What to Expect Before, During, and After LASIK Surgery

LASIK is the most common laser eye surgery to treat myopia (near-sightedness), hyperopia (far-sightedness), and astigmatism. If you are tired of wearing contacts or glasses, a simple consultation with a Lasik surgeon can determine if you are the right candidate for Lasik surgery. If, after an evaluation, it is determined that LASIK is not a good fit for you, know that there are other vision correction surgeries such as LASEK, PRK, and Phakic IOL surgery as possible options too.  

In this article, we discuss the process a patient can experience before, during, and after LASIK surgery. Any detailed questions you may have should always be left for your trained medical professional to answer.

Before Surgery

Before receiving LASIK surgery, a comprehensive eye exam is needed to ensure that your eyes are healthy enough to move forward with the procedure. It is recommended to stop wearing contact lenses a few weeks before the eye exam and surgery since most can change the shape of the cornea. Patients should wear their eyeglasses instead.

During the exam, your doctor will look at the cornel shape, thickness, pupil size, refractive errors, and other eye conditions. This is a great time to bring up any questions or concerns that your doctor may be able to answer.

If everything goes well during the exam and you’re comfortable with the next steps, it is time to prepare for surgery. Your doctor should ask you to stop using products such as creams, lotions, makeup, or perfumes since these items can cause a higher risk for infection during and after surgery. It is also important to arrange transportation to and from surgery.

During Surgery

For many, surgery is the most dreaded part. However, there is no need to fear, as it is painless and should take less than 30 minutes. Just before surgery, the patient will recline back to rest in a comfortable position. Next, numbing drops are placed into the eyes. The area around the eye will be cleaned and a lid speculum (a device that holds the eyelids open) will be used.

You will be asked to focus on a special fixation light while the surgeon activates a precision instrument electronically to cut a flap in the cornea. The laser treatment is then performed to reshape the cornea using techniques that vary depending on the type of refractive errors. The corneal flap is then repositioned, allowing for the eye to heal.

Post-Op Instructions

Once the surgery has been completed, the first sensation you may feel is itching or burning; however, this is only temporary discomfort and will resolve soon. A brief examination will be performed shortly after the procedure, and subsequently, you will be sent home, accompanied by your appointed driver.

Your vision may seem blurry or hazy at first, and you may feel that you want to rub or itch your eyes. You mustn’t touch your eyes during this recovery time as they are healing. Rubbing your eyes could cause the flap to dislodge, which could require further treatments. A shield is recommended to place over your eyes for protection from additional elements and light sensitivity.

A follow-up appointment with your doctor will be scheduled 24 to 48 hours after the initial surgery. Subsequent check-ups will also be planned throughout the next six months.

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.



Post-Op Cataract Hypertension

The most common adverse effect seen on day one of post-op cataract surgery that may require some form of treatment is ocular hypertension. It is essential to understand when and how to treat this condition to avoid a rare but serious complication of optic nerve damage and vision loss. Either inflammation typically causes this condition, or the ophthalmic viscosurgical device (OVD) used during surgery to keep the eye shape has left a small remainder of the gel on the ocular. Experts have come to the consensus that if the pressure is higher than 30 mm Hg, the patient should be treated. Also, if a patient has preexisting glaucoma or is currently experiencing eye pain, then they too should be helped. In this article, it goes into detail on how this condition can be treated. It is always best to consult with your doctor for any concerns after surgery.

First All-Laser LASIK in new Southern Utah Surgery Center

A new breakthrough is entering into the LASIK market as the Southwest Surgery Center, based in southern Utah, will reveal its new all-laser LASIK surgery setup in a new state-of-the-art facility. As outlined in this St. George News article, the facility will be using this new technology in the hopes to benefit its patients with lower risk and shorter recovery time than the more traditional laser eye surgeries. The facility itself focuses on more outpatient eye surgeries and services that try to shorten recovery times and allow patients to get back to their lives quicker and with more comfort. The facility will also be open for patients and their surgeons to use for other related outpatient services.

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.

