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Boothe Eyecare & Laser Center

Boothe Eye Care

February 9, 2011

Boothe Laser Center and Lasik Surgery

Filed under: Uncategorized — Doctor Boothe Eye @ 5:45 pm

Lasik Surgery

Boothe Laser Center has recommended that you undergo laser-assisted in situ keratomileusis or Lasik laser surgery to correct a vision problem. But what is that actually mean?

The human eye is constructed like a camera with a clear lens in the front and light sensitive tissue at the rear. This tissue makes up the retina, which acts like a photographic film. In an eye that has perfect vision light rays passing through the pupil are focused by the lens to fall precisely at the center of the retina.

There are many common problems that can affect the eye and prevent light rays from focusing properly at the retina. Three of these problems such as myopia or nearsightedness, hyperopia or farsightedness, and astigmatism can often be corrected or reduced with the use of Lasik laser surgery, which is offered at Boothe Laser Center.

Myopia, or nearsightedness, occurs when the shape of the eye is too long, or the curve of the cornea is too extreme. In this case light rays are focused on the point in front of the retina instead of on the retina itself.

Hyperopia, or farsightedness, occurs when the shape of the eye is too short. In this case light rays are focused on the point behind the retina.

Astigmatism occurs when the cornea is unevenly curved causing light rays to fall off center, or not to focus properly at all. In either case, Lasik laser surgery can be used to flatten all or part of the cornea allowing your doctor to cause the focal point of light entering the eye to fall more closely to the center of the surface of the retina.

Lasik laser surgery is relatively simple and non-intrusive procedure that is designed to reduce or eliminate the need for glasses or contact lenses. Lasik Laser surgery generally does not have any affect on the patients’ overall health and there are no risks in choosing not to have a surgery.

The Procedure

Lasik is a surgical procedure intended to reduce a person’s dependency on glasses or contact lenses. The term ‘Lasik’ stands for laser-assisted in situ keratomileusis, and it is the procedure that permanently changes the shape of the cornea, which is a clear covering over the front of the eye.

Lasik is an outpatient surgical procedure that usually requires about fifteen minutes per eye. Before the procedure you will be asked to lie on your back and remain still. Topical eye drops will be used to numb your eye, and the area around the eye will be washed and cleansed. You may also be given a sedative to help you relax.

Your doctor will use an instrument called the lid speculum to hold your eyelids open, and then place a ring on your eye that creates suction on the cornea. You may feel pressure and experience dimming of your vision at this point in the surgery. Once the ring is firmly in place, your doctor will attach a special device called a microkeratome to the suction ring. Using the blade on the microkeratome, your doctor will create a corneal flap by cutting approximately the outermost twenty percent of your cornea and lifting it carefully to one side.

After removing the suction ring in microkeratome, your doctor will use pulses from a computer-controlled excimer laser to reshape your cornea by vaporizing tiny portions of its interior. This part of the procedure usually takes less than sixty seconds. Your doctor will then replace the corneal flap into its original position and observe the eye for several minutes to ensure bonding. Because the cornea bonds so quickly, healing is rapid and the eye does not require stitches.

After the procedure, your doctor will administer antibiotic drops and place a shield over your eye to prevent you from rubbing it or from putting pressure on it while you sleep. Since you will not be able to drive immediately following the procedure, you will need to make arrangements for a ride home. If you are interested in learning more about this procedure, schedule a consultation at Boothe Laser Center.

What is LASIK?

LASIK is a corrective surgical procedure performed on the eye for treating refractive disorders.  The three major types of refractive disorders are hyperopia, myopia and astigmatism. Refractive disorders affect the focusing power of the eyes in which the images will fall on the retina with distortions. These disorders are due to the imperfections in the shape of eye and cornea. LASIK surgery is performed to remove the corneal tissue using special laser technology and thereby remodel the cornea to correct the focusing power. LASIK are of five different types and Boothe Laser Center will decide on the right one for the patient after examining his/her eyes. He will decide on the flap cutting techniques and test requirements for corneal thickness.

What are the differences between LASIK and PRK?

