Custom LASIK and PRK

Custom LASIK and PRK

 Wavefront technology, which was the first FDA-approved corneal mapping technology used in LASIK and PRK, involves the use of advanced technologies for assessing and correcting the unique optical imperfections of an individual's eye.  Unlike conventional laser vision correction surgery, wavefront technology uses a special laser to make specialized measurement of your eye's optics, which provides distinct information that is used to precisely program the laser used in  PRK or LASIK treatment to reshape your cornea. 

By capturing detailed data about the eye's aberrations and irregularities, Wavefront technology creates a personalized map of the eye's optical pathway. This map guides the laser used to reshape your cornea during LASIK and PRK surgery. The result is a more accurate and tailored vision correction that addresses not only standard refractive errors (like nearsightedness, farsightedness, and astigmatism) but also higher-order aberrations that can impact visual quality, such as glare and halos.

Fun fact: The basis of Wavefront testing is from the field of adaptive optics, which was used for years by astronomers to build better lens systems for improving the optics of telescopes. 

The use of Wavefront technology and Corneal Topography for laser vision correction surgery goes beyond conventional approaches by capturing and utilizing distinct information about your eye's optics, leading to enhanced precision and improved outcomes in these laser vision correction procedures.

Custom LASIK and PRK laser vision correction procedures can help correct vision problems due to:

Please click on the arrow on the video below to see how Wavefront technology is used with LASIK.

View Video

Custom LASIK and PRK- Introduction

Custom LASIK and PRK utilizes advanced technologies and offer several advantages over traditional LASIK and PRK procedures. 

There are three variations of Custom LASIK that offer more precision which can help you attain your best possible vision while while avoiding if not reducing side potential higher order aberrations (side effects like halos and glare). 

  • Wavefront Guided LASIK. Wavefront-guided LASIK and PRK use measurements from a wavefront sensor to provide a more customized correction for higher-order aberrations.  View video of Wavefront Guided LASIK.
  • Wavefront Optimized LASIK. Wavefront-optimized LASIK and PRK make measurements that prioritize maintaining the natural curvature of the cornea, while correcting refractive errors, with a focus on adapting the laser treatment to the eye's inherent shape in order to minimize the onset of higher-order aberrations.  View Video of Wavefront Optimized LASIK.
  • Topography Guided LASIK.  Topography guided or topography assisted LASIK use corneal topography to enhance precision and reduce night-vision problems and other possible side effects. View Video of Topography Guided LASIK.

Differences Between Custom LASIK and PRK Technologies

The main differences among these “Custom” LASIK technologies lie in their approaches to addressing refractive errors and higher-order aberrations:

  • Wavefront Guided. Wavefront Guided LASIK and PRK help to better correct both lower and higher-order aberrations and may be better suited for people with complex prescriptions and those with significant higher-order aberrations.
  • Wavefront Optimized.  Wavefront Optimized LASIK and PRK prioritize measurements that seek to maintain the cornea's natural shape while correcting lower-order aberrations and is suitable for mild to moderate prescriptions and those concerned about side effects.
  • Topography Guided LASIK. Topography-guided LASIK utilizes corneal topography to address irregularities and distortions, making it suitable for patients with irregular corneas or those who have had previous refractive procedures. 

Wavefront technologies have been approved by the FDA for LASIK and PRK. While Topography Guided LASIK has been approved by the FDA, it has not been approved for PRK.

The choice of which "Custom" technology is best for you depends on factors such as the complexity of your vision, your unique "fingerprint" or map of your cornea, your ocular health, and your specific visual needs. Consulting with a laser vision correction surgeon with proven expertise in these "Custom" technologies is highly recommended so you can determine the most appropriate treatment to help you see your best.

How Can Wavefront-Guided Technology Help Obtain a Better Outcome with LASIK and PRK? 

The human eye has two broad categories of aberrations: lower order and higher order.  

Lower order aberrations represent the patient’s prescription for glasses such as nearsightedness, farsightedness, and astigmatism. 

There are numerous higher order aberrations but the two most important ones for potential LASIK and PRK patients are spherical aberration and coma. When these two aberrations are increased above preoperative levels, patients may notice more problems with the quality of their night vision and be more aware of halos, starbursts, flare, and glare.

Conventional laser eye surgery (LASIK and PRK) is excellent at reducing or eliminating the lower order aberrations and most patients obtained satisfactory uncorrected vision, usually near 20/20.  However, conventional  LASIK and PRK (without custom technologies) may increase the degree of higher order aberrations, which accounted for the possible increased likelihood of night vision and low light problems.

Wavefront-based laser eye surgery measures the amount of both lower and higher order aberrations. For Wavefront Guided LASIK and PRK, this 
information is then used by the excimer laser system for both LASIK and PRK in an attempt to either reduce or at least minimize the increase of higher order aberrations that can result from laser vision correction surgery. 

 Custom LASIK and PRK: Like a "Fingerprint" of Your Cornea

All of the FDA-approved laser systems for LASIK and PRK now offer the use of these "Custom" Wavefront corneal mapping and measurement technologies, so that each patient’s optical system is measured more accurately than ever before, producing in effect a unique “fingerprint” of their pre-operative visual problems. Consequently, a truly customized treatment plan can be implemented in the laser eye surgery procedure for each patient. 

What is Corneal Topography?

Corneal Topography is a specialized eye test that helps doctors understand the shape and health of your cornea. It works by creating colorful patterns on the cornea's surface using reflected light.

Use of Corneal Topography for LASIK. Corneal Topography helps check if your cornea is suitable for LASIK.  It can also help to spot issues that may show you are not a suitable candidate for LASIK such as scars on your cornea, growths, severe curvature of your cornea (a condition known as keratakonis) or other eye problems that can affect your vision.

In simple terms, corneal topography is a valuable tool that helps eye doctors make sure your cornea is in good shape and that you get the right treatment if there's a problem. It's like a map of your eye's surface, ensuring you see the world clearly.

Please click on the arrow on the video below to learn more about Corneal Topography and How It Is Used for Refractive Surgery and Prescriptions for Contact Lenses.

View Video

Custom LASIK and PRK Can Help You Achieve Your Best Possible Vision

This "fingerprint" or "map" of your cornea obtained through these Custom technologies for LASIK and PRK enable your laser vision correction surgeon to better program the laser to obtain better results from the laser eye surgery procedure that is best for you. By using Custom LASIK or PRK, there is a possibility that your existing higher order aberrations may not increase at all, and some patients report that they can see even better than they did with glasses or contact lenses. This is called a gain in best spectacle corrected visual acuity. 

FDA studies of Wavefront-based (Guided or Optimized) LASIK and PRK and Topography-Guided LASIK have improved the chance of obtaining 20/20 vision or better and have decreased the chances of significant night vision problems.

Why Choose a LASIK Surgeons With Proven Expertise? 

Because each eye is unique and will have different measurements, choosing an expert LASIK surgeon is invaluable, since that surgeon can assess your eyes and vision and use the best "Custom" technology for the laser vision correction procedure most suited to helping you attain your best possible vision while minimizing higher order complications like halos and glare.  The Trusted LASIK SurgeonsTM directory feature those surgeons who have the proven expertise.  Why Choose a Trusted LASIK SurgeonTM?  

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