Bense Vision

Conventional LASIK vs. iLASIK

Posted on by Maria Afonso in Bense, Bense Vision, Eye Health, Eyes, iLASIK, Newfoundland, Technology, Vision Leave a comment

Dr. Bense

Conventional LASIK vs. iLASIK

Vision correction has come so far from the first eye glasses introduced in the 13th century, we have evolved from specs to surgeries. The first Laser Vision correction surgeries started with PRK in early 1990’s, followed by the LASIK procedure late 1990’s and then iLASIK in the early-mid 2000’s. If you are interested in LASIK eye surgery and have come this far, you’ve likely been doing some research on Blade vs. Bladeless. What do these terms really mean? What are the advantages and disadvantages? Is it worth it? We want to clear the air and answer some of these common concerns.

LASIK 101

Let’s start by telling you what happens during the LASIK procedure, this will help you understand the difference! During LASIK, the cornea (the outermost layer of the eye) is reshaped to correct vision including nearsightedness, farsightedness, and astigmatism. In order to get to the corneal tissue that needs to be reshaped, the LASIK surgeon must create a thin corneal flap. The flap is the very exterior layer, often described as thin as “saran wrap” or “skin on an onion”. The flap is then lifted for application of laser energy that reshapes the eye for vision correction. The flap stays connected to the eye, when the LASIK procedure is complete and the cornea has been reshaped, the surgeon “closes” the flap, which naturally starts to ahere right away.

What is Conventional or traditional LASIK?

In a conventional LASIK procedure, the surgeon will use a bladed instrument known as a microkeratome to cut a thin flap into the cornea. The hand-held blade comes in direct contact with the cornea in this type of procedure. The flap (door into the cornea) created by a microkeratome is not always precise and may be thinner toward the middle of the flap because of how the blade works. This has the potential to cause certain types of flap defects including buttonholes (where the flap is shaped like a button) and flaps that become detached from the eye or incomplete.

What does “Blade-Free” LASIK means?

In a 100% blade-free LASIK procedure (AKA bladeless or all-laser LASIK procedure), the surgeon will use the advanced technology of a laser to create the flap (door to the cornea). At Bense Vision, our iLASIK procedure exclusively uses the advanced IntraLase iFS™ femtosecond laser – the most advanced Laser Vision Correction used worldwide. This laser uses high-energy laser pulses to separate the corneal tissue. Using this advanced laser technology to create the corneal flap means a more consistent thickness throughout the flap and reduces the number of complications that can result from using the bladed microkertome instrument.

What are the advantages of blade-free flaps

It is a fact that iLASIK technology is 25 times more accurate that conventional LASIK. It is so custom, so precise, and so accurate that we are able to treat many more patients, those that would not have been candidates for “conventional” LASIK are more likely to be good candidates for iLASIK today. As well, using a laser to create the corneal flap during LASIK will lead to fewer flap complications, that we used to see when doing cornea bladed LASIK. This can translate to additional benefits in terms of long-term quality of vision following this iLASIK procedure. Numerous studies have demonstrated the benefits of using a laser to create the corneal flap in a LASIK procedure. Some of the advantages compared with conventional LASIK include:

  • Less flap complications
  • Increased accuracy creating the corneal flap
  • Unprecedented control and precision during the procedure
  • Less patient anxiety without the “blade”
  • Reduced occurrence of halos and glare associated with blade
  • Better long-term vision quality
  • Treat more patients
  • Dry eyes more associated with blade

Is Blade-Free really worth It?

There are many advantages to blade-free LASIK, and there are certainly associated costs with this type of procedure. However, at Bense Vision we believe so strongly that the blade free iLASIK procedure, is the standard of care for today – we do not pass on that cost difference to our patients. It is our opinion that patients who receive the bladed LASIK for the same cost as Bense Vision’s iLASIK are simply overpaying. Did you know? The blade-free iLASIK procedure is the only approved laser vision correction procedure for use by NASA and US Military branches! Now that you understand the advantages compared with conventional LASIK, it’s up to you to determine if the benefits are important to you! When it comes to your vision, you decide what you want and deserve!

Don’t underestimate Surgeon Experience!

