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Fresno
Long
Beach
Los
Angeles
Oakland
Sacramento
San
Diego
San
Francisco
San
Jose
Bakersfield
CA
Golden State Eye
1001 Tower Way, Suite 150
Bakersfield, CA 93309
(661) 327-4499
Southwest Eye Care & Laser
Gregory Stainer, M.D.
4649 Planz Road
Bakersfield, CA 93309
(866) 825-2199
Beverly
Hills CA
Assil Eye Institute
450 N. Roxbury Dr., 3rd Floor
Beverly Hills, CA 90210
(310)-828-2082,
(310)-453-8911
(866)-94-LASIK
Caster Eye Center
9100 Wilshire Blvd
Suite 265E
Beverly Hills, Ca 90212
(310) 274-1221
1 (800) 444-5241
James J. Salz, M.D.
Laser Vision Medical Associates
240 So. La Cienega Blvd., Suite 250,
Beverly Hills, CA 90211
(310) 360-0609
John D. Hofbauer, MD
Laura E. Fox, MD
416 N. Bedford Drive,
Suite 300
Beverly Hills, CA 90210
(310) 273-2333
Khanna Institute of LASIK
9301 Wilshire Blvd,
Beverly Hills, CA 90210
1 (888) LASIK-19
Camarillo
CA
Ventura Eye Institute
3801 Las Posas Road, Suite 112
Camarillo, CA 9301
(805) 388-1211
Campbell CA
Turner Eye Institute
50 E Hamilton Ave, Suite 100
Campbell, CA 95008
1 (800) 339-2733
Cerritos CA
Laser Eye Center
18000 Studebaker Rd. Suite 505
Cerritos, CA 90703
(800) 805-2737
Citrus
Heights CA
Meister Eye and Laser Center
5959 Greenback Ln Ste 310
Citrus Heights, CA 95621
(866) 900-9733
Concord CA
Turner Eye Institute
1851 Sutter St., Suite A
Concord, CA 94520
1 (800) 339-2733
Corona CA
Khanna Institute of LASIK in Corona
1820 Fullerton Ave. Suite #310
Corona, CA 92881
1 (888) LASIK-19
Costa Mesa
CA
Khanna Institute of LASIK in Costa Mesa
1503 South Coast Drive
Costa Mesa, CA 92626
1 (888) LASIK-19
Daly City
CA
ScottHyver Visioncare
2171 Junipero Serra Blvd, Suite 410
Daly City, CA 94014
(800) 454-2747
El Cerrito
CA
Ellis Eye & Laser Medical Center
6500 Fairmount Ave, Suite #2
El Cerrito, CA 94530
(510) 525-2600
Encino CA
Laser Eye Center
5363 Balboa Blvd. Suite 141
Encino, CA 91316
(800) 805-2737
Fullerton
CA
Laser Eye Center
301 W. Bastanchury Rd. Suite 235
Fullerton, CA 92835
(800) 805-2737
Glendale CA
Laser Eye Center
330 N. Brand Ave. Suite 110
Glendale, CA 91203
(800) 805-2737
Glendora CA
Laser Eye Center
1345 S. Grand Ave.
Glendora, CA 91740
(800) 805-2737
Hercules CA
Newman Lasik Centers
500 Alfred Nobel Suite 225
Hercules, CA 94547
(888) 415-2745
Huntington
Beach CA
Global Laser Vision
18632 Beach Blvd,
Suite 100
Huntington Beach, CA 92648
(800) 438-5274
Irvine CA
Lasik Center Medical Group Inc
2302 Martin Street, Suite 100
Irvine, CA 92612
(800) 841-3717
(949) 251-0229
Laguna
Hills CA
Harvard Eye Associates
24401 Calle de la Louisa
Suites 300-312
Laguna Hills, CA 92653
(949) 951-2020
Lodi CA
Zeiter Eye Medical Group Inc
421 S. Ham Lane,
Lodi, CA 95242
(209) 366-0446
La Jolla CA
Shiley Eye Center
9415 Campus Point Dr.
La Jolla, CA 92093
(866) 427-6365
Los
Alamitos CA
Long Beach Laser Center
Los Alamitos Medical Center Campus
3801 Katella Avenue
Suite 130
Los Alamitos, CA 90720
(800) 611-2020
Los Gatos
CA
Spectrum Eye Physicians
431 Monterey Av. Suite 3
Los Gatos, CA
(408) 354-9510
Manteca CA
Zeiter Eye Medical Group Inc
140 N Fremont St.,
Manteca, CA 95336
(209) 239-3880
Marysville
CA
Royo Eye And Laser Center
320 H Street, Suite 4
Marysville, CA 95901
(530) 743-1873
Mill Valley
CA
Ellis Eye & Laser Medical Center
655 Redwood Highway, Suite 341
Mill Valley, CA 94941
