LASIK Eye Surgery
Blurred vision can substantially impact your quality of life, and common solutions such as glasses or contacts can be a hassle.
Dr. Justin Coco is a refractive surgery specialist who can perform LASIK eye surgery to dramatically improve your vision.
Why should you consider LASIK?
What happens during LASIK surgery?
LASIK Has Impressive Success Rates
So what does LASIK actually treat?
Are you a good candidate for LASIK?
Determining if You Are a LASIK Candidate
Before determining if you are a strong LASIK candidate, our team at Hines Sight needs to make sure you are a candidate for laser vision correction. You should go over the following list to make sure you are suitable for any type of laser vision correction procedure. Typically, a doctor would want - if not require - you to meet all of the following criteria before recommending you for the procedure:
After determining your laser vision correction candidacy, the doctor will perform a LASIK Evaluation to make sure your eyes are suitable for LASIK. Because each set of eyes is unique, there is no way to actually determine your candidacy 100 percent until you have had your pre-operative LASIK evaluation. The pre-operative evaluation will involve a series of diagnostic tests to determine the stability of your vision, the power of your refractive prescription, etc. Below is a list of some items that are typically involved in the evaluation process:
- Complete review of the overall health of the eye
- The measurement of corneal thickness and shape, including corneal topography
- Complete review of glasses and contact lens history
- Thorough eye exam
- The measurement of your prescription and refractive error in each eye
- Dilation of the eyes to check the health of the retina and optic nerve
- Dilation will also help determine the actual absolute power of the eye
- Custom LASIK measurement for higher order aberrations
- Dry eye test (Schirmer's test)
- Measurement of pupil size in a very dark room
Once you've completed your pre-operative evaluation, the doctor will discuss with you whether or not you are a candidate for LASIK or other refractive vision surgery. After the discussion, you can go ahead and begin to schedule your appointment for the procedure in our downtown Denver office. Our office staff will assist you the best we can in preparing you to have Denver LASIK surgery.
Is LASIK eye surgery safe?
Advancements in Technology Have Made LASIK Safer Than Ever
At Hines Sight, we use the latest techniques and treatment options to ensure safe and successful LASIK procedures.
However, LASIK already has an impressively low risk of complications, and it is estimated that less than one percent of patients who undergo LASIK eye surgery experience complications.
If you are worried about the idea of laser eye surgery, rest assured. Our team will go above and beyond to ensure that you are comfortable and well cared for during treatment, and you will be given anesthetic eye drops so that you do not feel any discomfort during your surgery.
Here is what happens during the procedure...
At Hines Sight, we offer the latest tools and technology...
Enjoy Enhanced Results with Our Custom Wavefront LASIK Option
To further enhance your results, Drs. Coco and Cushing offer Custom Wavefront LASIK. Custom Wavefront LASIK is completely customized to the unique anatomy of your eyes and can:
- Drastically improve the quality, contrast, and crispness of your vision
- Allow you to see better than you can with glasses or contact lenses
- Increase your chances of seeing 20/20 or better
So, what can you expect during your procedure?
During your consultation, Dr. Coco or Dr. Cushing will evaluate your medical history, current prescription, medications, treatment goals, and other factors to determine whether you are a candidate for LASIK. We typically recommend custom wavefront LASIK for patients who want truly optimal results.
LASIK is a two-step outpatient procedure that is typically completed in about 15 minutes. Your LASIK eye surgery will be performed on-site by Dr. Coco.
Prior to beginning the procedure, numbing eye drops, a lid speculum, and a suction device will be applied to the eye.
The doctor will make a small incision on the cornea, creating a flap to reach deeper layers of tissue. The computer-guided laser will precisely remove very small amounts of corneal tissue to achieve the proper shape. Once treatment is complete, the flap will be carefully closed and left to heal on its own.
You should rest for the remainder of the day. Many patients are surprised to notice clear vision upon waking the next morning. In the following weeks and months, you will be seen for several follow-up appointments to ensure proper healing.
In the Days Following Surgery
In the days after your procedure, it is important that you closely follow the post-operative instructions provided by our doctors. These may include:
- Refraining from strenuous activity which can dislodge your cornea flap
- Not rubbing your eyes
- Avoiding hot tubs or water sports for at least one week after surgery
- Wearing protective goggles when playing contact sports
- Not wearing eye makeup
Our team may also provide antibiotic eyedrops to reduce the risk of infection.
