Laser vision correction

How Does Bladeless LASIK Work?

Are you considering LASIK eye surgery and wondering which procedure is right for you? With various types of laser eye surgery available, each using different tools, technology, and techniques, it’s important to choose the one that best meets your needs. Bladeless LASIK, a popular alternative to traditional LASIK, shares many similarities with its traditional counterpart but also has a few key differences. In this post, we’ll take a closer look at how bladeless vision correction works and what you can expect from the procedure.

Bladeless Laser Eye Surgery: How Blade Free LASIK Works, and What to Expect

Learning about laser eye surgery options online is a great first step, but it’s important to note that only your laser eye surgeon can recommend the right procedure for your unique needs. So, if you haven’t scheduled your free laser eye surgery consultation yet, now is a great time to do so.

The first step toward learning more about bladeless LASIK is explaining some of the lingo:

 Also Known As…

During your research you may find that bladeless LASIK is referred to by a few different names, but each refers to the same procedure. Some of the common names for bladeless LASIK include blade free LASIK, and all-laser LASIK. You may also see a brand name integrated with one of those common terms for bladeless LASIK.

How Bladeless Laser Eye Surgery Works

If you’re learning about laser eye surgery, you may already be familiar with the concept of the LASIK flap, which is created at the start of the procedure and allows your LASIK eye surgeon to address vision problems at the correct level of the eye. During traditional LASIK procedures, the flap is created by an instrument called a microkeratome, which is an oscillating diamond blade.

  • Instead of using a microkeratome, bladeless laser eye surgery relies on the use of a specialized laser to create the LASIK flap. This is where the terms “bladeless” and “all-laser” LASIK come from, as well as the key difference between bladeless and traditional LASIK.
  • By using the most advanced LASIK technology, your laser eye surgeon is able to map the eye, based on the unique structure of each individual’s eye, to create a custom LASIK flap.
  • After the flap is created, the bladeless LASIK procedure works very similarly to traditional LASIK. Most importantly, bladeless surgery significantly reduces intra and post-operative complications making it a safer procedure.

What to Expect from Bladeless LASIK Surgery

While blade-free LASIK has a few key differences from traditional LASIK, the preparation, procedure, and healing process share many similarities. The process begins with a visit to your local TLC Laser Eye Center for a free consultation.

  • During your free consultation, your laser eye surgery specialist will review your vision correction needs, and discuss your laser eye surgery options.
  • Before the bladeless vision correction procedure, you’ll have a pre-operative visit, which makes specific measurements of your eye. This is when much of the “customization” is done for the procedure.
  • On the day of your procedure, your laser eye surgery team will prepare you for surgery, and after the procedure, there will be a brief recovery period. Bladeless LASIK is an outpatient procedure, which means that you get to go home the same day.
  • The recovery process begins with rest on the day of surgery and continues with follow-up visits to check on your progress. As healing progresses and vision stabilizes, there is a longer gap between each follow-up visit.
  • While every patient is unique, most patients see very well the next day. As with any surgery, it takes time to heal. Most patients are able to resume normal daily activities within a few days and the eye is completely healed in 3 months. You are seen for scheduled visits along the way. Overall, you may notice many similarities between bladeless and traditional LASIK, along with the differences that set each procedure apart.

Scheduling your free laser eye surgery consultation is the best way to learn more about bladeless vision correction, and the laser eye surgery options available.

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Am I Too Old for LASIK?

Many patients seek to eliminate their reliance on glasses and contact lenses but are unsure if LASIK is a viable option as they age. A common question about LASIK is whether it’s suitable for older individuals. Fortunately, the criteria for LASIK candidacy remain consistent regardless of age: stable vision prescription, healthy eyes, and good overall health are key factors. However, since our eyes and visual needs evolve over time, there are a few additional considerations for laser eye surgery later in life.

Why There’s No Upper Age Limit on LASIK

The only real age limit for a LASIK procedure, per the FDA, is that each surgical candidate should be at least 18 years of age. Our eyes and corresponding prescription requirements may change frequently at that age, and it’s important to wait until that tendency to change stabilizes before having laser eye surgery. There are a few other developmental milestones in life that often motivate people to consider laser eye surgery, beginning in early adulthood.

