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1 Change your life with laser eye surgery OX LES 12pp SA Ireland.indd 2 19/2/13 11:51:36 1

2 Wake up every day to HD vision High Definition Change your life icture the first time you saw High Definition television. The surgery itself typically takes only minutes to perform How amazing it was to see every face in a football crowd, yet the impact it can have on your life can be everlasting. to see nature in stunning detail and your favourite soap Our patients tell us that laser eye surgery has changed opera brought to life. their lives and the most common statement we hear is How much more amazing would it be if you could transfer I wish I had done it sooner. that sharpness and vibrancy to your own eyesight... After reading through these pages, you will have taken without the need for your glasses or contact lenses? your first step towards joining the millions of people Imagine a world where you can wake up and read the time on the alarm clock at your bedside; recognise worldwide who now enjoy freedom from wearing their glasses and contact lenses. a friend from across the street; see which bottle is the Your eyesight is one of life s most precious gifts and shampoo when you shower or dive into a swimming pool we understand the decision you are about to take without a second thought. is an important one. We believe that once you have That s how laser eye surgery can change your life. Laser eye surgery has been performed for more than 20 years in the UK and Ireland and over 30 million treatments have been carried out worldwide. What you may not be aware of is that Optical Express has performed over one million of those treatments. finished reading, you will see that Optical Express is the right choice. For the vast majority of patients who want freedom from their glasses and contact lenses, laser eye surgery is the treatment of choice. However, you may be better suited to natural lens replacement. Optical Express offers both laser eye surgery and Laser eye surgery is now one of the most common and natural lens replacement, performing more of these successful elective surgical treatments available. procedures each week in the UK and Ireland than any other private provider. The vision care specialists OX LES 12pp SA Ireland.indd /2/13 11:51:44

3 OX LES 12pp SA Ireland.indd 4 19/2/13 11:51:46 3 Your peace of mind As the only national provider of complete eye care, Optical Express has been looking after the vision and health of patients eyes for over twenty years, providing expert eye care for people of all ages. You can rest assured that the technology we use in all our clinics during your consultation, treatment and aftercare will involve the industry leader in laser eye surgery technology. As one of the world s largest providers of laser eye surgery, we have invested over 2400 million in our clinics to ensure our surgeons have access to the most advanced technological innovations in laser eye surgery. All of our treatments are performed using the VISX STAR S4 IR excimer laser system which is proven to deliver safe, accurate and precise results. The VISX STAR S4 IR laser has been used to treat professional athletes, celebrities and even NASA astronauts. At Optical Express, we maintain the highest standards in every aspect of our treatments and nowhere is that more evident than with our highly skilled team of experienced surgeons. Dr Steve Schallhorn, Chief Medical Director and Chairman of the Optical Express International Medical Advisory Board, is former Director of Refractive Surgery for the U.S. Navy and is internationally acknowledged as one of the most respected eye surgeons in the world. He has also served as a consultant to NASA and the FBI, among others. Every Optical Express ophthalmic surgeon has a proven track record of best practice standards in the field of laser eye surgery and many have enhanced their experience by operating throughout the world. All of our surgeons are registered in accordance with professional guidelines and are fully registered with the Medical Council. In addition, all of our surgeons are assessed annually to ensure they deliver the highest quality of care, continually improve their knowledge of recent developments in the field and are kept up to date with industry regulations. You can view the individual qualifications and experience of each of our surgeons on our website. opticalexpress.ie

4 Your consultation You can trust Optical Express to take care of your most The following preparation period is essential when precious sense...your sight. planning a date for your consultation. At Optical Express we understand that choosing to have corrective eye surgery is an extremely important Soft lenses Leave out for 1 day decision, which is why we want to make your journey as Hard or gas permeable Leave out for 1 day straightforward as possible. We are committed to ensuring all your needs and During your consultation, dilating eye drops are used expectations are taken care of. From your initial to enlarge the pupil of the eye, allowing your optometrist consultation to treatment day and aftercare, we will to examine your eyes in greater detail. While completely be with you every step of the way. painless, the drops may blur your vision and make you Your consultation will include one of the most in-depth eye examinations you will ever have and you should expect to be with us for approximately two hours. During this time, you will meet your laser technician and specialist optometrist who will discuss your past eye health, your general health, your occupational and lifestyle requirements. You will then have a detailed eye more sensitive to light, typically for a few hours. As it is not advisable to drive during this time, you should arrange alternative transport home from your consultation. When your eye assessment is complete, your optometrist will explain the best treatment options available to you and talk you through the key points relating to your recommended treatment. assessment including a number of clinical measurements Typically, you will have to attend only one detailed and automated scans. consultation with your next visit being to a surgery clinic If you wear contact lenses, you should stop using them Our clinical study* of 100,294 Optical Express patients showed that following surgery: 99.9% 99.4% 97.0% could see well enough to legally drive a car. achieved 20/20 (6/6) vision or better. achieved 20/16 (6/5) vision or better. on the day of your treatment. for at least one day prior to your consultation, as wearing This is your consultation and we encourage you to ask them can temporarily change the shape of your cornea your optometrist any questions that you have. and your test results. The vision care specialists OX LES 12pp SA Ireland.indd 5 4 *Optical Express Biostatistics December 2012, 100,294 patients. Based on a study of the most common prescriptions of patients that we treat; low to moderate near sightedness of patients 40 years or younger. 19/2/13 11:51:53

