Freedom to Choose

Here at Restore Vision Centers we offer a variety of technologies that allow our patients to choose the procedure that best fits their budget and expectations.

Given the choice, 70 percent of our patients choose to have “bladeless” LASIK performed with Intralase, while others opt for the less expensive microkeratome. The Intralase offers a lower “fear factor,” a planar flap that seals down tighter, less dry eye, and the ability to create a thinner flap that spares corneal tissue. The microkeratome offers a reliable, proven technology at a more attractive price.

When selecting a laser correction technology, about 85 percent of our patients choose the precision and visual benefits of a wavefront (WF)-guided treatment, while a few still elect to have a traditional laser treatment. By finding and treating the patient’s specific higher order aberrations, a WF-guided treatment is able to produce better visual results than either a traditional or even a WF-optimized procedure. Although the vast majority choose the WF-guided treatment, patients still appreciate having the lower-priced traditional option available.

Most LASIK surgical centers these days offer a single technology at a single price, with some centers unwilling to upgrade to better technology in the interests of keeping their costs down. In today’s economy, your patients want the ability to choose the technology and the price-point that works best for them, and Restore Vision Centers is proud to offer them the freedom to choose.

A Few Words on Monovision

Before patients have refractive surgery, they should fully understand how presbyopia will affect their near vision. Those who wish to be less dependent on reading glasses may opt for monovision, in which the non-dominant eye is left with a variable amount of myopia.

Many patients can adapt to monovision quickly, while others have difficulty with the loss of depth perception or the feeling of diplopia that monovision can sometimes produce. So how can you tell which patients will love it and which will hate it? The best way is with a contact lens trial.

Patients who have worn and enjoyed a monovision contact lens prescription invariably do well with a monovision laser procedure. If a patient can’t adjust to the contact lens trial, even after several weeks, they would likely be better off with a full distance correction.

Some patients with a pre-existing amount of low myopia will skip the lens trial and only have surgery on one eye, thus “trying” monovision for awhile. I feel this is an acceptable approach.

Although not a good fit for everyone, selected patients may find monovision to be a worthwhile compromise.

Technology Marches On

As laser refractive surgery techniques continue to be refined to produce better results, the lasers themselves are evolving at a remarkable rate. The advent of wavefront correction a few years ago has enabled us to correct subtle aberrations, including those caused by the procedure itself. The latest advance from VISX is Iris Registration (IR).

Before IR, we had to physically mark the conjunctiva, then try to align the patient manually to counter the cyclorotation of the eye. Despite our best efforts, studies have shown up to 6° of rotational error using this method. With IR, a patient’s iris architecture is plotted during the Wavescan. When the patient is then placed under the laser, the treatment is rotated to precisely match the iris crypt pattern seen on the Wavescan. This allows a perfectly aligned treatment regardless of the patient’s head or eye rotation.

This alignment is especially important for patients with higher levels of astigmatism or highly aberrated corneas, when even a few degrees of cyclorotation can produce inferior results. Iris registration is available only on the VISX laser, and only to those patients receiving a Customvue wavefront treatment.

Iris Registration is just the latest advance as we strive toward perfection in refractive surgery, but it has already produced amazing results here at Restore Vision Centers.


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