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How Does LASIK Work?

How the laser works to improve your vision during LASIK surgery.

LASIK vision correction uses a laser to reshape your cornea to help you see better.  To apply the laser treatment, Dr. Moran uses an excimer laser which emits a cool beam of ultraviolet light to precisely remove corneal tissue.  The reshaped cornea allows for light rays to focus properly on the retina to give you clearer vision.  

open book Think of the cornea as a closed book with 500 pages.  We create the flap about 100 pages into the book. Once the flap is opened, we apply the laser treatment to correct your vision in the last 400 pages of the book.

After your flap is lifted, the excimer laser applies pulses of ultraviolet across the cornea in a custom pattern designed for your eyes.  These precise light rays are able to remove as little as 0.25 microns of tissue at a time. How small is a micron?  One micron is a thousandth of a millimeter.

How the cornea changeS DUring LASIK

The laser treats your cornea to give you better vision.  Your cornea may be too long, too flat, or irregularly shapedsisipisi.ccsisipisi.ccsisipisi.ccsisipisi.ccsisipisi.cc.

  • If you are nearsighted, the laser will make the cornea more flat;
  • if you are farsighted, the laser will make the center of the cornea steeper.  
  • If you have an astigmatism, the laser will smooth your corneal tissue into a more symmetrical shape. 
  • If you have a combination of issues, the laser can treat  nearsightedness with astigmatism, as well as farsightedness with astigmatism.
How the treatment is determinedCustom vue

In order to create your treatment plan, Dr. Moran does careful calculations using the data from your pre-operative testing. He takes into account your age and your visual needs. Then, the laser is programmed with your unique measurements.  Once programmed, the laser is controlled by computer settings programmed to correct your specific refractive error.  We use Custom-Vue Wavescan technology.  It is called “Custom-Vue” since the pattern of treatment is customized for each patient to give you the best possible vision. 

Dr. Moran will ask you to focus on a light while the laser is being applied.  While it is important to keep your eye focused during the treatment, the laser has an added safety feature. The laser uses an eye-tracking system that monitors any eye movements and keeps the laser beam on target during surgery. Studies have shown that eye trackers produce better outcomes and decrease complications.  If your eye moves during the surgery, the laser will stay centered.  It will track and follow your eye movements. 

What to expect After LASIK

Post Op LASIK patientWhen the laser treatment is done, you will notice clearer vision than when you entered the room.  However, your vision will still be a little blurry – similar to seeing under water. The blurriness is because you have a lot of drops in your eyes!  Dr. Moran will have you sit up and look across the room at a clock about 10 feet away.  You will be able to tell him what time it is, even if you weren’t able to see the clock when you walked into the room. Your surgery day instructions are to go home and keep your eyes closed for the rest of the day.  Your vision will fluctuate as your eyes are healing, however, the next day you can drive to the office for your 1-day PO LASIK appointment.

 

To see if LASIK is right for you, schedule your FREE Consult today.  Call, email or text our office for your appointment.  Learn more about, just click LASIK

 

 

 

 

 

What Does this Test Do? Part 1 – AutoRefractor

What is the first test we do when you come into the office for a complete vision exam?

Autorefractor measures vision.

The Autorefractor measures your prescription

We take a measurement of your vision with the AutoRefractor.

Image used for measuring your prescription

Focus on the balloon!

When you take a seat at the autorefractor, we ask you to look into the device.  You will see a blurry hot air balloon at the end of a long straight road. As the balloon comes into focus, we measure your prescription.

We ask you to focus on the image (balloon) to keep your eye centered while we take measurements.  It only takes just a few seconds to measure using an autorefractor.  The balloon is at the center of the image, which aligns your eye perfectly for the test. 

When we use this machine, nothing touches your eye, and there is no puff of air!sisipisi.ccsisipisi.ccsisipisi.ccsisipisi.ccsisipisi.cc

The autorefractor provides an objective measurement of a person’s refractive error and prescription for glasses or contact lenses.  The device measures how light is changed as it enters your eye.

Calculating your glasses prescription

Better 1 or Better 2?

We don’t use the numbers from the device to order your prescription glasses or contacts. The autorefractor is just part of the process.  The information from the autorefractor is used as a starting point to determine your best prescription.  We take these numbers and dial them into the phoropter.

Here is where your opinion comes in.  As we cycle through lenses, we ask, “Is it Better 1 or Better 2?”  Your responses help us to pinpoint your best vision.  When we show you different choices, we aren’t trying to trick you!  We are showing you different options to find your best correction.

 

Your Pharmacist – A Great Resource

Pharmacist and prescription medications

Talk to your pharmacist…you’ll be glad you did!

Have you spoken to your pharmacist lately?  We know that prescription medications can be expensive. Your pharmacist can help you manage your medications, and may be able to help you find savings on your prescriptions.

Make friends with your pharmacist.

Your pharmacist is an essential part of your healthcare team.  They may be aware of resources that can save you money, all you have to do is ask!  Ask if you can speak with your pharmacist, they are happy to take a few minutes to review your medications.  Most pharmacies have a private place for patient consultations.

Discount PROGRAMS.

Your pharmacist might be aware of discount programs that can save you money.  They have a complete list of your medications, so they can can review the list with you.  Talk to the pharmacy staff to see if there are any discount plans or strategies that might help you save some money.

ASK YOUR DOCTOR.

Ask your doctor if you there is a generic version of the medication.  Generics are less expensive, and have the same active ingredients as the brand-name medications.

We want you to stay on track with the medications that are prescribed for you.  The first step toward that goal is making sure that you get the medications that you need to stay healthy.

We know that an informed patient makes the best healthcare decisions, so make sure ask questions!  You can benefit from relationships with every member of your healthcare team.

