2009/08/25

lasik: Picking The Right Contact Lens - How To Avoid Serious Lens Complications.

Your putting your sight at risk simply by ignoring good contact lens shopping practice. We tell you why in this informative guide.
The art of picking the right contact lens should not be left to personal judgment. Contact lenses are fast becoming a society fashion trend but reckless use of them can lead to serious complications.You should never play "devils advocate" with the eyes simply based on the current fads. Yes, contacts will enhance your appearance but picking the right contact lens should be based on vision needs first and then fashion.If you have been considering switching to contacts and simply hate having to wear eye glasses don't let your decision be swayed by what your friends are doing.

Your first and most important step should be to visit your eye care specialist.We're not talking about an optometrist either; you actually need to visit an eye doctor. Your eyes need to be checked so a power number can be assigned to establish the correct level of vision care.The strength of lenses are determined in units known as diopters. If you are near-sighted then your lenses will have a minus number attached to them. The opposite is determined for people who are far-sighted. In other words, these are known as power numbers and is a common language in the world of eye care.Could you determine this on your own. Not likely.




That's why it's important to first get a thorough eye test by a qualified vision doctor before you even consider what type of lens you are going to insert within the eye area.Another reason why visiting an eye care specialist first ahead of an optometrist is to determine any solution to future complication. If problems arise after you switch to contact lenses then the correct course of treatment will be known ahead of time. In other words, your doctor will be preparing for any problems he suspects could occur.Contact Lens TypesWhen picking the right contact lens, your personal needs will be taken into account.

Soft and hard lenses and bandaged lenses make up the the types of lens available to consumers. This is before we even talk about cosmetic-style lenses. It's not uncommon for first time users to be prescribed soft lenses. Bandaged lenses are soft lenses designed for therapeutic needs. In other words, they are designed to seal in moisture. They are commonly used on eye surgery patients during the recovery phase.

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2009/07/21

lasik: Find The Best Lasik Eye Center.

Are you considering Lasik eye surgery? Then you want to select a Lasik eye center that offers the best of care. Lasik is so popular today that many Lasik eye centers have sprung up to meet the need, but when it comes to your health and vision, you understandably want to find a Lasik eye center that can give you the best treatment and care available.

In order to find a reputable Lasik eye center, you will need to do a little research. Check the credentials of the doctors who will be doing your procedure. Have they had enough experience? Are they well skilled?

Do not choose your Lasik surgeon based on price alone. A lower price may mean a less skilled eye surgeon, or one who does not have the same training and precision equipment as a more expensive Lasik eye center might have.

Also be wary of the discount Lasik eye center which relies heavily on radio and other advertising to get customers in the door. Know too that choosing the most expensive surgeon does not necessarily mean you will get the best one either.

When comparing prices from one Lasik eye center to another, be sure you are comparing similar packages. Most Lasik eye centers will quote a price which includes the surgery along with a vision correction package, and pre and post operative care. Some may quote the price of the surgery alone which makes it look like a better deal than it actually is after you add in the rest of the necessary expenses.




You will probably only have one opportunity for Lasik surgery so you want to make sure it is done right. Thats why it is so important to seek referrals and recommendations from previous patients who underwent the surgery at the particular Lasik eye center you are considering.

Lasik eye surgery is not cheap and it most likely will not be covered by your insurance since it is an elective surgery. Therefore, you may wish to look for a Lasik eye center which will allow you to make payments on the procedure. Be sure to discuss the costs and payment options with your doctor. The Lasik eye center may have arrangements with a bank to provide financing, or they may do their own in house arrangement that will allow you to pay in installments.

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2009/07/11

Lasik: Driving LASIK Volumes in India.

Driving Refractive Surgery Volumes in India
Laser Refractive Surgery was first introduced in India around 1991. But even before Laser Refractive Surgery was introduced, refractive surgery pioneers like Dr. P.S.Hardia, Dr. Prakash Kankariya, Dr. Anil Bavishi, Dr. S. Bharati and Dr. Vivek Pal already had flourishing refractive surgery practices, mainly centered around Radial Keratotomy. Laser Refractive Surgery removed some of the skill and uncertainty surrounding RK, and in a sense, made refractive surgery both safer and more attractive for the average ophthalmologist. The introduction of LASIK in 1995 by Dr. Burjor Banaji accelerated this trend. Unfortunately, the initial cost of LASIK equipment forced a situation, where only a select group of eye surgeons could get access to laser refractive surgery. Today, even 17 years after excimer lasers were first introduced to India, there are only around 250 active laser clinics in the country, and less than 200000 laser refractive surgeries are performed every year. When you contrast this figure with the more than 5 million cataract surgery procedures done every year in India, this does not seem like much.

