Surface Ablation No Flap-Laser Vision Correction

PRK (Surface ablation)

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    Kaushal Kumar Patient operated for Contoura Vision LASIK

    Thank you, Dr.Aditi, I am grateful to you. I had a very nice experience with you having done my LASIK surgery by Contura vision, I have got 6/5 vision after my specs removal surgery. Very helping staff & caring follow-ups done by the Dr. Again & Again thanks to you Dr. Aditi.

    Ravinder Yadav Operated for Bladefree iLASIK

    Had a very good experience from the first consultation to the follow-up visits for my LASIK surgery. Dr. Aditi provides good information and details things really well. The staff is helpful and ensures timely reminders wherever needed. Best wishes to keep providing quality care services to their patients.

    Srujani Panda Visited for Cataract Surgery

    I went in to get a simple eye check up done for myself and extended it to my mother’s cataract surgery as well. We couldn’t have asked for a better doctor and clinic team. Dr. Aditi put my mother at ease and took care of her. Such a humane touch to treating patients. Thank you so much.

    Pritika Bedi Operated for Contoura Vision LASIK

    I recently got my Lasik surgery done by Dr. Aditi. It was a great experience as she ran several tests before the procedure to ensure that I was the right candidate for the surgery. She patiently answered all my queries and thoroughly …More

    Abhimanyu Rathi Operated for Contoura Vision LASIK

    Highly qualified Doctor, professional in nature, knows all the tricks of trade. Compassionate and helpful, willing to go beyond call of duty to help the patient with valuable advice. Doctor is trained to perform lasik with latest femtolasers and contoura vision software. Good experience.

    Ashwini Anand

    I was very happy with the thoroughness of the retinal exam I got and the attention to detail that the doctor showed during the entire process. I did not sense any kind of overcharging or excessive prescription of tests. I would go to Dr Aditi again if the need were to arise.

    Ms. Vaishali Dhingra Operated for LASIK

    I had been wearing glasses for the past 8 years. I went to Dr.Aditi for surgery for removal of glasses. The doctor explained the entire procedure to me well, I went ahead with the surgery for LASIK. I could see 6/6 from the second day itself and my experience was very good.

    lalit Ahuja Visited for keratoconus treatment

    Superb!! Dr. Aditi Manudhane is one of the best ophthalmologists in India. She is competent, humble and thorough professional. We went there for C3R process of my niece. We are fully satisfied.

    Types of LASIK Surgery

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    PRK or photorefractive keratectomy is a truely “flapless” technique of Laser Vision Correction. PRK is a boon for patients looking for freedom from glasses or contact Lenses but are found to be unsuitable for LASIK. PRK has its own definite benefits, and also the softwares for custom LASIK can be used for planning a Customised PRK treatment. While the visual gains of PRK are many, the reason it is not recommended to all patients is the slightly longer recovery time after the surgery.

    What happens in a PRK?

    During Surface ablation or PRK, as we call it, the superficial layer of the cornea(epithelium), is scraped and the excimer LASER is delivered to reshape the cornea. The raw corneal bed, is covered with a bandage contact lens. The scraped epithelium , grows back and heals in 72 hours, after which the Bandage contat Lens is removed by your doctor on the follow up visit. As the surface is raw, there is discomfort ,in the initial post operative period. Although most patients start seeing well, from the next day, the complete visual recovery and stabilization can take few weeks

    Who is a candidate for PRK?

    Patients who are not candidates for LASIK can be candidates for PRK These include Patients with thin corneas Patients with Dry Eyes Patients with Mild Corneal Scarring Patients with Corneal Erosion Patients with mildly irregular topography (corneal maps) Patients who do not want a corneal flap – These could be patients who are into professions where there is risk of severe trauma, such as professional boxers, People practicing Martial arts etc.

    What types of refractive errors does PRK correct?

    Custom PRK can treat a full range of refractive errors including your hyperopia (farsightedness), myopia (nearsightedness), and astigmatism (irregular shaped cornea).

    Can PRK be detected during a medical examination on slit lamp?

    Since there is no flap in PRK, it is not possible to detect it or diagnose on slit lamp examination. In rare cases if there is some residual scar, that can be seen on slit lamp examination. The only way to detect an eye that has undergone PRK is by doing an advanced test called a Corneal Topography. All said, it also depends upon the expertise and experience of the eye surgeon examining you during your medical.

    What is the EPICONTOURA Streamlight LASER?

    EPICONTOURA is an advanced technique of Surface ablation where the epithelium removal is done with the laser, followed by cornea reshaping with the excimer Laser.

    In PRK or EPI-LASEK technique, the superficial layer(epithelium) of cornea is removed manually using alcohol. This can lead to more inflammation, and longer healing times and longer post- operative discomfort.