LASIK (Laser in Situ Keratomileusis) is used to remodel the cornea and it is done beneath the thin corneal flap and preserves the epithelial cells, but in PRK (Photorefractive Keratectomy) the epithelial cells are scraped away in order to expose corneal stroma, which results in discomfort and more healing time than in LASIK. PRK does not require the cutting of corneal flap whereas in LASIK it is required.  PRK is more complex when compared to LASIK and LASIK provide faster and painless recovery to the patients. Most eye doctors prefer LASIK to PRK. LASIK surgery takes only about fifteen minutes, while PRK takes a longer time. Eyesight starts improving from the first day itself in LASIK procedure whereas in PRK the vision begins to improve only after three days.

Am I a good candidate for LASIK?

Certain general requirements have to be met in order to qualify for the LASIK procedure. To know whether you are qualified for LASIK, you should consult an ophthalmologist. By knowing that you meet all the conditions required to undergo a LASIK surgery, you can reduce the risks associated with the surgery. Some of the requirements suggested by Dr. William Boothe are as follows:

  1. The eye should reach its maturity which means that you should be 18 years or more.
  2. You should not be pregnant or a nursing mother.
  3. You should not be a patient of diabetes or other similar diseases.
  4. Your corneas should be healthy.
  5. The vision of the eyes should be stable at least for one year before the surgery.
  6. There should not be a history of any eye injury or infection for the previous year.
  7. Not affected by an autoimmune disease like Lupus or Sjorgen’s Syndrome.
  8. History of herpes should not be there because the infection may recur after LASIK.
  9. The patient should understand the risks involved.
  10. Individuals suffering from dry eye syndrome should avoid LASIK.
  11. Patients with dilated pupils beyond 7mm should not prefer LASIK.
  12. Your myopic refraction is up to -12 diopters.
  13. You are having astigmatism of up to 4 diopters.
  14. Your hyperopic refraction is up to +6 diopters.

What kind of results can I expect?

According to Dr. Boothe and Boothe Eyecare, the results of LASIK surgery vary from patient to patient. If the patients are undergoing FDA approved LASIK surgery, then the surgery assures excellent results and safety to the individual. According to research studies, 90% of the people with simple anomaly can attain a vision of at least 20/40. Above 50% of the patients attain a vision of 20/20 or even better! Of course, the best results depend on different factors such as the experience and skill of the surgeon, age, other diseases and health. You will definitely obtain best results from the LASIK surgery performed by Dr. Boothe as he is a well experienced and skilled surgeon.

Will the procedure hurt?

No, LASIK surgery does not hurt as it is performed by putting anesthetic drops in to the eye. So you won’t feel any pain during the procedure. But after the effect of the anesthetic drops wear off, you might feel some irritation in the eye which is not serious. The irritation will go away after a few hours.

How well will I see after the LASIK procedure?

Dr. Boothe says that each individual is different and hence the success of the procedure also varies from person to person. You can experience significant improvement from the next day onwards. To get the most favorable results, you have to wait up to 6 months after performing the surgery.

How soon can I return to work?

Dr. Boothe advices that the individual can go back to work by the very next day, but the results vary according to the age, healing power of the patient’s body and the vastness of the correction required. According to Dr. Boothe it is better to avoid smoky or dusty surroundings, swimming, whirlpools and hot tubs. Avoid any kind of activities that cause injury or trauma to the eyes.

Are there any risks or side effects with LASIK?

The possible side effects of LASIK are dry eyes, fluctuated vision and glare caused by bright lights which generally get resolved after a few days or weeks. Some of the risks involved in LASIK are inflammations, late healing, scarring, under or over correction and infection.

Is it expensive?

LASIK is now very affordable, with promotions that cut the price by half in some cases and 0% financing that can bring down monthly payments to about $30. You should visit Dr. Boothe main site, BootheLaserCenter.com, to find out more about the latest time-limited offers. Remember that the benefits of LASIK surgery are much more than its cost. Price is determined by the experience of the doctor and the amount of surgeries done (and the savings that are passed on to the consumer).

Why should I consider IntraLASIK?

All surgeries pose some kind of risks to the patients. According to Dr. William Boothe, IntraLASIK is an advanced medical technology that reduces the risks considerably. IntraLASIK is a blade-free procedure in which the entire procedure is done only by the laser.  As this surgical procedure uses only laser, it reduces the complications and provide confidence to the patients.

