmologist Survey. However, at LasikPlus, we connect patients to Modern, All-Laser LASIK performed by some of the nation’s most experienced surgeons for an all-inclusive price of $2,495-$2,595 per eye.

Most patients pay closer to $1,900 per eye after applying health and vision discounts or available promotions. In addition to offering affordable pricing, our Guaranteed Financing Program allows patients to align monthly payments with their budget, making LASIK accessible without the burden of large upfront costs.

When comparing the decades-long expense of glasses and contacts to the one-time investment in LASIK, the financial advantages become clear—LASIK not only improves vision but also provides substantial long-term savings.

The Decreasing Cost of LASIK Over Time

While everyday essentials like groceries have surged in price, LASIK has become more affordable and accessible than ever.

The Cost of Eggs Then vs. Now

In 1994, a dozen eggs cost around $0.86. Adjusted for inflation, that would be about $1.77 today. However, the actual current average price of eggs is $3 to $5 per dozen, marking a 300–400% increase in cost over the past 30 years.

The Cost of LASIK Then vs. Now

In the late 1990s, LASIK surgery typically cost $4,000 per eye—which, adjusted for inflation, would equate to over $7,500 per eye today. However, modern LASIK is now significantly more affordable.

• The national average for LASIK ranges from $1,500 to $5,000 per eye (Market Scope, 2024).
• At LasikPlus, we offer Modern, All-Laser LASIK for an all-inclusive price of $2,495-$2,595 per eye, with most patients paying closer to $1,900 per eye after discounts.

The Takeaway: LASIK Has Become More Affordable, While Everyday Costs Have Risen

Unlike the rising price of groceries, LASIK has become more cost-effective due to advancements in technology, efficiency, and accessibility. While essentials like eggs have skyrocketed in price, LASIK has actually become cheaper, making now the perfect time to invest in clear vision that lasts a lifetime.

A Commitment to Excellence and Patient Care

Our journey over the past three decades has been defined by a steadfast dedication to patient satisfaction and clinical excellence. From our early days pioneering laser vision correction to embracing the latest technological advancements, our focus remains on delivering superior outcomes. As we celebrate this milestone, we extend our gratitude to the generations of patients who have entrusted us with their vision and look forward to continuing our legacy of transforming lives through clearer sight.

Resources:

How much do glasses cost and which type should you choose? (2021, March 5). https://www.carecredit.com/well-u/health-wellness/glasses-cost-eyeglasses-financing/

Humana Inc. (2024, December 18). How much do contact lenses cost? https://www.humana.com/vision-insurance/vision-resources/how-much-are-contacts-without-insurance

The post Celebrating 30 Years of Vision Transformation at <span class="brand-name"><span>Lasik</span><span>Plus</span></span> appeared first on LasikPlus.

In the world of ophthalmology, Photorefractive Keratectomy (PRK) stands as a testament to medical innovation. First performed in 1983 by Dr. Theo Seiler at the Free University of Berlin, PRK emerged as the predecessor to modern laser vision correction procedures. The fundamental breakthrough came through the collaborative efforts of researchers at IBM, who discovered that ultraviolet light from excimer lasers could precisely remove tissue without thermal damage to surrounding areas.

Revolutionary Beginnings in Vision Correction

The early 1980s marked a pivotal moment when researchers Stephen Trokel and Francis L’Esperance began exploring the application of excimer lasers for corneal reshaping. Their groundbreaking work demonstrated that controlled laser ablation could effectively alter corneal curvature, leading to the first FDA-approved PRK procedure in 1995 (Ang, et al., 2020).

Technical Evolution and Refinement

The advancement of PRK technology has been remarkable. Modern systems incorporate wavefront-guided treatments, tracking systems, and sophisticated algorithms that enhance precision. We’ve witnessed the evolution from broad-beam lasers to flying-spot systems that deliver superior outcomes. The introduction of cooling systems and advanced epithelial removal techniques has significantly improved patient comfort and recovery times.

