Performing Simultaneous Cataract Surgery

Age-related cataracts can affect both eyes, requiring the endogenic lens to be replaced with an artificial Intraocular Lens (IOL) surgically. Generally, there is a lapse in time between surgeries for each eye, but the surgery can be performed on both eyes on the same day.

A study by Cochrane suggests that there are unlikely to be any large, clinically significant differences between both approaches, though the overall quality was assessed as moderate to very low.

Several advantages to performing the surgery in both eyes simultaneously include fewer hospital visits, faster bilateral vision recovery, and lower procedure costs. 

Risks of simultaneously performing cataract surgery in both eyes consist of developing a postoperative complication in both eyes, and not being able to use the visual acuity from the first operation during the second procedure, since there would only be one. 

The Cochrane review authors noted that the complications generally occurred up to three months post-op, and there were little- to no differences noted between the two methods. Most of the study results were limited by an overall small number of endophthalmitis, postoperative complications, and a lack of specific data, among other variables. 

Thomas Kohnen, MD, PhD, chair of the German Commission for Refractive Surgery (KRC), set up by the German Society of Ophthalmology (DOG), and the Professional Association of German Ophthalmologists (BVA) at the University Clinic Frankfurt, said, “In Germany, there is only very little data on ISBCS because it is barely a topic here. “We have very good medical infrastructure with widespread and prompt ophthalmological care, such that even people living in the countryside do not have to travel great distances or experience long waiting times for a first or second cataract surgery, which is different from many places abroad. The procedure with bilateral operations on the same day is not recommended in the guidelines from our professional societies, [because] any complications that occur postoperatively could potentially entail lengthy legal liability procedures for the surgeons.”

In Germany, sequential bilateral cataract surgery is typically performed with two outpatient operations spaced several days (or weeks) apart. Medical, social, or personal reasons can create exceptions to the rule, requiring both eyes to be operated on with a shorter amount of time between each procedure, under general anesthesia in one sitting, or with an overnight gap. 

Rohr Eye & Laser Center offers the most advanced technology available to provide personalized and extraordinary care to our patients. Whether your goal is to maintain or improve your natural vision, we are here to help you. Call us at 877-579-0202 to learn more.Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/

LASIK Procedures Double Since Pandemic

Laser eye surgery gained popularity during the Covid-19 pandemic, according to the American Refractive Surgery Council (RSC). Compared to 2020, the RSC saw 32 percent more laser vision correction procedures in 2021. 

According to the RSC, “The total procedure volume for 2021 topped 833,000 for the first time since RSC began tracking LASIK, SMILE, and PRK procedures in 2015, demonstrating a significant consumer shift toward refractive surgery options to glasses and contacts.” 

Some factors contributing to the rise in LASIK popularity include more people working from home, foggy glasses while wearing a mask, dry eyes, an increase in contact lens wearers, and more. Since more people started prioritizing their health, self-care also experienced a boom. Money once saved for travel and entertainment is now being allocated for self-care. 

Moreover, patients who experience LASIK have been more inclined to tell friends and family about their positive experiences, which trickles down the referral pipeline. 

Younger adults seem to be driving the increase in LASIK patients, with the average age being 34 years old, a seven-year difference from the early 2000s. 

Since Laser Sight Technologies Inc.’s Kremer Excimer Laser System was granted U.S. approval in 1998, an initial boom in the early 2000s was followed by a slow pace during the Great Recession. In early 2004, online searches for LASIK peaked and bottomed out earlier this year. When the pandemic hit, searches spiked, and now the industry is set to hit $4.1 billion in sales by 2027, more than doubling 2018’s total. 

Quarantines and social distancing caused weight gain and much more self-consciousness due to up-close-and-personal video chats. Spikes in Botox injections, breast implants, and repairing droopy eyelids were also seen during the pandemic. 

If more people are working out of the office, they have ample opportunity to recover in the privacy of their own home after certain procedures. Whereas before, it was almost taboo to take time off, now, people can get these procedures done without anybody at work knowing about it. 

But it’s not just elective surgeries seeing the spike; knee, hip, and ankle replacements are also picking up after the initial Covid wave. LASIK has an advantage over the other procedures, as the recovery period is quite minimal. After a brief consultation, patients can have surgery the same day and notice better vision within a few hours. 

