Monthly Archives: September 2017

How to know you’re getting a good laser eye surgeon

Having laser eye surgery is a big decision, it goes without saying that your eyes and vision are important to you and it is very important to firstly take no chances and secondly to get the very best possible care available.”

Mr. Sheraz Daya who performed the first LASIK laser vision correction procedure in the UK shares six key pointers that should help you make an informed choice.


Ask your optician whom they would choose to do their eyes? Word of mouth is a good one, as you will be getting information based on someone else’s personal experience and outcome. Testimonials are good especially if they are on independent websites. Reviews and internet chat rooms are useful places to obtain recommendations, but no substitute to you doing your own due diligence. Leave no stone unturned!

Woman looking at computer


What is the surgeon’s track record? How long have they been doing Laser eye surgery for and how are they viewed by their colleagues? As doctors are in the business, they will know who is good and very useful to know if the surgeon has treated other doctors or surgeons, particularly other eye surgeons! Choose someone who is a surgeon to other surgeons!


How long has the surgeon been in practice and for how long have they been performing laser eye surgery? Additionally, find out if the surgeon being considered is a “trouble-shooter”. Good surgeons often fix problems from other laser eye centres. They therefore not only know how to avoid problems, they have good knowledge and ability to remedy them – exactly what you want for your eyes.


Has the surgeon had fellowship training in Cornea and Refractive Surgery? Refractive surgery is the speciality that deals with correcting shortsight, farsight, astigmatism and presbyopia (the need for readers). Laser eye surgery treats the cornea, so best to have someone with expertise and understanding on how the cornea behaves. Fellowship training is an optional period of time when eye surgeons immerse themselves in a speciality for a year or more and trained by a specialist in the area.


Make sure you will be having your consultation with your operating surgeon before your procedure. This is an important recommendation by the majority of major institutions overseeing eye care, including the Royal College of Ophthalmologists and makes a lot of sense.


This is a hard one to measure and evaluate. Often this goes along with some of the suggestions above like “Reputation” and “Recommendation”. However there are some useful pointers. Is the surgeon involved in any civic activities, such as charitable work, teaching or performing surgery in areas where there is a need? Are they involved in caring for the community? Do they care about the environment? Are they willing to make a stand for what is right? You can find some material out from your research, however more often than not, you will get a sense from the surgeon when you meet them in consultation.

Your eyes are precious, do your research well and get educated. In your pursuit of finding a good surgeon, do not get distracted by inducements, offers and “deals”. It is not about getting a good deal but getting the best care that sets you up for the rest of your life! You really want to meet the surgeon, figure out whether you trust them and want them to do your procedure.

You also want the surgeon to familiarise themselves with your eyes and take into consideration specifics about you, your optical system and your lifestyle and visual needs when figuring out their treatment plan. A good surgeon will examine you thoroughly and make sure there are no incidental eye problems that might preclude you from having the procedure. A good surgeon will also customise or tailor-make your care to suit you, your optical system and your needs and lifestyle.

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Original Date: Sept 15 2017



Learning About Cataracts

A Cataract is a medical condition that slowly clouds the eyes lens, which causes blurred vision. This can ether severely reduce your vision or just cause some blurriness. An example would be looking through a fogged up windshield. This can make it hard to do daily activities like driving, playing sports and reading. Most of the time cataracts will develop slowly and you won’t notice it right away. As time goes on you might notice your vision getting weaker/blurry. You might even get some cheater glasses (readers) and this will help for a little bit. But, again time will not be on your side with cataracts.

Once your vision affects daily life, it might be time to go see an eye doctor. The good news is cataracts can be treated by a medical professional! The bad news is it won’t go away on its own and you will need surgery. This is generally a safe and effective procedure.

Cataract surgery consists of removing the clouded cataract and replacing it with a clear lens, called an intraocular lens (IOL). The IOL stays permanently in your eye. About 95% of all patients get an IOL, the other 5% will need to wear glasses or contacts. Overall this is a short and painless procedure that usually takes around an hour. You do not need to stay at the hospital when this is done, but you would want someone to drive you home. If both eyes have a cataract, it is recommended to wait at least one month between surgeries.

As we get older this increases our risk for cataracts, here are some other risk including:

  • Diabetes
  • Excessive sunlight
  • Smoking
  • Obesity
  • High blood pressure
  • Prolonged use of corticosteroid medications
  • Drinking excessive amounts of alcohol


If you are looking to reduce or even get rid of your eye glasses and/or contacts let us at Rohr Eye & Laser Center help you! We offer several types of LASIK eye surgery including PRK, AK, CK, Cataracts surgery and more. We perform all these eye laser treatments with state of the art equipment. We are a leader in laser vision correction, and our goal is to help you achieve superior vision. Contact us today or view our website  to schedule an appointment.

4 reasons to consider LASIK

Remedies for poor eyesight have been around since the 13th century, when some believe the first eyeglasses were invented, but technology has come a long way since then, with more permanent solutions such as LASIK.