LASIK can make a dramatic difference in your vision...
Most Patients See Nearly Instant Improvements
Although your vision will be slightly blurry immediately after the procedure, you will notice an improvement immediately. In fact, most patients are ready to go back to work the very next day.
Be sure to attend follow-up visits with our doctors so that they can assess the results of the surgery and ensure that you meet the standards for driving without corrective eyewear.
Trust our doctors with your vision...
Thousands of Patients Treated
At Hines Sight, we have helped over 50,000 LASIK patients achieve clearer vision.
We Understand the Importance of Seeing Clearly
At Hines Sight, Drs. Justin Coco and Stanley Cushing understand the significant impact clear vision has on your life and can determine whether LASIK is right for you. This advanced refractive surgery allows many patients to significantly reduce or eliminate their need for corrective eyewear. Dr. Coco's surgical skill and experience, paired with our entire team's genuine concern for your well-being, allow us to provide patients with the highest level of care at our Denver, CO, practice.
How Does LASIK Work?
LASIK, formally known as laser-assisted in situ keratomileusis, is a laser eye surgery designed to correct visual errors, which occur when the eye is too short, too long, or not properly shaped. This prevents light that enters the eye from focusing correctly on the retina, causing the images you see to appear blurred.
By reshaping the cornea so light can focus properly on the back of the eye, LASIK can significantly improve your vision. Some patients may even find they no longer need their corrective eyewear at all. However, it is important to note that patients with thin corneas will typically require photorefractive keratectomy (PRK), a similar procedure that does not require a corneal flap. This procedure may also be recommended for patients in certain professions, such as athletes.
Correcting Visual Errors
There are several refractive errors that can be effectively treated with LASIK:
- Nearsightedness (Myopia)
- This condition occurs when the eye is too long, causing light to focus in front of the retina. As a result, patients can see close objects clearly but those in the distance appear blurry.
- Farsightedness (Hyperopia)
- Farsightedness occurs when the eye is too short, meaning light has not focused by the time it reaches the back of the eye. These patients see objects at a distance more clearly than those that are up close.
- When the cornea or lens within the eye is irregularly shaped, this prevents the light from focusing evenly on the retina. Images may appear stretched or blurry for patients with astigmatism.
Is LASIK Covered by Insurance?
Typically, most insurance plans do not cover LASIK because it is considered an elective vision correction treatment. However, Hines Sight accepts financing through CareCredit®. These flexible payment plans allow patients to break the total cost of their care into manageable monthly payments.
More Information About Custom Wavefront LASIK
Do you want the best possible eyesight? As you already know Dr. Justin Coco and his staff are dedicated to providing patients with the best possible results. Our dedication to technology and results is simply unmatched in the Denver area and one of the reasons why Dr. Hines is regarded as one of the regions top ophthalmologists. From our constant drive for the best results, we have acquired custom LASIK technology, also known as wavefront technology. Our system is the VISX Star 4 CustomVue® with IRIS registration. If you are planning on having LASIK you have come to the right Denver LASIK center. Wavefront technology or custom LASIK has made drastic improvements in the ability for ophthalmologists to improve vision after LASIK eye surgery. The doctors at Hines Sight can use wavefront technology to create better vision for patients and they do this every day.
Is Custom LASIK right for you?
The only way to determine if custom wavefront LASIK eye surgery would be a good procedure for your eyes is to visit our Denver LASIK center. Our doctors will have to conduct a series of diagnostic tests to accurately measure your vision. A wavescan of your eyes will be conducted as part of this very extensive eye exam. Some patients have referred to these eyes tests as the most thorough eye exam of their life. This exam allows us to determine that you are a 100% good candidate for Custom LASIK.
What is Custom LASIK?