While blade-free iLASIK offers many benefits compared with conventional LASIK, the most important aspect is that the patient is in the hands of an expert surgeon. We are talking about tools, and tools are only as good as the surgeon who is using them. For example, a novice surgeon does not have the experience and skill as a seasoned surgeon who has been performing LASIK for many years. While both of these surgeons may use the same femtosecond laser, the seasoned surgeon would be more skilled at using the laser to provide patients with optimal vision outcomes. So don’t let the appeal of blade-free LASIK technology blind you to other important LASIK considerations, such as surgeon experience. We believe in the best, that is why we practice exclusively blade free for our LASIK patients – we are the only iLASIK certified provider in the province.

Experience Blade-Free LASIK from the Best!

At Bense vision you will receive 100% blade-free iLASIK technology in the hands of an experienced and skilled iLASIK surgeon who has performed almost 30,000 laser vision correction surgeries! Because we remain committed to using leading-edge technology and being Newfoundland’s most experienced and qualified iLASIK surgeon, we have helped 95% of our iLASIK patients see 20/20 or better following their procedure, with the majority seeing even better than that….20/15! At Bense Vision we are a “true centre of excellence” for LASIK eye surgery in the province.

To find out if you are a candidate, schedule a free evaluation with our doctors by calling 709.722.2020 or request an appointment via our contact page .


Fact or Fiction: Discussing LASIK Myths

Posted on by Maria Afonso in iLASIK, Vision Leave a comment

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Laser Vision Correction procedures have been around for 20 years now, constantly making progressive changes in technology, treatment plans, and financing options. As with any other surgical procedure, your first instinct is to gather as much information as possible in order to help with your decision to move forward.

For as long as laser vision correction procedures have been around, there has been a sharing of information and, more often than not unfortunately, misinformation! Unless you are a LASIK expert, it can be hard to sort through and determine what is fact and what is fiction when it comes to laser vision correction procedures. There is so much information available regarding these procedures, you may not even know where to start!

Luckily, here at Bense Vision, we are experts in all things LASIK, and want to help give you the correct information you are looking for. Let’s take a look at some of the most common LASIK myths, and distinguish once and for all what is fact, and what is pure fiction.

LASIK surgery is painful!

This myth is complete fiction! While LASIK is a surgical procedure, pain is kept under control with the use of eye drops that numb your eyes during the duration of the procedure, which only lasts about 20 minutes from start to finish. Typically, patients will feel pressure during a portion of the procedure, but the actual laser reshaping is completely pain-free. Additionally, you may be provided a mild sedative prior to LASIK if you are experiencing anxiety.

LASIK can correct nearsightedness, farsightedness, and even astigmatism.

This myth is absolutely true! Many think that LASIK is only meant to or able to treat nearsightedness, but that thinking is incorrect. Advances in laser vision technology mean that many common refractive errors can be treated with LASIK. If you happen to have a more serious refractive error, there are other surgical options available to treat your vision as well.

LASIK surgery can make your vision worse.

This is one of the biggest fears potential laser vision correction patients have prior to undergoing their surgery. Some people are under the belief that laser vision correction can damage your eyesight, and even make you go blind! This couldn’t be further from the truth. No one has ever gone blind from a LASIK procedure, and since the surgery only affects the front surface of your eye, complications are very rare.

You will never have to wear corrective lenses again after LASIK.

This is a trickier LASIK myth, and it is understandable why so much misinformation exists. LASIK will correct your current vision issues, meaning if your vision stays the same for the rest of your life after LASIK, you will be fine! However, since no laser vision correction procedures can stop the natural aging process, it is common for LASIK patients to wear glasses for reading, or for activities such as night driving, when they get older.

Long-term side effects of LASIK are unknown.

This is another myth that can be counted as pure fiction. As mentioned before, laser vision correction procedures have been around for more than 20 years! Given this, the sample size of LASIK patients is more than large enough to state that long-term complications or side effects are not only known, but are virtually non-existent.

Discussing LASIK Myths at Bense Vision

We are committed to providing our patients with the most knowledgeable, professional, reliable, and state-of-the-art eye care solutions available. At Bense Vision, your vision is important to us. We have performed thousands of successful LASIK procedures, and are proud to offer the highest-quality treatment and technology available. Part of the Bense Advantage is being able to enjoy the benefits of our premier laser vision correction facility, including the expertise of Dr. Bense himself, and the support of his highly skilled staff.

