Table of Contents
- Inlays for Presbyopia
- Photorefractive Keratectomy (PRK)
- SMILE Eye Surgery
- Monovision LASIK
- Lifestyle Lenses
- Implantable Collamer Lens (ICL)
- Refractive Lense Exchange (RLE)
- Collagen Cross-Linking (CXL)
- Intacs for Keratoconus
- Cosmetic Treatments
- Dry Eye Treatments
- Pterygium Surgery
- Implantable Miniature Telescope
- Glaucoma Surgery
How much does laser vision correction surgery cost?
The cost of the laser vision correction procedure is determined by a number of factors. You will receive a detailed, no-obligation estimate at your NVISION® consultation.
What happens to my deposit if I decide against surgery?
If you make a deposit and decide against surgery, the deposit is entirely refundable if you have not yet had the dilated eye exam. If you have had the dilated eye exam, $150.00 will be deducted from your deposit refund.
Is my surgery tax deductible?
While LASIK can be deemed elective and not covered by insurance, it may be tax deductible depending on your filing status. Please consult your accountant for more information on this matter. Many patients choose to use their tax refunds to pay for LASIK, an investment that can last a lifetime.
Can I pay with a credit card?
Many patients opt to pay for their procedure using a credit card. This may be a good option, especially if you have a card that carries a low interest rate, offers, points, or other rewards.
What are the disadvantages of LASIK over other laser vision correction procedures?
Compared to PRK or LASEK, LASIK healing times are significantly shorter, with most LASIK patients returning to work and normal life very shortly after their LASIK procedures. Noticeable vision improvement after LASIK is virtually overnight, and it’s very common to treat both eyes on the same day.
What conditions does Custom LASIK treat?
Custom LASIK surgery can correct almost any refractive errors, so you’re likely a candidate. Refractive errors include nearsightedness (myopia), farsightedness (hyperopia), and astigmatism (football shaped cornea).
Do most people have perfect 20/20 vision after laser vision correction?
Laser vision correction results are determined case by case. Although, the visual goal after laser vision correction is for the patients to attain 20/20 vision. Patients can anticipate their results to be comparable to their best corrected vision while wearing glasses or contacts, and sometimes even better.
What is the difference between Custom LASIK at NVISION® and standard LASIK surgery advertised so inexpensively?
The most important aspect to understand is that LASIK can be performed with various techniques and technologies. At NVISION®, the preferred technique by our surgeons is done through all-laser technology. The corneal flap is created by a state-of-the-art Femtosecond laser. This laser is proven to be significantly safer than the mechanical blade approach that is utilized by other clinics advertising LASIK at a lesser cost. In combination with the Femtosecond laser, NVISION® utilizes highly advanced Excimer lasers. These lasers emit anti-glare patterns that provide an incredible quality of vision during the day and night. In addition, NVISION® surgeons are the leaders in both wavefront-guided and topography-guided treatments in order to increase the chances of patients achieving the best quality of vision possible.
Is laser vision correction right for me?
The best way to determine if you are a good candidate for laser vision correction is to start with an eye exam by your optometrist or ophthalmologist. Your doctor will conduct a simple examination on your eyes in order to determine if you are a suitable candidate. If your doctor is unfamiliar with laser vision correction, NVISION® is happy to provide you with a complimentary consultation. At NVISION®, our doctors consider each patient’s unique needs during the consultation and when making their recommendations. .
How soon after Custom LASIK can I resume my normal activities?
Because every patient and procedure is different, it is important to follow the specific guidelines that your surgeon provides. After Custom LASIK, most patients can anticipate the following timeline: After 24 hours, patients can return to work and normal daily activities. The day after the procedure, your eye doctor will perform an exam and determine if you can resume driving. By the end of the first week, patients may return to exercise and wear eye makeup. For contact sports, patients should wait at least one month.
Is surgery the only option for cataract removal?
A cataract affects a patient’s quality of vision and consists of a variety of symptoms. These symptoms will worsen over time and, if left untreated, could lead to loss of vision. Cataract surgery is the only option to remove the cataract and correct a patient’s vision. There are different techniques in how a surgeon can remove a cataract. Your NVISION® surgeon will explain the options available to you and recommend what is best for you and your needs. .
What is an intraocular lens?
During cataract surgery, a small incision is made to access the eye and the clouded lens of the eye (the cataract) is removed by ultrasound. It is then replaced with an intraocular lens (also known as an IOL). This intraocular lens replaces the patient’s natural lens and restores the ability to see. The lens is permanent, needs no maintenance, and can remain in the eye for the patient’s entire life.