Custom LASIK is a term that refers to an enhanced type of LASIK eye surgery that treats all aspects of the visual spectrum including higher order aberrations. Traditional LASIK is a great eye surgery procedure and many people see perfect with this procedure, but it does not treat higher order aberrations such as glare and halo. A very small amount of the original LASIK patients complained about these higher order aberrations and that is why technology responded with Custom LASIK. Since the advent of wavefront technology into the field of ophthalmology, many patients have benefited from the technological breakthrough. As previously stated the main issue that wavefront technology addresses is aberrations. Aberrations can be separated into two categories HIGH and LOW. Low order aberrations are the familiar sphere and cylinder of myopia, hyperopia, and astigmatism, measured through refraction and denoted by diopters on your prescription. This is precisely what traditional LASIK eye surgery was aiming to correct. Higher order aberrations such as glare and halo cannot be measured with a standard refraction. Instead, they are measured with an instrument called an aberrometer. The aberrometer measures the total amount of aberrations in the eye, including the refraction, and then transforms this complex data into a wavefront map. Aberrometer findings are transferred and then loaded into the excimer laser for treatment. The laser ablation pattern to improve your vision is derived from the total set of aberrations. Many patients have a hard time understanding this concept of lower order and higher order aberrations. The doctors at our Denver LASIK office are always ready to help explain the benefits of custom LASIK at your consultation.
What is the difference between LASIK and Custom LASIK?
One of our optometrists often describes the difference between traditional LASIK and custom LASIK as it relates to buying a suit. Like with buying a suit, traditional LASIK, will give you excellent visual results. Custom LASIK is more like buying a custom tailored suit that fits perfectly and accounts for your specific body type. Custom LASIK will treat your eyes the same way with a custom tailored waveprint and treatment that is specifically matched to your eyes needs.
"I liken Custom Wavescan LASIK vs. standard LASIK to comparing a custom-fitted suit to an off-the-rack suit. For many people, the off-the-rack suit will fit and look just fine, but the custom-fitted suit will always be at least as good, and maybe just a bit better (look at Ryan Seacrest or David Letterman - they don't have unusual body shapes, but you can tell their suits fit them perfectly, and it is impressive!) - and, for some people it will make a WORLD of difference in their comfort and their appearance." Stanley Cushing, O.D.
Why are so many patients considering Custom LASIK?
Once our patients hear that they can get a LASIK surgery that is customized they are very intrigued, especially because some Denver LASIK centers do not offer this type of LASIK. If you have any questions regarding whether or not Custom LASIK or traditional LASIK would be best for you we can give you an accurate assessment because we perform both types of LASIK eye surgery.
Not only do a large amount of vision care patients now choose Custom LASIK, but most LASIK surgeons will now admit their preference from this method. According to an ASCRS (American Society of Cataract and Refractive Surgery) 2005 survey of 4645 members 74% of surgeons use wavefront technology. (source ASCRS/eyeworld magazine 2005)
Did you know that wavefront technology originated with the Hubble Telescope?
Believe it or not, wavefront technology actually had its origins with technology created for the Hubble Telescope. It was part of research and development for the Strategic Defense Initiative for NASA. Engineers and ophthalmologists invested millions of dollars to develop wavefront technology in ophthalmology and its compatibility with excimer laser treatments. Who would have known that this NASA research would have led to such a breakthrough for eye surgeons?
Pre-Operative LASIK Candidacy
If wavefront technology or customized Denver LASIK eye surgery is appealing to you we suggest filling out our LASIK self-evaluation test, and calling us directly to set up an evaluation. During your initial consultation at Hines Sight, you will be required to undergo a pre-operative evaluation to evaluate your overall eye health. Because our practice is dedicated to safety with LASIK eye surgery we perform a series of advanced diagnostic tests to determine your LASIK candidacy. Your cornea thickness is a critical component to your LASIK candidacy. If you do not have the proper amount of cornea thickness the procedure is not recommended. If you are not a LASIK candidate our doctors will be happy to review other vision correction procedures that could be potentially better. Rest assured, you will only get honest answers to your questions here at Hines Sight Denver.
What do patients say after their LASIK wavefront technology surgery at Hines Sight?
Here is what one of our recent custom LASIK patients had to say - “ My new vision is amazing! The professionalism of Dr. Hines and the Hines Sight staff was thoroughly impressive. I was most pleased that they offered me custom LASIK. The other center I called did not offer this to me but instead offered an older version of LASIK. I came to Hines Sight and now I have Customized laser vision correction”.
