Is Lasik Eye Surgery Worth the Cost?

July 22, 2018
The Lasik Debate "Bladeless Vs. Blade" Surgery

The Lasik Debate “Bladeless Vs. Blade” Surgery

The Lasik Debate "Bladeless Vs. Blade" SurgeryIf you are interested in LASIK eye surgery for vision improvement, you could have questioned the Lasik Debate “Bladeless Vs. Blade” Surgery relating to just how the treatment is done.

What exactly does blade versus bladeless mean? What are the advantages and also drawbacks of each kind of LASIK procedure?

In typical LASIK, a tool known as a microkeratome cuts a thin, hinged flap right into the eye’s clear surface area (cornea). The flap is then lifted for application of laser energy that reshapes the eye for vision improvement. Changing the flap in LASIK promotes a faster healing process.

Another technique of creating a LASIK flap, presented in 1999, utilizes a sort of high-energy laser (femtosecond laser) as opposed to a blade.

The first FDA-approved bladeless flap-making system in the United States, called IntraLase, was obtained by Advanced Medical Optics (AMO) in 2007 as well as incorporated right into the company’s CustomVue excimer laser platform– which currently is marketed as iLASIK.

Besides IntraLase, various other bladeless LASIK systems include zLASIK (Ziemer Ophthalmic Systems), Femtec (2010 Twenty-twenty) and Visumax (Carl Zeiss Meditec).

Femtosecond laser systems usually are marketed as “bladeless” or “all laser” LASIK, although eye specialists favoring extra standard microkeratomes might suggest that both treatments entail passing through the eye’s surface area. If you are looking for a leading Michigan lasik provider, the Yaldo Eye Center is one of Michigan’s preferred Michigan Lasik eye surgery specialists.

Two Highly Respected Eye Surgeons Debate Blade Vs. Bladeless LASIK

In this eye doctor discussion, Brian Boxer Wachler, MD, of Boxer Wachler Vision Institute in L.a, and also Vance Thompson, MD, Sioux Valley Center refractive surgical procedure supervisor (Sioux Falls, S.D.) and also assistant ophthalmology professor at the University of South Dakota Institution of Medicine, clarify opinions about the benefits and drawbacks of blade versus bladeless LASIK flaps.

These eye specialists use both methods but vary in their opinions about which approach need to be highlighted in straightforward LASIK procedures. Both get on’s content advisory board.

Some LASIK specialists preferring microkeratomes have actually objected to the term “bladeless” in IntraLase marketing. Should the term “bladeless” LASIK be made use of?

Thompson: I agree with that term. It’s essential that there be truth in marketing, and also the reality is that no blade is made use of. Really, however, this modern technology commonly is referred to as “all laser” LASIK

Boxer Wachler: Technically IntraLase is bladeless. So the term is possibly practical. Some people just weren’t delighted about using the word “bladeless” because this indicates that the microkeratome, which uses a blade, is scarier to the individual. This was viewed by some as “striking listed below the belt” as a result of the implication that a microkeratome is somehow more high-risk, when in fact it’s not.

Benefits of Laser Flaps or Blade Flaps in LASIK

Dr. Boxer Wachler, just what are the advantages of modern-day microkeratomes (blade) compared to IntraLase (laser) as LASIK flap makers?

Boxer Wachler: I’m for whatever is ideal for the individual, however I do make use of the microkeratome far more typically than I do IntraLase. Microkeratomes make the procedure go a lot faster and also are much more comfy for the individual. Suction in a microkeratome treatment lasts typically three seconds, whereas suction utilizing IntraLase lasts concerning 15-20 secs at its fastest.

Likewise, you utilize much less suction on the eye with a microkeratome. I prefer patients to be as comfy as feasible, which is why I favor the microkeratome.

Dr. Thompson, just what are the benefits of IntraLase (laser) over microkeratomes (blade)?

Thompson: I utilize both, and I also provide guidance for patients regarding both procedures.

But I prefer making use of the safest innovation for the circumstance. When the FDA authorized the laser flap maker (IntraLase in 1999), the blade or microkeratome flaps were the main resource of my vision complications in LASIK– whether they were cost-free caps (unattached flaps), partial flaps, or buttonholes (incorrectly developed flaps) or an epithelial slough (harmed eye tissue). I typically found that, despite the fact that the vast bulk of blade flap situations worked out, when they didn’t work out– it was unsightly.