Clinical Validation and Safety Profile

Extensive clinical studies have validated PRK’s effectiveness. Long-term research spanning 20+ years demonstrates stable vision correction outcomes, with 94% of patients achieving 20/40 vision or better (O’Brart et al., 2014). The procedure’s safety profile has been extensively documented through multiple international studies, establishing it as a reliable option for vision correction.

Modern Applications and Patient Selection

Today’s PRK procedures benefit from enhanced screening protocols and precise corneal mapping technologies. We see particular success in treating patients with:

• Thin corneas unsuitable for LASIK
• Professional athletes and military personnel
• Individuals at risk for corneal flap complications

Technological Integration and Future Directions

Contemporary PRK incorporates artificial intelligence and machine learning algorithms to optimize treatment parameters. Advanced diagnostic tools provide unprecedented accuracy in corneal assessment and treatment planning. Emerging technologies suggest potential improvements in healing time and visual recovery.

A Life-Changing Decision

While the history of PRK represents decades of scientific achievement, its true impact is best understood through the stories of people whose lives it has transformed. Meet Courtney, a mother of three who has relied on thick glasses since childhood to navigate her busy life. With a high prescription that has been a constant companion throughout her years of parenting, Courtney decided to take control of her vision under the expert care of Dr. Brewer. Her journey from dependency on corrective lenses to visual freedom through PRK surgery represents the culmination of the technological advances and surgical expertise we’ve discussed above. Let’s follow Courtney’s experience as she undergoes this remarkable procedure that has helped millions achieve clearer vision.

References:

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Can I Have LASIK If I Have a Lazy Eye?

Lazy eye, or amblyopia, is a condition that typically develops in childhood and affects vision due to improper brain-eye communication. If you’re considering LASIK to improve your vision and you have a lazy eye, you’re likely wondering whether it’s a viable option. In this article, we’ll explore how LASIK works, whether it can help with amblyopia, and key considerations to help you make an informed decision.

Understanding Lazy Eye (Amblyopia)

Lazy eye occurs when one eye has significantly weaker vision compared to the other, often due to misalignment, a significant refractive error difference, or deprivation (e.g., cataracts in childhood). Amblyopia primarily stems from neurological rather than structural issues with the eye.

While glasses, contact lenses, or corrective surgery can address the refractive error, they typically do not “cure” amblyopia itself, as the condition affects the brain’s ability to process visual input.

How LASIK Works

LASIK (Laser-Assisted In Situ Keratomileusis) is a laser vision correction procedure designed to reshape the cornea, improving refractive errors such as nearsightedness, farsightedness, and astigmatism. LASIK can help achieve better focus and clarity by addressing corneal irregularities.

Can LASIK Treat Lazy Eye?

While LASIK can improve the refractive error in the weaker (lazy) eye, it cannot directly address the neurological aspect of amblyopia. This means that while the vision in the amblyopic eye may improve slightly after LASIK, it is unlikely to fully match the clarity of the stronger eye.

Several factors determine whether LASIK is appropriate for someone with lazy eye:

1. Stability of Vision Your vision must be stable for at least a year before considering LASIK. This applies to both eyes, including the lazy eye.
2. Age and Previous Treatment Most eye surgeons recommend completing any lazy eye treatments (like patching or vision therapy) before considering LASIK. The best outcomes typically occur in adults whose amblyopia has already been treated in childhood.
3. Degree of Vision Impairment The severity of your lazy eye affects LASIK candidacy. Patients with mild to moderate amblyopia may be better candidates than those with severe cases.

Who May Benefit:

1. Adults with mild amblyopia: If you have functional use of both eyes, LASIK may still enhance overall vision by correcting refractive errors.
2. Stable amblyopia: Candidates with stable vision and no progressive conditions may be considered for LASIK.