Eye Exams 101

In the world of health priorities, our eyes seem to be on the lower end of that spectrum. We focus mostly on our bodies, then our teeth, but making sure our eyes are as healthy as the rest of our body usually comes out as nothing more than a “I’ll keep an eye on it” (no pun intended). Some people put off a dentist appointment or doctor checkup so long that they have a subpar understanding of what exactly such an event entails. For eye appointments a lot of people only recall the machine that shoots a puff of air at your eye, but the entire process is good to understand before making that long overdue appointment.

Why are eye exams done?

                The reasoning for eye exams may be obvious: they are used to check the overall health of your eyes. But, the goal of an eye exam is to pinpoint and discover any issues your eyes may be developing at the earliest stage possible. The earlier an issue arises, the better the chance of treatment. It’s when somebody puts off an eye appointment for years that any issue that may be present most likely has advanced to stage an untreatable stage. Having regular eye exams prevents any issue from metastasizing too late.

When should I be making appointments?

                The relative age of the patient is a key deciding factor for making regular eye appointments. For example, newborns and toddlers will usually have their pediatrician look for the most common eye issues during regular checkups. Only when something is found is a proper eye exam conducted, even at that age. For children a little older it is important to have the eyes checked prior to starting elementary school, after which you can expect checkups every one to two years. For adults, the frequency depends on your age range.

What should I do before, during, and after?

                The steps to take when going through an eye exam may seem dauting but the reality is much simpler. For first timers, understanding your eye health history is beneficial to both you and the doctor conducting the exam (not unlike an appointment with a general practitioner). Keep a tally of any health issues you’ve had in the past that may or may not be affecting eye health. You can also take this time to talk to the doctor about LASIK if you know your vision could already be better.

The exam itself is generally short and simple, with machines being used to test visual acuity and sensitivity. When you think of the phrase “better, worse, or the same?”, this is when you’d be asked that question. Also, yes, this is when you’d have the puff of air shot into your eye, so mentally prepare for that.

After the exam you’ll typically get the results of your exam and any issues that may have been found, if any. If issues are found (for example: cataracts), preventative measures and possible surgery can be discussed, and if your vision isn’t as great as you’ve boasted for years, you can try on glasses and find a frame that best fits your style with your new prescription.

That’s it! Not as daunting as it may sound, but it really is something one should keep up with, especially if you want a glasses prescription that is up to date.

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.

Being a Canidate For LASIK

LASIK is a type of refractive eye surgery that eliminates dependency on corrective lenses.  It is, however, not the right decision for everyone.  It is important to determine if you are a good candidate for LASIK and that you weigh the decision to have the procedure before scheduling your surgery.  Are you tired of wearing glasses and contacts?  Read on to see if you are a candidate for laser vision correction surgery.

Most LASIK patients will achieve 20/25 vision or better after LASIK eye surgery.  This is appropriate vision for most activities; eventually however, some LASIK candidates will need glasses for reading or driving at night. 

The track record for LASIK surgery is good.  There are a few rare complications that result in vision loss.  In fact, most people are satisfied with the results of their procedure.  Common side effects of the surgery are dry eye and temporal visual disturbance but often clear up in a few weeks or a month.  They are rarely long-term and don’t require additional intervention.  Of course, the final results will depend on your refractive error. Candidates with mild nearsightedness have better success overall with refractive surgery while candidates with a high degree of nearsightedness or farsightedness with astigmatism have less predictable results overall. 

There are multiple differences in laser refractive surgery although LASIK is the generic term used for all of them.  Images are focused on the retina in the back of your eye.  When your vision is not perfect the images focus elsewhere and result in blurred vision. 

Nearsightedness results in objects far away to appear blurry whereas nearby objects are clearer.  The eyeball is normally longer or the cornea curves sharply which doesn’t allow the light rays to focus at the front of the retina and then blur distant objects.  Farsightedness on the other hand is where close objects are blurry but objects in the distance can be seen clearly.  This occurs because the eyeball is short or the cornea is flat, light then focuses behind the retina.  Astigmatisms cause overall blurry vision, the cornea curves or flattens unevenly.