So I began to like the idea of a laser flap maker. I do not need to bother with buttonholes, partial flaps, as well as free caps. It just brought so much more internal peace to a very important part of the treatment, which is development of the flap. It also brought more internal peace to my personnel. Our operating area days now are much better.

Flap Quality With Blade or Bladeless LASIK.

Exactly what is your point of view of the general top quality of flaps produced with either blade or bladeless LASIK?

Thompson: Flap predictability is much better with a laser flap.

Boxer Wachler: I could share my very own personal experience. I have actually not had a complimentary (separated) flap take place in 5 years while making use of modern microkeratomes. Buttonholes (buttonhole shaped flaps) take place seldom, yet these have occurred with the IntraLase too. Simply put, flap complications are uncommon, yet they could occur with either microkeratome or IntraLase innovations. The most vital facet is that the patient is in the hands of a professional eye surgery specialist. Remember, we are talking about devices, as well as devices that are just as good as the specialist who is using them. It’s like Tiger Woods and a weekend break golf enthusiast who both make use of the exact same leading golf clubs. Do you believe each players game will improve with the exact same golf clubs?

Thompson: I have not heard of a buttonhole flap occurring with IntraLase. I suppose any type of doctor making a flap with a blade or a laser might make a buttonhole if they are harsh in raising the flap. Yet a laser does not make a buttonhole, due to the fact that you obtain the very same thickness flap with a laser whatever the curve of the cornea is. With a blade, the more curved the cornea is, the thinner the flap centrally. This enhances the possibility of a buttonhole dramatically.

What would you inform individuals about feasible complications entailing blade or bladeless LASIK?

Boxer Wachler: If the eye surgery specialist is utilizing a modern-day, current-day microkeratome, there is no real benefit in using IntraLase to develop a flap. It’s been argued that microkeratomes create a crescent flap (thinner in the middle). Yet there have been no agreement data showing that a planar flap (same density in center as well as outer sides) is any type of much better. There could be disadvantages to the IntraLase flap, such as enhanced danger of additional edema (swelling) of the flap. This is due to all the extra laser power called for to make the flap. This could delay clearness and also quality of vision from a couple of days to a week. That does not accompany a flap made with the microkeratome.

Thompson: I would inform a client that the risks of a partial flap or an opening in a flap or a stressful flap problem would certainly be higher with a microkeratome and much less with a laser. A blade flap makes a thinner flap in the center, which indicates it is thicker on the edges (lens). A laser flap coincides density at the center as it goes to the periphery (planar).

Researches have actually revealed that there can be a greater rate of generating higher-order aberrations (vision distortions) with blade flaps versus laser flaps as a result of the flap form, this has actually been substantiated in several professional tests.

Boxer Wachler: However with IntraLase, there is an issue of short-term light sensitivity. It’s a low threat factor, yet an unique threat to the IntraLase.

Thompson: Exactly what is a vision-threatening difficulty, and exactly what is a hassle? Short-term light sensitivity is far much less of a concern than an opening in the center of a flap.

Boxer Wachler: Holes in the middle of flaps have happened in IntraLase flaps as well.

Is there a scenario where you would certainly make use of the blade or bladeless LASIK strategy that ordinarily would not be your front runner for developing a flap?

Thompson: In challenging instances where the individual has had previous refractive surgical treatment and also has had a blade flap issue, I would certainly not make use of a laser flap. In corneal surgical treatment, water bubbles that form throughout laser flap production can track through the previous incision made by the blade flap as well as get between the cornea and also the focusing lens of the laser. That’s where I in some cases need to tell patients that have actually had blade flap complications that I need to aim to repair them with the very same innovation.

Also, if expense is a genuine problem for someone and they want to approve the raised threat with blade flaps, I will certainly do a blade flap for them. There’s about a $300 per eye distinction.

