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Three Things To Consider In Choosing The Right Laser Eye Surgeon

Los Angeles eye surgeonIt has been close to twenty years since the laser-assisted in situ keratomileusis procedure (Lasik) was first used in the US, and worldwide, about 3 million laser eye correction surgeries are performed annually. About 2 million to 2.5 million are in North America; about 1.6 million are in the United States alone. With the number of laser eye patients who go in to see their Los Angeles eye surgeon to undergo laser vision correction surgery steadily increasing, more and more people have questions about this vision correction procedure.

A $2-billion industry, Lasik technology in the hands of an experienced, expert Beverly Hills Lasik surgeon has consistently accommodated the needs of people to get rid of their glasses and contacts through laser eye surgery.

Whether it be in Los Angeles or Beverly Hills Lasik eye surgery has always been about the quality and the service of the surgeon providing the procedure. With regards to quality, it is very important to select a laser eye surgeon who is not only certified but experienced with completing numerous successful surgeries. Getting recommendations from known sources is also very useful in locating the right Lasik surgeon. And in terms of service, Los Angeles Lasik patients must consider the kind of care that their surgeon and staff offer before, during, and especially after the procedure.

Lastly and equally importantly, when considering laser eye correction, is what type of eye correction laser to have. Patients are encouraged to research and narrow down the kind of Lasik technology that is right for their needs and budget through consultations, customer testimonials, and personal research. It is advisable to inquire about the wide variety of treatments a laser eye surgeon offers, and select the most appropriate one for one’s own circumstance.
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Laser Eye Surgery And Dry Eyes

Los Angeles eye surgeonEveryday, a large number of people live with an actual, medical condition referred to as dry eye. When an person’s eyes don’t generate a sufficient amount of tears to maintain adequate lubrication, dry eye occurs and there are many ways people experience this condition depending on the individual. Los Angeles eye surgeons explain that individuals with dry eye may experience a feeling of scratchiness in the eyes, a burning sensation, large amounts of mucous, sensitivity to wind and smoke, and increased light sensitivity. Oddly, individuals with dry eye may also experience excessive tears as the lacrimal glands, which produce tears, try to compensate for the lack of lubrication.


Laser-Assisted in Situ Keratomileusis, also known as Los Angeles Lasik eye surgery, is a procedure to correct vision in patients who experience myopia or nearsightedness, hyperopia or farsightedness, and astigmatism.


Among most people who undergo this surgery by a qualified, experienced Lasik surgeon Los Angeles patients end up with 20/20 vision or better without complications, however, LASIK can sometimes leave some patients with dry eye. This is especially true if the patient had dry eye prior to the surgery. In those cases, candidate screening was inadequate and the surgery should not have been done.


During Beverly Hills Lasik eye surgery, the surgeon cuts a thin corneal flap so the cornea can be reshaped underneath the flap using a laser. Creation of the flap inevitably cuts some of the corneal nerve fibers related to tear production. The lacrimal glands are beneath the upper eyelids and just below the eyebrows. They produce tears which flow through a drainage system and flush debris from the eyes. When these nerves are disrupted by flap creation, tear production is reduced and this happens in all Lasik procedures. In most cases the nerves regenerate within a few months and tear production becomes normal. In the meantime, moisturizing eyedrops are prescribed.


Usually dry eyes are a disqualifying condition for Lasik. But an eye surgeon will assess each individual and make a judgment call. It can be treated or managed. Prescription eyedrops can help. Your eye surgeon may insert plugs into the tear duct openings (the puncta; singular is punctum). These openings are in the inner corners of the eyes and allow tears to drain from the eyes into the nasal passages. Punctal plugs reduce tear drainage to keep the eyes better lubricated. Special lubricating drops may also be prescribed for people with mild dryness prior to Lasik surgery to minimize potential complications.


When considering Lasik eye surgery, be sure to inform your Lasik surgeon of your medical history, including any previous diagnosis of dry eye, as well as medications you are currently taking. This will help the surgeon provide you with the most effective, comfortable post-op experience possible. To find out if you are a candidate for Lasik eye surgery, the first step is to contact an experienced Lasik surgeon to learn more.
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Which Laser Eye Correction Treatment Is Best For Me?

Los Angeles eye surgeon

The most popular variation of laser treatment is called Lasik (for "laser in-situ keratomileusis"). In this technique, the Los Angeles eye surgeon applies the laser upon the cornea, rather than near the corneal surface. This is accomplished by creating a protective flap in the front 20-25% of the cornea and then applying the laser treatment to the tissue beneath the flap. This protective flap can be made with a laser or with a keratome.