  • The most common range for LASIK patients is between 20 and 45 years old. Vision prescriptions often stabilize in the mid-twenties, so this is a natural time for people to consider LASIK eye surgery.
  • Next up is the 45 to 55-year age range, the time when many people begin to feel the early effects of presbyopia, which is related to the natural aging process and causes difficulty with near vision. While LASIK may be a treatment option for some presbyopia patients, we certainly have more vision correction technologies to offer our presbyopic patients, such as Monovision.
  • Beyond age 55, cataracts may start to develop even though they may not affect your vision at early stages. When cataract is determined to be the main reason for changes in your vision, cataract extraction surgery becomes the preferred method of treatment to improve your vision instead of LASIK eye surgery.

The basics for LASIK candidacy include a stable vision prescription for at least one year, no eye diseases, and good overall health. If you’ve got those things, then you’re off to an excellent start.

It’s important to note that good overall health doesn’t have to mean perfect health. Not every potential health issue for seniors impacts the eyes, and speaking with a LASIK specialist is the best way to learn how laser eye surgery fits in with various health needs.

Regardless of your age, are you curious whether LASIK eye surgery is the right fit for your vision health needs? The easiest way to find out is to schedule a free consultation with TLC LASIK specialist, where you can determine if you’re a candidate and learn more about what laser eye surgery can do for you.

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Can I Get LASIK Eye Surgery If I’m Pregnant?

Capture Every Precious Moment

Motherhood is a whirlwind of joy, filled with countless milestones that fly by in a blink. From first smiles to wobbly steps, these moments become cherished memories. But blurry vision can make it harder to fully experience the magic.

LASIK: A Gift for Future Adventures

LASIK eye surgery offers a safe and effective way to achieve clear vision, but it’s important to wait until after pregnancy and breastfeeding. Hormonal changes and medications used during LASIK can impact results.

The Wait is Worth It: Preparing for Post-Pregnancy LASIK

The good news? Recovery from LASIK is quick, so you won’t miss precious time with your little one. Here’s how to prepare for LASIK after pregnancy:

  • Find Your Perfect LASIK Provider: Research local surgeons and prioritize finding one who aligns with your needs.
  • Explore Financing Options: Many LASIK centers offer financing plans. Researching these options upfront empowers you to make informed decisions later.
  • Gather Your Questions: Make a list of questions for your consultation. This ensures you get all the information you need.
  • Seek First-Hand Experiences: Talk to friends or family who’ve had LASIK. Their insights can validate your research.

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Embrace the Future with Clear Vision

Imagine seeing your child’s first laugh with perfect clarity. LASIK unlocks a world of vibrant details, making every milestone even more special.

The Gift of Seeing Clearly

Clear vision is a gift that keeps on giving. By researching LASIK now, you’ll be ready to embrace motherhood with perfect vision.

Happy Mother’s Day to all the amazing moms!


Source:

How does pregnancy affect LASIK? (2018, February 12). American Academy of Ophthalmology. https://www.aao.org/eye-health/ask-ophthalmologist-q/how-does-pregnancy-affect-lasik

Cost Questions to Ask Your LASIK Provider

The cost of LASIK eye surgery depends on many factors and with so many factors to consider, it’s no surprise that questions about LASIK cost are quite common. Ahead, we’ll cover some of the most common questions about the cost of LASIK eye surgery, and suggest key topics to discuss with your LASIK provider.

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What is included in the LASIK cost?

This is one of the most important questions you can ask about the cost of laser eye surgery. The answer depends in large part on your LASIK provider, and how they structure their services. Some LASIK cost quotes focus specifically on the laser eye surgery procedure, while others include aftercare and other extras. Ask your provider exactly what they include in the cost of LASIK, and don’t be afraid to request clarification if you’re unsure about anything.

Is the laser eye surgery cost different by eye?

The cost of laser eye surgery is typically listed per eye, so a laser eye surgery quote of $1,000 per eye would equal a total cost of $2,000 for both eyes. While most laser eye surgery patients have the procedure on both eyes, there are occasions in which people may opt for LASIK on one eye due to their specific vision correction needs.

Do different LASIK procedures have difference costs?

Different LASIK and laser eye surgery procedures do have different costs, often based on the laser technology used to perform the laser eye surgery procedure that is specific to your vision correction needs. Consider the benefits of each procedure and how they relate to your own needs in order to make an informed decision. The best way to understand if LASIK if right for you is to schedule a free consultation.

