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The LASIK Eye Surgery Experience at our Long Island Practice

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.

The entire LASIK procedure takes approximately 15 minutes. After the procedure, we recommend relaxing at home for four hours using a cold compress over your eyes and using your eye drops as instructed at the end of the procedure.

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.

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 immunosuppressants 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 — 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.

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.

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.

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.

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.

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.

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.

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.

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.

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 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.

Personalized care defines the LASIK eye surgery experience at our Long Island practice. Individualized attention is built into every step of the process of refractive surgery at our practice, starting from your complimentary evaluation and consultation with Dr. Lewis J. Weinstein.

Your Consultation and LASIK Evaluation

Your LASIK eye surgery experience begins with a complimentary, one-on-one evaluation and consultation with Dr. Lewis J. Weinstein. This is your chance to ask the doctor any questions you may have.

It is during this evaluation that Dr. Weinstein will give you a comprehensive eye exam, combining his extensive experience with the latest technology. This examination determines the health of your eyes and tells the doctor whether you are a suitable candidate for LASIK eye surgery. At our Long Island practice, we honestly assess your suitability for LASIK surgery and have other refractive surgery options available if something precludes you from undergoing LASIK.

During your LASIK evaluation, Dr. Weinstein will utilize WaveScan™, topography, and Orbscan® technology to map your eyes. This comprehensive exam includes refraction, a slit lamp exam, dilated exam, and an eye pressure exam (tonometry). Each of these tests gives Dr. Weinstein important insight into your visual health and the ways LASIK or another refractive procedure can help you.

Be aware that you cannot wear soft contact lenses at all on the day of your LASIK evaluation. Additionally, if you wear hard, gas-permeable contact lenses, you must take them out three weeks prior to your evaluation.

Preparing for LASIK Eye Surgery

Prior to LASIK eye surgery at our Long Island practice, you cannot wear soft contact lenses for one week. If you wear hard contacts, you must take them out three weeks before surgery, or even longer due to individual eye variations. Dr. Lewis J. Weinstein will inform you of your individual requirements.

Dr. Weinstein will provide you with special eye drops to use starting two days prior to surgery.

Keep in mind that you will need a driver to transport you to and from your LASIK surgery, so arrange this well in advance.

The Day of LASIK Surgery

On the day of LASIK eye surgery, plan to spend an hour at Dr. Lewis J. Weinstein’s office. The actual procedure takes 15 minutes, and most patients are out and about three to four hours after surgery.

Post-Operative Care

Following your LASIK surgery, Dr. Lewis J. Weinstein will instruct you in post-operative care for the health and comfort of your eyes. Your first post-operative checkup will take place the morning after surgery.

In total, you will see Dr. Weinstein two to four times for post-operative checkups. However, the doctor is always available to answer your questions or to see you as necessary.

The Weinstein Difference

When you choose to undergo LASIK eye surgery at our Long Island office, Dr. Lewis J. Weinstein will provide you with personalized, expert care from start to finish. The doctor meets with you during your consultation; performs your comprehensive pre-surgery exam and evaluation; performs your precise, custom LASIK surgery; and monitors your healing process.

Weinstein Refractive is a solo, family-oriented practice. Dr. Weinstein has been in private practice since 1982, and has always been on the cutting edge of new LASIK techniques. Each step of your LASIK surgery process will be performed in-office, with no need for extra traveling.

The most important thing to remember is when you choose Weinstein Refractive, you are choosing one doctor who will care for you and all of your ophthalmological needs.

Contact our LASIK vision correction center on Long Island today to get started on your own Weinstein LASIK eye surgery experience!

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I have been going to Dr Weinstein for years and I love him! Finally did LASIK and it was the best decision of my life. I'm a few months out now and I am doing and seeing great!

-Michelle M.
Commack, NY