Is there a solution for patients with vision conditions and cataracts?
Patients with refractive errors outside of cataracts, have the option of improving their vision through several intraocular lens options.
Refractive errors such as myopia (nearsightedness), hyperopia (farsightedness), presbyopia (the inability to focus close-up), and/or astigmatism (football shaped cornea) are all treatable with intraocular lenses.
In order to fine-tune results post cataract surgery, PRK or LASIK can also be combined.
What is presbyopia?
Presbyopia is an age-related condition that results in the loss of flexibility in the eye’s lens. This decreased flexibility makes it difficult to read close-up objects like books and newspapers. Selecting a lifestyle lens solution for your cataract surgery could alleviate presbyopic symptoms.
Inlays For Presbyopia
What is presbyopia?
Presbyopia is an age-related condition that results in the loss of flexibility in the eye’s lens. This decreased flexibility makes it difficult to read close-up objects like books and newspapers.
Can I get a corneal inlay if I’ve had another corrective laser procedure?
Inlay surgery can actually be combined with LASIK/PRK surgery—or be performed years after your LASIK/PRK surgery.
How soon will I be able to resume normal activities?
For most patients, the full benefit of inlay is realized within one month post-procedure and others may take longer. Most patients return to normal activities as early as the day after their inlay procedure.
Will the treatment for presbyopia affect my distance vision?
The majority of patients who are treated for presbyopia find that their distance vision remains unaffected.
Will my presbyopia progress after a corneal inlay procedure?
Unlike any other available technology, the inlay maintains its effect even as presbyopia progresses over the years.
What is the difference between the Raindrop® near vision inlay and KAMRA™ inlay?
Raindrop® patients tend to be mildly hyperopic (farsighted), while KAMRA™ patients tend to be myopic (nearsighted).
Photorefractive Keratectomy (PRK)
Is PRK right for me?
PRK can be the recommendation of the surgeon for people with specific corneal details, such as thinner or asymmetrical corneas. The visual results of PRK are comparable to LASIK and SMILE.
What is PRK?
PRK (“photo-refractive keratectomy”) was the first vision correction procedure to use excimer lasers. The procedure involves reshaping the surface corneal tissue and not the inner corneal tissue like LASIK. Also, PRK differs from LASIK in that no corneal flap is required.
What conditions does PRK treat?
Just as with LASIK, PRK is a procedure to help people with nearsightedness, farsightedness, and astigmatism. But every patient is different, and your NVISION® surgeon will select the best procedure for your needs.
SMILE Eye Surgery
Is SMILE right for me?
While SMILE is often the right solution for patients with nearsightedness, it can also be used in some cases of thin corneas, dry eyes, or contact lens intolerance. Similar to LASIK and PRK, your NVISION® surgeon will determine which laser vision correction is right for your individual needs based on your exam and vision goals.
What are the advantages of SMILE?
SMILE causes less disruption of the corneal nerves than other laser vision procedures. As a result, you may have even lower chances of dry eye.
Will the treatment for presbyopia affect my distance vision?
The majority of patients who are treated for presbyopia find that their distance vision remains or is minimally affected.
Is monovision right for me?
If you’ve been diagnosed with presbyopia, corneal inlays and monovision LASIK are both options. Most people who try monovision adapt to it well. However, for active people such as golf or tennis players, or if you frequently drive at night, monovision may not be suitable. Your NVISION® surgeon will work with you to determine which solution is best for your needs based on your eye exam and visual goals.
Does the treatment for presbyopia have a similar effect as monovision contacts?
Laser vision correction for presbyopia is similar to using monovision contacts, a practice in which the contacts are fit with one eye for distance vision and one eye for close-up vision.
What is the difference between a basic lens and lifestyle lens?
After the cataract is removed, it may be replaced with a basic lens that does not provide any refractive correction. If an individual would like to reduce his or her dependence on glasses, a lifestyle lens would be a good choice.
What is an intraocular lens?
When a cataract causes your eye’s lens to lose its clarity, the only option is to replace it with an intraocular lens (also known as an IOL). Intraocular lenses are artificial lenses that are implanted to replace your natural lens when it is removed during surgery. The lens is permanent, needs no maintenance, and can remain in your eye for your entire life.
The best IOL for you depends on your lifestyle and your visual needs.
Implantable Collamer Lens (ICL)
Are ICLs right for me?
If you have extreme nearsightedness, which is very common, ICL procedures may work for you.
How soon can I see results?