    In EPICONTOURA an intelligent, smart module for transepithelial PRK is used whereby the laser aids in removal of the epithelium followed by the reshaping of the cornea by the customized profile.

    Advantage –

    Remove the Epithelium with the laser….

    No mechanical trauma….

    No Alcohol………

    Faster healing time….

    Less PAIN……. It provides faster surgery for the surgeon and speedier recovery

    for the patient avoiding long bare stroma time.

    Besides these the potential advantage of Epicontoura is the tracking occurring throughout the procedure, including the epithelial removal and during recontouring.

    After performing a thorough eye exam, our LASIK Surgaon at CLIO EYE CARE will sit down and review your case with you, and determine:

    Since there is no flap in PRK, it is not possible to detect it or diagnose on slit lamp examination. In rare cases if there is some residual scar, that can be seen on slit lamp examination. The only way to detect an eye that has undergone PRK is by doing an advanced test called a Corneal Topography. All said, it also depends upon the expertise and experience of the eye surgeon examining you during your medical.

    FAQs

    The following are the important criteria to fulfill before considering for any spectacle removal surgery

    • Age above 18 yrs
    • Stable prescription for last 1 year
    • Overall good Eye Health

    These are the broad criteria that must be met before planning for surgery. Of course Physical examination and a thorough assessment by our LASIK surgeon will confirm your suitability for specs removal.

    About 97 % of patients are usually fit for LASIK. A patient can become a LASIK reject in case of high myopia (power more than 9D) or if the patient has a thin cornea. In case you are found unsuitable for LASIK, our doctor will discuss about alternate options with you such as ICL(Implantable collamer lens), Surface ablation (PRK), Epicontoura, Refractive Lens exchange etc.
     
    Once you have been examined and are found fit for LASIK, doctor will discuss and recommend the type of Laser treatment best suited for your eyes. The cost of procedure depends upon the type of treatment that you opt for , that is whether you opt for Bladefree Contoura Vision, HD Lasik(iDesign) or microkeratome (blade) LASIK, C LASIK . Remember that LASIK is much more affordable than you think…effectively the amount you would be spending on your glasses or contact lenses over next 10 years is much more than the cost of LASIK itself.
     
    LASIK is a procedure performed to reshape the cornea, so ideally it should be performed by a trained Cornea Surgeon. LASIK laser is not just about the machine being used. For the best results, it is important that your tests are done accurately and your treatment is planned by the surgeon after studying the intricacy of your cornea. These are best understood by a trained cornea specialist. So your treatment profile is customized and planned by our cornea specialist for the best results. Do check the credentials of your doctor, while planning the surgery.

    No, the laser procedure itself does not hurt. Anaesthetic drops (Paracaine eye drops) are put in your eyes just prior to taking you inside the OT to numb the eyes. All you need to do is stay calm, lie down on a Table inside the LASIK OT, and follow the Surgeon’s instructions. While undergoing the LASIK, you may feel slight pressure on your eye during the procedure for a few seconds. But there is NO PAIN.

    There is a fixed protocol that we follow for patient’s coming for LASIK consultation – 1st Visit – PRE – OPERATIVE CHECK UP (LASIK SCREENING) To access whether LASIK is right for you, a detailed clinical evaluation needs to be done. The LASIK Screening tests involve a series of procedures like Refraction, corneal thickness analysis(Pachymetry), dry eye testing, dilated retina evaluation, Topography and Doctor’s consultation. All this would take about 2 hours. If you are a contact lens user, you are advised to discontinue wearing contacts 5 days prior to appointment, as they can affect the readings taken for LASIK screening. Once doctor has examined you and explained about the procedure, you are given a date for surgery, suitable for you. It is possible to post you for surgery, the very next day if all your tests are clear. 2nd VISIT – ON DAY OF LASIK SURGERY You are advised to come at a suitable time as communicated to you by our counsellor. It is preferred that you bring a relative or friend along to drive you back home, as you cannot drive your car immediately after the procedure. A final check of your refraction is done on the day of surgery. After completion of paperwork formalities and consents, you would be escorted to the LASIK OT. The procedure is done under numbing eye drops put in your eyes before you enter OT. No injections are used and you won’t feel any pain. The procedure takes about 10-15 minutes for one eye. The actual time of Laser treatment on your eyes is just 15- 20 seconds per eye. If you are undergoing Bladefree LASIK, you would be made to pass under two Lasers – the first is the femto second laser to make the flap and the second is excimer laser to reshape the cornea. If you are undergoing microkeratome LASIK(Blade Lasik), you would go just under the excimer Laser. After the procedure, you will be advised regarding the medications and post operative instructions and you can leave the hospital around half an hour after the procedure. 3rd VISIT – 1st POST – OPERSTIVE DAY FOLLOW UP You will be called to visit your doctor for a postoperative follow up next day after the surgery to assess your eyes and vision.

