What is True About Intra Lasik?

Now that Lasik vision correction surgery has been accepted for a number of years, there are several popular options for the procedure. One of these is IntraLasik, or Intralase, or bladeless Lasik. As the name implies, there is no cutting of the eye with a blade, instead the flap in the eye is made using a laser. Since bladeless Lasik is a newer procedure, there are a number of opinions around about how well this procedure works. Let’s look at several of these and determine which of these are true or false.

First, more Lasik clients get 20/20 vision or better using IntraLasik. Any Lasik procedure cannot guarantee perfect vision for every client, though more than 90% get results to at least 20/40 vision. However, it is true that the new techniques of IntraLasik do get even better statistics for giving clients clear vision.

Some are concerned that the laser that makes the corneal flap is standard, and cannot be tailored to each individual eye like can be done by the Lasik surgeon when using a blade. This is not true. The Lasik physician has control over the use of the laser for each individual in the same way that he can control the microkeratome blade.

IntraLasik can be used for both a standard and a custom Lasik procedure. This is true. Custom Lasik procedures using Wavefront technology (another somewhat recent advance in Lasik vision correction) can easily be used with a laser making the initial flap. This custom Lasik procedure, though more costly, is of great benefit for people with unusual eye shapes or problems.

Some have heard that using the laser is less accurate than the standard Lasik procedure. This is not true, since lasers can be controlled to micron level accuracy. This gives the Lasik physician extreme control to create exactly the flap needed for this particular individual eye: the precise size, shape, and depth for successful completion of the Lasik procedure.

Another common fallacy is that IntraLase has not been around long enough for trusted Lasik physicians to have confidence in it. On the contrary, many of the most honored Lasik physicians strongly endorse IntraLase due to the track record of very good results from the Lasik procedures. In addition, the quality of the machines and the precision that they give these Lasik physicians is very impressive. Many of the top flight Lasik doctors recommend this as a procedure of choice, assuming cost is not a significant variable in the decision of which Lasik procedure to use.

Similar to the objection above, some people think that Intralase is not a sufficiently test Lasik procedure option. On the contrary, more than one million of these procedures have been performed, and the impressive track record for this Lasik procedure has been discussed above. More and more Lasik physicians are trained in this option, and we will see many more such Lasik procedures in the future.

We hope that this discussion of bladeless Lasik has given more accurate information to those considering this Lasik technique. Please discuss this option with the professionals at your local Lasik center.

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Thoughts From an Experienced Lasik Patient

I have noticed that more people I work with are talking about, or undergoing, the Lasik vision correction procedure. I don’t know really know why Lasik has suddenly become more popular in my company, but I do know that there are a number of rumors about Lasik that I am not sure are true. Let me just talk about my long term experience with Lasik.

It has been more than eight years since I had the Lasik procedure, so I was one of the early and brave pioneers! Perhaps I wasn’t that brave when considering Lasik, for my vision in each eye was worse than -9. Even now, Lasik physicians consider that a very strong case and do caution prospective clients that the Lasik process will likely improve their vision, but may not eliminate the total need for glasses.

The Lasik operation itself had mild pressure and some unusual feelings, but no real discomfort or pain. This is still true in modern Lasik procedures, and hopefully they are even better at keeping the client comfortable. I do notice that now Lasik physicians also give a mild sedative mainly for psychological reasons, which I think I would have appreciated back then.

Two or three days after the Lasik operation I was astounded to find I had VERY clear vision in each eye, at least 20/20. Considering my previous prescription, you can imagine how fervently I thanked my Lasik physician. However, I did also have temporary symptoms of considerable dryness in each eye (which was helped by eye drops), and also halos around lights at night.

A few months after the Lasik procedure I noticed my vision changing a bit, though very slightly. The best way I can describe it is that the crisp edges no longer looked exceedingly crisp, but each object still seemed to be in focus. At my one year Lasik correction anniversary my physician said that one eye was still at 20/20, but the other had changed slightly to 20/40. However, I was still a great statistic for the Lasik correction procedure, and we were both still happy with the results.

In the years between the original Lasik procedure and now, my vision is still 20/20 in one eye and 20/40 in the other. I do have a pair of glasses and one contact lens for that eye, but rarely bother with them unless I am doing something like watching a movie. My long track record after the Lasik procedure has given hope to a number of other people in my office. I do want to say though that I was over 35 when I had the operation, and my Lasik physician said that the stability of my eyes and my age were good indicators that the Lasik results would be long term.

I hope this encourages people with bad vision to talk to a local Lasik physician about scheduling a Lasik procedure. Find a physician that has a good track record, and one that you trust, and I hope that your long term Lasik results will be as good as mine!