 

 

 

 

 

Your LASIK Experience

Patients often ask…what happens the day of your LASIK procedure?

Dr. Moran with the Sightpath LASIK team.

Our LASIK surgery center is now  located right in our office!

When you arrive for your surgery,  you will be taken back to an exam room.  Your family member or friend can stay with you while we review your paperwork, medications and post-op instructions – it’s always good to have an extra pair of ears listening while we go over details! The total time is usually under 1 hour.

Next, we get you ready for surgery.  We apply a series of eye drops and review what happens in the laser suite.  During the procedure, Dr. Moran explains each step of the way, so you know what to expect.

In the LASIK Suite
  1. The team makes you comfortable on the surgery bed. Your head rests on a horseshoe shaped pillow.
  2. We place a patch on your left eye.
  3. Then, your right eye is held open with a lid holder (no need to worry about blinking during the procedure!)sisipisi.ccsisipisi.ccsisipisi.ccsisipisi.ccsisipisi.cc.
  4. Dr. Moran creates a flap using the Intralase laser.  You will feel some pressure as he applies a ring on your eye, before the laser is applied.  Your vision will go dark for a few seconds as he creates the flap.   In just a few seconds, the flap is done! Your vision comes right back after the ring is removed.
  5. Next, he lifts the flap and centers your eye under the Visx laser.
  6. The laser treatment is applied.  It is painless…all you need to do is look at a yellow light while the laser is working.
  7. Then, he smoothes the flap back into place and the lid holder is removed.  The right eye is done!
  8. Dr. Moran repeats the procedure in the left eye.

When you enter the LASIK room, Dr. Moran, his surgical assistant, and the laser engineer are waiting for you. They give you a LASIK buddy to hold…he’s a little bit of comfort that goes a long way to making you feel secure!

LASIK Buddy offers some comfort

Your LASIK Buddy

After about 15-20 minutes, Dr. Moran walks you out of the LASIK room, and checks your eyes in the exam chair.  We put drops in your eyes before you head home, and review the post-op instructions again.  Once you put on your sunglasses, you are good to go.

WHEN YOU GO HOME:

The day of your surgery, it is important to keep both eyes closed as much as possible.  We give you sunglasses to wear home, so you can open your eyes to walk to the car.  Close your eyes for the ride home, but you can open them again to walk into your house.

Put on your eye shield as soon as you arrive at home. Then it is time to rest with your eyes closed.  Listen to music, an audiobook, or podcast…or just go to sleep. The eye shields should be worn for sleeping for the next 7 days, so that you don’t accidentally touch or rub your eyes.

If you have questions once you are home, call us!  We always have someone on call to answer our patients concerns.

WHAT OUR PATIENTS SAY

Overwhelmingly, our patients comment about how fast the procedure was…and how easy!  We most commonly hear, “That was so much easier than I expected, why did I wait so long!?!”

Interested in LASIK?  Come in for a free consultation to find out if LASIK is right for you.  Click to find out what happens at your LASIK Consult

Patient Reviews…Up in Lights!

Have you seen our patient reviews?

This billboard says it all, thanks Michelle!

This summer, Moran Eye Associates will be featured on electronic billboards around the Lehigh Valley.  Choosing the content of the billboards was easy…our patient reviews speak volumes about our practice!  We are proud of our reputation for excellence.

Look for our colorful billboards throughout the Lehigh Valley!

Our staff is committed to patient education.

Dr. Tang is terrific and very thorough!

Our doctors and staff are proud to be called “awesome”!

 sisipisi

Dr. Moran and Dr. Tang are now accepting new patients.  We offer medical, surgical and vision care to people of all ages. If you would like to make an appointment, just fill out the information to the right.  You can also call or text us at 610-628-2022.

 We are happy to offer your family the kind of quality eye care that our patients are talking about!  Click here for more Patient Reviews

 

 

 

Solving Severe Dryness with Custom-Made Tears

Dr. Tang recently saw a 47-year-old woman who suffered from severe, chronic dry eyes. She had a great deal of discomfort, gritty sensation, and blurred vision for 6 months. She had a long history of dry eye due to an autoimmune disease and chronic allergies.

Therapy Options

The patient continued to have dry eyes despite multiple treatments: artificial tears every hour during the day and several times during the night; thermal therapy; punctal plugs; and several different prescription drops. The dryness caused irregularities on the surface of her cornea that were contributing to her blurry vision.

When all of the traditional treatments failed, we discussed Autologous Serum Eye Drops (ASED) and Prokera. The patient decided to try the serum tears first.

The Initial Results…relief from dry eye!

“I felt an immediate change in my eyes after the first day of serum tears use. This is the first time in as long as I can remember that my eyelids actually glide over my eye without discomfort!

Dr. Tang has gone above and beyond to help me find the right treatment for my dry eyes. I would absolutely recommend her.” Lori

How it Works

ASED treatment is effective because the drops contain antibodies and growth factor that come from the patient’s own blood.  These drops repair the surface of the cornea, helping the patient to see better, feel better, and enjoy an improved quality of life.   In a recent study, the visual acuity improved in 100% of patients*.

Made in a Specialized Pharmacy

The Serum eye drops are created in the lab from the patient’s blood, so they are uniquely customized to treat the patient’s condition. The drops are made by a specialized compounding pharmacy.

To make the serum eye drops, the patient has blood drawn, then the blood is spun through a centrifuge to extract the clear serum. The serum in placed in a dropper bottle and mixed with a sterile saline solution.

A three-month supply of drops is made from each blood draw. These drops can be used with the same frequency as artificial tears. Patients may continue to use the serum drops as long as needed.

Find our if serum tears are right for you

If you would like to explore this treatment to help alleviate dry eye, call us to make an appointment today. For more information on ASED treatment, click on the articles below.

Thicker than Water

*National Institute of Health