Now is the time to schedule your LASIK eye procedure appointment. Call the experts at Rohr today.

Rohr Eye & Laser Center offers the most advanced technology available to provide personalized and extraordinary care to our patients. Whether your goal is to maintain or improve your natural vision, we are here to help you. Call us at 877-579-0202 to learn more.

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/ 

How Safe is LASIK Eye Surgery?

Over ten million Americans have had LASIK eye surgery since its FDA approval in 1999. With 96% of patients achieving their ideal vision through LASIK, it’s no surprise that the procedure has started gaining even more traction. Unfortunately, our increased screen time puts extra strain on the muscles that allow our eyes to focus, a side effect of the digital age.

There’s always a slight risk of complications, including LASIK, as with all surgeries. However, the incident rate is less than 1%. The FDA’s maximum complication rate for approval is 5% which positions LASIK as one of the safest elective surgeries available.

Working with a board-certified surgeon for LASIK procedures is the key to a successful surgery. They’ll be able to answer questions you may have about the procedure, possible side effects, and if any pre-existing conditions could interfere.

Once the surgery is complete, you’ll be given a custom aftercare routine to follow to achieve maximum benefits and promote a quick recovery. LASIK’s common temporary side effects include dry eyes, double vision, glares, and halos from solid light.

These side effects will resolve in 3 to 12 months, with the severity lessening along the way. Their impact is similar to the glare on regular glasses when driving under street lights.

LASIK’s long-term complications make up less than 1% of patients who weren’t satisfied with the outcome. In these cases, patients typically reported an over or under correction of their vision, requiring an additional visit to correct. More corneal tissue will be removed for under corrections, or enhancements can be used to fix overcorrections.

To learn more about LASIK Eye Surgery, call Rohr Eye & Laser Center today. Board-certified Dr. Jeffrey Rohr has over twenty years experience in laser vision correction and cataract surgery.

Rohr Eye & Laser Center offers the most advanced technology available to provide personalized and extraordinary care to our patients. Whether your goal is to maintain or improve your natural vision, we are here to help you. Call us at 877-579-0202 or visit https://www.michiganlasik.com/ to schedule an appointment today.

Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.

United States Military Tests Wavefront-Guided PRK

With more than 30,000 to 40,000 members of the United States military choosing laser vision correction procedures to improve their vision each year, there is an emphasis on clinical research to examine the efficacy and safety of various procedures available.

A somewhat novel laser vision correction technique, called wavefront-guided PRK (Photorefractive Keratectomy), was recently studied by the United States Navy.

Wavefront-guided PRK implements the newest computer-generated mapping technology to generate a digital image of the patient’s eye. Once the eye is mapped out, the laser applied to the cornea’s surface is guided by the three-dimensional model to improve the eye’s focus based on the unique visual characteristics of the patient’s eye. Even the tiniest structure issues affecting eyesight are revealed through Wavefront-Guided PRK.

The development of wavefront vision mapping allows visual disorders to be measured, which otherwise could not be identified in the past. Laser diagnostic systems are setting a new standard by providing an exact level of measurement and correction. This feat was impossible with earlier systems.

Led by the U.S. Naval Medical Center, 167 patients enrolled had vision prescriptions of up to -8D of nearsightedness and up to -4D of astigmatism. The patients underwent wavefront-guided PRK. Research findings showed:

• Patient satisfaction was very high, with 98.8 percent reporting entirely or very satisfied with their vision
• 99.4 percent of patients tested at 20/20 or better vision six months following the procedures
• 91.9 percent of patients tested 20/16 vision six months after the procedure
• Fewer than four percent of patients reported night vision symptoms six months post-op
• Less than one percent experienced adverse reactions

This novel research shows a massive body of evidence supporting laser vision correction procedures proving safety and effectiveness. 

Rohr Eye & Laser Center offers the most advanced technology available to provide personalized and extraordinary care to our patients. Whether your goal is to maintain or improve your natural vision, we are here to help you. Call us at 877-579-0202 or visit https://www.michiganlasik.com/ to schedule an appointment today.

Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.

