Long Island and Suffolk County — LASIK Eye Surgery

At our Long Island practice, serving all of Suffolk County, we offer cutting-edge custom LASIK eye surgery, including IntraLase® bladeless LASIK, WaveScan™ CustomVue® LASIK with iris registration, the VISX® Star 4 excimer laser system for custom ablation, and Orbscan® pre-operative testing. This page will acquaint you with LASIK surgery, including the technologies we use to customize and modernize the procedure for each of our patients, as well as conditions for LASIK candidacy and risks of the surgery.

What is LASIK eye surgery?

LASIK surgery is the most common refractive surgery procedure performed in the United States. It can treat astigmatism, nearsightedness, farsightedness, or a combination of these three conditions.

In the traditional LASIK surgery procedure, the eyes are numbed using anesthetic eye drops and gently immobilized using suction. Dr. Weinstein will then create a flap across the cornea (the clear part covering the eye.) At the Weinstein Refractive Center we offer IntraLase® where the flap is made with a laser or traditional LASIK where the flap is made with a microkeratome. This flap is folded back, and the exposed corneal stroma is reshaped using an excimer laser based on the nature and extent of the patient's refractive error. For example, if you are farsighted, the cornea will be made steeper so light rays are focused at the correct point in the retina. If you are nearsighted, the cornea will be made flatter. Astigmatism can also be treated during LASIK surgery by making your cornea more spherical.

Following this ablation (reshaping) of the corneal stroma, the corneal flap is folded back in place and allowed to heal. Typically, patients recover their vision quickly after LASIK surgery, and it might continue to improve over the next few days or weeks.

The actual LASIK surgery takes less than a minute, and you will be able to leave the surgery center soon after the procedure is over. While you should relax after the surgery, you may return to work the next day.

In most cases, people achieve 20/20 vision or better after LASIK surgery, and the custom LASIK procedures offered at Weinstein Refractive Center consistently produce even better results.

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Am I a candidate for LASIK?

To be a good candidate for LASIK surgery, you must be over 18 years old and have a refractive error that has been stable for at least two years. You must have an unscarred cornea of a sufficient thickness (which will be determined by your Orbscan® pre-operative testing, covered below).

If you have severe dry eye syndrome, you may not be a good LASIK candidate, as LASIK can worsen dry eyes. Dr. Lewis J. Weinstein can help determine the degree of your dry eyes and counsel you on which refractive procedure is best for you.

Certain diseases, especially autoimmune diseases and diseases of the eye such as cataracts, glaucoma, corneal diseases, and corneal thinning disorders such as keratoconus, preclude a person from successfully undergoing LASIK eye surgery. In addition, taking certain medications, such as immunodepressants or steroids, can make you ineligible for the surgery.

Even if something precludes you from being a good candidate for LASIK eye surgery, there is probably another refractive procedure — such as PRK, AK, LASEK,or refractive lens exchange — that can help treat your refractive errors and give you the vision you have always wanted. We urge you to get educated on your options, and to discuss them with Dr. Weinstein at your complimentary consultation and evaluation at our Long Island practice. Those interested in LASIK eye surgery, or with questions about their candidacy, should contact our LASIK vision correction center today.

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What are the risks of LASIK surgery?

While side effects after undergoing LASIK surgery are rare, and are even rarer after undergoing custom LASIK, they are possible. Most commonly, LASIK surgery can result in an undercorrection or overcorrection of your vision problem. This will create a need for fine tuning of the procedure (covered below), or the wearing of glasses or contacts after surgery.

LASIK surgery can cause you to see halos, shadows, or glare. It can also induce or worsen dry eye symptoms. For this reason, people who already have dry eye syndrome might not be eligible for LASIK surgery.

Lastly, it’s possible that your vision can regress after undergoing LASIK surgery. That is, the surgery will initially bring on a vision improvement, but your vision will regress back toward its pre-surgery state. In this case, you will want to return to Dr. Weinstein for an enhancement procedure.

While not all potential complications of LASIK eye surgery can be discussed here, Weinstein Refractive Center treats any of our patients’ LASIK complications at no cost.

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Orbscan® Pre-Operative Testing

At our Long Island practice, we use Orbscan®, the most current imaging system available, to get an accurate picture of your corneas both before and after LASIK eye surgery. This test is comfortable, painless, and takes mere seconds. Most importantly, it can help determine whether you are a good candidate for LASIK surgery. Read the full description of the Orbscan® system on our Technology page.

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WaveScan™ Guided Custom LASIK

At our Long Island practice, the WaveScan™ diagnostic instrument forms the foundation of custom LASIK. The WaveScan™ machine is able to measure your unique refractive error. It can measure imperfections that could not be detected using standard methods.

After a map of your eyes' unique "fingerprints" are constructed, the WaveScan™ software transfers the information into a set of CustomVue™ treatment instructions to guide the excimer laser that performs the ablation during LASIK surgery.

In short, the custom LASIK procedure is guided by the unique measurements taken by the WaveScan™ diagnostic system. Read more about WaveScan™ and CustomVue™ during LASIK on our technology page.

