For more than 30 years, the surgeons at Center For Sight have helped individuals from the West Coast of Florida and around the world enjoy great vision with the latest technologies and unmatched surgical experience. Dr. William Lahners, Dr. William Soscia and Dr. Joaquin De Rojas collectively have performed tens of thousands of life-changing, vision correction procedures. We are pleased to offer a variety of the latest refractive surgical procedures including: All Laser LASIK, Epi-LASEK, Refractive Lens Exchange (RLE), intra-corneal implants, and the Implantable Contact Lens (ICL). Advancements in technology have allowed our team to truly customize the vision correction needs of each patient. Because each patient’s ocular anatomy and visual goals are unique, our ophthalmologists will explain which vision correction option will allow you the greatest opportunity to minimize dependence on glasses or contacts, while maximizing safety and effectiveness.
For patients eager to experience the life-changing joy of clear vision, we offer 0% down, no-interest 24-month financing on LASIK procedures through Alphaeon Credit. Pay off your procedure on your schedule while you enjoy your new vision! Speak with a patient care counselor today to learn more.
Modern LASIK, or Laser-Assisted In-Situ Keratomileusis, is one of the most popular and precise vision procedures available today to correct nearsightedness, farsightedness and astigmatism. Its popularity is founded on the high rate of patient satisfaction, excellent visual results, quick recovery, and the existence of very few side effects or complications. Dr. Lahners, who is board certified and fellowship trained in LASIK, was the first LASIK surgeon on the West Coast of Florida to provide All Laser LASIK with the IntraLase® femtosecond laser and the ALLEGRETTO WAVE Eye-Q Excimer laser, which is now the standard of care at Center For Sight. This combination of laser technology allows our LASIK surgeons to perform blade-free LASIK with micron-level precision and accuracy.
How LASIK Works
The LASIK procedure involves two steps: First, making a flap and second, reshaping the cornea with the Excimer laser. At Center For Sight in Sarasota, we use the sophisticated IntraLase laser to make the flap and the ALLEGRETTO WAVE Eye-Q laser with wavefront technology to reshape the cornea. This combination makes every Sarasota LASIK procedure performed at Center For Sight an ALL-LASER, BLADE-FREE procedure.
Advantages of Blade-Free LASIK
- Improved Safety: Eliminates the most severe blade-related complications.
- Better Vision: Patients achieve statistically better vision when IntraLase is used in the Sarasota LASIK procedure in comparison with the microkeratome (blade).
- Highest Degree of Predictability and Precision: Micron-level precision creates significantly more predictable and accurate flap dimensions, including most critically, reproducible flap thickness within +/- 10 microns, whereas the variability with microkeratomes has been reported up to +/- 40 microns.
- Reduced Dry Eye Symptoms: Several clinical studies demonstrate a significant reduction in dry eye symptoms, the largest of which shows patient symptoms were reduced by 72 percent.
- Individualized Flaps: The laser flap can be tailored to the patient’s needs, allowing physicians to individualize all steps in the LASIK procedure: custom diagnosis with wavefront, personalized flap creation with IntraLase, and custom laser treatment with custom ablation.
LASIK patients recover very quickly with vision returning rapidly and the majority of patients seeing well enough to drive the next day, without glasses or contact lenses. Most patients elect to have LASIK performed on both eyes at the same time.
To be a good candidate for LASIK, the cornea must be of sufficient thickness to allow for the flap to be made with sufficient underlying tissue to be removed to achieve the targeted level of correction. Patients with severe dry eye syndrome, very thin corneas or other conditions such as the beginning stages of a cataract, may be better candidates for one of the other refractive procedures offered at Center For Sight.
Southwest Florida’s only Topography guided Laser: WaveLight® EX500 Excimer Laser
Center For Sight is now providing LASIK patients with topography-guided surgery with the WaveLight® EX500 Excimer Laser. The machine, developed by Alcon, personalizes the procedure by customizing laser treatment based on the patient’s unique cornea shape. Topography-guided LASIK not only helps patients with myopia or astigmatism, but it can treat patients with abnormal corneal surfaces who in the past may not have been candidates for surgery.
As the fastest total refractive platform in the United States, the Alcon Refractive Suite provides a precise, secure and comfortable experience for the patient, who remains on the portable bed that transfers them between machines during the procedure. Remaining in a stationary position results in increased safety and comfort for the patient. The new EX500 laser uses high pulse frequency with a reduced thermal load, allowing for the treated areas of the eye to cool before receiving additional laser pulses. The system operates on its own network that is hardwired and secure, thereby ensuring no disruptions during data transfer when prepping for surgery.
“Achieving the best visual outcomes with the safest technique possible has always been our goal,” said William Lahners, M.D., F.A.C.S., medical director and LASIK, cataract and lens replacement surgeon at Center For Sight. “That’s why having the most advanced and integrated technology is critical to our practice. The EX500 provides extraordinary accuracy for LASIK patients due to the increase in customization capabilities and decrease in marginal error.”
The patient’s personalized refractive procedure begins at the WaveLight® TOPOLYZER® Vario Diagnostic Device, which photographs and analyzes the eye using 22,000 unique elevation points on the cornea. Using this ablation profile, the LASIK procedure then involves two main steps: First, making a flap with the iFS® Femtosecond laser and second, reshaping the cornea with the EX500 Excimer laser. With the help of the topography guided ablation profile, the laser is designed to automatically adjust pulse placement for excellent precision and improved customization. The EX500 sets the industry standard by utilizing wavefront optimized technology in every procedure, unlike other lasers where this technology is optional and typically at an extra cost. This combination makes every LASIK procedure performed at Center For Sight an all-laser, blade-free procedure utilizing either wavefront optimized or topography guided treatment.
Epi-LASEK (or PRK) is a laser vision correction procedure in which the cornea is reshaped directly on the surface rather than under a flap as with LASIK. It offers some advantages over LASIK for certain patients such as those with thin corneas or some other corneal conditions..
With Epi-LASEK, the surface epithelium, or thin layer of protective skin covering the cornea is loosened with a diluted alcohol solution and moved aside. The surface under the epithelium is then treated with the ALLEGRETTO WAVE Eye-Q Excimer laser. The epithelium is removed and a bandage contact lens is placed over the treated area to make the eye more comfortable during the healing process.
It usually takes three to five days for the epithelium to fully regenerate. Because the return to functional vision is longer than with LASIK, Epi-LASEK patients should allow several days for recovery before returning to full activity. Although final vision recovery takes longer than LASIK, visual outcomes of both procedures are similarly excellent.
Implantable Contact Lens
The Implantable Contact Lens (ICL) is an intraocular lens, or a lens that is placed inside the eye. It differs from intraocular lens implants (IOLs) that are used in cataract and Refractive Lens Exchange procedures in that the ICL is added to the eye without removing the natural lens. ICL candidates are between the ages of 21 and 55 with moderate to severe nearsightedness, typically outside the range of correction with LASIK or Epi-LASEK.
The ICL is a small injectable lens that is inserted through a tiny, 3-millimeter incision that does not usually require sutures. Once inside the eye, it unfolds and is tucked in behind the iris. The procedure is performed in Center For Sight’s AAAHC-accredited surgery center, takes only about 10 minutes, and is virtually pain-free. The second eye is usually done within a week or so. Most patients can return to their normal activities within a day. Many patients experience the “WOW” factor when they notice the immediate improvement in the quality of their vision.
The ICL is unnoticeable to both the patient and any observer and, if necessary, can be removed and/or replaced if the refractive error changes over time.