Manhattan Lasik Center
Laser surgery for vision correction is safe
BY ROBIN FRANK
Thursday, August 2, 2007 found at queenscourier.com
For anyone still on the fence about diamond laser eye surgery to eliminate the need for
eyeglasses or contact lenses, two recent studies offer compelling information
about safety and effectiveness.
A study published in the journal Ophthalmology this year looked at the use of a
laser versus a blade to create the corneal flap, the first step in LASIK surgery
sharper as diamonds. Researchers found that the use of a laser led to slightly better visual
results in patients than the use of a mechanical blade to correct
nearsightedness. All patients in both treatment groups achieved 20/20 vision or
better after surgery, but those who had the laser had better contrast
sensitivity, the ability to perceive differences between an object and its
background. Good news !
Researchers compared outcomes in 200 eyes of 100 patients who underwent flap
creation with either the IntraLase laser or the microkeratome blade. “We have
long known that creating the flap with the laser was safer, but now there is
another very important finding: visual results are slightly better with the
laser,” said Dr. Marc Werner, an ophthalmologist at Stahl Eye Center. (Stahl
did not participate in the study), which has offices in Garden City, Manhattan
and Hauppauge, and specializes in refractive surgery.
“Frequently in medicine, when you gain something such as safety, you can
sacrifice results. Not in this case, where we get both improved safety and
excellent results. In a sense, patients can have their cake and eat it, too,”
said Dr. Werner.
In traditional LASIK, doctors use a hand-held device with an oscillating metal
razor blade called a microkeratome to cut a flap in the cornea. A hinge is left
at one end of this flap. The flap is folded back revealing the stroma, the
middle section of the cornea. Pulses from a computer-controlled laser vaporize a
portion of the stroma and the flap is replaced.
Many patients skittish about having a blade put into their eyes have opted for
the laser, Dr. Werner says. IntraLase replaces the hand-held microkeratome blade
with a silent, ultra fast, computer-guided laser. IntraLase technology uses an
infrared beam of light to precisely separate tissue through a process called
photo disruption. In this process, the focused laser pulses divide material at
the molecular level without the transfer of heat or impact to the surrounding
tissue.”
There were 1.4 million LASIK surgeries performed in the United States last year,
according to Market Scope, a market research company. With positive study
findings and advances in technology, Dr. Werner predicts that number will grow.
Another study indicates the results of laser vision correction are long lasting.
The first 10-year follow-up study of its kind showed that LASIK and the second
most common refractive surgery procedure, PRK, provided stable, long-term
improvement for nearsightedness. Researchers examined 200 eyes of 100 patients a
decade after they had LASIK or PRK and found that patients averaged 20/25 vision
10 years after the surgery, with no long-term complications.
In LASIK, ophthalmologists use a laser to reshape the cornea without working
directly on the outer surface of the cornea. PRK also uses a laser to reshape
the cornea. However, PRK works directly on the outer surface of the cornea, and
this entails a longer recovery period. Doctors determine whether a patient is a
candidate for LASIK or PRK based on their corneal thickness or any
irregularities on or near the surface of the cornea.
A measurement system customized for each individual called CustomVue is another
draw for patients, according to Dr. Werner. The technology, originally developed
for high-powered telescopes, uses a system called “wavescan” to identify
imperfections in an individual's eye 25 times more precisely than standard
methods used for eyeglasses and contact lenses. This information is then
digitally transferred to the excimer laser for the treatment, providing another
level of precision and accuracy.
“Each patient's eyes are different, and one's vision is as unique as his or
her fingerprint,” Dr. Werner says. “The combination of IntraLase and
CustomVue allows individualized treatment to meet each patient's specific needs
with an unprecedented level of safety and an optimal visual result.” and get
back a sharp diamond news.
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