What if I want an assurance plan?

A LASIK assurance plan provides re-treatment when certain criteria apply, typically, for a set period after your laser eye surgery is complete. Ask your surgeon if a one-year assurance plan is included with your surgery, and request information on the cost of a lifetime assurance plan. An assurance plan will typically increase the cost of LASIK up front, but many LASIK patients enjoy the peace of mind that comes from knowing that re-treatment is always covered if they have the need.

Does insurance cover LASIK surgery?

Laser eye surgery is generally considered to be an elective procedure by insurance companies, which means that it won’t normally be covered by a health insurance policy. However, you may be covered by insurance if certain conditions apply, so it is worth inquiring with your insurance company. The good news is that even if you aren’t covered by insurance, there are many affordable ways to cover the laser eye surgery cost.

When it comes to the cost of LASIK surgery, remember that you have many financing options available. Most LASIK providers offer financing that allows you to pay for the procedure over time, and tax-friendly savings options like health savings accounts and flexible spending accounts make it easier to save for medical costs.

In conclusion, the cost of LASIK surgery encompasses various factors, including the LASIK provider’s pricing structure, the specific procedure chosen, and the inclusion of additional services or assurances. By gaining a comprehensive understanding of these elements, individuals can make informed decisions regarding their vision correction journey. Whether exploring financing options or assessing the benefits of different LASIK procedures, proactive engagement and thorough research are key to achieving optimal visual outcomes.

Schedule a free LASIK consultation with TLC Laser Eye Centers to embark on your path to clearer vision today.

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LASIK Eye Surgery Boasts an Impressive 96-98% Patient Satisfaction Rate

LASIK (laser-assisted in situ keratomileusis) has revolutionized vision correction, providing a minimally invasive alternative to glasses and contact lenses. As of 2018, over 9.5 million Americans have undergone LASIK surgery due to its convenience, good results, and high success rate.

In fact, one study reports that LASIK has an impressive patient success rate between 96-98%! Research indicates LASIK enables:

  • 99% of patients to achieve 20/40 vision or better
  • 90% of patients to achieve ideal 20/20 vision
  • 50% of patients to gain better than 20/20 vision
LASIK success rate

Driving Factors Behind LASIK’s High Success Rates

Several factors account for why LASIK is so successful, including:

  • Advanced laser systems
  • Precision techniques
  • Experienced surgeons.

Additionally, the vast majority of procedures are performed by specially trained ophthalmologists and optometrists with years of surgical experience. Their expertise contributes greatly to LASIK’s impressive outcomes.

Understanding LASIK’s Low Complication Rates

In addition to excellent success rates, LASIK eye surgery has been determined to have minimal risks or side effects. Current estimates place the complication rate at less than 1%

While the first days may involve mild irritation and light sensitivity, long-term issues like dry eye or halos are uncommon. When they do occur, symptoms often resolve within 3-6 months.

The most serious complications involve the corneal flap created during surgery. However, with precise laser tools and skilled surgeons, flap issues and related optical problems are very rare.

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Affordability May Be the Only Barrier for Some Patients

Given the outstanding safety and success of modern LASIK techniques, affordability remains one of the biggest barriers limiting access for patients. While prices vary, custom options with advanced technology may cost more than standard treatment.

For those concerned about cost, flexible spending accounts, health savings account, insurance and financing options can make LASIK more affordable. The proven results and life-changing conveniences make it well worth the investment for most people. Check out the ongoing expense of glasses and contacts.

Like any surgery, LASIK has risks and potential complications that are discussed during a surgical consultation prior to the procedure.


Sources:

Bayba, M. (2024, January 11). LASIK Statistics – Safety and Success Rates in 2024. Vision Center. https://www.visioncenter.org/resources/lasik-statistics/

Refractive Surgery Council. “Is LASIK Safe? What You Need to Know,” October 13, 2022. https://americanrefractivesurgerycouncil.org/is-lasik-safe/#:~:text=LASIK%20is%20one%20of%20the,of%20patients%20suffer%20complications%20LASIK.

Refractive Surgery Council. “What Is the LASIK Success Rate?,” August 16, 2022. https://americanrefractivesurgerycouncil.org/laser-eye-surgery-lasik-success-rate/#:~:text=The%20LASIK%20success%20rate%20%E2%80%93%20or,achieve%2020%2F20%20or%20better.

