LASIK Questions and Answers from a Refractive Surgeon

Have questions about LASIK surgery? Get the answers straight from one of our Cornea and Refractive-Trained Ophthalmologists, Dr. Carolyn Hebson, M.D.

WHAT IS REFRACTIVE SURGERY?

Refractive surgery is surgery used for the treatment of myopia (nearsighted), hyperopia (farsighted), and astigmatism. The purpose of refractive surgery is to reduce or eliminate your need for glasses or contact lenses for clear vision. LASIK and PRK are different types of refractive procedures.

WHAT IS LASIK?

LASIK (Laser in situ keratomileusis) is the most popular refractive procedure to its excellent visual outcomes and rapid visual recovery. In LASIK, the surgeon uses 2 separate lasers to perform surgery. The femtosecond laser is used to create a partial thickness corneal flap and the excimer laser is used to reshape the cornea beneath the flap based on the patient’s individual prescription.

WHAT IS PRK?

PRK or advanced surface ablation uses the excimer laser to reshape the cornea on the surface, without creating a partial-thickness corneal flap. The surgeon manually removes the corneal surface cell layer (epithelium) and performs the treatment. The removed epithelium will regrow on its own during the first 3-7 days after surgery. A contact lens is applied after surgery to improve comfort and aid in this healing process.

WHAT IS iDESIGN?

iDesign is a high-definition wavefront aberrometry used to determine the best treatment for our LASIK and PRK patients. VisionFirst is proud to be the only practice in Birmingham using this advanced technology! With over 1250 data points, iDesign measures the internal optics and surface of the eye with extreme precision to create a personalized treatment plan individualized to your eye. This device has been shown to be 15 x more precise than the current technology used to determine your glasses or contact lens prescription.

HOW DO I CHOOSE BETWEEN LASIK & PRK?

Long-term visual results are identical between LASIK and PRK for good candidates. LASIK typically heals more quickly, providing a more rapid visual improvement compared to PRK. However, some patients are better candidates for PRK than LASIK especially patients with thinner corneas or prior corneal surgery. Your surgeon will recommend the procedure that is best for you based on an extremely detailed in-office evaluation.

ARE LASIK AND PRK SAFE?

While there are possible complications with any surgery, the risk of poor outcomes after LASIK or PRK is low for good candidates. In fact, many recent studies have found that the risks of refractive surgery are less than extended contact lens wear, or sleeping in contact lenses. Particularly, the risk of infection is much lower after LASIK or PRK compared to extended contact lens wear.

IS LASIK PAINFUL?

In general, LASIK is a very tolerable procedure. Before surg, ry a relaxing medication is offered, and numbing drops are placed into the eyes to prevent discomfort. There are a few moments of pressure during surgery, particularly during the creation of the LASIK flap. After surgery patients tend to experience burning, tearing, and light sensitivity for several hours, which improves with use of the post-operative medication and resting the eyes. These symptoms have typically resolved the day after surgery.

HOW LONG DOES THE SURGERY TAKE?

LASIK or PRK can be performed on both eyes in roughly 20-30 minutes.

DO I HAVE ANY RESTRICTIONS AFTER LASIK?

Restrictions include no swimming or extensive yard work for 2 weeks after LASIK. Typically, patients can resume work the day after surgery.

WHY DOES LASIK SEEM SO EXPENSIVE?

With LASIK, you get what you pay for. Modern LASIK technology is more expensive than first-generation technology, but it also allows for a safer surgery with a better visual result. Competitors who are offering extremely low LASIK pricing are using more outdated, less customized technology to perform surgery.

IS LASIK COVERED BY INSURANCE?

LASIK is considered an elective surgery and is not covered by insurance. Financing is available through CareCredit and LASIK typically qualifies as a reimbursable expense under your company’s Flexible Spending Account (FSA).

IS IT IMPORTANT WHO PERFORMS MY LASIK SURGERY?

Absolutely! Dr. Hebson is a fellowship-trained cornea and refractive surgeon who has gone through rigorous training to perform these procedures safely and effectively. She offers the most advanced LASIK and PRK technology available to her patients. In addition, she is experienced in managing the infrequent complications of LASIK and PRK.

