LASER VISION C ORRECTION REFRACTIVE SURGERY CENTER

LASER VISION C ORRECTION REFRACTIVE SURGERY CENTER

W e l c o m e Throughout our history, physicians at Mass. Eye and Ear have led clinical advances and research that have resulted in the discovery of disease-causing genes, the perfection of new diagnostic and treatment techniques, and patient-care discoveries. Today, Mass. Eye and Ear is an international leader in ophthalmology and otolaryngology, an affiliate of Harvard Medical School, and a global resource for patients and clinicians alike. If you are considering laser vision correction surgery, you can feel confident that the physicians at Mass. Eye and Ear s Laser Vision Correction Center offer unmatched experience and the latest techniques in the safety of one of the country s leading specialty hospitals. Patients can now have comprehensive evaluations completed at either our main center, 243 Charles Street, or at 800 Huntington Avenue, Boston (Mass. Eye and Ear, Longwood). L a s e r Vision Correction Center With advancements in technology happening at a rapid pace, the options for refractive vision correction have increased dramatically during the last few years. We are proud that Mass. Eye and Ear physicians and researchers have been at the forefront of many of these developments and have participated in many of the FDA reviewed clinical trials. If your vision is affected by nearsightedness (myopia), farsightedness (hyperopia), or astigmatism, you can trust the physicians at Mass. Eye and Ear to help you choose the right solution to achieve your vision goals. Our physicians perform thousands of vision correction procedures annually, using the most advanced techniques and technology available today. Our goal is to provide you with the facts and resources you need to make the decision that is best for your situation.

L a s e r Vision Correction Services 1. LASIK (Laser Assisted In-Situ Keratomileusis) 2. ASA (Advanced Surface Ablation) 3. Phakic Intraocular Lenses 4. Refractive/Clear Lens Exchange 5. ICRS (Intracorneal Ring Segments) 6. AK (Arcuate Keratotomy) P r e pa r i n g for Refractive Surgery Your personal goals and medical and vision history play an important role in determining which refractive surgical option is right for you. During your initial examination with members of Mass. Eye and Ear s Laser Vision Correction team, you will undergo a very thorough evaluation that will help your physician determine the options available to you. The evaluation steps include: Step 1. Setting your goals and expectations Step 2. Discussing your medical and ocular history Step 3. Testing your visual acuity and refraction Step 4. Dilation and re-testing of eyes Step 5. Reviewing the results

H o w The Eye Functions In the normal eye, the cornea focuses light onto the retina, producing an image that is crisp and clear. In the nearsighted eye, the cornea focuses light in front of the retina, while in the farsighted eye, light is focused behind the eye. For those with an astigmatism, an oval shaped cornea causes light to be focused at two different points in the eye. Regardless of the condition, the result is the same images appear blurred or fuzzy. S u r g i c a l Options This brochure provides a general description of the many refractive surgical options available to you at Mass. Eye and Ear. Which procedure is right for you depends on many factors including the nature of your vision problem, recuperation time, and your medical history. After undergoing a thorough vision evaluation, you and your physician will discuss your vision goals and determine which treatment is best for you. 1. LASIK (Laser Assisted In-Situ Keratomileusis) LASIK can correct varying degrees of nearsight edness (myopia), farsightedness (hyperopia), and astigmatism and is generally the treatment of choice for patients with high degrees of myopia or hyperopia. In LASIK surgery, the underlying surface of the cornea is reshaped with the laser, allowing light to be refocused and vision improved. LASIK surgery generally results in little or no post-operative pain and rapid recovery of vision. a. Excimer Lasers, such as the ALLEGRETTO WAVE or VISX CustomVue, are used to produce beams of invisible ultraviolet light energy, and remove microscopic amounts of tissue in the eye; this process reshapes the curvature of the eye. b. Femtosecond Lasers, such as the FS200 or the IntraLase, are an all laser approach to vision correction; they create thin flaps in the eye using short laser pulses. The flaps are then lifted from the eye s surface, and the curvature of the eye is corrected. 2. asa (Advanced Surface Ablation) ASA involves loosening surface skin cells in the eye and removing small amounts of eye tissue. The corneal surface is then treated with the laser. a. PRK (Photorefractive Keratectomy) reshapes the cornea with an excimer laser beam that emits ultra violet light after removing the epithelial surface layers of the cornea. b. LASEK (Laser Epithelial Keratomileusis) involves creating an epithelial sheet that is replaced after the PRK treatment. LASEK is a procedure that combines many of the advantages of LASIK and PRK in that there may be less discomfort than after PRK, and it is indicated in situations where LASIK cannot be performed (such as thin cornea and irregular corneal contours by topography). c. EpiLASIK uses a blunt blade to smoothly separate the epithelium from the cornea, creating a thin flap. 3. PHAKIC INTRAOCULAR LENSES Phakic Intraocular Lenses are clear, implantable lenses that are surgically placed between the cornea and the iris. The lenses allow light to focus on the retina, which causes clearer vision without glasses or contact lenses. The phakic intraocular lenses work from within the eye, unlike corrective lenses, which work from the surface of the eye. a. Visian ICL intraocular lenses are made to remain in the eye for a lifetime. Visian ICL lenses are able to treat patients with thin corneas, dry eyes, and patients with extreme refractive errors. 4. REFRACTIVE/CLEAR LENS EXCHANGE Refractive/Clear Lens Exchange is typically performed on patients with high degrees of hyperopia (farsightedness). In this procedure, the eye s natural lens is replaced with an artificial, intraocular lens. This corrects refractive error and helps achieve sharper focus. 5. icrs (Intracorneal Ring Segments) ICRS, also known as Intacs, is currently only available to treat a specific low range of nearsightedness (myopia). Two, tiny crescents or arcs made of a transparent plastic material are placed in the outer periphery of the cornea. Once in place, the two arcs flatten the cornea so that light rays properly focus on the retina. Intacs can be removed or replaced if vision changes. 6. ak (Arcuate Keratotomy) AK reduces spherical error, and employs two arcuate incisions to reduce astigmatic error. Recovery is generally brief.

