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Understanding Presbyopia & LASIK Eye Surgery

Posted on by TLC Laser Eye Centers

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

Posted on by TLC Laser Eye Centers

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

Posted on by TLC Laser Eye Centers

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

Posted on by TLC Laser Eye Centers

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.

How Safe Is LASIK?

Posted on by TLC Laser Eye Centers

Is LASIK Eye Surgery Safe?

LASIK eye surgery is a popular procedure that can correct vision problems such as nearsightedness, farsightedness, and astigmatism. In general, it is a safe procedure with a low complication rate, but it is important to weigh the risks and benefits before making a decision.

How Safe Is LASIK?

The safety of LASIK has been studied extensively. The complication rate for LASIK is estimated to be less than 1%. The most common complications are dry eyes and glare, which usually go away on their own within a few weeks or months. Other, more serious complications, such as infection and corneal ectasia, are rare.

LASIK Safety research

Who Is a Good Candidate for LASIK?

Not everyone is a good candidate for LASIK. You may not be a good candidate if you have:
  • Thin corneas
  • Active eye infections or inflammation
  • Dry eyes
  • Certain medical conditions, such as diabetes or glaucoma

What Are some of the Benefits of LASIK?

The benefits of LASIK include:
  • Improved vision
  • Reduce dependency on glasses or contact lenses
  • Improved quality of life

What Are some of the Risks of LASIK?

The risks of LASIK include:
  • Dry eyes
  • Glare
  • Night vision problems
  • Infection
  • Corneal ectasia (a thinning of the cornea that can lead to vision loss)

Should I Get LASIK Eye Surgery?

The decision of whether or not to get LASIK eye surgery is a personal one. You should weigh the risks and benefits carefully and discuss the procedure with your eye doctor.

If you are considering LASIK eye surgery, it is important to do your research and choose a qualified LASIK surgeon. You should also ask about the surgeon’s experience with LASIK and their number of procedures performed.

I hope this article has helped you learn more about the safety of LASIK eye surgery. Like any surgery, LASIK has risks and potential complications that are discussed during a surgical consultation prior to the procedure.  If you have any further questions, please consult with your eye doctor.

Sources:

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.

Chung, AKK, and AK Brahma. “LASIK Eye Surgery: Standard and Safety Issues.” Clinical Risk 12, no. 2 (March 1, 2006): 70–73. https://doi.org/10.1258/135626206776072622.

LASIK: The pros and cons of surgery to sharpen your sight. (2002). Consumer Reports on Health, 14(3), 6.

Shtein, Roni M. “Post-LASIK Dry Eye.” Expert Review of Ophthalmology. Taylor & Francis, October 1, 2011. https://doi.org/10.1586/eop.11.56. 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.

Top 7 Reasons to Choose TLC for Your LASIK Procedure

Posted on by TLC Laser Eye Centers

If you’ve made the decision to pursue LASIK eye surgery, you are probably excited to take the next step toward your best vision without full time dependence on glasses and contacts. You may have researched the details on LASIK surgery itself, but what about LASIK providers? It is important to research your providers in order to find one that you feel comfortable with. Read on to learn more about what to look for in a provider, and why TLC Laser Eye Centers is your optimum LASIK provider!

Reason #1: Experienced LASIK Surgeons

The Laser eye center that you choose should only work with expert surgeons who are up-to-date on current trends and technologies in the field of LASIK eye surgery. Often, leading LASIK surgeons will maintain their expertise by seeking additional clinical training and certifications, such as those issued by American Board of Ophthalmology (ABO). Knowledgeable LASIK surgeons and their clinical teams will also diligently screen patients for candidacies, and only accept patients who meet all the qualifications required for the procedure.

The LASIK specialists at TLC Laser Eye Centers have performed over 2.3 million LASIK procedures. Not only do the surgeons have plenty of experiences, but also over 7,000 eye doctors have chosen TLC Laser Eye Centers for their own LASIK surgeries, demonstrating that TLC Laser Eye Centers is a trusted provider with experienced, skilled LASIK surgeons.

Reason #2: The Latest Laser Technologies

Medical technologies are always changing and improving, and a well-informed provider carefully monitors these LASIK advancements and is constantly making clinical decisions on adapting new technologies to deliver the best possible patient outcomes.

TLC Laser Eye Centers are passionate about using the latest laser technologies to care for our LASIK patients. Using modern LASIK, or bladeless LASIK, is just one example of how we provide personalized, custom LASIK treatments for each individual who comes to TLC Laser Eye Centers.

In addition to modern LASIK, TLC Laser Eye Centers also offer other vision correction procedures in order to match the best technology to each patient, including Contoura Vision and PRK. Having access to advanced patient testing instruments and multiple vision correction surgical technologies, our surgeons can determine the most suitable vision correction option to enhance our patients’ vision. At TLC Laser Eye Centers, we are committed to quality care and patient safety.