(415) 389-5014
Mission
Viejo CA
Laser Eye Center
26137 La Paz Rd. Suite 140
Mission Viejo, CA 92691
(800) 805-2737
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Mountain
View CA
LaserVue Eye Center
1174 Castro St., #112
Mountain View, CA 94040
(800) 527-3745
Monterey
Park CA
Eye Zone Medical
848 East Garvey Avenue, #B
Monterey Park, CA 91755
(626) 382-2020
Newport
Beach CA
Laser Eye Center
400 Newport Center Dr.
Suite 605
Newport Beach, CA 92660
(800) 805-2737
Ontario
CA
Inland Eye Lasik
Christopher Blanton, MD
3257 E. Guasti Rd., Ste 210
Ontario, CA 91761
(909) 937-9236
(800) 570-5273
Laser Eye Center
3200 Inland Empire Blvd. Suite
140
Ontario, CA 91764
(800) 805-2737
Pasadena CA
Laser Eye Center
301 South Fair Oaks Suite 102
Pasadena, CA 91105
(800) 805-2737
Warren C. Stout, M.D
Pasadena Towers
800 East Colorado Blvd.
Suite 450,
Pasadena, CA 91101
(626) 449-6494
(888) 737-8732
Pinole
CA
Vision Care & Correction for
California's East Bay Area
1320 Tara Hills Dr, Ste C
Pinole, CA 94564
(510) 724-8100
Riverside
CA
Laser Eye Center
3600 Lime Street, Suite 117
Riverside, CA 92501
(800) 805-2737
Roseville
CA
Ellis Eye & Laser Medical Center
700 Sunrise Ave, Suite #A
Roseville, CA 95661
(916) 780-1844
Griffin & Reed Eye Care
5 Medical Plaza, suite 280
Roseville, CA 95661
(916)784-2020
Royo Eye And Laser Center
1524 Eureka Rd. Suite 100
Roseville, CA 95661
(916) 783-7696
Stephen Wilmarth, M.D
1830 Sierra Gardens Drive
Ste 100
Roseville, CA 95661
(916) 782-2111
(877) 782-2111
San
Clemente CA
Harvard Eye Associates
665 Camino de los Mares
Suite 102-103
San Clemente, CA 92673
(949) 493-5411
San Leandro
CA
1). Turner Eye Institute
420 Estudillo Ave.
San Leandro, CA 94577
1(800) 339-2733
2). Turner Eye Institute
15035 East 14th Street
San Leandro, CA 94578
1(800) 339-2733
3). Turner Eye Institute
1252 Fairmont Drive
San Leandro, CA 94578
1(800) 339-2733
San Ramon
CA
ScottHyver Visioncare
210 Porter Drive, Suite 215
San Ramon, CA 94583
(800) 454-2747
Santa Ana
CA
Eye Zone Medical
3930 Bristol S. #203
Santa Ana, CA 92704
(714) 361-1575
Santa Clara
CA
ScottHyver Visioncare
2901 Tasman Drive, Suite 208
Santa Clara, CA 95054
(800) 454-2747
Santa
Monica CA
Assil Eye Institute
2222 Santa Monica Blvd. Suite 107,
Santa Monica, CA 90404
(310) 828-2082
(310) 453-8911
(866) 94-LASIK
Santa Rosa
CA
LaserVue Eye Center
3540 Mendocino Ave., #200
Santa Rosa, CA 95403
(800) 527-3745
Sonora CA
Zeiter Eye
14550 Mono Way,
Sonora, CA 95370
(209) 532-7192
Stockton CA
Pacific Laser Eye Center
3031 W March Ln #216W,
Stockton, California 95219
(209) 477-7700
1). Zeiter Eye Medical Group Inc
255 East Weber,
Stockton, CA 95202
(866) 617-4393
2). Zeiter Eye Medical Group Inc
1801 E. March Lane,
Suite C 350,
Stockton, CA 95210
(209) 951-1178
Temecula CA
Temecula Refractive Surgery Center
41877 Enterprise Circle North
Suite #120
Temecula, CA 92590
(951) 296-3713
Franz Michel, MD
2239 Michael Drive
Thousand Oaks, CA 91320
(805) 499-2676
Tracy CA
Zeiter Eye Medical Group Inc
36 W. 10th,
Tracy, CA 95376
(209) 239-3880
Valencia CA
Khanna Institute of LASIK in Valencia
23838 Valencia Blvd #100
Valencia, CA 91355
1 (888) LASIK-19
Laser Eye Center
23300 Cinema Ave
Suite 210
Valencia, CA 91355
(800) 805-2737
Walnut
Creek CA
Ellis Eye & Laser Medical Center
1479 Ygnacio Valley Rd #104
Walnut Creek, CA 94598
