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Inspiring Vision.....

A human being has different types of eye sight disorders. Young people are compelled to wear spectacles due to deficiency of vitamin ‘A’, heredity excessive exposure to computers television, and pollution. As a result, they are deprived of various opportunities like Pilot, Navy, Army, Police force and fire brigade careers, factory jobs, sales and marketing jobs, careers in entertainment industry, sports career, and girls do face obstacles in marriage proposals due to glasses.

Contact lenses gained popularity in the second half of the Last Century. However, they could only manage cosmetic part to hide one’s eye sight disorder from the other person. Recurrent expenses on contact lenses and problems owing to dust and pollution could make them just an alternative to spectacles, but not a permanent cure. Contact lenses could never fulfil the human dream of natural, healthy vision. Out of the young men and women having vision disorders, around 70% suffer from short – sightedness i.e. myopia ( -number and blurred distant vision ) while only a few of them suffer from long – sightedness i.e. hypermetropia (+number) and asymmetrical image problems (Cylindrical number and Astigmastism). After the vital task of blindness eradication, researchers and eye experts could concentrate towards the end of 20th century, which gave rise to the science of Better Vision (Refractive Surgery)

Dr. Fyoderov senior Consultant and Researcher of USSR introduced Radial Keratototny (RK), Putting Radial incisions on the peripheral part of the cornea to reduce myopia has popularized the science of better vision the Refractive Surgery. Dr. Barraquer from Bogota Columbaa was pioneer in evolving Lamellar Refractive surgery which is the plat from of today's modern Lasik Surgery.

The Excimer Laser of wave length. U.V. range totally revolutionized refractive surgery and made it safe and predictable. The precision of the out come of results in PRK Surface blation, LASIK (Laser assisted Keratomileussis in Situ) Lens based surgeries and its variants are leading modern ophthalmology in to the 21st century. To give you your dream vision – The perfect vision which always inspire us.


Why Can’t I See Well ?

Normal Vision –

In normal eye, in order to see clearly, rays of light pass through the cornea, pupil & lens of the eye. A sharp & clear image is focused directly on the retina. Cornea is most powerful lens of the eye focussing. In general, eye is an camera to perceive the image and send it to the brain for analysis

normal_vision

Myopia (Near Sightedness)-

This is the most common type of refractive error. In a near sighted person the cornea is too steep or the eye is too long & the focal point is in front of the retina resulting in blurred distance vision. Yoy need minus numbered glasses.

Myopia

Hyperopia (Far Sightedness)-

For the Far sighted person the focus of the eye is behind the retina. People who are farsighted can have trouble seeing at near and distance object you need plus powered glasses.

hyperopia

Astigmatism –

In this type of refractive error, shape of the cornea is not completely round but more like an egg. Light entering the eye focuses on more than one spot on the retina resulting in blurring of vision. Astigmatism can occur with near sightedness, or far sightedness. You need cylindrical glasses for your vision.

astigmatism

Presbyopia –

After the age of 40 years the near vision gets blurred due to aging process. You need glasses for reading and other works of near vision.

presbyopia

Optical Aberrations –

In few instances the irregularity incorneal surface and the optical system of the eye create irregular astigmatism and optical aberrations of the eye. Which gives you blurring of vision which can not be helped with glasses but needs wave front treatment with Laser beam.

Optical Aberrations

LASIK

Lasik stands for Laser assisted in situ Keratomeleussis. Lasisk is most advanced surgical procedure for the treatment of refractive errors to eliminate glasses and contact lenses. This Laser Vision correction procedure is safe painless could be done on both eyes simultaneously, takes five minutes. This uses the ‘cool’ Laser beam from the Excimer Laser to reshape the inner tissue of cornea and change the corneal power to give you freedom of Glasses Permanently. This Procedure can correct Myopia ( -20.0) to Hypersopia ( +8.0) as well as cylindrical errors up t0 6.0D.

