Monday, March 3, 2008

LASIK Surgery Checklist

LASIK Surgery Checklist


LASIK Surgery Checklist


Know what makes you a poor candidate
* Career impact - does your job prohibit refractive surgery?
* Cost - can you really afford this procedure?
* Medical conditions - e.g., do you have an autoimmune disease or other major illness? Do you have a chronic illness that might slow or alter healing?
* Eye conditions - do you have or have you ever had any problems with your eyes other than needing glasses or contacts?
* Medications - do you take steroids or other drugs that might prevent healing?
* Stable refraction - has your prescription changed in the last year?
* High or Low refractive error - do you use glasses/contacts only some of the time? Do you need an unusually strong prescription?
* Pupil size - are your pupils extra large in dim conditions?
* Corneal thickness - do you have thin corneas?
* Tear production - do you have dry eyes?
Know all the risks and procedure limitations
* Overtreatment or undertreatment - are you willing and able to have more than one surgery to get the desired result?
* May still need reading glasses - do you have presbyopia?
* Results may not be lasting - do you think this is the last correction you will ever need? Do you realize that long-term results are not known?
* May permanently lose vision - do you know some patients may lose some vision or experience blindness?
* Dry eyes – do you know that if you have dry eyes they could become worse, or if you don’t have dry eyes before you could develop chronic dry eyes as a result of surgery?
* Development of visual symptoms - do you know about glare, halos, starbursts, etc. and that night driving might be difficult?
* Contrast sensitivity - do you know your vision could be significantly reduced in dim light conditions?
* Bilateral treatment - do you know the additional risks of having both eyes treated at the same time?
* Patient information - have you read the patient information booklet about the laser being used for your procedure?
Know how to find the right doctor
* Experienced - how many eyes has your doctor performed LASIK surgery on with the same laser?
* Equipment - does your doctor use an FDA-approved laser for the procedure you need? Does your doctor use each microkeratome blade only once?
* Informative - is your doctor willing to spend the time to answer all your questions?
* Long-term Care - does your doctor encourage follow-up and management of you as a patient? Your preop and postop care may be provided by a doctor other than the surgeon.
* Be Comfortable - do you feel you know your doctor and are comfortable with an equal exchange of information?
Know preoperative, operative, and postoperative expectations
* No contact lenses prior to evaluation and surgery - can you go for an extended period of time without wearing contact lenses?
* Have a thorough exam - have you arranged not to drive or work after the exam?
* Read and understand the informed consent - has your doctor given you an informed consent form to take home and answered all your questions?
* No makeup before surgery - can you go 24-36 hours without makeup prior to surgery?
* Arrange for transportation - can someone drive you home after surgery?
* Plan to take a few days to recover - can you take time off to take it easy for a couple of days if necessary?
* Expect not to see clearly for a few days - do you know you will not see clearly immediately?
* Know sights, smells, sounds of surgery - has your doctor made you feel comfortable with the actual steps of the procedure?
* Be prepared to take drops/medications- are you willing and able to put drops in your eyes at regular intervals?
* Be prepared to wear an eye shield - do you know you need to protect the eye for a period of time after surgery to avoid injury?
* Expect some pain/discomfort - do you know how much pain to expect?
* Know when to seek help - do you understand what problems could occur and when to seek medical intervention?
* Know when to expect your vision to stop changing - are you aware that final results could take months?
* Make sure your refraction is stable before any further surgery - if you don't get the desired result, do you know not to have an enhancement until the prescription stops changing?

How does Custom LASIK work?

How does Custom LASIK work?
* Using wavefront technology, an analyzer projects waves of light into the eye.
* A customized map is created for each individual eye.
* Digital technology identifies and measures imperfections 25 times more precise than Conventional LASIK to offer higher levels of precision and treatment accuracy.

Clinical Studies Support Custom LASIK Benefits

* Custom LASIK provides a greater chance of achieving 20/20 vision.
* Potential for better vision exceeds that of contact lenses or glasses.
* Many patients report clearer, sharper vision after having Custom LASIK.
* Incidence of glare and halos is reduced with Custom LASIK laser vision procedures.
* With Custom LASIK laser vision correction there is a better potential for improved overall vision, day and night.

Higher Order Aberrations Are Treated With Custom LASIK

* Aberrations are visual imperfections that may affect your vision, vary from one person to the next, and are "lower" or "higher" in nature.
* Nearsightedness, farsightedness and astigmatism are lower-order aberrations previously treated with Conventional LASIK.
* Higher-order aberrations that link to glare and halos and could not be adequately corrected with glasses, contacts, or conventional LASIK, can be treated with Custom LASIK.
* Your doctor will recommend the procedure best suited for your eyes.

The Technology Behind Custom LASIK

* Unlike conventional LASIK, Custom LASIK uses a tool called a wavefront analyzer to measure the way light travels through your eye.
* A customized 3-D map of your eye is created from these measurements and shows your entire optical system, providing information about the unique visual characteristics of your eye.
* Each and every eye has its own unique characteristics and your TLC surgeon uses this data to further customize your vision correction.
* Unlike conventional LASIK surgery, Custom LASIK eye surgery treats lower and higher-order aberrations from nearsightedness, farsightedness and astigmatism, to glare and halos.
* With Custom LASIK, a 3-D map of your eye is created that supplies critical information to your TLC surgeon, so that your vision correction can be customized to your specific needs.
* Most people who have had the Custom LASIK procedure notice they are seeing more clearly than before.
* Not everyone is a good candidate for Custom LASIK; for specific details about this laser vision correction procedure, click here .
* Contact your local TLC Laser Eye Center to schedule a comprehensive consultation to determine the best treatment for you.