If you are having vision problems, and are looking into ways to finally be free of those contacts or glasses, we want to help put you on the right track towards better vision. During your free consultation at Bense Vision, we will be happy to discuss any LASIK myths, frequently asked questions, and any other concerns you may have regarding your laser vision correction procedure.

The information on laser vision correction procedures can be entirely overwhelming if you don’t know where to look. We pride ourselves on being able to clear up the most common LASIK myths out there to help make your laser vision correction journey a smooth one. If you’ve heard or read any information about LASIK that you don’t see addressed here, please feel free to contact us and we will happy to set the record straight!


LASIK in the Long-Term

Posted on by Maria Afonso in iLASIK, Technology Leave a comment

Laser eye surgery has come a long way since it was first performed in 1990 in Canada. Not only was Dr. Bense the first surgeon to introduce the procedure to Eastern Canada more than 20 years ago, but he has also become one of the most successful eye surgeons in the country. He is committed to using only the most advanced laser vision correction technology on the market, iDesign technology, available to treat his patients.

iDesign technology

 

The Most Advanced Technology

Bense Vision is the only provider of iLASIK laser eye surgery in St. John’s. iLASIK in the most advanced LASIK procedure in the world and its customization effectively increases precision, comfort and results. The customization of your vision correction is based on your individual refractive signature. A refractive signature is unique to each of your eyes and is like a fingerprint. The iLASIK technology captures your refractive signature using 3D mapping to create exact specifications required to correct your vision. iLASIK is your personalized LASIK procedure!

Older generations of laser technologies created more cause for concern when it came to long-term side effects of LASIK. Side effects including glare, seeing halos around lights, fluctuating vision, and poor night vision were much more common then they are today. The improvements made in the technology used today have significantly reduced and even prevented the majority of these side effects from occurring. This is why it is important to do some research when deciding to have LASIK. You want to select a centre that uses the most advanced technology to ensure you get the best results. Your vision should never be comprised with the cost or use of the most advanced technology.

Financial Benefits

Speaking of costs, the cost of the one-time procedure required by LASIK is significantly less than the lifetime supply and maintenance of glasses and contact lenses. In the long-term, you actually save money with LASIK! While the upfront cost may seem like a lot, we never want the price of LASIK to get in the way of having clear vision. This is why we provide a number of financing options including $0 down, 0% financing for 12 and 24 months to make correcting your vision more affordable. Don’t forget that if you spot a lower advertised price for LASIK, we will not only match it, but we’ll beat it by $100!

Your Clearest Vision, Forever

As you can see, LASIK has come a long way since Dr. Bense introduced the procedure to Eastern Canada, and he has been there every step of the way. LASIK is now a completely bladeless procedure and is entirely customizable for your individual needs! This means more precise and more advanced results. After all, this isn’t a one size fits all procedure. Every individual’s eyes are different and will respond differently to the procedure.

When deciding whether LASIK is right for you, you want to know everything there is to know about the procedure, including what your vision will be like in 10 or 20 years. Although LASIK is a permanent procedure, it doesn’t factor in the natural changes that can occur within the eye’s structure that are unpreventable e.g. with age. What does this mean if you’ve had LASIK? A simple re-treatment may be necessary to restore your vision in the future. In addition, aging eyes for some patients may require them to wear reading glasses for seeing small print.

We can assure you that LASIK is one of the best investments you’ll ever make! There’s a reason why millions have chosen LASIK for permanent vision correction.

Bense Vision

To find out if you’re a candidate for LASIK, contact us today to schedule your free consultation. You can feel confident that you’re under the treatment and care of Dr. Bense. With over 20 years of experience, he has over 20,000 procedures under his belt. That many procedures mean a lot of happy eyes. Our focus on LASIK procedures specifically, has created a level of expertise that is simply unmatched. We are proud to be the only local LASIK clinic in St. John’s.

The world is a beautiful place and there is so much to see. Let Dr. Bense give you the vision necessary to live life to the fullest – glasses and contact lens free. We look forward to seeing you!

