Archive for the ‘Lasik’ Category

Can You Have LASIK If You’re Pregnant or Nursing?

Monday, November 13th, 2017

shutterstock_261991445If you are an expectant or nursing mother exploring your laser vision correction options, you may have read that LASIK is not a good option for you. You may also be wondering why a LASIK surgeon told you to postpone treatment for a few months.

Here, the team at Bochner Eye Institute explains why most LASIK surgeons won’t perform surgery on you, and why you might not achieve the vision correction results you want when pregnant or breastfeeding. (more…)

Bochner Establishes a Complimentary Keratoconus Clinic

Thursday, August 24th, 2017

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Patients with keratoconus or suspected keratoconus require corneal imaging to show anterior curvature, anterior elevation, posterior elevation, and pachymetry. Sophisticated corneal tomography and topography imaging allows for an early diagnosis of keratoconus and follow-up examinations can document stability or progressive disease.

At Bochner, our Keratoconus Clinic allows us to devise and review with patients and referring doctors a detailed treatment plan. Treatment options depend on a patient’s age, level of best-corrected spectacle acuity and uncorrected acuity, dioptric difference across a cornea, pachymetry, corneal curvature, and/or the presence of any significant corneal scarring. We have developed a decision tree that guides our recommendations on the following clinical options:

  1. Corneal crosslinking to stabilize a cornea.
  2. Corneal crosslinking + Topography-guided PRK to stabilize a cornea and improve best-corrected spectacle acuity by reducing irregular astigmatism.
  3. Corneal crosslinking + Intracorneal rings to allow enhanced contact lens wear in corneas too thin for Topography-guided PRK.
  4. Toric implantable contact lens to enhance uncorrected acuity.
  5. PRK and limited corneal crosslinking to improve uncorrected acuity.
  6. RGP, hybrid, or scleral lenses to improve best-corrected acuity.

Laser Cataract Surgery

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Since acquiring the first Catalys femtosecond laser in Canada 5 years ago the percentage of patients choosing this advanced technology has continued to increase. One-hundred percent of the 34 Ophthalmologists and optometrists that have undergone cataract surgery at Bochner since 2012 have opted for laser surgery versus traditional surgery.

Our top 4 advantages of Laser Cataract Surgery versus Traditional Surgery are as follows:
Reduction or Elimination of Phacoemulsification Energy Traditional phacoemulsification utilizes a probe that vibrates 20,000 times per minute to break up a cataract. This is similar to a jack hammer breaking up cement. In the eye this energy can cause intraocular inflammation and loss of corneal endothelial cells. With the Catalys laser 85% of our cataract cases are now accomplished without any phacoemulsification. In the remaining 15% of cases, the energy from phacoemulsification is greatly reduced. Elimination or reduction of phacoemulsification is possible because of the unique laser fragmentation of the Catalys laser that softens a wide area of the lens.
• Accurate and Consistent Capsulorehexis A 5 mm capsulorehexis performed with the Catalys laser is accomplished in 1.6 seconds. This quick speed is important to decrease the chance of any radial tears that could lead to rupture of the posterior capsule and loss of the nucleus into the vitreous. In over 2,700 eyes treated at Bochner, we have only seen one radial tear.
• Capsulorehexis Centred Over the Visual Axis The Catalys identifies the visual axis and can create a perfectly round capsulorehexis centered over this point. The surgeon then aligns the centre of the implant over the visual axis, which allows for a small amount of anterior capsule covering the implant. Centration of an implant on the visual axis can decrease the induction of higher order aberrations with aspheric and toric implants and improves patient satisfaction with multifocal implants.
• Laser Astigmatism Reduction Astigmatism reduction with laser arcuate cuts has been shown to be more predictable than with a hand held blade. The laser can produce cuts at an exact depth, angle, length, and location. Laser arcuate incisions can be opened by the surgeon at the time of surgery or if combined with a toric implant the incisions can be opened if necessary postoperatively to fine tune the outcome.
Read article by Dr Gifford-Jones in Toronto Sun (July 2017): When You Need Cataract Surgery – Dr Gifford-Jones


 

Keratoconus & Cataract Clinics
- Contact Information -
Our Toronto, Scarborough, and Unionville Offices now offer Keratoconus and Cataract Clinics, in addition to consultations for Laser Vision Correction, Refractive Lens Exchange, and other refractive procedures. Referrals can be mailed, faxed or emailed. Our Oakville Office is limited at this time to general medical ophthalmology referrals.

