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LASIK is an outpatient surgical procedure which incorporates only an anaesthetic eye drop that numbs the surface of the eye. The surgery takes about fifteen minutes for each eye.

LASIK is a specialised technique which enables the Doctor to bypass the step of removing the epithelium of the cornea. A special instrument called a keratome is used to make a thin flap like a lid in the cornea leaving the epithelium untouched. The flap is lifted and the excimer laser is used to reshape the cornea and the flap resealed. The cornea still has all of its structures intact and there is essentially no recovery time or discomfort at all. Nothing has to grow back. LASIK also had the advantage of being more effective in nearsightedness, farsightedness and astigmatism and when necessary, enhancements are easily performed by lifting the flap and applying laser.

Due to the minimal operating time the most patients are electing to have both eyes treated during the same treatment session. This option can be discussed at the time of screening at the Hospital with your Doctor directly, but there are contributing factors that will have to be taken into consideration for example the configuration of your eyes and the needed amount of correction, not forgetting of course your medical condition. Normally after treatment Patients can return to work the next day, but of course, this depends on the visual demands of your job and your own desire to return quickly to work.

At our Hospitals and clinics our target aim is to ensure that each patient achieves the best possible vision and as quickly as possible. The techniques and methods being used are constantly refined , also with regard to patient care, enabling us to improve vision and make the entire experience more comfortable and convenient for you. The AKKOMMODATIVE 1 CU represents the latest development in artificial lenses and can provide patients with a better quality of life. The lens is developed to change shape providing similar functions that would be found in a natural healthy lens. The fantastic benefits of the AKKOMMODATIVE 1 CU are that the it enables the majority of patients the ability to perform their normal daily activities without the need to wear glasses or contact lenses. Unlike traditional artificial lenses, distance and near objects can both be seen in focus without spectacles. The AKKOMMODATIVE 1 CU intraocular lens meets the European requirements for implantable medical devices and is a CE approved product.

After an examination it can be decided if the AKKOMMODATIVE 1 CU is suitable for you.

Main reasons for refractive error surgery:

• Reducing the dependence on complementary glasses and contact lenses.
• Safe and satisfied operation.
• Eyesight examination will be performed occasionally after the operation, but the patients need to understand the expected result; that the vision does not appear completely clear immediately after the operation. In some cases after the operation, this will be the best possible improvement for that person.

How successful is Lasik surgery?

• Low myopia (0-600): 95% - 99%
• Moderate myopia (600-1000): 93% - 99%
• High myopia (>1000): 85% - 90%

What does the success rate mean
95% possible success means that 95 out of a 100 people do not need to use any further correction such as eyeglasses or contact lenses. The other 5 people may have to use further correction if the condition and quality of the cornea is not fit to use more laser treatment. If the corneal condition is good enough for further laser procedures, they will not need any further correction.

Who is a suitable Candidate for LASIK?

• Patients must be at least 18 years of age with stable vision for at least one year.
• Patients who encounter problems in using spectacles or contact lenses with the condition of myopia or astigmatism.
• Patients who have no corneal diseases or other eye diseases for example significant retinal degeneration, severe dryness of the eye, Keratoconus or any other complicated diseases which may affect the eye's healing process such as SLE.
• Patients who are not pregnant.
• Patients who have fully understood the disadvantages and advantages of the surgery with realistic expectations of the outcome and accept the risks.

Patients should understand that having expectations that are realistic for their particular case is most important to their ultimate satisfaction with the results of the procedure. While we provide general statistics below, it is important for patients to talk with the doctor and review their expectations prior to making a final decision.

Expectation
While we provide information regarding the overall expectations for the surgery, we understand that there are specific questions that arise in the first few weeks following the surgery.

Speed of Visual Recovery
Patients should understand that, while fast visual recovery characterizes the operation, it can take several months before some patients achieve their final vision after LASIK. Several studies demonstrate that the vision of a number of patients continued to improve up to six months post-operatively.

Crispness of Vision
Patients need to understand that, for many people, 20/20 vision after LASIK can be different from 20/20 vision with contact lenses before LASIK, especially gas permeable contact lenses. The images seen through eyes treated by LASIK are often described as not being as "crisp" as those seen through glasses. This condition, referred to in ophthalmic literature as "loss of contrast sensitivity," will not affect your acuity as it is measured on an eye chart, but the visual experience is different enough that a new term has been coined: LASIK 20/20. While the majority of patients do adjust to this change following LASIK, patients who perform fine detail work (artists, architects, draftsmen) should be sure to carefully weigh the benefits LASIK can afford against the potential loss of contrast sensitivity.

Results
this data reflects the results of a large range of myopia (-1.00 to -14.00) and astigmatism (1.00-4.00). The lower the degree of nearsightedness and astigmatism, the greater chance to get 20/20 or close to it.

The Excimer laser is an extremely accurate tool. However, with some patients, particularly the ones with higher range of myopia and astigmatism (-10.00 and above), a minor correction may still be needed to achieve the best and most comfortable vision possible. Under these circumstances, an enhancement may be performed. This occurs with approximately 6-15% of patients.