LASIK
LASIK is the most exciting recent addition to the refractive surgery tools of the modern eye surgeon. LASIK stands for Laser ASsisted In-situ Keratomilieus and has been the most successful method of correcting vision in recent history. The technique has been in use worldwide since 1990, and Dr. Goldstein was one of the first in Michigan to employ it, starting in 1996. Dr. Goldstein uses the VISX Star S4 excimer laser to perform individualized LASIK with CustomVue technology.
The initial step in performing LASIK involves the use of an instrument called a keratome. It is attached to a suction ring, which allows a very precise incision.
The keratome functions like a carpenter's plane, seperating a very thin layer off of the front of the cornea. The "flap" remains attached to the cornea. The laser treatment is applied to the underlying surface of the cornea.
Dr. Goldstein uses only CustomVue LASIK to increase accuracy, decrease the incidence of glare and halos, and increase the chances of 20/20 or better vision. Custom LASIK uses analysis of each layer of the eye and the effect on light waves to calculate the treatment. The older, standard LASIK uses only the glasses or contact lens prescription to calculate the treatment.
After the treatment is completed, the flap is replaced and allowed to dry into position. Very little healing is involved, since the flap seals itself into position very quickly.
The patient is sent home with instructions to instill antibiotic and antiiflammatory drops and artificial tears. Most patients report a small amount of stinging and tearing immediately after surgery. After sleeping for a few hours, patients are able to comfortably use their eyes. Vision by the first day after surgery is usually close to 20/20, and the patients are pain free.