Toronto
40 Prince Arthur Avenue, Toronto, Ontario M5R 1A9
Phone 416 960 2020
Fax 416 966 8917
Bochner@bochner.com

Scarborough
2941 Lawrence Ave East, Scarborough, ON M1P 2V6
Phone 416 431 7449
Fax 416 439 9523
Scarborough@bochner.com

Unionville
147 Main Street, Unionville, ON L3R 2G8
Phone 905 470 2020
Fax 905 470 2216
Unionville@bochner.com

Oakville
353 Iroquois Shore Road, Oakville, ON L6H 1M3
Phone 905 815 1112
Fax 905 845 7828
Oakville@bochner.com

Mistakes You Might Be Making with Your Contact Lenses

Wednesday, July 12th, 2017

shutterstock_183867296According to experts, 30 percent of people ages 18-55 years old in Canada wear contact lenses. Unfortunately, these people can put their eyes at risk of long-term damage if they do not wear or care for their lenses as recommended. Here, the team at Bochner Eye Institute reveals common mistakes contact lens wearers can make. (more…)

Can LASIK Cause Dry Eyes?

Monday, June 12th, 2017

shutterstock_308975768Everyone experiences a bout of dry eyes every so often, but it is more common in laser vision correction patients. Some studies show that up to half of all LASIK patients experience symptoms of dry eye syndrome after surgery. While these symptoms are temporary, they can be challenging and uncomfortable.

Here, the team at Bochner Eye Institute explains the correlation between LASIK and dry eyes, and explains what can be done to soothe the discomfort. (more…)

Celebrities and Athletes That Have Had LASIK

Friday, May 12th, 2017

shutterstock_130215719If you are considering LASIK surgery to correct nearsightedness, farsightedness or astigmatism, you might be surprised to learn that you are in great company. Some of the world’s best athletes and beloved celebrities have had their own visual shortcomings corrected with LASIK and experienced the life-changing benefits of the procedure. (more…)

5 Things to Do Before LASIK Surgery

Tuesday, April 11th, 2017

shutterstock_108164027The days and weeks leading up to LASIK surgery are exciting and busy. Although you will receive detailed instructions from the Bochner Eye Institute team as you prepare for surgery, here are a few general guidelines to follow: (more…)

When RLE Is Recommended as an Alternative to LASIK/PRK

Wednesday, February 8th, 2017

istock_000009901162_full-1024x680If you are considering your refractive surgery options, you are probably familiar with the LASIK and PRK procedures. However, what you may not know is that there is another option called refractive lens exchange, or RLE, that can capably treat refractive errors (in addition to another common visual disorder). Read on to learn more about this procedure and understand when the team at Bochner Eye Institute recommends it in place of LASIK or PRK. (more…)

Are Refractive Errors Hereditary?

Thursday, December 8th, 2016

shutterstock_286874381If you have recently been diagnosed with a refractive error and are considering laser vision correction, you probably have many questions about how your condition developed. Fortunately, Bochner Eye Institute has the answers. Our Toronto LASIK surgeons thought it would be helpful to blog about refractive errors and how most patients acquire them. (And as the title of this post implies, there is a correlation between genetic factors and the risk of developing a refractive error.) (more…)

Questions to Ask During Your LASIK Consultation

Monday, November 7th, 2016

shutterstock_224733430Are you interested in speaking to a LASIK surgeon about your laser vision correction options? Do you have a consultation scheduled, but don’t know what to ask? Bochner Eye Institute has you covered. Here, we discuss the most important questions to ask during a LASIK consultation. These questions (and the surgeon’s answers) will help you decide whether LASIK is suitable for your unique vision treatment needs and goals. (more…)

Reasons to Postpone or Avoid LASIK

Tuesday, September 6th, 2016

shutterstock_212753977Some temporary conditions make the results of a LASIK procedure less predictable than usual. Depending on the situation, LASIK candidates may be advised to postpone the surgery, completely avoid it or, in some cases, consider a different procedure. In this post, the vision experts at the Bochner Eye Institute discuss reasons to postpone or avoid LASIK. (more…)