Risks of LASIK Eye Surgery: An Informed Perspective

March 28, 2022/in Optical /by Carolina Clavijo

In recent years, the appeal of seeing the world without the aid of glasses or contact lenses has grown exponentially. One method, LASIK eye surgery, has emerged as a leading solution for many eager to correct their vision problems. For countless individuals, the dream of waking up with perfect vision is no longer a far-off fantasy but a reality within reach, thanks to LASIK.

But like any surgical procedure, potential candidates for LASIK surgery must be aware not just of its benefits but also its risks. It’s a decision that can change your life, and while many have experienced the positive, life-altering results of LASIK, it’s crucial to approach this decision with a full understanding of the potential risks and side effects.

At Visionary Eye Doctors, we understand this concern and are happy to guide our patients through both the pros and cons of all our procedures to help them feel as comfortable as possible. In this blog, we’ll review the complications associated with LASIK and how to tell if it is right for you.

Understanding LASIK

Before diving into the potential risks associated with LASIK, it’s essential to have a clear understanding of the procedure itself and the technology involved.

LASIK has become a commonly performed procedure since it was approved by the Food and Drug Administration in 1999. LASIK, which stands for Laser-Assisted In Situ Keratomileusis, is a type of refractive surgery designed to correct vision problems such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. The procedure primarily involves reshaping the cornea, which is the clear front part of the eye, to allow light entering the eye to be properly focused onto the retina for clearer vision.

This refractive procedure typically starts with the creation of a thin corneal flap. This is achieved using a femtosecond laser. Once the flap is created, it’s gently lifted to expose the underlying corneal tissue. An excimer laser is then used to delicately reshape the cornea. After the desired reshaping is achieved, the corneal flap is repositioned, which naturally adheres without the need for stitches.

You might wonder, “How does LASIK differ from other vision correction procedures?” One common alternative to LASIK is photorefractive keratectomy (PRK). While both involve reshaping the cornea with an excimer laser, PRK doesn’t involve creating a corneal flap. Instead, the outer layer of the cornea is removed, and the reshaping occurs on the surface.

The procedure takes just a few minutes, but its results can have a tremendous impact on the quality of life for those suffering from nearsightedness, farsightedness, and astigmatism.

Accuracy, precision, and expertise are paramount when it comes to LASIK. The technology behind it is groundbreaking, but it’s the surgeon’s skill that plays a significant role in ensuring a successful outcome and minimizing potential complications. For this reason, picking the doctor is extremely important in reducing this surgery’s risks.

That said, LASIK is not for everyone. Every surgical procedure, even one as common as LASIK, has its risks. Although most patients are pleased with the results of their laser vision correction surgery, it’s important to weigh the chance of experiencing complications against the benefits of the procedure.

Potential Complications

Every medical procedure, from the simplest to the most complex, comes with its own set of potential risks and complications. LASIK, despite its widespread success and technological advancements, is no exception.

Many of the risks you hear about in connection with LASIK are just temporary side effects that often resolve themselves within a few months of the procedure. This can include visual symptoms like mild to severe dry eye, halos, glare, starbursts, and double vision. These are common while your eyes fully heal, and your surgeon should be able to ease the symptoms with eye drops.

Other, sometimes more serious potential complications, can occur. These can include:

Dry Eye

One of the most common side effects post-LASIK is dry eye. The procedure can temporarily decrease tear production, causing discomfort and even double vision in some cases. While artificial tears and medications can alleviate these symptoms, for some, this condition might persist.

Vision Issues

In certain scenarios, LASIK might result in under-corrections or over-corrections. This means that the desired visual acuity isn’t achieved in one go, necessitating additional procedures. There’s also a chance of experiencing glare, halos, or starbursts in low-light conditions, especially during nighttime.

Flap Complications

The creation of the corneal flap is a crucial step in the LASIK procedure. If issues arise with the LASIK flap, such as it not adhering properly or being infected, it can lead to additional complications. One such example is Keratitis which is the inflammation of the cornea.

Refractive Errors

Post-operative refractive errors, like astigmatism, can be introduced or may not be fully corrected during the LASIK procedure, resulting in blurry vision. Sometimes, corrective lenses may still be required after the surgery.

Rare but Serious LASIK Complications

Rare cases like retinal detachment, corneal epithelium issues, and even vision loss can occur. Such serious complications emphasize the importance of thorough consultations and choosing skilled surgeons.

Drawing from statistics and draft guidance provided by the drug administration, it’s important to note that a significant majority of LASIK patients experience successful outcomes with minimal complications. The keyword here is ‘majority’. While the procedure has a high success rate, individual experiences vary.

Who Should Not Have LASIK?

Your risk factor for these serious complications dramatically increases if you are not a strong candidate for the LASIK procedure in the first place, so it’s important to review your health history with your surgeon ahead of time.

The following patients should not have LASIK:

Those with collagen vascular disease

Those with autoimmune or immunodeficiency diseases

Patients with signs of keratoconus or abnormal corneal topography

Women who are pregnant or nursing

Patients who are taking the medications isotretinoin (Accutane™) or amiodarone hydrochloride (Cordarone™)

If your consultation reveals that you are not a good candidate, there are several LASIK alternatives that could be a better fit. This includes photorefractive keratectomy, clear lens exchange, and implantable contact lenses. Visionary Eye Doctors has experts in all these areas and will evaluate you to determine the right path for your optimal vision.

Know Your Risk Beforehand

The most critical way to optimize your LASIK results is by choosing the right doctor. Always choose a board-certified LASIK surgeon, and set up an initial consultation to determine your candidacy and the potential for complications.

The experts at Visionary Eye Doctors take this step seriously and conduct a thorough diagnostic eye exam that evaluates:

The shape and thickness of your cornea
Your refractive errors and pupil size
The moistness of your eyes (to check for dry eye syndrome)
Your general health and medical history
Any medications you are taking

Understanding the risks of LASIK eye surgery underscores the paramount importance of choosing the right professionals to handle such a life-changing procedure. For residents of the DC and Maryland metropolitan area, Visionary Eye Doctors has emerged as the leading provider of reliable eye care.

Feel Confident With Visionary Eye Doctors

Your safety is our top concern at Visionary Eye Doctors. We take every precaution possible to protect your vision while helping you regain your quality of life.