First All-Laser LASIK in new Southern Utah Surgery Center

A new breakthrough is entering into the LASIK market as the Southwest Surgery Center, based in southern Utah, will reveal its new all-laser LASIK surgery setup in a new state-of-the-art facility. As outlined in this St. George News article, the facility will be using this new technology in the hopes to benefit its patients with lower risk and shorter recovery time than the more traditional laser eye surgeries. The facility itself focuses on more outpatient eye surgeries and services that try to shorten recovery times and allow patients to get back to their lives quicker and with more comfort. The facility will also be open for patients and their surgeons to use for other related outpatient services.

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs. As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses. More information can be found online at https://michiganlasik.com.

Eye Exams 101

In the world of health priorities, our eyes seem to be on the lower end of that spectrum. We focus mostly on our bodies, then our teeth, but making sure our eyes are as healthy as the rest of our body usually comes out as nothing more than a “I’ll keep an eye on it” (no pun intended). Some people put off a dentist appointment or doctor checkup so long that they have a subpar understanding of what exactly such an event entails. For eye appointments a lot of people only recall the machine that shoots a puff of air at your eye, but the entire process is good to understand before making that long overdue appointment.

 

Why are eye exams done?

The reasoning for eye exams may be obvious: they are used to check the overall health of your eyes. But, the goal of an eye exam is to pinpoint and discover any issues your eyes may be developing at the earliest stage possible. The earlier an issue arises, the better the chance of treatment. It’s when somebody puts off an eye appointment for years that any issue that may be present most likely has advanced to stage an untreatable stage. Having regular eye exams prevents any issue from metastasizing too late.

 

When should I be making appointments?

The relative age of the patient is a key deciding factor for making regular eye appointments. For example, newborns and toddlers will usually have their pediatrician look for the most common eye issues during regular checkups. Only when something is found is a proper eye exam conducted, even at that age. For children a little older it is important to have the eyes checked prior to starting elementary school, after which you can expect checkups every one to two years. For adults, the frequency depends on your age range.

 

What should I do before, during, and after?

The steps to take when going through an eye exam may seem dauting but the reality is much simpler. For first timers, understanding your eye health history is beneficial to both you and the doctor conducting the exam (not unlike an appointment with a general practitioner). Keep a tally of any health issues you’ve had in the past that may or may not be affecting eye health. You can also take this time to talk to the doctor about LASIK if you know your vision could already be better.

The exam itself is generally short and simple, with machines being used to test visual acuity and sensitivity. When you think of the phrase “better, worse, or the same?”, this is when you’d be asked that question. Also, yes, this is when you’d have the puff of air shot into your eye, so mentally prepare for that.

After the exam you’ll typically get the results of your exam and any issues that may have been found, if any. If issues are found (for example: cataracts), preventative measures and possible surgery can be discussed, and if your vision isn’t as great as you’ve boasted for years, you can try on glasses and find a frame that best fits your style with your new prescription.

That’s it! Not as daunting as it may sound, but it really is something one should keep up with, especially if you want a glasses prescription that is up to date.

 

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.

Being a Canidate For LASIK

LASIK is a type of refractive eye surgery that eliminates dependency on corrective lenses.  It is, however, not the right decision for everyone.  It is important to determine if you are a good candidate for LASIK and that you weigh the decision to have the procedure before scheduling your surgery.  Are you tired of wearing glasses and contacts?  Read on to see if you are a candidate for laser vision correction surgery.

 

Most LASIK patients will achieve 20/25 vision or better after LASIK eye surgery.  This is appropriate vision for most activities; eventually however, some LASIK candidates will need glasses for reading or driving at night. 

 

The track record for LASIK surgery is good.  There are a few rare complications that result in vision loss.  In fact, most people are satisfied with the results of their procedure.  Common side effects of the surgery are dry eye and temporal visual disturbance but often clear up in a few weeks or a month.  They are rarely long-term and don’t require additional intervention.  Of course, the final results will depend on your refractive error. Candidates with mild nearsightedness have better success overall with refractive surgery while candidates with a high degree of nearsightedness or farsightedness with astigmatism have less predictable results overall. 

 

There are multiple differences in laser refractive surgery although LASIK is the generic term used for all of them.  Images are focused on the retina in the back of your eye.  When your vision is not perfect the images focus elsewhere and result in blurred vision. 

