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Your journey begins with our LASIK Consultation. The cost is 90 minutes of your time. The benefit is the chance at a lifetime of visual freedom. Here’s a glimpse into your first 90 minutes with us.

Testing 

We’ll start your journey in one of the most comprehensive diagnostic suites in the United States. The minimum requirement of tests to determine the best way to fix your eyes is only a fraction of the diagnostics completed at this step. Why so many tests? As the detail in the mapping of your eye increases, so does the precision that can be applied to deciphering the best path forward for your eyes. As an example, it’s a minimum requirement to know how thick your cornea is, but it is worlds better to have a complete map of its exact three-dimensional architecture. There is no news that is worse or better at the same time than finding out you would have been a candidate, but aren’t because of what one of the “not necessary” diagnostic tests revealed. We’re sad there isn’t currently a good vision correction option for you, and at the same time we’re really glad you came here and found out.

Your Vision Correction Consultation involves a lot of technology, some brand new and some old favorites, so let’s start at the beginning:

Autorefractor

This machine is likely one you have seen before if you have had an eye exam. It gives us a quick view of your prescription by using invisible (and harmless) infrared light bounced off of your retina (in the back of your eye) to automatically read the glasses prescription your eye requires to see clearly.

lasik patient getting refracted by autorefractor
The autorefractor reads your prescription with infrared light

Lensmeter

This is actually one of the more traditional pieces of technology that you will see on your visit. It gives us the prescription of your current glasses so that we can compare it to the rest of our testing. You will have your prescription measured at least four different ways (sometimes up to seven!) to create depth to the picture of how your eyes focus rather than just the breadth given by a throng of imaging devices.

Phoropter

You may know this as the “better one or two?” test. If you’ve ever had a vision test, you’ve likely spent a few minutes behind a phoropter. It’s a series of adjustable lenses that allow us to measure your prescription. It’s really precise, but the important contribution of this machine is that it’s personal. What does it mean for the phoropter to be personal? Unlike a computer-driven machine that measures your prescription based off of light rays and calculated algorithms, the phoropter is unique in that it allows for the human input that is pivotal in letting us know what you like to see versus what technology tells us is perfect. It’s one of the ways that we ensure that you are the one deciding what looks best to you, rather than us choosing for you.

lasik patient getting consultation behind phoropter
“Better one, or better two?”

Pentacam

This machine gathers 25,000 data points in approximately 3 seconds to tell us an amazing number of facts about your cornea. Your cornea is the front lens of your eye (you might know it as the place where you put your contact lens each day) The reports from the Pentacam include data about your corneal thickness, the location of any astigmatism you may have, and the contour of your cornea. This is a state-of-the-art technology that is pivotal in giving us some key pieces of information to find out what vision correction procedure may be right for you. It also can help us determine if you are not a candidate for vision correction, which is even more important!

surgical consultant giving consult to patient in front of pentacam
Reviewing Pentacam Results

Fundus Camera

This is a camera specially designed from front-to-back  to take a picture of the inside of your eye without dilation. It takes a picture of your retina and helps our surgeons to explain now and document for the future concerning the health of your eyes. Interestingly, this photo captures the only place in the body that we can get an unimpeded view of your arteries and veins to give you information about your overall health.

Retinal OCT

This 3-dimensional scan shows us the health of your retina on a cellular level. It creates a 360 degree image of your retina so that we can know with certainty that before a procedure is done to correct your vision, we have looked over even the microscopic areas for potential problems. The idea that a laser scanned 3D map of the retina has an impact on refractive surgery done on the front of the eye may seem a little neurotic, but the truth is that this is one of the most important tests we do. The best eye doctors in the world can miss subtle retinal findings that could have a big impact on a decision about which vision correction procedure is best, or if none is recommended. In eye doctors’ defense, the layer of the eye we are looking at here is optically clear and only a quarter of a millimeter thick.

Lenstar

This machine allows us to measure the length of your eye and the distances between the different parts of the inside of your eye. It does this down to the hundredth of a millimeter for each measurement. Whether it is surprising or obvious to you, hundredths of a millimeter actually has an impact on refractive outcomes. The Lenstar really is an amazing development, superseding what the machines that came before it can accomplish. This type of device measures the eye with light rays, and the Lenstar is the latest and most advanced one available.

Anterior Chamber OCT

This machine is specifically used  to measure precisely what size lens is needed for your specific eye. Everyone has very unique eye anatomy and each piece of this journey is customized exactly for you. It’s a big part of the reason people come here. This laser scanning device might be the best example of that. This entire piece of complex engineering exists in our office for the sole purpose of getting one exact measurement of the front of your eye. Otherwise it just sits there. If you’re going to go after precision, you’ve got to do more than the minimum.

 

Your Vision Correction Plan

All of our diagnostic equipment is connected to our secure network so that the images can be sent wirelessly to the computer in your exam lane. At that point, your surgeon can take you through the story of your vision illustrated by the photos and scans of your eyes. You’ll be walked through an explanation of each of your tests and what your options are for having vision that doesn’t require glasses. You’ll have a chance to ask any question about your eye health or vision and get comfortable with exactly what is recommended for you in your Vision Correction Plan.

 

payment consultation with lasik consultant and patient

Next Steps

After you find out that you are a candidate for vision correction, you will have a chance to meet with one of our wonderful surgery counselors. They are here to be your concierge through the surgery process. They will help you figure out how to handle all of the details of preparation for your surgery (including costs, schedules, pre-operative instruction, post-operative plans). If you’re a candidate and you want to move onward and upward, you can schedule your surgery and head home. You’re done. The next time you leave Hunter Vision, our goal is it will be with new eyes and an old pair of glasses that you used to need.

 

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