Count on our board-certified LASIK experts to:

Evaluate your eye health
Explain your treatment options
Answer any questions
Provide expert follow-up care

For many, the LASIK procedure starts a new chapter—a life free from the constraints of glasses or contact lenses. Whether it’s the simple joy of participating in normal activities with clear vision or the freedom to partake in new adventures, the potential benefits are transformative.

The decision to pursue LASIK eye surgery is deeply personal. It weighs in the desire for clear vision with the reality of potential risks. But with the right information and the trusted partnership of a dedicated team like Visionary Eye Doctors, the journey can be one of clarity, confidence, and transformation.

Choosing a skilled and experienced LASIK eye surgeon can reduce risk and enable you to achieve the best possible results from laser eye surgery. To schedule a consultation with our refractive surgeon and discuss if LASIK is right for you, contact Visionary Eye Doctors at (301) 591-1763.

Why Is Pterygium Called Surfer’s Eye?

January 18, 2022/in Optical /by Carolina Clavijo

Closeup of a patient's eye with a pterygium

If you spend a lot of time outdoors or on the water, you may have heard the term “surfer’s eye.” This refers to a condition known as pterygium, a noncancerous growth that can cause irritation and blurred vision. Despite its nickname, pterygium does not only affect surfers or those who spend a lot of time in the ocean. The main culprit is excessive exposure to bright sunlight. Exposing your eyes to significant amounts of UV light from the sun puts you at high risk for developing a growth (light reflected from the ocean is what sparked the “surfer’s eye” moniker). Additionally, long-term exposure to windy conditions is also thought to be a cause.

More people than just surfers or those who embrace an outdoor lifestyle are at risk of developing this impairment, so it’s important to understand the broader implications. Pterygium is often associated with environments that are harsh on the eyes, not limited to just aquatic surroundings. Those living in high-altitude areas or places with strong winds and dusty conditions may also be more susceptible. It’s a reminder that our eyes are sensitive to a variety of environmental factors, not just water and sunlight.

Recognizing the risk factors beyond the stereotype of the surfer’s lifestyle highlights the importance of eye protection in diverse settings. Whether you’re a mountain biker, a skier, or someone who enjoys long hikes in sunny locales, safeguarding your eyes against the elements is crucial. This broader understanding of pterygium challenges the misconception that it’s a condition exclusive to certain groups and emphasizes the need for universal eye care practices.

Symptoms of Surfer’s Eye

Often shaped like a wedge, a pterygium is a non-cancerous growth of a mucous membrane filled with blood vessels that cover the white part of your eye (sclera) over the cornea. Though this is a non-cancerous growth but can cause a range of irritating side effects. While it isn’t life-threatening, its impact on one’s vision and eye comfort can be significant.

Symptoms of pterygium include:

Redness and irritation: This is one of the most common symptoms. The affected area can become inflamed, leading to noticeable redness and in some cases, severe discomfort.
Dryness or a gritty feeling: Many people with pterygium experience a foreign body sensation similar to having something stuck, often described as gritty or sandy.
Blurred vision: As the pterygium grows, it can encroach upon the cornea, the eye’s clear front surface, leading to blurred vision. This is due to the irregular surface it creates on the cornea.
Double vision: In more advanced cases, the growth can alter the shape of the cornea to such an extent that it causes double vision or astigmatism.
A noticeable growth that affects sight: The physical presence of the pterygium, especially when it extends over the cornea, can obstruct one’s line of sight.

Even in mild cases of pterygium, the primary concern for many individuals is often cosmetic reasons, particularly the appearance of a yellowish patch or growth on the white part of the eye. This discoloration or noticeable growth, although it might not impede vision or cause physical discomfort significantly, can still be a source of self-consciousness or distress for individuals. The presence of this visible irregularity on the eye can affect one’s appearance and, by extension, their social confidence and psychological well-being. Therefore, it is entirely justified for individuals to seek medical help for pterygium, even if their concerns are primarily aesthetic. Eye specialists understand the impact of such conditions on a person’s quality of life and can offer solutions that address both the physical and cosmetic aspects of the condition. In this context, seeking medical intervention for even seemingly minor cosmetic issues is an important step in preserving not only eye health but also personal comfort and self-esteem.

If left untreated, pterygium can spread across the rest of your cornea, so it’s important to have it looked at by a professional during the early stages.

Pterygium Treatment Options

Given its appearance of a wedge-shaped bump, a pterygium is fairly straightforward to diagnose. An eye doctor will be able to determine its presence with a simple examination under bright lighting.

Eye Drops

If the pterygium is not causing vision problems or creating discomfort, it can be left untreated. However, if it is having those effects, you have a couple of treatment options. Over-the-counter artificial tears can help reduce inflammation and reduce redness. In more extreme cases, steroid eye drops may be prescribed to treat irritation.

Pterygium Surgery

Surgical removal is also an option if the eye drops are inadequate or vision becomes more impaired. The surgery, which shouldn’t cause any pain, removes the pterygium from the cornea and sclera of the eye. Performed under local anesthesia, the affected area is then covered with a small tissue graft to aid in healing. Most patients can resume normal activities within a few days to a week after pterygium surgery, depending on individual healing.

Not Just for Surfers – How To Decrease Your Risk

While common in surfers due to the high exposure to UV light, this condition can also be caused by regular contact with harsh elements like sand, smoke, wind, pollen, or chemicals. As a result, people who live or work in warm, sunny environments — such as farmers, landscapers, and construction workers — are most likely to experience symptoms. Thankfully, it is rarely seen in children.

The good news is that there are several ways to protect yourself from pterygium, even if your job or lifestyle requires significant time outdoors. Try these preventative steps:

Don’t trust any old sunglasses. Make sure you are wearing a pair with proper UVA/UVB protection to limit the sun’s impact.
Eye Protection such as goggles or a face shield can help keep dusty conditions and other irritants at bay.
Wear a wide-brimmed hat for extra protection, especially when on the water.

Prioritizing Eye Health in the Fight Against Pterygium

Understanding that “surfer’s eye,” or pterygium, is more than just a concern for those who hit the waves, it’s essential for everyone to take proactive steps in eye care and protection. This condition, marked by a benign growth on the eye, serves as a reminder of the vulnerability of our eyes to environmental elements like UV rays and wind. Symptoms can vary from mild, such as a yellowish discoloration, to more severe cases involving vision impairment.