Sai Surya Netra Houses the advanced Lasik Laser system of the world Allegretto wave ‘Blue line’ from Germany (Eye – Q 400 Htz) wave front optimized along with the wave front analysis and treatment Oculyzer the most advanced analysis and treatment profile The ‘Rondo’ Keratome flap maker altogether to give you perfect vision. The procedure is unidentifiable and can be helpful to those who want to join Army, Navy, Police etc.

The new Wave front Laser treatment is F.D.A. approved in the U.S.A. and is now even recommended by NASA for their astronauts. ‘ Sais Surya Netra Seva’ is the first center in India to have ‘Wave Light Total’ and is now official international training center for the ophthalmologist for LASIK, PHACO and other Refractive procedures. More than 50,000 Lasik surgeries have been performed here since 1994 and more than One Lack Refractive surgeries by Dr. Prakash Kankaria since 1985. ‘ Custom wave front Lasik’ out scores routine ‘LASIK’ because of perfection, precicion, least complication, and customized solution for individuals as per their demands and requirements.


How is LASIK done?

LASIK is performed with the patient seated in reclining chair in an outpatient surgical suit. First the eye is numbed with a few drops of topical anaesthetic. An eyelid holder (called a speculum) is between the eyelids to keep them open & prevent you from blinking.

  • Step – 1
    Using an instrument called microkeratome a thin flap of corneal tissue is created & folded back.
  • Step - 2
    The excimer laser is applied which reshapes the corneal tissue.
  • Step - 3
    The corneal flap is then placed back into its original position & allowed to dry. Antibiotic drops are applied & eyes are covered with a dark goggle. Both the eyes are usually treated together.

Will I have to under go any investigations before Surgery?

  • Proper refraction history bring all relevant old case papers of your eyes check up along with you for proper decision making.
  • Accurate Refraction – is done by experienced 2 terms of Doctors and optometrist
  • Keratometry – to measure corneal curvature
  • Topography – Is an surface study of the cornea to see any irregularity in its curvature and mapping of surface
  • A-scan - to study axial length of the eye ball.
  • Corneo scan – to scan corneal thickness.
  • Retina Examination – To Rule out any Pathology of the Retina.
  • Aplanation Tonometer to measure Intra ocular pressure and rule out Glaucoma.
  • Wave front Analyzer – wonderful toll to search and analyze optical aberration of the eye to give ‘Supervision” for better night vision and reduce glare.
  • Oculyzer again a magical investigation and treatment tool for the treatment of complex situations in the treatment of refractive Surgery.
  • Specular microscopy Endolthelical cell study of cornea
  • Pupillometer – study diameter of the pupil and decide proper optical zone for the treatment.
  • Shrimess Test – Evaluation of the tear film.

Basically it takes a little more time for preoperative evaluation for perfect vision and the best decision making. Spend more time for this proper preoperative assessment.


The Day BEFORE the LASIK procedure:

  • You should start the antibiotic and lubricating eye drops you have been given and stop using any eye makeup, lash extenders, Kajal, Surma.
  • Please discontinue the use of any makeup , eye creams or lotions as they tend to work into the eye. You should have an early night.
  • Try to minimize any exposure to excessive cigarette smoke or dust as for that day we want the eye completely quiet.

ON THE DAY of the LASIK procedure:

  • On the day of procedure wash Your face with hot water and lots of soap. Wash your eyes thoroughly with water prior to coming.
  • Remember to bring all your papers, your fresh spectacle refraction, topography maps with you when come for the LASIK.
  • LASIK is true ambulatory procedure. There is no admission you simply lie on the laser bed and once complete, you can walk out. The actual laser time is measured in seconds. There is no pain at all. Numbing drops all that is used.

POST Operative Care :

The New wave front Laser treatment gives you more perfect natural vision, which needs least post operative care and hastles.