Journal of Cataract & Refractive Surgery, Vol. 42, Issue 8, August 2016, Pages 1224-1234

Sugar A, Hood C, Mian S. Patient-reported outcomes following LASIK: quality of Life in the PROWL Studies. JAMA. 2017;317(2):204–205. doi: 10.1001/jama.2016.19323

Hays RD, Tarver ME, Spritzer KL, et al. Assessment of the Psychometric Properties of a Questionnaire Assessing Patient-Reported Outcomes With Laser In Situ Keratomileusis (PROWL). JAMA Ophthalmol. 2017;135(1):3–12. doi: 10.1001/jamaophthalmol.2016.4597

See Clearly in 2024: Lasik Eye Surgery Market Booms (7.7% CAGR). (n.d.). DataMIntelligence. https://www.datamintelligence.com/research-report/lasik-eye-surgery-market

Top 5 Questions to Ask Your LASIK Surgeon

Preparing for your first LASIK visit, or thinking about scheduling a consultation? Before you head to your local LASIK center, it’s important to consider any questions you might have about laser vision correction. Ahead, we’ll cover five questions that everyone should ask when visiting their LASIK doctor.

LASIK notes

How many LASIK surgeries have you performed?

This is the perfect place to start when getting to know your LASIK surgeon. While a low number of surgeries don’t necessarily speak poorly of a provider, many people prefer to work with a more experienced surgeon. No matter your preference, it’s always a good idea to learn about your surgeon’s experience level.

What laser technology do you use?

LASIK technology is always evolving, including the lasers used to perform the procedure. In addition to standard laser vision correction, your provider may offer options like Bladeless LASIK, Custom LASIK, and Topography-Guided LASIK. Each comes with its own benefits, and your provider will help decide which is right for you.

What determines my LASIK candidacy?

The first thing to know is that if you’re healthy and over the age of 18, you’ve already checked two of the biggest boxes. However, each LASIK candidacy is evaluated individually, and it’s important to understand exactly how your candidacy is determined.

Take the LASIK Candidacy Quiz

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What can I expect during my LASIK surgery?

LASIK is a quick procedure – just 15 minutes, total – and is performed on an outpatient basis at your LASIK center. You likely have more questions about the LASIK procedure and your LASIK doctor is the perfect person to ask for more information.

What can I expect after my LASIK surgery?

While LASIK is known to deliver consistent results, everyone heals individually. If you want to understand more about what the recovery period is like, how long it takes, and how soon you’ll notice improved vision, ask your LASIK surgeon for details. Online research may provide an outline, but only your surgeon can give an individualized answer based on your prescription and personalized laser eye surgery treatment plan.

These are some of the most common LASIK questions, but there are all sorts of small details that you may want to ask about during your visit. Remember that there is no such thing as a silly question! Before your visit, set aside some time to make a list of your key questions. Your LASIK surgeon will be happy to provide answers, tailored to your individual case.

Understanding Presbyopia & LASIK Eye Surgery

Presbyopia is different from other vision problems because it affects everyone, eventually. Our eyes change as we age, and those changes eventually make it more difficult to focus on close objects. Reading can be especially challenging, and presbyopia is the main reason that most people over 45 years of age require reading glasses for up-close vision. LASIK eye surgery centers offer a number of popular options for treating presbyopia, and taking the strain out of close vision.

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How Presbyopia Works

When you are a child and a young adult, the lenses in your eyes have great flexibility, which makes it easier to adjust your focus for viewing close objects. Over time, your lenses begin to become more rigid, making it more difficult to focus. Most people will begin to feel symptoms of presbyopia around age 40, though the severity varies from person to person.

  • One of the first signs of presbyopia is strain while reading. You may find that you have to hold objects farther away than you would have in the past, in order to achieve the same level of focus.
  • Headaches are a common symptom, especially if you do a lot of reading for work or leisure. This is true whether you are reading from a screen, or a sheet of paper.
  • The effects of presbyopia grow more severe over time, and most people will have lost significant lens flexibility by age 65.
  • Since presbyopia happens gradually over time, it’s not always as easy to notice as other vision problems.