This large difference between cataract and refractive surgery shows up the limited reach of refractive surgery in India today. It also highlights a great opportunity. All the demographic and epidemiological evidence suggests that refractive surgery volumes should be higher than cataract surgery volumes. The demographic cohort eligible for refractive surgery (Age group 18-60) is many times larger in our country than the cohort (Age group 60+) which typically requires cataract surgery. The refractive surgery cohort is also growing much faster than the cataract cohort (i.e., about 3 times more kids will turn 18 this year, than people who will turn 60). While only 20% of the refractive surgery demographic group has significant refractive errors which need treatment, it is also true that a lot of people will never have a cataract by the time they expire. Thus, demography cannot explain the large difference in volumes between cataract surgery and refractive surgery.

Cost could be one explanation. After all, a large part of the cataract surgery volumes are performed in charitable/semi-charitable/government setups where the patient hardly pays the economic cost of surgery. A large part of the private cataract surgery volumes, especially in the larger cities are performed in a reimbursement/insurance environment. All of this is not true of refractive surgery, where all patients must pay a fairly high price, and there are few reimbursement options. While cost is undoubtedly part of the explanation, it is not the entire explanation. For one, a lot of people who are eligible for refractive surgery are independent income earners, unlike cataract surgery patients who are often either reliant on inflation cut savings, or the graciousness of their children. Another argument militating against a purely cost based explanation is the evidence of the thriving optical industry, where the high cost of nice (and expensive) glasses, frames and contact lenses does not seem to deter consumers. One only has to go to a city mall on a Sunday evening to see a lot of consumers who otherwise have a high discretionary spend who still wear spectacles.

A strong argument is accessibility. After all, there is an eye surgeon or an optical shop at practically every street corner, and patients have a lot of choice. This is hardly true of refractive surgery. There is clear evidence that cities or areas which have a high density of refractive surgery centers have a high rate of refractive surgery (Ambala has 3 laser centers, Rajkot has 5, and while both are relatively small and not-so-prosperous towns, yet all the centers seem to do really well). Accessibility also seems to remove some of the silly myths (even amongst ophthalmologists) surrounding refractive surgery-that it is only good for unmarried girls, that presbyopic and hyperopic are not good candidates for refractive surgery, that patient who undergo refractive surgery can't get their IOL calculation done properly when it comes to cataract time. Many of these myths are instrumental in both preventing patients from undergoing refractive surgery, and discouraging referrals to laser centers from eye surgeons. The accessibility argument is the reason why we always keep our centers open to all eye surgeons and conduct so many LASIK courses. This allows wide access and gives all eye surgeons both knowledge and interest in refractive surgery. We also always welcome competition in each of our markets. Competition just seems to expand the market. If we do our job well, we will get our fair share of an expanding pie.




In our view, the main reason for relatively poor LASIK volumes are consumer and patient concerns about safety and efficacy. Even the ophthalmic community does not appear to be very confident about the safety and efficacy of laser vision correction, if the number of eye surgeons who continue to suffer from refractive errors is any indication. It is equally true that consumer concerns about safety and efficacy are behind the curve as far as advances in laser vision correction diagnostic and surgical technology is concerned. Current Laser Vision Correction technology, as evidenced in the latest FDA data for lasers like the Zeiss MEL 80, is actually very safe and effective. Newer advances, like femtosecond laser flap creating devices , only serve to improve the safety and efficacy. Newer diagnostic technologies, like the Pentacam and the AC OCT allow much better screening of patients and afford a higher degree of predictability relating the likely complications in a particular patient.

At this juncture, if we want to dramatically increase LASIK volumes, both the people running laser centers and the broader ophthalmic community have a responsibility. Laser Centers have a responsibility to invest in the best technology available at any point, without regard to cost. They must screen patients carefully, and have very careful and rigid selection criteria. They must not lower fees to a point where an unremunerative environment prevents the acquisition of technology which affords a high degree of safety and efficacy. All of this may not always make short term commercial sense, but we owe this to the long term future of the ophthalmic profession. The broader ophthalmic community also has a responsibility-it needs to educate itself about the latest advances in laser vision correction technology, appreciate the dramatic improvements in safety and efficacy achieved over the past decade, and direct patients to the centers which have invested in technology and experience.

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2009/07/08

Lasik: Specialization of EpiLASIK/SUPERLASIK for Unique Eye Types.

