The Cost of LASIK

Often one of the biggest reasons lens wearers hesitate to have their vision corrected is the cost. They aren’t sure how much it may cost them, if they will need to pay for multiple surgeries, if they will be able to really stop wearing lenses, and if continuing the on-going cost of lenses would just be easier.

We’d like to take a moment to educate you on a few of these points, but first, the most important decision you must make is to visit a reputable surgeon. In order to get the care and results you are expecting, you shouldn’t just trust your eyes to ANY LASIK surgeon. There are thorough surgeons and there are “other” surgeons. A thorough surgeon is an ophthalmologist that is reputable in the community, trusted by multiple patients and staff, will ensure you are an excellent candidate for LASIK (and offers other procedures if you are not), has performed at least 5,000 surgeries AND has a low enhancement rate (the rate at which a doctor needs to enhance the original results in order to get the patient to their visual expectations).  An excellent enhancement rate is less than 10%.

Multiple Surgeries

Often patients have the misconception that to have excellent eyesight, they will need multiple LASIK surgeries. This is not true.

Some surgeons perform multiple surgeries on one patient because they were not accurate the first time, they are new to performing eye surgery, or they didn’t take accurate measurements prior to performing surgery.

As we said before, an expert surgeon will have a less than 10% enhancement rate. There are very few cases where they may need to enhance the original results, but it is mostly due to patient error in after-care or an agreed-upon course of treatment prior to surgery. These enhancements should be covered in the original cost of surgery and should NOT be a whole new surgery charge.

Stop Paying For and Wearing Lenses

This is a concern for almost every patient. After all, why would anyone in their right mind agree to eye surgery if they have to continue wearing lenses?

If you are a good candidate for the procedure and you have chosen a reputable surgeon, then you should be able to have many, many years of lens-free vision. How many years depends on how old you are at the time of surgery. Our eyes age along with us and there will be age-related issues, like Presbyopia, that require glasses for reading. Presbyopia occurs in the lens of your eye and not in the cornea (where vision issues like nearsightedness, farsightedness, and astigmatism occur). LASIK or other vision correction procedures correct the cornea and the younger you are when you have the procedure, the longer you have to enjoy lens-free vision.

Lenses or LASIK – Which is Easier?

Ultimately, this decision is going to be up to you. LASIK and other vision correction procedures are a one-time cost. We offer payment plans that will help you break down the cost of the surgery to an affordable range, and we may even be able to offer you no-interest or 0% for up to 24 months. If you chose that option, after 24 months (or two years), you will be free of the cost of lenses, contacts, or vision correction payments!

If you have a flexible spending account, it's even easier than that! Give us a call and we'll explain the details.

Or you can continue to make payments for lenses, replacement lenses, contacts, replacement contacts, cleaning solution, travel cases, travel solutions, etc. for the next 10, 15, 20, 25+ years.

The choice is yours.

Payment Plans

We are here to answer any questions you may have about payment plans and how to fit LASIK into your budget. Please feel free to give us a call at 843.856.5275 – there is no need to set up an appointment. We’ll answer any questions you may have and you can come in whenever you are ready.

How to Learn About LASIK Without Being "Sold"

LASIK is a medical procedure aimed to help you see clearly. With so much information on the internet, how do you find out about LASIK? Where do you go to research the procedure and how it works? How do you make yourself comfortable enough to finally contact a LASIK practice to being the process? ARSC, or the American Refractive Surgery Council, has a few pointers that may help you out. EYE ON HEALTH Going Online To Learn About LASIK