Boxer Wachler: If the individual wants an IntraLase flap made, there will be an additional charge for it, but it’s not a problem to do it if that’s just what an individual really desires and also this will aid them rest much better during the night. I wouldn’t use IntraLase in specific scenarios, though. People who have glaucoma would be far better off with microkeratomes, because the time of suction and degree of suction is much less. [Keep in mind: Degree of suction on the eye used in a LASIK treatment could be thought about by some to be a threat aspect for glaucoma patients, who might have high eye stress that could intensify throughout any kind of LASIK procedure.]

Thompson: The blade flap maker elevates the intraocular pressure even more than the laser flap manufacturer, such that numerous feel it is safer to execute a laser flap in glaucoma individuals.

Exactly what would certainly you inform clients concerning the general security of blade or bladeless LASIK procedures?

Boxer Wachler: The fact is that LASIK is among the best treatments in all of medication, with the microkeratome or with the IntraLase.

Thompson: As far as professional value, it can be challenging to discriminate in between a well done blade flap with modern microkeratome innovation and also a well done laser flap. Difficulties are the primary distinction between these 2 modern technologies. Of the people who see me momentarily point of view when their eye has actually been damaged by LASIK, 99 percent have a blade flap complication.

Who We Are

The Yaldo Eye Center is Michigan’s leader in eye care. From the most state of the art lasik technology to cataracts and glaucoma, the Yaldo Eye Center does it all. Dr. Yaldo began the practice in 1993 and now features 2 locations in Farmington Hills and Garden City. Schedule an appointment today and let the vision experts at Yaldo Eye Center treat your condition. If you are looking for a Michigan lasik provider, who has years of experience with Michigan lasik procedures, look no further. Get the Yaldo advantage with a leading Michigan eye surgery specialist.

Posted in News by Donovan Greening
1 July 20, 2018

Clear Lens Implants, an alternative to Lasik

Phakic IOL (intraocular lens), also known as Visian Implantable Collamer Lens or ICL is a rising alternative to LASIK eye surgery and PRK for correcting moderate to severe myopia and can in some cases actually produce superior vision when compared to laser refractive surgery options such as Lasik and Lasek.

How It Works:

Phakic IOLs are a set of crystal clear implantable lenses similar to contact lenses. The clear synthetic lenses are carefully inserted between the cornea and the iris of the eye without removing the eyes natural lens. The synthetic lenses work similarly to contact lenses, properly focusing incoming light on the retina creating sharp clear vision without the assistance of corrective eyewear.

As stated, Implantable IOL lenses function just like contact lenses to correct nearsightedness except they are permanently inserted in the eye, easing the burden of contacts. As opposed to wearing contact lenses daily, IOLs refract light from within the eye instead of doing so on the surface of the eye. The best candidates for IOL’s are those with high degrees of myopia making them ineligible for LASIK eye surgery.

Unlike traditional contact lenses, a Phakic intraocular lens cannot be felt (just as you don’t feel a dental filling in your mouth). In addition, Phakic IOLs typically do not require any maintenance as do traditional contact lenses making them a great option for those looking to free themselves of optometry visits and expenses.

  • Procedure time: Approximately 30 minutes (15 minutes per eye)
  • Average Results: 20/20 vision or better
  • Recovery Period: 3 days to 2 weeks depending on Post-Op care.
  • Average Cost: Approximately $2,800 – $3,900 per eye

Phakic IOL Types

There are currently two different phakic IOLs that are FDA-approved for use in the United States. Your Michigan Lasik Eye Surgery Specialist  will usually recommend the most appropriate implantable lens for you and your situation although the Visian ICL is the most commonly used form of IOL.

  • Visian ICL. The Visian ICL (Implantable Collamer Lens) is marketed and distributed by Staar Clear Lens Implants, an alternative to LasikSurgical. The Visian ICL is the preferred IOL by most ophthalmologists and is a “posterior chamber phakic IOL”. Poster Chamber IOL’s are inserted between the iris and the eyes natural lens. The Visian Implantable Collamer Lens was approved by the FDA in June of 2005.

The Visian ICL’s collamer lens is built with soft, bio-compatible collagen copolymer giving in flexibility to be folded up for easy implantation, requiring a very minimal surgical incision. Because the Visian ICL is placed behind the iris (the colored portion of the eye), the synthetic lens is completely invisible to the naked eye and must be viewed through a microscope.