  • Don’t rub your eyes.
  • Wear dark glasses for 1 week
  • Dont wash your face / No head bath / make up / reading / TV watching / Cooking for 4-5 days/Start your routine after 4-5 days.
  • You can work on computers after 1 week gradually .
  • Avoid eye liner kajal for 1 month.
  • Analgesic tablets for 3 days/ Eye drops for 2 months.
  • Follow – ups
    After 1 week / 2 months. People who have got high numbers should check them selves for Retinal problems every year or as an when required you may need additional laser treatment for the Retinal problems they exist and should see immediately if any alarming signs.

What you need to understand about LASIK

  • a) LASIK is a surgical procedure intended to reduce a person’s dependency on glasses or contact lenses and not, as is usually thought, designed to totally eliminate the spectacle power, which is often, impossible.
  • b) The accuracy of the post LASIK residual power is based on many factors like pre-operative high myopia or high astigmatism or corneas which are not perfectly symmetrical. The power will reduce to the level where you may not need to use glasses for over 97% of the time, but some residual power is to be expected.

AM I a good candidate for LASIK ?

You are eligible to undergo Lasik if

  • Your age is > 18 yrs. Occasionally it can be done at early age.
  • You have stable refractive error for > 1 yr.
  • Sufficiently thick corneas for safer ablation
  • Your retina is normal
  • You are not pregnant or breast feeding
  • You have no health issues affecting your eyes.
  • You have no Keratoconus

You should discontinue wearning Contact Lenses

  • Soft contact lenses - For 5 days before your evaluation and surgery.
  • Toric soft lenses – Should be stopped at least 8 days prior the procedure.
  • Rigid (hard) or gas permeable (RGP) lenses – You should stop wearing them for at least 2 weeks before your initial evaluation.

Risk & Side Effects Associated with the Surgery

  • With advanced technology & experienced surgeon side effects are very rare.
  • In 97 % cases , the treatment is completely successful in eradicating dependence on visual aides very rarely you may need re treatment.

Specific Risks may Include

  • Very rarely few of the patients may get glare at night vision which subsides in due course of time.
  • If taken proper care you can avoid infections There may be dryness in few instances, use lubricating drops.

Laser eye Surgery offers multiple benefits to most people with focusing problems

  • Clear , natural vision without the hassles & inconvenience of corrective lenses.
  • Expanded career opportunities – police officer, firefighter, pilot & professional athlete.
  • Better vision for recreational sports, especially water, winter & contact sports.
  • No more fears about being incapacitated in an emergency if lenses are lost.
  • Wider scope of peripheral vision than glasses provide.
  • May be safer for eye health than wearing contact lenses for an extended period of time.
  • Improves appearances & self – esteem.

FAQ’S

Will my number become Zero ?
The aim of the treatment is to remove dependence on glasses or contact lenses. In many cases they are eliminated.

Is Lasik Painful?
There is no pain during the surgery. Since anesthetic eye drops numb your eyes. Although some patient may experience mild discomfort or a pressure sensation during the procedure.

How long does it take to recover ?
It takes 2-3 days to recover & vision will improve there after.

When can I resume my normal activities?
Normal activities can be done after 4-5 days. However swimming & water sports can be resumed after 1 Month.

How long does the procedure take?
The surgery usually takes only 5 min.

Is the treatment permanent?
Yes. You will, however need reading glasses as you approach presbyopic age.

Will I require multiple treatments?
In order 97% of cases a single treatment is enough. In a few cases, a second’ enhancement treatments may be required to achieve optimum vision.

Can both eyes be done on the same day?
Lasik can be done both the on the same day one after another.

Is Lasik Safe?
Yes. Lasik is quiet safe & effective. But there is no surgery or surgical procedure that can guarantee perfect result. As with any surgery or medical procedure, there are possible risks. Your Doctor will give you detail information about Lasik’s potential risks, complications & side effects & you detail information about Lasik’s potential risks, complications & side effects & you should get all of your questions answered before giving your consent for surgery.