Traditional methods of blurry vision are corrected by the bending of light rays with contacts or glasses.  Reshaping the cornea during LASIK provides the necessary refraction for vision correction.  Before surgery the surgeon will take detailed measurements of your eye.  They will then use a specialized cutting laser to alter the curve of the cornea.  The pulse of the laser beam removes a tiny bit of corneal tissue which allows your eye surgeon to flatten or steepen the curve of the cornea.  The surgeon will create a flap in the cornea and then raise it up before the cornea is reshaped. 

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.



Preparing for Cataract Surgery


Have you noticed that your vision has started to get a bit cloudy?  As you notice this occurrence it is important to speak with your eye doctor as you may be developing a cataract in your eye.  When you are diagnosed with a cataract your eye doctor will often recommend surgery to remove the lens of the eye and replace it with an artificial one. Cataract removal is common, safe, and after it is done you will be able to see clearer. 

Who Should Have Cataract Surgery?

If you have a cataract, it doesn’t always mean you will have to have surgery, some people don’t even notice a change in their vision.  Some people will continue to see clearly.  As a cataract grows your symptoms will change.  Your vision could become yellow, dim, or blurred.  Double vision is another common side effect when you are looking at things through a cataract. It can be difficult to read, work on a computer, or do common everyday activities that require clear vision.  Poor night vision is another side effect of cataracts. 

Preparing for Cataract Surgery

About a week or two before your cataract surgery your doctor will start measuring the size and shape of your eyes.  This allows them to choose an artificial lens that is the most appropriate size for you lens.  You will be unable to eat or drink for at least twelve hours before your surgery.  You should also know that you will be awake during the procedure.  It is not a painful surgery, but you may need some medicine to relax especially if you have surgical anxiety.  The surgery will take less than an hour in most situations.  A laser is used to break up the cataract into bits that can be gently suctioned out.  The new lens will then be put into place.  You will not need to spend the night, but you will need someone there to drive you home.  If cataracts are present in both eyes, surgery will typically be scheduled a few weeks apart.

Side Effects of Cataract Surgery

Although rare there are some typical side effects from cataract surgery including:

  • Infection and Swelling
  • Bleeding
  • Detachment of the Retina
  • A Feeling of Pressure in Your Eye
  • Loosening of the Implant
  • Fluid Buildup
  • Eyelid Drooping

After surgery your eye may itch or be a bit sore.  Bright light may be extreme, and some tearing may occur.  The doctor will give you eye drops to apply regularly.  Take it easy and try to relax for a few days after surgery.  Don’t drive, bend over, put pressure on the eye, or pick up heavy things.  While you sleep your eye should be shielded to protect it as it is healing.  Your eye should be fully healed after about 8 weeks. 

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.



A LASIK Overview


LASIK is a delicate corrective procedure that is used to improve eyesight.  Not everyone is a good candidate for laser corrective surgery however for millions of patients, LASIK surgery is done with success. 

Basics In LASIK

Most people who wear glasses or contacts think about corrective surgery at one time or another. During the LASIK procedure a laser reshapes your cornea (the dome which is located at the front of the eye) to increase light rays focusing on the retina. 

Here are some things to consider before you schedule your Free LASIK, laser-assisted in situ keratomileusis, surgery.  Consider the following:

  • LASIK can’t be reversed.  It is a complicated surgery to a delicate part of the eye.
  • Laser vision corrective surgery doesn’t come without possible complications or risks.
  • Eye surgery is not for everyone; however, LASIK has been performed successfully on millions of people throughout the United States.
  • Although many patients end up with near perfect vision but there is a chance that the LASIK procedure will not end up giving you perfect vision, it is possible to end up with slightly diminished precise vision.
    • 9 out of 10 patients end up with 20/20 and 20/40 vision – 20/40 vision is often not sharp enough for certain types of work.
  • LASIK is used to correct distance vision. It is likely that patients may still require reading glasses in their 40’s.  LASIK is not used for correction or prevention of presbyopia which is an age-related loss of the eye being able to focus on objects nearby. 
  • Nearsighted patients that don’t need reading glasses before the surgery might need them after.

