Blogs

  • Epi-LASIK (Touch-Free LASIK): A Safe Alternative for Thin Corneas & Active Lifestyles

    While LASIK is a popular choice for vision correction, not every patient is an ideal candidate for traditional LASIK. If you’ve been told that your cornea is too thin or if you have an active lifestyle where corneal flaps pose a risk, Epi-LASIK (also known as Touch-Free LASIK) could be the perfect alternative for you.

    Let’s explore what Epi-LASIK is, how it differs from other LASIK procedures, and who can benefit from it.

    What is Epi-LASIK?

    Epi-LASIK (Epithelial LASIK) is a flapless laser eye surgery technique designed for patients who are not suitable for standard LASIK due to thin corneas or certain corneal surface irregularities.

    Unlike conventional LASIK, where a flap is created in the corneal tissue, Epi-LASIK only removes the thin epithelial layer (outermost layer of the cornea), preserving the structural integrity of the cornea.

    This procedure is also referred to as Touch-Free LASIK because of its no-blade, no-flap approach, offering a completely surface-based laser correction.

    How is Epi-LASIK Performed?
    1. Epithelial Removal:
    • A precise epikeratome (a blunt oscillating separator) is used to gently lift or remove the epithelial layer without cutting into the deeper corneal layers.
    • Alternatively, in TransPRK (Transepithelial PRK) or Touchless LASIK, an excimer laser itself removes the epithelium in a fully touch-free manner.
    2. Laser Ablation:
    • An excimer laser reshapes the underlying corneal tissue to correct the refractive error (myopia, hyperopia, or astigmatism).
    3. Epithelial Regrowth:
    • The epithelial layer regenerates naturally over the next few days.
    • A bandage contact lens is placed to aid healing and comfort.
    Epi-LASIK vs LASIK vs PRK – Key Differences
    Feature LASIK Epi-LASIK (Touch-Free LASIK) PRK (Photorefractive Keratectomy)
    Flap Creation Yes (with blade or laser) No flap, only epithelial removal No flap, epithelium removed chemically or mechanically
    Suitability for Thin Corneas Limited Excellent Excellent
    Structural Corneal Integrity Slightly compromised by flap Fully preserved Fully preserved
    Pain/Discomfort Minimal Mild to moderate (for 2-3 days) Moderate (for 3-4 days)
    Recovery Time 1-2 days 3-5 days for vision stabilization 5-7 days for vision stabilization
    Risk of Flap Displacement Yes None None
    Dry Eye Symptoms Common Lesser than LASIK Lesser than LASIK
    Advantages of Epi-LASIK (Touch-Free LASIK)
    1. Ideal for Thin Corneas
    • Since no corneal flap is created, Epi-LASIK is safer for patients with borderline or thin corneal thickness.
    2. No Risk of Flap Complications
    • Perfect for individuals in contact sports, military personnel, or professions with risk of eye trauma.
    3. Preserves Corneal Strength
    • As the deeper layers of the cornea remain untouched, the biomechanical stability of the cornea is better maintained.
    4. Lower Dry Eye Risk
    • Nerve endings in the deeper corneal layers are less disturbed, resulting in less postoperative dry eye symptoms compared to LASIK.
    5. Touch-Free, Blade-Free Procedure
    • In TransPRK/Epi-LASIK, the entire process is fully laser-driven, ensuring no manual intervention or blades, adding to patient comfort and safety.
    What to Expect During Recovery?
    • Mild discomfort or foreign body sensation for 2-3 days.
    • Vision gradually improves over 3-5 days as the epithelial layer regenerates.
    • Light sensitivity and watering are common but temporary.
    • Full visual clarity is typically achieved in 1-2 weeks, but may take a few weeks for extremely sharp vision.
    • You’ll be given antibiotic and lubricating drops for a few weeks post-surgery.
    Is Epi-LASIK Right for You?
    • You have thin corneas or borderline corneal thickness.
    • You are actively involved in contact sports or high-risk professions.
    • You wish to avoid any corneal flap-related risks.
    • You are looking for a completely blade-free, touch-free vision correction option.
    • You have mild to moderate refractive errors (high refractive errors may need alternative procedures).
    Epi-LASIK vs SMILE vs Contoura Vision — A Quick Comparison
    Aspect Epi-LASIK (Touch-Free) SMILE Contoura Vision LASIK
    Flap Creation No Small Incision (No flap) Flap (Femtosecond Laser)
    Ideal for Thin Corneas Yes Limited Limited
    Recovery Time 3-5 days 1-2 days 1-2 days
    Pain/Discomfort Mild to moderate (2-3 days) Minimal Minimal
    Dry Eye Risk Low Very Low Moderate
    Surface Irregularity Correction Moderate No Excellent
    Why Choose Vision & Beyond for Epi-LASIK?
    • Advanced Epi-LASIK & Touchless LASIK (TransPRK) technologies.
    • Comprehensive preoperative assessments using high-definition corneal topography and pachymetry.
    • Expert surgeon-guided counseling to help you choose the best procedure.
    • Dedicated post-operative care for a comfortable recovery and superior visual outcomes.
    Final Thoughts

    Epi-LASIK, or Touch-Free LASIK, is a safe, reliable, and effective alternative to traditional LASIK, especially for patients with thinner corneas or active lifestyles. While the recovery is slightly longer, the benefits of no flap, no blade, and full corneal integrity preservation make it a fantastic choice for many.

  • LASIK Surgery: Types, Differences, and Which One Is Right for You?

    If you’re tired of relying on glasses or contact lenses, LASIK surgery might be the vision correction solution you’ve been waiting for. LASIK (Laser-Assisted In Situ Keratomileusis) is one of the most popular and effective procedures to correct refractive errors like myopia (nearsightedness), hyperopia (farsightedness), and astigmatism.

    However, LASIK isn’t a “one-size-fits-all” surgery. Over the years, various advanced LASIK techniques have emerged, each offering unique advantages. In this blog, we’ll explore the different types of LASIK, how they compare, and which one might be suitable for you.

    What is LASIK?

    LASIK is a laser eye surgery that reshapes the cornea—the transparent front part of your eye—to improve how light focuses on the retina. The goal is to reduce or eliminate the need for spectacles or contact lenses.

    Types of LASIK Procedures
    1. Standard LASIK (Traditional LASIK)

    Procedure: A microkeratome blade creates a thin corneal flap, which is lifted to allow an excimer laser to reshape the underlying corneal tissue.

    Pros:
    • Time-tested with good success rates.
    • Usually cost-effective.
    Cons:
    • Blade-related complications (flap irregularities, buttonholes).
    • Less precision compared to newer techniques.
    2. Femtosecond LASIK (Blade-Free or All-Laser LASIK)

    Procedure: Uses a femtosecond laser instead of a blade to create the corneal flap, followed by excimer laser reshaping.

    Pros:
    • More precise and predictable flap thickness.
    • Reduced risk of flap complications.
    • Safer for patients with thinner corneas.
    Cons:
    • Slightly more expensive than traditional LASIK.
    3. Custom LASIK (Wavefront-Guided LASIK)

    Procedure: Uses a wavefront device to create a detailed map of the eye’s optical system, correcting higher-order aberrations (HOAs) that glasses or standard LASIK can’t fix.

    Pros:
    • Sharper vision quality, especially at night.
    • Reduces glare and halos.
    Cons:
    • More expensive.
    • Requires advanced diagnostic equipment.
    4. Contoura Vision (Topography-Guided LASIK)

    Procedure: Uses detailed corneal topography to customize the laser ablation pattern, addressing both refractive errors and irregularities on the corneal surface.

    Pros:
    • Enhanced visual outcomes.
    • Corrects corneal surface irregularities.
    • Excellent for patients with irregular astigmatism.
    Cons:
    • High cost.
    • Not suitable for everyone (depends on corneal topography).
    5. SMILE (Small Incision Lenticule Extraction)

    Procedure: A femtosecond laser is used to create a thin lenticule inside the cornea, which is then removed through a small incision—no flap is created.

    Pros:
    • Minimally invasive, flapless procedure.
    • Faster healing of corneal nerves (less dry eye).
    • Stronger corneal biomechanics.
    Cons:
    • Primarily for myopia and astigmatism (not hyperopia yet).
    • Limited availability in some centers.
    Comparison Table: Types of LASIK
    Type Blade/Flap Customization Best For Recovery Time Cost
    Standard LASIK Blade No General vision correction 1-2 days ₹₹ (Affordable)
    Femtosecond (Blade-Free) LASIK Femtosecond Laser No Thinner corneas, safer flap creation 1-2 days ₹₹₹
    Custom LASIK (Wavefront) Femtosecond/Blade Wavefront-guided High visual demands, night glare 1-2 days ₹₹₹₹
    Contoura Vision LASIK Femtosecond Laser Topography-guided Corneal irregularities, high precision 1-2 days ₹₹₹₹₹
    SMILE Flapless No Myopia/astigmatism, dry eyes 1-2 days (faster nerve healing) ₹₹₹₹
    How to Choose the Right LASIK Procedure?

    The ideal type of LASIK depends on several factors:

    • Corneal Thickness & Shape: Thin corneas are better suited for Blade-Free LASIK or SMILE.
    • Degree of Refractive Error: SMILE is great for myopia, but hyperopia may need LASIK.
    • Lifestyle Needs: If you’re prone to contact sports, SMILE’s flapless design might be safer.
    • Visual Quality Demands: Custom LASIK or Contoura Vision is preferred for perfectionists and professionals needing high-definition vision (e.g., photographers, pilots).
    • Budget: Traditional LASIK is more economical, but advanced technologies may offer better results.
    • Dry Eye Concerns: SMILE reduces the risk of dry eye syndrome due to smaller incisions.
    Conclusion

    LASIK has evolved tremendously over the past two decades, offering safe, precise, and highly customizable solutions for vision correction. Whether you choose Standard LASIK, Blade-Free LASIK, Custom LASIK, Contoura Vision, or SMILE, the key is to consult an experienced ophthalmologist who can assess your eyes and recommend the best option for you.

    At Vision & Beyond, we offer comprehensive LASIK evaluations using the latest diagnostic technology to ensure you get a tailored solution for your lifestyle and visual needs.

  • Monovision LASIK: A Simple Solution to Beat Presbyopia and Reading Glasses

    Are you over 40 and struggling to read your mobile or newspaper without glasses? You’re not alone. Presbyopia, the age-related loss of near focusing power, affects almost everyone after their 40s. If you want to reduce your dependency on reading glasses without going in for multifocal lenses or lens replacement surgery, Monovision LASIK might be the perfect solution for you.