5 Your treatment You can be confident Optical Express will provide Important measurements will be taken and the final you with their very best care and attention, helping you recommendation whether to proceed with your treatment will settle into your treatment day with ease. be made by your surgeon. In a small number of cases, the We would advise you to wear loose, comfortable clothing and avoid wearing any make-up, nail polish, creams, deodorant, perfume or aftershave. surgeon may recommend a different treatment based on your assessment on the day. You will then be taken into the treatment room where your clinical team will make sure you are comfortable. If you wear soft contact lenses you must stop wearing them for at least one week prior to treatment. If you wear hard or gas permeable lenses, you must stop wearing them for around one month. Your optometrist will have advised you of a suitable stop date during your consultation. After treatment you will be taken to the recovery room to rest and relax before you are discharged. Your eyes may be sensitive to light and we advise you to have a pair of non-prescription sunglasses to wear during your journey home. We would also recommend you go home and sleep for a few hours. Soft lenses Leave out for 1 week Hard or gas permeable lenses Leave out for 1 month You should rest your eyes for the remainder of that day and avoid reading or intense computer use during that period. Your first aftercare appointment will be the following day You should allow a half-day for your visit to the treatment and it is important that you attend to ensure your recovery clinic. Once you arrive you will be shown to our rest area gets off to the best possible start. where a member of your clinical team will explain your aftercare and recovery. Your will also receive eye drops for use during this recovery time. On both your treatment day and following the next day s appointment, you will NOT be able to drive, so please make sure you arrange alternative transport. The team at your Your surgeon will advise you what to expect during your chosen clinic can help you with transport arrangements surgery and answer any questions you may have. if required. To book your FREE consultation call OX LES 12pp SA Ireland.indd 6 opticalexpress.ie 19/2/13 11:51:57 5

6 Laser eye surgery explained Treatment types Laser eye surgery is a life changing experience that can improve many aspects of everyday living. Laser eye surgery is performed under local anaesthetic (eye drops) as a cool laser beam gently reshapes the clear outer surface (cornea) of your eye to correct your vision. The actual laser treatment itself will typically take less than 60 seconds per eye. There are two types of treatment: LASIK and LASEK. Both treatments are suitable to correct short sightedness, long sightedness and astigmatism. LASIK treatment may be enhanced with IntraLase while both treatments can be enhanced with Wavefront technology. During your consultation, your specialist laser optometrist will explain in detail the differences between the two treatments and why you may be more suited to one treatment than another. The VISX STAR excimer laser platform is the most commonly used eye laser in the world. All of our laser treatments are performed using the VISX STAR S4 IR Excimer Laser System featuring Iris Registration, designed to bring Advanced CustomVue laser eye surgery to a whole new level. Superior technology Iris registration assesses the exact position of your eye to ensure a precise and accurate treatment while ActiveTrack 3D technology tracks tiny movements of your eye and guides the laser to follow them. If eye movements are too large the tracker will automatically pause the procedure, only allowing the treatment to proceed once the eye is back in its proper position. With VRR (Variable Repetition Rate), the laser will pulse at different rates according to the size of the area being treated. When treating a smaller area, the laser pulses more rapidly, effectively shortening the overall amount of time needed for your treatment. This limits cornea dehydration leading to more accurate treatments. VSS (Variable Spot Scanning) Refractive Technology allows the laser beam to be adjusted for size and shape. This VISX technology allows your surgeon to choose the precise configuration to suit your individual needs. Unlike laser systems that do not have this technology, the VISX STAR S4 IR is able to ensure that only the necessary amount of corneal tissue is removed, resulting in safer treatments with more accurate outcomes. This technology is unique to the VISX STAR S4 IR. NASA approved The laser technology available in every Optical Express clinic is the same technology that led NASA to approve laser eye surgery for astronauts. Approval was given following their review of extensive military clinical data using Abbott Medical Optics Inc. (AMO) Advanced CustomVue LASIK with IntraLase, which showed the combination of technologies provides superior safety and vision. NASA s approval is further evidence that today s LASIK exceeds all established standards of safety and effectiveness. Dr Steve Schallhorn, former NASA consultant and Optical Express Chief Medical Officer. The vision care specialists OX LES 12pp SA Ireland.indd 7 19/2/13 11:51:58