LASIK Eye Surgery Options for Treating Presbyopia

Reading glasses are a common option for addressing presbyopia, but they’re not a fit for everyone. Your work may make glasses impractical, or you may simply want a solution that’s less cumbersome. A number of vision correction options have proven effective for the task, and there is even a special tool for the job.

Monovision LASIK

  • Monovision LASIK is a solution for people with presbyopia. With monovision, one eye is corrected for far sight, and one is corrected for close sight.
  • The result is similar to what you would get from wearing bifocal glasses. Your eye doctor or LASIK specialist can help you simulate the effects of monovision, to see if it’s the right choice for you.

Presbyopia may affect everyone, but it doesn’t have to mean wearing reading glasses for the rest of your life. Contact a TLC laser eye surgery specialist to discuss your options for vision correction surgery.

Understanding Diabetes and LASIK

Is there a  connection between diabetes and LASIK surgery?  Let’s  address common concerns and considerations for potential laser vision correction candidates.

In 2021, an estimated 38.4 million people in the U.S. were living with diabetes[i]. This article explores if there is a relationship between diabetes and LASIK candidacy, provide insights into potential risks, eligibility factors, and post-surgical considerations.

What Is Diabetes?

Diabetes, a complex metabolic disease affecting blood glucose(sugar) levels, is characterized by insufficient insulin production or inefficient insulin utilization. Insulin helps blood sugar enter the body’s cells so it can be used for energy. Insulin also signals the liver to store blood sugar for later use. Uncontrolled diabetes can lead to various health issues, including heart problems, kidney diseases, and ocular complications such as diabetic retinopathy, cataracts, and glaucoma.

Ocular Complications Associated with Diabetes

Diabetic retinopathy, cataracts, and glaucoma are common eye problems linked to diabetes[iii]. The risks escalate when diabetes is poorly controlled, emphasizing the importance of maintaining blood sugar, blood pressure, cholesterol, and body weight within target levels.

LASIK Eligibility for Diabetic Patients

While the FDA considers diabetes a relative contraindication for LASIK, recent research supports the safety and efficacy of LASIK in well-controlled diabetic patients[iii], [iv]. LASIK specialists evaluate factors such as diabetes duration, eye health, and blood glucose control to determine eligibility.

Diabetic and LASIK

Factors Influencing LASIK Eligibility as a Diabetic

LASIK specialists assess diabetes duration, perform comprehensive eye exams, and analyze recent HbA1C test results to gauge eligibility. The stability of glasses or contact lens prescriptions is crucial, ensuring long-term visual benefits post-surgery.

Listen to Dr. Brewer from LasikPlus, our Family of LASIK brands, talk about LASIK and diabetes.

Type 1 vs. Type 2 Diabetes and LASIK

There is no discernible difference in LASIK outcomes between Type 1 and Type 2 diabetic patients[iii]. Pre-operative considerations apply uniformly to both groups.

Recovery Considerations for Diabetic LASIK Patients

Diabetes is associated with delayed healing, potentially increasing the risk of post-surgical infection. However, advancements in LASIK technology have improved the healing process, making LASIK a favorable option compared to other procedures.

Managing Dry Eye after LASIK for Diabetic Patients

Dry eye is generally a temporary post-surgical event, with advancements minimizing its incidence. Diabetic patients, with potential delayed corneal healing, should discuss this concern with their LASIK specialists and follow post-operative instructions.

Resuming Diabetic Eye Exams after LASIK

Maintaining regular diabetic eye exams is crucial for overall eye health, even after LASIK. An individualized LASIK procedure considers diabetes control and ensures the absence of diabetes-related effects on vision and eye health.

Diabetic patients can undergo LASIK with proper management and consideration of specific factors. Understanding the eligibility criteria, risks, and recovery process empowers individuals to make informed decisions about their eye care journey. Always consult with LASIK specialists and diabetes managing physicians for personalized guidance.


[i] American Diabetes Association. Statistics About Diabetes. https://diabetes.org/about-diabetes/statistics/about-diabetes.

[ii] National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). (2016). What is diabetes? Retrieved from https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes

[iii] American Academy of Ophthalmology. (2015). LASIK in patients with diabetes. Retrieved from https://eyewiki.aao.org/LASIK_in_Patients_With_Diabetes_Mellitus#cite_note-one-1

[iv] Cobo-Soriano R, Beltrán J, Baviera J. LASIK outcomes in patients with underlying systemic contraindications: a preliminary study. Ophthalmology. 2006 Jul;113(7): 1118.e1-8.

