A Little Friday Afternoon Humor

Fears and Misconceptions of LASIK – Is the Price Worth it in the Long Run?

We have personally seen many different types of people come through our Free LASIK Consultation. Some people question technology, some concern themselves with safety, and many are concerned that the cost of the procedure may not outweigh the benefits. Since our website deals largely with the issues of technology and safety, let’s address the issue of cost versus benefits.

First, let’s look at the benefits of a laser vision correction procedure, like LASIK or PRK:

It is possible for a patient to achieve 20/20 eyesight, or even better, with laser vision correction. You could live your life waking up and seeing immediately instead of searching for your glasses. You can experience the spontaneity of life, such as jumping in a swimming pool, playing in the rain, or going out on a windy day, without the fear of how any of these actions may affect your contacts and your ability to see. You can take a nap, free from the worry of taking your contacts out of your eyes first. You don’t have to rush to the store every time you are out of contact lens solution or order more glasses when yours accidentally break. You will be able to see life, naturally.

Is all that worth the cost of LASIK?

Our patients think so. 

“I’d worn corrective lenses of some type for 48 years and words fail me to describe how good it was to wake up the first morning and see the clock!” 

– Tommy Rutledge

“After nearly fifteen years of not being able to see without lenses, I decided to have LASIK surgery. It has changed my life. I see clearer than I ever did with glasses or contacts. If I had to make the choice again, I would without a doubt choose to have LASIK by Dr. O’Day at Charleston Cornea and Refractive Surgery.”
- Tina Campbell

However, some people have heard that people who have had LASIK eventually return to wearing glasses. How can this be if they have already had their vision corrected?

Let’s clear up one fact – LASIK or laser vision correction will NOT give you excellent vision for your whole lifetime.

Wait – what?

It’s true. Your eyes are living organs and there are certain, inevitable conditions that occur due to aging. One of these conditions is known as Presbyopia. Presbyopia is when the natural lenses in your eyes begin to harden. When you are young, your lenses are flexible so they can adjust to seeing near and far. As you age, these lenses harden. When they lose their flexibility, bifocals or reading glasses are used to help your eyes adjust.

Another inevitable is cataracts. Everyone will develop cataracts as they age. The affect that a cataract has on your vision depends largely upon the degree to which they form. Some people will never notice the affect while others may go blind.

The age at which you develop cataracts and/or presbyopia is not predetermined. For some, the symptoms of presbyopia can begin appearing as early as 40. For others, they may not have any side effects until 50 or older. For cataracts, most don’t appear until your early 60s or even into your 70s.

So back to the question – is the cost of LASIK worth it in the long run?

Let’s say you are nearsighted and you purchase disposable contact lenses every month. Then you have to purchase cleaning solution each month. If you lose a contact, tear it, it falls out, etc., then you have to replace your monthly supply faster than anticipated. You also have to get a pair of glasses for the times you don’t have contacts or if you have an eye infection or you’ve worn your contacts for too long. These glasses can easily be lost or broken, so it’s not just a one-time expense. 

This is a cost you have to pay, every month, consistently for 20 or more years. You are stuck with plastic on your eyes and the constraints they present just so you don’t have to compromise the ability to see. 

Or you can have laser vision correction and have your procedure paid off in two years or less. You'll gain the extra money in your budget and excellent eyesight to view life as it is. You’ll also gain the spontaneity that life has to offer because you can see clearly, naturally.

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.

Protect Your Eyesight - Vodka Eyeballing

Whether you have glasses, contacts, or 20/20 vision after LASIK, it’s very important to protect your eyes. The University of Illinois at Chicago Department of Ophthalmology reports an estimate of “… 1.1 to 2.4 million eye injuries occur each year, and about 42,000 of these injuries require hospitalization.”

While accidents are common for eye injuries, some younger people intentionally put their eyes at risk in a new drinking game called Vodka Eyeballing.

Yes, you read that right.

People are actually drinking through their eyes, in an attempt to get drunk faster. With Vodka Eyeballing, a person will take a bottle of vodka and put the opening up to their eye and pour the vodka directly onto the eye. The idea is that the alcohol will be absorbed through the eye and into the bloodstream faster than drinking it. However, there are no actual facts that prove this is the case.

The eye can only absorb a very limited amount of alcohol. The actual alcohol can do more damage and harm to your eyesight – burning through your cornea and causing permanent damage. Repeated often enough, the alcohol may even cause permanent blindness.

While not all eye-related injuries can be avoided, this is one instance where it can be.

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.

Women – More Susceptible to Vision Problems than Men

According to Prevent Blindness America, “Every year, more women than men are diagnosed with eye diseases and conditions such as cataracts, dry eye, Fuchs’ dystrophy, glaucoma, macular degeneration, diabetic retinopathy and Sjögren’s syndrome.  The “Vision Problems in the U.S.” study from Prevent Blindness America (PBA) and the National Eye Institute (NEI) shows that of the more than 3.6 million Americans age 40 and older who suffer from visual impairment, including blindness, 2.3 million are women” (Women Must Take Steps to Avoid Vision Loss, March 27, 2012).

Hereditary diseases aside, these problems are often caused by hormones, or the fluctuations in hormones like pregnancy or menopause. Sometimes they can even be triggered by birth control, which is a hormone regulating medication. Even keeping your eye makeup for too long can cause problems with your eyes.

At Charleston Cornea and Refractive Surgery, we recommend to our female patients that they pay close attention to their eyesight while pregnant, when changing prescription pills or going on new medication, and to switch out their makeup every six months to a year. If you feel that your glasses or contacts are not helping as much as they used to, make sure to have an eye exam. Mention to your doctor any new prescription changes so that he may accurately diagnose the underlying issue.

Your eyes are how you see the world. Keep them in great health.

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.