 

Nearsightedness results in objects far away to appear blurry whereas nearby objects are clearer.  The eyeball is normally longer or the cornea curves sharply which doesn’t allow the light rays to focus at the front of the retina and then blur distant objects.  Farsightedness on the other hand is where close objects are blurry but objects in the distance can be seen clearly.  This occurs because the eyeball is short or the cornea is flat, light then focuses behind the retina.  Astigmatisms cause overall blurry vision, the cornea curves or flattens unevenly.

 

Traditional methods of blurry vision are corrected by the bending of light rays with contacts or glasses.  Reshaping the cornea during LASIK provides the necessary refraction for vision correction.  Before surgery the surgeon will take detailed measurements of your eye.  They will then use a specialized cutting laser to alter the curve of the cornea.  The pulse of the laser beam removes a tiny bit of corneal tissue which allows your eye surgeon to flatten or steepen the curve of the cornea.  The surgeon will create a flap in the cornea and then raise it up before the cornea is reshaped. 

 

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.

When Should I Have LASIK Performed?

No matter how young or old you are the health of your eyes is of the utmost importance. Our eye sight is an essential element in our everyday lives.   It is important to remember this when making decisions regarding your vision.  There are many choices when it comes to correcting issues with your vision such as eye glasses, contacts, and LASIK.  When choosing an option that is right for you a lot of people start to consider undergoing the LASIK procedure.  The thing most people are worried about is that they aren’t the right age to have the LASIK procedure performed.  If that is you, keep on reading.

What is the perfect age to have LASIK performed?

Ophthalmologists and LASIK surgeons both agree that a patients age means less than the stability of their vision when determining if they should have laser vision correction performed.  Patients that have has the same prescription for a period of time are most likely ready to have the LASIK procedure done.  This often occurs for patients in their twenties. 

Are there career benefits to LASIK?

Depending on your career, clear vision without the hindrance of eye glasses or contacts can be extremely beneficial.  Athletes are one category of individuals who would have an advantage with laser vision correction.  Contacts are not the same hindrance as eye glasses can be however there is always the concern about losing one or getting dirt in it while in the midst of an activity.

Can my eyesight continue to change one it has been corrected by LASIK?

Your vision can still change once the LASIK procedure is performed.  Laser surgery helps to increase your vision to its best but even after LASIK it can still continue to change naturally over time. Statistics show that about 10% of LASIK patients will need to have touch up procedures performed after LASIK is done. This is especially true the more drastic your vision correction was. 

If you are interested in finding out more about LASIK and how it can benefit you talk to family, friends, co-workers, and the people you trust for LASIK surgeon recommendations.  This allows you to narrow down providers before hitting the internet for reviews and scheduling consultations. 

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.

Lasik vs Contacts For Correcting Vision

Are you or a loved on interested in LASIK?  Have you thought about how your life would change if you could see clearly without the use of glasses or contacts?  Laser vision correction may be a popular option for you to consider.  The first step in the process is to have a thorough eye exam that will help to determine if you are a good candidate for surgery. 

LASIK eye surgery is most often done to treat nearsightedness, farsightedness, and astigmatisms.  Laser surgery involves reshaping the cornea in order for light entering the eye can focus properly on the retina which allows for clearer vision.  For most people their vision is improved within a matter of twenty-four hours after surgery.  If you are looking for clear vision without the need for glasses or contacts, LASIK can offer you that. 

There are a few things to remember when preparing for LASIK surgery including:

• Laser vision surgery can be done in both eyes during the same appointment.
• LASIK takes approximately ten to fifteen minutes per eye.
• Patients must be over the age of 18 to qualify for LASIK.
• Many LASIK patients achieve 20/20 vision and no longer require the use of contacts or glasses.
• Recovering from LASIK often requires anywhere between a few days and a few weeks for your vision to return to normal.

For some patients LASIK can seem quite daunting and they will decide to trade in their glasses for contacts instead of laser vision correction.  Contacts are an ideal solution for patients who aren’t ready to commit to LASIK but no longer are interested in wearing glasses.  Most contact lenses are silicone hydrogel lenses which are a type of soft lens that can be worn daily.  Some contact lenses are known as extended wear lenses and can be worn overnight or continuously for thirty days.

