News Articles Blog » Lasik Eye Surgery

How to Find a Lasik Eye Surgeon in San Diego

admin — Mon, 27 Sep 2010 21:23:31 +0000

Surgery for your eyes can be a scary thought. We all take our sight for granted, but when it is in danger we start to realize the importance of our eyes. They help us see the faces we love, help us watch our favorite television shows, and help us see the all the beauty the world has to offer. How does one find the right San Diego Lasik surgeon? It’s not an overly difficult task, but making the right choice can be the difference between keeping one’s eye sight and dealing with worse problems.

San Diego Lasik Eye Doctor

What someone should look for in their surgeon is obvious. Important qualities are experience, credentials, and the effort put forth toward their patient with any and all post-surgical problems that may occur. Other things to be on the lookout for are that the doctor is licensed in the proper field. Do they have the correct certification? Are they a member of the American College of Surgeons? Members of the ACS must be board certified and uphold ethical standards of conduct.

There are a lot of advertisements for surgeons. These advertisement provide plenty of information on what the doctor can provide. If you don’t find any suitable doctors in the advertisements, you can always ask your family doctor for a referral to a surgeon they are familiar with. Finally, there are plenty of web sites online that provide information on surgeons throughout the United States. It is simple to search for and find a surgeon in your area that would be more than capable to provide the services you may require. There are plenty of options and help you find a surgeon that is right for you. As long as you do the research, you’re bound to find a Lasik San Diego surgeon that will provide a valuable service for your needs.

Contact Global Laser Vision

For more information search lasik doctor San Diego or www.globallaservision.com

San Diego Lasik Doctors, Eyes on the Prize

admin — Fri, 24 Sep 2010 21:19:42 +0000

An optometrist is a doctor who’s primary study is concerned with the eyes. In the United States, all students studying to become optometrists are held to a strict set of regulations. They are required to continue their education even after being certified in order to stay in touch with any and all current standards relating to the care they provide. Two of the main organization of optometrists are the American Optometrist Association and the American Optometrist Society. These groups represent all optometrists throughout the United States.

Like all other courses of study, San Diego Optometrists must first complete a four year bachelor’s degree. After they complete these four years, they must then score well enough on the O.A.T., or Optometry Admissions Test, in order to be admitted into a graduate program. These aspiring doctors must then complete a four year post-graduate degree program where they will receive training in the classroom and in a clinical setting in order to obtain their doctorate degree.

This is not the end of a future Optometrists journey toward their profession. After completing the program, they must pass a national examination that is given by the National Board of Examiners in Optometry. This is a three part examination that covers each aspect of Optometry. Some will then go on to complete a one or two year residency where they are further trained in the specifics of their field. They are then recognized as, what some may feel to be, a true Optometrist, but, as stated earlier, they must continue their education in order to stay current on topics within their field.

With all Optometrists have to go through in order to be certified, patients can rest assured that their chosen doctor knows what they are talking about. Also, with the continued study these doctors have to perform, they continue to learn more about their line of work, and thus become better and more advanced in their field. It’s a reassuring thought to know these doctors are working hard to help keep us and our eyes healthy.

For more information search san diego lasik doctor or www.globallaservision.com

Eye Exams in San Diego, Eye Doctors and Ophthalmologists

admin — Mon, 13 Sep 2010 23:22:09 +0000

Estimates indicate that approximately one in four people in the United States have some sort of problem with their eyesight. When any sort of problem like this is as widespread as it is, it tends to lead to several options for those who need help. San Diego eye exams are easy to obtain, but what’s not easy to find is the type of help that will allow people to find and pursue the proper solution to whatever is ailing their eyes.

Obtaining the proper result for this situation should always start with an examination by experienced ophthalmologists. San Diego offers many choices in this regard, and below you’ll find an overview of the approach that should be taken by anyone who is having trouble seeing properly.