Therefore, whether you’re a surfer, an outdoor enthusiast, or someone who spends considerable time in harsh environmental conditions, prioritizing eye health is crucial. Consider scheduling regular eye check-ups, especially if you experience any symptoms of pterygium. Embrace protective measures like wearing sunglasses with proper UVA/UVB protection, using eye protection in dusty or windy environments, and donning wide-brimmed hats for additional shade.

Taking these preventative steps not only safeguards your vision but also ensures that you continue to enjoy your outdoor activities with peace of mind. Remember, eye health is an integral part of overall well-being, and taking action today can prevent complications tomorrow. Don’t wait for symptoms to escalate – be proactive in protecting your eyes from the elements.

And remember, if you are ever concerned about a possible pterygium growth on your eye or your risk for developing one, Visionary Eye Doctors is here to help. Book an appointment online to consult with one of our expert technicians.

Article reviewed on 11/26/2021 by:

Dr. J. Alberto Martinez

Founder and CEO of Visionary Eye Doctors

Dr. J. Alberto Martinez is a board-certified ophthalmologist that has performed more than 11,000 pterygiectomies, with an astoundingly low recurrence rate of less than 1%. This is one of the largest volumes of pterygium surgeries and lowest recurrence rates, placing Dr. Martinez as a pterygium “Top Surgeon” internationally. Dr. Martinez maintains a research fellow focused on pterygium. He has published and presented numerous studies nationally and internationally to share his expertise regarding pterygium.

Colorblind Glasses & Contacts

December 20, 2021/in Optical /by Carolina Clavijo

Those living with colorblindness, or color vision deficiency, face challenges in everyday activities that most people take for granted. The inability to differentiate colors has a constant impact from driving to shopping for clothes.

While there is no cure, visionary experts have developed a new way to alleviate the condition. Keep reading to learn how innovative glasses and contacts are changing the way the colorblind see the world.

Different Types of Colorblindness

Generally, an inherited condition, colorblindness affects an estimated 300 million people worldwide. There are seven different types, but red-green colorblindness is the most common form. Many colorblind people also have trouble seeing blue and yellow, and in extreme cases, no colors are seen at all.

The trouble differentiating between colors often results in people developing their own ways of compensating, whether by telling them apart by brightness, timing, location, or even using an app. But now, researchers have come up with a far more accurate and practical solution.

New Options for the Colorblind

Colorblind glasses have specially tinted lenses that help a colorblind person see colors more accurately. The tints are based on the type and level of colorblindness. For example, red-tinted glasses can aid in distinguishing between shades of red and green. They tend to be bulkier than your average reading glasses and can come in both prescription and nonprescription lenses.

Another option is innovative contact lenses infused with gold — yes, gold! Gold nanoparticles help scatter light and are used in various ways across biomedicine and technology. In this case, tiny gold particles are mixed with a hydrogel polymer (a soft and flexible material ideal for contact lenses) to create rose-tinted molds that filter light when red and green overlap.

Both gold-infused contacts and tinted glasses can provide similar levels of effectiveness.

How They Work

Cone photoreceptors within the eye’s retina are what make color vision possible. Abnormal overlapping response to light by different cone cell types (those usually sensitive to red or green lights) causes most color blindness.

To offset this abnormality, colorblind glasses filter wavelengths of light where the overlap occurs. This allows the brain to distinguish red wavelengths from green more accurately, thus resulting in better color perception.

It’s important to understand that colorblind glasses are not a cure, nor do they entirely create normal color vision. But they can allow individuals with color impairments to see colors they’ve never seen before through revolutionary technology.

Visionary Eye Doctors is proud to offer options for our colorblind patients and is committed to educating the community on evolving treatments. Keep updated with our blog for the latest industry news and visionary advancements. You can also schedule an appointment online.

PRK Surgery Recovery Timeline

November 30, 2021/in Optical /by Carolina Clavijo

Imagine life without blurry vision, contact lenses, or glasses. Photorefractive keratectomy, better known as PRK, has become a popular alternative vision correction surgery for those who are not a good fit for LASIK surgery. This is a type of laser eye surgery involving reshaping the cornea so that light entering the eye is focused on the retina to produce clear images.

What is PRK Surgery

In PRK surgery, the entire outer layer of the cornea called the epithelium, is completely removed to uncover the surgical site. This contrasts with LASIK, where a thin, movable flap is made in the cornea and delicately put back in its original place after the procedure. Like LASIK, PRK surgery employs a computer-guided excimer laser to shape the cornea and rectify the refractive error.

The results are life-changing. By correcting refractive errors, this surgery can provide clearer vision, allowing you to see the world in detail. The convenience and freedom that comes with being independent of glasses or contact lenses are transformative. Activities that were once a nuisance with glasses and contacts, such as swimming, exercising, or playing sports, become much more enjoyable. The hassle of carrying and maintaining glasses or dealing with the insertion and removal of contact lenses is eliminated, adding a level of convenience and comfort to daily life. Start seeing the world the way you want with PRK surgery.

The PRK surgery itself is usually about 10 minutes per eye and involves numbing drops for a painless experience. But what happens afterward during the healing process? What does the recovery process look like in the following days and weeks? If a PRK surgery is in your future, our timeline will give you a clear idea of what to expect after the PRK procedure.

First Few Days

As with most laser vision correction surgeries, the first few days are the most critical period in the recovery process. With PRK, this is when the epithelium regrows to cover your cornea. To help promote this healing and protect your eyes, your eye surgeon will place a bandage contact lens in your eye. This contact will need to be worn for about five days after your surgery. Healing from eye surgery can be uncomfortable, but it is important to prioritize rest during this period. The hard part, the surgery, is already over so it is time to finish this process strong by correctly completing the recovery process.

During this time, it is normal for PRK patients it also experience:

Sore or scratchy eyes: You must not rub your eyes while they are healing. To manage pain, you can use over-the-counter pain medicine for any discomfort.
Halos or glare around lights at night: An eye mask can be used while sleeping if this is bothersome.
Dryness: If you are experiencing dry eye, you will receive eye drops and artificial tears to keep them lubricated.

Though these symptoms are normal during the first few days, your doctor still needs to closely monitor them. You will need to schedule follow-up visits with your surgeon after your surgical procedure to see how your healing progresses.

Week One

Based on the results of your post-surgery checkup, your doctor will provide you with guidelines to address any complications. PRK specialists know that the recovery process of this surgery is bothersome and want to make sure you are comfortable as you continue to heal.