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Talking to Your Lasik Surgeon

For anyone considering a Lasik procedure to correct vision, it is crucial to find a physician that is reputable and caring. It is also very important that they are experienced and knowledgeable in the Lasik procedure, and that they have a track record of patients that are happy with the treatment they received and the results that they got.

This guide gives a number of basic questions that you should ask when deciding on which Lasik center and which doctor to select for your Lasik procedure. The comfort you have during the process, and even the results that you receive, may depend on getting good answers to these questions. It is important to realize that the answers to these questions will vary from physician to physician.

The first question to ask is “How many years have you been performing this type of Lasik surgery?” There are several variations of the Lasik procedure, and the doctor should have a track record of at least three years in doing Lasik procedures. This amount of time also allows the doctor to watch his patients and the long term success of their Lasik procedures.

Next, ask the physician for the number of Lasik procedures they have performed in the last two years. The physician should do the operation frequently enough that he is well versed in current procedures. Also, he should be successful enough that prospective Lasik patients feel comfortable in coming to the Lasik center. The physician should perform at least 500 Lasik surgeries in the last two years.

At this point, ask what percent of his clients that underwent Lasik surgery ended up with 20/40 vision or better. Notice that not all patients will achieve 20/20 vision, and that is acceptable. However, it is important that 90 percent of the patients get at least a 20/40 correction after the first Lasik procedure. Claims of much more than 90 percent might make him seem much better, but in this case ask for evidence that that number is true. There are some exceptional physicians out there, but also a few Lasik doctors that make unfounded claims. Asking the doctor what percentage of Lasik patients achieve 20/20 should run about 50 percent. Again, if the number is greatly higher, ask for evidence.

Finally, ask about post-Lasik complications. The percentage of patients that experience complications after 6 months is complete should be 3 percent or less. If the physician claims that complications are so rare that he doesn’t keep records, you should be very suspicious and ask for evidence, if any. No doctor is perfect. Similarly, when asked the percentage of patients that require an additional operation to achieve clear vision, the number should be less than 10 percent.

To wrap up the interview, ask the physician what types of Lasik procedures he recommends and practices, and under what circumstances he denied a Lasik procedure to a patient. Not all vision challenged people are good candidates for a Lasik operation, and the doctor should at least have a few examples of people he dissuaded from the operation.

Finally, ask about the cost of the operation and if financing plans are available through the Lasik center. A physician that is willing to sit down and discuss these questions is often a physician that will address any other medical issues that come up, and is a good prospect to perform your Lasik procedure.

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Pros and Cons for Lasik with IntraLase

Those who have had a Lasik technique done, and those who are investigating having a Lasik vision correction procedure, know that the first step of that procedure is to create a small flap in order for the Lasik physician to reshape the cornea. This flap is created by the surgeon, and can be done using a small blade or using a laser. Using the laser is generally called a bladeless Lasik procedure, or IntraLasik, or IntraLase.

For those that are considering a Lasik procedure, this review should be helpful in order to determine the pros and cons of the Lasik procedure using IntraLase. One comment to be made is that the risks and complications possible using the small blade are well known and documented, since that procedure has been done for years and has a database of millions of patients.

Granted, 90% or more of all Lasik patients have no serious side effects or even minor lasting side effects, but it is true that a large part of the complications from Lasik procedures stem from the flap made with the microkeratome blade. Over the years additional techniques have been developed to further minimize such problems from the standard Lasik procedure.

The introduction of the laser to create the flap is a new frontier in the Lasik procedure. The laser is used in combination with state of the art software to create a flap of a pre-programmed size at a specific depth and position. During this process, a soft suction ring holds the eye in place, but this causes no discomfort to the Lasik client. Generally the only effect noticed by most Lasik patients is a dimming of vision in the eye being worked on for the duration of the treatment of that eye.

The use of the laser creates very small bubbles of water and carbon dioxide that serve as a good buffer between the flap and the cornea itself, and so this Lasik procedure conserves the eye very carefully. The whole process of creating a flap for one eye takes approximately one minute.

The advantages of using a laser to make the flap for the Lasik vision correction procedure is that there is no way that the cornea can be abraded, nor any chance of the wrong size or depth of flap, since it is all pre-programmed with Lasik software. The exact vertical edges of the flap produced using this Lasik procedure help healing, and also decrease the possibility that the flap might slip or wrinkle if the eye is accidentally bumped or rubbed during the healing process.

There are very few cons to using a laser to create the flap during a Lasik procedure. One is that the process takes a bit longer, up to a minute. A second reason is that the low level suction during this phase of the Lasik operation does result in eye redness for about 5% of the patients, but this goes away within a few days. The last reason is that there is still a difference in cost between this and the traditional Lasik procedure, but hopefully that will decrease as the years progress.

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My Lasik Vision Story

I am putting this story on the web to encourage those who are interested in a Lasik vision procedure, but have read so many horror stories that they are getting ever more reluctant. I had to get off of the Internet to get enough courage to even go down to a nearby Lasik center to have them talk about my individual case. I am glad I went, and the people were very kind, professional, and encouraging.