There are a few things to remember when preparing to wear contacts:

• Contact lenses need to be replaced often to decrease the chance of contamination
• There are several types of contacts available to correct various vision issues
• Contact lenses can be customized for eyes that are difficult to fit
• Options in lenses include colored lenses, lenses for dry eyes, lenses with bifocals, UV reducing lenses, and even prosthetic lenses

Both LASIK and contacts are safe.  There are risks of infection with both if care is not taken but side effects are rare. 

Both LASIK and contacts are effective.  Vision is improved with both laser correction surgery and the use of contact lenses.  Adjusting for vision changes is easier with contacts however, LASIK patients can also adjust for vision changes with the use of glasses for reading or nighttime driving.

Both LASIK and contacts are affordable.  Laser vision correction ranges between $1,500 to $2,500 per eye.  Contacts are cost about $300 a year.  The only downside is that the cost of contacts never disappears.  You will need to purchase new contacts yearly.

Obviously, LASIK is a great option for correcting your vision on a permanent basis however, surgery is not for everyone.  Contacts are a wonderful change for individuals who want a change from wearing glasses to improve their vision.

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.

Answering Questions Common to LASIK Surgery

Preparing for any surgical procedure comes with its fair share of anxiety, LASIK is no different.  Laser surgery for vision correction has a number of benefits.  Knowing the end benefit, vision without corrective contact lenses or glasses, is only half the battle.  Preparation ahead of time to put your mind at ease is the other half.  Below we will answer the top questions we get during LASIK consultations.  As always, if you have questions that did not get answered during your FREE consultation with the LASIK specialists at Rohr Eye & Laser Center, patients can call the office at any time.

Will LASIK hurt?

The number one question we are asked involved the pain level that is experienced with LASIK.  The truth is that most patients experience very little pain or discomfort during surgery.  In fact, many patients explain the sensation as a slight pressure that is felt as the laser is reshaping the cornea.  Of course, everyone’s pain tolerance is different but overall this is the experience patients have described after their procedure.

What occurs during the LASIK procedure?

The actual LASIK procedure itself is fairly quick and easy.  Numbing drops are applied to the eyes.  Once this occurs, doctors will cut a very thin flap on the surface of the cornea.  The surgeon will use the laser to shape the cornea according to the prescription from the most recent eye exam.  After this is finished the eye surgeon will carefully place the flap back into place and perform the same procedure on the other eye.  Lasers are used in both the creation of the flap and shaping the cornea although in the past a thin blade had been used to create the flap.

Is LASIK performed on both eyes at the same time?

YES!  Laser vision correction can be performed on both eyes at one time.  With LASIK, vision improvement is virtually instantaneous, and healing is minimal.  During LASIK the laser is only used for about 60 seconds per eye.  Although LASIK can be performed on both eyes at the same time some patients prefer to have one eye done at a time.  This is possible however, rare.

Do surgeons use anesthesia during LASIK?

No, anesthesia is not given during the LASIK procedure but instead eye drops are put into the eye just prior to the procedure.  Some patients with higher levels of anxiety about the procedure require oral medication to be given for relaxation.  Needles and intravenous drugs are not required.

How long does the LASIK process take?

LASIK is a quick process surprisingly.  On average the procedure can take less than 15 minutes once the patient is settled in the treatment room.  The laser aspect of the procedure usually takes less than 60 seconds per eye.

If I blink during LASIK what happens?

Surgeons use a speculum to keep patients’ eyes from blinking.  Some patients remark that there is a slight pressure from the speculum.  Patients are told to focus on a blinking light throughout the procedure.  Movements of the eye are expected, lasers that are used include an eye tracker which accounts for movement and helps to ensure accurate delivery of laser pulses.  

What are the side effects of LASIK?

Although infrequently experienced there are some side effects that patients experience following LASIK.  The most common side effect is dry eye which is easily remedied through over-the-counter artificial tears.  Rare side effects include:

• Inconsistent vision
• Difficult night vision with halos
• Sensitivity to light

Rohr Eye & Laser Center offers the most advanced technology available to suit your lifestyle and visual needs.  As a leader in laser vision correction and cataract surgery, our goal is to help you achieve the best vision possible without glasses or contact lenses.  More information can be found online at https://michiganlasik.com.