In general, during your recovery time, you may continue to experience:

Light Sensitivity: Minimize sun and bright light exposure during the first week. It can be boring to sit in a dimly lit room, but it is important to give your eyes a break when healing.
Glare or other night vision issues: Your eyes have a hard time processing light after being operated on. To combat glare and night vision issues, sunglasses may help if you must be out past dark.
Soreness: Remember to avoid rubbing your eyes, so you don’t damage your cornea. Your eyes are susceptible to infection after surgery and you must do your best to not introduce harmful bacteria.

The good news is your eyes will make the most progress during this time, so you should see a dramatic improvement in your visual acuity. Patience is key during this recovery process but the visual improvements you can begin to see during this period will be reassuring and motivating!

Weeks Two to Four

Healing should have progressed enough by this point that you can resume normal activities such as driving and working. Most visual side effects should be gone by now, though occasional glares or halos are not uncommon for the first month. You will likely continue to use prescription eyedrops that keep these symptoms at bay as the corneal tissue heals. However, if you have any concerning or worsening symptoms, you should contact your surgeon.

Around this time, you can also begin to add back activities that were limited in the first week, including wearing makeup or face lotion and getting your hair colored.

For the first couple of weeks you should continue to avoid:

High-impact or contact sports
Swimming or hot tubs
Dusting or working around dirt could affect the cornea’s healing

Though there are still minor activity restrictions during this time, it will be exciting to experience things with this new visual perspective. Just imagine that your first time driving without bulky glasses or looking at your work computer without dry contacts!

Two Months

With two months of healing under your belt, improvements to your vision will be enormous. Side effects will continue to diminish during this time, with halos disappearing and glare becoming less of an issue. Night vision should also improve, though you may still feel occasional dryness.

Though most people are feeling back to normal by this time, don’t feel like you need to be alone during this process. Post-op care is just as big of a priority to PRK doctors as the actual procedure. Keep in close contact with your surgeon so they can let you know how often you need to be seen; based on the progress of your healing.

Six Months

With about half a year of patience and hard work, your life can be completely changed by PRK surgery. By this time, you should have fully recovered and met with your surgeon multiple times to evaluate the procedure’s success. Typically resulting in 20/20 or better vision, PRK surgery can completely take away your need for glasses or contacts!

Begin Your PRK Surgery Process

After you make it through this recovery journey, it is time to begin enjoying life without blurred vision. It is easy to put off vision problems, especially if you were not the right candidate for a LASIK procedure, but now is as good of a time to invest in your health. Visionary Eye Doctors is at the forefront of corrective eye surgery, especially PRK procedures.

Ready to find out if you’re a candidate? Call our office today at 301-896.0890 to schedule a consultation with our expert surgeons. You can also schedule an appointment online.

How To Know if You Need Pterygium Removal Surgery

November 27, 2021/in Optical /by Carolina Clavijo

Closeup of a patient's eye with a pterygium

A pterygium (tuh-RIJ-ee-uhm) is an abnormal growth on the conjunctiva, the transparent membrane covering the eye. It’s also known as “surfer’s eye” because factors such as UV exposure, getting sand in your eyes, and living in a tropical climate increase the risk of developing this condition. Pterygium may look a little strange, but rest assured that it’s not cancer.

If you have been diagnosed with pterygium, it’s essential to begin treatment immediately. If your symptoms are relatively mild, your eye doctor may recommend conservative treatments to manage pterygium without surgery. However, the only way to remove the growth entirely on your conjunctiva is to get pterygium surgery. Here are the factors that play into your decision to have your pterygium surgically removed.

Discomfort

Minor pterygium growth is usually treatable with eyedrops that improve lubrication and reduce redness and inflammation. However, itchiness, irritation, burning, grittiness, and the sensation that something is “in your eye” may persist in severe cases. If you experience constant discomfort despite taking over-the-counter medicine, you have a viable reason to consider pterygium surgery.

Corneal Distortion

Pterygium growth usually begins in the corner of the eye and slowly spreads toward the cornea, the clear surface on the front of the eye. If the pterygium extends onto the cornea, it may distort the shape of your eye and cause a condition called astigmatism. This imperfection of the corneal curve causes blurry vision and may prevent you from wearing your contact lenses. If your pterygium is starting to affect the shape of your cornea, surgery should solve the problem.

Poor Vision

Mild pterygium doesn’t usually affect vision. Typically, the wedge-shaped growth only covers the white of the eye, or it may partially obscure the iris. With conservative treatment, pterygium often stops progressing at this point. However, if the pterygium grows, it may eventually cover the pupil. In addition to potentially distorting the cornea and causing astigmatism, this may lead to obstructed or double vision. If you begin experiencing poor eyesight because of pterygium, it’s time to consider surgery.

Unattractive Appearance

Your eyes are one of the first things people notice about you. If you have a wedge-shaped growth covering the whites of your eyes and part of your irises, you might start feeling self-conscious about the way your eyes look. People may even make remarks or ask questions about your condition, making you even more insecure. Rest assured that pterygium surgery entirely removes the growth in your eyes, leaving you with an excellent cosmetic outcome.

Schedule Pterygium Removal Surgery at Visionary Eye Doctors

Our experienced ophthalmologist, Dr. J. Alberto Martinez, treats pterygium with Advanced Sutureless Amniotic Membrane Pterygiectomy (ASAP™). Dr. Martinez has performed over 12,000 pterygium surgeries with superior patient outcomes and an incredibly low recurrence rate of less than 1%. These factors place Dr. Martinez among the top pterygium surgeons in the world.

The ASAP™ procedure uses an advanced autograft technique and tissue “glue” to deliver no-stitch pterygium surgery. It’s possible to place the tissue adhesive in mere seconds rather than taking minutes to apply stitches. An amniotic membrane is also placed in the eye to aid the healing process and decrease inflammation. The tissue adhesive dissolves in about a week, leaving no residue and allowing the eye to heal comfortably.

For more information about pterygium surgery and other treatment options, please contact Visionary Eye Doctors online or call us at (301) 591-1763. We have three offices in the DC area to better serve you.

Woman holding glasses in front of Rockville, MD Eye Doctor office.

PRK vs. LASIK Process & Recovery

October 30, 2021/in Optical /by Carolina Clavijo

If you’ve been told you’re not a candidate for LASIK, you’re not entirely out of laser eye surgery options. Those who aren’t a good fit for LASIK (Laser-Assisted In Situ Keratomileusis) will most likely qualify for an alternative vision correction surgery such as PRK (photorefractive keratectomy).