Visual recovery with implantable contact lenses is rapid, and you can anticipate noticeable improvement within a day or two.
How do ICLs work?
People with refractive errors have difficulty focusing on light and images properly. For them, objects come to focus in front of or behind the retina instead of on it. This makes images appear blurred or out of focus. ICL Surgery can correct this problem by bending and focusing light directly on the retina, reducing the need for contacts and glasses.
Refractive Lens Exchange (RLE)
What conditions does refractive lens exchange treat?
If you have nearsightedness, farsightedness, or astigmatism, even extreme prescriptions, and are over 40 years of age and experiencing some degree of presbyopia, RLE could be your best course of treatment.
When should I consider refractive lens exchange?
You should consider RLE:
- If you are dependent on reading glasses or bifocals for your near tasks
- if you have a high level of farsightedness
- if you have been diagnosed with early lens exchanges and feel the quality of your vision has declined, but, do not as yet have a cataract
How soon will I be able to resume normal activities?
Although you will need a ride home from the procedure, you will be able to resume most normal activities within a few days—with most patients able to resume driving as well.
What does the lens feel like when it’s implanted?
Patients are unable to feel the IOL, and intraocular lens implants have been performed for more than 50 years.
Collagen Cross-Linking (CXL)
How does cross-linking work?
Kerataconus is a progressive disease of the cornea leading to increasing myopia (nearsightedness) and astigmatism (a football shaped cornea), corneal thinning and bulging of the cornea.
Corneal cross-linking (CXL) can halt the progression of kerataconus, improve the shape of the cornea and stiffen the cornea that has been weakened by kerataconus. CXL is a minimally invasive outpatient procedure that combines the use of Vitamin B2 eye drops and ultra-violet (UV) light.
Normal corneas have strong cross-links between their collagen fibers that allow them to maintain a normal shape. If you have kerataconus, your cornea has too few cross-links or support beams. The cross-linking procedures simply adds cross-links or “cross-beams” to your cornea. This makes it more stable and potentially improves focusing power. These new cross-links also help strengthen your cornea, which stops the thinning process and limits further vision loss.
Is cross-linking right for me?
Early treatment for keratoconus is necessary to prevent progression. While the patients that benefit the most from crosslinking are in their teens or twenties, any patient that demonstrates active disease with progressive thinning can benefit. CXL is a treatment to consider if you are in one of the following categories:
- You have been newly diagnosed with keratoconus. The earlier you have the treatment, the earlier you have the potential of stopping your disease from progressing.
- You have been living with keratoconus—even if you are getting good vision with contacts. Your disease may very well be progressing despite good vision or comfortable contact lens wear. Any progression is irreversible, and CXL is the only procedure that can stop the progression of the disease.
INTACS® For Keratoconus
NVISION® is one of the leaders in keratoconus care and surgery. Most importantly, our surgeons are keratoconus surgery pioneers and they thoroughly analyze your unique condition to develop a personalized treatment approach.
How do INTACS® work?
INTACS® corneal inserts are used in altering the optics of the eye for patients with keratoconus in cases where contacts and glasses are no longer achieving acceptable vision.
INTACS® work by flattening the steep part of your cornea to bring it closer to its original dome shape. This change in shape helps reduce your vision distortions. Combined with corneal cross-linking which strengthens your cornea and helps prevent disease progression, INTACS® can help normalize the shape of the cornea.
What conditions does oculoplasty treat?
Some medical conditions commonly treated with oculoplasty include:
- Skin cancers or other growths in or around your eyes
- Eye problems caused by thyroid disease
- Weakness around your eyes or eyelids caused by Bell’s Palsy
- Eyelids that turn inward (entropion) or outward (ectropion)
- Droppy upper eyelids (ptosis)
- Excess skin and aging changes around the eyes
Oculoplasty can also be used to treat injuries to your eye or eye area as well as eye-related birth defects.
What are oculoplasty’s cosmetic applications?
In addition to medical conditions, oculoplasty is also commonly used for cosmetic purposes, like repairing sagging or drooping eyelids (eyelid lifts) and improving the appearance of wrinkles in the forehead and between the eyes (forehead lifts).
Why NVISION® instead of a traditional plastic surgeon?
We tend to understand eyes better than general plastic surgeons, and have more respect and understanding of the importance of the function of the eyelids as related to your eyes and vision.
We often express to our patients, “the eyelids are the windshield wipers to your eyes, and we need to respect the importance of preserving that function.”
How does age affect the appearance of my eyes?
