Laser Vision Correction

With LASIK

Dr. Walman and his laser eye doctor team will be able to answers all of the questions you have in addition to specifying what technique is best for your unique situation.

The LASIK Process

 

LASIK procedures performed at our Phoenix and Sun City practices represent the latest technology in refractive surgery to correct refractive errors. LASIK utilizes the precision of the computerized Excimer Laser delivery system to customize change in corneal curvature to bring light into proper focus. By reshaping the cornea under a precision made flap, the comfort level and return to normal activities generally happens very quickly.  LASIK lifts a corneal flap.

In the past, a flap was made with a fine mechanical blade called a microkeratome. However, in today’s world, we much prefer to go “bladeless”, and to that end, we utilize the sophisticated Swiss made Zeimer Femto laser to fashion the flap.

The bed under the corneal flap is reshaped precisely with an excimer laser beam so that the lack of focusing caused by Myopia, Hyperopia or Astigmatism is corrected. In addition, Walman Eye Center was the first in Arizona to also utilize the smoothing technology that has only recently been approved, referred as Topography Guided Lasik. We produce a topographical map of the corneal surface, massage that data in our unique software, and then export that data into the computer that runs the laser. The laser then applies more energy to the hills than the valleys, thus smoothing the surface of the cornea, and significantly improving the resolution of your vision.

After the central cornea is remolded by the high energy ultra-violet pulses of the excimer laser, the cap is folded back over the central cornea and allowed to heal in place without the need for any sutures. The patient does have a 4 to 5 hour period of time when there is discomfort that feels like sandiness in the eyes, which is tolerated better by simply keeping the eyes closed for this period of time. After this 4-5 hours, the eyes are expected to be comfortable, and we can expect a return to normal activities by the next day. By the next day, we expect the patient to be seeing quite well, though fluctuations of vision are normal over the expected healing time of 3-4 months.

The PRK Procedure

Although the LASIK procedure, when performed on an individual that is an appropriate candidate, is very successful, some symptoms, such as glare at night, are common early on in the healing period. Our topography guided technique for smoothing does tend to lessen this issue. In addition, dry eye symptoms are also common during the healing period but can be successfully managed with the use of artificial tears. We expect that these symptoms settle in most individuals over the 3 – 4 month healing time. Other issues, such as infections or flap problems, are uncommon, and often can be successfully managed. For a more complete discussion of risks and benefits, it is best to come in for a consultation so that a relevant discussion of factors as related to your particular circumstances can be discussed.

Lasik Advantages

If you are a candidate, Lasik is usually the best option because of its precision and rapid healing. Sometimes, it is safer to utilize PRK – a procedure that still gives us the great precision but does take a little longer to heal. Everyone’s eyes are different; a consultation (which itself is free) with Dr. Walman will result in answers for you as to what technique your unique situation will work best for you.

Frequently Asked Questions

Q. LASIK or PRK? What is the best type of refractive surgical procedure for you?

A. If you are a candidate, Lasik is usually the best option because of its precision and rapid healing. Sometimes, it is safer to utilize PRK – a procedure that still gives us the great precision but does take a little longer to heal. Everyone’s eyes are different; a consultation (which itself is free) with Dr. Walman will result in answers for you as to what technique your unique situation will work best for you.

Q. Will I have pain with a Laser Treatment?

A. Anesthesia with the eyedrops works very effectively. Some people will feel some mild pressure on the eyelids during the procedure, but the eye itself, after the eyedrops, is expected to be comfortable. After a Lasik procedure, there is pain, like the sensation of getting sand in your eyes at the beach, for 5 hours. However, if you keep the eyes closed during this period of time, that pain is minimized. In addition, if you focus on the fact that this stage is consistently and reliably over within 5 hours, people get through this stage fine. Bottom line; we send you home to sleep, and by the next morning the eyes are feeling comfortable and are functioning.

Q. Will I see anything during the procedure?

A. It is impossible to see any details of the procedure; you will only see some colored lights.

Q. What happens if I move my eyes during the procedure?

A. Once the flap has been lifted, you will be directed to look at a red pinpoint of light. Some people wonder if they are going to mess things up if they happen to move and momentarily lose track of the light; not to worry, because the laser has a tracker that visually locks onto the eye, so that even if you move slightly, the head of the laser will move with you. You may slow things up, but you won’t mess things up.

Q. How fast will I heal? How fast can I return to work?

A. For Lasik, you can return to normal activities and work by the next day. There will be some minor fluctuations in vision over the 3 month healing period, but you should be functional from Day 1.

Q. What is the cost of Laser Refractive Surgery?

A. When you come in for your free consultation, we will be able to determine if you are a candidate, and what type of procedure would be most appropriate for you. We can then discuss with you the cost for your procedure, and how to make it affordable for you.

Q. Is patient financing available?
A. Yes, we do have financing options to make the procedure affordable.

 

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