New York Laser Eye Surgery doctors
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Christopher Coad, MD
New York Ophthalmologist
157 West 19th St. , New York |
11 answers | |
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Emil Chynn, MD
New York Ophthalmologist
102 E. 25th St, New York |
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6 answers |
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Natalie Borodoker, MD
New York Ophthalmologist
2792 Ocean Ave Suite 4, Brooklyn |
1 answer | |
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Basil Pakeman, MD
New York Ophthalmologist
240 E 64th St, New York |
1 answer | |
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Christopher Starr, MD
New York Ophthalmologist
1305 York Avenue at 70th Street 12th Floor, Cataract & Laser Vision Center, New York |
1 answer |
Recent Answers
I am led to believe that these are currently the most advanced laser eye surgery techniques to date. I am leaning towards lasek because it seems it is just as effective these days with less complications (eg less likely to get long term dry eyes) but a slower recovery time? I could be convinced otherwise if one had better long term results but they are both relatively new.
first of all, you and all the readers need to be clear that epiLASEK is noncutting, and IntraLase is cutting. many offices market IntraLase as "bladeless" which i suspect is a semi-intentional way to "confuse the public" and think that IntraLase is non-cutting, which is not true
all IntraLase is is cutting your cornea in half with a laser, instead of a metal blade. it is slightly safer than cutting with a metal blade, as you can make the flap both thinner (which decreases how deep into the eye you go) and more accurate. however, if you get punched in the eye, the flap can still come up, as your eye doesn't exactly "remember" what tool was used to make the cut--only that you were cut, and the flap never really heals (which is why you can enhance LASIK and IntraLase flaps for years afterwards, just by poking the flap with a little metal instrument and "popping the flap back up")
epiLASEK, which is the term i'm trying to get MDs and the public to use, because it sounds more like LASEK, and is really much more like LASEK than LASIK, does not involve making any cut into your eye at all. for this reason it is safer, because you obviously can't have a flap complication, either during or after your procedure, since you aren't having your eye cut in the first place.
what the other MD said is true, that the recovery is longer after epiLASEK (3-4 days) than after IntraLase. if i were a patient, i would think a couple of days slower recovery is worth a stronger, safer eye for the rest of your life, but the consumer has to make that choice
regarding quality of vision, when i switched from performing incisional procedures (LASIK and IntraLase) to nonincisional ones (LASEK and epiLASEK) back in 2005, the night vision of my patients improved dramatically. this is because after a cutting process, your cornea is forever in 2 pieces, with an interface between those 2 pieces of your cornea. so when light comes in (esp at night) there is some reflection, refraction, and back-scatter of this light across the flap interface, which causes some night glare
this is probably why i have some night glare after my own LASIK, and why i switched to the noncutting ASA (Advanced Surface Ablations) 5 years ago
so, in summary, my advice to you is to get an epiLASEK over an IntraLase, for the above reasons
there are other reasons why your vision is better after epiLASEK than IntraLase also having to do with the flap that is cut messing up your WaveFront treatment, so your CustomVue map is distorted, but i can't get into this further here as i actually have to run and see/treat some live patients now!:) hope this helps!
One lasik clinic quoted me $2,000 an eye. Another advertises only $299. Is the expensive clinic trying to rip me off? They told me to watch out from something called the "Nidek" brand machines
Lasik surgery is not inexpensive. But, then again, you only get it once in a lifetime. Considering the cost of contact lenses and glasses over the years, you may actually save by getting surgery. The price should not be the deciding factor in choosing a surgeon. If the price is too low, it is usually because they will charge a separate fee per diopter of correction, in addition you may have to pay for post op drops, and visits and so on. There is an inherent fee in this procedure. The laser itself is costly and no physician will do this at a loss. So choose wisely and base your decision on the respectability of the surgeon, the overall sense of the place, and hopefully good references. Do not fall a victim to cheap advertising.
I have gone through LASEK treatment 20 days ago. Should I take bath now as regularly as before?
Now I am seeing better expect my vision is still little blurred. I also having moderate headache after working for an hour on computer continuously. Is the headache is normal after LASEK? Should I stop working?Should I take bath now as regularly as before?
if you had a true LASEK, which is an Advanced Surface Ablation, as opposed to the older PRK
then you should be fully recovered by now
it sounds like you may be slightly overcorrected or hyperopic or farsighted now, assuming you were nearsighted to begin with, which is why you are having fatigue (and possibly headaches) at near. this may be intentional, to allow for some regression, but you should ask your surgeon about this, as he may need to taper your steroid drops faster to fix this problem
you can bathe regularly. there is no flap in LASEK so you can even play contact sports or swim now without having to worry about messing up the flap (unlike in LASIK, where the flap can come up years afterwards)
