San Francisco LASIK doctors
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Jay Bansal, MD
San Francisco Ophthalmologist
1700 California Street Suite 480, San Francisco |
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Everett Ai
San Francisco Ophthalmologist
San Francisco |
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Samuel Gelbart
San Francisco Ophthalmologist
San Francisco |
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Jacqueline T. Koo, MD, MPH
San Francisco Ophthalmologist
1850 Sullivan Ave. Ste. 540, Daly City |
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Lillie Mosaddegh, MD
San Francisco Ophthalmologist
490 Post St Suite 1440, San Francisco |
Recent Answers
I was just wondering if it was possible to schedule a consultation one day and then the following day have the procedure done? I am driving about two hundred miles to have this procedure and it would be a great help if I didn't have to complete the drive two weeks in a row. The facility I am going to suggested a consult this week and then surgery the following week. Thanks in advance!
There are some surgeons who perform surgery on the same day as the screening. Assuming that the eye is healthy, the patient is a good candidate, and the health or refractive status of the eye will not change over the next fews days or weeks, there is no reason to believe that a delay is necessary for medical reasons. Patients must be aware that they may not be a good candidate so they can't assume that the screening will conclude that they can have the procedure. Contact lens wearers may require time out of there contacts. Patients with blepharitis or other eye condition may need to be treated before surgery. It is also wise to allow patients time to consider their decision to have LASIK surgery. No patient should be rushed into have a surgical procedure. LASIK has a strong record of success but can still have complications.
I recently had a consultation with experienced Lasik surgeon in Manhattan. When I inquired as to whether he uses wavefront with his VISX S4 IR, he explained that he used it at one point but no longer typically uses it -He said that with wavefront, the computer does much of the programming and he felt gave him less input and control (he seems very detail oriented/ meticulous about his lasers). He also mentioned that he felt it was an unnecessary additional cost that he had to pass on the patient.
It seems unreasonable that a LASIK surgeon would never use wavefront LASIK in his/her treatments. I use wavefront LASIK on the majority of my patients. Wavefront LASIK is one tool that has been very beneficial in treating many patients and clinical studies have shown it to be more effective on average than conventional LASIK. I would say that it would be foolish not to take advantage of the advances in LASIK treatment that came with the improved wavefront ablation profiles in most of your patients. At the same time, there are certainly cases where a conventional treatment (without wavefront) can provide better results. It is most important that surgeons consider each patient as a unique individual and weigh all the possible treatment options (as well as the option to not treat a patient). Some patients should receive wavefront treatment. Some should not. LASIK surgeons who treat all patients with the same method are limiting their patients from receiving the best possible individual treatment.
CHECKED YESTERDAY Cornea: (L) 551 microns (R) 534 microns Power: (L) + 1.75 | -1.25 x 180 (6/6). (R) -1.00 x 15 (6/4.5 -2) Some doctors said I shouln't proceed with LASIK. Since I don't have much Rx, the relative benefit is minimal. However, I find glasses to be quite inconvenient and can afford LASIK. When I am outdoors, I don't need glasses to see. Only to read text on the computer. The surgeon who agreed to my operation has done 12000 ops using VISX V4 IR Excimer Wavefront IntraLase.
LASIK is accurate to around a quarter to a half diopter of treatment on average. This makes it possible to treat low prescriptions and gain some benefit. The happiest patients are often the ones with the higher prescriptions because they had more to gain from the laser procedure. Low prescription LASIK patients can often be very happy as well though if they feel that their glasses or contacts are a significant burden for them.
