| FAQ'S and Common
Questions on LASIK for Patients from Out Of Town |
|
| There are
special queries that our patients from other parts of India
and from abroad raise. We have tried to address most here. If
there is anything that we have missed or something more that
you would like to know from us kindly fill the below form ,
We will try and make you comfortable doing this procedure
with us. |
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| Q | How
many days can I expect to stay in Mumbai? |
| A | We
usually advise you to reach at least a day before the procedure so that the evaluation
and examination can be done. This examination procedure takes about an hour in
our office and the only important instruction you need to follow is to be off
soft contact lenses for about a week before the examination and off hard or semi
soft contact lenses for about 3 weeks.
The LASIK procedure is usually planned
once or twice a week and you need to inform us a week before for scheduling the
date.
The procedure time is not more that 8 minutes per eye and you are sent
home in 15 minutes after explaining the medication eye drop schedule.
We need
to definitely see you for a post LASIK check up the next day and once again only if still in Mumbai.
Those who live close to Mumbai usually are sent home the next day after their
examination and then seen again after 7 to 10 days. |
|
| Q | Do
I need any follow up when I leave your country and reach my hometown? |
| A | Like
I said above you can travel anywhere after 3 days of the procedure and need not
be seen by us again unless convenient to you. You will be asked to follow up in
your own city and we give you a detailed report of the same. Usually the follow
up need not be done at an eye surgeon as a consultation, but just a routine examination
with an optometrist in your city, that too after 3 months of the procedure. Most
of our patients visit us again when they come back to Mumbai and we do not charge
for these follow-ups. The regular follow up schedule if convenient to you would
be … the next day, after 7-10 days, after 3 months and then after a year. |
|
| Q | Can
I travel within India on a holiday? |
| A |
Yes, as I said above you can travel anywhere after 3 days of
the procedure, go on a nice vacation WITHOUT glasses! Usually, most people prefer
to do the LASIK procedure before their vacation, so that they may enjoy the same.
Also, since most come back to Mumbai before flying out, they get a chance to come
for a follow-up check up again. However we leave it up to you to plan your procedure
during your trip and would help you schedule the dates for the same. Many of our
patients go to Goa and other places in India after LASIK. |
|
| Q | What
precautions do I need to take and what activities should I not do after LASIK
on my trip? |
| A | The
precautions are fairly simple and would be similar to all irrespective of LASIK
done. The fear is of catching an eye infection. The first week after LASIK you
will be on eye drops which are antibiotics so that aspect is anyways taken care
of. However, some general and basic rules of hygiene such as not rubbing your
eyes with unclean hands, carrying a hand sanitizer to keep the hands clean etc
helps. We ask you to wear a pair of good UV protecting sunglasses when outdoors
to protect your eyes from dust, strong sunlight and allergens. Only swimming underwater
is to be avoided for a few days. Those looking forward to enjoy our beaches can
swim in the sea or pool, but with swimming goggles for protection. |
|
| Q | Is
it safe to do this procedure in India? After all you do hear of unsanitary conditions
and poor hygiene? |
| A | The
success of laser vision correction or LASIK depends on a multitude of factors,
primary being the expertise of the doctor along with a good laser technology in
an International standard set up of hygiene and care with stringent eligibility
criteria.
Many doctors today budget the LASIK and discount LASIK prices esp
in India. This is only possible if one can cut costs, but that would be at the
cost of compromising quality, re using blades, working with older cheaper technology
etc. Many use the Nidek and Mel lasers which give problems in night vision and
glares in over 50% of their patients. These lasers do not have wavefront technology
either. In the USA the FDA has even proven that most complications arise in discount
LASIK centres.
We are proud to say that within a JCI Certified hospital,
with strict protocols on hygiene, a completely disposable
centre and with a Wavelight Concerto 500 Hz laser system using
wavefront or custom LASIK technology, we offer a far superior,
safe and reliable technology at affordable comparable prices.
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|
| Q | How
different are you from other laser / LASIK centres? |
| A | Dr.
Anand Shroff, Chief Surgeon, at the Shroff Eye Hospital, Bandra,
Mumbai, has several years of experience in LASIK and is among
the country's longest-standing users of the benchmark 'flying-spot'
laser technology. He also is the first to use the WaveLight
Allegretto 200 Hz excimer laser in India before the most recent
Concerto 500 Hz was launched at our Eye Hospital.
Wavefront LASIK or custom LASIK is the most advanced LASIK
method today. It can be performed using various lasers. The
speed of the laser and its applications are very important
in delivering results. Today, we use the world's fastest laser
the 500 HZ whereas most other lasers are close to 50-100 Hz
and some to 200-250-400 Hz.
Wavefront
technology has been around since 1998. It is specifically for those patients who
would end up unhappy if a standard LASIK procedure is done on them. These patients
are detected during their LASIK screening and evaluation, by certain specific
indications which would arise on the topography and aberrometry tests. It is also
a technology for those who have undergone LASIK on poor obsolete lasers or have
undergone PRK or RK [other techniques for removal of spectacle numbers] and are
having problems.
