Boothe Eye Care
LASIK- LASIK is an acronym that allows us to quickly say, "laser assisted in situ keratomileusis." This is more simply said as "reshaping the cornea using a laser."
Dr. Boothe
Microkeratome- A blade that creates a flap in the cornea during LASIK Surgery.
Nearsighted, Myopia:
People can typically see things up close, but things far away may appear blurred. People who are nearsighted may find a negative number in the sphere column of their prescription.
The FDA does not have the authority to:
Regulate a doctor's practice. In other words, FDA does not tell doctors what to do when running their business or what they can or cannot tell their patients.
Set the amount a doctor can charge for LASIK eye surgery.
"Insist" the patient information booklet from the laser manufacturer be provided to the potential patient.
Make recommendations for individual doctors, clinics, or eye centers. FDA does not maintain nor have access to any such list of doctors performing LASIK eye surgery.
Conduct or provide a rating system on any medical device it regulates.
The first refractive laser systems approved by FDA were excimer lasers for use in PRK to treat myopia and later to treat astigmatism. However, doctors began using these lasers for LASIK (not just PRK), and to treat other refractive errors (not just myopia). Over the last several years, LASIK has become the main surgery doctors use to treat myopia in the United States. More recently, some laser manufacturers have gained FDA approval for laser systems for LASIK to treat myopia, hyperopia and astigmatism and for PRK to treat hyperopia and astigmatism.
Dr. Boothe Eye Care: Keratotomy- Keratos is the greek word for cornea, and otomy means to create an incision. Together they mean to create an incision in the cornea.
Hyperopia or Hypermetropia- Many Hyperopic patients have difficulty seeing things up close, and often have crisp-acute distance vision.
Boothe Laser Center
LASIK
LASIK is a more complex procedure than PRK. It is performed for all degrees of nearsightedness. The surgeon uses a knife called a microkeratome to cut a flap of corneal tissue, removes the targeted tissue beneath it with the laser, and then replaces the flap.
"With LASIK, the skill of the surgeon is important because he'll be making an incision," says Stephen Crawford, O.D., an optometrist practicing in Virginia, "compared to the PRK method where the machine does more of the work." Crawford urges people to find qualified, experienced doctors to perform this surgery. "You'll want someone who's done a number of LASIK procedures since this is a surgeon-dependent operation," he said.
According to Ken Taylor, O.D., vice president of Arthur D. Little, Inc., a technology and management consultant firm in Cambridge, Mass., "Last year, across the country, 40 to 45 percent of refractive surgeries performed by physicians were LASIK, which equates to approximately 80,000 procedures." Doctors not participating in clinical trials may choose to use the approved laser to perform LASIK procedures at their discretion, says Morris Waxler, Ph.D., chief of FDA's diagnostic and surgical devices section. But most uses are considered "off label" and are not regulated by FDA.
Dry Eyes After LASIK - Some patients may experience dry eyes after LASIK and PRK. Often it is a temporary side effect during the healing process. If a patient is prone to dry eyes, our medical teams may discuss options with the patient, or discuss non-candidacy if the patient's eyes are too dry to have laser vision correction. Dr. William Boothe
Presbyopia:
LASIK surgeons cannot correct this age-related vision problem; it occurs in most individuals starting in the early 40s and progresses with age.
Muscles inside the eye lose flexibility and reading can become difficult.
People may have presbyopia in combination with another vision problem like nearsightedness.
The nearsightedness would be correctable by LASIK surgery, but the presbyopia would not; however, we may be able to find an adjustment to compensate for both.
Dr. Boothe Laser Center Iris- The iris is the colored portion of the visible eye. It is a muscle that affects the size of the pupil, depending on the amount of light needed to enter the pupil.
