Why Your Eye Surgeon Needs to be Local - Part 2

Corporate medicine has its benefits and its downfalls. In regards to the refractive surgery field, there are more downfalls to a corporate practice than there are benefits. A few weeks ago, we discussed the difference between the doctors at each type of practice. This week, let’s look at the services offered.

The Right Procedure for Your Eyes

Another big difference between local and corporate owned practices are the services they offer. When a corporate practice is set up, it’s one of hundreds, maybe thousands of locations. In order to keep control over the brand name, these practices only offer a very small number of services, sometimes just LASIK and nothing else. Performing LASIK on patients that are not excellent candidates increases the likelihood of side-effects and less than optimal outcomes.

By providing only one service, the headquarters can ensure that each practice is exactly the same, offering the same service, providing the same website, and the same marketing and advertising collateral. They also don’t have to worry too much about training doctors who don’t know anything other than LASIK. This brings the cost of operation down for them and allows the board of directors to earn more money.

All of this is quite the opposite for a local doctor and local practice. The doctor (or a small group of local doctors) decides to open up a practice in order to improve the eye health of the community. The doctor will spend his/her own money because they know they can provide excellent eyesight to their patients. They are vested in their community because they know the people and they care about them.

These doctors will offer different types of services because they know that the best care that can be provided isn’t through one single solution. LASIK isn’t the best procedure for someone with very thin corneas. A patient with this issue may be better suited for PRK. Some patients may not be suited for laser vision correction at all. If this is the case, there are other options but usually only provided by a local ophthalmologist.

A local ophthalmologist can decide which procedures to offer his/her patients. They will be the one responsible for your treatment and follow-up care and they wouldn’t provide anything less just to earn a dollar. They are held accountable by their patients, not a board of directors looking to make a profit.

This all points to a new consideration on your quest for excellent vision:

Would you rather have vision correction performed on you that may not be right, but it’s all the practice offers? Or would you want to be fully examined by the surgeon performing your procedure who can offer other proven procedures that may actually be better for the health of your eyes?

Common Consultation Questions

The purpose of the free LASIK consultation that we offer is three-fold:

1. To ensure you are even a candidate for the procedure
2. To answer all of your questions and make sure you have all the information you need to make an informed decision
3. If you are not a candidate, we will also take the time to educate you on some of the other options to correct your vision

Often people come into our offices rather reluctantly, afraid of being sold on something they aren’t quite sure they even want. It’s more often that people won’t even come near our offices until they are absolutely SURE they are even considering having LASIK.

We offer a free consultation to anyone willing to consider vision correction because we believe that education is the key to making an informed decision. We don’t wish to “sell” any patient on a procedure that they may not want. We don’t like the stereotypical “car salesman” approach, and we know you don’t either. That’s why we train our staff to be patient, answer any and all questions, and we don’t pay them a commission to book surgeries. 

During the consultation, we often hear some of the same questions asked by different patients about LASIK. We’d like to take a moment to address a few of them.

My [optometrist/doctor/friend/family member] told me that LASIK won’t correct Astigmatism. Is this true?

No, this is not true. LASIK can actually correct astigmatism. While not every patient suffering from astigmatism is a candidate for LASIK, it does not mean that everyone with this refractive error cannot have their vision corrected. The only way to know for sure if LASIK will correct your astigmatism is to have a full evaluation by an ophthalmologist. We perform these exams during our free consultation and we will describe exactly how we can correct your astigmatism to help you see clearly.

Note: LASIK can also correct nearsightedness and farsightedness.

If I have LASIK this young (20s or 30s), will I have to have it again as I get older?

No. LASIK is a one-time correction of the cornea in your eye. This correction helps to fix the way light refracts onto your retina and transmits signals to the brain. Once corrected, your cornea will remain that shape, unless you contract an eye disease that may affect the cornea. LASIK will not give you any such disease.

It may be necessary to do what is called a LASIK enhancement. This is where the ophthalmologist may need to finish the correction of the cornea. However, if you seek out a board-certified, expert ophthalmologist, they will have an enhancement rate of less than 8% of their patients. 

My refractive error (nearsightedness, farsightedness, or astigmatism) is very severe. Does this mean I will have to have LASIK a few times to get the accurate correction?

This is usually not the case if you visit an expert ophthalmologist who has performed thousands of operations. During the consultation and pre-op appointments, your ophthalmologist will plan a thorough and complete treatment plan for your eyes. This treatment plan is very precise and should not require additional surgeries. 

Every pair of eyes is unique. There may be the need for enhancements, but again, with a qualified and experienced surgeon, they will have a very low rate of enhancements needed to get a patient seeing clearly.

We will continue this discussion next week. If you are seeking answers immediately, please feel free to call our office at 877.576.0202, check out our website, or schedule a Free LASIK Consultation.

A Little Friday Afternoon Humor

Fears and Misconceptions of LASIK – Is the Price Worth it in the Long Run?

We have personally seen many different types of people come through our Free LASIK Consultation. Some people question technology, some concern themselves with safety, and many are concerned that the cost of the procedure may not outweigh the benefits. Since our website deals largely with the issues of technology and safety, let’s address the issue of cost versus benefits.

