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Lasik Surgery Articles, Tips and Information

What to Do When Lasik Surgery isn't Enough

Custom Lasik surgery

Custom Lasik surgery, also known as Wavefront Lasik surgery, uses detailed measurements to aid your surgeon in shaping your cornea. Custom Lasik uses individually customized, precise measurements, unique for each patient. Traditional Lasik surgery cannot give the same precision of individual correction that Custom Lasik can.

Custom Lasik improves not only how much you can see, but also how well you can see contrast and fine detail.

With Custom Lasik, your eye's ability to focus light rays is measured, and a 3-D map is created that demonstrates irregularities in the way your eye processes images. Information contained in the map guides your surgeon in customizing the treatment to reshape your eye's corneal surface so that these irregularities can be corrected.


How Does Custom Lasik work?

A perfectly shaped cornea allows light to focus evenly through the pupil and the light rays display evenly on the retina. A normal, less perfect cornea causes light to focus through the pupil at varying angles. These flaws in the cornea can cause light to strike the retina in irregular places causing halos, starbursts, glare or ghost like images.


Custom Lasik uses a special scanner to generate a very detailed, virtual map of your eye. This topographical map makes note of every imperfection of your eye and is unique, just like a fingerprint. Creating this topographical map of your eye helps your surgeon during your Custom Lasik surgery to improve your vision by knowing every detail of your eye.


How is This Virtual Map of your eye created?

Your surgeon will use a Lasik scanner to create a finely detailed map of the light rays as they travel through your eye, showing the imperfections in your vision. To do this you will be asked to place your head in the padded rest and stare past a target light, similar to a regular vision appointment. It is important that you relax your eye's focus as much as possible. Next a beam of light will be sent through your eye’s pupil and focused on the retina.


These light rays then reflect back from the retina and measurements taken of the irregularities in the pattern of light coming from your eye. The Lasik computer uses these detailed measurements to create a 3-D map of your eye and any imperfections found in your cornea. This precision information will assist your Custom Lasik surgeon in customizing the reshaping of your cornea.


The map of a ‘perfect’ eye without imperfections appears to be a flat surface and light rays are reflected back evenly through the eye. The map of a less-than-perfect eye appears curved because some of the light rays reflect back from the retina sooner than the others or reflect back from different points on the retina. Talk with your doctor and together you can determine if Custom Lasik surgery is right for you.


Beth Gabriel is a successful Webmaster and publisher of She provides more Lasik Surgery information and Custom Lasik reviews that you can read on her website from the comfort of your home at 2:00 am!


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New York City Lasik Surgery


New York City is one of the leading centers for lasik eye surgery and research on refractive errors in the United States. Eye surgeons require specialized training and equipment to perform lasik; it is therefore important to find an experienced and skilful surgeon. A good way to locate a good lasik surgeon is to consult your physician or to talk with family and friends. Academic and research institutions in New York City, such as Mount Sinai Hospital and the New York Eye and Ear Infirmary, are world-renowned for their expertise in eye surgery including lasik. Your health care plan may list ophthalmologists that are covered under your plan. While using such list is a starting point, it pays to independently research a surgeon’s credentials.


You can search by city, state, country and specialty; be sure to select ‘New York’ as the city and state and ‘refractive surgery’ as the specialty.


There are several Internet resources to help you find the right lasik surgeon. The American Academy of Ophthalmology website has an excellent ‘Find an Eye M.D.’ link designed specifically to help the general public locate a surgeon in their area. Once you accept the site’s terms of use and disclaimer, you will be directed to a list of eye surgeons in New York city. Clicking on any of their names will give you information on their practice focus, current professional activities, board certification, medical training and offices.


The eventual choice of a surgeon will depend on factors such as the surgeon’s experience and track record, cost of the procedure, and the type of condition you have. While cost does matter, it should not be the only criterion you use to decide. A surgeon’s experience in performing the type of surgery you need, and the availability of appropriate equipment and safe procedures, are far more important than cost to ensure a good outcome.


New York Lasik provides detailed information on Lasik Albany New York, Lasik Rochester New York, Lasik Surgery Upstate New York, Lasik Utica New York and more. New York Lasik is affiliated with Vision Correction.


What to Expect on the Day of Your LASIK Surgery?

On the day of your LASIK it is quite normal to be nervous. This is a reason we give people an oral sedative right before the procedure is performed. There is also apprehension because you don't know what to expect when the procedure is finished. Most people know someone who has undergone the surgery and told them how they were out-to-dinner or at a party the night after the LASIK surgery. The first thing is not to get caught up in how you see in the first 24 hours after the procedure. Everyone tends to heal slightly differently and some people will heal slower than average and others faster than average. There are no studies that connect the vision right after the surgery to the long-term results or long-term patient happiness.

The perceived quality of vision is ofter related to the amount of eyeglass correction that was performed.

People with larger corrections often notice a big improvement in vision when compared to how they see without glasses or contacts before the procedure. The opposite is true for people with smaller corrections. If your compare it to weight loss, and take two people who are now at their normal body weight say 120 pounds. The person who started at 240 pounds is going to perceive a bigger difference than the person who started at 140 pounds. Even though they are both now at the same ideal weight.