Let me begin with why I was even interested in Lasik. I have worn glasses for thirty years, ever since I was a very little girl. I have very weak eyes, and needed to wear my glasses from the moment I woke up until I went to bed. I have a special spot where they are kept, and a number of backup pairs of glasses so that I never have to go without them. I also have had some dry eye problems for the last few years, which is often a reason that Lasik doctors do not recommend the Lasik procedure for some people.

When I got to talk to the Lasik physician, he was encouraging but realistic. He stated that one of my eyes would be a good candidate for total vision correction, but the other eye would likely see only some (though possibly major) improvement. He stated that about one of his Lasik procedures per month are with clients with the same level of poor vision of my worst eye.

I would also like to encourage those people with some problems to go ahead and visit their local Lasik center to talk to the professionals there. As I mentioned earlier, I have had some occasional problems with dry eyes. I also have pupils that dilate easily. Both of these can be reasons to be dissuaded from Lasik, but in neither case were my problems significant enough for the doctor to consider me not a good Lasik client. Do go and discuss your individual case.

I cannot say that the information I was given made me totally relaxed about the whole procedure. I did talk myself into and out of the Lasik procedure several times during the weeks before it was done. The only thing I was a little bit surprised about was that I did not lose sleep over it, and that I actually showed up at the Lasik center to get the procedure done!

I was given a mild sedative (as well as numbing eye drops) and the Lasik procedure went without a hitch. Though I did feel a mild pressure during the time on my eyeball, my hands were the things that hurt after the Lasik operation was over (I must have had them clenched the whole time!). I was so grateful to my physician who said things like “I’m using the laser for 20 seconds, 5 seconds to go, procedure done for this eye. Very successful.” In this way I was reassured that the Lasik operation was going quickly and according to plan.

I followed all my Lasik physician’s instructions to the letter after the procedure, and I am so happy with the results! I could see much better even directly after the operation was over, and things have continued to improve. I personally do not have any of the problems that are often mentioned as effects, such as halos around lights, etc. I would strongly encourage anyone to be brave enough to go down to your Lasik center and at least talk about the Lasik procedure with a knowledgeable professional.

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Meet a Lasik Pioneer!

One of the first publicized physicians that perform the Lasik eye corrective operation was Dr. Boothe, of Dallas Texas. He has performed the Lasik operation for a number of different clients, including members of the NFL Dallas Cowboys football team. There are countless testimonials of how satisfied his Lasik clients were with the surgery, even a number of years later.

One of the important considerations for any doctor is kindness, and Dr Boothe’s Lasik patients comment on this trait after their procedures. They all agree that Dr. Boothe made them feel very relaxed about the procedure, and took time to answer any and all questions that they might have. This is especially important with the Lasik process, as eye health is crucially important, and confidence in the doctor makes considering the Lasik option much more feasible.

Dr. Boothe became a specialist of the eye, and especially the cornea, in 1987.

He has performed more than 80,000 Lasik laser vision corrections in that time. He has also contributed to the field of expanding Lasik practice, with the new VISX three dimensional wavefront procedures. These procedures are especially useful for those people with unusual configurations of their eyes.

One of the other newer Lasik procedures uses only the laser, instead of the usual Lasik operation using both scalpel and laser. He is the leader in the performance of this field, and has done more than 45,000 of these operations. This type of Lasik procedure holds new promise for the field, and should be investigated by anyone considering any type of Lasik procedure.

Looking at some of Dr. Boothe’s background will help prospective Lasik clients to look for a physician of similar quality in their area. Dr. Boothe’s center itself is located in the Dallas metropolitan area, but there are many fine doctors that practice Lasik procedures in all parts of the country. He has taught a number of other surgeons in the technique, and so one question that should be asked is where the physician received his training in the Lasik procedure, and which doctors taught the technique.

A most critical part of traditional Lasik surgery is using the microkeratome to make and lift a flap in the eye. Dr. Boothe’s love of medicine and absorption in furthering the techniques used in Lasik make him a pioneer in the field of ophthalmology. He is board certified by the American Board of Ophthalmology, and emphasizes that any patient should check the board certification for any physician they are considering for performing the Lasik procedure in addition to standard medical certifications, such as the American Medical Association.

One reason that Dr. Boothe entered the field of Lasik surgery was because a good eye surgeon can dramatically improve the quality of life for his patients, as is attested by his many thousands of satisfied patients. The doctor that a patient selects for the Lasik procedure should have high standards for safety, accuracy, and precision. This should be reflected in the results and opinions of the patients that the doctor has. Lasik can be a life improving procedure, and careful selection of a physician in the same mold as Dr. Boothe can make it much more certain.