San Diego Eye Exams – Obtain a Diagnosis

As is the case with any number of other issues, the problems that are causing poor eyesight are nearly limitless in number. Therefore, instead of pushing for a quick fix to a problem that may not be a fix at all, anyone who needs this type of help should start by working towards an accurate diagnosis. San Diego eye exams are a start, but these eye exams should be reviewed by experienced and skilled ophthalmologists. When a diagnosis is obtained, the next steps can be plotted out towards recovery and correction.

Solutions Available from Ophthalmologists – San Diego’s Choices

Some eye problems are caused by problems with the optic nerve, while others involve structural issues inside the eyes themselves. There are still other causes of poor eyesight that have nothing to do with the eyes at all. Regardless, options for correction are numerous, and they could involve the use of eyeglasses, the use of contact lenses, Lasik surgery to correct a structural problem in a technological manner and many others. The biggest challenge is identifying and pursuing the proper corrective steps so that they need only be taken once.

How to Begin This Process

If you have been struggling with your eyesight, it’s time to take the necessary steps to put this issue behind you once and for all. Poor eyesight is not only frustrating, but it could prove to be dangerous for those who need their eyes on a daily basis, which most of us do. If you’d like to find out what solutions are available for your particular problem, contact the experienced ophthalmologists at the San Diego clinic of Global Laser Vision today to schedule an initial consultation.

Trust Your Eyes to San Diego Lasik Doctors With Experience

admin — Mon, 16 Aug 2010 21:47:32 +0000

The world of medical science has advanced by leaps and bounds in recent years, and there are many different procedures that are commonly available now that would have been impossible even a few years ago. One of those procedures is meant to help the eyesight of patients, and it is known as Lasik surgery. San Diego is a market that offers many options in this regard, but as is the case with any highly technical procedure, patients need to choose their help wisely. In short, this procedure has been around long enough for some professionals to have a high level of experience, and below are just a few reasons as to why choosing San Diego Lasik doctors with this experience can be critically important.

Mistakes Can Be Costly

People tend to mistakenly believe that when technology is a driving force behind any procedure, it matters little in regards to the party who is making use of it. When it comes to Lasik procedures in San Diego or anywhere else, nothing could be further from the truth, as few forces in the universe are more powerful than lasers, and few areas of the body are more sensitive to harm than the eyes. Missing the mark with a laser by even a fraction of a millimeter can lead to serious eye damage that can be difficult if not impossible to repair, which is why anyone who wants to improve their eyesight needs to work with San Diego Lasik doctors who have years of experience to help them handle any procedure properly.

Perspective is Invaluable

Experience is a quality that teaches anyone valuable lessons that benefit both themselves and the people they serve every day. When this notion is applied to San Diego Lasik doctors, it should be clear that those who are obtaining Lasik surgery for the first time will depend and benefit greatly from the guidance that they are provided by their doctors. Anyone would be nervous about the idea of fixing a powerful laser on their eyes, but San Diego Lasik doctors with a high level of experience will be able to walk those patients through this process so that their emotions are managed and expectations are properly set. When surprises are minimized with any medical procedure, recovery is smoother and easier.

If you are ready to provide yourself with improved eyesight by way of a Lasik procedure, contact the San Diego Lasik doctors who have helped countless people achieve just that over the years. Get in touch with the professionals at Global Laser Vision today to learn how you can put your glasses and contact lenses in your drawer and leave them there.

How to Find the Best Lasik Surgeons in San Diego

admin — Mon, 21 Jun 2010 20:53:46 +0000

How to Find the Best Lasik Surgeons in San Diego

Many questions arise when someone needs Lasik eye surgery. San Diego is a market with many choices, but that doesn’t mean that someone can simply and randomly pick a name and work with that Lasik eye surgeon. San Diego’s medical community is diverse and offers something for everyone, but finding the best Lasik surgeons in San Diego for your needs involves a few steps. Below are some ideas to keep in mind as you begin your search.