The discomfort that a person feels also a variable. Some people feels extremely dry and light sensitive and others feel perfectly fine. Again, this usually has not bearing on the final outcome and is often related to an individuals general tolerance to pain and discomfort. We are all different and respond differently to the same stimulus. The swelling of the LASIK flap often fluctuates between patients and plays into the level of vision in the immediate post-operative period. As things settle down, the vision starts to improve.


In summary, the pain and quality of vision in the first 24 hours is not related to the final happiness of a LASIK patient. In fact, many patients who felt quite uncomfortable in the first post-operative day don't even remember that first day; especially when then have a great post-operative result. This is important when your co-worker tells you how wonderful they were right from the start. They may not accurately remember the first 24 hours!


Marc D. Hirsch is a laser eye surgeon. He publishes a blog which discusses LASIK related issues and complications.


Lasik Surgery Upstate New York


Before considering lasik surgery, it helps to know what treatment options are available and what their individual benefits may be. In addition to conventional lasik surgery used to treat common refractive errors, there are several other types of corneal refractive surgery available today. Epi-lasik is very similar to conventional lasik, but uses different equipment that is effective in treating people with thin corneas. Other procedures that are used for people with thin corneas are photorefractive keratectomy, or PRK, and laser epithelial keratomileusis or lasek. Conductive keratoplasty is a non-invasive procedure to treat farsightedness in people over 40. It is best to discuss the right type of procedure to correct a particular refractive error with a physician or eye doctor.


In addition to understanding surgical options, it also helps to research the availability and skill of lasik surgeons. Ask family, friends or co-workers who have undergone lasik recently for recommendations. Physicians can also provide referrals. The Internet is an extremely useful tool for this kind of research. Nearby medical research or academic institutions may also be worth contacting. Once a shortlist is drawn up, find out if a surgeon is fellowship-trained in treating refractive errors. A good surgeon should have lots of experience performing the type of surgery needed, and should be able to help their patients understand what lasik entails. Surgeons with access to advanced corneal scanning and imaging systems may be able to obtain better results.


There are several cities with lasik surgeons in the upstate New York area. Some of these surgeons teach and conduct research in area medical schools and may therefore be knowledgeable about recent advancements in lasik surgery. Some institutions with surgeons who are trained in lasik surgery include Albany Medical College, the University of Rochester Eye Institute, and the State University of New York’s (SUNY) Upstate Medical Center in Syracuse.


New York Lasik provides detailed information on Lasik Albany New York, Lasik Rochester New York, Lasik Surgery Upstate New York, Lasik Utica New York and more. New York Lasik is affiliated with Vision Correction


How Long Is The Healing Time After LASIK Surgery


LASIK is the most prevalent of all refractive eye surgery procedures. Though it’s quite intricate when we take into account the technology wielded by it, superficially, LASIK is a simplistic procedure that takes only about half an hour to accomplish. However, it is the postoperative period of LASIK that is often a source of mild discomfort to the patients. This is when the corneal flap, which was cut out during surgery, acts as a natural bandage and the cornea is healed – the healing time after LASIK surgery.


In general, LASIK allows for a rapid visual recovery. Most patients experience enhanced vision within a few days after surgery. However, don’t expect to jump off the operation table after surgery – the effects are not instantaneous. The refractive error will be corrected at the time of surgery but your vision may be blurry or hazy for the first day at least. It’s better to arrange for someone to drive you home after surgery, since you certainly won’t be in a position to do it by yourself.


Though LASIK has several potential complications that might set in during the healing period, one of the most common is the dry eye condition. The surgeon would typically prescribe certain eye drops to avert infection and moisten the eyes. Regular postoperative checkups are pivotal during the healing period, since they help evaluate the recovery progress. The first follow up visit should typically be around 24-48 hours after surgery, and should be followed by regular visits until the first six months after surgery.


God forbid, any complications occur, your visual acuity will be restored within a few days. Any fluctuations or side effects normally subside and the prescription stabilizes within six months following surgery. However, the complete healing of the corneal flap may take up to a year or so, and the healing period may vary from one patient to another. What’s imperative is that the healing process must be meticulously monitored by the surgeon. Thus your main concern is to stick to a follow up visit schedule, and to heed to your surgeon’s advice on postoperative care.


If you find a LASIK surgeon that you are confident with, you will be able to get more information about post LASIK healing times.


The LASIK Surgeons Directory - find a LASIK surgeon. Nicola Kennedy publishes articles and reports, provides news and views about LASIK eye surgery healing times at Your Lasik Information.

This article may be reprinted in full so long as the resource box and the live links are included intact. All rights reserved.

How To Wash Your Eyes After LASIK Surgery

LASIK is an efficient and fairly innocuous procedure. It is capable of treating several refractive errors, such as myopia, hyperopia and astigmatism. The procedure itself entails virtually no pain and provides rapid recovery. Though the vision will be blurry immediately after surgery, visual acuity will be restored within a few days. However, it takes about 3 to 6 months for the refraction to stabilize. It is imperative that you carry out a scrupulous postoperative regime in order to boost the recovery process and avoid unnecessary complications.