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Good Post-Op Lasik Care

One of the most marvelous advancements using modern technology is the Lasik vision correction procedure, where in the space of fifteen minutes many people can reduce or eliminate their reliance on glasses or contact lenses. There is very little preparation for the surgery on the Lasik patient’s side, and the Lasik procedure itself takes less than twenty minutes.

With current technology and an excellent Lasik physician, there is a very high success rate for nearly all Lasik surgeries. Though not all patients get or keep exactly 20/20 vision, there is a vast improvement in the Lasik client’s vision and dependence on corrective eyewear. The two most important factors under the patient’s control is the choice of the physician and good post-operative care.

After visiting a few physicians or clinics that perform Lasik procedures, the client should have a very good idea of how they will be treated as a patient of that doctor. It is important to find a Lasik physician whose staff is responsive to questions and worries, and who are willing to see a post-operative Lasik client who is having a problem with their care.

This is one of the more common complaints of those folks that undergo a Lasik procedure: insufficient information about post-operative Lasik side effects, or a staff that simply says “Lots of people experience that, no problem,” when the patient actually should be seen by a member of the staff. A visit where the prospective Lasik patient talks with both the physician and one or two members of the staff will get an idea of how well a patient is welcomed once the Lasik procedure is completed.

During this initial investigative visit, the client should ask the Lasik staff for a list of common, temporary side effects that can be experienced after a Lasik procedure. The staff member should describe any cases where the patient should make a point of contacting the Lasik center, rather than just enduring the side effect. Cases of pain, intense itching, or seriously blurred vision may indicate an infection or other serious problem, and should be seen promptly. It is truly very rare that any of these complications exist after a Lasik procedure, but make sure that the center is willing to see the patient if they think something is more than mildly wrong.

One of the more common side effects after a Lasik operation is some form of dry eye, which often occurs during the nighttime while asleep. Not only is this uncomfortable, but if the eyelid sticks even slightly to the eye itself, it may dislodge the surgical flap done in the Lasik procedure, and delay healing of the eye. If this occurs, the Lasik center has several different viscosities, or thicknesses, of eye drops to alleviate this problem. The staff should be promptly notified so this problem can be addressed immediately.

A good, responsive staff surrounding an excellent Lasik physician is the most important component in how to select a doctor. Interviewing the physician and staff about all aspects of the Lasik procedure, both the procedure itself and post-operative care, is the best way to make an excellent choice.

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Eye Care After a Lasik Procedure

A person that is considering a Lasik procedure to improve their vision has two major responsibilities: selecting the best surgeon possible for their budget, and understanding and keeping up with eye care after the Lasik operation is done. Most Lasik procedures go very smoothly, and more than 90% of the patients are happy with their improved vision and have no permanent side effects. Part of this success is due to good care at home once the Lasik procedure is complete.

The first step in having the best care after a Lasik procedure is to understand exactly what is directed by the Lasik physician. The prospective Lasik patient should be given a good understanding of the entire process when they first visit a Lasik center to interview the physician and the staff. On the day of the procedure, a member of the staff should very carefully go over exactly what steps should be done to encourage optimal eye health and healing after the Lasik operation.

One thing that the patient should ask is what side effects are to be expected directly after the Lasik procedure, how long they should last, and which symptoms should be promptly told to the Lasik physician or member of the staff. A number of symptoms, such as fluctuating vision or halos around lights, are to be expected and are not a cause of worry. Ask the staff about any postoperative symptoms that are unclear, to make sure that they are thoroughly understood.

Each Lasik physician has their own recommended procedures for their patients, but here is a list of typical suggestions that most Lasik centers recommend. First, get some sleep as soon as possible after the Lasik procedure is done. This gives a great boost to the healing process. Second, avoid any contact, bumping, or rubbing of the eyes for at least five days after the Lasik procedure. Most Lasik centers have some kind of eye guards to wear at night to prevent patients from rubbing their eyes in their sleep.

Third, try to avoid eyestrain for some days after the Lasik procedure. It is tempting to try to read all of the signs and words that were previously blurry, but avoid this temptation at least for the large part. If any light sensitivity or glare is noticed, wear dark sunglasses for several days until this problem resolves itself. Some common Lasik side effects are temporary halos around lights, especially when viewed at night, but this is not a problem to be concerned with.

It is very important to keep the eyes well lubricated in the days following a Lasik operation. Every Lasik physician will give eye drops to help this, and patient should be especially aware of this before going to sleep. A Lasik procedure may increase eye dryness temporarily, and during sleep this may make the eyelid stick slightly to the eye. When the patient wakes up, opening the eyelid is equivalent to rubbing the eye. The physician should be notified if this happens, for there are other varieties of eye drops that will solve this problem.

Taking these simple steps will give nearly all Lasik patients an easy postoperative experience without any problems.

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