LASIK eye surgery is a safe and effective treatment which can help lessen a patient’s need for glasses or contact lenses. LASIK is a great option for many patients who are myopic, hyperopic, and who have an astigmatism. LASIK surgery cannot treat patients who are presbyopic. Depending on your exact prescription, Dr. Kraff can sometimes perform what’s known as monovision LASIK. With monovision, Dr. Kraff is correcting your dominant eye for distance and under-correcting your non-dominant eye for near. Together, with both eyes open, a patient can maintain good distance vision, while maintaining some near vision. Please note that monovision doesn't get a patient out of readers completely, but helps to lessen their day-to-day dependency on them. If a patient is only presbyopic, with no other type of refractive error, monovision LASIK may not be an option for them.
Presbyopia, also known as age-related farsightedness, is the normal aging process of the eye. We are all born with a lens that sits behind the colored part of our eye. This lens is attached to muscles and depending on where we hold an object, those muscles contract to adjust the lens and bring an image into focus. As we age, the muscles lose their elasticity and no longer adjust the lens. To accommodate for this, a patient must start wearing reading glasses to help magnify the image they are trying to see up close.
In LASIK surgery, a LASER is removing a microscopic amount of tissue from the cornea. By removing tissue from the cornea, the light that passes through the eye can better focus on the retina. When someone is presbyopic, the issue is not because the light isn't focusing correctly on the retina. The issue is that the muscles inside of the eye are no longer adjusting the lens to bring a near object into focus. Although LASIK alone cannot treat someone who is solely presbyopic, sometimes if a patient has a small refractive error, they could qualify for monovision laser surgery. With Monovision, Dr. Kraff is setting 1 eye for distance and 1 eye for near. Together with both eyes open, a patient maintains good distance vision in addition to more functionality at near. Multifocal laser surgery and IntraCor laser surgery are treatments currently not approved by the FDA but are looking to help patient’s lessen their dependence on reading glasses.
Presbyopia is the normal aging process of the eye where the muscles inside of the eye are no longer contracting to bring near images into focus. Patients who are hyperopic have difficulty seeing because the light that travels through the eye is hitting behind the retina (instead of on the retina). This is the result of their cornea being flatter than normal.
If you qualify for Monovision LASIK to help treat your presbyopia then you will need to first have a dilated pre-op exam. At this appointment, a series of measurements will be performed to get a more in-depth understanding of your specific structural characteristics.
On the day of surgery, you should expect to be in the office for about 2 hours and you’ll need a way of getting home without driving yourself. LASIK is a 2 step process. In step 1, Dr. Kraff will use a LASER to create a thin flap on the surface of the cornea. Once created, Dr. Kraff will then lift the flap, and use another LASER to remove a microscopic amount of tissue from the cornea. This treatment is a matter of seconds and a patient will have no pain or discomfort while the LASER is treating. Once completed, Dr. Kraff will realign the flap, ensuring it goes back in the exact spot it was before the treatment started.
Within 24 hours patients have a highly functioning vision and can go back to most of their normal day to day activities. There are some post-op restrictions which will be gone over with you immediately after the procedure.
The best way to determine if surgery is an option is to come in for a no cost, no obligation, consultation. If a patient is purely presbyopic, with no other refractive error, then they may not qualify for a monovision treatment.
Dr. Kraff has been performing LASER eye surgery for the past 3 decades. Dr. Kraff was a part of the initial 1991 FDA clinical study which helped to get LASIK approved in this country in 1997. Having performed over 70,000 procedures, you will not find a more skilled and qualified surgeon than Dr. Colman Kraff.
Presbyopia cannot be reversed, however, as you continue to age the muscles inside of the eye will continue to lose their elasticity requiring a patient to need some additional help to focus on near tasks, i.e. reading glasses.
LASIK eye surgery is one of the most performed elective procedures done throughout the world. Although extremely safe, all surgeries come with some level of risk. Dr. Kraff will go over risks in more detail when you’re here for your initial consultation.
If a patient qualifies for a Monovision LASIK procedure and is not purely presbyopic, then the average cost of surgery is between $2200 and $3200 per eye.
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