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Not a LASIK Candidate?

Not everyone is a candidate for LASIK. Many conditions of the eye may keep you from enjoying the benefits of LASIK. Some patients have very thin corneas and others have abnormally shaped corneas. We will determine your situation at your consult visit, and explain your options.

However, even if LASIK is not for you, there are other procedures which can still reduce your need for corrective lenses. For example, for people over 40, multifocal implants can provide both distance and reading vision without glasses. If you are too nearsighted for LASIK, implantable contact lenses (ICLs) are supplementary lens implants that may be a more suitable choice.

There are many options available. Contact Advanced Valley Eye Associates and meet with Dr. Miller and his staff to discuss what might be best for you.

LASIK Alternatives

PRK “Surface Laser”

The PRK laser procedure is similar to LASIK, but because the treatment is performed on the surface of the eye, this can be used when the cornea is too thin for LASIK. The healing time is slightly longer than LASIK, but most people have useful vision after four or five days, and can see the results of their surgery after 1-2 weeks. The ultimate results are equal to those of LASIK, according to many studies.

Phakic Implant for Severe Myopia

The Visian ICL™ Implantable Collamer® Lens can be a great choice for patients whom are unable or decide not to have LASIK. The Visian ICL™ is a flexible lens that is implanted behind the iris, but in front of the eye’s natural lens. The procedure is similar to implanting an intraocular lens (IOL) after cataract surgery, except the natural lens is not removed. This procedure treats high nearsightedness, and similar to LASIK, may free patients of their dependence on glasses or contacts. Some studies have even shown that for very high level nearsighted patients, the results can be a clearer and sharper image quality with the Visian ICL than with LASIK.

Verisyse™ Phakic intraocular lenses (IOLs) are also artificial lenses implanted into the eye, but without removing the natural lens, as is done with cataract surgery. The Verisyse™ lens is placed in the front chamber of the eye, and fixed to the colored iris. This provides patients with another focusing lens option for high quality, high definition vision. Verisyse™ is also used for high levels of nearsightedness. This procedure is more complex than LASIK, but less invasive than cataract surgery.

Refractive Lens Exchange The Permanent Solution

In some cases, patients might not be good candidates for LASIK or other refractive procedures to correct their nearsightedness, farsightedness or astigmatism. One of the alternatives is to consider Refractive Lens Exchange. This is the same surgery as used for patients who have cataracts, and is the most common surgical procedure performed in the U.S. The techniques are incredibly precise, and this option has been effective for many patients who were not laser vision correction candidates, but still wish to reduce their need for glasses or contacts.

Who is a candidate?

  • Dr. Miller considers Refractive Lens Exchange for patients who meet at least one of the following criteria:
    • Have a high prescription that is beyond the capabilities of traditional laser vision correction for farsightedness, or nearsightedness. 
    • Have cataracts in the early stages but still want to reduce or eliminate the need for glasses and contacts without waiting for cataract surgery to be covered by their medical insurance.
    • Have no cataract, but wish to take advantage of the newer presbyopia-correcting implants (IOL) for better distance and near vision without glasses.

How does it work?

The natural lens is removed from the eye, and is replaced with a new lens implant that has a prescription built into the lens, reducing the need for glasses.

For a patient who has cataracts developing, Refractive Lens Exchange may be the permanent answer to both problems. By removing the cataract and replacing it with a lens implant, patients find the quality of vision is improved, and their need for corrective lenses is drastically reduced. Refractive Lens Exchange can also be an excellent choice for patients that don't have cataracts, but have very high prescriptions or a thin cornea, making them poor LASIK candidates. 

Of course, if no significant cataract is present, patients who choose Refractive Lens Exchange are not having "cataract surgery", and thus, this is not covered by medical insurance.

We are proud to offer the latest advances in lens implant techniques to our patients. With this kind of technology, Dr. Miller has the tools to give you the best outcome possible.

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