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IntraLase® Bladeless LASIK

Many of the complications related to LASIK eye surgery stem from the very first step of the process: the creation of the corneal flap, traditionally done by hand using a steel instrument called a microkeratome. With this method, it was possible for a less-than-ideal corneal flap to be made, for the microkeratome to slip and jeopardize the patient's vision, or for the flap to heal incorrectly once the procedure is completed.

The creation of an optimal corneal flap is essential to an excellent LASIK outcome. However, until recently, the creation of the corneal flap was crude compared to the other steps of the LASIK surgery process, and visual side effects commonly stemmed from problems with the creation or the healing of the flap; in other cases, the creation of a less-than-perfect corneal flap required that the procedure be aborted and taken up at a later date.

For all of these reasons, IntraLase® bladeless LASIK, in which the corneal flap is created using a computer-guided laser, represents a significant advancement in LASIK technology. In the bladeless method, the IntraLase® laser delivers rapid pulses of light to the cornea — each to a precise, pre-programmed depth and position on the cornea. Each pulse forms a microscopic bubble, and these bubbles eventually connect to form a smooth corneal flap. Dr. Weinstein then lifts the flap and proceeds with the LASIK surgery. The IntraLase® laser is so precise that it can create a beveled edge to the flap, allowing accurate repositioning of the flap after treatment as well as superior healing.

IntraLase® bladeless technology presents several advantages for the patient. Because so many LASIK complications were related to the corneal flap, the bladeless method of vision correction is associated with lower risk of flap complications and visual side effects. In addition, because the IntraLase® laser is so precise, it creates smoother flaps and corneal surfaces. That means a corneal surface better-prepared for treatment, and a corneal flap so thin that patients with steep, thin, or flat corneas can successfully undergo IntraLase® bladeless LASIK.

In studies, IntraLase® bladeless LASIK has been shown to provide more patients with 20/20 vision or better. Weinstein Refractive is proud to offer this superior technology to our patients.

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CustomVue™ LASIK with Iris Registration

At our Long Island practice, the CustomVue™ LASIK eye surgery procedure, guided by WaveScan™ measurements of your eyes’ particular irregularities, is carried out by the VISX® Star 4 excimer laser system (covered below).

CustomVue™ LASIK uses iris registration technology — the first fully automated method of aligning the laser to your eyes and their unique treatment areas. With iris registration, treatment is automatically centered and aligned to your cornea. The advantage of iris registration is that treatment is precisely positioned, and the chance of human error is reduced to nearly zero. Clinical outcomes of this custom LASIK procedure are impressive; more patients achieve 20/20 vision or better, and have improved vision in low light conditions and at nighttime.

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VISX® Star 4 Laser Vision Correction System

The VISX® Star 4 excimer laser system carries out the actual reshaping of your corneal stroma.

The VISX® Star 4 system features three-dimensional tracking of your eye movements, as well as seven variable-sized beams that allow faster, smoother ablation when the surgeon reshapes your corneal tissue. The result is faster healing, less removal of corneal tissue, and more impressive refractive results with fewer incidences of side effects. Read more about the VISX® Star 4 system on our technology page.

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Touch-up LASIK  

While LASIK surgery often yields stunning results, the need for an enhancement or touch-up is relatively common. In a study conducted in 2001, 5.8 percent of LASIK patients required more than one procedure.

The need for a touch-up procedure can arise for several reasons. First, an undercorrection of your refractive error is possible. Its likelihood corresponds to the degree of your refractive error prior to first undergoing LASIK surgery. In addition, a patient’s eyesight may be 20/20 or better immediately following LASIK, but can slowly regress until an enhancement becomes necessary. Lastly, complications such as less-than-ideal wound healing can leave people with refractive errors.

Compared to the initial LASIK procedure, a touch-up is minor and takes little time. However, when undergoing LASIK eye surgery for the first time, you should be prepared for the possibility that a touch-up procedure might become necessary.

The price of touch-up procedures is usually included in the initial cost of LASIK eye surgery, though you might be responsible for a small facility fee.

At our practice on Long Island, serving all of Suffolk County, we can fine-tune LASIK eye surgery results – whether the initial procedure was performed by our own Dr. Lewis J. Weinstein or another surgeon. If you feel like your LASIK surgery was not performed correctly the first time, or you simply need a tune-up because of a regression, undercorrection, or another reason, Dr. Weinstein has the experience to successfully enhance your refractive results.

Contact our LASIK vision correction center today to learn more about LASIK surgery touch-ups at Weinstein Refractive Center.

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LASIK Eye Surgery at Weinstein Refractive

We are committed to patient satisfaction at our Long Island practice. Whether you choose to undergo traditional LASIK eye surgery or a custom LASIK procedure, we will work our hardest to make sure you understand the procedure, feel comfortable during surgery, and are pleased with the results.

LASIK eye surgery, especially custom LASIK, has the power to change your life. Imagine sports, vacations, or recreation without reliance on glasses or contacts. Serving Long Island and Suffolk County, Weinstein Refractive Center offers free LASIK eye surgery consultations and evaluations. Contact our LASIK vision correction practice today to get started or to learn more about this life-changing procedure.

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Serving Long Island and Suffolk County, LASIK eye surgery at Weinstein Refractive is customized and technologically advanced. Contact us today for your complimentary LASIK evaluation and consultation.

The Weinstein Refractive Center
66 Commack Rd Suite #203
Commack, NY 11725