F o l l o w-up Appointments It is very important to keep all scheduled follow-up appointments even if you feel you are doing fine and are not experiencing any problems. These visits will allow your doctor to monitor your recovery and check for subtle changes that you may not detect. C o n ta c t Informat i o n For more information on any of the procedures included in this brochure, please visit our website at: MassEyeAndEar.org/LaserVisionCorrection To schedule an appointment, please call the Laser Vision Correction Center at 617-573-3234 for the main campus or 617-573-3202 for 800 Huntington Avenue (Mass. Eye and Ear, Longwood). Mass. Eye and Ear 243 Charles Street Boston, MA 02114 617-573-3234 MassEyeAndEar.org/LaserVisionCorrection or Mass. Eye and Ear, Longwood 800 Huntington Avenue Boston, MA 02115 617-573-3202 MassEyeAndEar.org/Longwood

Mass. Eye and Ear 243 Charles Street Boston, MA 02114 617-573-3234 MassEyeAndEar.org/LaserVisionCorrection Mass. Eye and Ear, Longwood 800 Huntington Avenue Boston, MA 02115 617-573-3202 MassEyeAndEar.org/Longwood

Laser Vision Correction Staff at 243 Charles St., Boston, MA R o b e r t o Pineda II, M.D. Dr. Pineda is an Associate Professor of Ophthalmology at Harvard Medical School and the Director of the Laser Vision Correction Center. He was also former Chief Resident. He joined Mass. Eye and Ear in 1998 and served as Chief of Ophthalmology at the Brigham & Women s Hospital. His primary interest is in refractive surgery and anterior segment construction. Dr. Pineda has been a co-investigator in excimer laser FDA clinical trials and has developed tools used in managing LASIK complications. U l a Jurkunas, M.D. Dr. Jurkunas is an Assistant Professor of Ophthalmology at Harvard Medical School and a full-time faculty member of the Cornea and Refractive Surgery Service. Dr. Jurkunas underwent a two-year cornea and refractive surgery fellowship at Mass. Eye and Ear and now specializes in refractive surgery, corneal transplantation, and intraocular lenses. She has performed numerous laser vision correction procedures, published a variety of papers, and lectured nationally and internationally on corneal disorders and surgical techniques. In addition to her clinical work, she is a principal investigator of the National Institute of Health research grant to study corneal disease. MassEyeAndEar.org/LaserVisionCorrection continued on reverse 617-573-3234

Laser Vision Correction Staff at 243 Charles St., Boston, MA A m y Scally, O.D. Dr. Scally has been on staff at Mass. Eye and Ear since completing her residency training at the Bedford VA Hospital in Bedford, Massachusetts over ten years ago. Prior to her residency, Dr. Scally graduated from the New England School of Optometry. Dr. Scally also received a Bachelor of Science Degree in Biochemistry from Boston College. S a m i r Melki, M.D., Ph.D. Dr. Melki is an attending at Mass. Eye and Ear, where he completed his two-year fellowship training in corneal diseases and laser vision correction. He is a senior instructor with the American Society of Cataract and Refractive Surgery, where he teaches physicians from around the world. He is also an Assistant Clinical Professor at Harvard Medical School. He has authored three text books on the subject of Cataract and Refractive Surgery. Several instruments bear his name for his innovative design. Dr. Melki is also the Medical Director of Ophthalmology at the UK Specialist Hospitals in London. MassEyeAndEar.org/LaserVisionCorrection 617-573-3234

Laser Vision Correction Staff at 800 Huntington Avenue, Boston, MA Sheila Borboli-Gerogiannis, M.D., F.A.C.S. Dr. Borboli-Gerogiannis is a member of Mass. Eye and Ear, Longwood s Comprehensive Ophthalmology and Laser Vision Correction Services. She completed her ophthalmology residency at Mass. Eye and Ear and a fellowship training program in cornea, external disease, and refractive surgery at Louisiana State University Health Sciences Center. Dr. Borboli-Gerogiannis is an instructor of Ophthalmology at Harvard Medical School. She is also a teacher of residents, clinical fellows, and research fellows with a focus on cataract surgery training at Mass. Eye and Ear. Z h o n g h u i Kat i e Luo, M.D., Ph.D. Dr. Luo has been a member of Mass. Eye and Ear s Comprehensive Ophthalmology, Cornea, and Laser Vision Correction Services since completing her residency and fellowship in cornea and external disease at Mass. Eye and Ear. She recently joined the team at Mass. Eye and Ear, Longwood. She earned her M.D. and Ph.D. from Albert Einstein College of Medicine. Dr. Luo is an instructor of Ophthalmology at Harvard Medical School, and serves as a mentor to medical students and residents. She has research interests in a variety of clinical practices related to the cornea. MassEyeAndEar.org/Longwood 800 Huntington Avenue 617-573-3202

MassEyeAndEar.org/Longwood 800 Huntington Avenue 617-573-3202