Are you seeking clear vision? Are you tired of the hassles of contact lenses and glasses? Jon Portis MD, is an experienced LASIK surgeon and is proud to offer the latest technology to the Honolulu area. Blade-free LASIK is available at our Honolulu office, and for those who have been told they are not a candidate for LASIK in the past, it is important to have another LASIK evaluation, as technology continues to advance and there are more vision correction options available! We encourage you to schedule a free consultation to determine the vision correction option that is best for you, or take our LASIK Self Test and a member of our team will contact you!
When people talk about laser eye surgery, they usually use the term LASIK – Laser-Assisted In Situ Keratomileusis – this is a type of surgery that corrects the way the eye focuses light, also known as refractive surgery.
With LASIK Laser Vision Correction, we are now able to reduce or eliminate the need for glasses and contact lenses for people who are nearsighted, farsighted, or have astigmatism. The advanced technology of the excimer laser permits the precise reshaping of the cornea to correct the vision.
Continuous advances in technology allow for improved safety and precision. Sugiki • Portis Eye Center in Honolulu offers LASIK using the state-of-the-art Wavelight Refractive Suite, the fastest LASIK platform available in the U.S. The Wavelight Refractive Suite is a LASIK platform which combines the FS200 femtosecond laser for flap creation with the EX500 excimer laser to reshape the cornea for vision correction. You will benefit from the best LASIK technology available.
If you have thought about having LASIK, now is the time to take the very important step of choosing your LASIK surgeon. To help you make your decision, we invite you to call for free evaluation in our Honolulu office. Comprehensive testing, including corneal topography, will be performed to see if you are a good candidate. Unlike other laser centers, we offer complete personalized care from start to finish and will personally attend to your needs on every visit Fto the office.
About the Procedure
After your eye has been completely numbed with eye drops, an eyelid holder will be placed between your eyelids to keep you from blinking. Next, the FS200 femtosecond laser creates a flap on the surface of the cornea. This avoids the traditional blade approach. The FS200 offers you greater accuracy and safety than the traditional microkeratome. You may feel some pressure or tightness, but no discomfort. After resting a few minutes, you will be positioned under the EX500 laser for the actual vision correction. You will then be asked to look directly at a target light while the laser reshapes for the cornea. This usually takes less than a minute and is painless. The flap is then repositioned, where it bonds into place without the need for sutures.
After LASIK, the vision usually returns rapidly, and the eye is about 80% healed during the first week. To prevent infection, antibiotic drops are used for one week, and a protective shield applied at night while sleeping. The eye is not patched, and most individuals can return to work and normal activities quickly. Post-operative visits occur at 1 day, 1 week, 1 month, 3 months, 6 months, and 1 year.
If you are ready to learn more about the life-changing decision to get LASIK, contact Sugiki • Portis Eye Center in Honolulu to book your first consultation.
Have you been told in the past that you are not a candidate for LASIK Laser Vision Correction? Advancements in technology have made more people candidates for LASIK, but also there are other vision correction procedures available such as refractive lens exchange, PRK and Nearvision CK. We encourage you to schedule a free consultation with our practice to determine the best vision correction procedure for your eyes!
RLE (Refractive Lens Exchange)
Older adults, especially those who have never worn glasses, may assume LASIK is their only solution to getting back the clear vision they once had. However, due to the number of disqualifying factors, some people 40 and older may be disqualified as candidates for LASIK.
Refractive lens exchange (RLE) replaces your eye’s natural lens with an intraocular lens (IOL). This procedure is typically reserved for patients who experience a change in their vision do to the natural aging of the eye.
Lens replacement surgery is identical to cataract surgery; the difference is that RLE replaces a clear lens rather than a lens that has become cloudy due to a cataract. As in cataract surgery, the types of artificial lenses available with lens replacement surgery are the same and depend on the health of your eyes.
Premium lenses are used during RLE – there are multiple lenses that may be used and your Honolulu eye doctor will help to determine the best one for your visual expectations as well as your medical needs. Click here to learn more about premium lenses.
PRK (Photo-Refractive Keratotomy)
If you have been doing some LASIK research you may come across a term called PRK. PRK is a form of laser vision correction that was actually FDA approved before LASIK eye surgery and may have potential benefits for you. PRK is very similar to LASIK and both of these eye surgery techniques are referred to as refractive surgery. PRK was the first laser refractive surgery approved by the FDA receiving final approval in 1995. PRK is a safe refractive procedure that utilizes the excimer laser to reshape the cornea and improve nearsightedness, farsightedness, and astigmatism much like LASIK eye surgery. The amount of tissue reshaped depends on the severity of the prescription. In most cases, 5 to 10 percent of the cornea is removed. Once the cornea has flattened, light rays are more easily focused upon the retina. PRK differs from LASIK in that no flap of tissue is created prior to resculpting the cornea with the excimer laser. In LASIK this flap creation does enable a faster recovery period.
The procedure can be performed once the eye has been numbed with anesthetic drops. A speculum will be positioned to hold your eyelids back just like in LASIK so that you eyelids will not interrupt the actual surgery. The ophthalmologist will then remove the outer cornea cells and proceed with the actual laser treatment. The laser is then positioned to directly treat the cornea. This laser delivery takes less than one minute to complete for most patients. Once the laser treatment or refractive ablation is completed, the corneal curvature is reshaped, thus improving the refractive error. Your ophthalmologist will then place a bandage contact lens on the eye for improved comfort along with anti-inflammatory and antibiotic eye drops.
PRK is an effective alternative to LASIK for many potential refractive surgery patients. PRK results are very similar to LASIK results. In general, PRK patients will have a somewhat slower recovery period. Please feel free to consult one of our staff to better understand the advantages of PRK and whether or not this would be a good option for your vision.
Post-operatively, most patients will need to be re-evaluated one day, three days, one week, one month, two to three months, and four to six months following the PRK procedure. The bandage contact lens can usually be removed on the second or third post-operative day when the epithelium is healed. Most patients will only require eye drops to control healing during the first 6 to 12 weeks, but other patients may require topically applied medications for up to 6 months or more following the procedure. In general, the greater the refractive error, the more likely the patient is to require eye drop medications for a prolonged period following the procedure.