(NAPSI)-Social networks and blogs have taken the information-rich resources of the Internet and made them a part of everyday conversation: According to a recent Pew Internet study, 80 percent of Internet users, or 59 percent of U.S. adults, look online for health information. Networks like Facebook, review sites such as HealthGrades and Yelp, and comments and questions posted online are extremely useful tools for researching personal health matters. Popular topics of inquiry include learning about procedures, specific medical conditions, understanding treatment options and finding a doctor. When considering an elective procedure, such as vision correction with LASIK, having access to online resources can make becoming an informed patient much easier. The American Refractive Surgery Council offers these tips on using the Internet and social networking to research whether LASIK is right for you. • Use Facebook and other social networks to ask friends and followers about their LASIK experiences. Were they happy? What surgeon would they recommend? • If you're curious about exactly how the surgery is performed, you can check out surgery videos on YouTube or Vimeo. These videos of actual procedures can be very instructive (though be warned, they are graphic). Also, many surgeons post procedure videos on their sites. • Use forums, message boards and other online discussions to hear from other people firsthand. Literally thousands of communities have formed around common areas of interest where LASIK can make a difference-from parents to outdoor enthusiasts. This is a great avenue for finding people who share your interests and hearing about their experiences with the procedure. • You can find out about prices online; just remember, getting a great deal should not be the deciding factor for any surgical procedure. A consultation with a refractive surgeon should be balanced, detailed and personalized to you and your vision. It should never feel like a sales process. • Use authoritative medical websites such as WebMD or the Mayo Clinic to learn about the procedure. Research the risks as well as the benefits and understand what the procedure can and can't do. For example, LASIK can free you from glasses and contact lenses-or reduce your dependence on them. But it has limitations. In particular, LASIK can't stop the aging process. Your eyes will continue to age and you may need glasses for reading at some point in the future. Finally, some common sense about using the Internet: Because anyone can put anything on the Web, the source matters. Make sure the information you are relying on to make a medical decision comes from a credible source and that you verify the information with your surgeon or personal physician. Learn more at www.americanrefractivesurgerycouncil.org. Information online and in social networks can help you make up your mind about LASIK.

Common Consultation Questions – Part 3

For the past couple of weeks, we have addressed some of the most common questions asked by different patients about LASIK. Here are a few more.

How old do you have to be to have your vision corrected, either by LASIK or another laser vision correction procedure?

The rule of thumb on this question is 18. Your eyes are like any other organ in your body. They grow and develop as you age. The most important thing is for your eyesight to be stable prior to having LASIK. If a LASIK surgeon corrects your cornea and your vision hasn’t stabilized, they run the risk of under- or over-correction. You wouldn’t be happy with your results and most experienced LASIK surgeons won’t take that chance.

Isn’t it just safer to wear my glasses/contact lenses?

 

The truth to this question may come as a surprise. While contacts or glasses may be a viable option for many patients, the longer you wear them, the more likely you are to experience complications.

Complications of glasses or contacts include contracting bacterial infections, dry eyes from long exposure, or even trauma caused from an accident. Some patients may wear contacts or glasses for decades and never experience an issue. However, keep your contacts in your eyes for too long (or sleep in them) and you can instantly understand the issues these devices can cause.

This isn’t to say that LASIK isn’t without its risks as well. You can experience dry eye after LASIK. While the majority of patients overcome this side-effect quickly, some patients may need prescription eye drops to solve it.

The true question is not one of safety, but rather what you are willing to do to see clearly. LASIK can provide clear eyesight for many years to come, without the continual expense of lenses, solutions, etc.

We’d love the opportunity to discuss the possibility of life without lenses with you. Please feel free to call our office at 843.856.5275 with anymore questions, check out our website, or schedule a Free LASIK Consultation.

Common Consultation Questions – Part 2

Last week we addressed some of the most common questions asked by different patients about LASIK. Here are a few more.

Can I have LASIK while I am pregnant?

The answer to this question is no. When you are pregnant, your body goes through many changes. One of these changes can be your eyesight. These changes can throw off our exam results. We pride ourselves on superior results for our patients; therefore, we will not perform laser vision correction on any woman who is pregnant. After birth, we may ask a patient to wait from six months to a year for their vision to stabilize again before correcting their vision.

There are people, even famous people, speaking out against having LASIK because they had a not-so-great experience. Why?

There is always something important to be learned from others’ mistakes. This is one. LASIK is not for everyone. Even so, some surgeons will perform LASIK on anyone who wishes to have the procedure. This is a BAD IDEA.

If you perform LASIK on patients who are not optimal candidates, their sight may be negatively affected with the outcome. At Charleston Cornea and Refractive Surgery, we won’t take this risk. We will first ensure you are a candidate. If you are not, we will explain why and also let you know if there is anything we can do (i.e. another procedure) to help you see clearly.

This practice of performing LASIK on everyone who walks in the door is more common in a corporate-owned LASIK office. Corporate offices are more concerned with their income, thus they’ll opt to do as many LASIK procedures as possible, even at risk to the patient's results.

We will continue this discussion next week. If you are seeking answers immediately, please feel free to call our office at 843.856.5275, check out our website, or schedule a Free LASIK Consultation.

