• Laser Vision Correction

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  • Cataract

    What is a cataract?

    A cataract is a clouding of the natural lens within the eye. It is not a growth, film or tumour and does not cause any pain or discomfort of the eye.

    Once a cataract starts to form, it will progressively continue to cloud over causing gradual loss of vision in the affected eye. The rate of progression varies from person to person.

    What are the symptoms of cataract?

    The most common symptom is gradual blurring of vision. Other symptoms may include: glare, change in colour perception, double vision (in the affected eye) and difficulty driving at night.

    When should a cataract be treated?

    Cataracts seldom require an emergency procedure. The most common reason to consider surgery is when the distance vision becomes hazy with your best distance spectacles. If your best corrected vision is insufficient for driving purposes, then cataract surgery is encouraged if it is likely that the vision will improve with surgery.

    What is cataract surgery?

    The aim of cataract surgery is to improve your vision. The surgery involves removing the hazy natural lens and replacing it with a small plastic lens. The procedure is usually performed under local anaesthetic and can take between 10-30 minutes surgical time.

    Is the procedure done with a laser?

    Traditionally, cataract surgery is done with a fine ultrasound probe which emulsifies the lens which is then aspirated. New laser technology is available which “pre-treats” the eye prior to proceeding with surgery. This makes the procedure slightly more precise and slightly safer. The visual results are the same as traditional cataract surgery. The eye surgeons at Armadale Eye Clinic have access to and use the laser during cataract surgery if requested.

    Will I need to wear glasses after the surgery?

    Prior to surgery, we measure the eye to see what would be the best lens to insert in your eye in order to provide you with perfect distance vision. This is achieved in the majority of cases. Most people require reading glasses after bilateral cataract surgery for fine print. New technology is available where the inserted lens allows you to see in the distance and near without glasses, however, these can result in haloes post surgery but are a good option to consider if you would lie to be “glasses free” after the surgery.

    What are he risks associated with cataract surgery?

    Like all invasive procedures, cataract surgery has risks. Any complication can have an affect on the final visual outcome. These complications include:

    Infection in the eye or endophthalmitis (Risk 1:1000 per operation)
    Loss of lens material into the back of the eye (would require a second procedure)
    Failure to achieve the desired refractive outcome (you may require spectacles to see perfectly in the distance)
    Retinal detachment.

    What does the procedure involve?

    After admission to the day surgery centre, you will be introduced to your anaesthetist who may give you some “calming medication”. Eye drops will be inserted in the eye to be treated. You will then have the laser pre-treatment if you have elected to o so. Then you will be escorted into the main theatre for the actual procedure.

    The eye will have a patch on after the procedure and you will have to leave the eye pad on until you are assessed by your surgeon the following day.

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  • Glaucoma

    Find out more information about Glaucoma and treatment options

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  • Macular Degeneration

    Find out more information about Macula Degeneration

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  • Retinal Conditions

    WHAT IS A CRVO? A vein occlusion is a blockage of one of the blood vessels that drain the blood away from the retina at the back of the eye. Blockage in a retinal vein causes a build-up of pressure in the vein, and this results in leakage of fluid into the retina causing swelling Continue Reading

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1) LASIK , Laser vision correction

What is LASIK? Laser In Situ Keratomileusis is a commonly LASIKperformed Laser Vision Correction procedure where a corneal flap is created using a Femtosecond laser. The flap is lifted and the underlying cornea is moulded with a Excimer laser to correct any refractive defect.

What is the benefit of LASIK? LASIK surgery is very safe and accurate. The recovery time is much quicker than with PRK surgery. There is much less discomfort with LASIK than with PRK surgery.

Why do some people still perform PRK? PRK is still good surgery, although the recovery is much slower, it can be painful and can lead to significant corneal scarring. PRK is useful in some cases which are not suitable to have LASIK. There is no flap which can sometimes be preferred in people participating in contact sports.

2) ASLA/PRK

What is PRK? Photo Refractive Keratectomy is similar to LASIK, only that a flap is not lifted in order to re-shape the underlying cornea. Rather, the surface layer (epithelium) is removed and the laser then re-mouldes the underlying cornea. A contact lens is placed on the eye and the epithelium heals up under the contact lens over approximately 3 days. PRK is accurate and the results are similar to LASIK. As mentioned, the recovery is slower and PRK can be quite uncomfortable.