Ask Around

The popularity of Lasik eye surgery is growing. As a result, it’s possible that one or more than one person you know has had this procedure done. As is the case with anything else, those who have had good experiences with a professional will provide you with the contact information of their trusted Lasik eye surgeon. San Diego consumers are a savvy group, and you can rest assured that you will not be provided a name of someone who will not perform.

Do Your Own Legwork

If you are unable to obtain a referral for Lasik eye surgery in San Diego, you can always begin your own research on the Internet. Lasik eye surgery is an industry that fits well with technology, and those Lasik eye surgeons in San Diego who understand this will have a proper Web site online and ready for your review. This will provide you with basic information regarding the surgeons’ facilities, natures of practice and levels of experience.

Ask Questions

When you’ve decided on one or more Lasik eye surgeons in San Diego to contact, do so and schedule an initial consultation. When you arrive, be prepared to not only answer questions, but to ask as many of them as you have. In these situations, it’s your meeting and ultimately your patronage, which means that you should never feel embarrassed or ashamed about any particular questions you ask.

Trust Your Instincts

It was most likely your instincts that led you to decide that Lasik eye surgery in San Diego was the proper choice. Therefore, you should continue to trust these instincts when it comes to how you perceive the surgeons with whom you meet. You should pay attention not only to the answers to your questions, but also to the friendliness of the staff, the makeup of the facility and the overall nature of what you encounter.

If you would like to get this process started, all you need to do is contact the professionals at Global Laser Vision in San Diego today to schedule that initial consultation. You need answers and you need information before taking the next step, so contact the team at Global Laser Vision today to take the next step.

Dr Yaghouti of Global Laser Vision receives Patient’s Choice Award for 2009

admin — Thu, 11 Feb 2010 17:18:58 +0000

SAN DIEGO, CA: What is Patient’s Choice Award? It’s an honor that reflects the difference a doctor made in people’s lives through the exceptionally high praise granted to a doctor by his or her patients.

According to the consumer research, every month more than 40,000 patients across the US provide online feedback about their experiences with their doctors. They rate various components such as bedside manner, doctor-patient face time, degree of follow up, courtesy of office staff, and overall opinions. Over the course of 2009, of the nation’s 720,000 active physicians, less than 6% are recorded with a near perfect score as voted by their patients for this honor.

Dr. Yaghouti has been recognized as one of those physicians most highly regarded by his patients.

“To me, it is of great importance having my patients feel comfortable and be informed of their choices.” said Dr. Yaghouti, adding; “At Global Laser Vision, one of our primary goals is to thoroughly educate our patients about the condition of their eyes and about all of the treatment options available to them.”
Dr. Yaghouti is one of only a handful of ophthalmologists who has completed a formal two year fellowship specializing in refractive surgery, cornea and external eye disease at the renowned Harvard Medical School. He is a leading corneal and refractive surgery specialist educating eye surgeons from all over the world about the most recent advances in refractive surgery.

Global Laser Vision’s experienced laser refractive surgeon and highly trained support staff have a reputation for their friendly and pleasant service–making Global Laser Vision the obvious choice for residents of San Diego County as well as other Southern Californians.
About Global Laser Vision Medical Center, Inc.:

Global Laser Vision Medical Center, Inc. of San Diego is a top resource for several different eye conditions including Lasik and Custom Lasik, PRK and Lasek, iLASIK (Custom Lasik with Intralase), Intacs Corneal Implants (Intracorneal Rings or ICR), Pterygium excision, General eye examinations for cataract, glaucoma, and other eye conditions, as well as for glasses, and contact lenses. The clinic has its own laser surgical suite, as well as an optical department and is staffed with a team of experienced medical professionals who specialize in treatments of the eye.