LASIK benefits may decrease overtime.  In fact, more than 10% of patients may require a second surgery which is known as a retreatment.  This will restore the patients desired vision.  This process is more common in patients who had higher nearsighted or farsightedness or a higher degree of astigmatism. 

LASIK surgery is a procedure that is not covered under most insurance plans. For most candidates they can expect to pay up to $3,000 per eye for the LASIK procedure.

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.



Lasik vs Contacts For Correcting Vision


Are you or a loved on interested in LASIK?  Have you thought about how your life would change if you could see clearly without the use of glasses or contacts?  Laser vision correction may be a popular option for you to consider.  The first step in the process is to have a thorough eye exam that will help to determine if you are a good candidate for surgery. 

LASIK eye surgery is most often done to treat nearsightedness, farsightedness, and astigmatisms.  Laser surgery involves reshaping the cornea in order for light entering the eye can focus properly on the retina which allows for clearer vision.  For most people their vision is improved within a matter of twenty-four hours after surgery.  If you are looking for clear vision without the need for glasses or contacts, LASIK can offer you that. 

There are a few things to remember when preparing for LASIK surgery including:

  • Laser vision surgery can be done in both eyes during the same appointment.
  • LASIK takes approximately ten to fifteen minutes per eye.
  • Patients must be over the age of 18 to qualify for LASIK.
  • Many LASIK patients achieve 20/20 vision and no longer require the use of contacts or glasses.
  • Recovering from LASIK often requires anywhere between a few days and a few weeks for your vision to return to normal.

For some patients LASIK can seem quite daunting and they will decide to trade in their glasses for contacts instead of laser vision correction.  Contacts are an ideal solution for patients who aren’t ready to commit to LASIK but no longer are interested in wearing glasses.  Most contact lenses are silicone hydrogel lenses which are a type of soft lens that can be worn daily.  Some contact lenses are known as extended wear lenses and can be worn overnight or continuously for thirty days.

There are a few things to remember when preparing to wear contacts:

  • Contact lenses need to be replaced often to decrease the chance of contamination
  • There are several types of contacts available to correct various vision issues
  • Contact lenses can be customized for eyes that are difficult to fit
  • Options in lenses include colored lenses, lenses for dry eyes, lenses with bifocals, UV reducing lenses, and even prosthetic lenses

Both LASIK and contacts are safe.  There are risks of infection with both if care is not taken but side effects are rare. 

Both LASIK and contacts are effective.  Vision is improved with both laser correction surgery and the use of contact lenses.  Adjusting for vision changes is easier with contacts however, LASIK patients can also adjust for vision changes with the use of glasses for reading or nighttime driving.

Both LASIK and contacts are affordable.  Laser vision correction ranges between $1,500 to $2,500 per eye.  Contacts are cost about $300 a year.  The only downside is that the cost of contacts never disappears.  You will need to purchase new contacts yearly.

Obviously, LASIK is a great option for correcting your vision on a permanent basis however, surgery is not for everyone.  Contacts are a wonderful change for individuals who want a change from wearing glasses to improve their vision.

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.



Common Myths about Cataracts


When it comes to taking care of your eyes as you age you will certainly receive a lot of information both accurate and inaccurate.  Wading through the information received can be daunting.  Cataracts are often a center of myths and tales associated with seniors and vision care.  We have centered this installment around breaking the myths that surround the formation and surgical procedures associated with cataracts. 

Cataracts are the leading cause of blindness throughout the world, more than glaucoma, diabetic retinopathy, and macular degeneration collectively. They are more common in seniors than any other demographic.  Estimates suggest fifty percent of Americans will have had cataracts by the time they are eighty years old.  It is important that seniors have correct information, an understanding of their vision condition, and what options they have for correction.