“I want to provide my patients with the best vision possible and I believe the Visian ICL is by far the most cutting edge solution available. It provides the patient with a much more natural and satisfying experience” – Dr. Yaldo, Michigan Lasik Eye Surgery Specialist.

  • Verisyse. As opposed to the posterior chamber nature of the Visian ICL, the Verisyse IOL by Abbott Medical Optics is an anterior chamber phakic IOL. The Verisyse IOL is inserted in front of the iris (The colored portion of the eye). In 2004 (before the Visian ICL), the FDA approved Verisyse phakic IOL’s for correcting refractive error in the range of -5.00 to -20.00 Diopters (D).
    The Verisyse lens is made of medical-grade plastic (polymethylmethacrylate, or PMMA) as opposed to the soft, bio-compatible collagen copolymer of the Visian ICL making it more rigid in form. For those who undergo Verisyse IOL implants, the lens isn’t typically very noticeable in the eye, though it may be seen if you look closely in the mirror. 

Phakic IOLs vs. LASIK Eye Surgery

Phakic IOLLASIK is the most popular form of refractive surgery as no doubt the gold standard in the United States. Lasik has proven to be safe and effective time and time again, and technological advances such as CATz custom Lasik and “all laser” bladeless Lasik have made the results of this 30-year-old procedure better year after year.

But, just as with any surgical procedure, Lasik may not be the ideal procedure for everyone and some may not even meet the requirement for Lasik eye surgery. Some reasons why Lasik may not be a good option for you is if you have too high a degree of nearsightedness, farsightedness or astigmatism, unusually thin cornea, irregularly shaped or rough cornea surface, and if you have a chronic eye condition such as keratoconus or dry eye syndrome.


IOL’s may be superior to Lasik for those with moderate to severe nearsightedness.

For patients outside the recommend treatment range of LASIK, Phakic IOL’s can produce excellent results, often better than Lasik. A recent study comparing the results of LASIK and Phakic IOL’s for correcting -6.00 to -20.00 D of myopia showed that the two corrective3 eye procedures produced nearly equal odds of patients attaining 20/20 vision one year after the procedure. Another thing discovered by the study was that patients who had phakic IOL implantation often experienced superior color contrast sensitivity and were more satisfied with their results than those who underwent Michigan Lasik. Also noted by the study is the fact that neither procedures resulted in any serious complications permanently affecting patients vision.

“Our findings suggest phakic IOLs are safer than excimer laser surgery [Lasik] for correcting moderate to high levels of short-sightedness,” said lead author Allon Barsam, MD, of the Moorfields Eye Hospital NHS Foundation in London.


Posted in News by Donovan Greening
July 19, 2018
Lasik Eye Surgery Michigan Reviews

Lasik Eye Surgery Michigan Reviews

On June 20, 1989, a US patent was officially granted to Gholam A. Peyman, MD, a Persian doctor and inventor. The patent granted was for a new technique to modify the corneal curvature of the human eye by performing a surgical procedure in which a flap in the cornea is cut with a blade, the flap is opened exposing the corneal bed, the corneal surface ablated and the flap sealed. And so it was, nearly 30 years ago, that laser-assisted in situ keratomileusis, more commonly known as LASIK was born.


Lasik Eye Surgery Michigan ReviewsToday, Lasik Eye Surgery is one of the most common elective procedures performed in the United States. Millions of people around the world have had the joy of freeing themselves from glasses and enjoying their life to the fullest. In this article we are going to highlight some Lasik Michigan reviews from the Yaldo Eye Center. The leading Michigan Lasik Eye Surgery Clinic that has performed nearly 30,000 Lasik cases.


“This last week I had my second eye surgery for cataract removal multi-focal lens implants. I am very pleased with the results of the procedure and the treatment I have received over the course of the last 2 weeks. Initial results are exceptional. My vision improves as my eyes continue to heal and I gain more confidence each day. I can read with out my glasses. Something I haven’t been able to do for 15 years. I’ve received exceptional treatment form Dr. Yaldo and his staff. The Surgical center is clean, well organized and the staff made me feel very comfortable. The office staff is friendly and I get a warm greeting by my first name upon arrival. Thanks for the great experience!”

