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Boothe Eyecare & Laser Center

Dr. Boothe and Boothe Laser Center

Every day when surgical procedures are scheduled at Boothe Laser Center, Dr. Boothe personally calibrates the VISX Star S4 and the Alcon LADARVision 4000 excimer lasers before the first patient arrives. He continuously re-calibrates the equipment throughout the day to ensure its accuracy.

On the day of your surgery, you should arrive about half an hour before your appointment. Dress comfortably.

Step by Step:

  • After your eye has been numbed with local “eye drop” anesthesia, Dr. Boothe gently places an eyelid speculum to hold your eyelids open. You will remain awake and comfortable throughout the procedure.
  • Dr. Boothe will then begin the first step of any LASIK procedure by creating a corneal flap. A Hansatome microkeratome (a surgical blade) is used to create the corneal flap in traditional LASIK. For IntraLASIK, the IntraLase FS laser is used in lieu of the microkeratome for this first step.
  • The flap will be pulled back gently from the center of the cornea to allow the excimer laser access to the underlying tissue.
  • To begin the second step of the LASIK or IntraLASIK procedure, Dr. Boothe will ask you to look at a target light. The cool light of the excimer laser will reshape the corneal tissue, correcting your vision as you look into this light. You will hear clicking sounds as each microscopic layer of tissue is vaporized. Every excimer laser system Dr. Boothe uses for laser vision correction has an eye tracker that ensures the accurate placement of each laser pulse. This process will last from a few seconds to a minute, depending on the amount of correction necessary.
  • When the procedure is complete, Dr. Boothe will meticulously replace the corneal flap and gently smooth it into place.
  • You will be given medicated eye drops, and instructed in their use.

You may notice that your vision will improve following your LASIK or IntraLASIK procedure. After the procedure, we suggest that someone drive you home so that you may relax for a while. Once you arrive home, it is preferable that you stay awake and continuously put in artificial tears to keep your eyes moist.

You may watch TV or read as long as you continue to wet them frequently every five to ten minutes. It is important to avoid wind or any type of air turbulence that would cause your eyes to dry out.

Technology

The technology involved in modern cataract surgery is fast and requires just a day to complete the eye surgery. After performing the cataract surgery at Boothe Laser Center using modern surgical tools, the patient can do all the routine work he/she used to do with a clear eyesight. Cataract is caused by the opacification of the eye lens and cataract may cause blindness to the affected person. Cataract is often affecting people older than the age of 65. In a cataract surgery, the opaque natural lens of the eye will be removed and the doctor replaces it with an artificial lens. After removing the natural lens of the eye, the surgeon will insert an intraocular artificial lens using local anesthesia. The current technology used in the cataract surgery is the surgical procedure of micro phaco-emulsification by implanting a multifocal foldable Intraocular lenses (IOLs).

Acrysof ReSTOR Intraocular lens

Acrysof ReSTOR Intraocular lens enables the patient to see things clearly from all distances - near, distant and middle. Acrysof ReSTOR is an advanced multifocal lens that enables patients not to use glasses for seeing things around them. These lenses are made of soft plastic and both sides are convex. This IOL is inserted into the eye by folding it through a small incision made by the surgeon with an optic diameter less than that of the IOL lens. The lens will get unfolded as soon as it is inserted in to the incision to provide vision. Acrysof ReSTOR lens has supporting arms to keep it in position inside the eye.

The Inner Workings of Acrysof ReSTOR lens

The optic design of this lens is patented and some of the more interesting technologies used in this lens are diffraction, refraction and apodization. This kind of design enables the lens to focus light onto the retina correctly so that the images can be seen clearly without moving the lens mechanically. In this lens, images coming from different distances are focused on a thinner outer edge, near images are focused onto the thicker center and other images are focused in between these two extremes.

Benefits of AcrySof ReSTOR lens

The major benefit of using this IOL lens is to have vision without using spectacles. Around 80% of the patients who have implanted this lens never needed any kind of glasses and can see everything clearly from all distances. Without using spectacles, 94% of the patients can drive or read without glasses. The technology of apodization helps to reduce the diffractive heights and disregard lighting situations. The lens will manage to distribute the required amount of light to different focal points. This lens improves the quality of the image produced by reducing visual disturbances.