The Myths and Truths of Cataracts

Myth #1: Cataracts Grow on The Eye

Truth: Cataracts have thought to be a growth on the eye however that is not the truth at all.  Cataracts are a result of protein fibers that clump together and creating a clouding of the lens of the eye.  The cloud causes light to be scattered or even blocked completely as it passes through the lens.  This does not allow the retina to receive a clear image.  Cataracts are caused by:

  • Overexposure to Ultraviolet Light
  • Eye Injury
  • Result of Diabetes

Myth #2: The Only Symptom of Cataracts Is Blurred Vision

Truth: Although blurred vision is the most common symptom individuals report when experiencing cataracts, it is not the only one. Other symptoms include:

  • Extreme Light Sensitivity
  • Changes in Vision Prescription
  • Double Vision
  • Changes in Perception of Colors
  • Night Vision Difficulty

Myth #3: Cataracts Are Preventable

Truth: Cataracts are not preventable.  There are different strategies that can be taken to reduce the risk of developing cataracts or to slow the progression of the disease.  These include:

  • Yearly Eye Exams
  • Healthy Diet Rich in Fruits and Veggies
  • Don’t Smoke
  • Avoid Excessive Alcohol Usage
  • Wear Sunglasses with UVA & UVB Protection

Myth #4: Cataract Surgery is Dangerous

Truth: Cataract is in fact not dangerous, it is actually one of the safest vision surgeries.  With advancements in technology, individuals need minimal sedation and cataract surgery has a success rate of over ninety-five percent.  Recovery from cataract surgery includes:

  • Refrain from Eye Rubbing
  • No Lifting of Heavy Objects
  • Avoid Driving

Myth #5: Cataracts Come Back

Truth: Once a cataract is removed from the lens through surgical means, it will not return.  A “secondary” cataract may develop.  This occurs when the membrane holding the foreign lens implant in place becomes cloudy.  This is corrected with a simple, painless procedure called a YAG laser capsulotomy.  An eye surgeon will create a small opening in the membrane to assist in restoring the sharpness in vision.

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.



Do the Benefits of Glaucoma Surgery Outweigh the Risks?


As with any surgical procedure there are potential risks that need to be weighed against the benefits, Glaucoma is no different.  Even the most advanced cases of Glaucoma can be treated, patients need to collaborate with their eye surgeon to ensure the benefits offset the risks.

Glaucoma is a disease that is associated with aging.  It is a disease of the eye that causes advanced decline of the optic nerve.  The optic nerve which is at the back of the eye carries the visual message from the retina to your brain. Glaucoma is caused by increased pressure within the eye that doesn’t provide an environment for the nerve’s health.

In order to treat Glaucoma, the IOP (intraocular pressure) must be lowered.  Lowering the intraocular pressure prevents (or slows) the damage to the optic nerve.  Treating Glaucoma begins with the use of medication.  If this fails to treat or your eyes do not tolerate the treatment your ophthalmologists will often turn to surgical procedures.

There are two different types of surgery that can be performed to treat Glaucoma.  One method is using a miniscule incision into the trabeculectomy.  This can be done with or without the ExPRESS microshunt implantation, tube shunt implantation (which is a glaucoma drainage device), and cyclophotocoagulation.  Another surgical Glaucoma procedure that is often performed is known as MIGS, or minimally invasive glaucoma surgery.  Surgical procedures all have their own unique set of risks and rewards. Before you have any surgical procedure on your eye, especially for the treatment of Glaucoma, it is important to have talk with your surgeon about your specific diagnosis and the benefits and dangers of the specific Glaucoma surgery best for your specific situation.

Glaucoma Surgery Benefits Outweigh the Risks in Most Situations Even in Advanced Cases

There are risks involved with any surgery however, the results with Glaucoma surgery are typically successful.  Success in Glaucoma surgery slows the progression of the disease.  Success means that the intended eye pressure was achieved.  If Glaucoma was left untreated, the loss of your vision is almost guaranteed. Surgery can help to prevent additional vision loss, often improving your vision.  This however is temporary as the damage with Glaucoma has already occurred and is permanent.  Surgery doesn’t reverse the damage it does however slow down the progression.

Although side effects do occur with Glaucoma, they are rare.  Here is a list of occasional side effects that patients have reported:

•     Vision Loss

•     Bleeding

•     Infection

•     Eye Pressure

•     Scarring

•     Cataracts

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.