Who May Not Benefit:

1. Severe amblyopia: Those with very limited visual function in one eye may not see significant improvement from LASIK.
2. Other ocular conditions: Individuals with keratoconus, retinal issues, or unstable vision are generally not good candidates for LASIK.

Key Considerations Before Choosing LASIK

• Comprehensive Evaluation: A thorough eye exam by a qualified ophthalmologist is essential to determine if LASIK is suitable for your specific condition.
• Realistic Expectations: Understand that LASIK can enhance refractive clarity but won’t “cure” amblyopia.
• Alternative Options: Other treatments, such as photorefractive keratectomy (PRK), might be recommended depending on corneal thickness or other factors.

Next Steps

If you’re interested in LASIK but have amblyopia, we invite you to schedule a FREE consultation with one of our experienced doctors. The medical team will provide tailored advice based on your medical history, vision needs, and expectations.

FAQs

1. Can LASIK make my lazy eye worse?
   No, LASIK does not worsen amblyopia. It may enhance vision in the affected eye by correcting refractive errors.
2. Is LASIK safe for people with lazy eye?
   Yes, for some individuals with mild to moderate amblyopia, LASIK is considered safe. However, a comprehensive evaluation is necessary to ensure you’re a suitable candidate.
3. Are there other treatments for lazy eye?

• In childhood, patching, vision therapy, and corrective lenses are the primary treatments. In adults, vision therapy may offer some improvement, but the condition is generally stable by adulthood.
• If LASIK is not suitable, you may be a candidate for
  • PRK (Photorefractive Keratectomy): An alternative laser eye surgery.
  • Implantable contact lenses (ICLs): Small lenses implanted within the eye.
  • Advanced eyeglasses: High-index lenses or specialized coatings.

Sources

1. American Academy of Ophthalmology (AAO) – Amblyopia Overview
2. National Eye Institute (NEI) – What is Amblyopia?

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Bladed vs. Bladeless LASIK – What is the Difference?

The main difference between bladed and bladeless LASIK is the tool used to create a flap in the cornea.

Bladed LASIK

Uses a microkeratome, a small, oscillating blade, to cut a hinged flap in the cornea. The surgeon then lifts the flap to reshape the cornea with an excimer laser.

This method was widely used when LASIK was first introduced, and some practices continue to use the bladed approach today.

While LasikPlus, does not perform bladed or microkeratome-based LASIK, it’s important for you to be well-informed about both approaches as you consider your options. Below are some key points about microkeratome-created flaps:

• The risk for complications, such as detached flaps, is low.
• There is a risk for flap thickness variation.
• It is better for improving errors from a previous LASIK surgery.
• It requires less suction, so it may be more comfortable.
• It is a better choice for people with glaucoma.
• It does not take as long to perform as the bladeless version

Bladeless LASIK

Also known as iLASIK, IntraLASIK, or all-laser LASIK, bladeless LASIK uses cool pulses of light from a femtosecond laser to create the flap, instead of the microkeratome blade. The flap is then carefully repositioned over the cornea, where it adheres to the eye tissue naturally.

The flap is then positioned back over the cornea, where it adheres to the eye tissue.

This advanced technology allows more patients to be candidates, including those who were previously not candidates due to thin corneas.

At LasikPlus we use 100% bladeless LASIK for the flap creation. This method allows our surgeons greater flexibility to plan and execute an individualized, customized procedure for each patient.

Advantages of Bladeless LASIK

• Reduced risk of complications: Bladeless LASIK carries a lower risk of flap complications including incomplete flap.
• Faster recovery: Recovery time is typically quicker with bladeless LASIK.
• Better vision: Many patients experience improved post-surgery vision with bladeless LASIK.
• Predictable: Bladeless LASIK is highly predictable and safe.
• Effective: Most people will not require touch-up surgery.

Which Procedure Should I Choose?