 


LASIK/PRK Xtra™ Surgery now available in St. John’s and Eastern Canada

Posted on by Bense in Bense 9 Comments

We are pleased to announce that Bense Vision is the first centre in Atlantic Canada to offer LASIK/PRK Xtra™ Surgery with the corneal crosslinking system from Avedro®. Internationally this revolutionary technology has shown a remarkable efficiency in reducing the risk of developing secondary keratoconus or corneal ectasia after refractive eye surgery in selected patients, and an enhanced precision and outcomes for many refractive errors like hyperopia, high myopia, high astigmatism cases, and in patients previously thought to be poor candidates for refractive eye surgery.

Although Traditional LASIK or PRK Surgery is considered to be one of the safest and most successful procedures performed in medicine today, there are definite risks involved with these surgeries. Important examples applicable to this discussion include the development of corneal ectasia (a type of keratoconus) one to two years following surgery, and regression of treatment effect in many cases especially in hyperopia and high myopia patients.

Although some of the steps are still performed manually with a steel blade (microkeratome) by about 30% of North American surgeons, the majority of surgeons have now abandoned the use of this outdated technology and have now adopted the use of blade-free Femtosecond Laser technology instead. Despite these advancements, there remains a certain percentage of patients that are not ‘suited for surgery’ because of thinner corneas, abnormal topographic assessments, and other outliers or are at a higher risk of developing the two above-named coplications.

This is where LASIK or PRK Xtra™ is totally and undeniably of great use. By adding a simple 2- minute painless procedure to the standard LASIK or PRK procedure, Bense Vision can virtually guarantee a profoundly better and safer outcome in the type of patient we recommend to undergo the Xtra™ procedure. The procedure involves saturating the corneal stroma beneath the flap with Riboflavin (Vitamin B2) for about a minute then irradiating the stroma with UV light after the flap has been replaced for a minute or two.

The Avedro System is the only such system in St. John’s and can now automate many of these steps, adding a greater amount of precision to the entire crosslinking procedure and potentially make surgery even safer and more predictable.

A reproducible precise procedure, improves the predictability of the final visual and refractive outcome. This procedure may allow ophthalmologists to meet the demands of a certain segment of their refractive patient base that desire a safer LASIK or PRK procedure, and to obtain the same results that have been accomplished with other laser vision correction procedures.

All patients that are seen at Bense Vision who meet the recommended criteria will be offered this new technology. If they decline this treatment option, the Traditional Blade-free LASIK/PRK options are still available if no contra-indication exists. The fee is $500 per eye in addition to the LASIK or PRK procedure fee.


Bense Vision offering KAMRA™ Corneal Inserts in St. John’s

Posted on by Bense in Bense 1 Comment

images1The most significant advance in presbyopia surgery in the past 100 years has been the development of the KAMRA™ Corneal Insert. We are proud to be one of the first centres in Canada to offer this incredible surgery with the AcuFocus™ presbyopia system. This system utilizes the small-aperture technology used in the KAMRA™ inlay. This is a very simple yet elegant approach to improve ones near vision whilst not affecting the distance vision in a significant way.

Using the AcuTarget Diagnostic Unit (ADU) to precisely measure the position and direction of the pupil centre and the corneal vertex (coaxial viewed light reflex) which is needed to accurately centre the corneal implant enhances the precision of the system. It automates many of the steps that were previously performed manually with a direct ophthalmoscope or the use of non-coaxial excimers. The precision of the laser allows for enhanced safety and excellent visual outcomes.

The AcuFocus KAMRA Corneal Insert® has a number of unique advantages over traditional presbyopia Surgery:

  1. No intraocularinvolvement
  2. Avoiding many of the traditional side-effects seen with LASIK and PRK
  3. Lower risk of infection
  4. Adjustable (centration) and removable
  5. Can be combined with other refractive surgeries or procedures
  6. Potential for clearer vision early postoperatively with very little adverse effect on ones distance vision
  7. No further adjustments needed with further aging

The AcuFocus KAMRA Insert is a revolutionary presbyopia treatment that is safe and precise. The advent of this technology has made it possible for more patients to seek treatment and obtain simultaneous clear near and far vision, including patients with astigmatism.

This technology can be applied to people who:

  • Have had previous cataract surgery and now need reading glasses
  • Have had previous LASIK/PRK surgery and now need reading glasses
  • Simply need reading glasses at age 40 years or beyond

To learn more about the KAMRA Insert surgery in St. John’s, contact Mike Bense, EyeMD at Bense Vision to schedule a complimentary comprehensive consultation.