Even after just two decades, that procedure has improved. In the 1990s when LASIK first got approval from the Food and Drug Administration, there was a 65 percent success rate, compared with 90 to 98 percent of people reporting 20/20 vision today, according to the American Society of Cataract and Refractive Surgery.

LASIK is a procedure that corrects nearsightedness, farsightedness and astigmatism by using a laser to make a protective flap over the cornea.

Considering LASIK for yourself? Here are some things to think about when evaluating if the procedure is for you.


If you’re considering LASIK, you’ve probably already spent your fair share on glasses and contacts. LASIK is a one-time permanent procedure that can cost anywhere from $1,000 to $4,000 per eye (be cautious if you find people willing to do the procedure for less, as they may not have the most up-to-date equipment and licenses), and in some cases will be covered by insurance. If your insurance doesn’t cover the cost, money from flexible spending accounts can often be used toward LASIK.


Whether travel and leisure or an active lifestyle is your preference, LASIK makes it easier to do the things you love. If you’ve traveled with eyewear before, you know what a pain it is to lose, break or forget this precious cargo. After the procedure, there’s no more bringing backup sets of contacts on vacation, worrying about dry eyes or your glasses falling off on the boat or beach or sweating during a workout and maneuvering your glasses so they don’t fall off. With LASIK, you’ll face no hassle doing the things you love.




Have you ever complained about glasses giving you headaches or contact lenses giving you eye infections or dry eyes? LASIK is a way to prevent these issues and more serious health concerns down the road. Even 15 to 20 years after the procedure, patients report having not only better vision but great eye health.

Instant results

Not only is the procedure incredibly short (on average less than 10 minutes per eye), but one of the things people love so much about LASIK is seeing the results almost immediately. Vision can improve overnight.

If you’re considering LASIK, contact Ophthalmic Surgeons & Physicians, which specializes in LASIK as well as comprehensive ophthalmic examinations and treatment, including dry eye treatment and diabetic retinal examinations, cataract and implant surgery, plastic and reconstructive surgery, cosmetic eyelid surgery and eyebrow lifts, glaucoma evaluation, refractive services, Botox, Juvederm and skin care treatments.

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All you need to know about LASIK surgery

Like other types of refractive surgery, the LASIK procedure reshapes the cornea to enable light entering the eye to be properly focused onto the retina for clearer vision.

LASIK or “Laser-Assisted in Situ Keratomileusis,” which means using a laser underneath a corneal flap (in situ) to reshape the cornea (keratomileusis). It is the most commonly performed laser eye surgery to treat myopia (nearsightedness), hyperopia (farsightedness) and astigmatism.

How is LASIK surgery performed?

LASIKThe eye surgeon uses either a mechanical surgical tool called a microkeratome or a femtosecond laser to create a thin, circular “flap” in the cornea. The surgeon then folds back the hinged flap to access the underlying cornea and removes some corneal tissue using an excimer laser.

This highly specialisd laser uses a cool ultraviolet light beam to remove (“ablate”) microscopic amounts of tissue from the cornea to reshape it so it more accurately focuses light on the retina for improved vision.

For nearsighted people, the goal is to flatten the cornea; with farsighted people, a steeper cornea is desired.

After the laser reshapes the cornea, the flap is then laid back in place, covering the area where the corneal tissue was removed. Then the cornea is allowed to heal naturally.

Laser eye surgery requires only topical anaesthetic drops and no bandages or stitches are required.

Different types of LASIK

There are a variety of different types of lasers used in ophthalmology. All LASIK procedures are performed with a specific type of laser (excimer laser), so in one sense, all LASIK procedures are similar. However, there are a variety of different laser manufacturers, including

  • Visx
  • Wavelight
  • Alcon
  • Bausch & Lomb
  • Nidek, among others, that have all designed specific excimer lasers

Further, there are different types of laser ablations that can be performed, including conventional laser treatments, wavefront-optimised treatments and wavefront-guided treatments. Finally, a completely different type of laser (femtosecond laser) can be used instead of a mechanical microkeratome to create the LASIK (corneal) flap.

What is conventional LASIK?

LASIKConventional LASIK is the ablation pattern available on most lasers that treats directly based upon the patient’s glasses prescription, with fixed treatment parameters for each patient. This type of treatment is effective for most patients but can result in more visual deviations such as glare, halos and night vision issues than other forms of laser treatment

What is refractive error?

In the human eye, the front surface (cornea) and lens inside the eye form the eye’s ‘focusing system’ and are primarily responsible for focusing incoming light rays onto the surface of the retina. In a perfect optical system, the power of the cornea and lens are perfectly matched with the length of the eye and images are in focus; any mismatch in the system is called a refractive error and the result is a blurred image at some location.


What are the primary types of refractive error?