There is no right or wrong answer to this question. The best choice for you depends on various factors, including your corneal thickness, eye shape, and specific vision needs as well as the practice you choose. Our experienced team at LasikPlus will assess your individual situation and recommend the most suitable procedure.

In general, both are effective, but with the technological advancement that LASIK has experienced, making things safer and easier for patients, the Bladeless technology is being incorporated and utilized more widely across practices.

What’s Next for Me?

Schedule a FREE Lasik Consultation today to learn more about your options and achieve optimal vision. Our comprehensive eye exam will help us determine the best approach for your unique needs.

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The LASIK Approach: Precision with a Flap

In the LASIK procedure, a thin flap is meticulously crafted on the cornea using a microkeratome or femtosecond laser. This flap is then lifted, allowing the underlying cornea to be reshaped with an excimer laser. Patients typically enjoy rapid visual improvement within the initial 24 hours, with full stabilization requiring a few weeks. Postoperative discomfort is minimal, and LASIK is suitable for myopia, hyperopia, astigmatism, and can be combined with monovision for presbyopia. Pros include quick visual recovery and minimal discomfort, while potential cons involve rare flap-related complications and the possibility of temporary dry eyes.

The SMILE Technique: A Unique Minimally Invasive Alternative

SMILE is a newer technique that uses a femtosecond laser to create a small lenticule within the cornea. This lenticule is then removed through a tiny incision, eliminating the need for a corneal flap. While SMILE is less invasive, it typically has a longer recovery time, often taking several weeks or months for full visual recovery. SMILE is primarily designed for myopia correction and individuals with thinner corneas or those ineligible for LASIK. Pros of SMILE include its minimally invasive nature(recent studies show that this is not as true as originally thought). However, limitations include its limited availability, slower visual recovery, and similar complications to LASIK, including the potential for temporary dryness. Additionally, the cost of SMILE can be significantly higher than LASIK or PRK.

Choosing Wisely: Which is right for you?

The decision between LASIK vs SMILE depends on individual factors such as corneal thickness, lifestyle, and the importance of quick recovery. Both procedures are effective refractive surgery options, and the decision should be made in consultation with an experienced ophthalmologist who can consider your unique needs and circumstances.

While SMILE is a promising technology, it’s important to note that it’s a relatively new procedure. As such, there’s limited long-term data available. Many eye care providers, including LasikPlus, continue to favor LASIK due to its well-established safety profile and proven efficacy.

Our commitment to providing the best care prompts us to await a more comprehensive understanding of this procedure before making it available to our patients.

It’s important to clarify that our decision to postpone adopting SMILE is not a reflection of its safety or effectiveness. Instead, it emanates from our confidence in the extensive medical community experience with LASIK over the years. Consequently, we stand with assurance in offering LASIK as the preferred choice to our patients at LasikPlus.

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As humans we rely on our eyesight for basically every aspect of our day-to-day life. So when something affects your ability to see, it’s natural to worry. Don’t! Our team is here to help. 

Today we’re covering everything you need to know about scotomas, a common eye complication that affects your vision. If you’re interested in learning more about this common eye complication, keep scrolling…

What is a Scotoma?

Commonly mistaken as eye floaters, scotomas (pronounced skuh-TOE-muhs) are an “aura” or blind spot that blocks part of your vision. This vision impairment can appear in the form of a dark spot, or a flicker of light/dark, and it can be either permanent or temporary- depending on what caused your scotoma in the first place. 

Sometimes it can be the sign of an underlying health issue, so it’s very important that you take this (or any sudden change in your vision) seriously.

What Causes Scotomas?

There are many things that can cause scotomas- from a bad headache to a stroke. Here are a few of the most common causes of scotomas: 

• Strokes
• Brain injury
• Glaucoma
• Inflammation
• Macular degeneration
• High blood pressure
• Stress
• Anxiety
• Depression
• Pregnancy
• Food Allergies
• Migraines
• retinitis pigmentosa– a super-rare genetic disorder. 

What are the Different Types of Scotomas?

