You will need to come in for a pre-operative evaluation where our doctors will measure your vision, the curvature of your cornea, the thickness of your cornea, and your pupil size to determine if you are a good candidate for LASIK. Our premier LASIK Surgeon Dr. Goodman has been performing LASIK surgery in San Francisco for many years.
Patients with thin corneas and extremely high nearsighted or farsighted prescriptions may not be good candidates for LASIK. Alternative procedures such as PRK or Implantable intraocular lenses may be better alternatives.
Dr. Goodman, a premier LASIK surgeon in San Francisco, specializes in the management and treatment of complications due to previous refractive surgery. With the new customized wavefront-guided laser treatment, imperfections from previous surgery can often be corrected. If surgery is not an option, our optometrists are skilled at fitting patients with corrective lenses to optimize their vision.
Patients who have presbyopia, the loss of near focusing ability that occurs after the age of 40, can either get both of their eyes corrected for distance and wear reading glasses for near work, or they can get monovision, where one eye is corrected for distance, and the other for near. This type of correction does slightly compromise the distance vision, but it allows for the most freedom from glasses.
Yes, as with any surgical procedure, there is a risk for potential complications, such as intraoperative flap complications, dry eyes, glare and halos at night, and light sensitivity. The risk of flap complications is extremely low, with Dr. Goodman having one of the lowest flap complication rates in the nation. Dry eyes and other complications are temporary and usually, resolve within a few months after the procedure.
Having dry eyes is a common temporary side effect of LASIK. The symptoms usually resolve within a month after the procedure and are treated with topical lubrication. For patients who already have dry eyes prior to the procedure, their postoperative regimen may require more frequent lubrication for a more extended period of time.
If you do not have significantly large pupils and are determined to be a good candidate for LASIK by Dr. Goodman, our premier LASIK surgeon, your night vision should not get worse after LASIK. In fact, with our new CustomVue LASIK, patients have reported an improvement in night vision after LASIK.
If you are over the age of 40 and do not get monovision, you will have to wear reading glasses. Some patients with monovision opt for driving glasses to wear at night time, but usually, are free of glasses for their other needs. If your vision is not optimal after LASIK, and an enhancement is not an option, glasses or contacts may be needed to improve your vision.
The change in the corneal correction from LASIK is permanent. With age, your vision may change due to changes in the lens inside of your eye, such as cataracts, but the curvature of the cornea should remain stable.
Most patients will be in the laser room for about 20 minutes, with the majority of the time spent preparing the patient for the procedure. The flap forming portion of the procedure takes about 60 seconds, and the actual laser time can range from 10-90 seconds, depending on the extent of the correction being treated.
LASIK is a relatively painless technique. During the procedure, the patient may feel some pressure during the flap forming portion of the surgery. After the surgery many patients will experience some discomfort, with scratchiness, light sensitivity, and tearing, similar to the sensation of having an uncomfortable contact lens in the eye. This sensation is usually helped with eye drops and oral pain relievers if needed and resolves within a few hours. PRK patients will feel more discomfort for a longer duration (2-3 days).
Most LASIK patients can return to work the next day. The vision may still be a little blurry the next day, but that haziness often resolves within a few days. PRK patients usually will return to work within three days after the procedure. The visual recovery after PRK may take one or two weeks longer than LASIK.
2211 Bush St.
San Francisco, CA 94115