    Monovision LASIK is a time-tested, non-invasive laser vision correction technique that helps you see clearly at both distance and near—by treating each eye differently.

    What is Monovision LASIK?

    Monovision LASIK is a specialized form of LASIK surgery where:

    • One eye (dominant eye) is corrected for distance vision.
    • The other eye (non-dominant eye) is slightly undercorrected (or left slightly myopic) to focus on near vision.

    The brain learns to use each eye for its strength, allowing you to perform daily tasks like driving, reading, and mobile phone use without needing bifocals or reading glasses.

    How Does Monovision Work?
    • The dominant eye handles far vision (driving, watching TV, outdoor activities).
    • The non-dominant eye handles near tasks (reading, smartphone usage).
    • Your brain blends images from both eyes seamlessly, allowing functional vision at all distances.
    • Over a short period, the brain adjusts to this setup, a process called neuroadaptation.
    Who is an Ideal Candidate for Monovision LASIK?

    You might be a suitable candidate if:

    • You are over 40 years old with emerging presbyopia.
    • You desire independence from reading glasses.
    • You have a stable refractive error (myopia, hyperopia, astigmatism).
    • You have a healthy cornea suitable for LASIK.
    • You are open to a trial of monovision using contact lenses before surgery to ensure comfort.
    Advantages of Monovision LASIK
    1. Freedom from Reading Glasses

    No need to constantly put on or remove reading glasses for near tasks.

    2. Quick & Non-Invasive

    A blade-free LASIK procedure, performed in just a few minutes per eye.

    Recovery within 1-2 days.

    3. Customizable Treatment

    The degree of monovision can be customized to your visual demands.

    Monovision trials with contact lenses before surgery help fine-tune the treatment.

    4. Cost-Effective Alternative

    A simpler and more economical alternative to multifocal IOL surgery or PRESBYOND LASIK.

    5. No Artificial Lenses or Implants

    Since it’s a corneal laser procedure, no foreign body is left inside the eye.

    Limitations & Disadvantages of Monovision LASIK
    • Loss of Depth Perception: Slight reduction in depth perception, especially for tasks like night driving or detailed close-up work.
    • Adaptation Required: Neuroadaptation may take a few days to weeks; not everyone adjusts well.
    • Not a Perfect Solution for Everyone: Patients with high visual demands (pilots, artists, precision workers) may find full correction or alternative treatments better.
    • Reading Fine Print: Very fine print or prolonged reading sessions might still require reading glasses.
    • No Correction for Advanced Presbyopia: In severe cases, blended vision procedures like PRESBYOND may offer better results.
    Monovision LASIK vs PRESBYOND Laser Blended Vision
    Feature Monovision LASIK PRESBYOND Laser Blended Vision
    Treatment Principle One eye for distance, one for near Both eyes contribute to distance & near
    Intermediate Vision May be slightly compromised Enhanced depth of field for intermediate
    Adaptation Difficulty Moderate (some need time to adjust) Easier adaptation due to smoother blend
    Procedure Complexity Simple LASIK Customized wavefront-guided LASIK
    Cost More economical Slightly higher due to customization
    The Monovision LASIK Procedure at Vision & Beyond
    1. Comprehensive Evaluation:
    • Refraction, corneal mapping, tear film assessment.
    • Determination of ocular dominance.
    • Monovision trial lenses to simulate post-surgical vision.
    2. Blade-Free LASIK Procedure:
    • Both eyes are treated in a single session.
    • One eye fully corrected for distance, the other intentionally under-corrected for near.
    • Entire procedure takes around 15-20 minutes.
    3. Recovery & Adaptation:
    • Most patients return to work the next day.
    • Mild neuroadaptation process lasts a few days to weeks.
    • Follow-up visits ensure healing and visual balance.
    Who Should Avoid Monovision LASIK?
    • Individuals with advanced presbyopia.
    • People with corneal disorders (keratoconus).
    • Patients with significant dry eye disease.
    • Those whose professions require precise depth perception (pilots, architects, etc.).
    Why Choose Vision & Beyond for Monovision LASIK?

    At Vision & Beyond, we offer:

    • Advanced bladeless femtosecond LASIK platforms.
    • Pre-surgical monovision simulation trials.
    • Customized treatment plans tailored to your visual needs.
    • Expert surgeons with years of experience in refractive surgery.
    • Personalized post-operative care to ensure optimal vision and comfort.
    Final Takeaway

    Monovision LASIK is a simple yet effective way to achieve spectacle independence after 40. While it’s not for everyone, with proper pre-surgical evaluation and adaptation support, it can provide a cost-effective, minimally invasive solution to reading vision problems.

  • Phakic Intraocular Lenses (ICLs): A Permanent Solution for High Refractive Errors

    Not everyone is a candidate for LASIK, SMILE, or surface ablation surgeries like PRK. Patients with very high refractive errors, thin corneas, or dry eyes often need an alternative, and that’s where Phakic Intraocular Lenses (ICLs) come into play.

    Phakic IOLs, often called Implantable Contact Lenses (ICLs), offer a safe, effective, and reversible solution for vision correction. Unlike LASIK, which reshapes the cornea, Phakic IOLs are placed inside the eye without removing the natural lens, providing high-definition vision even in extreme prescriptions.

    What are Phakic IOLs?

    Phakic Intraocular Lenses (IOLs) are artificial lenses implanted in front of the natural crystalline lens, but behind or in front of the iris, to correct myopia, hyperopia, and astigmatism. The term “phakic” indicates that the eye’s natural lens is left intact, unlike cataract surgery where the natural lens is removed.

    How Do Phakic IOLs Work?

    Phakic IOLs function like permanent contact lenses inside your eye:

    • They bend (refract) light properly onto the retina to correct vision.
    • They don’t alter the shape of the cornea.
    • The procedure is reversible—the lens can be removed or exchanged if needed.
    • Ideal for patients who are not suitable for corneal laser surgery.
    Types of Phakic IOLs

    There are two main types of Phakic IOLs, classified by where they are positioned in the eye:

    1. Anterior Chamber Phakic IOLs (AC-IOLs)
    • Placed in front of the iris (between the cornea and iris).
    • Attached or clipped to the iris.
    • Example: Artisan/Verisyse lenses.
    Advantages:
    • Time-tested technology with good visual outcomes.
    • Suitable for moderate to high myopia.
    Disadvantages:
    • Slightly higher risk of corneal endothelial cell loss over long term.
    • Requires a larger surgical incision (~5-6 mm).
    2. Posterior Chamber Phakic IOLs (PC-IOLs)
    • Placed behind the iris and in front of the natural lens.
    • Float freely in the posterior chamber.
    • Example: EVO Visian ICL (Implantable Collamer Lens).
    Advantages:
    • Minimally invasive surgery with a small incision (~2.8-3 mm).
    • Excellent optical quality, especially for high myopia and astigmatism.
    • Minimal risk to corneal endothelial cells.
    • EVO models come with a central port (hole) design, eliminating the need for preoperative iridotomy.
    Disadvantages:
    • Requires precise sizing and depth calculation.
    • Not typically used for hyperopia (though models exist).
    Advanced Types of Phakic IOLs
    1. EVO Visian ICL (With Central Port)
    • The latest generation of ICLs.
    • Features a central flow technology that allows aqueous humor to circulate without the need for a laser iridotomy.
    • Treats myopia, astigmatism, and low hyperopia.
    • Offers UV protection and superior biocompatibility with its collamer material.
    2. Toric Phakic IOLs
    • Available in both anterior and posterior chamber models.
    • Corrects astigmatism in addition to spherical power.
    • Examples: Toric ICL, Toric Artisan/Artiflex.
    3. Foldable Iris-Fixated Lenses (Artiflex)
    • A foldable version of the Artisan lens, requiring a smaller incision.
    • Reduces surgical trauma compared to rigid Artisan lenses.
    Phakic IOLs vs LASIK vs SMILE — A Quick Comparison
    Feature Phakic IOLs (ICLs) LASIK SMILE
    Corneal Flap Creation No flap Yes (20 mm flap) No flap (small incision)
    Refractive Error Range High Myopia up to -20D, Astigmatism up to 6D Moderate to high myopia & astigmatism Myopia up to -10D with astigmatism
    Ideal for Thin Corneas Yes Not suitable Sometimes suitable
    Dry Eye Risk Minimal Moderate to High Low
    Reversibility Fully reversible Permanent corneal reshaping Permanent corneal reshaping
    Healing Time 1-2 days 1-2 days 1-2 days
    Surgical Invasiveness Intraocular (inside the eye) Surface corneal procedure Surface corneal procedure
    Advantages of Phakic IOLs (ICLs)
    1. Ideal for High Refractive Errors
    • Corrects extreme degrees of myopia, hyperopia, and astigmatism where LASIK/SMILE may not be effective.
    2. Preserves Corneal Integrity
    • The corneal thickness is not altered, making it safe for patients with thin corneas or keratoconus (when stable).
    3. Reversible Procedure
    • Unlike LASIK, ICLs can be removed or replaced if needed in the future.
    4. Superior Visual Quality
    • High-definition vision with better contrast sensitivity, especially in low-light conditions.
    5. Low Dry Eye Risk
    • Since the corneal nerves are untouched, there’s minimal chance of developing dry eyes post-procedure.
    Disadvantages & Risks of Phakic IOLs

    Being an intraocular procedure, it carries a small risk of:

    • Infection (Endophthalmitis).
    • Cataract formation (especially with improper sizing or vaulting).
    • Elevated intraocular pressure (glaucoma).
    • Requires lifelong regular follow-ups to monitor lens position and corneal health.
    • Slightly higher initial cost compared to LASIK.
    Who is an Ideal Candidate for Phakic IOLs?
    • You have very high myopia (> -10.00 D) or astigmatism.
    • You are unsuitable for LASIK or SMILE due to thin corneas or irregular topography.
    • You have dry eyes or want to avoid corneal surgeries.
    • You desire a reversible vision correction solution.
    • You are over 21 years of age with a stable prescription.
    Why Choose Vision & Beyond for Phakic IOLs?

    At Vision & Beyond, we specialize in EVO Visian ICL and Artisan/Artiflex phakic IOL implantation, offering:

    • Comprehensive eye evaluations (anterior chamber depth, endothelial cell count, topography).
    • Customized lens selection based on your refractive needs.
    • Micro-incision, sutureless surgical techniques.
    • Detailed post-operative care to ensure safe recovery and excellent visual results.
    Final Takeaway

    Phakic IOLs (ICLs) provide a safe, effective, and life-changing solution for patients who are not candidates for corneal laser surgeries. With advancements like EVO ICL with central flow technology, Phakic IOLs are now safer and more efficient than ever, offering sharp, high-definition vision with minimal risk and reversibility.