7 LASIK or LASEK LASIK explained LASEK explained LASIK treatment is the most commonly used method of laser eye surgery. A protective layer is created in the corneal stroma and a cool, computer controlled laser beam is then applied to the cornea. LASEK is similar to LASIK except that a protective layer Typically, both eyes are treated on the same day and are allowed to recover naturally. LASIK treatment typically has a short recovery time of about 1-2 days, following which patients return to many of their normal daily activities. atients often see significant improvement in vision within a few hours of treatment, generally returning to work after 48 hours. Both eyes are treated on the same day and a protective IntraLase Wavefront During LASIK treatment, the protective layer can be created using the standard mechanical method or by the more popular IntraLase method. Most of our patients choose the IntraLase method whereby a precision laser is used for the first step of the procedure prior to the vision correction. The IntraLase method allows your surgeon to further customise your treatment and has been shown in published studies to result in faster recovery. is not created. Instead, the laser treats the surface of the eye. This treatment is generally the preferred option for people whose corneas are thinner or more curved. bandage contact lens is applied for additional comfort as your eyes heal. Healing time is slightly longer than with LASIK, with good vision typically achieved in four to seven days, followed by a period of adjustment lasting several weeks. Wavefront is an advanced form of excimer laser technology used to measure and correct the unique imperfections of your vision as part of LASIK or LASEK treatment. Just like a fingerprint, your eyes are unique. Wavefront technology can measure and correct those unique imperfections 25 times more precisely than the conventional methods used for glasses and contact lenses. In addition to your standard eye prescription, a WaveScan measurement of each eye is taken to identify minute imperfections. This information is digitally transferred to the laser prior to your treatment, to provide precise results. opticalexpress.ie OX LES 12pp SA Ireland.indd 8 19/2/13 11:52:01 7

8 New Generation ifs 150 IntraLase The ifs 150 IntraLase technology takes the first step of laser eye surgery to a whole new standard of speed and control, providing you with a superior choice to create your protective layer. The ifs 150 IntraLase laser precisely focuses on a point within the cornea and uses microscopic, rapid pulses of laser light to create your protective layer. The laser scans back and forth across your eye creating a uniform layer of bubbles just beneath the surface of your eye. This typically takes less than 10 seconds per eye. This allows your surgeon to precisely design and control all aspects of the protective layer such as thickness, circumference and the angle of its edges; effectively tailoring your treatment to the precise shape of your eye. The benefits of IntraLase include: Faster treatment Faster results Extra precision Improved patient satisfaction Additional accuracy Faster healing (leading to improved visual recovery times) IntraLase is also of particular benefit to patients with steep, flat or thin corneas that may not be suitable for LASIK surgery performed using the standard method. Optical Express is the only national provider to offer the latest generation ifs 150 Intralase technology in every clinic, providing you with the most up-to-date technology available. To book your FREE consultation call The vision care specialists OX LES 12pp SA Ireland.indd /2/13 11:52:11

9 Advanced CustomVue Wavefront With standard LASIK and LASEK treatments, a uniform correction is made across your eye. As no visual pathway is perfectly uniform, we offer Advanced CustomVue Wavefront technology to further customise both LASIK and LASEK treatments and provide even better vision. Wavefront technology was used by NASA to treat the imperfections in the Hubble Space Telescope by reducing distortions when viewing distant objects in space. Now, that same technology is used to provide superior laser treatment that simply couldn t be achieved otherwise. Multiple points of light are shone into your eye, passed through your entire optical pathway, then reflected back and captured to provide a detailed map of all optical imperfections. As with fingerprints, no two people have identical Wavefront maps. Indeed, even each of our own eyes is different. While standard LASIK and LASEK still achieve excellent results, Wavefront technology offers more detailed measurements to identify minute optical imperfections unique to each eye, producing more precise results. Better Night Vision The precise measurements achieved using Advanced CustomVue Wavefront can correct your vision to a level beyond that of your glasses or contact lenses, providing superior quality of vision, reducing halos and glare, leading to better night vision. Advanced CustomVue Wavefront is the preferred choice to treat several types of prescription commonly referred to as lower and higher order optical aberrations. Lower-order aberrations are simple vision errors such as myopia (short sightedness), hyperopia (long sightedness), and astigmatism (irregular shaped cornea). Higher-order aberrations are more complex irregularities that can result in difficulty seeing at night, or can cause glare, halos, starburst patterns or double vision (diplopia). While only lower order aberrations can be measured and treated by standard laser eye surgery, both lower and higher order aberrations can be treated with Advanced CustomVue Wavefront to further customise your treatment. Wavefront technology is best suited to those looking for the highest quality of vision particularly at night, and is often best suited to those with higher prescriptions. opticalexpress.ie OX LES 12pp SA Ireland.indd 10 19/2/13 11:52:25 9