Most people do not have flawless eyes. Maybe you suffer from nearsightedness, farsightedness or astigmatism, and have a unique eye that makes you an unsuccessful candidate for traditional LASIK surgery. If you do, there are other options, such as superLASIK and epiLASIK.
How LASIK works

Traditional LASIK surgery utilizes an excimer laser, a cool ultraviolet laser that corrects a misshaped cornea. Your cornea is the front surface of your eye that light passes through while traveling to your retina. The light that passes behind your cornea and forms an image on your retina, which is transmitted by your optic nerve to your brain. If your cornea is misshaped, the light rays bend at the incorrect angle, focusing behind or in front of your retina instead of on top of it. This creates vision problems such as nearsightedness and farsightedness. Or, if your cornea contains small abnormalities in its circular shape, the light rays are received out of focus, which leads to blurred vision. The excimer laser is used to vaporize miniscule pieces of your corneal tissue, which fixes the shape and surface of your cornea. This allows the rays of light to focus sharply on your retina and you may see clearly.

Role of your corneal flap

Before Dr. Khanna applies the laser beam on to your cornea to reshape it, he must cut a small flap on surface of your cornea and bend back to expose underlying tissue. The laser is then directed on that tissue and the flap is replaced. It heals itself in several days.

Corneal issues If your corneas are too thin or too flat, traditional LASIK surgery is not advised. If your cornea is too thick, the little flap that must be cut may not be feasible. A flap that is completely detached will not heal correctly, and a flap that is does not fold back far enough will block the laser. Both will result in an unsuccessful procedure. If your cornea is too flat, removing some of the tissue will just make your cornea flatter and your vision will not be improved.




SuperLASIK

The superLASIK procedure is ideal for anyone who has thin or abnormal corneas and cannot undergo standard LASIK surgery. A safer and more stable procedure, superLASIK blends PRK and LASIK with the use of an epikeratome instead of the microkeratome. This FDA-approved device raises a consistent 50 micron flap, which is even thinner than the flap created with Intralase.

Also, rather than using an alcohol-based solution to loosen the edges of the flap before its edges are lifted back--as in LASEK--a very fine plastic tool called an epithelial separator is used. This instrument is used instead of the alcohol solution because sometimes the alcohol may cause your epithelial cells to die. Because these cells comprise the surface cells on your cornea, your eye must actually grow more of these cells around the edges of the cut flap in order to heal properly.

Because there is no distortion to the design of your cornea, superLASIK provides a safer method of vision correction surgery for most people ages 18 and over. If you suffer from the following conditions, you may not be a candidate for this procedure:

* Keratoconus * Pellucid marginal degeneration * Other corneal diseases * Some immunological disease * Cataracts (in some cases)

The epithelial separator is in some ways a safer, more effective alternative to traditional LASIK. While vision improvement takes longer with epiLASIK, if you suffer from a thin cornea, this procedure is an ideal way to avoid complications.

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2009/07/04

lasik: Go For Lasik Surgery Chicago Break Free From Glasses.

Lasik surgery is a common medical procedure these days. More than millions of people in the US alone have undergone the operation. With a success rate between 92% and 95%, Lasik surgery is great way to correct common problems related to vision. In Lasik operation mild laser rays are used to correct problems like myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. The process is simple, requires less time and involves negligible risk. With least hassles you can permanently get rid of wearing those glasses and contact lenses that are costly and inconvenient as well. For that all you need to do is select a Lasik eye institute in your locality. So, if you are living in around Chicago all you need is a Lasik surgery Chicago clinic to go for the Lasik surgery.

Lasik that stands for Laser-Assisted In Situ Keratomileusis, is a refractory laser eye surgery that correct the common disorders of vision. This is a FDA approved procedure to cure the problems of vision. In Lasik operation the eyes are numbed, held with a speculum and then immobilized with a corneal suction ring. The surgeon cuts a small incision of the top layer of the cornea making a flap. The flap is then folded and the surgeon uses a low power laser to resurface the stroma so that light is refracted correctly within the eye, while going forward. Though the process is simple and takes very little time, it requires an experienced surgeon to perform the operation to ensure the success of the procedure. So, whether you are looking for a Lasik surgery Chicago clinic or Lasik California surgeon, you need to do your research well to benefit from the Lasik operation.




As we have already mentioned, Lasik is a fairly common eye surgery now with more and more people opting for the surgery. So, it is never hard to find out a good Lasik San Francisco clinic or a Lasik surgery Chicago centre as these cities have large population and fairly advanced medical facilities. But to make sure that you get the best possible care have to select the right Lasik clinic for you.

Now it is no big task to find out a good Lasik surgery Chicago clinic. There are so many ways to do that. You can search for Lasik clinics at the classified advertisements, yellow pages or depend on the internet to find out one.

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