– Dean G

“My son had Michigan Lasik eye surgery about 2 years ago. He currently does not need to wear glasses or contacts. Nick thanks me almost every day for taking him to this clinic. His vision is better than 20/20. I’m really impressed. Maybe seeing his sister coming in soon. Thank-you Dr. Yaldo!”

– Antonio L

“Seeing great without my glasses. Painless, super quick, best thing ever!”

– Trevor P

“My experience at the Yaldo Eye Center was fantastic. The staff was very knowledgeable and friendly. Dr. Yaldo personally does all of the procedures himself, which helped to ease my nerves. I will definitely recommend them to my friends and family!”

– Gregg G

“It’s been 3 years and I feel amazing. The staff was professional. They answered all my questions. Made me feel comfortable and eased any anxiety. They are the best with the Lasik and Lasek surgery. They help my hand the whole way. Thank you!”

– Jonanita R

“The staff at YEC explained everything for my LASIK very clearly, from the finances to the recovery expectations. My vision is better than it ever was even with corrective lenses, and I would recommend Dr. Yaldo to anyone looking into LASIK.”

– Michael B

“As a superintendent in the construction industry I spend a portion of my days examining blue prints. For the past 8 years it has been necessary for me to wear reading glasses when doing this. Three months ago I went to the Yaldo clinic for an evaluation and was excited to schedule an appointment for my multi focal lens replacement. On the day of the surgery Dr. Yaldo and his staff were very professional and walked me through the painless procedure. It has been 2 months since my surgery and I couldn’t be happier with the results. While hiking with my 27-year-old son recently, he admitted that he thinks my vision is better than his now. Thank You Dr. Yaldo and staff.

– Doug S

“Best decision I ever made! Don’t know why I hesitated. The staff was very welcoming and the office very clean. I was told what was going to happen ever step of the way and what to expect afterwards. The best feeling is when he sits you up and asks you to look at the clock on the wall. Crystal clear. Amazing would definitely recommend to anyone!!”

– Diana C

“It is the best decision I have made! Lasik completely change my life. Now I don’t have to worry about wearing glasses.”

– Segundo R

“I came in for a free exam to find out if I was a candidate for Multifocal surgery. During the exam it was discovered that I had Narrow Angle Glaucoma! Needless to say that outcome could have been tragic! I have had two laser procedures to correct the problem. I am so thankful for the discovery of my issue and the quick response to correct the problem. Now onwards and upwards. Multifocal surgery next! The staff and docs have been so helpful; I will always be grateful.”

– Carole D

As most will infer from the reviews above, Lasik truly is a miracle for many people. The ability to live your life to the fullest without having to deal with glasses and contact lenses can for some people, make the difference between a life of struggles and a life enjoyment and freedom. If you struggle with glasses or have to wear, contact lenses just to see the world you live we highly recommend you visit a Michigan Lasik Eye Surgery specialist today and join the millions of people who are living their lives to the fullest without glasses.

Posted in News by Donovan Greening
July 17, 2018
Is Lasik Eye Surgery Worth the Cost?

Is Lasik Eye Surgery Worth the Cost?

Is Lasik Eye Surgery Worth the Cost?If you were asked what the best purchase you ever made was, would you know the answer? For many, believe it or not, its Lasik eye surgery.

So, is Lasik really worth the cost? Well, that really depends on your values and priorities. Everyone has different ideals about life and what they are willing to spend their hard earned money on. It also depends on your lifestyle, for example, an Olympic athlete is going to see more value in getting rid of the need to wear glasses than a librarian simply because they are more of a burden to the athlete.