(925) 988-0985
LaserVue Eye Center
108 La Casa Via, Suite 104
Walnut Creek, CA 94598
(800) 527-3745
West Hills
CA
Davidorf Eye Group
7320 Woodlake Avenue
Suite 190
West Hills, CA 91307
(818) 883-0112
West
Hollywood CA
Benjamin Eye
Institute
9201 Sunset Boulevard,
Suite 709,
West Hollywood, CA 90069
(310) 275-5533
Westlake
Village CA
Khanna Institute of LASIK
1220 La Venta Dr, Suite 209
Westlake Village, CA 91361
1 (888) LASIK-19
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Laser Eye Surgery
One of the most common terms used when talking
about laser eye surgery is Lasik. However, laser
eye surgery and Lasik, are not synonymous. There
are two fundamentaly distinct types of laser eye
surgery: Lasik and PRK. Lasik is just one type of
laser eye surgery.
The term Lasik or LASIK stands for
Laser-Assisted-in-Situ Keratomileusis, and
represents an effective surgical treatment option
for individuals with refractive errors such as
myopia (nearsightedness), hyperopia
(farsightedness), and astigmatism. The Lasik
procedure is designed to reduce or correct these
refractive errors by permanently changing the
shape of the cornea (the clear covering of the
front of the eye). The procedure combines the use
of microkeratome (a surgical instrument used to
perform a flap in the cornea) and the excimer
laser to remove thin layers of cornea. When the
cornea is reshaped, the eye's focusing power is
increased and the individual's visual acuity is
enhanced.
The standard Lasik surgical procedure includes
five steps:
1). The eye is numbed with anesthetic drops.
2). The surgeon will place a special instrument
in the patient's eye in order to hold the eyelids
open and prevent blinking.
3). In order to avoid unnecessary eye movements
the patient is asked to fixate their eyes on a
designated light while the surgeon creates a flap
in the cornea with the help of the blade device
called microkeratome. The flap stays hinged to
the rest of the cornea at one end.
4). A computer-controlled laser light (which was
previously programed based on the correction
required by the refractive error) is applied to
the inner layers of the cornea reshaping it.
5). At the end of the surgery, the surgeon gently
replaces the flap to the original position
allowing the eye to heal itself naturally.
When Lasik procedure is performed, the cornea
surface will be reshaped based on the eye's
refractive error that requires correction.
In patients with hyperopia
(farsightedness) (where the
cornea is not round, which causes the
light to focus behind the normal focal
point), the laser beam will steepen the
surface of the cornea causing the eye's
focus point to be moved closer to the
normal focus point for creating a clearer
image.
In patients with myopia
(nearsightedness) (where the
cornea is too steep causing the images to
focus in front of the normal focus
point), the laser beam will flatten the
surface of the cornea allowing the light
to focus at the normal focus point in the
back of the eye.
In patients with astigmatism
(where the cornea is curved irregularly
impending the light to focus properly on
the retina), the cornea is being reshaped
in order to allow the eye to focus
properly.
There are three advanced alternatives to the
standard Lasik procedures: CustomVue
Lasik, Conventional IntraLasik, and Custom Vue
IntraLasik.