3) Refractive lens exchange:

Refractive lens exchange is similar to cataract surgery. The natural lens in the eye is replaced with an artificial lens. The indication to do this surgery is usually in cases where LASIK/PRK would not be suitable or where an individual has developed presbyopia and would like to able to se in the distance and near without wearing glasses. A multifocal intra-ocular lens is used in these cases.

Refractive lens exchange is an excellent option for suitable candidates. It is invasive surgery and has associated risks which will be discussed with your doctor at the time of consultation.

Frequently asked questions

  1. What does it cost?

The cost of surgery varies according to the type of procedure you are having. The costs also change over time as the cost of surgery are subject to changes in currency exchange rates as products used in surgery are imported from the USA.

Our current rates for LASIK to both eyes is $6000.00. Single eye surgery is $3200.00. Surgery is paid in full before the day of surgery.

Finance can be arranged through a third party (GE Money), however this option is more expensive and not encouraged.

Health insurance and medicare do not cover any of the costs of laser refractive surgery.

 

2. Whats included in the surgery fee?

  • Use of the laser facility
  • Customised wavefront-guided or wavefront optimised treatment
  • Comprehensive care up to 12 months after the procedure
  • Surgical enhancements up to 12 months following the surgery

3.  Is surgery painful?

LASIK surgery is done using topical anaesthetic. The surgery is well tolerated and mostly pain-free. The eyes can be scratchy after the surgery and you will be given topical anti-inflammatory eyedrops to use after the surgery.

4. Is LASIK surgery safe?

LASIK surgery is very safe. The technology has evolved over the last 20 years and millions of people around the world have had LASIK surgery. Although rare, complications can occur with the laser or with the procedure. In most cases these do not have an adverse effect on the outcome of surgery.

5. What complications can occur?

Like all medical and surgical procedures, there is always a risk involved in any procedure and this includes laser vision correction surgery. Complications are rare and mostly treatable.

Treatment should not be taken unless the patient can accept the unlikely possibility of a complication occurring from the laser treatment. A comprehensive discussion will take place at the time of your assessment to inform you of the risks associated with the surgery.

5. Am I a suitable candidate to have surgery?

Not everyone is a good candidate to have laser eye surgery. There are many reasons why this may be the case. You will have a comprehensive assessment to ascertain if you are a suitable candidate to have surgery where your surgeon will explain the different surgical options suitable to your individual case.

 

6. Pre-op assessment:

  • Where will it take place? Armadale eye clinic- 93 Kooyong Rd
  • How long will it take? Up to an hour
  • Can I drive after the appointment? NO , your pupils will be dilated so you won’t be able to drive to the appointment
  • Should I wear contact lenses to the appointment? NO. Please do not wear contact lenses for 3-5 days prior to your appointment.
  • What will it cost? There will be an out of pocket fee for the assessment. This can be reduced if you have a referral for an assessment. you can get a referral from your GP or optometrist.

7. Day of surgery:

  • Where does the surgery take place? Vista Eyes, 1 Ross Street, Elsternwick
  • How long is the surgery? The actual procedure takes about 10 minutes. Allow up to 2 hours to have the surgery as there is a process which needs to occur to perform the surgery in the safest possible means
  • Can I drive after the surgery? No. You will need someone to drive you home after the surgery
  • Will I be able to see later the surgery? Yes, but the vision will be blurry for a few hours after the surgery. The best thing to do is to go  home and rest for the remainder of the day after having the surgery.
  • Wil me eyes be sore after the procedure? Yes, your eyes will feel scratchy for the remainder of the day after the surgery. you will be given instructions and eye drops after the surgery and it’s imperative that you follow those instructions closely.

8. Post op review:

  • Where does this take place? At Armadale Eye Clinic
  • When does it take place? The morning following surgery
  • How long is the appointment? The follow-up appointment is quick so long as there are no issues with your surgery
  • Can I drive to this appointment: No. You need someone to drive you to this appointment. You will be told at this appointment whether you will be able to continue driving. A letter will be provided for you to send to VicRoads to update your driver’s license regarding your need for spectacles when driving.

How to make an appointment?

Call 9079 0888