Custom LASIK Lasers
Wavefront Systems (These are the standard custom LASIK wavefront Systems that are approved by the FDA. If a medical practice claims they are doing custom LASIK and does not have one of these machines please be sure to check with the FDA to see if the wavefront technology has been approved for use by the FDA) It is not suggested that un-verified wavefront technology machines be used in LASIK eye surgery.
- Bausch & Lomb - Technolas 217 Zyoptix
- VISX CustomVue
- VISX IR CustomVue
- Allegretto Wave (Wavelight)
Cost of Custom LASIK - Denver LASIK Cost Comparisons
It most likely comes as no surprise that using custom LASIK or using wavefront technology will cost more. Our practice has made significant efforts to bring this LASIK technology to Denver and also to make this as affordable as possible. We offer various Denver LASIK financing options.
Other LASIK topics to review
- Denver LASIK Cost Comparisons,
- Custom LASIK Lasers, FDA approved wavefront technology equipment
- Denver LASIK self evaluation TEST,
- How to choose a LASIK surgeon,
- Who is the best Denver LASIK surgeon?
- What Denver LASIK surgeon has the most experience?
- Who are the best Denver Eye Surgeons?
- What are the LASIK eye surgery risks?
- What can go wrong in LASIK eye surgery?
- What is a LASIK enhancement and when is one needed?
- Is iLASIK custom LASIK? iLASIK Denver?
- Who are the Denver LASIK pioneers and Best LASIK surgeons in Denver?
- Hines Sight Custom LASIK Technology
The doctors at Hines Sight use the VISX Star 4 CustomVue® with IRIS registration. VISX was an original company that was first producing laser vision correction equipment since the 1995 FDA approval of PRK. VISX has been a recognized leader and pioneer in the field of vision correction. Now VISX is officially known as Abbott Medical Optics and works on a variety of vision correction platforms. During the wavefront technology and CustomVue FDA clinical trial work VISX developed a national study utilizing multiple vision correction centers to accurately assess the outcome of this new technology. It was during this study that we learned that 98% of Custom LASIK participants were seeing 20/20 or better after the LASIK eye surgery. This event was noted as uniquely outstanding and the acceptance of custom LASIK started. What was even more exciting was that 70% of the post-operative cases were calculated at seeing 20/16 or better. The contributions of this company to the field of vision correction have been amazing. VISX and now AMO will likely continue to provide eye surgeons of Denver with the best technology to care for their patients. It is due to this dedication and commitment to patient care that has made it easy for Dr. Coco to choose the CustomVue LASIK platform.
Custom LASIK conclusions
Why NOT choose the best in Denver LASIK? Choose Hines Sight to get your personal best vision. Our practice is proud to offer the services of Dr. Coco to Denver area LASIK patients. Please feel free contact at your convenience and we are happy to arrange a free LASIK consultation at our Denver practice.
Alternatives to LASIK
At Hines Sight in Denver, Colorado, we perform laser eye surgery procedures ranging beyond Denver laser vision correction to treat the many variations of refractive error. Our other refractive procedures include PRK, denver cataract surgery, refractive lens exchange, Visian ICL, and phakic intraocular lens implants. Whether you suffer from myopia (nearsighted), hyperopia (farsighted), astigmatism, presbyopia (need reading glasses or bifocals when wearing best distance vision correction) or cataracts, we can help you see the world clearly again with advanced LASIK alternatives.
PRK (Photorefractive Keratectomy)
Our Denver, Colorado center offers Photorefractive Keratectomy, often called PRK. PRK is a laser eye surgery suited for patients with refractive error who are not good candidates for LASIK vision correction. PRK uses the same type of excimer laser to reshape the cornea so that light may properly focus on the retina, and you can see clearly.
PRK differs from LASIK vision correction in that it does not involve the creation of a flap to reshape the cornea. The advantage of PRK is that patients who are not candidates for LASIK may still regain better vision through refractive laser eye surgery. However, PRK does require a longer recovery process, and vision is not restored as quickly as LASIK vision correction. Also, a temporary, protective contact lens is worn after PRK to reduce postoperative discomfort and promote healing.