  • PRESBYLASIK: Advanced Laser Surgery for Freedom from Reading Glasses After 40

    Are you in your 40s or 50s and tired of juggling between reading glasses, bifocals, or progressive lenses? Presbyopia — the age-related loss of near focusing ability — affects everyone as they age. While monovision LASIK and multifocal IOLs are popular options, PRESBYLASIK offers a more advanced, customized laser solution to restore your ability to see at all distances without glasses.

    PRESBYLASIK is a sophisticated laser eye surgery that reshapes the cornea to create multiple focal zones, allowing you to see near, intermediate, and distance clearly, similar to how multifocal contact lenses work—but permanently.

    What is PRESBYLASIK?

    PRESBYLASIK is an advanced refractive laser surgery designed to correct presbyopia, along with any existing myopia, hyperopia, or astigmatism. The procedure involves reshaping the corneal surface with a femtosecond excimer laser to create concentric zones of focus, enabling vision at multiple distances.

    Unlike monovision LASIK, which makes one eye for distance and the other for near, PRESBYLASIK reshapes each eye to provide a full range of vision—near, intermediate, and far.

    How Does PRESBYLASIK Work?

    PRESBYLASIK uses aspheric ablation profiles to modify the shape of the cornea in a controlled way:

    • Central Zone: Optimized for near vision.
    • Peripheral Zone: Optimized for distance vision.
    • Transition Zone: Blends intermediate vision smoothly.

    The result is a “multifocal cornea” that allows light from various distances to focus accurately on the retina, providing clear functional vision across all ranges.

    Types of PRESBYLASIK Techniques

    There are three main types of PRESBYLASIK ablation profiles:

    1. Central PresbyLASIK
    • Near vision correction is centered on the pupil’s center.
    • Distance vision is enhanced in the peripheral cornea.
    • Works best for patients whose pupils don’t dilate excessively in low light.
    2. Peripheral PresbyLASIK
    • Distance vision is concentrated in the central cornea.
    • Near vision is enhanced in the peripheral cornea.
    • Less commonly used but beneficial in select pupil dynamics.
    3. Crossed (Simultaneous) PresbyLASIK
    • One eye is optimized more for near vision, the other for distance, but both eyes receive multifocal ablations.
    • Offers a balance between monovision and multifocality.
    PRESBYLASIK vs Monovision LASIK vs Multifocal IOLs
    Aspect PRESBYLASIK Monovision LASIK Multifocal IOLs (Lens Exchange)
    Procedure Type Corneal multifocal laser reshaping One eye for distance, one for near Natural lens is removed, replaced by trifocal IOL
    Invasiveness Non-invasive corneal laser Non-invasive corneal laser Invasive (intraocular lens surgery)
    Binocular Vision Both eyes work together for all distances Eyes work separately (distance & near) Both eyes see at all distances simultaneously
    Depth Perception Preserved Slight compromise in depth perception Preserved
    Adaptation Difficulty Low to moderate (depends on pupil dynamics) Moderate (brain adjusts to imbalance) Moderate (neuroadaptation to multifocal lens)
    Reversibility Enhancement possible Enhancement possible Permanent lens exchange
    Suitable Age Group 40-55 years 40-55 years 50+ years (or early cataracts)
    Advantages of PRESBYLASIK
    1. Freedom from Reading Glasses & Bifocals
    • Enjoy hassle-free vision for daily activities like reading, computer use, and driving.
    2. Natural Binocular Vision
    • Both eyes contribute to vision at all distances, reducing imbalance or visual discomfort.
    3. Customized & Personalized Treatment
    • The treatment profile is customized based on your pupil size, lifestyle needs, and visual preferences.
    4. Non-Invasive & Safe
    • A LASIK-based corneal procedure with no intraocular manipulation.
    • Quick healing with minimal downtime (1-2 days).
    5. Reversible or Adjustable
    • Enhancement procedures can refine results in case of progression of presbyopia.
    Limitations & Considerations
    • Reduced Contrast Sensitivity: Slight compromise compared to monofocal corrections, especially in dim lighting.
    • Halos & Glare at Night: Mild visual disturbances can occur, but often diminish over time.
    • Neuroadaptation Required: The brain needs time to adjust to the new multifocality.
    • Progression of Presbyopia: May require enhancements in the future as presbyopia advances.
    • Not Suitable for All Eye Types: Requires detailed pre-surgical evaluation (corneal thickness, topography, pupil size).
    The PRESBYLASIK Procedure at Vision & Beyond
    1. Comprehensive Evaluation:
    • Refraction, corneal topography, pachymetry.
    • Pupil dynamics assessment.
    • Determination of visual priorities (reading, computer work, driving).
    2. Treatment Planning:
    • Selection of appropriate ablation profile (central, peripheral, crossed).
    • Customization based on wavefront aberrations and lifestyle.
    3. Laser Surgery:
    • A femtosecond LASIK platform is used.
    • Takes about 15-20 minutes for both eyes.
    • Painless, stitchless procedure with rapid recovery.
    4. Post-Op Recovery:
    • Functional vision typically returns within 24-48 hours.
    • Eye drops and post-operative follow-ups for smooth healing.
    Who is NOT a Good Candidate for PRESBYLASIK?
    • Patients with thin or irregular corneas (keratoconus).
    • Significant dry eye disease.
    • Advanced presbyopia where lens-based solutions may be better.
    • Patients with large pupil sizes, increasing risk of visual disturbances.
    • Those seeking perfect clarity for fine near tasks like threading needles (may still need occasional glasses for fine print).
    Why Choose Vision & Beyond for PRESBYLASIK?
    • World-class femtosecond LASIK platforms capable of precise multifocal ablations.
    • Tailor-made treatment plans with pupil-dynamics guided customization.
    • Expert surgeons specialized in presbyopia correction techniques.
    • Comprehensive post-operative care ensuring smooth adaptation and optimal results.
    Final Takeaway

    PRESBYLASIK is a revolutionary laser-based approach for presbyopia correction, offering the convenience of multifocal vision without the need for lens implants or reading glasses. With customized ablation profiles and advanced technology, it can significantly improve your quality of life after 40, giving you freedom from glasses for most daily activities.

  • PRESBYOND: The Advanced Laser Solution for Presbyopia (Age-Related Reading Vision Loss)

    As we age, many of us find ourselves holding books at arm’s length or switching between multiple pairs of glasses for reading and distance. This common condition is called Presbyopia, a natural loss of the eye’s ability to focus on near objects. For decades, reading glasses and multifocal lenses were the only solution—until now.

    Enter PRESBYOND Laser Blended Vision—an innovative, customized laser treatment that can free you from the need for reading glasses while still maintaining sharp distance vision.

    What is PRESBYOND?

    PRESBYOND Laser Blended Vision is an advanced femtosecond LASIK-based procedure designed to correct presbyopia, combining the best of monovision and wavefront-guided laser ablation to create a seamless range of vision—near, intermediate, and distance.

    Unlike traditional monovision LASIK, which simply makes one eye for near and the other for distance, PRESBYOND creates a “blended vision zone” through controlled depth-of-field enhancement, resulting in natural, binocular vision without glasses.

    How Does PRESBYOND Work?
    1. One Eye Optimized for Distance (Dominant Eye):
    • The dominant eye is corrected for sharp distance vision.
    2. Other Eye Optimized for Near Vision (Non-Dominant Eye):
    • The non-dominant eye is treated for near vision, but unlike traditional monovision, it retains excellent intermediate vision.
    3. Blended Vision Zone:
    • The laser algorithm increases the depth of focus in both eyes, creating a “blended vision zone” where the brain seamlessly integrates images from both eyes.
    • The result is clear vision at all distances without the noticeable imbalance that monovision users often feel.
    PRESBYOND vs Monovision LASIK — Key Differences
    FeatureTraditional Monovision LASIKPRESBYOND Laser Blended Vision
    Treatment ConceptOne eye for near, one eye for distanceBoth eyes contribute to blended focus
    Intermediate VisionOften blurrySharp and seamless
    Depth of Field EnhancementNoneControlled spherical aberration adjustment
    Neuroadaptation RequirementHighLow (better binocular harmony)
    Patient ComfortSome may experience imbalanceNatural, comfortable vision
    Who is an Ideal Candidate for PRESBYOND?
    • You are over 40 years of age and experiencing difficulty with near tasks (reading, mobile use).
    • You have good eye health and stable refractive error (myopia, hyperopia, astigmatism).
    • You want to reduce or eliminate dependence on reading glasses, bifocals, or progressive lenses.
    • You are open to a blended vision approach rather than relying on multifocal lenses.
    • You’re not a candidate for multifocal IOLs (lens exchange) but prefer a corneal laser option.
    Advantages of PRESBYOND Laser Blended Vision
    1. Freedom from Reading Glasses
    • You can read newspapers, books, and mobile screens without needing reading glasses.
    2. Binocular Natural Vision
    • Unlike monovision, both eyes work together for all distances, ensuring comfortable, natural visual perception.
    3. Customizable & Reversible
    • Each treatment is tailored to the individual’s visual needs and brain’s adaptability.
    • Enhancement procedures can be done later if needed.
    4. Minimally Invasive
    • Performed on the cornea using femtosecond LASIK technology.
    • No artificial lenses are implanted inside the eye.
    5. Rapid Recovery
    • Most patients experience functional vision within 24-48 hours.
    • Neuroadaptation to blended vision is typically smooth and quick.
    6. No Compromise on Contrast Sensitivity or Night Vision
    • PRESBYOND maintains high-quality vision in low-light conditions, unlike multifocal IOLs.
    PRESBYOND vs Multifocal IOLs (Lens Exchange)
    AspectPRESBYOND Laser Blended VisionMultifocal IOLs (RLE/Trifocal IOLs)
    Procedure TypeCorneal Laser-BasedIntraocular Lens Replacement
    Suitability for Younger PresbyopesIdeal (40-50 years)Preferred for older age group (>50 yrs)
    InvasivenessNon-invasiveInvasive (lens removal surgery)
    ReversibilityYes (can be adjusted or enhanced)Lens exchange is permanent
    Risk of Halos/GlareMinimalPossible in low-light conditions
    Visual OutcomeNatural binocular depth-of-fieldGood range of focus, but adaptation required
    The PRESBYOND Procedure at Vision & Beyond
    1. Comprehensive Eye Evaluation:
    • Detailed refraction, topography, corneal thickness measurement.
    • Dominant eye determination and neural adaptability assessment.
    2. Blended Vision Trial (Optional Pre-Surgery Test):
    • Simulation of blended vision using contact lenses or trial lenses to ensure comfort.
    3. Laser Procedure:
    • Using state-of-the-art Femtosecond LASIK platforms, the dominant eye is corrected for distance, and the non-dominant eye is treated for near with customized depth enhancement.
    4. Recovery & Aftercare:
    • Visual recovery is rapid; most patients are back to normal activities in a day or two.
    • Lubricating and antibiotic drops are prescribed post-procedure.
    • Adaptation period is smooth, with minimal brain training required.
    Who Should Avoid PRESBYOND?
    • Patients with advanced cataracts.
    • Those with significant corneal irregularities (keratoconus).
    • People with severe dry eyes or retinal disorders.
    • Individuals who are not willing to accept slight visual compromises for perfect vision at all distances.
    Why Choose Vision & Beyond for PRESBYOND?
    • World-class femtosecond LASIK platforms optimized for PRESBYOND.
    • Customized treatment planning tailored to your lifestyle and vision needs.
    • Expert ophthalmic surgeons specialized in blended vision techniques.
    • Personalized care with in-depth pre-operative simulations and post-op monitoring.
    Final Takeaway

