In recent years, corrective laser eye surgery became a staple choice for patients, with more than one million patients opting for such a procedure. But what exactly is it and how does it work? Well, we suggest you put on your landau scrubs and allow us to take you on a tour that will let you explore the world of corrective eye surgery.
For one, it owes its popularity to its effectiveness. First performed by an ophthalmologist in Greek during the late eighties and introduced to American surgeons in 1990, laser eye surgery soon made a name for itself in the medical field. It is often viewed as the best alternative to contact lenses and eyeglasses, and is used to correct astigmatism, farsightedness, and nearsightedness. Also, the said procedure can be done safely and quickly, with the patient experiencing very minimum discomfort.
Things to expect before surgery
Just like any other medical procedure, the patient will have to be educated regarding the whole process by the assigned expert. The information is usually given through a seminar or a free consultation. During this time, you can freely ask the surgery coordinator specific questions about the process and options. Should you decide to proceed with the surgery, the next step is to schedule an appointment for a consultation and comprehensive examination. At this point, your medical and ocular history will be reviewed. You may have to undergo a series of tests in order to assess your appropriateness for surgery. These measurements may include testing of the retina and optic nerves, measuring intraocular pressure, determining your dominant eye, and above all, measuring the thickness of the cornea.
Seeing through the surgery
Conventional eye surgery is done relatively quickly. It is basically a painless outpatient procedure that does no require hospitalization. Yes, you can go home right after undergoing eye surgery. So on with surgery itself?
While you are awake during the surgery, you will be given anesthetic eye drops, numbing your eyes in the process. To keep your eyelashes out of the way, a plastic drape will be used and placed on your eyelids. To hold the eyelids back, a speculum will also be used during the entire operation. A suction cup will then be placed over each eye, creating the flap. After being gently pulled back, expect to feel a little bit of pressure. A laser will take care of the actual correction of the vision impairment by reshaping the cornea. This will usually take about several minutes per eye. Aside from the ?clicking? sound made by the machine, expect to smell a slight odor as the laser vaporizes the tissue. After the actual laser treatment, you will be ushered into a recovery room to rest. Expect to feel a slight tingling or burning sensation as the anesthesia wears off. Finally, you will be given a final check up, complete with post-operation care guidelines. You will also be given eye drops and protective eye shields during the final check-up. After that, you can go home to rest your eyes?now you're on your way to recovery.
It doesn't take a long time to choose your eye surgeon if you know how. The following article will tell you how. With this list you can decide on an outstanding cataract surgeon in less time than many people devote to picking out their next car.
1.? Do not limit your selections to solely those eye doctors in your insurance network. Despite what your insurance company's marketing materials may indicate, the essential component in deciding who is "in-network" is who is willing to sign that insurance contract. Presently there is no well-grounded method of ranking eye surgeons and any insurance company that proposes their network of eye doctors is the most qualified is disingenuous at best.
2.? Ask those you trust Good sources of information include your primary care physician, optometrist, and friends who have had cataract surgery. Even better sources include the operating room technicians and staff at your local hospital. They are often in the operating room with the cataract surgeon and see who uses the latest techniques. Nurses are naturally very helpful people and will often be willing to respond to your question. The challenge will be making it past the hospital's automated telephone menu and getting access to a live operating room nurse.
3.? Research your eye surgeon's education Where did your eye surgeon train? You may not know which residency programs are the best, but it is simple enough to determine their ratings once you know where your eye surgeon trained. Two objective are U.S. News & World Report's Annual rating of and
Don't get too caught up on the rating order - if your physician trained at a top 20 program he obtained top-notch education.
4.? Research your physician's State Licensure Your eye surgeon must have an active licens to practice medicine in his state. In addition to verifying licensure, many state license websites will also tell you if there is any history of disciplinary or legal action against your eye surgeon. In California you can look up this data online at http://www.medbd.ca.gov/lookup.html
5.? Confirm that your Doctor is Board Certified Board certification is a type of "seal of approval" for all physicians. In order to acquire certification an ophthalmologist must successfully pass both a written and oral test. In addition, younger ophthalmologists must recertify every ten years - a process that can take up to three years to complete. You can confirm that your ophthalmologist is board certified by checking the web site: http://www.abop.org or http://www.abms.org
6.? Visit your surgeon's Medical Practice Internet Site Assuming the above background check is favourable you can occasionally get useful information from your eye surgeon's website. Although some sites do provide educational materials, keep in mind that its primary role is to market the medical practice. You won't learn anything negative about your cataract surgeon there, but it can confirm the positive data you have already found and present you some insight into the surgeon's background and medical practice philosophy.
7.? Ascertain what others have experienced. Are recommendations available online (doctor grading websites or practice site)? Are testimonies visible in your cataract surgeon's office for your viewing? Will your cataract surgeon supply you the name and phone number of an individual who had eye surgery that you can talk to?
Keep in mind that National privacy laws determine the amount of information your ophthalmologist may be able to furnish you considering other patients who have had surgery. Even So, it should not be too burdensome for your surgeon to come up with a living individual who would volunteer to talk about the cataract surgery experience with you.
8.? Determine how many cataract surgeries your ophthalmologist has done. There is a reason they call it the "practice of medicine." Just like a sports professional, an ophthalmologist's skills improve with practice and experience. Every surgery differs in its "threshold" number (the number of surgeries required for the average surgeon to become proficient). For cataract surgery I think this number is probably around five hundred.
If you are uneasy inquiring straightaway then take someone with you to the appointment to inquire for you. This is a very important question. These are your eyes. You only have two. Get over your reluctance. Just ask.
9.? Meet the Catarct Surgeon. The above research can give you an idea if your surgeon is qualified to perform your eye surgery. Notwithstanding, you can't know if this is the doctor you want working on your eyes until you meet with him. In addition to substantiating his or her certifications, you need to be comfortable with this person.
Trust is a serious consideration that can't be sufficiently developed without encountering your cataract surgeon face-to-face.
10.? At Long Last, get a second impression. Most people wouldn't purchase an automobile without test driving it and at least one other car. Why would you limit your choice of physician because "he's on my insurance" before getting a sense of how comfortable you are with the choice your insurance has made for you? This is a very big decision.
Unless you are totally at ease with your eye surgeon, get a second opinion.
The best eye surgeons do not mind that you have or are going to get a second opinion. As A Matter Of Fact, one quick test of your physician's comfort with her own ability is to let him know that you would like a second opinion. If the physician becomes defensive about this then you know the second opinion was a great idea, after all.
In summary, there are many things you can easily do to confirm that you have made a good decision about who will perform your surgery.? Weighing the importance of your eyesight, you owe it to yourself to complete this inquiry before having cataract surgery.
? Copyright 2009 David D. Richardson, M.D.
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Both Brent Mcnutt & David Richardson, Md are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
David Richardson, Md has sinced written about articles on various topics from . is Medical Director of the San Gabriel Valley Eye Associates, Inc. He received his M.D. from Harvard Med. David Richardson, Md's top article generates over 480 views. to your Favourites.