Common Consultation Questions

The purpose of the free LASIK consultation that we offer is three-fold:

1. To ensure you are even a candidate for the procedure
2. To answer all of your questions and make sure you have all the information you need to make an informed decision
3. If you are not a candidate, we will also take the time to educate you on some of the other options to correct your vision

Often people come into our offices rather reluctantly, afraid of being sold on something they aren’t quite sure they even want. It’s more often that people won’t even come near our offices until they are absolutely SURE they are even considering having LASIK.

We offer a free consultation to anyone willing to consider vision correction because we believe that education is the key to making an informed decision. We don’t wish to “sell” any patient on a procedure that they may not want. We don’t like the stereotypical “car salesman” approach, and we know you don’t either. That’s why we train our staff to be patient, answer any and all questions, and we don’t pay them a commission to book surgeries. 

During the consultation, we often hear some of the same questions asked by different patients about LASIK. We’d like to take a moment to address a few of them.

My [optometrist/doctor/friend/family member] told me that LASIK won’t correct Astigmatism. Is this true?

No, this is not true. LASIK can actually correct astigmatism. While not every patient suffering from astigmatism is a candidate for LASIK, it does not mean that everyone with this refractive error cannot have their vision corrected. The only way to know for sure if LASIK will correct your astigmatism is to have a full evaluation by an ophthalmologist. We perform these exams during our free consultation and we will describe exactly how we can correct your astigmatism to help you see clearly.

Note: LASIK can also correct nearsightedness and farsightedness.

If I have LASIK this young (20s or 30s), will I have to have it again as I get older?

No. LASIK is a one-time correction of the cornea in your eye. This correction helps to fix the way light refracts onto your retina and transmits signals to the brain. Once corrected, your cornea will remain that shape, unless you contract an eye disease that may affect the cornea. LASIK will not give you any such disease.

It may be necessary to do what is called a LASIK enhancement. This is where the ophthalmologist may need to finish the correction of the cornea. However, if you seek out a board-certified, expert ophthalmologist, they will have an enhancement rate of less than 8% of their patients. 

My refractive error (nearsightedness, farsightedness, or astigmatism) is very severe. Does this mean I will have to have LASIK a few times to get the accurate correction?

This is usually not the case if you visit an expert ophthalmologist who has performed thousands of operations. During the consultation and pre-op appointments, your ophthalmologist will plan a thorough and complete treatment plan for your eyes. This treatment plan is very precise and should not require additional surgeries. 

Every pair of eyes is unique. There may be the need for enhancements, but again, with a qualified and experienced surgeon, they will have a very low rate of enhancements needed to get a patient seeing clearly.

We will continue this discussion next week. If you are seeking answers immediately, please feel free to call our office at 843.856.5275, check out our website, or schedule a Free LASIK Consultation.

LASIK versus PRK

Refractive errors occur when the cornea of your eye, or the front part of your eye, is misshaped. These refractive errors produce nearsightedness, farsightedness, or astigmatism. Laser vision correction is the procedure through which a laser is used to reshape the cornea of the eye, in order to achieve better vision.

While the actual correction of the cornea is completed with a laser, the steps leading up to this correction, and subsequently the healing after, will differ depending on the specific procedure the surgeon chooses for the patients’ eyes. The two main procedures most commonly used are LASIK (Laser-Assisted Sin-Situ-Keratomileusis) or PRK (Photorefractive Keratectomy).

LASIK and PRK

Most people have heard of LASIK; however, in some cases, LASIK isn’t the best procedure for them. This can be due to a multitude of reasons, but most often if their cornea is too thin, LASIK will not be advised. This is why visiting an ophthalmologist that performs more than just LASIK is so important. Other procedures, such as PRK, can be recommended and performed to achieve the same, and sometimes even better, results.

The main difference between LASIK and PRK comes during the first step of the process – creating the corneal flap. During LASIK, the surgeon creates flap within the first few layers of the outer surface of the cornea, so that the laser can reach the area that needs to be corrected. This can be done with a microkeratome (a mechanical oscillating blade), or during bladeless LASIK, it can be done with a second laser that separates the outer layer of the cornea. After the primary laser is applied to correct the refractive error, this flap is folded back into place where it bonds readily.