  1. The biggest pro to undergoing Lasik surgery for many people is a boost of confidence. It may sound foolish but many people feel significantly more confident when they get rid of their glasses and can better show off their clear face. Not having to wear glasses can make many people feel more attractive and more like themselves. Can a price tag be put on that? No way.
  2. Another major benefit to having Lasik surgery is that you can see clearly. That may seem obvious, but rather than waking up to a blurry and fuzzy world until you slip your glasses on or put your contacts in, you can wake up see clearly immediately. After undergoing Lasik your vision is no longer assisted by a handicap like glasses or contacts anymore, rather you can naturally see clearly 100% of them time, even in the shower. In the extremely visual world we live in today, this ability to see clearly at all times is extremely convenient.
  3. Nobody likes spending money on glasses and contact lenses, period. After having Lasik surgery, you will never need to spend a dollar on glasses or contacts for a very long time if ever again. On the contrary if you have Lasik after the age of 50, you may need to purchase reading glasses to complement the benefits of surgery or opt for a more expensive procedure such as Implantable Contact Lens procedure (ICL). Either way Michigan Lasik or any corrective eye surgery will result in a bundle of cost savings for you.
  4. Another benefit to Lasik is practicality. Running, hiking, and working out are a great experience after Lasik due to the fact that you no longer have to worry about your glasses getting away, falling or even losing a contact lens. After undergoing Lasik, you can come home after a long night out and no longer have to worry about taking your contact lenses out before going to sleep. The number of situations that are significantly less stressful after undergoing Lasik is more than most can count.

All of the “life enhancement” benefits above will be valued differently by everyone but most will agree that they are all very valuable pros to undergoing Lasik. Choosing an experienced Michigan Lasik eye surgery specialist will ensure that you have the best possible experience and never have to deal with many of the cons stated below.


As with any surgical procedure, there are some potential complications to Lasik:

  1. Dry and itchy eyes, eye flap complications, infections, and slight loss of night vision are possible side effects of Lasik eye surgery. Mind you, most of these side effects are rare and are often caused my carelessness of the surgeon or the patient, yet they are still legitimate risks that do not hurt to be considered.
  2. A slight Loss of night vision is one of the more common side effects with Lasik. Certain people may have trouble night driving after having Lasik surgery. According to USA Eyes, this is a common side effect of Lasik that usually goes away within six months post-op. For extra caution, people who require pristine night vision such as members of the armed forces are recommend to go with Lasek, a similar surgery to Lasik that takes longer to heal but often results in no loss of night vision.
  3. Dry eyes is the other most common side effect of Lasik. According to a study published in the American Journal of Ophthalmology, the incidence of dry and itchy eyes after Lasik was at 36%. Although this number may seem very high, most experts say that after the healing process is fully complete, long term dry eyes after Lasik is common in less than 1% of patients, especially if post-op eye care was done correctly.


According to Refractive Surgery News, the average cost of Lasik eye surgery in Michigan is $2,150 per eye, for a total of $4,300. In addition, most insurance companies will not reimburse you for Lasik as it is an elective or cosmetic procedure. Beware of TV and radio ads that make claims such as “Lasik for $300 an eye!” If it sounds too good to be true, it most likely is. Anyway, you only have one pair of eyes to work with and they are not something we recommend you try to bargain shop on. In order to decide if Lasik will pay off, a few things should be broken down:

  • How much you spend annually for optometry checkups, contacts lenses and eye glasses? This number will vary greatly depending on whether or not you have vision insurance (most people don’t) and how comprehensive your insurance plan is. For some, Lasik can pay itself off in optometry saving faster than expected.
  • How much are you likely to spend on optometry related expenses throughout the next ten years, and the rest your life in total. (Don’t inflation, which averages around 3%). Calculating this amount often leaves people puzzled as to why they haven’t already chosen to have Lasik done.
  • One should compare these costs to the one-time cost of having Lasik eye surgery. In addition, these numbers do not include the invaluable price of a significantly more enhanced lifestyle that comes with Lasik.

Safe Ways to Save on Lasik

  • Certain insurance companies have partnerships with specific Lasik clinics and going through such clinic can grant you a reduced rate on your procedure. Before choosing a Michigan Lasik eye surgery clinic, make sure you contact your health insurance agency to see if they offer discounts when you visit a specific surgeon.
  • It is possible for some people to write off the cost of Lasik on their Federal taxes but we ask that you please speak with your financial advisor or research your specific situation to find out if this is a viable option for you.
  • Ask your Ophthalmologist if they can offer you any discounts. For instance, many Lasik clinics offer notable discounts on eye surgery to police officers, fire fighters, teachers, and members of the military.


Posted in News by Donovan Greening
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