    You are advised to stop using contact lenses, at least 5 days prior to procedure.

    Put the antibiotic drops advised by the doctor in both eyes 4 times a day one day prior to surgery and once in the morning on day of surgery.

    Wash your hair on the day of surgery as you will be advised to avoid head bath for at least 3-5 days after surgery.

    Do not use any kind of eye make up or face make up on day of Surgery. Clean your eye lid margins well one day before to remove any kajal or mascara residues.

    Do not apply any perfumes or deodorants on the day of surgery.

    You can have a normal light breakfast before coming to the hospital for LASIK.

    You will be advised to start some eye drops right from the day of surgery. Instill the drops as advised by the doctor. Avoid rubbing your eyes. You can clean your eyes with a sterile cotton swab soaked in boiled water or with sterile lid wipes, making sure you don’t touch the cornea ( black part of your eye ball).

    You will be advised to wear dark goggles after the surgery, throughout the day for the first 3 days. After 3 days, you would need to wear the dark glasses only when you go outdoors, you do not need to wear them inside your house. The dark glasses help protect your eyes from dust and also helps to prevent you from touching and rubbing your eyes.

    You can have your normal food after laser treatment.

    Avoid smoking for at least 2 weeks as the smoke fumes can increase dryness felt in the eyes.

    You can start using your phone from the very next day. Desktop, laptop usage can be done from the 3rd day onwards in a graded manner. That means on 3rd day you can spend 2 hrs on the laptop, 4th day 4 hrs, 5th day 5-6 hrs and so on. By 5th Day of Surgery most people are comfortable to resume their routine.

    You are advised to avoid driving back home on the day of surgery. Most patients are comfortable to drive by the 5th post operative day. Sometimes, night driving may be a bit difficult during first few days, however the glare settles over next 2 weeks.

    For females, you are advised not to use any eye make up for 2 weeks. Threading of eyebrows and eye make up may be done after 2 weeks taking care to avoid too much pressure on the eye.

    Light activities like walking and jogging can be done the very next day. Do not do heavy exercises for 7 days. Sports activities can be done after 1 month. Avoid swimming, water diving for atleast 1 month.

    After LASIK, you would be prescribed eye drops which would need to be put as advised by your doctor. The antibiotic and anti-inflammatory drops are to be put for 3 weeks in a tapering dose and the lubricant drop are continued for a month. Some patients prefer to continue the lubricant for longer period after LASIK.

    Pregnancy and lactation are contraindication to LASIK surgery. There are hormonal changes in the body which can cause visual fluctuations and affect how the eye responds to laser treatment. So in case you are considering LASIK, it is best to plan your procedure after you have stopped breastfeeding .

    Yes, LASIK Laser surgery is safe, and is one of the most common eye surgeries done today with highly successful and predictable outcomes. But as in every surgery, there are certain potential risks that you should know about. Although these risks/complications are very rare, they will be discussed with you during your counselling.

    After the LASIK procedure, once the healing process is completed, the results gained will be permanent. There could be rare cases where blurring of vision may recur. In most cases, this happens after many years and is a result of progression of the process of myopia, which can occur naturally in any person. This could be expected in around 1-2% of treated people. If the regression, that is power is significant, a touch up procedure (LASIK enhancement) can be done after discussing with doctor.
    Like any other surgery, LASIK is also associated with some risks and complication, although rare. The minor complications include: Halos – Some patients will notice glare, halos or starburst around objects in low-light conditions. For the vast majority, these symptoms are temporary. However, others will continue to experience them for several months or longer. During pre-operative evaluation, the refractive surgeon can determine whether or not a person is at high risk for seeing long-term halos and council the patient regarding the possibility of the same. Dry eyes – There is increased dryness of the eyes typically for several months following LASIK, though some patients may experience dryness for a longer period of time. It is important to use lubricating drops frequently. If the eyes remain dry for prolonged period, there are other drops or techniques that can help. Pre-operative evaluation will help determine whether or not a person is a likely candidate for experiencing dry eyes. Infection – This is an extremely rare occurrence, with a 1 in 2000-3000 chance (similar to any eye surgery). Fortunately, as the LASIK technique has developed over the years and proven to be of great benefit to millions of patients nationwide, firmly established protocols now exist which minimize the risk of infection.
    I use glasses for distance as well as reading glasses.I am above 45 years? Can I get rid of my Glasses?

    Yes. Now with newer advances, and cutting edge technology there are LASIK Platforms that can help to treat Presbyopia. For patients who are above the age of 45years, and wish for spectacle independence for distance and near, we offer SUPRACOR Presbyopic LASIK. Our surgeon will discuss this option with you during your visit.

    Our LASIK surgeon is among the first few surgeons in North India who started performing SUPRACOR Presbyopic LASIK.

    To know if you are a candidate for treatment, Book an appointment with us today.

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