PRK patients are incredibly pleased with the results of their PRK treatment at Hines Sight, and enjoy clear vision every day. Dr. Coco will work with you to decide which laser vision correction is best for you. Contact our Denver, Colorado office today to discuss your options!
For those patients that don't qualify for LASIK or other Laser refractive procedures due to having a highly nearsighted or farsighted prescription, and/or corneas that are too thin or misshapen, we offer the option of the Visian ICL and the Verisyse Phakic Intraocular Lens or Clear Lens Extraction with intraocular lens implantation.
Visian Phakic ICL A.K.A. The Implantable Contact Lens
The clear choice for superior visual quality.
The Visian ICL is a new refractive surgery technology (like LASIK) that is the best for correcting higher amounts of myopia (near-sightedness), eyes with thin corneas for whom LASIK isn't recommended, or those with dry eyes which may be made much worse by LASIK. The Visian ICL is a phakic intraocular lens ("phakic" means that the natural crystalline lens is left in the eye). Visian ICL is a good alternative for LASIK. The doctors at Hines Sight were among the first to perform the Visian ICL eye surgery and have extensive experience with the procedure.
The Visian ICL offers superb quality of vision while maintaining excellent contrast sensitivity. Unlike other refractive surgeries, the Visian ICL is reversible. The Visian Implantable Contact Lens is FDA approved and over 75,000 have been implanted to date. Visian ICL surgery does not permanently alter the shape or structure of the front of the eye and is inserted through a very small (2.8 millimeter), self-sealing (no stitches required) incision allowing good vision shortly after surgery and is very quick healing. All other FDA approved phakic intraocular lenses require 6-millimeter incisions, which heal much slower and often cause considerable astigmatism.
Implanting the Visian Phakic ICL is an outpatient procedure that takes around 30 minutes. One eye is treated at a time; however, this procedure can be performed on the same day for both eyes. Anesthetic drops will be placed in the eye. For better access to your eye, the doctor will use an instrument to comfortably hold your eyelids open during the procedure. The surgery is done under local anesthesia so the procedure is virtually painless. Next, a small incision is made in the cornea and the Visian ICL is placed behind the pupil, in front of the lens and works with the natural lens to correct vision. The Visian ICL is invisible in the eye. A shield will then be placed over your eye to protect it until you are seen the following morning for the first postoperative exam.
The Visian ICL provides ultraviolet (UV) light protection helping to guard against the development of macular degeneration and cataracts. The Visian ICL is made from Collamer, the most biocompatible intraocular lens material.
The Visian ICL is another option for treating near-sightedness and provides unparalleled clarity of vision. Studies have shown it to be the clear choice for superior vision quality.
Clear Lens Extraction with intraocular lens implantation (Refractive Lens Exchange)
When one is not a good candidate for the usual laser vision corrective procedures, then most often an intraocular lens implant can be placed inside the eye to correct the vision. One type of this method is the Refractive lens exchange. In this case, the natural lens inside the eye is removed and replaced with an artificial implant, called an intraocular lens, in order to correct your farsightedness or nearsightedness. The power of this intraocular lens is calculated by a computer using a complex equation. There are occasions where LASIK and/or PRK are needed after the Clear Lens Extraction in order to fine-tune the vision, eg. when there is astigmatism.
The main difference between standard cataract surgery and clear lens extraction is that cataract surgery is primarily performed to remove a patient's cataract that is obscuring and clouding their vision, while refractive clear lens extraction is performed to reduce a person's dependence on glasses or contact lenses. Clear lens extraction can be combined with Laser Vision Correction to treat astigmatism. People who have clear lens extraction now, will not have to have cataract surgery in the future.
The clear lens extraction procedure is performed on an outpatient basis. Only one eye will be treated at a time. After the eye is completely numbed with topical or local anesthesia, the eye's natural lens will be gently vacuumed out through a tiny incision, about one-eighth of an inch wide.
Next, the new intraocular lens will be folded and inserted through the same micro-incision. It will then be unfolded and placed into the "capsular bag" that originally surrounded the natural lens. The incision is "self-sealing" and usually requires no stitches. It remains tightly closed by the natural outward pressure within the eye. This type of incision heals fast and provides a much more comfortable recuperation.
Why should you undergo treatment at Hines Sight?