First, let’s look at the benefits of a laser vision correction procedure, like LASIK or PRK:

It is possible for a patient to achieve 20/20 eyesight, or even better, with laser vision correction. You could live your life waking up and seeing immediately instead of searching for your glasses. You can experience the spontaneity of life, such as jumping in a swimming pool, playing in the rain, or going out on a windy day, without the fear of how any of these actions may affect your contacts and your ability to see. You can take a nap, free from the worry of taking your contacts out of your eyes first. You don’t have to rush to the store every time you are out of contact lens solution or order more glasses when yours accidentally break. You will be able to see life, naturally.

Is all that worth the cost of LASIK?

Our patients think so.

Next morning at 8 o’clock, I had 20/15 in both eyes and my face hurt because I was smiling so much. I’d rather come to do LASIK than go to the dentist any day. It didn’t hurt. It was as easy as can be.
I wished I’d done it ten years ago, and I shouldn’t even say this but they could charge a lot more for it and it’s still worth it.

- Wesley Escott

I just decided one day that money's not an issue anymore. My eyesight's more important than having to put contacts in every day or having to put on my glasses.
When I went to Wright Vision Center to have my LASIK done, I was there for a total of two hours. And now every day when I get up I can see the clock next to my bed without having to put my glasses on. Everything is crystal clear the minute I wake up – it’s just a whole different advantage.

- Candice Grimes 

However, some people have heard that people who have had LASIK eventually return to wearing glasses. How can this be if they have already had their vision corrected?

Let’s clear up one fact – LASIK or laser vision correction will NOT give you excellent vision for your whole lifetime.

Wait – what?

It’s true. Your eyes are living organs and there are certain, inevitable conditions that occur due to aging. One of these conditions is known as Presbyopia. Presbyopia is when the natural lenses in your eyes begin to harden. When you are young, your lenses are flexible so they can adjust to seeing near and far. As you age, these lenses harden. When they lose their flexibility, bifocals or reading glasses are used to help your eyes adjust.

Another inevitable is cataracts. Everyone will develop cataracts as they age. The affect that a cataract has on your vision depends largely upon the degree to which they form. Some people will never notice the affect while others may go blind.

The age at which you develop cataracts and/or presbyopia is not predetermined. For some, the symptoms of presbyopia can begin appearing as early as 40. For others, they may not have any side effects until 50 or older. For cataracts, most don’t appear until your early 60s or even into your 70s.

So back to the question – is the cost of LASIK worth it in the long run?

Let’s say you are nearsighted and you purchase disposable contact lenses every month. Then you have to purchase cleaning solution each month. If you lose a contact, tear it, it falls out, etc., then you have to replace your monthly supply faster than anticipated. You also have to get a pair of glasses for the times you don’t have contacts or if you have an eye infection or you’ve worn your contacts for too long. These glasses can easily be lost or broken, so it’s not just a one-time expense. 

This is a cost you have to pay, every month, consistently for 20 or more years. You are stuck with plastic on your eyes and the constraints they present just so you don’t have to compromise the ability to see.

Or you can have laser vision correction and have your procedure paid off in two years or less. You'll gain the extra money in your budget and excellent eyesight to view life as it is. You’ll also gain the spontaneity that life has to offer because you can see clearly, naturally - for the next 10, 15, or 20+ years.

LASIK versus PRK

Refractive errors occur when the cornea of your eye, or the front part of your eye, is misshaped. These refractive errors produce nearsightedness, farsightedness, or astigmatism. Laser vision correction is the procedure through which a laser is used to reshape the cornea of the eye, in order to achieve better vision.

While the actual correction of the cornea is completed with a laser, the steps leading up to this correction, and subsequently the healing after, will differ depending on the specific procedure the surgeon chooses for the patients’ eyes. The two main procedures most commonly used are LASIK (Laser-Assisted Sin-Situ-Keratomileusis) or PRK (Photorefractive Keratectomy).

LASIK and PRK

Most people have heard of LASIK; however, in some cases, LASIK isn’t the best procedure for them. This can be due to a multitude of reasons, but most often if their cornea is too thin, LASIK will not be advised. This is why visiting an ophthalmologist that performs more than just LASIK is so important. Other procedures, such as PRK, can be recommended and performed to achieve the same, and sometimes even better, results.

The main difference between LASIK and PRK comes during the first step of the process – creating the corneal flap. During LASIK, the surgeon creates flap within the first few layers of the outer surface of the cornea, so that the laser can reach the area that needs to be corrected. This can be done with a microkeratome (a mechanical oscillating blade), or during bladeless LASIK, it can be done with a second laser that separates the outer layer of the cornea. After the primary laser is applied to correct the refractive error, this flap is folded back into place where it bonds readily.

PRK, which is usually performed on patients with thin corneas, removes the surface layer of cells on the cornea. This is why it is often referred to as a surface treatment. After treatment, the body will regenerate new cells to replace the cells removed through a relatively quick healing process. The results of PRK are equal to that of LASIK though the healing times are slightly longer.

Visiting a Qualified Ophthalmologist

Performing LASIK on a patient that is better suited for a procedure like PRK will increase the likelihood of potential risks, such as poor night vision or less than optimal results. To decrease these risks, visit a board-certified ophthalmologist who is skilled at multiple vision correction procedures. This will ensure you the best possible chances to achieve the vision results you are seeking.