Avoid rubbing your eyes for at least the first week after LASIK surgery. The corneal flap cut out during the surgery requires substantial time to heal. Unnecessary rubbing may inadvertently aggravate the wound. You should also take extreme caution to avoid soap, hair spray or shaving lotion from entering your eyes. The eye surgeon will typically provide you with a postoperative kit, which may include a set of eye shields/goggles. Wear them while you are sleeping, at least for the first three nights after surgery.


For at least a week after LASIK, prevent water from entering your eyes, since water hinders the natural clotting mechanism, and therefore might delay the healing process of the cornea. You must also cancel any swimming plans for a minimum of 10 days following LASIK. You must not wear eye makeup for at least one week after LASIK.


Contact sports are to be avoided for at least a week or so following surgery. Furthermore, it is advised that you wear some kind of protection gear for your eyes for a period of a month, even after resuming exercise and other sporting activities. Bright sunlight may lead to scarring, and therefore, sunglasses are recommended on bright days until the cornea heals.


To summarize, though you will able to resume your usual lifestyle within a week or so after LASIK surgery, it is crucial that you protect your eyes to prevent injury or infection. And since the corneal flap does not heal instantly after surgery, you must prevent washing your eyes for at least a few days after surgery.


If you find a LASIK surgery that you are confident with, you will be able to get more information about post LASIK complications.


The LASIK Surgeons Directory - find a LASIK surgery. Nicola Kennedy publishes articles and reports, provides news and views and answers the question How Do I Wash My Eyes After LASIK? at Your Lasik Information.

This article may be reprinted in full so long as the resource box and the live links are included intact. All rights reserved.

Lasik Surgery - Would you have it?

There are a number of methods used to surgically correct eyesight nowadays but the most popular choice is Lasik (Laser-Assisted In Situ Keratomileusis). However before the use of modern technology such as laser beams and computers, the original technique was Radial Keratotomy (RK). This involved an Ophthalmic surgeon with a steady hand and a sharp scalpel to make a series of radial cuts in the cornea (the front 'window' of the eye), which when healed, would flatten and therefore reshape the cornea. This would theoretically correct short sightedness. The problems occurred mainly due to the fact that the depth of the incisions could cause weakening and progressive flattening of the cornea, after the procedure. This could lead to a number of defects such as progressively blurring vision and starburst patterns around lights.


How is Custom Lasik different from traditional Lasik Surgery?

Both Custom Lasik and traditional Lasik Surgery can be used to correct myopia (nearsightedness), hyperopia (farsightedness) and astigmatism. But Custom Lasik is also able to treat the problems of glare, shadows, night vision distortion and halos.


With the advent of the laser, a more modern method became the norm, called Photorefractive Keratectomy (PRK). This procedure involved the removal of the outer cells of the cornea (epithelium), and then reshaping the corneal surface with an excimer laser, a procedure known as ablation. The epithelial cells were then allowed to grow back normally.


Because epithelial cells on the eye regenerate exceptionally quickly the cornea would generally heal completely within a few days. This technique was certainly more successful than RK but did have its own complications. Side effects such as halos round lights and reduced contrast vision were experienced by almost everyone, along with some corneal 'hazing'. Although serious complications were rare there was always the risk of infection due to the lack of epithelium protection during the healing phase.


Then in 1990 LASIK surgery was developed by a Dr.Lucio Buratto of Italy and Dr. Ioannis Pallikaris of Greece, and it quickly became popular because of fewer complications and was certainly more accurate. The procedure involves cutting a corneal 'flap' with a special high precision blade called a microkeratome. This flap was then folded back with the front surface epithelium still intact.


The cornea can then be reshaped with the laser and the flap is laid back down. The epithelial cells that were cut with the microkeratome quickly heal and therefore the outer surface is a nice continuous layer that securely holds the flap in place permanently. Although quite uncommon, some complications such as dry eyes, debris under the flap, ghosting or poor vision to name a few, do occur from time to time.


Another technique that is also used nowadays is LASEK or Laser-Assisted Sub-Epithelial Keratectomy (as opposed to LASIK). It can be used if the cornea is too thin to undergo lasik surgery where the microkeratome cuts deeper than the epithelium. In LASEK, the epithelium is peeled off as a layer to allow laser ablation underneath. During the procedure the epithelial layer is preserved with a special chemical solution and then replaced afterwards, so as to allow natural healing. There is generally more pain and slower visual recovery with this technique.


PRK and LASEK allow the epithelial layer to heal entirely and therefore don't run the risks of a dislocated corneal flap which can occur due to trauma, even after many years with LASIK. However, the latter is still the most commonly used procedure. There is still a lot of fear amongst many about the long term effects of laser surgery, but it has been around for quite a while now in its different forms. It seems that more and more people are opting for this surgery, due to a number of reasons whether they be for convenience or cosmetic. With the information technology of the internet, increased knowledge on the subject is much more widespread, so barring any major negative eventualities this trend will almost certainly continue.


James Oliver is an Optician in the UK. He writes for and also

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