Why Your Eye Surgeon Needs to be Local

Corporate medicine has its benefits and its downfalls. In regards to the refractive surgery field, there are more downfalls to a corporate practice than there are benefits. But first, let’s take a look at what the difference is between a local ophthalmology practice and a corporate one.

Local Ophthalmology Practice

A local ophthalmology practice is one that has one or just a few locations, all found within the same state, the same geographical region. The doctors and staff are all from the area as well.

Local practices are usually owned by the doctor or surgeon, or a small group of doctors or surgeons. They are responsible for all of the decisions regarding staffing, technology, services offered, and everything else that is included with their particular practice.

Corporate-Owned Ophthalmology Practice

A corporate-owned ophthalmology practice is one that has multiple locations, usually nationwide. These practices are run through a company, which is run by a board of directors. They often only offer one or two services, usually just LASIK, and maybe PRK. They employ thousands of doctors and traditionally these doctors work at multiple locations. They travel to different locations, perform surgery and then travel to another location. Some doctors even travel to different states just to perform surgeries.

All decisions are made by a board of directors, not the staff or doctors working in each particular location.

The Difference

So what’s the difference? Why should you choose one location over the other?

Doctor Availability

Perhaps the biggest factor in why you should really know the difference between the two types of ophthalmology practices is doctor availability. In a locally owned practice, the doctor lives in or near town. S/he works at the practice full-time and performs consultations, the planning of treatment, the surgery, and the post-operative follow-up exams on each patient that comes through the door. They have a relationship with their patients, and they are most likely there for anything the patient may need.

In a corporate practice, the doctor sees patients at multiple locations. S/he will fly in, review the chart and work-up of the patient without even meeting or personally examining the patient, perform the surgery, and then fly off. This means that the surgeon that performs your particular surgery is not available for pre-surgery exams, follow-up, or even during emergency-related issues that may have resulted from your surgery. They usually have an optometrist perform these tasks. An optometrist, while a perfectly capable doctor, is not trained in the actual performance of the surgery. If a complication arises that the optometrist is not qualified to respond to, where are you going to go? Who’s going to help?

Sometimes an optometrist refers a patient for LASIK. When this happens, the LASIK surgeon will perform the surgery and then refer you back to your optometrist for follow-up exams. This works well when you are referred to a local practice, so that your surgeon will still be available for any emergency issues that may arise.

So which would you prefer – a surgeon operating on your eyes, someone you’ve never met, who’s never actually seen your eyes and who won’t be around if you have an emergency? Or would you rather have someone who is local, available throughout the week, and who takes it as a personal responsibility to care for you and your eyesight?

Check back in next week when we continue this topic and discuss The Right Procedure for Your Eyes.

LASIK and Dry Eyes

Perhaps the most common side effect to LASIK is dry eyes. Most of our patients experience a little dry eye after the procedure. This temporary issue can be relieved with eye drops and it will usually correct itself within about a month.

According to FDA trials, 20% of LASIK patients still experience dry eye even six months after LASIK. While this side effect may be annoying, it can be treated with punctual plugs or medications.  This effect may be reduced by treating with Restasis from the time of surgery, also which improves regeneration of corneal nerves and corneal sensation.

At Eye Clinic of Austin, most all of our patients are free of this irritation after one year. This is why the post-LASIK follow-up appointments are absolutely necessary. We take your vision very seriously and we want to make sure you can see clearly for years to come.

LASIK works by correcting the cornea of your eye. LASIK can have you seeing clearly for many, many years depending upon what age you receive treatment. If you are not a good candidate for LASIK, there are other procedures that can be performed to correct your vision. Learn more about laser vision correction with Eye Clinic of Austin.

Fears and Misconceptions of Vision Correction – Losing Your Vision

Glasses and contacts have their benefits – mainly helping people with refractive errors see clearly. Since the late 90’s, lasers have been used to correct these refractive errors in very safe and effective ways. Procedures such as LASIK and PRK have been providing patients with clear vision for over 15 years now. However, many people continue to put up with the inconveniences of glasses and contacts because they have fears or misconceptions about laser vision correction, like LASIK.

One of the most common fears of laser vision correction is losing vision as a result of the procedure. This fear comes from not understanding how your eye works and how specifically laser vision correction works.

