There is perhaps nothing more important in the LASIK eye surgery process than determining your candidacy. Your candidacy begins with a thorough eye health evaluation to check the overall health of your eye as well as the corneal thickness and shape.

During your initial screening, we will examine your eyes and perform comprehensive testing to make sure that LASIK eye surgery is the right procedure for you. A medical and eye history will be taken and several tests will be performed, including dry eye testing, visual acuity, refractive error, screening visual field, pupil size, eye pressure, general eye health and a detailed corneal evaluation (thickness and shape). Dr. Ginsberg is not only an experienced LASIK and refractive surgeon but also a fellowship trained cornea specialist. This specialty makes him the best type of ophthalmologist to determine who is the right candidate for LASIK and who is not. If you are not an appropriate LASIK candidate and still desire freedom from spectacles and contact lenses, he will guide you as to which of the alternative procedures can help you to achieve your visual goals.


Advanced Surface Ablation (ASA or flapless LASIK or PRK)

Advanced Surface Ablation or PRK is a type of refractive surgery done to correct refractive errors similar to LASIK.

ASA was the first type of excimer laser eye surgery for vision correction and is the predecessor to the popular LASIK procedure. Though ASA recovery takes a bit longer than recovery from LASIK eye surgery, it is still commonly performed and offers advantages over LASIK for some patients.

The best candidates are those who choose not to have LASIK or those in which LASIK flap creation should be avoided. These patients also have refractive error such as myopia (nearsightedness), hyperopia (farsightedness) and astigmatism. Like LASIK and other types of laser eye surgery, ASA works by reshaping the cornea using an excimer laser, allowing light entering the eye to be properly focused onto the retina for clear vision. The main difference between ASA and LASIK is that in LASIK surgery a thin, hinged flap is created on the cornea to access the treatment area, whereas in ASA the cornea's entire epithelial (outer) layer is removed to expose the area and no flap is created. For both ASA and LASIK, the excimer laser then sculpts the cornea to correct your refractive error.


Implantable Contact Lens (ICL)

The Implantable Contact Lens is a thin lens similar to a contact lens that goes inside the eye to correct  for mild to severe myopia (nearsightedness). The implantation procedure for the Visian ICL involves a procedure similar to that of cataract surgery. A tiny biocompatible lens is implanted into the eye. The ICL then does the focusing. The main difference is that, unlike cataract surgery, the Visian ICL procedure does not require the removal of the eye’s natural, crystalline lens.

Many vision correction procedures promise an improved level of vision, but few vision correction alternatives offer the quality and features found with the Visian ICL. Namely: it does not cause dry eye syndrome; it provides sharp, clear vision with great depth and dimension; it provides excellent night vision; it is great for patients with thin corneas and there is UV protection built right into the lens.

It is a quick, 15 minute procedure that provides crystal clear vision and allows patients to resume their normal activities the following day. Dr. Ginsberg is one of the few surgeons on the west coast of Florida approved to do this surgery.


Refractive Lens Exchange (RLE) or Clear Lens Exchange (CLE)

Advancements in cataract surgery have led to new technology in lens replacement surgery designed to correct refractive error. As a result, Refractive Lens Exchange is very similar to cataract surgery, but has multiple benefits that extend well beyond. RLE is a vision correction surgical procedure intended to reduce or eliminate the need for glasses or contacts for people over the age of 40. RLE may be a better procedure for someone who is considering LASIK, but might be over the age of 40 years old.

For individuals over 40 who are considering refractive surgery to decrease dependence on glasses and contact lenses, RLE is an excellent option worthy of serious consideration. Like cataract surgery, this procedure involves removing the natural lens of the eye and replacing it with an intraocular lens (IOL) implant; such as a monofocal IOL, a multifocal IOL, a toric IOL, or an accommodating IOL.

Other types of refractive surgery, such as LASIK or ASA, accomplish good vision by changing the shape of your cornea. Unlike these other refractive procedures that change the shape of the cornea, RLE corrects vision by removing the natural lens in the eye and replacing it with a new artificial lens of a different focusing power. This is exactly the same process used during cataract surgery. Cataract surgery is currently one of the top procedures reimbursed by Medicare and millions of cataracts are removed every year. Advantages of RLE include: very fast recovery, excellent outcome predictability, superior quality of vision, may be better than LASIK for people over 40 years old and similar procedure to cataract surgery.

LASIK

LASIK eye surgery is a common procedure that corrects certain vision problems such as myopia (nearsightedness), hyperopia (farsightedness) and astigmatism. It is intended to eliminate the need for eyeglasses or corrective lenses. LASIK eye surgery is the most common type of refractive surgery. Refractive surgery changes the shape of your cornea to correct your vision. This procedure can be quite effective, and has very few side effects. LASIK is a great option for many individuals considering laser vision correction for a variety of very personal and professional reasons. The lifestyle benefits can be tremendous for active and social people. These benefits can enable people to more freely pursue their hobbies, sports activities or career options.

LASIK & Vision Correction Center

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