PRK, which is usually performed on patients with thin corneas, removes the surface layer of cells on the cornea. This is why it is often referred to as a surface treatment. After treatment, the body will regenerate new cells to replace the cells removed through a relatively quick healing process. The results of PRK are equal to that of LASIK though the healing times are slightly longer.

Visiting a Qualified Ophthalmologist

Performing LASIK on a patient that is better suited for a procedure like PRK will increase the likelihood of potential risks, such as poor night vision or less than optimal results. To decrease these risks, visit a board-certified ophthalmologist who is skilled at multiple vision correction procedures. This will ensure you the best possible chances to achieve the vision results you are seeking.

Fears and Misconceptions of Vision Correction – Losing Your Vision

Glasses and contacts have their benefits – mainly helping people with refractive errors see clearly. Since the late 90’s, lasers have been used to correct these refractive errors in very safe and effective ways. Procedures such as LASIK and PRK have been providing patients with clear vision for over 15 years now. However, many people continue to put up with the inconveniences of glasses and contacts because they have fears or misconceptions about laser vision correction, like LASIK.

One of the most common fears of laser vision correction is losing vision as a result of the procedure. This fear comes from not understanding how your eye works and how specifically laser vision correction works.

How LASIK Works

There are three main parts to the human eye: the cornea, the lens, and the retina. In normal vision, the cornea refracts (bends) light so it can be directed correctly through the lens and onto the retina. The retina works as a transmitter to transfer the message to your brain, where it processes the message to tell you what you are looking at. Refractive errors – nearsightedness, farsightedness, astigmatism – are caused by the cornea being slightly misshapen. LASIK utilizes cool lasers to reshape the curve of the cornea so you can have normal, clear, vision.

Prior to surgery, Dr. David O'Day maps out your specific eye and plans out exactly how to correct your vision. He then programs this plan into the laser, ensuring that the correct amount of your cornea is altered.

There are risks associated with laser vision correction, mainly dry eye. It is essential to ensure that you are an excellent candidate prior to receiving treatment, to give you the best results possible.

Officially there is no reported case of a patient losing their eyesight from LASIK.

To find out more about LASIK, including risk information, see our website. To schedule a Free LASIK Consultation, give us a call today at 843-856-5275.

Why Your Eye Surgeon Needs to be Local - Part 3

Corporate medicine has its benefits and its downfalls. In regards to the refractive surgery field, there are more downfalls to a corporate practice than there are benefits. Last week we discussed the availability of other vision correction procedures and why this is important. This week we will look at technology.

Technological Differences

LASIK has been around since the late 1990s, and since then, technology has been improved, advanced, and refined, all to increase the customer experience. There are many options today for LASIK technology, some still using a metal blade while others are 100% blade-free. While all of the technology is safe for your eyes, the benefits of the newest technology often reduces the risk of side-effects and may result in faster healing times.

If you want the optimal outcome for your eyes, selecting a doctor that uses the most advanced and latest equipment is the best option. However, not all doctors have access to this equipment. Take doctors that work at a corporate LASIK practice, for example. They don’t even get to choose which equipment they use to perform your procedure. They have to use the equipment provided to them by their board of directors. They may know the convenience and benefits of newer technology, but they have no say when it comes to what they get to use.

In contrast, a doctor who owns his/her own practice gets to choose the technology they use in their practice. They have 100% authority over what tools and technology goes into the practice. This makes them accountable to their patients and the patients’ outcomes. If they provide inadequate technology and the outcomes aren’t the best, they’ll lose out on new patients.

Not all doctors will provide the best technology. Some doctors don’t want to make the investment so they will continue to use outdated technology on their patients. When you visit a new LASIK practice, make sure to ask about the technology that the doctor will use. Understand your options and why that doctor chose the technology that they use at that practice. The technology and the doctor’s previous patient outcomes may mean the difference between an exceptional LASIK experience, and something else.

Why Your Eye Surgeon Needs to be Local - Part 2

Corporate medicine has its benefits and its downfalls. In regards to the refractive surgery field, there are more downfalls to a corporate practice than there are benefits. Last week we discussed the difference between the doctors at each type of practice. This week, let’s look at the services offered.

The Right Procedure for Your Eyes

Another big difference between local and corporate owned practices are the services they offer. When a corporate practice is set up, it’s one of hundreds, maybe thousands of locations. In order to keep control over the brand name, these practices only offer a very small number of services, sometimes just LASIK and nothing else. Performing LASIK on patients that are not excellent candidates increases the likelihood of side-effects and less than optimal outcomes.