How is IntraLASIK different from traditional LASIK?

LASIK surgery is conducted by a two step procedure. First of all, in LASIK surgery corneal flap tissue is created and then it is folded back. After creating the corneal flap, Dr. Boothe will perform the correction treatment with the help of a laser technology that eliminates any discomfort and ensures quick recovery of the vision. With traditional LASIK, Dr. Boothe created the flap of the cornea using a microkeratome. Even though any kind of complications are rare in LASIK treatment, there are complications reported as LASIK surgery uses a microkeratome.

Dr. Boothe nowadays uses precision laser to create corneal flap – IntraLASIK. The precision of the surgery is much better than other technologies available to correct vision. Boothe Laser Center was recognized as a leader in the U.S. with this new technology. In some cases, IntraLASIK enables the doctor to treat patients who cannot undergo corrective surgery because of thin corneas.

Is IntraLASIK safer?

Yes, IntraLASIK is safer than LASIK because there are no reports of serious complications even though this procedure was performed for over 1,00,000 times all over the world using IntraLase™ FS Technology.

Is traditional LASIK unsafe?

No, tradition LASIK is not unsafe. But IntraLASIK reduces the complications that are reported in the case of traditional LASIK.

Is IntraLASIK new? How is Dr. Boothe able to offer Intra LASIK when other doctors in the area do not?

IntraLASIK is relatively newer technology than the traditional LASIK. Dr. Boothe is an expert in this field who learns new technologies faster and practices them with utmost care and dedication. His experience performing many surgeries each week allows him to offer his patients the latest IntraLase™ FS and other advanced laser technologies that other surgeons cannot afford to buy.

How would you compare the visual outcomes using IntraLASIK with those of traditional LASIK?

According to research studies, the outcome of IntraLASIK surgery is much better than that of the traditional LASIK procedure. Patients report greater satisfaction and prefer an all-laser procedure to the use of surgical, manual instruments.

There are several advertisements for all-laser LASIK. Is this the same as IntraLASIK?

No, they are not the same. IntraLASIK is the one that provides you the most precise results. So, be sure that IntraLASIK is used to create the corneal flap.

Is IntraLASIK more expensive?

Yes, it is more expensive than traditional LASIK. All of you know that advanced technologies always cost more as the equipment is new. The additional cost is not a serious issue when the patients can enjoy the safety and success of the surgery, and Boothe Laser Center always tries to lower the cost of the procedures by working efficiently and passing on volume discounts to our patients.

Cataract Surgery

The lens of the eye is mainly composed of water and proteins. As we age these proteins may begin to come together and cloud the lens. This clouding is called a cataract. Cataract surgery is a removal of the affected lens from the eye and the insertion of an artificial lens.

Before your surgery, you will be given eye drops to dilate your pupil, and the area around your eye will be washed and cleansed. In many cases, you will have a local anaesthetic injected around or behind your eye. You may also be offered a sedative to help you relax. Most cataract surgeries last less than one hour.

The most common method used for removing cataracts is phacoemulsification. In this procedure, the surgeon looks through an operating microscope and makes three small incisions less than one inch long in or near the cornea. An opening is made in the front of the capsule of the lens and an ultrasound probe is used to break the cloudy lens into tiny fragments. These fragments are vacuumed out through the incisions. Then an artificial intraocular lens is inserted. Intraocular lenses made of plastic, silicone or acrylic compounds have no moving parts and last for the remainder of a person’s life. Because the incisions are so small, stitches are generally not necessary. Vision often improves notably immediately after surgery.

Another method for removing cataracts is called the extracapsular technique. In this procedure, the incision made near the cornea is large enough to remove the cataract in one piece. Again an artificial lens is inserted to replace the natural lens. Recovery from this type of cataract surgery is usually slower. Because the incision is larger, this procedure does require stitches. However the stitches rarely need to be removed.

After the operation, a patch will usually be placed over your eye, and you will be observed for short time to be sure there are no problems such as bleeding. Cataract surgery is performed on out-patient basis and most patients go home the same day. Since exposure to bright light may initially be uncomfortable, you should not plan on driving immediately following the procedure. You will need to make arrangements beforehand for someone to take you home. If you want to learn more, visit our website or visit Boothe Laser Center in Plano, Texas.

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