There are a few different types of scotomas, categorized by their appearance and where they appear in your vision. Here are the main types of scotomas:

Scintillating Scotoma

Scintillating (meaning “sparkling” or “shimmering”) scotomas are a visual disturbance occurring in your off-center or peripheral vision.

Unlike other scotomas, this type of blind spot tends to move around instead of staying in one place. These are usually arc-shaped or ring-shaped, may have either wavy or jagged edges, and can be multi-colored or switch between light and dark colors.

They are commonly associated with migraines which is why they’re sometimes referred to as a migraine scotoma- though a scintillating scotoma can occur without a headache, as well. A scintillating scotoma is usually temporary and can last for either a few seconds or a few hours, depending on the severity of your headache. 

Other than migraines, scintillating scotomas can also be caused by: 

• Stress
• Hormone changes
• Hypertension and high blood pressure
• Severe head injury
• Multiple Sclerosis
• Strokes
• Preeclampsia (a pregnancy complication) 

Paracentral Scotoma

A paracentral scotoma is a blind spot slightly off-center in your vision. 

For example, if you have a paracentral scotoma, you can probably see the words on road signs clearly, but there are spots near the sign that are dark or blurry. The main causes of paracentral scotomas are glaucoma and diabetic retinopathy, and oftentimes this type of scotoma is accompanied by peripheral vision loss as well.

Central Scotoma

Aptly named, this type of scotoma appears in the direct center of your vision. 

Central scotomas are one of the more devastating visual impairments because they can make everything from reading road signs to recognizing faces challenging- even impossible. A central scotoma can be caused by a stroke, infection, macular degeneration, diabetic retinopathy, diabetic macular edema, a tumor, or brain injury. 

How to Treat a Scotoma

When it comes to treating scotomas, your options will vary depending on the type of blurry vision that you’re experiencing. 

Scintillating scotomas resulting from a migraine usually disappear (without any treatment) in less than an hour. You can also take a nap, drink a glass of water, or take an over-the-counter pain reliever, such as ibuprofen or acetaminophen to help reduce the symptoms that relieve your migraine while you wait for the blind spot to go away.  

If a scotoma is appearing due to high blood pressure, stress, or other health conditions, there are specific treatments for those to help prevent blind spots in the future. Your doctor might recommend a beta-blocker to help relax your blood vessels, an antidepressant to help even-out your serotonin levels and lower your chances of getting a migraine, or an anti-epileptic medication to help with any neurological issues.  

Living with Scotoma:

While there’s no cure for scotoma caused by irreversible damage, tools can help:

• Special Glasses: Aid in adapting to vision loss.
• Visual Rehabilitation Therapy: Improves quality of life through coping strategies.
• Treating Underlying Conditions: Managing diabetes or glaucoma can prevent worsening.

Can LASIK Help?

LASIK may be an option if your scotoma is caused by a refractive error (nearsightedness, farsightedness, or astigmatism). However, it won’t help if another condition is the cause. Consult an eye care professional to determine if LASIK is right for you.

Talk to your doctor right away if you’re experiencing any vision changes- even if they’re not completely impeding your vision! 

When to See a Doctor About Your Scotoma

Losing parts of your eyesight can create headaches in your daily life, impacting your overall health and wellbeing, so we always advise checking in with your eye doctor as soon as you start noticing a difference in your vision. To diagnose a scotoma your doctor will do a visual test and a dilated eye exam. 

Occasionally, additional testing may be needed to provide a definitive diagnosis. 

In some instances, a scotoma accompanied by certain symptoms is the sign of a more serious health condition, and should be addressed as soon as possible. Seek medical attention immediately if you have a scotoma and are experiencing any of the following :

• A severe headache or migraine
• Weakened muscles
• Trouble speaking or slurring your speech
• Confusion or disorientation 
• Nausea or dizziness
• Numbness in your face, arms or legs

We also recommend that you schedule a yearly eye exam to be proactive about scotomas and other vision challenges before they become a real issue- especially if you have diabetes, high blood pressure, or a cardiovascular disease. 