10 Natural lens replacement explained Treatment Lens replacement surgery is used to treat cataract and is also one of today s most commonly performed elective surgery procedures for correcting vision. This involves either replacing your natural lens with a synthetic lens (much like a contact lens) or inserting a custom lens to correct your vision. Over 16 million people worldwide benefit each year from the visual freedom achieved following lens replacement. Each eye is treated separately, about one week apart, under a combination of local anaesthetic and light sedation, so you will be unable to eat or drink before your treatment. Your specialist optometrist will advise you in more detail The more sophisticated Multifocal lens option can provide near, distance and intermediate vision, reducing or removing the need for glasses. The majority of Multifocal patients exceed UK driving standard while still being able to use a computer and read newspaper print without glasses. Alternatively, you may have Monovision, where one eye is given a lens for distance vision and the other a lens for close up vision. Monovision may take a little getting used to. During your consultation process, we offer a trial using contact lenses to simulate the result and let you see how Monovision works for you. during your consultation. Correcting your natural lens Replacing your natural lens In this procedure, a small incision is made in the front of the eye and a bespoke lens is fitted just behind the cornea to assist your natural lens in correcting your vision. The lens is implanted without removing the eye s natural lens. We offer both hakic Intraocular lenses and Implantable A microscopic incision of less than 3mm is made to remove your natural lens which is then replaced by a synthetic lens, giving you excellent vision for life with the additional benefit of acting to prevent cataracts in later years. We offer both Refractive Lens Exchange (RLE) and Cataract treatments, typically taking less than 20 minutes to perform, with fast visual recovery. Two common types of lenses can be used during lens replacement surgery. Monofocal lenses focus on one point of vision typically for distance. This means that after treatment, patients still require glasses to perform close up tasks such as reading. Contact Lenses. Astigmatism Most patients have low to moderate astigmatism; a toric lens can also treat those with high astigmatism. Similar to how your glasses or contact lenses can easily correct astigmatism, a special toric lens can be used during lens replacement to correct not only your astigmatism but also both long and short sightedness. The vision care specialists OX LES 12pp SA Ireland.indd /2/13 11:52:53

11 Aftercare Following your laser eye or lens surgery, you can rest assured that Optical Express will continue to look after you and provide comprehensive aftercare tailored to your specific needs. Following your treatment, Optical Express will check your progress regularly to ensure that your recovery is progressing naturally. At one day, one week, one month, through your aftercare appointments and beyond, 24-HOUR medical helpline FREE comprehensive aftercare FREE enhancement treatment FREE eye tests for life Largest number of aftercare locations in UK & Ireland Optical Express is here for you. To book your FREE consultation call opticalexpress.ie OX LES 12pp SA Ireland.indd 12 19/2/13 11:53:02 11

12 The UK and Ireland s leading Optical Express vision care specialist Laser eye surgery that ticks all the boxes Our Clinics: Our Surgeons: We Offer: We carry out 1,000 s of treatments every week in the UK and Ireland Consultation and treatment clinics nationwide, offering the largest geographical coverage We use state-of-the-art diagnostic equipment in every clinic Over #400 million invested in our clinics and technology We use the VISX STAR S4 IR laser exclusively; the most commonly used laser in the world We have Advanced CustomVue Wavefront and ifs 150 IntraLase technology in every clinic The NASA approval to treat astronauts was based on the same laser technology that is available in every Optical Express clinic All Optical Express surgeons are registered with the Medical Council Our highly skilled team of experienced surgeons have carried out over one million procedures worldwide The Optical Express International Medical Advisory Board (IMAB) comprises many of the world s leading ophthalmic surgeons and assesses all Optical Express surgeons annually IMAB is headed by Dr Steve Schallhorn former Head of Ophthalmology for US Navy and advisor to NASA Laser eye surgery and natural lens replacement All vision care solutions - glasses, contact lenses, laser eye surgery, cataracts, natural lens replacement Completely free, no obligation consultation Free comprehensive aftercare for all our patients To book your FREE consultation call The vision care specialists ROIFEB OX LES 12pp SA Ireland.indd 1 19/2/13 11:51:33

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