The vision correction treatment can also be applied near the surface of the cornea (instead of under a protective flap), in which case the technique is referred to as Advanced Surface Treatment, or "Lasik without a flap". This technique has several minor variations, which include PRK (for "photo-refractive keratectomy"), Lasek, and Epi-Lasik.

In PRK, the thin layer of soft tissue coating the outside of the eye (the epithelium) is removed and the Beverly Hills Lasik surgeon applies the laser energy to the firm tissue underneath.

In Lasek--with an "e"--the soft tissue on the surface is replaced after the laser treatment. In Epi-Lasik, this thin layer of soft material is folded back using a machine. PRK, Lasek, and Epi-Lasik are very similar to each other.

When the laser treatment is applied to the tissue deep within the cornea (as in Lasik) instead of near the surface (as in Advanced Surface Treatment), the healing is quicker with more rapid vision recovery. Patients usually see quite well the next day after a Los Angeles Lasik treatment. In "Lasik without a flap" the intial healing takes about a week. However, after the healing period is complete, the results are the same with each of these techniques.

Lasik requires an additional surgical step, which is the creation of the protective flap. The flap is created with an instrument known as a keratome or with the IntraLase laser. Creation of the flap takes about 15 seconds and is virtually painless. Complications with the flap occur about 1% of the time. Almost all of the complications are mild and can be easily treated, often by lifting or repositioning the flap. The most serious complication would involve improper creation of the flap; when this occurs, the patient is asked to wait three months, and then can return for a repeat treatment.

With either Beverly Hills Lasik or "Lasik without a flap", there are two types of computer software that can be used, known as conventional and Custom. Both of these use the same laser to perform the vision correction treatment. The conventional software works like glasses or a contact lens; there is one prescription that covers the entire eye. Obviously, this produces excellent vision, just as do glasses and contact lenses. With Custom treatment, an additional modification is made in the treatment to account for additional irregularities in the vision. On average, the Custom treatments produce slightly better vision than the conventional software.

At the Caster Eye Center, we perform all of the variations of laser vision correction. All of the variations produce excellent vision. During your consultation, we will obtain measurements of your eyes, and Dr. Caster will personally talk to you and determine which procedure is the best for your specific situation. In this careful way, we obtain the best vision possible for our patients.

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Lasik Surgery Research Data

Los Angeles Lasik surgeonIn general, people are largely convinced that Lasik laser vision correction surgery is effective in significantly improving one’s vision. According top eye surgeons specializing in laser eye surgery Los Angeles patients in large are concerned about two primary issues when considering Lasik: safety or costs. After researching the topic, most individuals discover how popular, affordable and safe this procedure really is.

More than 17 million people across the globe, including 8 million Americans, have enjoyed the many benefits of laser eye surgery, Los Angeles Lasik surgeons explain, fueling the procedure’s popularity in a global market expected to have exceeded 3 billion dollars last year.

Satisfaction rates remain high, with ninety percent of LASIK patients stating they recommend the procedure to others, and seventy percent stating the quality of their vision was outstanding. The demographics for the age of LASIK patients is slowly changing; laser vision correction patients are getting younger and younger. Statistics for 2005 show that more than 56 percent of patients were in the 18-34 age group and of that group, 54 percent were male and 46 percent were female. Fifty percent of those patients chose Custom Wavefront LASIK, while 25 percent chose iLasik (also called Bladeless LASIK).

For over twenty years, and after tens of millions of surgeries, Los Angeles Lasik has enjoyed a very high safety rating. Like all surgeries, it has some temporary side effects which are not the same thing as genuine complications. Complications are rare. An increasingly important decision about LASIK than cost is choosing the right surgeon. A highly experienced and qualified eye surgeon like Andrew Caster MD is trained in the latest techniques, has specific expertise in a variety of vision correction procedures, and has access to advanced diagnostic technology.

He is also careful and responsible in choosing good LASIK candidates, and in offering alternative procedures to those who are poor LASIK candidates. Having an inappropriate surgery done on your eyes is a good way to invite problems and the surgeon’s reputation is at stake as well as your eyesight. For more information about laser eye surgery, contact Dr. Andrew Caster to learn more.
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Lasik Surgery Research Data

Los Angeles LasikIn general, people are largely convinced that Lasik laser vision correction surgery is effective in significantly improving one’s vision. Top Los Angeles Lasik surgeons say that many people are concerned about two primary issues when considering Lasik: safety or costs. After researching the topic, most individuals discover how popular, affordable and safe Los Angeles Lasik surgery really is.