Shining a Light on Your Vision Impairment

We get it: vision disturbances can totally alter your way of life. However, these are usually benign, so they’ll come and go without much cause for alarm. If they don’t, simply talk to your eye doctor to see which course of action is best for you. 

Resources for Further Information

American Academy of Ophthalmology (AAO): https://www.aao.org

National Eye Institute (NEI): https://www.nei.nih.gov

American Macular Degeneration Foundation (AMDF): https://www.macular.org

Mayo Clinic – Eye Health: https://www.mayoclinic.org

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The Success Rate of LASIK

LASIK surgery has an impressive success rate, with over 95% of patients achieving 20/20 vision or better. According to the American Refractive Surgery Council, LASIK has a patient satisfaction rate of approximately 96%, making it one of the highest-rated elective procedures. The procedure’s success is attributed to advancements in laser technology, which allow for precise and customized corrections.

Factors Influencing LASIK Success

Several factors contribute to the high success rate of LASIK, including:

• Technological Advancements: Modern LASIK procedures utilize Wavefront-guided lasers, which provide highly accurate and individualized treatment.
• Patient Selection: Ideal candidates for LASIK are those with stable vision prescriptions and healthy corneas.
• Surgeon Expertise: The experience and skill of the surgeon play a crucial role in the outcome of the procedure.

Comparing LASIK to Other Cosmetic Surgeries

Botox

Botox is a minimally invasive cosmetic treatment used to reduce wrinkles and fine lines by temporarily paralyzing underlying muscles. While Botox is popular for its quick results and minimal downtime, it requires repeat treatments every 3-6 months. Satisfaction rates for Botox hover around 85%-90%, which is lower than LASIK’s satisfaction rate.

Breast Augmentation

Breast augmentation is a surgical procedure to enhance the size and shape of the breasts. It has a high satisfaction rate of approximately 95%. However, it carries risks such as implant rupture and capsular contracture, and may require revision surgeries. Unlike LASIK, which typically involves a single procedure with long-lasting results, breast augmentation may necessitate additional surgeries over time.

Liposuction

Liposuction is a body contouring procedure that removes localized fat deposits. It achieves satisfaction rates of around 80%-85%. While effective for body sculpting, liposuction is primarily cosmetic and does not address underlying health issues like obesity. In contrast, LASIK provides functional benefits by improving vision and reducing dependence on corrective lenses.

Rhinoplasty

Rhinoplasty, or nose reshaping surgery, is known for its aesthetic benefits. However, satisfaction rates vary widely, ranging from 70% to 85%. The complexity of nasal anatomy and subjective expectations contribute to this variability. LASIK, with its predictable and quantifiable outcomes, often results in higher patient satisfaction.

When comparing LASIK to other common cosmetic procedures, its high success and satisfaction rates, coupled with its functional and aesthetic benefits, make it a standout choice. LASIK not only enhances vision but also significantly improves the quality of life by reducing dependence on glasses and contact lenses. While other procedures cater primarily to aesthetic goals, LASIK delivers both functional and psychological benefits, reinforcing its position as one of the most successful elective surgeries available.

References:

American Academy of Ophthalmology. (2009). Comprehensive Review Confirms High LASIK Patient Satisfaction. Retrieved November 18, 2024, from www.sciencedaily.com.

World literature review confirms high patient satisfaction after LASIK. (2009, May 1). American Academy of Ophthalmology. https://www.aao.org/education/editors-choice/world-literature-review-confirms-high-patient-sati.