How LASIK Works

There are three main parts to the human eye: the cornea, the lens, and the retina. In normal vision, the cornea refracts (bends) light so it can be directed correctly through the lens and onto the retina. The retina works as a transmitter to transfer the message to your brain, where it processes the message to tell you what you are looking at. Refractive errors – nearsightedness, farsightedness, astigmatism – are caused by the cornea being slightly misshapen. LASIK utilizes cool lasers to reshape the curve of the cornea so you can have normal, clear, vision.

Prior to surgery, your surgeon will map out your specific eye and plan out exactly how to correct your vision. Your surgeon will then program this plan into the laser, ensuring that the correct amount of your cornea is altered.

There are risks associated with laser vision correction, mainly dry eye. It is essential to ensure that you are an excellent candidate prior to receiving treatment, to give you the best results possible.

To find out more about LASIK, including risk information, see our website. To schedule a Free LASIK Consultation, give us a call today at 512-427-1125.

Fears and Misconceptions of LASIK – Is the Price Worth it in the Long Run?

We have personally seen many different types of people come through our Free LASIK Consultation. Some people question technology, some concern themselves with safety, and many are concerned that the cost of the procedure may not outweigh the benefits. Since our website deals largely with the issues of technology and safety, let’s address the issue of cost versus benefits.

First, let’s look at the benefits of a laser vision correction procedure, like LASIK or PRK:

It is possible for a patient to achieve 20/20 eyesight, or even better, with laser vision correction. You could live your life waking up and seeing immediately instead of searching for your glasses. You can experience the spontaneity of life, such as jumping in a swimming pool, playing in the rain, or going out on a windy day, without the fear of how any of these actions may affect your contacts and your ability to see. You can take a nap, free from the worry of taking your contacts out of your eyes first. You don’t have to rush to the store every time you are out of contact lens solution or order more glasses when yours accidentally break. You will be able to see life, naturally.

Is all that worth the cost of LASIK? 

Our patients think so. 

"As someone who has worn glasses/contacts for over 12 years, I can honestly say that the LASIK procedure completely changed my life! Waking up in the morning and being able to see the clock without having to squint or put on my glasses was incredible to me. If you are thinking about having LASIK, I totally recommend it, it is so worth it! The staff at the Eye Clinic of Austin are so great and they really make you feel at ease."

- Lauren S.

However, some people have heard that people who have had LASIK eventually return to wearing glasses. How can this be if they have already had their vision corrected?

Let’s clear up one fact – LASIK or laser vision correction will NOT give you excellent vision for your whole lifetime. 

Wait – what?

It’s true. Your eyes are living organs and there are certain, inevitable conditions that occur due to aging. One of these conditions is known as Presbyopia. Presbyopia is when the natural lenses in your eyes begin to harden. When you are young, your lenses are flexible so they can adjust to seeing near and far. As you age, these lenses harden. When they lose their flexibility, bifocals or reading glasses are used to help your eyes adjust.

Another inevitable is cataracts. Everyone will develop cataracts as they age. The affect that a cataract has on your vision depends largely upon the degree to which they form. Some people will never notice the affect while others may go blind.

The age at which you develop cataracts and/or presbyopia is not predetermined. For some, the symptoms of presbyopia can begin appearing as early as 40. For others, they may not have any side effects until 50 or older. For cataracts, most don’t appear until your early 60s or even into your 70s.

So back to the question – is the cost of LASIK worth it in the long run?

Let’s say you are nearsighted and you purchase disposable contact lenses every month. Then you have to purchase cleaning solution each month. If you lose a contact, tear it, it falls out, etc., then you have to replace your monthly supply faster than anticipated. You also have to get a pair of glasses for the times you don’t have contacts or if you have an eye infection or you’ve worn your contacts for too long. These glasses can easily be lost or broken, so it’s not just a one-time expense.  

This is a cost you have to pay, every month, consistently for 20 or more years. You are stuck with plastic on your eyes and the constraints they present just so you don’t have to compromise the ability to see.

Or you can have laser vision correction and have your procedure paid off in two years or less. You'll gain the extra money in your budget and excellent eyesight to view life as it is. You’ll also gain the spontaneity that life has to offer because you can see clearly, naturally.