More than 17 million people across the globe, including 8 million Americans, have enjoyed the many benefits of laser eye surgery Los Angeles eye surgeons explain, fueling the procedure’s popularity in a global market expected to have exceeded 3 billion dollars last year.

Satisfaction rates remain high, with ninety percent of LASIK patients stating they recommend the procedure to others, and seventy percent stating the quality of their vision was outstanding. The demographics for the age of LASIK patients is slowly changing; laser vision correction patients are getting younger and younger. Statistics for 2005 show that more than 56 percent of patients were in the 18-34 age group and of that group, 54 percent were male and 46 percent were female. Fifty percent of those patients chose Custom Wavefront LASIK, while 25 percent chose iLasik (also called Bladeless LASIK).

For over twenty years, and after tens of millions of surgeries, LASIK has enjoyed a very high safety rating. Like all surgeries, it has some temporary side effects which are not the same thing as genuine complications. Complications are rare. An increasingly important decision about LASIK than cost is choosing the right surgeon. A highly experienced and qualified eye surgeon like Andrew Caster MD is trained in the latest techniques, has specific expertise in a variety of vision correction procedures, and has access to advanced diagnostic technology.

He is also careful and responsible in choosing good LASIK candidates, and in offering alternative procedures to those who are poor LASIK candidates. Having an inappropriate surgery done on your eyes is a good way to invite problems and the surgeon’s reputation is at stake as well as your eyesight. For more information about laser eye surgery, contact Dr. Andrew Caster to learn more.
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Maloney Vision Institute Seeks Participants for Research Study on Reducing the Dependence on Reading

Los Angeles Lasik center Maloney Vision Institute is hosting an FDA study on the ACI Corneal Inlay, which is an implant that can reduce the need for reading glasses.

Understanding the loss of near vision.

A healthy, young eye is able to focus light from both far and near objects to create a clear image at all distances. By age 45, the eye’s natural lens is too stiff to focus on near points. As a result, near tasks like reading or computer work are blurry. This is a natural occurrence that affects us the rest of our life. The clinical term for the loss of near vision is presbyopia. It is possible to have poor near vision, but good distance vision, especially if you have already had Los Angeles Lasik surgery to correct this.

Buying a pair of reading glasses is a quick way to improve near vision. While “readers” will help you read a book or dial a telephone number, they will not help you see far objects. Some find putting glasses on to see near and taking off to see far inconvenient.

The ACI Corneal Inlay is an investigational device. A no-cost clinical research study is currently underway. The purpose of the study is to examine the safety and effectiveness of the inlay.

The ACI Corneal Inlay no-cost research study.

Smaller than a contact lens, the ACI Corneal Inlay looks like a black ring. There is a tiny aperture or hole in the center of the inlay. The inlay can help vision correction Los Angeles patients in two ways.

1. Creates a pinhole effect so near objects are clearer.

2. Focuses light rays so you can see a wider range of vision – near, intermediate (computer) and distance. During an out-patient procedure, the research doctor will implant the inlay in one eye. If needed, the ACI Corneal Inlay can be surgically removed.

You may be eligible to participate in the study if you are…

  • Between the ages of 45 and 60.
  • Using reading glasses to read or work on the computer.
  • Not using glasses or contacts to see far objects – Lasik Los Angeles patients are welcome.
  • In good physical health.
  • Able to meet other medical criteria determined by the research doctor.

Improvement in near vision.

The amount of time it takes to see an improvement in near vision varies. Some see better in a few days. For others, it takes several months, or there may be no improvement at all.

You can help your eye heal faster by using eye drops as prescribed. You will also be asked to practice reading without glasses. This activity will help train your inlay eye how to see near again.

The goal of the inlay is to reduce your need for reading glasses. You may continue to need glasses for reading very small print or in dim light.

Next steps.

If you are interested in learning if the ACI Corneal Inlay can reduce your dependence on reading glasses, contact Maloney Vision Institute by telephone 310.208.3937 or email info@maloneyvision.com . You can also visit www.NearVisionStudy.com for more information.

The information about the ACI Corneal Inlay clinical research study is not intended to provide medical advice. Always consult your doctor for medical advice and treatment.

Caution: Investigational device. Limited by United States federal law to investigational use.