    PRESBYOND Laser Blended Vision is the most advanced laser solution for presbyopia, offering a seamless range of vision without the discomforts of monovision or the invasiveness of lens exchange surgeries. If you’re over 40 and tired of juggling multiple glasses, PRESBYOND can give you freedom from reading glasses and sharp distance vision—all in one go.

  • PRK (Photorefractive Keratectomy): The Original Laser Vision Correction Surgery

    Long before LASIK became a household name, PRK (Photorefractive Keratectomy) was the first successful laser eye surgery to correct refractive errors like myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. While newer procedures like LASIK and SMILE have gained popularity, PRK remains a gold-standard choice for specific cases where flap-based surgeries are not advisable.

    If you’ve been told you’re not suitable for LASIK due to thin corneas, PRK could be the safest and most effective alternative for you.

    What is PRK?

    PRK (Photorefractive Keratectomy) is a surface-based laser eye surgery that reshapes the cornea to correct vision problems. Unlike LASIK, where a flap is created in the cornea, PRK removes only the outermost epithelial layer, reshapes the underlying tissue using an excimer laser, and allows the epithelium to regenerate naturally.

    How is PRK Performed?
    1. Epithelial Removal:
    • The thin epithelial layer of the cornea is gently removed using:
    • An alcohol solution (most common)
    • A blunt surgical instrument
    • Or a laser in advanced touch-free techniques (TransPRK)
    2. Laser Reshaping:
    • An excimer laser precisely reshapes the underlying corneal stroma to correct your refractive error.
    3. Healing Phase:
    • A bandage contact lens is placed to protect the eye and aid epithelial regeneration.
    • The epithelial layer regrows naturally over the next 3-5 days.
    PRK vs LASIK — What’s the Difference?
    Feature PRK LASIK
    Flap Creation No Yes (Blade or Femtosecond Laser)
    Ideal For Thin Corneas Yes Limited
    Structural Corneal Integrity Fully preserved Slightly compromised due to flap
    Pain/Discomfort Mild to moderate (for 3-4 days) Minimal
    Visual Recovery Slower (5-7 days for functional vision) Faster (1-2 days)
    Risk of Flap Complications None Present (flap-related risks)
    Dry Eye Risk Lesser than LASIK Higher due to nerve disruption
    Advantages of PRK
    1. Flapless & Safe for Thin Corneas
    • Since no corneal flap is created, PRK is ideal for patients with thin corneas or surface irregularities.
    2. Preserves Corneal Strength
    • PRK maintains the full biomechanical integrity of the cornea, reducing the risk of complications like corneal ectasia.
    3. No Flap Displacement Risk
    • Excellent choice for individuals involved in contact sports, military, or professions prone to eye trauma.
    4. Reduced Dry Eye Symptoms
    • The corneal nerves responsible for tear production are less affected compared to LASIK, resulting in fewer dry eye issues post-surgery.
    Disadvantages of PRK
    • Longer Recovery Time: Functional vision typically returns in 5-7 days, with minor fluctuations for weeks.
    • Post-operative Discomfort: Patients may experience foreign body sensation, tearing, and light sensitivity for the first few days.
    • Visual fluctuations can occur during the healing phase.
    • Mild haze formation (sub-epithelial haze) can develop but is preventable with medications like Mitomycin-C.
    What is TransPRK? (Touch-Free PRK)

    An advanced version of PRK is TransPRK (Transepithelial PRK), also known as Touch-Free PRK, where:

    • The epithelium is removed using a laser rather than alcohol or manual scraping.
    • It’s a no-touch, blade-free procedure, offering better precision and patient comfort.
    • Healing time and discomfort are slightly reduced compared to conventional PRK.
    PRK vs SMILE vs Contoura Vision – Quick Comparison
    Aspect PRK SMILE Contoura Vision LASIK
    Flap Creation None Small Incision (No flap) Flap (Femtosecond Laser)
    Epithelial Removal Yes No No
    Ideal for Thin Corneas Yes Limited Limited
    Recovery Time 5-7 days 1-2 days 1-2 days
    Pain/Discomfort Mild to moderate (few days) Minimal Minimal
    Dry Eye Risk Lower Lowest Moderate
    Surface Irregularity Correction Moderate No Excellent
    Who is a Good Candidate for PRK?
    • You have thin corneas unsuitable for LASIK.
    • You engage in high-impact activities or contact sports.
    • You are looking for a flapless, safe vision correction option.
    • You have mild to moderate refractive errors.
    • You have mild corneal scars or surface irregularities.
    What to Expect After PRK?
    • Day 1-3: Mild discomfort, light sensitivity, tearing.
    • Day 3-5: Epithelial healing completes, functional vision starts improving.
    • 1-2 weeks: Clearer vision stabilizes.
    • 1-3 months: Optimal visual clarity achieved.
    • Follow-up visits are essential to monitor healing and visual outcomes.
    Why Choose Vision & Beyond for PRK?
    • State-of-the-art excimer laser technology.
    • Experienced surgeons with expertise in thin cornea cases.
    • Comprehensive preoperative assessments (topography, pachymetry, wavefront analysis).
    • Personalized aftercare to ensure smooth recovery and excellent results.
    Conclusion

    While newer procedures like LASIK and SMILE are widely popular, PRK remains a highly effective and safe option, especially for patients with thin corneas or those who wish to avoid flap-related risks. Though it requires a bit more patience during recovery, the visual outcomes of PRK are equally rewarding.

  • Recovery After Refractive Eye Surgery: What to Expect & Essential Precautions for Perfect Healing

    Undergoing refractive surgery—be it LASIK, SMILE, PRK, ICL, PRESBYLASIK, or other vision correction procedures—can be life-changing, freeing you from glasses and contact lenses. However, the success of your surgery doesn’t end when you leave the operation theatre; how well you heal and follow post-operative instructions is crucial to achieving optimal results.

    In this blog, we’ll walk you through the recovery process, common post-op experiences, and essential do’s & don’ts after refractive surgery to ensure a smooth, safe, and speedy recovery.

    General Recovery Timeline After Refractive Surgeries
    Procedure Functional Vision Recovery Complete Healing
    LASIK / Contoura LASIK 24-48 hours 1-2 weeks (flap healing continues for 3-6 months)
    SMILE / SMILE Pro 24-72 hours 2-4 weeks
    PRK / Trans-PRK / Epi-LASIK 5-7 days (after epithelial healing) 4-6 weeks
    ICL (Phakic IOL) 1-2 days 2-4 weeks
    PRESBYLASIK / PRESBYOND 1-3 days 2-4 weeks
    What to Expect After Surgery (Normal Post-Op Symptoms)
    • Blurry or Fluctuating Vision for the first 24-48 hours.
    • Mild Foreign Body Sensation (gritty or scratchy feeling).
    • Light Sensitivity for a few days.
    • Watery Eyes or Mild Dryness.
    • Halos or Glare Around Lights, especially at night (temporary).
    • Mild Redness or Blood Spots on the white of the eye (resolves on its own).
    Essential Precautions After Refractive Eye Surgery
    1. Avoid Rubbing Your Eyes
    • The corneal flap (LASIK) or corneal surface (PRK) needs time to heal.
    • Rubbing can dislodge the flap, cause infections, or induce irregular healing.
    2. Use Eye Drops Religiously
    • Antibiotic Drops: Prevent infections.
    • Anti-inflammatory Drops: Reduce inflammation and prevent haze (especially after PRK).
    • Lubricating Drops: Combat dryness and aid smooth healing.
    • Follow your doctor’s prescribed schedule—don’t self-medicate or skip doses.
    3. Wear Protective Eye Shields
    • Especially at night during the first 5-7 days.
    • Prevents accidental rubbing during sleep.
    4. Avoid Water Splashing in the Eyes
    • No face washes, swimming, or direct water exposure to the eyes for at least 1 week.
    • Use a clean, wet cloth to gently clean your face, avoiding the eye area.
    5. No Eye Makeup or Cosmetic Products Around the Eyes
    • For at least 2 weeks post-surgery.
    • Prevents infections and irritation.
    6. Avoid Dusty and Smoky Environments
    • Wear sunglasses outdoors for the first 2-4 weeks.
    • Helps shield from UV rays, wind, dust, and pollutants.
    7. No Heavy Exercise, Gym, or Contact Sports
    • For at least 2 weeks after LASIK/SMILE, and 4 weeks after PRK/ICL.
    • Sudden eye pressure changes or accidental trauma can disrupt healing.
    8. Screen Time Precautions
    • You can resume screen use after 24-48 hours, but take regular breaks.
    • Follow the 20-20-20 rule: every 20 minutes, look 20 feet away for 20 seconds.
    • Use lubricating drops frequently while working on screens.
    9. Driving
    • Avoid driving until you’re fully comfortable with your vision, usually after 2-3 days.
    • Night driving may require a bit more time depending on glare/halo recovery.
    10. Diet & Hydration
    • Maintain a balanced diet rich in Vitamin A, Omega-3s, and antioxidants.
    • Stay well-hydrated to support tear film stability.
    Special Precautions for PRK & Surface Ablation Procedures
    • Epithelial Healing Time: Expect more discomfort during the first 3-5 days.
    • Bandage Contact Lens (BCL): Will be placed after surgery and removed after 5-7 days.
    • Avoid activities like swimming or strenuous sports for at least a month.
    Special Precautions for ICL (Phakic IOL) Surgery
    • Head positioning is crucial in the first few days to ensure proper lens vaulting.
    • Strictly follow intraocular pressure (IOP) monitoring schedules.
    • Avoid bending over or heavy lifting for 1 week.
    Common Recovery Milestones
    Timeline What to Expect
    Day 1-2 Blurry/fluctuating vision, discomfort, light sensitivity.
    Day 3-7 Vision starts stabilizing, discomfort subsides.
    Week 2-4 Most patients achieve 90-95% of their final vision.
    Month 1-3 Fine-tuning of visual clarity continues.
    Month 3-6 Final visual outcomes achieved (especially after PRK/ICL).
    Warning Signs — When to Call Your Doctor Immediately
    • Severe pain or sudden vision loss.
    • Persistent redness or discharge.
    • Flap dislocation symptoms (LASIK)—sudden discomfort, blurry vision.
    • Light flashes or floaters.
    • Persistent glare, halos, or double vision beyond 6 weeks.
    Tips for Smooth Healing & Best Visual Outcomes
    • Be patient: Minor visual fluctuations are normal during recovery.
    • Attend all follow-up appointments—your doctor will monitor healing and vision refinement.
    • Stay hydrated and maintain ocular surface health.
    • Do not skip eye drops—even if your eyes feel fine.
    • Avoid self-medicating or using over-the-counter drops unless approved by your ophthalmologist.
    Final Takeaway

