Thank you for your interest LASIK surgery. LASIK can be a life-changing procedure for many people. We strive to make LASIK surgery a wonderful experience for every patient at Iowa Eye Center. Part of that experience is to thoroughly explain what to expect before, during, and after the procedure. This page is meant to be a resource for patients interested in learning more about LASIK and our technology platform by Johnson and Johnson Vision called iLASIK.
We offer a free LASIK screening at our office in order to determine if you are a candidate and to answer questions you have about the procedure. Call us a 319-362-3937 and ask to schedule your free LASIK screening.
Brian Privett, MD
Director of Refractive Surgery
Iowa Eye Center
Myopia, or nearsightedness, causes light from far away to focus in front of the retina inside the eye, leading to a blurred image. This occurs if the eyeball is too long or the cornea is too steep. No matter the cause, nearsightedness can be corrected by flattening the cornea. The opposite can be said for hyperopia, or farsightedness. One of the early approaches to flattening the cornea involving making several radial incisions on the corneal called radial keratectomy. Another procedure called keratomileusis, involved removing the front surface of the cornea and removing tissue from the cap using a lathe. Kerato is greek for cornea and mileusis is greek for carve.
In the early 1980s, researches at IBM were using a laser known as an excimer laser to etch microchips at the microscopic level. This laser used photoablation to remove small amounts of material using photons, while doing no damage to the surrounding material. They hypothesized that this laser could be used to ablate animal tissue so they brought some Thanksgiving turkey to the lab to show that tissue could be safely removed using this laser without damage surrounding tissue. Once this was discovered, ophthalmologists began using the laser to perform keratomileusis on the surface of the cornea which became known as photorefractive keratomileusis, or PRK.
It was later discovered that this procedure could be formed under a flap of corneal tissue in order to make the procedure more comfortable to the patient. This was called laser in-situ keratomileusis, or LASIK.
The LASIK flap was originally cut using a blade called a microkeratome. Iowa Eye Center was the first facility in the state of Iowa to perform LASIK using a femptosecond laser, which is now how the majority of LASIK is performed. Iowa Eye Center continues to stay on the cutting edge of LASIK technology, while still maintaining our focus on the patient experience.
LASIK is an in-office procedure with the goal of decreasing or eliminating the need for glasses or contacts. It works by reshaping the cornea after lifting up a thin flap of tissue. iLASIK is the technology platform used by Iowa Eye Center. With the iLASIK platform, we can measure the custom shape of your cornea with a device called the iDesign. This platform also creates the LASIK flap using a femptosecond laser. The final step of the procedure involves a second laser known as an excimer laser.
The iDesign is a measurement tool used to measure the unique shape of the eye. The measurement of the unique imperfections of the eye, or aberrations, is called aberrometry. This device also measures the pupil, takes a photograph of the iris, and takes multiple measurements of the cornea.
The iDesign measurements are taken at your initial screening to determine if you are a candidate for the procedure. Final measurements are taken within 1 to 2 weeks of the procedure. Soft contacts lenses must not be worn within 3 weeks of the final measurements and rigid contacts must not be worn for 6 weeks.
Dr. Privett personally examines all of the iDesign scans taken from the device and chooses a plan best for you. The information is electronically transferred to the LASIK treatment laser, eliminating transcription error.
The first step of the iLASIK procedure involves the use of a femtosecond laser know as the intraslase or iFS. The laser uses photodisruption to create the LASIK flap quickly and painlessly. During the creation of the LASIK flap, a suction ring is placed on the eye. During this time, a pressure sensation is felt and the vision dims away. This suction ring is only in place for about 45 seconds. The second eye is then done immediately so that the LASIK flaps are created within the first 5 minutes of the procedure.
The final step of LASIK involving changing the shape of the cornea using the excimer laser. During the portion of the treatment, the patient is asked to look at a blinking target light. Using the scans taken from the iDesign, the laser then registers to the unique features of your iris. This is especially important for treating astigmatism as torsion of the eye often occurs while lying down and the iDesign measurements are taken while sitting up. The laser then delivers the treatment to remove tissue and change the shape of the cornea.
At the end of the procedure, the LASIK flap is replaced and medicated drops are placed on the eye. Typically the entire procedure takes less than 30 minutes.
During our free LASIK screening, multiple measurements of you eye will be taken to determine if you are a candidate for the procedure. One of our LASIK coordinators will answer any questions you have including the overall cost of the procedure. The LASIK screening never expires so you can either schedule your surgery day during the screening or you can plan to call us back when you wish to schedule surgery.
During your consult, final iDesign measurements are taken. We will also recheck your glasses prescription and dilate your eyes. Dr. Privett will then see you after dilation to answer any questions you may have before proceeding with surgery.
LASIK surgery is performed right in the office at Iowa Eye Center. For your surgery day, Dr. Privett and the LASIK team will greet you in your pre-op room where your family and belongings can remain during your procedure. You will then be taken to the LASIK suite. The procedure usually last less than 30 minutes. After the procedure, you will be escorted back to your room where Dr. Privett will do a final examination of your eyes and discuss you post operative instructions for the evening. Dr. Privett will give you some medicated drops to be used as instructed.