For more information about Global Laser Vision or Dr Yaghouti please contact:

Analisa Defiesta
Marketing Coordinator
Global Laser Vision
619.243.2444 ext.110
6950 Friars Road, Suite 100
San Diego, CA 92108
www.globallaservision.com
TEL: 1-(800) Get-Lasik

Flattening the Recalcitrant LASIK Flap Fold

admin — Wed, 08 Aug 2007 21:14:11 +0000

By: Sam Melki

Lasik flap folds can induce irregular astigmatism with optical aberrations and loss of BCVA especially if they involve the visual axis. ‘Macrofolds’ are easily seen by slitlamp exam and represent full thickness flap tenting in a linear fashion. On the other hand, ‘microfolds’ within the flap itself may represent wrinkles in Bowman’s layer or in the epithelial basement membrane. They are best seen as negative staining lines with sodium fluorescein. The incidence of folds requiring intervention ranges between 0.2% and 1.5%.

Flap folds result from uneven alignment of the flap edge and the peripheral epithelial ring. This can occur with unequally hydrated stromal bed prior to flap repositioning. Thinner and larger flaps tend to shift more readily with resultant surface wrinkling. Uneven sponge smoothing can result in radial (with centrifugal movement) or circumferential folds (with centripetal movement). A higher incidence of flap folds is usually found in higher myopes and is sometimes unavoidable. This is due to the reduced central convexity and stromal support resulting in flap redundancy that may be quite difficult to flatten.

Management ranges from simple lifting and refloating of the flap to placement of sutures to stretch the flap in position. Probst et al. described a technique using the red reflex as a way to better detect flap wrinkles during flattening procedures. Smoothing of the flap should aim towards an even distribution of forces applied to the surface. This can be performed with methylcellulose sponges or their equivalent. Instruments such as the Pineda corneal LASIK iron can also be used to flatten isolated flaps at the slit lamp or under the operating microscope by gently pressing on them. Other reported strategies include hydrating the flap with hypotonic saline (60-80%) which may facilitate leveling of the flap surface.

Fixed folds are sometimes encountered and probably occur when epithelial hyperplasia has time to form in the crevices formed by the folds. Superficial epithelial incisions or frank epithelial debridement over the wrinkled area may relieve contractures that occur secondary to the presumed epithelial hyperplasia in these longer standing folds. Recalcitrant wrinkling is reported to respond well to placement of running torque-antitorque 10-0 or 11-0 nylon sutures.

Epithelial Ingrowth after Lasik

Epithelium in growth under the corneal flap can cause irregular astigmatism and induced hyperopia secondary to stromal melting. A swift intervention is sometimes needed to prevent these complications.

Once the epithelium is noted to progress towards the visual axis or once a significant hyperopic shift or loss of BCVA is encountered, lifting of the flap and scraping of the epithelium should be performed promptly. This can be performed with a #69 blade or the equivalent. It is important to remember to scrape both the stromal bed as well as the stromal aspect of the flap. Flap folds connected to the peripheral epithelial ring are a special source of concern as they provide a conduit for epithelial cells infiltration. Similarly, an epithelial defect adjacent to the edge of the flap should be followed closely due to the presence of high epithelial mitotic activity.

Which epithelium is safe to leave? Small epithelial pearls are usually self-limited and do not progress. Epithelial tongues connected to the flap edge are more worrisome, they do not need to be scraped unless they exhibit a quick rate of progression or if they already involving/threatening the visual axis.