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LASIK Eye Surgery: Important Q and A Information

Beverly Hills Lasik surgeonThrough modern technology and medicine, Beverly Hills Lasik surgeons have been able to improve vision and do away with spectacles or contact lenses. According to The Jakarta Post, LASIK (short for laser-assisted in situ keratomileusis) has gained wide popularity over recent years, whether for aesthetics or for practical reasons. The following are questions and answers commonly discussed regarding laser eye correction surgery.

Question: Can Beverly Hills Lasik be individualized?
Answer: LASIK can be tailored to an individual's eyes and requirements, according to The Jakarta Post. Newer technology means that treatments can be much more accurate and for a higher degree level of correction, although some of these still need evaluation to determine their true benefits. In the past, the higher degree a person had, the more cornea had to be removed. With new LASIK technology, less tissue needs to be removed for higher levels of vision correction. It is important to choose a center with a wide range of femtosecond laser and excimer laser machines to find the best match in technology to an individual's requirement. Some refractive intraocular implants are also now available to treat extremes of myopia not amenable to LASIK surgery.

Question: Does LASIK use heat energy and can people smell the cornea being burned?
Answer: The excimer is a "cool" laser and does not use heat energy to remodel the cornea. However, there may still be an element of tissue vaporization that may result in some smell during the treatment.

Question: Is LASIK still a new technology and are there any long-term studies out there?
Answer: LASIK was first performed 20 years ago in 1989 by an ophthalmologist in Greece and then introduced to America in 1990. Since then, peer reviewed publications have shown excellent safety, efficacy and stability results for eyes up to 10 years after LASIK was first performed, and millions of LASIK treatments worldwide have shown no unexpected long-term complications.

Question: It is possible to target the LASIK laser accurately all the time as eyeballs will make involuntary movement and is there a risk of the laser zapping the wrong areas of the eye?
Answer: Most Los Angeles Lasik platforms have highly advanced eye-tracking devices that compensate for any minor eye movements during the procedure. These active tracking systems follow the patient's eye position at a speed of up to 4,000 times per second and redirect the laser pulses precisely.

According to a top local Lasik surgeon Los Angeles patients can refer to their local laser eye correction center for more information regarding Lasik and other surgical eye procedures.

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Answers: Advanced Surface Treatment LASIK Without A Flap

Lasik doctor Los Angeles
Many of my friends have had Lasik. Why do you sometimes recommend “Lasik without a flap”?
According to a top qualified Los Angeles eye surgeon, there are certain people for whom “Lasik without a flap” is the preferred technique. In the following situations, “Lasik without a flap” is the safer choice: moderate to extreme dry eyes, very thin corneas, thin corneas combined with large corrections, irregular topography (curvature test) that may indicate an inherent weakness in the cornea, or hobbies or professions (such as boxing) where there is a very high likelihood of being hit in the eye. Safety needs to be our most important consideration, and for these certain people, “Lasik without a flap” is safest.

What Are The Disadvantages Of “Los Angeles Lasik Without A Flap”?

There are two disadvantages. The main disadvantage is that “Lasik without a flap” takes longer to heal. The vision is often around 20/40 to 20/50 during the first week. 20/40 vision is required to legally drive a car. You will certainly have adequate “walking around” vision to perform most daily tasks, but it is certainly possible that you will not see well enough to legally drive or see clearly enough to work at a computer or read extensively during the first week. Although most people choose to have both eyes treated on the same day, some people choose to have “Lasik without a flap” one eye at a time, and then they can work during the first week while the eye is healing. With Lasik, most people return to work the very next day. The second disadvantage is on and off discomfort during the first week, which is very well controlled with “comfort” drops as well as anti-inflammatory pills.

Do you perform other forms of laser vision correction in addition to"Lasik without a flap"?
Among the many services provided by your experience Lasik doctor Los Angeles patients have all the variations of laser vision correction, including Lasik, IntraLasik (Lasik with a laser flap), and "Lasik without a flap" available as possible laser eye correction options.

I want the Custom Wavefront treatment. Can I have that with “Lasik without a flap”?Yes, we can perform the Custom Wavefront treatment with Lasik, IntraLasik, and “Lasik without a flap”.

How is “Lasik without a flap” performed?
As explained by a top Lasik surgeon Los Angeles without a flap uses the exact same laser as Lasik or IntraLasik. However, instead of creating a flap (which is the thickness of a human hair) and then performing the treatment on the part of the eye under the flap, the treatment is performed near the surface of the eye. This is why this technique is often referred to as Advanced Surface Treatment. The thin layer of material covering the surface, which is very soft, is wiped away, and the laser treatment is then applied to the firmer material underneath.