LASIKThere are three types of refractive errors

  1. Myopia (nearsightedness): In this condition, the mismatch in focusing power and eye length causes distant objects to be blurry and near objects to be clearer.
  2. Hyperopia (farsightedness): In this condition, the mismatch in focusing power and eye length causes near objects to be blurry and distant objects to be relatively clearer.
  3. Astigmatism: In this condition, either the corneal or lens shape is distorted, causing multiple images on the retina. This causes objects at all distances to appear blurry. Many people have a combination of either myopia or hyperopia with astigmatism.


Eyes may water and feel irritated for a few hours. It is recommended to nap and let the eyes rest. For a week, drops (antibacterial or steroidal) should be applied. Functional vision returns the night of the surgery or the day after. Follow-up visits are dispersed throughout one year at increasingly long intervals to track healing and to measure the prescription. Most patients reach 20/20 vision or better one-year out.

How do glasses or contacts improve vision in people with refractive errors?

LASIKGlasses or contact lenses are used to compensate for the eye’s refractive error by bending light rays in a way that complements the eye’s specific refractive error. In contrast, LASIK and other forms of refractive surgery are intended to correct the eye’s refractive error to reduce the need for other visual aids.

Am I too young or too old to have LASIK?

There are no hard and fast rules about the appropriate age to have LASIK. However, patients under age 18 are rarely stable enough for LASIK and older patients may begin to develop cataracts or other eye health issues that preclude them from undergoing LASIK. Again, the best way to determine these things is have a complete eye exam.

Advantages of LASIK surgery

  • LASIK is able to accurately correct most levels of myopia (nearsightedness), hyperopia (farsightedness) and astigmatism.
  • The procedure is fast, usually lasting only five to 10 minutes and is generally painless.
  • Because the laser is guided by a computer, it is very precise and results are very accurate.
  • In most cases, a single treatment will achieve the desired outcome; however, enhancements are possible if needed, even many years after the initial surgery.

Disadvantages of LASIK surgery


  • Because each patient will heal slightly differently, results may vary from patient to patient.
  • LASIK could make some aspects of your vision worse, including night vision with glare and halos.
  • LASIK may make dry-eye symptoms worse in certain individuals.
  • In rare circumstances, LASIK can make your vision worse and not correctable with regular glasses or contact lenses.

LASIK checklist

  • Know your refractive error
  • Know your treatment options
  • Know the type or laser
  • Know the risks possible with surgery
  • Know how to find the right surgeon
  • Know what to expect before, during and after surgery

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Original Date: Aug 18 2017

Original Author: TelanganaToday

A clear explanation of cataracts, treatment

The eye is one of the most sensitive organs in our bodies — and like other body parts, their health changes over time.

You are born with a naturally clear lens, explained Dr. Sunil Thadani, Fellow, American College of Surgeons and ophthalmologist with Maryland Vision Center, but clouding of an eye’s lens can occur as you age.

According to Thadani, cataracts usually come on slowly, but cloudy, foggy or fuzzy vision makes it difficult for you to see and perform daily living activities. Other symptoms can include halos and glare from headlights, lamps and the sun. A cataract alters an eye’s lens, so frequent eyeglass prescription changes also are a telltale sign.

While older adults are most at risk for cataracts, diabetes, certain medications and upper-body radiation treatment might also cause them.

Most people develop cataracts during their lifetime, but not all will notice symptoms. During an annual eye exam, an optometrist views an eye’s lens for cataracts and notes any progressive vision loss. Based on the results of the eye exam and any concerns you have, such as night driving difficulty and sensitivity to light, your eye doctor will refer you to an ophthalmologist — a medical doctor who diagnoses and treats eye diseases.

Diagnosis and treatment

To diagnose cataracts, Thadani performs slit-lamp and glare-simulation tests and takes measurements of the eye. He also spends time understanding how cataracts affect your daily living.

If surgery is required, Thadani treats one eye at a time to allow one to heal and determine if your vision improves with a single cataract surgery.

Surgery is safe and pleasant —“almost like a light show,” Thadani said. The procedure involves the removal of the cataract lens and the replacement of a clear artificial lens called an intraocular lens. Under conscious sedation, the procedure takes place in an outpatient setting, and patients remain groggy and relaxed for the entire procedure.

Thadani offers patients standard cataract surgery, which involves making tiny incisions in the eye to remove the cataract and insert the new lens. He also offers advanced laser cataract surgery, a technique that can be used to perform the cataract procedure without using a blade. Both approaches produce similar visual outcomes when addressing cataracts, he said.


You can expect a quick recovery — usually a day or two — after cataract surgery. Self-sealing incisions close over time, but you must use special eye drops for several weeks. Thadani will examine your eyes to monitor your progress during the healing period.

Cataract surgery is safer and more effective than it was even a few years ago, Thadani reported. A strong patient advocate, he encourages people to understand their insurance benefits and the pros and cons of traditional surgery versus laser cataract surgery before undergoing the procedure.

Meritus Health, at 11116 Medical Campus Road, east of Hagerstown, is the largest health system in the area, providing hospital and outpatient services to the community.

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Original Date: Aug 27th 2017