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Lasik Flap Dilemmas

admin — Wed, 08 Aug 2007 21:11:13 +0000

By: Sam Melki

There comes a time in every laser eye surgical procedure when leaving the battlefield is the best of two (or more) evils. When is it best to reposition the flap, abandon the procedure and possibly attempt the LASIK procedure at a later time…?
Obtaining adequate suction to certain globes is occasionally an elusive target. This includes small hyperopic eyes, flat or small diameter corneas, narrow palpebral fissures… If the level of myopia permits, one has to remember that PRK is always an available option and patients must be made aware of this alternative and be consented for it prior to the procedure. A surgeon might be tempted to extend an incomplete flap with a crescent blade or similar instrument . This might lead to an uneven bed and scarring. The closer the hinge to the visual axis the riskier this maneuver will be. If the bed is large enough (not more than 0.5 mm of unexposed stroma at the hinge) laser treatment may be applied (with adequate protection to the underside of the flap).
A thin flap with an underlying shiny bed probably indicated an uncut underlying Bowman’s layer. It is not clear if performing laser in this situation has similar or higher risk of haze formation as PRK. Until more is known about this issue, it is probably safest to reposition the flap and abort the procedure especially in high levels of correction. An irregular flap indicates an irregular stromal bed and is best allowed to heal back in position rather than risk inducing irregular astigmatism.
If a buttonhole occurs, immediate laser ablation of a central epithelial island by scraping or by the laser was reported to lead to uneven ablation and loss of BCVA.

The Free Cap

A free cap results from unintended complete dissection of the corneal flap by the microkeratome head. If the cap is trapped in the keratome head, it should be gently retrieved, stretched and kept in a dessication chamber if the diameter of the exposed stroma allows laser ablation. A small cap (i.e smaller than the optical zone) should prompt the surgeon to replace it in position and avoid the laser ablation. If the cap cannot be recovered, the epithelium will grow centrally as after other “superficial” keratectomy procedures and may result in a significant hyperopic shift.
Intraoperative factors leading to a free cap are the same as those leading to a thin or perforated flap, a poor blade to cornea coupling. This is especially true for flatter corneas which are more prone to a smaller cap. Other maneuvers such as malpositioning and/or misadjusting of the flap thickness foot-plate during assembly of certain microkeratomes can lead to a free cap.
In certain instances, the microkeratome can jam preventing head reversal. This might prompt the surgeon to release the suction thus lifting the instrument with an incarcerated flap resulting in a free cap.
Placing corneal marks with gentian violet is time well spent prior to cutting a corneal flap. When recovered, a cap can be repositioned using the preplaced marks to allow proper orientation. A bandage contact lens is usually helpful to tamponade the cap and prevent slippage upon lid contact. Suturing is rarely necessary.
If the cap is lost, the corneal epithelium is allowed to heal as in PRK with a more profound central applanation effect. Laser treatment is deferred until refractive stability is achieved.

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Managing Lasik Flap Buttonholes

admin — Wed, 08 Aug 2007 21:08:33 +0000

By: Sam Melki

From all
href=”http://bostonlaser.com/lasik-boston-vision-correction.php”>Lasik
flap complication,
href=”http://bostonlaser.com/lasik-boston-vision-correction-fda-visx.php”>LASIK
flap buttonholes are the ones that lead most often to loss of
best-corrected visual acuity (BCVA). Why do they happen?

Thin, irregular and perforated flaps seem to result from a common
etiology; an inadequate coupling of the blade to the cornea. Steep
corneas have been compared to tennis balls that would buckle centrally
upon applanating pressure. This results in a central dimple missed by
the blade leading to a buttonhole. Another theory is that higher
keratometric values offer increased resistance to cutting when
applanated, leading to upwards movement of the blade. The latter is
probably more applicable to keratomes with lower oscillation rates.
Similarly, flat corneas may result in a thin and/or small flap as they
could be below the adequate cutting level in certain locations.
Inadequate blade to cornea coupling is often due to poor suction
(sunken globe/small diameter corneas with inadequate suction ring
placement, conjunctival incarceration in the suction port…). Non-angled
blades have equal chances of moving upwards towards the surface or
downwards towards the stromal side if faced with resistance. On the
other hand, inferiorly angled blades are more likely to be driven
towards the stroma.

If a buttonhole is encountered (especially centrally), most surgeons
prefer to abort the procedure, replace the flap and recut a deeper flap
(20-60 ?m deeper) approximately 10-12 weeks later. While some advocate
proceeding with scraping the epithelium and performing a PRK laser
ablation, we believe this approach may not be feasible in higher myopes
due to the appearance of unexpected haze. A higher index for epithelial
ingrowth should maintained around the margins of the buttonhole.