PRK is similar surgical procedure to a LASIK, but it corrects different parts of the cornea. It’s not only an alternative for patients with thinner corneas but also for those with dry eyes or diseases of the corneal surface. Keep reading to learn more about this process and what it can offer you compared to LASIK.

What is LASIK?

LASIK procedures begins with the creation of a thin corneal flap in the cornea using either a microkeratome blade or a femtosecond laser. This flap is gently folded back to allow the surgeon to access the underlying corneal tissue. Then, an excimer laser reshapes the cornea in a pre-specified pattern, customized for each patient’s vision correction needs. After the corneal reshaping, the flap is repositioned back over the treated area, where it adheres naturally without the need for sutures.

What Is PRK?

PRK is a refractive surgery that reshapes the cornea with a laser, so the light entering the eye is focused on the retina to produce clear images. This is slightly different compared to LASIK. Both procedures use a laser to clear the outer layer of your eye; LASIK creates a thin flap in the cornea, while PRK removes a cornea layer that grows back over time. This is what makes it a better option for those with thin corneas.

What Does LASIK Surgery Entail?

steps of LASIK diagram

LASIK surgery, a highly advanced and precise procedure for correcting vision, involves several meticulous steps. The process begins with the patient’s eyes being numbed using special eye drops, ensuring comfort throughout the surgery. A device known as a microkeratome or a femtosecond laser is then employed to create a thin, hinged flap on the surface of the cornea, the clear, dome-shaped front part of the eye. This flap is carefully lifted, providing the surgeon access to the underlying corneal tissue. An excimer laser, known for its ultra-precision, is used next to reshape the cornea based on the patient’s unique vision requirements. This reshaping is crucial as it allows light to be more accurately focused onto the retina, resulting in improved vision. Once the cornea is reshaped, the surgeon meticulously repositions the flap back into place, where it naturally adheres without the need for sutures.

The entire procedure is characterized by its speed and efficiency, typically taking only about 20 to 30 minutes for both eyes. With minimal discomfort and a rapid recovery time, LASIK has become a popular choice for individuals seeking to reduce their dependence on glasses or contact lenses.

What Does PRK Surgery Entail?

The Photorefractive Keratectomy (PRK) procedure, while similar to LASIK in its goal to correct vision, involves a distinctly different process, particularly in how it treats the cornea. The procedure commences with the application of numbing eye drops, ensuring the patient’s comfort and eliminating any sensation of pain during the surgery. To prevent any involuntary blinking, a specialized device, known as an eyelid speculum, is gently placed to hold the eyelids open, ensuring a stable and unobstructed surgical field.

Once the eye is prepared, the key differentiator of PRK comes into play. Unlike LASIK, where a thin flap is created on the corneal surface, PRK involves the complete removal of the cornea’s outermost layer, known as the epithelium. This removal is a delicate process, often performed using a precise surgical instrument, alcohol solution, or a specialized brush. The goal is to carefully clear the epithelium to expose the underlying stromal tissue, which is the part of the cornea that will be reshaped.

With the stromal layer exposed, the surgeon then uses an excimer laser to meticulously reshape the cornea. This laser, renowned for its accuracy, emits a cool ultraviolet light beam to remove microscopic amounts of tissue from the cornea. The reshaping is customized for each patient, based on detailed pre-surgery measurements and calculations, to correct refractive errors such as nearsightedness, farsightedness, or astigmatism. By reshaping the cornea, PRK changes the way light rays enter the eye, focusing them properly onto the retina, which results in clearer vision.

After the laser treatment, a bandage contact lens is often placed on the cornea to protect the eye and enhance comfort during the initial stages of healing. The epithelial layer naturally regenerates over the course of several days, gradually healing and covering the treated area.

The entire PRK procedure is relatively quick, generally completed within 15 to 30 minutes for both eyes. It is a preferred method for patients with certain corneal conditions, such as a thinner cornea, where creating a flap, as in LASIK, might not be advisable. While the recovery period for PRK is typically longer than LASIK, with some discomfort as the epithelium heals, the final outcomes in terms of vision correction are comparable, making PRK a valuable and effective option for laser eye surgery.

LASIK Recovery

The recovery from LASIK is relatively quick. Most patients notice improved vision almost immediately after the procedure, although complete stabilization of vision may take a few days to a few weeks. Discomfort is usually minimal and can often be managed with over-the-counter pain relief. Patients are typically able to return to normal activities, including work, within a day or two, although they should avoid strenuous activities and contact sports for a period to prevent any injury to the eyes. Follow-up visits are necessary to monitor the healing process and to ensure the best possible outcome.

How Long Is PRK Recovery?

Recovery time can vary for PRK patients from several days to several weeks, generally longer than a LASIK recovery (which some recover from within a few hours). Eyes may feel sore or scratchy, and halos or glare around lights at night may be an issue for a few days. To help protect your eyes and promote the healing process, your doctor will place a bandage contact lens in your eye.

With both procedures, it’s essential to minimize activity and sun exposure for at least the first week to avoid vision problems. And don’t rub your eyes, which can damage your cornea. Your doctor will review all of these outpatient procedures with you to make sure you’re clear and comfortable.

Why Choose Visionary Eye Doctors for PRK?

Visionary Eye Doctors is proud to offer expert PRK procedures. As a member of the trials that culminated in the FDA approval of PRK, our own Dr. J. Alberto Martinez continues to be an eye surgeon at the forefront of this leading-edge technology.

The first step in determining your candidacy for any procedure is to schedule a consultation and comprehensive eye exam with one of our experienced surgeons. We will establish if PRK is the best path for your long-term visual acuity by utilizing advanced diagnostic technology.

Ready to find out if you’re a candidate? Call our office today at 301-867-7920 to schedule a consultation with our expert surgeons. You can also schedule an appointment online.

Debunking Contact Lens Myths

October 29, 2021/in Optical /by Carolina Clavijo

Imagine a life without glasses: no foggy lenses, no stopping to take them off before a workout, and no anxiety about losing or breaking them. If you wear glasses, you probably agree that those benefits sound pretty good! However, some common myths about contact lenses might be keeping you from making the switch to a simpler form of vision correction. Let’s delve into these misleading myths and learn why contact lenses just might be the change you need.