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I've had wonderful experiences with the staff at VisionFirst Eye Center in Alabaster. Everyone is friendly, courteous, and most even laughed at my crazy sense of humor! 😀 Yesterday was my 1st visit with Dr. Chwalek. She was awesome! She's very knowledgeable and made sure I understood what was going on with my eye. If you need an eye doc, give them a call.
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I just had my 2nd cataract surgery. From beginning to end, from Receptionist to Dr, they have been very Professional. You’re told from the time you start your journey whether it be needing glasses/ contacts to eye surgery everything is explained in detail about whatever it may be that you need. The entire staff is very Friendly and Professional with each client. I’ll stay with them from this point on. Blessings to Vision 1st.
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Dr. Chwalek & her staff are always so very kind, gracious and professional!! Each time I have an appointment, I'm always met with smiling faces and a warm friendly reception! It starts at the front desk and continues throughout the office! 5 out of 5 stars every time!! ☆☆☆☆☆
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Dr. Chawlek is amazing. She spent a lot of time with me and addressed issues that other previous doctors had dismissed. She did tests, came up with a solution to the problem, and scheduled a follow up. Just went there for my yearly exam, and she ended up putting me on a path to fix the issues I had been having for years! 10/10 recommend.
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Very professional personnel. Every option and procedure was explained to me. Very thorough. Great experience. Highly recommend VisionFirst.
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Mary L

I have just had cataract surgeries arranged through VisionFirst and I am more than thrilled with the results! Both eye surgeries went perfectly and it’s only two days after my second surgery. My vision is already spectacular! I could not be happier with both the optometrist, Dr. Melanie Chwalek, at VisionFirst, and the eye surgeon, Dr. Bret Fisher. I very highly recommend both of them.
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I went in with some eye problems they were able to see me the same day.Dr Chwalek was very thorough and explained everything to me.
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I had cataracts surgery on both eyes by Dr. Bret Fisher. He did an excellent job restoring my vision. I am so thankful and grateful for him and his staff. Also need to thank Melanie chwalek for post eye exams. All my questions was answered. Kim the tech was always there with a smile and checking up on me. Best professional eye care Thank you.
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I was overly impressed, from registration to completion. The Tech Kim, was so very nice & helpful. Dr. Bret was, so pleasant & very informative about my condition. He was very patient in making sure, I understood the upcoming procedure. I will highly recommend your Services.
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Florence J

I highly recommend Dr Rebecca Doss at Vision First Eye Center. She worked diligently with me in helping me understand the problems that I was having with my eyes. I was back at the office yesterday and was proud to get good results. My experience was great!
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Eddie C

The staff was very friendly, kind and compassionate. They work well together giving the patient the best care. I highly recommend VisionFirst Eye Center!!
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Emily B

Best experience I've ever had getting an eye exam, and I'm so excited to be getting my new glasses soon. Everyone was so helpful, and made it a wonderful experience for me. I will recommend them to everyone I know! Thank you to everyone at Vision First Eye Center!
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Kim S

Dr. Bearman is the most caring and understanding Dr. I've ever met . The whole staff treat you as if your their only patient in their office. And that's a rare thing these days.
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Betty B

Staff were friendly and efficient. Dr. Fisher did an outstanding job and took great care with my eyes. He came highly recommended. Very happy with the results. Wish I had taken the leap to have LASIK years ago and saved myself all the $ and inconvenience.
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It is always a great experience. The staff is always considerate, professional, and most of they put your needs first.

My wife and I have had Dr. Doss as our Optometrist for over 20 years. She is the best. Her happy smile is contagious. She is always considerate, professional, and just an all around great caring person.

If I could rate your staff and company it would be well above a 10.

Thank you for being our optical staff and Dr Doss.
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Dr. Hamby is awesome! He took so much time with me and made me feel like he truly cared about my eyes! I will take my family to him from now on!
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My husband and I recently had our eye exam with Dr. Hamby at Vision First. I can say for certain it was the best eye exam I've had. My husband has serious eye issues and Dr Hamby took time with him. We will definitely refer our friends and family.
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I love VisionFirst Eye Care in Trussville. Dr. McClintock takes great care with me. I have been both for glasses and for an eye infection. In all cases, he took time to listen, asked me if I had any questions and found a solution to my issue. Everyone who works there is helpful and friendly. I recommend them!
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My kids love Dr. Hamby and the whole staff. He listens to us and lets me know everything that is going on. The staff is also very sweet and knowledgeable.
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Thank you all!
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Dr. Mc Clintock and staff at Vision 1st in Trussville are awesome! Very accommodating and professional. I've been a patient there for years! They are very consistent and extremely pleasant. They take care of my vision and help keep it healthy.
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Dr. Bearman recently did my cataract removal procedure. Everything went smoothly. Every follow-up has been done very efficient and professionally. He has a great staff. He is a great Doctor with a wonderful bedside manner. I would recommend him highly.
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Great experience, from check in to testing to my first impression of the doctors every one was kind and helpful and made me feel reassured. They answered all of my questions , I left feeling very confident and informed.
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Excellent customer service from the moment I walked in the door. Office staff was amazing. The eye glass center representative was awesome even helped pick a pair of glasses outside of my comfort zone. But I love them. Highly recommend Vision First and Dr. Hamby.
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