    Recovery after refractive surgery is a crucial phase that determines the clarity, stability, and longevity of your visual results. By following your surgeon’s instructions and taking necessary precautions, you’ll ensure a safe, smooth healing process with minimal complications.

    Remember, the success of your surgery is a team effort—between you and your surgeon.

  • Refractive surgery : Asked and Answered!

    1. LASIK Surgery: What to Expect Before, During, and After

    If you're tired of glasses or contact lenses, LASIK might be the perfect solution for you. LASIK (Laser-Assisted In Situ Keratomileusis) is a painless and quick procedure that reshapes your cornea to give you clearer vision.

    Before the Surgery:
    • You'll undergo a detailed eye examination to check if you’re a good candidate.
    • Stop wearing contact lenses at least a week before the tests.
    • Discuss your expectations and clarify doubts with your eye surgeon.
    During the Surgery:
    • Numbing eye drops will be applied.
    • A thin flap is created on your cornea, lifted, and a laser is used to reshape the corneal tissue.
    • The flap is then repositioned.
    • The entire process takes about 15 minutes per eye.
    After the Surgery:
    • You may experience mild dryness or glare, but this is temporary.
    • Vision usually clears up within 24-48 hours.
    • Follow-up visits are essential to monitor healing.
    2. PRK Surgery: An Alternative for Thin Corneas

    PRK (Photorefractive Keratectomy) is a laser eye surgery similar to LASIK but without creating a corneal flap. It’s a safer option for people with thin or irregular corneas.

    Procedure Steps:
    • The outermost layer of the cornea (epithelium) is gently removed.
    • An excimer laser reshapes the corneal surface underneath.
    • A protective contact lens is placed to aid healing.
    Recovery:
    • Vision improves gradually over a week.
    • Slight discomfort or light sensitivity is common in the initial days.
    • Long-term visual outcomes are as excellent as LASIK.
    3. SMILE Surgery: The Flapless Laser Vision Correction

    SMILE (Small Incision Lenticule Extraction) is a newer, minimally invasive laser procedure ideal for correcting myopia and mild astigmatism.

    How SMILE Works:
    • A femtosecond laser creates a small lenticule (disc-shaped piece of corneal tissue).
    • This lenticule is removed through a tiny (2-3 mm) incision, reshaping the cornea.
    Benefits:
    • No corneal flap creation, hence fewer dry eye symptoms.
    • Minimal discomfort and quick recovery.
    • Ideal for people with active lifestyles.
    4. SMILE vs LASIK: Which One is Better for You?

    Choosing between SMILE and LASIK depends on several factors:

    Aspect LASIK SMILE
    Flap Creation Yes No
    Recovery Time 24-48 hours 2-3 days
    Dryness Risk Slightly higher Lower
    Suitable For Myopia, hyperopia, astigmatism Myopia, mild astigmatism

    Consult your eye specialist to decide which suits your eyes and lifestyle better.

    5. PRK vs TransPRK: Choosing the Right Surface Laser Option

    Both PRK and TransPRK are surface ablation procedures suitable for patients with thin corneas.

    Key Differences:
    • PRK: The corneal epithelium is removed manually.
    • TransPRK: The laser removes the epithelium in a single, touch-free step.
    Advantages of TransPRK:
    • Faster and more precise.
    • Less discomfort post-surgery.
    • Quicker recovery compared to traditional PRK.
    6. LASIK Success Rates & Potential Side Effects

    LASIK is one of the safest and most effective surgeries, with a global success rate of over 95%.

    Benefits:
    • Most patients achieve 20/20 vision or better.
    • Quick visual recovery within 24-48 hours.
    Possible Side Effects:
    • Temporary dryness or glare at night.
    • Rarely, some may need an enhancement procedure.

    Choosing an experienced surgeon reduces risks significantly.

    7. Myths vs Facts About LASIK
    Myth 1: LASIK is painful.
    • Fact: It’s a painless procedure done under numbing drops.
    Myth 2: LASIK results are temporary.
    • Fact: Results are permanent, with a very small chance of needing enhancement.
    Myth 3: LASIK isn’t safe.
    • Fact: LASIK has a high safety record when done with advanced technology and by skilled surgeons.
    8. Cost of LASIK in India & How to Choose a Clinic
    Factors Affecting Cost:
    • Type of LASIK (Standard, Bladeless, Contoura Vision)
    • Surgeon's expertise
    • Location and facility standards
    How to Select a Good Clinic:
    • Ensure NABH accreditation.
    • Check surgeon’s qualifications and experience.
    • Evaluate the technology used.
    • Transparent pricing and comprehensive pre- and post-operative care.
    9. Who is Eligible for Refractive Surgery?
    Good Candidates:
    • Age 18 or above with stable vision for at least a year.
    • Healthy eyes with no major ocular disease.
    • Adequate corneal thickness.
    Not Recommended For:
    • Pregnant or breastfeeding women.
    • Individuals with uncontrolled diabetes or autoimmune disorders.
    10. Lens-Based Alternatives: ICL & Refractive Lens Exchange (RLE)

    When laser procedures aren’t suitable, lens-based surgeries offer excellent alternatives.

    Implantable Collamer Lens (ICL):
    • A thin lens is implanted inside the eye, preserving your natural lens.
    • Ideal for high power numbers and thin corneas.
    Refractive Lens Exchange (RLE):
    • The eye's natural lens is replaced with an artificial intraocular lens (IOL).
    • Best suited for people with early cataracts or very high hyperopia.
    Conclusion

    At Vision and Beyond, we are committed to guiding you through your vision correction journey. Refractive surgeries like LASIK, PRK, SMILE, and lens-based solutions offer safe, effective ways to free yourself from glasses and contact lenses.

    Every eye is unique, and so is the choice of surgery. Consult with us to find the procedure that’s right for you!

    FAQs
    Q1. How long does LASIK last?
    • For most patients, LASIK results are lifelong. Rarely, minor enhancements may be required.
    Q2. Is refractive surgery safe?
    • Yes, with advanced technology and expert surgeons, the procedures are very safe.
    Q3. Can refractive surgery correct astigmatism?
    • Yes, all laser-based surgeries and ICL can correct astigmatism effectively.
    Q4. Will I need glasses after refractive surgery?
    • For distance vision, most patients won’t need glasses. However, reading glasses may be needed after 40 due to natural aging (presbyopia).
    Q5. How soon can I resume normal activities?
    • Most patients resume light activities within 2-3 days. Avoid swimming or heavy workouts for a few weeks.
  • SILK Surgery (Smooth Incision Lenticule Keratomileusis): The Next Revolution in Flapless Laser Vision Correction

    The world of laser vision correction is constantly evolving, and the latest breakthrough is SILK Surgery (Smooth Incision Lenticule Keratomileusis). SILK takes the advantages of SMILE surgery—minimal invasiveness, flapless precision—and elevates them with ultra-smooth lenticule creation, faster healing, and enhanced visual outcomes.

    If you’re looking for the most advanced, gentle, and safe method to get rid of glasses or contact lenses, SILK might just be the perfect fit for you.

    What is SILK Surgery?

    SILK (Smooth Incision Lenticule Keratomileusis) is a next-generation, minimally invasive laser eye surgery that corrects myopia (nearsightedness) and astigmatism through a small incision lenticule extraction technique, similar to SMILE, but with significant technological refinements.

    Unlike LASIK, which involves creating a large corneal flap, SILK uses a gentle, ultra-fast femtosecond laser to create and remove a tiny lenticule from within the cornea through a micro-incision of just 2 mm.

    How is SILK Different from SMILE?

    While both SILK and SMILE are flapless procedures, SILK offers key technological enhancements:

    • Smoother lenticule creation with ultra-low energy laser pulses.
    • Even smaller incision size (as little as 2 mm, reducing tissue trauma).
    • Faster visual recovery due to improved tissue interaction.
    • Enhanced precision and centration algorithms.
    The SILK Procedure: Step-by-Step
    1. Creation of a Lenticule:

    A high-speed femtosecond laser creates a thin, lens-shaped lenticule within the corneal stroma with ultra-smooth precision.

    2. Micro-Incision:

    A tiny 2 mm incision is made on the corneal surface.

    3. Lenticule Extraction:

    The surgeon gently removes the lenticule through the micro-incision.

    This reshapes the cornea to correct the refractive error.

    4. Natural Healing:

    Since no flap is created, the tiny incision heals on its own within a few days, with minimal discomfort.