As we mature, the delicate skin around the eyes can appear puffy, saggy, or droopy. Our eyelid skin stretches and the muscles around the eyes weaken. Not only will this natural aging process affect how your eyes look, it can also affect your general vision, making it harder to do the things you love.
How is laser surgery different than other surgical procedures?
Most surgery centers utilize the scalpel method, leading to more bruising and swelling. We utilize the CO2 laser; an advantage because:
- The laser provides unparalleled precision
- The laser cauterizes blood vessels along the way, giving the surgeon improved visibility into the aesthetics of the procedure
- Significantly less bruising because the blood vessels are more effectively cauterized and healing begins immediately
Am I a good candidate for BOTOX®?
If you’re over the age of 18 and have wrinkles located around or between the eyes, on your forehead, or on your neck, then BOTOX® might be the right solution for you.
What else can BOTOX® treat?
In addition to cosmetic applications, BOTOX® can relieve the symptoms of cervical dystonia in adults, strabismus (an eye muscle problem that causes the eyes to turn inward or outward), migraines and blepharospasm (uncontrollable tightening of the eyelid muscles that may cause blinking, squinting, and abnormal eyelid movements). It can also control upper limb spasticity (increased muscle stiffness) in the elbow, wrist, and fingers of adults.
How long will the effects of BOTOX® last?
Regular treatment is needed to maintain the effects. You can receive injections every 3 to 4 months, as long as you do not have any serious allergic reactions or other significant side effects. If you are using BOTOX® to treat other conditions such as blepharospasm or strabismus, you may receive additional injections, depending on your condition and on how long the effects of the treatment last.
Am I a good candidate for LATISSE®
LATISSE® is not approved for people under the age of 18. Also, it is not recommended for women during pregnancy or women who are breastfeeding.
You are not a good candidate:
- If you are currently taking a prostaglandin analog, concurrent use of LATISSE® may interfere with the desired IOP-reducing effect.
- If you have intraocular inflammation (uveitis)
- If you have risk factors for macular edema
Always consult your ophthalmologist before using LATISSE®.
How do I use LATISSE®?
When using LATISSE®:
- Remember that it is a prescription drug, and not to be used by anyone other than the person it is prescribed to
- Always carefully follow the package insert instructions
- Never reuse the single-use applicator or contaminate the bottle by allowing the tip to come into contact with any other surface
- Always take your contacts out before application, and reinsert 15 minutes after
How long will the effects of LATISSE® last?
Once you discontinue the use of LATISSE®, lash length, thickening, and darkening will revert back to pre-medication appearance.
Dry Eye Treatments
Who is at risk for dry eye?
People who suffer from dry eye often include those who:
- Wear contact lenses, especially for prolonged periods of time
- Are taking medications such as antihistamines or birth control pills
- Are over 50, especially women going through menopause
- Have specific diseases such as Sjogren’s Syndrome, rheumatoid arthritis and collagen vascular disease
- Have eyelids that do not close properly due to structural abnormalities
- Live in dry climates
Does pterygium require surgery?
Pterygium that causes mild inflammation can usually be treated with steroid drops, eye drops, or a prescribed ointment. But once the pterygium growth threatens or interferes with your vision, the pterygium must be surgically removed.
Is pterygium surgery permanent?
Unfortunately, the recurrence of pterygium is a possibility, but the technique used by NVISION® surgeons reduces that risk significantly. The risk can also be greatly diminished by protecting your eyes from the sun. Eye protection from dust and wind is also strongly recommended to avoid future irritation. However, there is always the possibility that the pterygium might recur.
Implantable Miniature Telescope
What is macular degeneration?
Age-related macular degeneration (AMD) is a deterioration or breakdown of the eye’s macula, the light-sensitive tissue lining the back of the eye. The macula is responsible for your central vision, allowing you to see fine details clearly.
Many people develop macular degeneration as part of the body’s natural aging process. There are different kinds of macular problems, but the most common is age-related macular degeneration.
Am I a good candidate for IMT?
- Be at least 65
- Have stable AMD
- Not currently undergoing active injection or laser treatment
- Have not had cataract surgery
What is glaucoma?
Glaucoma is a serious eye disease that can lead to permanent damage to your optic nerve and result in permanent blindness. Glaucoma often starts with unnoticeable blind spots in the visual periphery, then when advanced can lead to tunnel vision, and finally blindness. There is a known relationship between diabetes and open-angle glaucoma (the most common type of glaucoma). Early detection of glaucoma is vital if an eye surgeon is to successfully treat the condition, and most optometrists check for glaucoma during regular eye exams.