[v] Ata A, Lee J, Bestle SL, Desemone J, Stain SC. Postoperative hyperglycemia and surgical site infection in general surgery patients. Arch Surg. 2010 Sep;145(9):858-64.

[vi] Shoja MR, Besharati MR. Dry eye after LASIK for myopia: Incidence and risk factors. Eur J Ophthalmol. 2007 Jan-Feb;17(1):1-6.

[vii] Salomão MQ, Ambrósio R Jr, Wilson SE. Dry eye associated with laser in situ keratomileusis: Mechanical microkeratome versus femtosecond laser. J Cataract Refract Surg. 2009 Oct;35(10):1756-60.

Benefits of Bladeless Custom LASIK

If you’re researching your laser eye surgery options, you may have seen bladeless LASIK also referred to as blade-free LASIK or all-laser LASIK or modern LASIK. Your eye doctor can help you choose the right procedure for you and your vision needs, but in this post, we review several benefits for a bladeless LASIK procedure.

How are flaps created for LASIK?

Traditional LASIK creates a flap in the cornea with a microkeratome. This device uses a blade to cut a thin flap in the cornea. After the flap is created it is lifted, the eye is reshaped using am excimer laser. With blade-free LASIK, a femtosecond laser uses light energy to create a similar flap, therefore no blades are ever used. This laser is very gentile to the human cornea and has precision down to 10 microns. The largest benefit of blade-free LASIK is a significant reduction in intra-operative complications.

LASIK doctor

What are the benefits of Bladeless LASIK?

There are many clinical benefits of all-laser LASIK. First, there are significantly fewer intra-operative complications.  Second, there is a reduction of post-operative complications such as diffuse lamellar keratitis, flap straie, and epithelial ingrowth. Finally, because the flaps are of a more precise thickness, patient’s with greater refractive errors or thin corneas may be treated safely with LASIK. Previously, these patient may not have been good candidates for LASIK.

Is Custom Bladeless LASIK Right for Me?

At TLC Laser Eye Centers, because the benefits of bladeless LASIK are so significant, it is the only way we perform LASIK eye surgery.

The Cost Savings and Convenience of LASIK Eye Surgery

Considering LASIK eye surgery? When you calculate the long-term cost savings, LASIK often pays for itself in under 5 years. Learn more about the financial and lifestyle benefits of LASIK.

The Ongoing Cost of Glasses and Contacts

If you wear contacts or glasses, you likely spend over $500 per year on supplies and replacements. That cost adds up over time. LASIK offers an alternative with a one-time upfront investment that saves money in the long run.

According to average costs for popular brands:

  • A 90-day supply of daily disposable contacts costs $69.99 per eye, per year
  • Contact solution can be up to $144 annually
  • Replacing glasses every 5 years costs $250 or more
  • The total yearly cost for contacts and glasses is approximately $3,000

Convenience and Lifestyle Benefits

Beyond cost savings, LASIK also alleviates the hassle of glasses and contacts. An independent survey found that people spend over 60 hours per year managing, changing and cleaning eyewear. 

Glasses and contacts also impact lifestyle. Have you ever:

  • Played sports with glasses sliding down your nose?
  • Dealt with irritated eyes from sleeping in contacts while traveling? 
  • Run out of contacts before an important event?
  • Fumbled for your glasses to check on family members at night?
Irritated eyes

By correcting vision with LASIK, you can say goodbye to these annoyances.

The Bottom Line

While conveniences like text messaging and grocery delivery improve lifestyle, they rarely provide financial returns. LASIK is a rare investment that offers both cost savings and enhanced quality of life.

If you’re considering LASIK, calculate your own potential cost savings versus glasses and contacts. Also reflect on the lifestyle benefits of being glasses and contact-free. For many patients, LASIK is an investment that pays off with compound interest.

Sources:
Nichols, Jason J., OD, MPH, PhD, FAAO, and the staff of Contact Lens Spectrum: Annual Report: Contact Lenses 2010.

Independent online study conducted by Empower MediaMarketing — January, 2012.

Prices from 1800Contacts.

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