    SILK vs LASIK vs SMILE — Key Differences
    Feature LASIK SMILE SILK
    Flap Creation Yes (20 mm flap) No flap, 2-3 mm incision No flap, ultra-smooth 2 mm incision
    Corneal Nerve Preservation Moderate Better nerve preservation Superior nerve preservation
    Dry Eye Risk Moderate to High Low Very Low
    Biomechanical Stability Compromised (flap weakens structure) Excellent (flapless) Excellent (flapless & gentler)
    Lenticule Extraction Smoothness Not applicable Good Ultra-smooth tissue planes
    Recovery Time 1-2 days 1-2 days 24-48 hours (potentially faster)
    Precision of Correction High (with wavefront/topography) High Ultra-precise centration and cutting
    Advantages of SILK Surgery
    1. Flapless & Minimally Invasive
    • No flap means no flap-related complications, making SILK safer for patients with active lifestyles.
    2. Ultra-Smooth Lenticule Extraction
    • Advanced laser technology ensures smoother tissue separation, leading to faster recovery and clearer vision.
    3. Smallest Incision (2 mm)
    • Less tissue trauma means better corneal biomechanics and faster healing.
    4. Minimal Dry Eye Risk
    • Superior nerve preservation compared to LASIK and SMILE ensures very low incidence of post-op dry eyes.
    5. Ideal for Athletes & Active Individuals
    • Since no flap is created, there’s no risk of displacement, making SILK perfect for sports enthusiasts and physically demanding professions.
    6. Potential for Enhanced Visual Quality
    • Smooth corneal surfaces post-SILK may result in sharper, more vibrant visual outcomes.
    SILK Surgery vs SMILE PRO — What’s the Difference?
    Aspect SMILE PRO SILK Surgery
    Laser Frequency Up to 2 MHz Ultra-fast, ultra-low energy pulses
    Incision Size ~2-3 mm As small as 2 mm
    Tissue Plane Smoothness High Superior (enhanced tissue interaction)
    Recovery Time 1-2 days Potentially faster due to smoother cuts
    Precision and Centration Excellent Enhanced (newer centration algorithms)
    Who is an Ideal Candidate for SILK?

    You are likely a good candidate if:

    • You have myopia (up to -10.00 D) and/or astigmatism.
    • You have adequate corneal thickness.
    • You are looking for a flapless, gentle, and precise procedure.
    • You are prone to dry eyes or want to avoid LASIK’s dry eye risk.
    • You engage in sports, gym, or professions with physical activity.
    • You desire the latest, most advanced technology for vision correction.
    SILK Surgery Recovery: What to Expect
    • Day 1: Mild foreign body sensation, watering, light sensitivity.
    • Day 2-3: Significant visual improvement; discomfort subsides.
    • Week 1: Functional vision stabilizes for daily activities.
    • 1 Month: Maximum clarity with minor refinements.
    • Follow-ups are essential to monitor healing and ensure optimal outcomes.
    Why Choose Vision & Beyond for SILK Surgery?

    At Vision & Beyond, we’re proud to be among the early adopters of SILK technology, offering:

    • State-of-the-art SILK surgical systems with enhanced laser precision.
    • Expert refractive surgeons specialized in flapless vision correction.
    • Comprehensive preoperative assessments (topography, pachymetry, visual needs).
    • Focused post-operative care to ensure fast recovery and exceptional visual results.
    Final Takeaway

    SILK Surgery represents the future of laser vision correction—a gentle, flapless, ultra-precise procedure designed to provide crystal-clear vision with minimal downtime and maximum safety. If you’re looking for a bladeless, touch-free, and cutting-edge solution, SILK could be your gateway to a glasses-free life.

  • SMILE & SMILE PRO Surgery: The Flapless, Minimally Invasive Laser Vision Correction

    In the ever-evolving world of laser eye surgeries, SMILE (Small Incision Lenticule Extraction) and its latest advancement, SMILE PRO, are redefining how vision correction is performed. Unlike traditional LASIK, which involves creating a corneal flap, SMILE and SMILE PRO are flapless, minimally invasive procedures, offering faster healing, reduced dry eye symptoms, and unparalleled precision.

    If you’re considering getting rid of your glasses or contact lenses, SMILE or SMILE PRO might be the ideal solution—especially if you are looking for a safe, no-flap, next-generation technique.

    What is SMILE Eye Surgery?

    SMILE (Small Incision Lenticule Extraction) is a minimally invasive laser vision correction procedure that treats myopia (nearsightedness) and astigmatism by reshaping the cornea—without creating a flap.

    The procedure involves:

    • Using a Femtosecond laser to create a small, lens-shaped piece of tissue (called a lenticule) within the cornea.
    • This lenticule is then removed through a tiny incision of about 2-3 mm.
    • The removal of the lenticule reshapes the cornea, correcting the refractive error.
    What is SMILE PRO?

    SMILE PRO is the latest evolution of SMILE surgery, utilizing advanced Femtosecond laser technology with faster pulse rates (up to 2 MHz), improved precision, and enhanced patient comfort.

    Key Improvements with SMILE PRO:

    • Procedure time reduced to as little as 7-10 seconds per eye.
    • Enhanced laser pulse energy ensures smoother lenticule creation.
    • Reduced suction time and increased patient comfort.
    • Better centration and precision, leading to even sharper visual outcomes.
    How is SMILE/SMILE PRO Performed?
    1. Lenticule Creation:

    A highly precise Femtosecond laser creates a lenticule within the corneal stroma, along with a tiny incision at the surface.

    2. Lenticule Removal:

    The surgeon removes the lenticule through the micro-incision, reshaping the cornea to correct vision.

    3. Healing:

    Since no flap is created, the incision heals naturally within a few days without sutures.

    SMILE vs LASIK — Key Differences
    Feature SMILE/SMILE PRO LASIK
    Flap Creation No flap (small 2-3 mm incision) Yes (20 mm flap with blade/laser)
    Corneal Nerve Damage Minimal Significant
    Dry Eye Risk Very Low Moderate to High
    Structural Corneal Stability Excellent (flapless) Slightly compromised due to flap
    Discomfort Post-Surgery Mild dryness/foreign body sensation Minimal discomfort
    Recovery Time Functional vision in 1-2 days Functional vision in 1-2 days
    Sports & Active Lifestyle Safer (no flap displacement risk) Caution needed for contact sports
    Advantages of SMILE & SMILE PRO Surgery
    1. Minimally Invasive (Flapless Surgery)
    • No corneal flap means better biomechanical stability and eliminates flap-related complications.
    2. Lower Risk of Dry Eyes
    • The small incision disrupts fewer corneal nerves, leading to reduced dry eye symptoms post-surgery.
    3. Faster Healing and Recovery
    • Functional vision typically returns within 24-48 hours.
    • The tiny incision heals naturally, minimizing infection risks.
    4. Perfect for Active Lifestyles
    • No flap means no risk of flap displacement—ideal for athletes, military personnel, or individuals in physically demanding professions.
    5. SMILE PRO Adds Speed & Precision
    • Shorter laser treatment time with advanced laser energy optimization.
    • Enhanced centration and smoother tissue separation for superior visual outcomes.
    Limitations of SMILE/SMILE PRO
    • Currently approved for myopia and myopic astigmatism (not hyperopia).
    • Certain corneal conditions (like keratoconus) are contraindicated.
    • Slightly higher cost compared to standard LASIK.
    • Fine surface irregularities (higher-order aberrations) are not specifically addressed like in Contoura Vision LASIK.
    SMILE vs SMILE PRO — What’s the Difference?
    Aspect SMILE SMILE PRO
    Laser Pulse Frequency 500 kHz Up to 2 MHz (4x faster)
    Laser Treatment Time ~25-30 seconds per eye ~7-10 seconds per eye
    Patient Comfort High Enhanced comfort (shorter suction time)
    Precision & Centration Excellent Even more precise lenticule centration
    Visual Recovery 1-2 days Slightly faster visual clarity post-op
    Technological Edge Highly advanced Next-Gen technology with smoother cuts
    Who is an Ideal Candidate for SMILE/SMILE PRO?
    • You have myopia up to -10.00 D with or without astigmatism.
    • Your corneal thickness is borderline or you wish to preserve corneal strength.
    • You are prone to dry eyes.
    • You have an active lifestyle or participate in contact sports.
    • You prefer a flapless, minimally invasive solution.
    SMILE vs Contoura Vision vs TransPRK — Quick Comparison
    Aspect SMILE/SMILE PRO Contoura Vision LASIK TransPRK
    Flap Creation No (small incision) Yes (20 mm femtosecond flap) No (surface ablation)
    Higher Order Aberration Correction Not targeted Specifically corrected Partial correction
    Dry Eye Risk Very Low Moderate Low
    Healing Time 1-2 days 1-2 days 3-5 days
    Corneal Strength Preservation Excellent Moderate Excellent
    Why Choose Vision & Beyond for SMILE & SMILE PRO?

    At Vision & Beyond, we offer the latest SMILE & SMILE PRO technology with:

    • High-speed femtosecond lasers (up to 2 MHz for SMILE PRO).
    • Experienced refractive surgeons trained in advanced flapless techniques.
    • Thorough pre-operative evaluations for precise treatment planning.
    • Comprehensive post-op care for a smooth recovery experience.
    Final Takeaway

    If you’re looking for a safe, effective, and minimally invasive alternative to LASIK, SMILE and SMILE PRO surgeries offer the latest advancements in laser vision correction. With quicker recovery, reduced dry eye symptoms, and no risk of flap complications, SMILE procedures are fast becoming the preferred choice for patients who demand precision and safety.

  • The Ultimate Guide to Refractive Surgeries: Types and Benefits of Being Spectacle-Free

    In today’s world, vision problems are common, with millions relying on spectacles or contact lenses for daily activities. Fortunately, advancements in eye surgery have made it possible for individuals to achieve better vision without the need for these corrective aids. Refractive surgeries offer a safe, efficient, and long-lasting solution to reduce or eliminate dependence on spectacles. Let’s explore what refractive surgeries are, their various types, and the advantages of being spectacle-free.

    What is Refractive Surgery?

    Refractive surgery refers to any procedure aimed at correcting refractive errors in the eye, such as nearsightedness (myopia), farsightedness (hyperopia), astigmatism, and presbyopia. These errors are caused by imperfections in the shape of the cornea or lens, which prevent light from focusing correctly on the retina. Refractive surgeries reshape the cornea or replace the eye’s natural lens to enhance vision clarity.

    Common Types of Refractive Surgeries
    1. LASIK (Laser-Assisted In-Situ Keratomileusis)

    LASIK is the most popular refractive surgery, known for its precision, effectiveness, and short recovery time. It involves creating a thin flap in the cornea, lifting it, and using an excimer laser to reshape the corneal tissue. Once the reshaping is complete, the flap is repositioned, and the eye heals naturally without the need for stitches.

