Archive for the ‘Photo-Refractive Keratectomy’ Category

Lasik Surgery

Wednesday, April 15th, 2009

lasikLaser Vision Correction is now in its second decade of helping patients reduce or eliminate their dependence on glasses and contact lenses. As testimony to its life changing benefits, thousands of ophthalmologists and optometrists around the world have become so impressed with the results of laser vision correction that over one million procedures are now performed each year. At Black Hills LASIK Center our patients continuously tell us they appreciate our commitment to being on the cutting edge of this exciting technology.

Heavy patient demand for laser vision correction has inspired surgeons and laser manufacturers to make tremendous advancements in both Excimer laser technology and surgical technique. When laser vision correction was first performed in 1988, only low to moderately nearsighted patients without astigmatism could be treated. Today, with the second and third generation Excimer lasers, very low to moderately high degrees of nearsightedness, farsightedness and astigmatism can be effectively treated. And for many patients that had large pupils, thin corneas or other contraindications for laser vision correction, newer surgical techniques now allow them to enjoy the benefits of clear vision without dependence on glasses and contact lenses. Only a few years ago these patients would not have been good candidates for laser vision treatment.

Laser Vision Correction at Black Hills LASIK Center

All laser vision correction procedures are not the same. Because of our dedication to excellence, Black Hills LASIK Center is recognized as one of the premium eye care providers in the area. Our surgeon is highly trained in a number of laser vision correction procedures. And we’ve invested in the laser vision technology needed to provide you with the best possible care.  Dr. Kowal has successfully performed thousands of vision correction procedures and is ready to help you choose the option that’s best for your individual vision problem, whether you’re nearsighted, farsighted or have astigmatism.

Pricing

The cost of vision correction varies among practices, based on surgeon experience and what the center includes in the fee. We are not the least expensive providers because we never sacrifice safety to save you money. We have invested heavily in advanced laser technology and our diagnostic technology is second to none. This investment is extremely important to surgical results and our patients tell us they can see the difference. We encourage you to attend a seminar at our clinic, and visit other laser centers to compare. Please download our “How to chose a laser vision provider” form, found in Patient Forms.

It’s only natural to want to get the best price, but remember, quality and service are extremely important when it comes to medical care. After all, laser vision correction is a procedure you’ll have only once in your lifetime and your vision is one of your most important assets. The best way to find out exactly what your price will be is to schedule an exam. After a comprehensive evaluation to determine what procedures you’re a candidate for and what degree of correction you need, we’ll be able to give you a specific price.

A few insurance companies do pay for all or part of vision correction procedures. You can check with your plan administrator, or we will be happy to make a copy of your insurance card and check coverage for you. Many people have medical flex plans they use to save up to 50 percent on their procedure by using pre-tax dollars. Your employer’s human resources department can tell you whether you have this benefit. Vision correction may be tax deductible as a medical expense (check with your financial advisor).

If you do not have insurance coverage, we do offer affordable payment plans starting as low as $84 per month for both eyes. It is easy to apply online and receive credit approval before you schedule an appointment. We also accept cash, personal checks, Visa and MasterCard.

PRK (Photo-Refractive Keratectomy)

Sunday, July 25th, 2004

PRK was the first procedure performed using the Excimer laser. It corrects vision by reshaping the cornea. The difference between LASIK and PRK is that with LASIK a corneal flap is created and the laser is applied to the inner tissue of the cornea. With PRK, the epithelium (or outer skin of the cornea) is removed and a laser is applied to the surface of the cornea. PRK can be used to correct low to high levels of nearsightedness, farsightedness and astigmatism.

To treat nearsightedness, the steep cornea is made flatter by removing tissue from the center of the cornea. This moves the point of focus from in front of the retina to directly on the retina.

To treat farsightedness, the flat cornea is made steeper by removing tissue outside of the central optical zone of the cornea. This moves the point of focus from behind the retina to directly on the retina.

To treat astigmatism, the cornea is made more spherical — like a basketball instead of a football. This eliminates multiple focusing points within the eye and creates one point of focus on the retina. Astigmatism can be treated at the same time as nearsightedness and farsightedness.

PRK is for those who:

  • want to reduce or eliminate their dependence on glasses or contacts
  • are over 18 years of age
  • have had a stable eye prescription for at least one year
  • have no health issues affecting their eyes
  • have corneas too thin for LASIK
  • have large pupils

What to expect on surgery day:

 
   

You will arrive at the laser center about an hour prior to your procedure. Once you have been checked in you may be offered a sedative to help you relax. You will then be prepared for surgery. The area around your eyes will be cleaned and a sterile drape may be applied around your eye. Anesthetic eye drops will be used to numb your eyes; no injections or needles will be used. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.

Next, your doctor will remove the epithelium, a thin layer of protective skin that covers the cornea. You will be asked to look directly at a target light while the laser reshapes your cornea. The laser will be programmed with the information gathered in your pre-operative exam. The laser treatment will be completed in less than a minute or two, depending on the amount of correction needed.

Following your procedure, your eye(s) will be examined with a slit lamp microscope. Your eyes may be shielded for protection. Your vision may be blurry or hazy for one to five days. You will experience some discomfort as the epithelium heals and covers the treated area. Eye drops, pain medication and possibly a protective contact lens can be used to minimize this discomfort. Most patients resume normal activities within one to three days. Vision can fluctuate for up to six months.

Realistic expectations:

The decision to have PRK is an important one that only you can make. The goal of any refractive surgical procedure is to reduce your dependence on corrective lenses. However, we cannot guarantee you will have the results you desire. The vast majority of our patients are extremely happy with their vision after PRK and can do most activities without dependence on corrective lenses.

PRK is a safe, effective and permanent procedure, but like any surgical procedure, it does have some risks. After PRK, almost everyone experiences some visual side effects.These visual side effects are usually mild and temporary and have a tendency to diminish over time. But there is a slight chance that some of these side effects won’t go away completely, including light sensitivity, glare and halos. Serious complications to PRK are extremely rare.

Since everyone heals somewhat differently, some patients may over react to the procedure and some may under react resulting in overcorrections and undercorrections. Once the eye has stablized (3 to 6 months) you and your doctor can discuss whether a re-treatment could help fine tune your vision if you are over or under corrected.

 

After a thorough eye exam, you and your doctor will determine if PRK is an option for you. If you are a good candidate, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction. If you would like additional information about risks and complications now, you may download our “consent for surgery” form by going to Patient Forms.

Alternatives to PRK

PRK is not the only surgical procedure designed to correct nearsightedness, farsightedness and astigmatism. To learn about other procedures go to the surgical and laser vision correction procedures section of our Web Site. If you would like to learn more about vision correction procedures from sources other than our practice, we encourage you to link to a number of Web sites we feel provide factual and up-to-date information. You may also choose to make an appointment, attend a seminar or request additional information to learn more about this exciting procedure.

We offer a number of finance options and affordable payment plans. It is easy to apply online and receive credit approval before you schedule an appointment.