Comprehensive Review Confirms High LASIK Patient Satisfaction. (2009, April 9). ScienceDaily. https://www.sciencedaily.com/releases/2009/04/090401134411.htm

U.S. Food and Drug Administration. (2024). Risks and Complications of Breast Implants. Retrieved November 18, 2024

Statista. (2024). Satisfaction among patients of top US surgical cosmetic procedures. Retrieved November 18, 2024

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Contact lens wear represents a significant advancement in vision correction, with over 45 million Americans choosing this option (National Eye Institute [NEI], 2023). However, the relationship between contact lenses and dry eye syndrome deserves careful attention, as contact lens wear remains a leading cause of dry eye symptoms.

Understanding the Impact on Your Eyes

Contact lenses can disrupt the natural tear film that protects and lubricates your eyes. Research indicates that contacts can interfere with tear film stability in several ways:

• Division of the tear film’s lipid and aqueous layers
• Reduced tear film thickness
• Increased ocular surface friction
• Altered protein regulation affecting natural lubrication

Breaking Free from Contacts and Glasses: The LASIK Alternative

If you’re wearing contacts, chances are you’ve already decided that glasses aren’t your preferred choice for vision correction. While contacts offer freedom from glasses, dealing with ongoing dry eye symptoms and daily lens maintenance can become frustrating. LASIK surgery presents a permanent solution that eliminates the need for both contacts and glasses.

Why Consider LASIK?

For contact lens wearers experiencing dry eyes, LASIK offers several compelling benefits:

• Permanent vision correction without daily lens wear
• No more contact lens solutions, cases, or cleaning routines
• Freedom from annual contact lens prescription costs
• Ability to swim, exercise, and travel without worry about contact lenses
• Wake up with clear vision without reaching for contacts or glasses

Understanding the LASIK Process

Modern LASIK technology has evolved significantly, offering:

• Quick procedure (typically 15-20 minutes for both eyes)
• Minimal recovery time (most return to work within 24-48 hours)
• High satisfaction rates (over 96% according to recent studies)
• Advanced tracking systems for precise treatment

LASIK and Dryness: What to Expect

While LASIK may cause temporary dryness during the initial healing period:

• Most symptoms resolve within 3-6 months
• Pre-existing dry eye can be treated before surgery
• Long-term studies show improved comfort compared to contact lens wear

Managing Dry Eyes

Whether you’re considering LASIK or looking to improve your eye comfort, these strategies can help manage dry eye symptoms:

Natural Solutions

1. Environmental Management
   • Use a high-quality humidifier in your home and office
   • Position screens below eye level to reduce eye strain
   • Install air purifiers to reduce irritants
2. Lifestyle Adjustments
   • Practice regular blinking exercises
   • Maintain proper hydration (8-10 glasses of water daily)
   • Include omega-3 rich foods in your diet
   • Protect eyes from wind and sun with wraparound sunglasses

Medical Approaches

1. Therapeutic Options
   • Preservative-free artificial tears
   • Prescription eye drops for chronic dry eye
   • Punctal plugs for tear retention
2. Advanced Treatments
   • LipiFlow® thermal pulsation
   • Intense Pulsed Light (IPL) therapy
   • Meibomian gland expression

Professional Care

Regular eye examinations remain crucial for:

• Monitoring eye health
• Adjusting treatment strategies
• Evaluating candidacy for LASIK
• Ensuring optimal vision correction

References
Centers for Disease Control and Prevention. (2023). Contact lens wear and care. CDC.
National Eye Institute. (2023). Dry eye disease. National Institutes of Health. https://www.nei.nih.gov/sites/default/files/health-pdfs/factsaboutdryeye.pdf.
American Academy of Ophthalmology. (2024). LASIK surgery: Benefits and risks. AAO. https://www.aao.org/eye-health/treatments/lasik

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What To Expect Before Your LASIK Procedure

During your initial LASIK eye exam, your eye doctor conducts detailed measurements of your cornea. These measurements, as precise as a topographical map, confirm your eligibility for LASIK and identify areas of the cornea that need reshaping to improve your vision. Once your candidacy for LASIK is confirmed, and the necessary data is gathered, you’ll be ready to schedule your procedure.