Myth 1: I’m too old for contact lenses

The only age restriction for contact lenses is whether you’re old enough. In the past, older adults were told not to wear them due to their higher likelihood of suffering from dry eyes or presbyopia (also called aging eye condition). The materials that contact lenses were made from in the past could make these conditions worse. Contact lenses are now made from a variety of materials, and your eye doctor can help you choose the best option for any eye condition you may have. These days, there are contacts specifically made for people who suffer from dry eyes. Some of them even contain added fluid to help moisturize your eyes, which helps to relieve the symptoms of dry eye.

Myth 2: Contact lenses can get stuck behind your eye

This is a scary one! Fortunately, it is not physically possible for a contact lens to get behind your eye. Our eyes are covered by a membrane that connects to the back of our eyelids to prevent anything from going behind the eye. If you can’t find your contact lens, it is most likely hiding under your upper eyelid. A contact lens can get “stuck” in your eye, but it is usually a soft lens and it cannot possibly migrate behind your eyeball. Adhering to proper guidelines for wearing your contact lenses will prevent them from getting stuck.

Myth 3: Contact lenses are too expensive

There are many options when purchasing contact lenses, and you should be able to work with your eye care provider to find one that fits your budget. If you have vision insurance, your policy may cover some or all of the cost of contacts, so be sure to call your insurance company for information. It’s also important to note that glasses require a large upfront investment, while contact lenses are generally a small monthly expense. While the annual cost of contact lenses might be slightly higher than that of glasses, many patients are willing to pay the difference for the freedom that contact lenses offer.

Myth 4: Contact lenses are a lot of trouble to take care of

Modern contact lenses require far less care than their predecessors. For minimal care requirements, you can choose daily disposable contact lenses, which require zero care. Even if you choose reusable contact lenses, most types can be cleaned, disinfected, and stored with one bottle of multiuse contact lens solution. Your eye care provider should instruct you on how to care for the type of contact lenses you choose. Eye infections can be easily prevented by following all instructions for the correct cleaning and storage of contact lenses.

Myth 5: Contact lenses are uncomfortable

While many contacts made 40 to 50 years ago were uncomfortable, modern contact lenses are thin, flexible, and soft. In fact, after a brief adjustment period, most people get so comfortable that they don’t even remember that they are wearing them! If you still experience discomfort after the adjustment period, there are several remedies that can help once your eye care doctor pinpoints the exact cause.

Contact Lens Services in Rockville With Visionary Eye Doctors

If you’re interested in trying contact lenses, we invite you to make an appointment with Visionary Eye Doctors. Our friendly team will help you decide if contact lenses are right for you. If you feel that you’re ready, we’ll work with you to find the best option for your eyes and lifestyle. If you’re nervous about making the change, our patient-centered team will help you test the waters with care and compassion. Nothing is more important to us than your eye health and overall well-being — and that may include beneficial lifestyle changes such as switching to contact lenses.

Call Visionary Eye Doctors at (301) 591-1763 or contact us online today to schedule an eye exam in the Washington, DC, area. We’d love to talk about switching to contact lenses!

Glasses held close to the camera with a man's blurry face behind them

LASIK Recovery Guide

August 15, 2021/in Optical /by Carolina Clavijo

LASIK (Laser-Assisted In Situ Keratomileusis) eye surgery is one of the most common elective surgical procedures in the United States. The procedure usually takes about 10 minutes, and you should see dramatically improved vision in just 12 to 24 hours! Still, your eyes may need up to six months to make a full recovery. Use this LASIK recovery guide so you know what to expect during each phase of the healing process.

What Happens During LASIK Eye Surgery

LASIK is a type of laser vision correction surgery that involves the use of a femtosecond laser to create a precise, thin flap in the cornea, the front part of the eye. This crucial step prepares the eye for the next phase of the procedure, where another laser reshapes the underlying corneal tissue. This reshaping corrects the eye’s focus by improving how light rays are directed onto the retina, enhancing your visual acuity. After the cornea is reshaped, the flap is replaced, healing naturally without stitches. This process significantly improves vision, offering a swift and effective solution for correcting refractive errors.

Immediately After LASIK

The recovery process from laser eye surgery begins right away. Slight swelling may occur, so you may notice foggy or blurry vision or halos around lights, especially at night. These side effects should improve as the swelling goes down within 24 hours, though minor haloing may linger for up to a month.

Other typical, temporary side effects may include:

Mild stinging and redness
Eye-watering or dry eye
Gritty feeling in the eye
Light sensitivity

In the first few hours after LASIK, use the anesthetic eyedrops your surgeon gives you to combat mild discomfort. Over-the-counter pain relievers can also help.

Then, even if you feel perfectly normal, follow these post-operative instructions:

Get a ride home on LASIK treatment day.
Refrain from rubbing your eyes, or you could displace the corneal flap and cause complications.
Go to bed early on the day of your surgery to help your corneas begin healing.
Wear the protective eye shields your surgeon gives you while you sleep.

The First Few Weeks After LASIK

Your first post-operative follow-up appointment will take place 24 hours after your laser eye surgery. A clinician will check the condition of your corneas and ensure everything looks right. You may have another appointment for a one-week post-op. However, contact your eye doctor immediately before your next checkup if you experience any pain, redness, discharge, or degraded vision.

Your vision should settle two to three months after LASIK. In the meantime, follow your doctor’s instructions about using antibiotic eye drops to guard against infection and steroid eye drops to reduce inflammation. You can also combat dryness with artificial tears.

Then, follow these precautions to further avoid injury and infection:

Wear sunglasses always until your eyes no longer feel light-sensitive.
Continue wearing your eye shields while you sleep.
Continue to avoid rubbing your eyes.
Avoid dusty environments and gardening for one week.
Don’t wear eye makeup for a week.
Avoid sports and exercise for the first week, and don’t play contact sports for at least a month.
Keep water out of your eyes for a week and avoid swimming or hot tubs for at least a month.

One to Six Months After LASIK

You can resume all normal activities after a month, with the exception of some contact sports. Continue keeping your eyes lubricated with artificial tears, especially when working at a computer for long hours.

If you have a high prescription, your vision may take up to six months to settle. At your six-month appointment, your clinician will determine if your vision has reduced at all. While this is rare, re-treatment is easily performed if necessary.

One Year After LASIK

You’ve gotten used to the freedom of not wearing glasses and contact lenses by now, but you need one final follow-up at the one-year mark. At this point, you can expect to be discharged to the care of your local optometrist. Continue to schedule routine eye exams every one to two years to monitor your eye health and ensure clear vision for the foreseeable future!