CustomVue Lasik
is a custom-tailored laser vision
procedure designed to correct the
imperfections of the eye by using the
conventional hardware used in a standard
Lasik procedure in combination with
advance software called Wavefront. This
procedure uses a 3-dimensional
measurement of the optical system in
order to offer an extremely precise,
individual vision correction, that cannot
be achieved through the traditional Lasik
procedure.
Conventional
IntraLasik is an alternative to
the standard Lasik, where the corneal
flap is created using a computer-guided
femtosecond laser beam - significantly
decreasing the risks associated with the
microkeratome incision.
Custom Vue
IntraLasik is a procedure that
utilizes the methods of the above two
procedures. The corneal flap is created
using the femtosecond laser while the
excimer laser that reshapes the cornea is
guided based on the CustomVue Watvefront
technology. This procedure is the most
expensive laser eye surgery.
PRK stands for PhotoRefractive
Keratectomy, and is the original laser
surgery that preceded Lasik. Although it used to
be the most common refractive surgical procedure,
PRK became one of the alteratives available for
patients that cannot have a flap cut into their
cornea and therefore undergo the standard Lasik
procedure. PRK is a procedure where the
epithelium (outer layer of the cornea) is
manually ablated (rather than cutting a flap in
the cornea) in order for the laser beam to
reshape the remaining corneal tissue. Although
PRK requires a longer recovery period and more
discomfort following the procedure than the
standard Lasik option, PRK reduces the risks
associated with having a flap cut in the cornea
and the risks of ectasia (a condition in which
the inner eye pressure can push against the
thinned corneal wall causing it to bulge and
worsen the vision).
The PRK procedure includes three steps:
1). The eyes are numbed with a special anesthetic
administrated as eye drops.
2). The surgeon will place a retainer in the
patient's eye in order to keep the eyelids open
and avoid blinking.
3). In order to avoid unnecessary eye movement,
the patient is asked to look at a target light,
while the laser (programmed by a computer) sends
pulses of light which painlessly removes corneal
tissue based on the patient's particular
prescription.
There are two advanced forms of PRK that are
performed: LASEK and Epi-LASEK.
LASEK,
which stands for Laser Assisted
Sub-Epithelial Keratomileusis, is a
relatively new variation of PRK where a
solution of alcohol is used to soften and
remove the epithelium (the outer layers
of corneal tissue) with the help of a
fine blade (trephine). The removed tissue
will be placed back after the laser
reshapes the underlying corneal tissue.
LASEK is an effective alternative to
Lasik in patients that have a too thin or
too steep cornea. This procedure has been
associated with a faster recovery of
sensation or nerve function on the
cornea.
Epi-LASEK,
which stands for Laser Assisted
Sub-Epithelial Keratomileusis, is the
newest addition to the refractive eye
surgeries. The Epi-LASEK procedure
involves a gentle loosening of the
epithelium sheet using a blunt, plastic
oscillating blade called epithelial
separator. The advantage offered by this
procedure is that the plastic blade
separates the epithelium tissue from the
eye, avoiding possible adverse reactions
caused by the alcohol solution used in
the LASEK procedure. Once the procedure
is over, the removed epithelium sheet is
placed back on the eye and will be kept
in place by a special oxygen-permeable
contact lens that will allow the
epithelial cells to grow back normally.
This procedure is recommended in patients
with a thin cornea who don't have enough
tissue to cut a flap or in individuals
that have professions or hobbies with an
increased chances to be hit in the eye
(reducing the risk of the flap to be
dislocated).
Sources:
American College of Eye Surgeons, American Board
of Eye Surgery, What is Lasik?, Date unknown
TLC Laser Eye Centers, What is Laser Vision
Correction? Lasik, Date unknown
USA Food and Drug Administration, Lasik Eye
Surgery, 2008
Medem, Medical Library, Laser in-situ
Keratoermileusis: Lasik, October 1997
AllAboutVision, PRK: The Original Laser Eye
Surgery, by Liz Serge, October 2007
AllAboutVision, LASEK Eye Surgery: How it Works
by Liz Serge, July 2008
AllAboutVision, Epi-LASEK Eye Surgery: How it
Works by Liz Serge, May 2007
WiseGeek, What are the Different Types of Laser
Eye Surgery?, Date unknown
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