LASIK alternatives

lasic-alternative

Sight is arguably the most important of our senses. At Adelson Eye & Laser Center we understand this. We are not just a LASIK center that believes one size fits all, in fact we have an extensive LASIK screening each potential candidate must go through. We understand that every patient and every eye is unique.

Not everyone is a good candidate for LASIK. It is important to educate yourself so that when you meet with Dr. Adelson and a procedure other than LASIK is recommended for you, you are comfortable enough to ask questions and understand alternatives.

In addition to LASIK, many of our patients have undergone:

  • Photo-Refractive Keratectomy (PRK)
  • Laser-Epithelial Keratomileusis (LASEK)
  • Clear/Refractive Lens Exchange

Photo-Refractive Keratectomy/PRK

PRK is an effective procedure that can correct astigmatism, nearsightedness and farsightedness by reshaping the surface of the cornea to correct vision. PRK is like LASIK other than the first step which is what makes it ideal for patients who are not good candidates for LASIK. Patients who undergo this surgery will require more recovery time than LASIK patients in order to achieve optimum best vision results. The good news is that the outcome of PRK and LASIK surgery are comparable approximately 6 months post surgery.

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

You will arrive at our Northville office approximately one hour prior to your procedure. You will be checked in and offered a sedative to help relax you to be prepared for surgery. The area around your eyes will be cleaned and a sterile drape will be applied around your eye. Anesthetic eye drops will be used to numb your eyes. There are no injections or needles used. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure. Dr. Adelson will then remove the outer layer of the skin covering the cornea and you will be asked to look directly at a light while the laser reshapes your cornea. The laser is programmed with the information gathered in your pre-operative exam, specific to your unique eye and correction required. The entire procedure will take a minute or two.

Laser Epithelial Keratomileusis/LASEK

LASEK is another procedure that can correct nearsightedness, astigmatism and farsightedness. LASEK combines elements of PRKand offers some advantages over both. Instead of removing the protective skin layer that covers the cornea, a flap of surface skin is loosened with a diluted alcohol solution and moved aside. The area is then treated with the laser and the flap is returned to its original position. The flap becomes a natural protective bandage and improves healing time significantly.

LASEK candidates
  • are over 18 years of age
  • have had a stable eye prescription for at least one year
  • have no health issues affecting their eyes
  • want to be out of contacts or glasses
  • have wide pupils
  • have corneas too thin for LASIK
  • do not want LASIK because it requires a microkeratome
the procedure

You will arrive at our Northville office approximately one hour prior to your procedure. You will be checked in and offered a sedative to help relax you to be prepared for surgery. The area around your eyes will be cleaned and a sterile drape will be applied around your eye. Anesthetic eye drops will be used to numb your eyes. There are no injections or needles 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, an instrument with diluted alcohol will be placed on your eye around the area that will have the laser treatment. This will loosens the layer from the surface of the cornea and it will be pushed to the side. You will be asked to look directly at a light while the laser reshapes your cornea. The laser is programmed with the information gathered in your preoperative exam, specific to your unique eye and correction required. The entire procedure will take a minute or two. Dr Adelson will then smooth the flap back into place and a temporary bandage contact lens will be used to keep the epithelium in place and reduce discomfort.

Clear Lens Exchange

clear-lense

A clear lens exchange is a surgical procedure that involves removing the eye’s lens, just like cataract surgery. These techniques have improved dramatically over the last 30 years. Cataract surgery is now the most common surgical procedure performed in medicine today.

CLE is mainly used to treat higher levels of farsightedness and nearsightedness in patients over 40. The results are superior to LASIK for higher corrections. CLE patients have the same choice of lens implants (IOL) as cataract surgery patients, Crystalens and reStor.

clear lens exchange candidates
  • may not be a good candidate for laser vision correction
  • are over 18 years of age
  • have no health issues affecting their eyes
  • want to get out of glasses and/or contacts
the procedure

A clear lens exchange is performed on an outpatient basis at our surgery center or hospital. Only one eye will be treated at a time. After the eye is completely numbed with topical anesthesia, the eye’s natural lens will be gently vacuumed out through a tiny incision. The new lens will then be folded and inserted through the same incision. It will then be unfolded and placed into the “capsular bag” that originally surrounded the natural lens. This incision is “self-sealing” and requires no stitches. It remains closed by the natural pressure within the eye. This type of incision heals fast and provides a much more comfortable recovery.