How Does LASIK Recovery Time Compare to Other Vision Correction Surgeries

LASIK recovery time is generally shorter and more comfortable compared to other vision correction surgeries, such as photorefractive keratectomy (PRK). While LASIK patients often experience significant improvement in vision within 24 hours and can resume most regular activities within a day or two, PRK recovery is a bit more prolonged. In PRK, the outer layer of the cornea is completely removed to reshape the cornea beneath, requiring several days to a few weeks for this layer to heal and vision to stabilize. Consequently, PRK patients might face a longer period before they can return to their regular activities and experience full visual acuity. This makes LASIK a preferred option for many seeking a quicker return to normalcy post-surgery.

Schedule LASIK With Visionary Eye Doctors

Are you ready to achieve crystal-clear vision with LASIK? The first step is to schedule a consultation with an experienced eye surgeon at Visionary Eye Doctors. We can determine if you’re a candidate for LASIK and assess the overall health of your eyes to establish a long-term vision plan for you.

Meet Our Expert LASIK Surgeon

Dr. Daniel Sarezky, our Rockville office’s cornea expert and LASIK surgeon, brings an invaluable perspective to laser vision correction with his specialized focus on the cornea. His deep understanding of corneal health is crucial in providing exceptional postoperative care for LASIK patients. This expertise ensures that any potential issues are swiftly identified and managed, promoting a smoother recovery and optimal visual outcomes. Dr. Sarezky’s commitment to the latest in corneal treatment techniques offers patients not just advanced surgical options but also the reassurance of comprehensive care following their procedure.

To get started, please contact us online or call us at (301) 591-1763. We have offices in Rockville, MD; Damascus, MD; and Washington, DC, to better serve you.

What Does LASIK Feel Like? A Comprehensive Guide to Laser Eye Surgery

June 15, 2021/in Optical /by Carolina Clavijo

LASIK surgery is a revolutionary procedure that has helped millions of people around the world achieve clear vision and reduce their dependence on glasses or contact lenses. Understanding what a LASIK procedure feels like is crucial for anyone considering this life-changing procedure. We will delve into the basics of LASIK eye surgery, including its purpose, procedure, and expected outcomes.

LASIK, which stands for “Laser-Assisted In Situ Keratomileusis,” is a refractive surgery that aims to correct common vision problems such as nearsightedness, farsightedness, and astigmatism. During the procedure, a skilled surgeon uses a laser to reshape the cornea and improve its ability to focus light onto the retina, resulting in clear vision.

Understanding LASIK Surgery

The surgery itself typically takes about 15 minutes per eye, and the actual laser time is usually less than a minute. However, the entire process, from pre-operative preparations to post-operative care, requires thorough attention and care. At Visionary Eye Doctors, we believe in providing a comprehensive approach to LASIK surgery, prioritizing safety, precision, and patient satisfaction.

There are different types of laser vision correction surgeries available, each with its own advantages. LASIK is the most popular procedure, and it involves creating a thin corneal flap to access the underlying tissue. Another widely used technique is known as PRK (Photorefractive Keratectomy), where the surgeon removes the outer layer of the cornea and reshapes it without creating a flap.

The cornea acts as the eye’s front window and refracts light onto the lens and retina, allowing us to see. During LASIK surgery, the surgeon uses specialized equipment, including a femtosecond laser and an excimer laser, to create a precise corneal flap and reshape the underlying tissue.

The Preparation Process

Before undergoing LASIK surgery, thorough preparation is necessary to ensure optimal results and minimize any potential risks.

The journey to clearer vision begins with an initial consultation with one of our experienced eye doctors at Visionary Eye Doctors. During this LASIK consultation, our dedicated team will evaluate your overall eye health, review your medical history, and perform a series of tests to determine your candidacy for LASIK. These tests may include measuring your corneal thickness, assessing your refractive error, and mapping the curvature of your cornea.

Once you have been deemed a suitable candidate for LASIK, we will guide you through the necessary preparations leading up to the surgery. One important step is to discontinue the use of contact lenses for a specific period before the procedure. A contact lens can alter the shape of the cornea, and its removal allows the cornea to return to its natural shape, ensuring accurate measurements for the surgery.

On the day of your LASIK surgery, we will administer numbing eye drops to ensure your comfort throughout the procedure. These drops effectively minimize any potential discomfort or pain during the surgery. Some patients may experience a slight stinging sensation when the drops are initially applied, but this usually subsides quickly.

It is important to note that LASIK surgery itself is painless due to the use of anesthetic drops. Patients typically describe the sensation during the surgery as a slight pressure or minor discomfort.

During the surgery, you may notice some unusual sounds or smells; this is a normal part of the procedure and is not indicative of any complications. Additionally, it’s important to remain calm and relaxed throughout the surgery, as this will help ensure optimal results.

LASIK Surgery Experience

The LASIK surgery experience can vary slightly from person to person, but there are some common elements that most patients can expect.

When you arrive for your LASIK surgery at Visionary Eye Doctors, you’ll be greeted by our friendly staff who will make sure you feel comfortable and well-informed about the process. Our laser suite is designed to provide a calming and professional atmosphere, with state-of-the-art equipment to ensure the highest level of precision and safety.

During the procedure, you will be positioned on a reclining chair, and a small device may be placed to keep your eyelids open. This is done to prevent blinking and ensure that your eye remains steady throughout the process. Rest assured that you won’t feel any pain during the surgery, thanks to the numbing drops administered earlier.

At Visionary Eye Doctors, our skilled LASIK surgeons utilize advanced laser technologies to create a small flap on the cornea and reshape the underlying tissue. The first step of the surgery involves the creation of a thin corneal flap, which is accomplished using a femtosecond laser. This laser creates precise, microscopic incisions, enabling the surgeon to lift the flap and access the cornea.

Once the corneal flap is lifted, the underlying tissue is reshaped using an excimer laser. This laser emits cool ultraviolet light pulses that gently remove microscopic amounts of tissue, precisely reshaping the cornea to correct your refractive error. The excimer laser is highly accurate and allows for customization based on your specific prescription.

During the surgery, you may experience slight pressure or discomfort as the surgeon works on your eye. Some patients describe a sensation of something touching their eye, but it is important to note that this is not painful. Remember to remain still and follow the instructions provided, as this will assist the surgeon in achieving the best possible results.