We believe in the best, having always stood for distinction
in eye care.
After working on different lasers and being offered other
lasers still entering the market, we went ahead with the Wavelight
Concerto 500 Hz laser because of its superior technology.
Most lasers are retrofitted for wavefront or to simply put
upgraded whilst this laser has been developed for wavefront
from scratch. The detailed research in the laser system took
into account the needs of the surgeon, patient as well as
looked after the many drawbacks of the other laser systems.
To put it simply, the ' wavefront' is the way the natural
light pathway goes in the eye thru the entire optics. This is supposed to be a
smooth path in an ideal eye. As the light travels thru the other optical system
inside the eye, like the lens, vitreous jelly etc. it undergoes further degradation.
This is acceptable to a certain extent and that is why the eye surgeons have reached
a 6/6 or 20/20 criteria as normal sight. However, when these errors or 'higher
order aberrations' as they are known, exist to an extent in which they need to
be treated then wavefront treatments [Custom LASIK] are a must for such patients.
Earlier
lasers without wavefront technology can only correct the spectacle number, which
arises from the curvature irregularities of the cornea. Our laser can treat the
entire optical system errors. Further, when we treat these optical errors by doing
wavefront, some patients actually gain lines of sight, better than 6/6 OR 20/20.
Then
again, that is not our aim alone. We want to give quality of sight. By which I
mean good contrast sensitivity and good night vision. In the night the pupil expands
or dilates to let in more light for visibility. If a laser treats a zone, which
is smaller in diameter than the diameter of expansion of the pupil, then what
you have is an untreated rim of cornea, which in the night is going to disperse
light in various directions resulting in haloes or glares of light. This is the
problem most of the West ie. USA is facing, because most of their lasers treat
a 5 mm zone only and because of lighter colored eyes, their pupils [in US] can
dilate upto 7 mm. Our laser can treat wide pupils and has a near zero percent
of night vision problems in our experience.
There is a lot more of this
laser, which helps the patient and the doctor. We can now treat higher numbers
with more accuracy, re- treat earlier laser unhappy patients to get better night
vision etc. and include patients who would have been poor candidates for earlier
technology. This is why our success rates have been good from the beginning, as
we have been thorough in our patient evaluation and stringent in our eligibility
criteria. |
|
| Q | How
do I find out which laser system is good? |
| A | The
laser systems should possess specific features for higher quality visual results.
The
Wavelight company [our laser company] was the first laser to have done the worldwide
wavefront LASIK treatment which others have modified or upgraded in their already
existing lasers. |
|
| Features
of our Laser comparing with other Lasers |
|
| 1 | Laser
Spot Size |
| The
small laser spot size is mandatory to produce fine complex treatment patterns.
Smaller the size, finer the treatment. Ours is the smallest in the world so far…
viz 0.68 HM |
|
| 2 | Speed |
| Shortens
ablation/ treatment time remarkably. To the benefit of the surgeon and to the
comfort of the patient, Because shortened corneal exposure time allows faster
visual recovery.
The rapid rate is vital to maintain corneal hydration intra-operatively,
especially in wavefront guided procedures with larger optical zones where a prolonged
treatment time could adversely affect the planned treatment profile. A simple
principle in laser refractive surgery is to keep the eye as physiologically hydrated
as possible intra-operatively for a faster visual recovery.
Hence, faster speed lasers have better visual outcomes. Our
is the fastest in the world so far… viz 500 Hz keeping in
mind the safety limit as well. |
|
| 3 | Optical
Zone |
| Ideally
the laser should have the widest treatment area that also removes the least tissue
possible, which is what our laser supports. Most Other lasers in order to treat
a wider area, take out more corneal tissue. This also results in night vision
problems. In the night the pupil expands or dilates to let in more light for visibility.
If a laser treats a zone, which is smaller in diameter than the diameter of expansion
of the pupil, then what you have is an untreated rim of cornea, which in the night
is going to result in haloes or glares of light. Most lasers treat upto a 5 mm
zone to 6 mm only , ours can treat upto 7 mm.
In cases of patients with
night glare due to earlier treatments, the ability of our laser to retreat is
highly beneficial. |
|
| 4 | Eye
Tracking speed |
| The
eye is kept fixed with the laser during treatment. However
there are fine saccadic eye movements not seen by naked eye.
The Wavelight Concerto 500 Hz is better than any other excimer
laser system as it tracks the eye at 500 times a second and
allows for spot on treatments. Most other lasers have an eye
tracker which if the eye moves even to some extent during
treatment, then the laser stops. |
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| 5 | Topography
Link treatment |
| Is
necessary for a customized laser treatment. Especially in re treatments when undergone
earlier LASIK and patient is unhappy.
For topography-linked retreatments, the Wavelight Concerto
500 Hz laser has the best capabilities at present. |
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