Reason #3: Affordable LASIK

There is a range of costs when you compare potential LASIK providers. Remember that the least expensive provider won’t necessarily be the best. In addition, many providers also offer financing to help achieve your goal of laser vision correction. It’s important to weigh all your considerations when you evaluate different LASIK centers. Your chosen provider should have the right surgeon and the right equipment for you to help make your LASIK dreams a reality.

TLC Laser Eye Centers offers LASIK financing options to help meet your needs. We work with insurance plans and companies to offer LASIK discounts to its members and employees. You may also be able to use funds from a Flexible Spending Account or Health Savings Account toward your LASIK eye surgery.

Reason #4: Referrals

When searching for any type of provider, you can’t underestimate the value of referrals from trusted friends or family. LASIK surgery is very popular; chances are you know one or several people who have had LASIK and are happy with their results. In addition to inquiring with your eye doctors, don’t forget to ask your family or friends about their experiences and which provider they recommend!

LASIK referral

Reason #5: Location

You need a provider that is close by. After all, it may not be most ideal to travel long distances before and after your quick LASIK procedure. With  convenient, nationwide locations, you can find a TLC Laser Eye Center near you!

Reason #6: Commitment

Find a provider who is committed to you and your vision—not just now, but in the future as well. Your visual needs may change with time, if you were to need a retreatment or an enhancement down the road, you want to know that your provider will be available.

With the TLC Lifetime Commitment program, you can be sure that TLC Laser Eye Centers will stand by you. We are dedicated to helping you maintain the best possible vision throughout your lifetime.

Reason #7: A Solid Partner

At TLC Laser Centers, we know that no one is more familiar with your eye health than your own eye doctor. That’s why TLC affiliated Doctors of Optometry will be an important part of your LASIK team. These optometric physicians partner with TLC Laser Centers because of our record of safety and patient satisfaction, as well as our years of experience in the field. By partnering with optometrists across the country, not only can we help you make the best decisions about your LASIK procedure, but we are also in the best position to care for you, both before and after your laser eye surgery.

If you’d like to learn more about the TLC commitment to vision, schedule a free LASIK consultation at a location near you.

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20-20-20 Rule: Eye Care in Today’s Technology

Posted on by TLC Laser Eye Centers

Digital screens are everywhere. We work with screens, play with screens, and look at screens while we’re waiting in line. All of that screen-time comes with potential downsides, and may take a toll on our eyes over time. To try to minimize the negative effects and digital eye strain of extensive time looking at screens, many eye doctors suggest using the 20-20-20 rule as part of your eye health care. The catchy name makes it easy to remember, and ahead we’ll dive into the details of exactly how the 20-20-20 rule works.

Eye Care and Digital Eye Strain

What is the 20-20-20 rule?

Whether you’re using a phone, computer, tablet or watching TV, the idea behind the 20-20-20 rule is actually very simple: every 20 minutes that you’re looking at a screen, take a break and stare at an object 20 feet away for at least 20 seconds. That’s it. You don’t have to worry about walking off the distance, or pulling out a tape measure to make sure that the object is exactly 20 feet away. The idea is to pick an object that is close to 20 feet away.

The trick is making sure that you remember to do it every 20 minutes when you’re using a digital screen, and making sure that you look at the object for at least 20 seconds. This is a rule that you can follow almost anywhere, whether using a screen for productivity or enjoyment.

What about activities that don’t require a screen?

Screen time isn’t the only activity that can cause eye strain, and the 20-20-20 rule may apply in other situations, as well. If you’re reading a paper book, writing, or doing work that requires you to focus your vision consistently on very small details, then it may also be a good idea to give your eyes a rest using the 20-20-20 rule. No matter what activity you’re doing, the basics behind the 20-20-20 rule remain the same when considering your eye health care. Take a break every 20 minutes to look at an object 20 feet away for 20 seconds.

Do I really have to do it every 20 minutes?

When you’re working, reading, or watching a video, it’s easy to get caught up in what you’re doing. But yes, it’s a good idea to stay on schedule with the 20-20-20 rule whenever possible. The good news is that most of the devices you’ll be using will also have built in timers you can use to set reminders. Setting 20-20-20 reminders on your computer and phone is a great way to stay on track, and eventually taking those breaks simply becomes a habit.

Why follow the 20-20-20 rule?

Humans normally blink about 15 times per minute, according to the American Academy of Ophthalmology. However, when using a computer or other digital screens, we may only blink about one-third as often, which can lead to eye strain.

Digital eye strain caused by extensive screen use may be connected to certain vision problems, and can cause unpleasant symptoms like dry eyes, headache, light sensitivity, and eye fatigue. So in addition to potentially helping with long-term eye health issues, the 20-20-20 rule can also be an easy way to help limit some of the most common symptoms that come with extensive digital screen time.

If you have any questions about the 20-20-20 rule, how it works, or how it applies to you, speak with your eye health care provider to learn more. If you don’t have an eye doctor, use our doctor search to find a TLC Affiliate Eye Doctor near you. It’s a small step to take, and it may make a big difference.

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