Furthermore, it is important to clarify that the light you are asked to focus on during the surgery is not the excimer laser itself. This light serves as a reference point to help you keep your eye still and aligned properly. The actual laser is focused by the surgeon and is controlled remotely.

Recovery and Post-Operative Care

After undergoing LASIK surgery, proper recovery, and post-operative care are crucial for achieving the best possible results. Immediately after your LASIK surgery, your eyes may experience watery eyes and mild discomfort. This is normal and should subside within a few hours. At Visionary Eye Doctors, we will provide you with specialized eye drops to help promote healing and minimize any potential dryness or irritation.

It is essential to follow the post-operative instructions provided by your surgeon diligently. These instructions may include using prescribed medicated eye drops, wearing protective eye shields at night, and avoiding activities that could potentially put a strain on your eyes. Your surgeon will also guide you when it is safe to resume daily activities, including working, driving, wearing eye makeup, and playing contact sports.

In the days following your surgery, you may experience some temporary side effects, such as blurry vision or light sensitivity. Don’t be alarmed; these are typically normal and will improve gradually as your eyes heal. It is important to rest your eyes and avoid rubbing or touching them during this time.

Dryness is a common side effect after LASIK surgery, but it is usually temporary. To alleviate the slight discomfort caused by dry eyes, you can use artificial tears as directed by your surgeon. It is advisable to have these drops on hand to keep your eyes lubricated throughout the day. Additionally, it may be beneficial to avoid environments with dry air, such as heated or air-conditioned spaces, as they can exacerbate dryness.

While most patients experience significant improvements in their vision immediately after LASIK surgery, everyone’s healing process is unique, and it may take a few days or even weeks for your vision to stabilize fully. Be patient and follow up with your surgeon as scheduled to monitor your progress and ensure a successful outcome.

It is important to note that LASIK surgery does not guarantee perfect vision for a lifetime. As we age, natural changes in the eye can occur, leading to the need for reading glasses or further vision correction. However, LASIK can still provide a significant improvement in your overall visual acuity, reducing your dependence on glasses or contact lenses in most cases.

Remember, the healing process is a crucial part of your LASIK journey. By following your surgeon’s recommendations and attending all scheduled follow-up visits, you are giving yourself the best chance for a successful outcome and long-term visual satisfaction.

Visionary Eye Doctors’ Services

In conclusion, undergoing LASIK surgery is a life-changing experience for many individuals looking to improve their up-close and distance vision and reduce their dependence on glasses or contact lenses.

At Visionary Eye Doctors, we are committed to providing safe, precise, and personalized LASIK surgery. With our team of experienced eye doctors and advanced laser technologies, we strive to deliver exceptional results and the highest level of patient satisfaction. Contact us at 301-896-0968 today to learn more about LASIK or any of your eye health needs.

Computer screen light reflect from glasses. Close up of eyes. Business man, coder or programmer working late at night with laptop. Thoughtful focused guy in dark. Reflection of monitor.

Do Computers Cause Myopia?

March 25, 2021/in Optical /by Carolina Clavijo

Myopia (nearsightedness) affects 40% of North Americans with a staggering growth rate over the past two decades that has qualified the condition as a global epidemic. Myopia is projected to affect 58% of the population by 2050. The recent spike in myopia cases has spurred research into the effect of computer screen exposure, and the blue light digital screens emit, on developing eyes. Learn more about what myopia is, how computer exposure is connected to the condition, and how you can prevent it to protect one of your essential senses.

Contact Visionary Eye Doctors in Rockville, MD, to learn how to safeguard your eyesight with responsible myopia management. Call us today at (301) 591-1763.

What Is Myopia?

Myopia is not an eye disease but an eye focusing disorder. It is caused by the inability of the eye to refract or bend light as it should. Instead, light from a distant object forms an image before it reaches the retina. This refractive error blurs distant objects while keeping near objects clear. Myopia occurs when either the eye is too long or the cornea is too steep. Untreated myopia can lead to headaches, eyestrain, and a further decline in vision. Myopia’s growing prevalence has made it a real public health issue for the world to confront.

Computer Screen Exposure Puts You at Risk for Developing Myopia

According to research from the American Optometric Association, those who clock considerable hours working/reading from a computer screen, or engaging in other close visual activities, have been shown to be more likely to develop myopia. This is especially true in children who engage in frequent computer use before the age of 10 years when the eye is still developing. The quantity of time spent in front of digital devices at close range is what ultimately damages eye health. Eye strain, coupled with the blue light of digital devices and LED screens, damages the back of the eye.

While the eye can block many damaging UV light rays, blue light is able to pass straight through the lens and cornea to the retina and light-sensitive nerves, degrading the macular pigment in the eye. This damage leads to macular degeneration and ultimately blindness.

While macular degeneration is commonly seen in adults 40 years and older, health professionals predict that many more of the younger generation will develop macular degeneration at an accelerated rate due to electronic devices. Glaucoma and other retinal degenerative diseases also stem from too much exposure.

Do Blue Light Blocking Glasses Help Prevent Myopia?

72% of our population is unaware of the dangers of blue light despite its prevalence in our world. Other than from the sun, much of the dangers of blue-violet light originate from digital screens. If schoolwork, a job, or hobbies are exposing you to blue light, consult with your eye doctor on how to protect your eye health. Specialized blue light blocking lenses and eyeglasses can offer you protection from dangerous blue light exposure. But they shouldn’t be used as a stand-alone approach. Reducing screen time, dimming your screen’s brightness, and working with a trained optometrist skilled in myopia and prevention can offer you the best strategies for success.

Myopia Treatment and Prevention in Rockville with Visionary Eye Doctors

Myopia control, treatment, and prevention strategies can help slow the progression of myopia and in certain situations prevent it from occurring. A combination of approaches yields the best results and usually involve lifestyle changes, dual-focus contact lenses, Ortho-K corneal reshaping, and low dose atropine drops.

Decrease your household’s risk of worsening myopia by engaging the help of our board-certified optometrist at Visionary Eye Doctors in Rockville, MD. Dr. Hosseini is skilled at myopia treatment and prevention and possesses a chairside manner that is welcoming to both youth and adults alike.

Call Visionary Eye Doctors in Rockville, MD, to schedule a myopia evaluation and consultation for improved myopia management. Call us today at (301) 591-1763.