As your LASIK appointment approaches, preparing is straightforward. Arrange for transportation to and from the appointment, as driving won’t be possible right afterward. If you wear contact lenses, you may be asked to stop wearing them for a short period before the procedure to ensure accurate measurements. With these simple steps, you’ll be ready for your LASIK journey.

What To Expect During Your LASIK Procedure

Before you start, the doctor will go over the details of the procedure with you, so that you understand how the corrective process works, as well as the risks and possible complications.  The doctor will also have you sign a consent form.

Next, you’ll receive anesthetic eyedrops to numb your eye. This ensures you’ll experience minimal discomfort throughout the procedure. Then, you’ll recline in a bed-like chair with a special device between your eyelids to keep them open.

The doctor will ask you to focus on a point of light while a corneal flap is created. Depending on the type of procedure, and the center performing the procedure, this is done with either a laser or an instrument called a microkeratome. A microkeratome is an extremely small, thin oscillating blade that is machine-operated and extremely precise. Some LASIK providers have moved entirely to a laser to create the corneal flap because they believe it offers more comfort for patients and more precision, according to Dean Ellis, M.D., a LASIK doctor based in Kansas City, KS.

The flap gives the doctor access to reshape your cornea with a computer-directed laser. The laser uses cool pulses of light — lasting one trillionth of a second — to evaporate a small amount of tissue, about one five-hundredth of the thickness of a human hair. The laser never penetrates the eye.

“The doctor talked with me throughout the procedure,” said Amie, a former LASIK patient. “It was comforting to hear about each step as it was completed.”

After the reshaping is complete, you will receive drops to help soothe your eye. Since corneal tissue has exceptional bonding abilities, no stitches are needed. Many patients notice an immediate improvement in their vision.

“I actually was a little nervous the day I came in for the procedure,” said David, a former LASIK patient. “But the procedure honestly takes about 10 minutes. You’re in and out. You go home, take a nap and you can see.” 

“Most patients get up off the table and say, ‘if I knew it was that easy, I would have done it five years ago,’ ” said Dean Ellis, M.D., a LASIK doctor. “Many patients drive themselves to their follow-up appointment the next day.”

What To Expect After Your LASIK Procedure

“Although postoperative care is minimal, it’s important to rest immediately after the procedure,” said Dr. Ellis. “I tell my patients to take the rest of the day off work, head home and relax.” 

Patients generally can return to work on the day following the procedure.  Some patients experience slight discomfort after the procedure (similar to having a dry contact or eyelash in your eye). This generally goes away within a day. A follow-up appointment the following day allows the doctor to check the work and ensure the procedure was a success.

Dr. Ellis asks his patients to wear sunglasses the remainder of the day and provides special shields to wear while sleeping to prevent accidentally rubbing the eye.

“I noticed the difference right way. As I walked out of the office, I saw a car 30 yards ahead of me in the parking lot. I turned to my wife and read the license plate to her out loud,” said Joe, a LASIK patient. “I was completely shocked. I had worn glasses and contacts my entire life, and here I am able to see everything without lenses.”

Your LASIK provider gives you protective glasses to wear immediately following the procedure. You should also wear the glasses when you sleep for a week after the procedure and refrain from using lotions, creams and eye makeup for the same length of time. Your doctor will outline other precautions for the weeks following LASIK.

“I only had to take one day off. I was back to work the next day,” said Amie, a teacher who had the procedure. “There was no pain at all.”

Some patients choose to celebrate their improved vision by donating their old eyewear to charity. Regardless, it’s important to have additional follow-up appointments with your LASIK provider to monitor your vision and make sure you’re seeing as well as possible.

Of course, every LASIK case is different, and results can vary. The above provides a general overview of what you can expect during the LASIK procedure. Your LASIK provider and medical team can answer your specific questions about what to expect and provide additional details prior to your procedure.

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