LASIK Evaluation

A thorough LASIK evaluation is important as well as a detailed discussion of your options prior to pursuing refractive surgery. If any of the following tests and options are not included in your laser surgery evaluation, we feel it is incomplete.

There is not one laser device or procedure that is best for every patient. Since each eye has its own unique characteristics, Drs. Irwin and Thomas Azman will need to evaluate your entire visual system and your visual needs . From this information the Doctors will, not only let you know if you are an excellent candidate but also tailor the procedure and device for your unique eye characteristics. This comprehensive evaluation will prevent you from becoming a Lasik failure.

 

Health/Life Style History

Information concerning your medical health status, eye medical status, allergies, family history, life style and sport activities. All these factors can affect your outcome.

Contact Lens History

If you have been told to stop wearing your contact lenses or your contact lenses are uncomfortable it is very likely you suffer from dry eyes. Research has demonstrated the number one reason why patients discontinue wearing their lenses is due to dry eyes. Research also shows that patients that had dry eyes before Lasik without proper diagnosis and treatment tend to be a Lasik failure.

Tear Film Analysis and Dry Eye Evaluation

Dry eye, very common among preoperative LASIK patients, is the most frequent risk factor patients have that can delay recovery following the LASIK procedure.

If the tear analysis examination shows that you have dry eyes, the doctor must treat this condition prior to surgery.


LID Evaluation
If our exam and testing show that you have lid disease the Dr. Azman must treat this condition prior to surgery.

Corneal Topography

Each cornea is unique, with very small amounts of irregularity, imperceptible to the examiner, even under a high powered microscope. Corneal topography can be a major factor in determining whether a patient can benefit from refractive surgery .Our office uses the most sophisticated front wave corneal analysis system called: Marco 3 D Wave. Depending upon the severity and location of any corneal irregularity, Dr. Azman will either recommend pre-treatment before surgery, will recommend a particular laser procedure and device to maximize optical outcome or not recommend laser surgery.

Aberratometry

This Izon aberratometer will measure the entire optical systems ( tear layer, cornea, fluid in eye and the internal lens) high order aberrations(HOA). Depending on the severity, type and location of these HOAs, the Dr. Azman will either recommend pre-treatment for minimizing the HOAs before scheduling surgery, will recommend a particular procedure and device to maximize optical outcome or not recommend laser surgery.

Specular Microsscopy

A noninvasive photographic technique that facilitates accurate and precise diagnosis of corneal disease in the back part of the cornea(endothelium). This instrument can pick up early signs of corneal edema, which cannot be picked up on routine examination. If there is any indication of corneal disease or edema, Dr. Azman will recommend pre-treatment and then will recommend a particular procedure and device to maximize optical outcome or not recommend laser surgery
 

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