    • Ideal for: Myopia, hyperopia, and astigmatism
    • Recovery time: 1-2 days for functional vision, full healing in a few weeks
    • Advantages: Quick recovery, minimal discomfort, and immediate vision improvement
    2. PRK (Photorefractive Keratectomy)

    PRK was the precursor to LASIK and remains a great alternative for those with thin corneas or specific conditions that make LASIK unsuitable. In PRK, the outer layer of the cornea (epithelium) is removed entirely before the corneal tissue is reshaped using a laser. The epithelium regenerates naturally over several days.

    • Ideal for: Myopia, hyperopia, and astigmatism, especially for patients with thin corneas
    • Recovery time: Several days for initial healing, up to a month for optimal vision
    • Advantages: Suitable for patients with thin corneas, no risk of flap complications
    3. SMILE (Small Incision Lenticule Extraction)

    SMILE is a minimally invasive procedure designed primarily to correct myopia and, to a lesser extent, astigmatism. During the surgery, the surgeon uses a femtosecond laser to create a small, lens-shaped piece of tissue within the cornea. This tissue, called a lenticule, is then removed through a small incision, allowing the cornea to reshape.

    • Ideal for: Myopia and astigmatism
    • Recovery time: 1-2 days for clear vision, full healing in a few weeks
    • Advantages: No corneal flap, less risk of dry eye, faster healing time
    4. ICL (Implantable Collamer Lenses)

    Unlike LASIK or PRK, ICL surgery doesn’t reshape the cornea. Instead, a small, biocompatible lens is implanted between the iris and the eye’s natural lens to correct vision. The ICL works like a permanent contact lens and can be removed or replaced if necessary.

    • Ideal for: Severe myopia, hyperopia, and astigmatism, or patients not suitable for laser surgery
    • Recovery time: Several days to a week for clear vision
    • Advantages: Reversible, preserves corneal tissue, excellent for high prescription
    5. RLE (Refractive Lens Exchange)

    RLE, also called lens replacement surgery, involves replacing the eye’s natural lens with an artificial intraocular lens (IOL), similar to cataract surgery. This option is typically chosen by older patients with presbyopia (age-related farsightedness) or extreme refractive errors.

    • Ideal for: Severe hyperopia, presbyopia, or those unsuitable for other refractive procedures
    • Recovery time: A few days to a week for functional vision
    • Advantages: Corrects multiple refractive errors, reduces the risk of cataracts later in life
    The Benefits of Being Spectacle-Free

    Now that you understand the types of refractive surgeries available, let’s explore the advantages of living without spectacles.

    1. Enhanced Freedom and Convenience

    One of the most significant benefits of refractive surgery is the freedom it brings. No longer needing to wear glasses or contact lenses means you can engage in activities like swimming, sports, or even waking up without the hassle of searching for your spectacles. You won’t have to worry about losing or breaking glasses, or dealing with the discomfort of contact lenses.

    2. Improved Aesthetics

    For many, the cosmetic benefits of being spectacle-free are a driving factor. Some people feel that glasses detract from their appearance or don’t match their style. Without spectacles, your face is more visible, and you won’t need to hide behind frames. This can boost confidence, especially in social or professional settings.

    3. Greater Visual Clarity

    Even with the best lenses, glasses and contacts can sometimes provide suboptimal vision, particularly in challenging conditions like rain, fog, or dim lighting. After refractive surgery, many patients report clearer, sharper vision without the distractions of smudged lenses or glare from the frames.

    4. Cost Savings in the Long Run

    Although the initial cost of refractive surgery may seem high, it’s essential to consider the long-term savings. Over the years, the cost of new glasses, contact lenses, solutions, and routine eye exams can add up significantly. Refractive surgery is a one-time expense that can reduce or eliminate these ongoing costs.

    5. Comfort and Eye Health

    Contact lens wearers know the daily discomfort that can arise from prolonged use, including dry eyes, irritation, and the risk of infection. Glasses can also cause discomfort, especially if they slip, feel too heavy, or pinch your nose and ears. Refractive surgery eliminates these concerns, providing a more comfortable and natural vision experience.

    6. Enhanced Performance in Active Lifestyles

    Whether you’re a professional athlete, a fitness enthusiast, or someone who enjoys outdoor activities, being free from glasses and contact lenses can significantly enhance your performance. Without the worry of glasses falling off or lenses drying out during physical activities, you can focus entirely on the task at hand.

    Is Refractive Surgery Right for You?

    While refractive surgeries offer numerous advantages, they aren’t suitable for everyone. The best candidates are adults over 18 with stable vision, good overall eye health, and no underlying conditions like keratoconus or severe dry eyes. A thorough consultation with an ophthalmologist will help determine if you’re a suitable candidate for surgery.

    Refractive surgery is also an investment in your future vision, making it essential to weigh the pros and cons and consult with an expert to choose the best option for your specific condition.

    Conclusion

    Refractive surgeries have transformed the lives of millions by offering clear, unaided vision, allowing individuals to lead more active and hassle-free lives. With various surgical options available—each tailored to different needs—achieving spectacle-free vision is more accessible than ever before. Whether it’s for comfort, aesthetics, or freedom from glasses, refractive surgery offers a wide array of benefits that can improve your quality of life.

  • TransPRK (Transepithelial PRK): The Most Advanced Touch-Free Laser Eye Surgery

    Laser vision correction has come a long way from its early days. While LASIK is the most commonly known procedure, not everyone is an ideal candidate for it—especially those with thin corneas or active lifestyles. Enter TransPRK (Transepithelial Photorefractive Keratectomy), also known as Touch-Free LASIK — a completely bladeless, flapless, and no-touch laser procedure designed to deliver precise vision correction while preserving the natural integrity of your eye.

    In this blog, we’ll explain what TransPRK is, how it’s performed, its advantages over LASIK and PRK, and whether it’s the right choice for you.

    What is TransPRK?

    TransPRK (Transepithelial PRK) is the latest generation of surface ablation laser eye surgery, where both the epithelial removal and corneal reshaping are done by a laser—completely touch-free. It is an evolution of PRK (Photorefractive Keratectomy), but far more advanced, safer, and more comfortable.

    Unlike traditional LASIK, where a corneal flap is created, TransPRK involves no flap, no blade, and no manual intervention. The procedure is entirely laser-driven and done in a single step.

    How is TransPRK Performed?
    • Epithelial Removal (Touch-Free):

    A smart excimer laser gently removes the thin epithelial layer of the cornea with extreme precision. This is done without alcohol, blades, or mechanical instruments.

    • Corneal Reshaping:

    In the same session, the excimer laser reshapes the underlying corneal stroma to correct refractive errors (myopia, hyperopia, astigmatism).

    • Healing Phase:

    A bandage contact lens is placed to protect the eye while the epithelium regenerates naturally over the next few days. Recovery is smoother compared to traditional PRK.

    How is TransPRK Different from LASIK and PRK?
    Feature LASIK PRK TransPRK (Touch-Free LASIK)
    Flap Creation Yes (Blade or Femtosecond Laser) No No
    Epithelial Removal Not applicable (flap-based) Manual scraping or alcohol-assisted Laser-based (no-touch)
    Suitability for Thin Corneas Limited Excellent Excellent
    Risk of Flap Complications Present None None
    Pain/Discomfort (Initial Days) Minimal Mild to moderate (3-4 days) Mild (lesser than PRK)
    Healing Time 1-2 days 5-7 days 3-5 days
    Dry Eye Risk Moderate to high Low Very Low
    Surgical Touch Manual flap creation Manual epithelial removal Fully Touch-Free (Bladeless, Flapless)
    Advantages of TransPRK (Touch-Free LASIK)
    • Completely Blade-Free & Touch-Free

    No mechanical instruments, blades, or alcohol touch your eye. Entire process is handled by a computer-controlled laser, enhancing safety and precision.

    • Safe for Thin Corneas

    Ideal for patients with borderline or thin corneas, where LASIK isn’t advisable.

    • Preserves Corneal Biomechanics

    No flap creation means natural corneal strength is preserved, reducing long-term risks.

    • No Risk of Flap Displacement

    Best suited for athletes, military personnel, or individuals in high-impact activities.

    • Lower Dry Eye Risk

    Corneal nerves are less affected, leading to reduced dry eye symptoms post-surgery.

    • Minimal Risk of Haze Formation

    Advanced laser algorithms and medications like Mitomycin-C significantly reduce post-op haze.

    What to Expect During Recovery?
    • Day 1-3: Mild discomfort, foreign body sensation, light sensitivity.
    • Day 3-5: Vision clarity improves as epithelial healing completes.
    • 1-2 weeks: Functional vision stabilizes.
    • 1-3 months: Sharp, clear vision with minor fluctuations as healing completes.
    • Bandage contact lenses are typically removed by Day 4-5.
    • You’ll be prescribed antibiotic and lubricating drops for a few weeks.
    Who is an Ideal Candidate for TransPRK?
    • You have thin corneas unsuitable for LASIK.
    • You’re involved in contact sports or professions with a risk of eye injury.
    • You’re looking for a fully touch-free, bladeless vision correction procedure.
    • You are prone to dry eye symptoms.
    • You have mild surface irregularities that need smoothing.
    TransPRK vs Epi-LASIK vs PRK — Quick Comparison
    Aspect TransPRK Epi-LASIK PRK
    Epithelial Removal Laser-based (Touch-Free) Mechanical separation Alcohol-assisted/manual scrape
    Flap Creation None None None
    Discomfort Level Mild (better than PRK/Epi) Mild to moderate Moderate
    Healing Time 3-5 days 4-6 days 5-7 days
    Precision of Treatment Highest (single-step laser) High High
    Corneal Strength Preservation Excellent Excellent Excellent
    Why Choose Vision & Beyond for TransPRK?

    At Vision & Beyond, we’re proud to offer the latest Touch-Free TransPRK technology for patients who need a safe, reliable, and blade-free alternative to LASIK. With:

    • State-of-the-art excimer laser platforms designed for TransPRK,
    • Highly experienced surgeons specializing in surface ablation techniques,
    • Comprehensive pre-surgery screening for corneal thickness, topography, and visual needs,
    • Personalized care throughout the recovery process—

    We ensure you receive the best visual outcomes with maximum safety and comfort.

    Final Takeaway

    TransPRK (Touch-Free LASIK) represents the future of blade-free, flapless laser vision correction. It’s especially beneficial for individuals with thin corneas, active lifestyles, or anyone looking for the safest, least invasive laser eye surgery option.

    While recovery is slightly longer than LASIK, the precision, safety, and long-term corneal integrity preservation make TransPRK a highly reliable procedure.

