InVision EyeCare - Procedures

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Surface Laser

The Surface Laser process uses an Excimer laser to sculpt an area on the surface of the eye; this process removes only 5-10% of the thickness of the cornea for mild to moderate myopia and up to 30% for extreme myopia - about the thickness of 1 to 3 human hairs. The major benefit of this procedure is that the integrity and the strength of the corneal dome is retained since no surgical flap is created as in Lasik. For many patients who wish to avoid a corneal flap incision, we offer the benefits of a surface laser procedure, Surface Laser. (see comparison chart). The Excimer laser can remove a microscopic corneal cell layer without damaging any adjoining cells. The Autonomous LADARVISION flying spot laser can perform Surface Laser without a potential complication called "central islands." Dr. Hedaya utilizes this advanced technology exclusively in Surface Laser. This allows Dr. Hedaya to make extremely accurate and specific modifications to the cornea with little trauma to the eye.

This ability to sculpt, rather than cut, opens up the arena for treating additional vision conditions. At this stage, the Autonomous LADARVISION flying spot laser, with a combination of propriety software and computer controls, can reliably treat myopia, astigmatism and hyperopia. No stitches are required and the average PRK procedure takes about 10 minutes per eye, with the laser portion of the procedure averaging less than one minute. The Autonomous LADARVISION flying spot laser is the only laser in the world fast enough to fully track and treat your eye despite movements. It utilizes a FDA approved NASA developed laser tracker. This technology was developed as a way of tracking satellites during the Reagan administration's Strategic Defense Initiative. The active tracker of the laser will track the eye with laser radar 4000 times per second, and the scanning mirrors will adjust in order to place the laser beam in the correct position, even when the eye moves. No other FDA approved laser offers tracking capability. Please read the sections on ORBSCAN and comparing lasers to learn more.

Surface Laser differs from LASIK, in that there is no cutting a corneal flap! The laser is delivered directly to the cornea surface. Following Surface Laser, the corneal surface must heal. This usually takes 3-4 days. The results are as good as lasik. Over 98% see 20/40 or better after surgery.

Some patients who are not good candidates for LASIK (due to abnormally thin corneas, dry eyes, unusually deep-set eyes or are in jobs that put them at risk for eye injuries) can undergo PRK with great success. Surface Laser and a newer variation called LASEK are growing in numbers each year as surgeons realize their safety profile.

LASEK is similar to Surface Laser. The difference is that the epithelium is not removed, but merely moved over before the laser and then replaced afterwards. There is research ongoing currently to see if this aids healing.

Surface Laser (Lasek) can be performed with the standard laser profile we have been using to date on the Ladar, or by using the newer Custom Cornea®.

	LASIK PROCEDURE	SurfaceLaser PROCEDURE
Standard Laser
Custom Laser

Dr. Ed Hedaya is a New Jersey LASIK Eye Surgery Specialist. He performs LASIK and PRK in New Jersey, LASEK New Jersey and Laser Eye Surgery New Jersey at his offices in Monmouth County, Ocean County and Trinton Falls. When you think of LASIK New Jersey, LASIK South Jersey or LASIK NJ, think of InVision Eye Care and Dr. Edward Hedaya.

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