By providing only one service, the headquarters can ensure that each practice is exactly the same, offering the same service, providing the same website, and the same marketing and advertising collateral. They also don’t have to worry too much about training doctors who don’t know anything other than LASIK. This brings the cost of operation down for them and allows the board of directors to earn more money.

All of this is quite the opposite for a local doctor and local practice. The doctor (or a small group of local doctors) decides to open up a practice in order to improve the eye health of the community. The doctor will spend his/her own money because they know they can provide excellent eyesight to their patients. They are vested in their community because they know the people and they care about them.

These doctors will offer different types of services because they know that the best care that can be provided isn’t through one single solution. LASIK isn’t the best procedure for someone with very thin corneas. A patient with this issue may be better suited for PRK. Some patients may not be suited for laser vision correction at all. If this is the case, there are other options but usually only provided by a local ophthalmologist. 

A local ophthalmologist can decide which procedures to offer his/her patients. They will be the one responsible for your treatment and follow-up care and they wouldn’t provide anything less just to earn a dollar. They are held accountable by their patients, not a board of directors looking to make a profit.

This all points to a new consideration on your quest for excellent vision:

Would you rather have vision correction performed on you that may not be right, but it’s all the practice offers? Or would you want to be fully examined by the surgeon performing your procedure who can offer other proven procedures that may actually be better for the health of your eyes? 

Check back in next week when we continue this topic and discuss Technology.

Why Your Eye Surgeon Needs to be Local - Part 1

Corporate medicine has its benefits and its downfalls. In regards to the refractive surgery field, there are more downfalls to a corporate practice than there are benefits. But first, let’s take a look at what the difference is between a local ophthalmology practice and a corporate one.

Local Ophthalmology Practice

A local ophthalmology practice is one that has one or just a few locations, all found within the same state, the same geographical region. The doctors and staff are all from the area as well.

Local practices, like Charleston Cornea & Refractive Surgery, are usually owned by the doctor or surgeon, or a small group of doctors or surgeons. They are responsible for all of the decisions regarding staffing, technology, services offered, and everything else that is included with their particular practice.

Corporate-Owned Ophthalmology Practice

A corporate-owned ophthalmology practice is one that has multiple locations, usually nationwide. These practices are run through a company, which is run by a board of directors. They often only offer one or two services, usually just LASIK, and maybe PRK. They employ thousands of doctors and traditionally these doctors work at multiple locations. They travel to different locations, perform surgery and then travel to another location. Some doctors even travel to different states just to perform surgeries.

All decisions are made by a board of directors, not the staff or doctors working in each particular location.

The Difference

So what’s the difference? Why should you choose one location over the other?

Doctor Availability

Perhaps the biggest factor in why you should really know the difference between the two types of ophthalmology practices is doctor availability. In a locally owned practice, the doctor lives in or near town. S/he works at the practice full-time and performs consultations, the planning of treatment, the surgery, and the post-operative follow-up exams on each patient that comes through the door. They have a relationship with their patients, and they are most likely there for anything the patient may need.

In a corporate practice, the doctor sees patients at multiple locations. S/he will fly in, review the chart and work-up of the patient without even meeting or personally examining the patient, perform the surgery, and then fly off. This means that the surgeon that performs your particular surgery is not available for pre-surgery exams, follow-up, or even during emergency-related issues that may have resulted from your surgery. They usually have an optometrist perform these tasks. An optometrist, while a perfectly capable doctor, is not trained in the actual performance of the surgery. If a complication arises that the optometrist is not qualified to respond to, where are you going to go? Who’s going to help?

Sometimes an optometrist refers a patient for LASIK. When this happens, the LASIK surgeon will perform the surgery and then refer you back to your optometrist for follow-up exams. This works well when you are referred to a local practice, so that your surgeon will still be available for any emergency issues that may arise.

So which would you prefer – a surgeon operating on your eyes, someone you’ve never met, who’s never actually seen your eyes and who won’t be around if you have an emergency? Or would you rather have someone who is local, available throughout the week, and who takes it as a personal responsibility to care for you and your eyesight?

Check back in next week when we continue this topic and discuss The Right Procedure for Your Eyes.