The incidence of perforated flaps (as well as thin and irregular ones)
may be reduced if the surgeon ensures adequate suction, inspects the
blades and adjusts the keratome plate thickness according to corneal
curvature. Other helpful measures include ensuring adequate intraocular
pressure before cutting the flap. Measurement may be most valuable with
a pneumotonometer as other means were reported to provide imprecise
readings at times. Care should be taken to avoid conjunctival clogging
in the suction port, which could lead to discrepancy between the
intraocular pressure and the suction pressure recorded on the
microkeratome vacuum console. Newer microkeratomes have a safety
mechanism to automatically abort the procedure or to activate
additional suction but are also prone to similar problems if IOP
measurements are not obtained to ensure adequate suction.

Some surgeons inspect the microkeratome blade under the operating
microscope before engaging it in the suction ring in order to rule out
manufacturing or other preoperative damage to the blade. It is best to
keep the microkeratome away from hard surfaces after assembly to avoid
subsequent blade damage.

Author Bio:
Adapted from: “101 Pearls in Refractive, Cataract and Corneal Surgery”
Samir Melki MD PhD and Dimitri T. Azar MD editors, Slack inc.
www.slackinc.com Dr. Melki is a experienced
href=”http://bostonlaser.com/lasik-boston-vision-correction-lasik-affordable.php”>Boston
affordable LASIK surgeon, Laser Eye Surgery, Vision Correction and
href=”http://bostonlaser.com/lasik-boston-cosmetic-procedures.php”>Cosmetic
Surgery

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Managing Lasik Keratome Complications

admin — Wed, 08 Aug 2007 20:59:12 +0000

By Sam Melki
State of the art LASIK technology avoids the following problems during quality laser eye surgery

The Sliding Suction Ring

Application of adequate suction is essential for intraocular pressure upsurge and dissection of good quality corneal flaps. On occasion, the suction ring slides prior to the buildup of adequate vacuum and the flap is decentered from the pupillary axis. This is reported to happen more frequently with the Hansatome microkeratome due to a slower rise in vacuum. Applying equal downwards pressure on the ring through its handle and at the base knob for about 3 seconds prior to initiating vacuum has minimized this problem.

On occasion, the initial vacuum results in a decentered ring with a large slant requiring the surgeon to release the vacuum to reposition the ring. It is not uncommon to see the ring sliding back in the conjunctival groove created by the initial suction. Decentering the ring in the opposite direction prior to activating suction may achieve good centration as the vacuum level may be high enough by the time the ring slides close to the center to prevent further slide towards the initial groove.

Another approach is to change the ring size (e.g. from 8.5 to 9.5 mm), hence avoiding the chemotic conjunctiva. Some surgeons advocate applying Vasocon-A (Alcon Laboratories, Fort Worth TX) allowing a decrease in conjunctival swelling prior to reattempting the procedure 30 minutes later. If this does not resolve the conjunctival chemosis, further difficulties might be encountered and it is best delaying the surgery for another day

The Mid-Cut Jam

The suction ring has fit well, the keratome slides easily in place and the cut is proceeding smoothly until….it stops half-way and does not respond to either forward or backwards pedal commands. This unpleasant situation can occur secondary to a mechanical or electrical failure of the keratome. The main goal of the surgeon in that situation is to protect the flap and the bed from the keratome blade. Although resuming forward movement may result in an uneven cut, we have not encountered this in our experience. A quick check of electrical wiring may reveal a loose connection especially at the connection with the keratome motor. Every keratome should be handled differently in this situation and the surgeon should inquire about the best approach to handle such a situation. For the Hansatome, if no movement can be initiated, careful release of suction and sliding the keratome-suction ring as one unit backwards will ensure that the flap is not incarcerated under the blade. The keratome head cannot be reversed along the track manually. On the other hand, with the Automated Corneal Shaper (ACS), releasing suction might trap the flap under the footplate. It is therefore preferable to disassemble the keratome head from its base without releasing suction.

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