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PostHeaderIcon Refractive Surgery

There are many different kinds of refractive surgery and it is important that choose the correct procedure for your situation. Dr. Maguen can help you make the right choice for the best outcome.  The following is an overview of the most current recommended procedures.

Laser vision and other refractive surgery procedures include the following:

All-Laser" LASIK Surgery Intralase Pulsion™ FS Laser system.

The Intralase system creates a corneal flap of a precise thickness and diameter with a lower suction level than a standard microkeratome without using a blade. this makes creating a flap safer than standard microkeratomes using higher suction and blades.

Intralase presents proprietary femtosecond laser technology that will enable patients to choose vision correction surgery with confidence. The Intralase Pulsion™ FS Laser offers refractive surgeons and incomparable safety platform, optimal precision and total control as the only All-Laser alternative to the mechanical microkeratome.

VISX invented the technology for vision correction more than 15 years ago. The VISX laser has FDA approval to treat myopia, hyperopia, and astigmatism. Dr. Maguen was an Investigator for 4 different FDA studies for VISX approval.The latest and most updated version of the VISX laser is available for treatment in our center.

LASIK Advantages:
  • Minimal post-operative discomfort
  • Rapid visual recovery-usually next day
  • Superior results in moderate & high myopia, astigmatism, and hyperopia
  • Reduced risk of corneal haze in higher corrections
  • Re-operations (enhancements) easier

Photorefractive Keratectomy

Photorefractive Keratectomy involves sculpting the surface of the cornea to a new curvature with a special cold laser (excimer) by vaporizing the surface layer through a series of precise laser pulses under computer control. PRK in the United States has been approved by the FDA for the correction of myopia, hyperopia and Astigmatism.

Phototherapeutic Keratectomy (PTK)

The VISX excimer laser can be used to remove central corneal opacities and scars and smooth irregular corneas without resorting to corneal transplantation and with little down time postoperatively.

Wavefront based LASIK or PRK

Wavefront based treatment measures not only the patient's glasses prescription (lower order aberration) but also measures other aberrations (higher order aberrations) which are present to varying degrees in all eyes, even the 20'20 eyes of pilots. The wavefront provides a unique "finger print" of the eye which is different for each patient even if they have the same glasses prescription. Conventional laser vision correction often significantly increases these higher order aberrations which can affect the quality of night vision and contrast sensitivity. Wavefront based treatments attempt to reduce or minimize any increase in higher order aberrations by inputting the wavefront measurements into the laser to be used for the laser vision correction. In conventional laser vision surgery, only the patient's prescription is entered into the laser.

Both the VISX laser and the newest Alcon Alegretto laser are available for the performance of Wavefront corrected and Wavefront optimized Laser Vision Correction.

Clear Lens Extraction (CLE)

CLE involves the removal of the internal lens of the eye, as in a cataract operation. A lens implant, as calculated by special measurements and formulas, is then placed inside the eye.

Phakic Intraocular Lens (PIOL)

PIOL involves placement of a lens implant inside the eye for the correction of either nearsightedness or farsightedness. This lens becomes in effect an internal contact lens inside the eye rather than on the surface of the eye. The lens manufactured by STAAR Surgical received final FDA approval in 2006.

Surgical Correction of High Myopia
Via Phakic Lens Insertion (ICL Injection)