Risks of implanting AcrySof ReSTOR lens

Patients at Boothe Laser Center should be in good health in order to undergo an implantation surgery. Patients with uncontrolled diabetes, chronic infections and other such health problems should undergo certain test to know whether they are fit for the surgery or not. Such health conditions should be sorted out before undergoing an eye implantation surgery. Pre-existing visual problems like visual field loss, flashes and floater cannot be corrected with this lens as those conditions are not because of malfunctioning lenses but due to the patient’s pre-surgery physical eye conditions.

Crystalens

Crystalens is also an intraocular lens that is used to replace the natural lens of the eye of cataract patients. Crystalens is designed in a special way in order to provide both near and distant vision without using glasses. Crystalens is an artificial lens that is flexible and bends like the natural lens of the eye. Crystalens provides high success rate among patients with cataract. It uses the natural muscle of the eye to focus objects at various distances.

The Inner Workings of Crystalens

Crystalens lens is built to perform similar to a natural lens. When you have a healthy vision, images from distant and near are focused by adjusting the curvature of the lens and outer membrane of the eye. By replacing your problematic natural lens with Crystalens, similar results will be achieved - Crystalens is flexible and bends just as a natural lens, providing a vision of 20/20 to patients. The success rate of Crystalens is very high as this artificial lens can accommodate both far and near images and thereby give the patients the same clarity of vision as they had in earlier days.

Benefits of Crystalens

The major benefit of Crystalens is that patients do not have to use glasses after the surgery. All the patients that had undergone the implantation surgery can read the content on the monitor of their computers. Crystalens is successful in providing normal vision to patients in Boothe Eyecare.

Risks of Crystalens

This is a recent technology introduced into the field of eye surgery and therefore long term user data is still unavailable. Risks involved in the surgery can be obtained from your doctor. Complication are rare in the case of crystalens implantations. If the lens is placed improperly, the lens has to be corrected by performing another surgery. Infections may occur after the surgery and there is possibility of cornea clouding because endothelial cells may reduce in number after the surgery.

Verisyse Phakic IOL

Verisyse Phakic IOL is used for patients who are suffering from severe farsightedness, nearsightedness or thin cornea problems which cannot be corrected using LASIK. Verisyse Phakic IOL is used to replace the natural lens to get normal vision. This IOL is made up of a plastic material and can be inserted easily into the eyes. This lens can be removed easily if for any reason there is a need to make the surgical procedure reversible. Only mild sedation is required and the surgery can be completed within 10-15 minutes.

The Inner Workings of Verisyse

Verisyse refractive IOL is placed beneath the cornea (on top of the iris) which allows for the correct focusing of images. The resulting images are of high quality and with high-definition just like an ordinary eye. Even though the procedure is intended to permanently fix your vision, it can be reversed.

Benefits of Verisyse

The Verisyse lens provides sharper vision than that of a typical LASIK surgery. Phakic IOLs are manufactured precisely so that the patients can achieve clear visions with a reduced risk of optical distortions as well as other aberrations caused by laser surgery. Corneal tissue is not removed while doing this medical procedure and the risk of damaging the corneal nerves is very low.

Risks of Verisyse

Some risks can be present in Verisyse cases, as it is an internal surgical procedure which is less safe than a LASIK surgery. Lifetime checkup is required to ensure that the lens is still in its proper place and is not damaging the tissues surrounding it. Sudden increase of eye pressure, eye inflammation inside, detached retina, cataracts and blurred vision are some of the risks that may occur after the surgical procedure.

Our surgeon suggests that these technologies are best suited for patients who are suffering from cataract. According Dr. William Boothe, cataract can be treated only by replacing the lens and not by doing LASIK procedure. The above mentioned three lenses are the best lenses used for replacing the natural lens to provide a high quality vision. Our doctor says that the replacing lens is the best possible treatment for cataract and the patients never have to wear glasses after a successful surgery. The doctor also explains that the surgical procedure can be performed quickly as it takes less time when compared to other eye surgeries. The post surgical care required is also very less when compared to other types of eye surgeries.