  • Contoura Vision LASIK: The Pinnacle of Customized Laser Eye Surgery

    If you’re considering LASIK to get rid of glasses or contact lenses, you’ve probably come across the term Contoura Vision LASIK. Touted as the most advanced LASIK technology available today, Contoura Vision combines the precision of Femtosecond (FS) Blade-Free LASIK with highly detailed, customized corneal mapping to deliver superior visual outcomes.

    But what exactly is Contoura Vision? How is it different from other LASIK procedures? And who can benefit from it the most?

    Let’s dive into the world of Customized FS LASIK – Contoura Vision and understand why it’s often called the next-generation LASIK.

    What is Contoura Vision LASIK?

    Contoura Vision is an advanced form of topography-guided LASIK surgery that not only corrects your glasses number but also treats irregularities on the surface of the cornea.

    Unlike standard LASIK, which corrects spherical (myopia/hyperopia) and cylindrical (astigmatism) power, Contoura Vision goes a step further by:

    • Mapping 22,000 unique points on the cornea.
    • Correcting microscopic irregularities that affect the quality of vision.
    • Providing sharper vision clarity with reduced glare, halos, and night vision issues.
    How is Contoura Vision Different from Standard LASIK?
    FeatureStandard LASIKContoura Vision LASIK
    Corneal MappingGeneralised mappingTopography-guided mapping of 22,000 corneal points
    Correction of Glasses PowerYesYes
    Correction of Corneal IrregularitiesNoYes
    Visual Quality ImprovementCorrects refractive errorCorrects refractive error + improves visual quality
    Technology UsedBlade/Femtosecond + Excimer LaserFemtosecond Laser + Excimer Laser + Topolyzer™
    Night Vision (Glare, Halos)May persist in some patientsSignificantly reduced due to surface regularization
    How is the Contoura Vision Procedure Done?
    1. Detailed Pre-Operative Mapping:
    • A Topolyzer Vario™ machine maps over 22,000 points on the corneal surface.
    • This data captures even the finest irregularities that affect visual clarity.
    2. Femtosecond (Blade-Free) Flap Creation:
    • A femtosecond laser creates a precise, uniform corneal flap with no blades involved.
    • Ensures better safety and faster healing.
    3. Customized Laser Ablation:
    • Using the detailed topography data, an excimer laser precisely reshapes the cornea.
    • The ablation pattern is uniquely tailored to each patient’s eye profile.
    4. Flap Repositioning:
    • The flap is carefully placed back in position to heal naturally without stitches.
    Advantages of Contoura Vision LASIK
    1. Better Than 6/6 Vision (Supervision)
    • Many patients report vision sharper than their best spectacle-corrected vision (6/5 or even 6/4.5).
    2. Customized for Each Eye
    • Since every cornea is unique, Contoura Vision tailors the treatment individually, even if your glasses prescription is similar.
    3. Reduces Night Vision Issues
    • By correcting corneal irregularities, Contoura minimizes night glare, halos, and starbursts.
    4. Flapless Precision with Femtosecond Laser
    • Ensures a safer, bladeless flap creation process, reducing complications.
    5. Faster Recovery
    • Most patients notice clearer vision within 24-48 hours.
    • Resumption of routine activities is quicker compared to traditional LASIK.
    Who is an Ideal Candidate for Contoura Vision?
    • Age 18 years and above.
    • Stable spectacle power for at least 1 year.
    • Healthy corneas with adequate thickness.
    • No active eye infections or diseases.
    • Patients seeking premium visual outcomes, especially those:
    • Bothered by night driving glare.
    • With mild corneal surface irregularities.
    • Professionals needing precision vision (pilots, photographers, athletes).
    Limitations of Contoura Vision

    While Contoura Vision is a breakthrough, it’s important to know:

    • Not everyone is eligible. Corneal topography must meet specific criteria.
    • Hyperopia corrections are limited.
    • Slightly higher cost compared to standard LASIK.
    Contoura Vision vs SMILE vs Custom LASIK — Quick Comparison
    AspectContoura Vision LASIKSMILECustom (Wavefront) LASIK
    Flap CreationFemtosecond Blade-FreeFlapless (small incision)Blade-Free or Bladeless
    Surface Irregularity CorrectionYesNoPartially
    Night Glare/HalosSignificantly ReducedMinimalReduced
    Dry Eye RiskModerateLowerModerate
    Ideal ForPerfectionists, irregular corneasActive lifestyles, dry eyesGeneral visual quality improvement
    Why Choose Vision & Beyond for Contoura Vision LASIK?

    At Vision & Beyond, we believe that every eye is unique and deserves a personalized vision correction solution. With state-of-the-art equipment, precise diagnostic tools, and experienced surgeons, we ensure:

    • World-class Contoura Vision LASIK outcomes.
    • Patient-centric care and counseling.
    • Transparent guidance on the best-suited procedure for you.
    Final Takeaway

    If you’re looking for the sharpest, clearest vision possible—beyond just removing your glasses power—Contoura Vision LASIK is the gold standard. It’s the most personalized LASIK procedure available today, offering exceptional visual clarity and quality of life improvements.

  • ICL Lenses (Implantable Collamer Lenses): The Permanent Solution for Clear Vision Without Touching Your Cornea

    If you’ve been told you’re not a candidate for LASIK or SMILE due to high refractive errors, thin corneas, or dry eyes, there’s an advanced alternative that can still help you get rid of your glasses or contact lenses — ICL (Implantable Collamer Lens) surgery.

    Often called the “Implantable Contact Lens”, ICL is a safe, effective, and reversible option for vision correction that provides high-definition clarity without reshaping your cornea.

    What is an ICL (Implantable Collamer Lens)?

    An ICL is a soft, flexible lens implanted inside your eye, between the iris and the natural crystalline lens. Unlike cataract surgery where the natural lens is removed, ICL surgery preserves your natural lens while adding an extra lens inside the eye to correct refractive errors.

    The ICL is made of Collamer, a biocompatible material that contains collagen, making it highly compatible with the human eye and providing UV protection.

    How Does an ICL Work?
    • Refracting (bending) light correctly onto the retina.
    • Correcting myopia (up to -20.00 D), astigmatism (up to -6.00 D), and in some models, even mild hyperopia.
    • Acting like a permanent contact lens inside the eye, but with no maintenance.
    • Since the cornea is untouched, natural corneal structure and thickness are preserved.
    Who is an Ideal Candidate for ICL Surgery?
    • You have high myopia (> -10.00 D) or significant astigmatism.
    • Your corneal thickness is insufficient for LASIK or SMILE.
    • You suffer from chronic dry eyes.
    • You want a reversible, additive procedure.
    • You’re aged 21-45 years with a stable prescription.
    • You have healthy anterior segment anatomy (adequate anterior chamber depth and endothelial cell count).
    Types of ICLs
    1. EVO Visian ICL (With Central Port)
    • The latest generation of ICL lenses.
    • Features Central Flow Technology: a tiny hole in the center of the lens to allow natural flow of aqueous humor.
    • No need for preoperative laser iridotomies (holes in the iris).
    • Corrects myopia and astigmatism (Toric EVO ICL).
    • Offers UV protection and a high-definition visual experience.
    2. Visian ICL (Earlier Models)
    • Earlier models without the central port.
    • Requires preoperative laser iridotomy to prevent intraocular pressure build-up.
    • Still provides excellent visual outcomes but is being gradually replaced by EVO ICL.
    3. Toric ICL
    • Corrects astigmatism in addition to myopia.
    • Available in both EVO and earlier versions.
    • Allows patients with significant cylindrical errors to achieve sharp, spectacle-free vision.
    The ICL Surgery Procedure: Step-by-Step
    1. Preoperative Assessment:
    • Comprehensive eye examination including corneal topography, anterior chamber depth (ACD), and endothelial cell count (ECC).
    • Measurement of eye size to determine exact ICL size and power.
    2. Surgery Day:
    • The procedure is done under topical (eye drop) anesthesia.
    • A small incision (2.8-3 mm) is made on the cornea.
    • The ICL is folded and inserted into the posterior chamber (behind the iris).
    • It is then unfolded and positioned perfectly without sutures.
    • The incision self-seals, and you’re typically free to go home in a few hours.
    3. Postoperative Care:
    • Antibiotic and anti-inflammatory drops are prescribed.
    • Follow-ups are scheduled to monitor ICL position and eye pressure.
    Advantages of ICL Lenses
    1. Suitable for High Powers
    • Corrects very high levels of myopia and astigmatism where LASIK and SMILE fail.
    2. Preserves Corneal Structure
    • The cornea remains untouched, making it safe for patients with thin corneas or irregular topographies.
    3. Reversible Procedure
    • The ICL can be removed or replaced if necessary in the future.
    4. High-Definition Vision
    • Patients often report better contrast sensitivity and night vision compared to laser-based procedures.
    5. Low Dry Eye Risk
    • Since corneal nerves remain intact, ICL surgery does not worsen dry eyes.
    6. UV Protection
    • The ICL provides built-in UV filtering, protecting the retina from harmful UV rays.
    Risks and Disadvantages of ICL
    • Intraocular Procedure: Though very safe, it carries small risks like infection (endophthalmitis).
    • Cataract Formation: Rare, but improper sizing or vaulting of the ICL can increase this risk.
    • Elevated Intraocular Pressure (Glaucoma): Particularly in older ICL models without central flow.
    • Endothelial Cell Loss: Regular monitoring is necessary to ensure corneal health.
    ICL vs LASIK vs SMILE — Quick Comparison
    Feature ICL (EVO Visian) LASIK SMILE
    Procedure Type Intraocular lens implantation Corneal reshaping with flap Corneal reshaping without flap
    Refractive Error Range Myopia up to -20D, Astigmatism up to 6D Myopia & Astigmatism up to -10D Myopia up to -10D with Astigmatism
    Ideal for Thin Corneas Yes No Sometimes
    Dry Eye Risk Minimal Moderate to High Low
    Reversibility Yes No No
    Recovery Time 1-2 days 1-2 days 1-2 days
    Why Choose Vision & Beyond for ICL Surgery?
    • Personalized ICL sizing and power selection.
    • Minimally invasive micro-incision techniques.
    • Expertise in managing high refractive errors and complex cases.
    • Meticulous follow-up care to guarantee safe, long-term results.
    Final Takeaway

    For patients seeking a permanent, reversible, and high-definition vision correction solution, ICL lenses offer unmatched clarity and safety, especially in high refractive errors or corneal conditions where laser procedures are not suitable.

    With modern advancements like the EVO Visian ICL with Central Flow, this procedure is now safer, faster, and more comfortable than ever before.