Which gives better results: Lasik, IntraLasik, or “Lasik without a flap”?In our hands, the final vision is the same with each of these variations. Lasik provides the most rapid return to excellent vision, followed by IntraLasik, and then “Lasik without a flap”. We want to make the recovery as easy and quick for you as possible, but our main concern is which technique will be the safest technique for your particular situation.

What care is required after “Lasik without a flap”?
A special contact lens, which we put in and later take out, is worn for 5-7 days. You will need to take antibiotic and anti-inflammatory drops, and we will give you anti-inflammatory pills.

Is “Lasik without a flap” very common?
About 10% of the laser treatments in the United States are “Lasik without a flap”. It has been performed since 1995, and very significant improvements have taken place over the years. Advanced Surface Treatment is becoming more popular each year, as doctors understand that for certain groups of people it is the safest choice.
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The Treatment Is Easy

Los Angeles eye surgeon
Drawn from top Los Angeles eye surgeon Dr. Andrew Caster’s book Lasik: The Eye Laser Miracle, the following takes the patient step-by-step through the laser vision correction process from start to finish.

Los Angeles Lasik Laser Vision Correction Very Easy Procedure To Undergo
No injections are needed, and there is no pain during the procedure. These are the steps you will experience:

1. Your doctor will measure your eyes to determine your amount of nearsightedness, farsightedness, and astigmatism. During this presurgical consultation, your doctor will complete a thorough examination of the health of your eyes and discuss the procedure in detail with you.

2. The laser will be calibrated and tested for accuracy.

3. The correction desired for your eye will be entered into the laser’s computer.

4. The computer will determine the specific set of laser pulses to apply.

5. You will be brought into the laser room and asked to lie down.

6. A patch will be placed over the eye not having the procedure.

7. Anesthetic eyedrops will be place in the eye. No injections or IVs are needed.

8. Your eyelid will be held open with a small speculum, which causes no pain.

9. You will be asked to look at a small blinking light.

10. In Lasik, a small layer of tissue, known as the corneal flap, will be separated and lifted. In PRK, the Beverly Hills Lasik surgeon will gently wipe away the soft, superficial layer covering the cornea.

11. You will hear a clicking noise, the sound of the laser.

12. The blinking light will get hazy as the treatment progresses.

13. The treatment will usually take less than thirty seconds of laser time.

14. Eyedrops will be placed in the eye. In some cases, a temporary contact lens will be placed in the eye as well.

15. In most cases, the procedure will then be repeated for the second eye.

16. You will sit up and rest for a few minutes before going home. Your stay in the treatment room has lasted about five to ten minutes.

Sounds easy, doesn’t it? And it is. But how accurate are the results? What can go wrong? Are you a suitable candidate for laser vision correction or should you consider alternatives? These questions can be effectively addressed by your Beverly Hills Lasik eye surgeon.
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Los Angeles Lasik Eye Surgery Success Rates

Andrew Caster MDLos Angeles Lasik Eye Surgery Success Rates

Over the years, laser eye correction surgery has become one of the most popular options to correct vision. Patients who have been wearing glasses and/or contacts for years have been turning to laser eye correction for unassisted vision and an improved quality of life. Some say that they hope this will totally change their lives, and many say that it has. Laser eye surgery itself is fairly straightforward; a laser is used to reshape the cornea, often reducing or eliminating the need for glasses and contacts. According to a ABC 30 News report, a Consumer Reports health survey shows about 80 percent of 800 Americans who've had laser eye surgery since 2001 that said they were "highly satisfied" with their results.

Los Angeles Lasik Surgeons Advise Patients To Do Their Homework

For patients considering laser eye surgery Los Angeles experts say one of the best ways to protect yourself is by doing your research because every surgery carries risks. They tell us to look for an experienced board-certified ophthalmologist who has done numerous procedures, and to also go in with realistic expectations. Los Angeles Lasik surgeons also remind them that many people will need reading glasses when they reach their 40s.

Laser eye surgery, however, can be an effective step toward improving a one’s vision. And the most common regret from those surveyed was that the patients didn’t do it sooner. Still, not everyone is a good candidate for Lasik eye surgery; a reputable laser eye correction center will always prescreen patients. For more information about Lasik eye surgery, contact Andrew Caster MD at Caster Eye Center to learn more about laser eye correction options.
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