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Sep 8 2017

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What distinguishes CCRS and Dr. Lee from other vision correction center?

We have been dedicated to delivering true customized eye care and vision correction surgery since the office was established in 2000. While our primary objective is to
offer the highest level of care, affordability is also at the forefront of our practice philosophy. We feel that by eliminating inefficiencies and focusing on the essentials, we can make world-class care affordable. To this end, Dr. Lee hascontinued to invest not only in technology but also in people with continued professional education not only for himself but for all the staff. Four key components that reflect CCRS philosophy are:

+ Latest technology: Bladeless Wavefront LASIK, Topo-guided Custom Ablation Treatment (T-CAT), Small Incision Lenticule Extraction (SMILE), Implantable Collamer Lens (ICL) and Advanced Technology IOL for cataract surgery are some of the examples of cutting edge technology utilized for custom vision correction.
+ Expertise: Dr. Lee is truly a pioneer and a leader in custom vision correction as evidenced by his experience, awards, and recognitions but most importantly by the patient testimonials.
+ Affordability: This stems from Dr. Lee’s lifelong belief that the highest quality care should also be affordable and that the cost should not be the major factor in realizing one’s dream of a perfect vision.
+ Friendly and caring staff: All the staff at CCRS are dedicated to their responsibilities and take great pride in offering the very best care possible.

T-CAT stands for Topography-guided Custom Ablation. This is the LASIK at its highest level of precision perfected over 20 years of laser vision correction experience. It
combines the two most important concepts in laser vision correction:Wavefront and Topography. Through the analysis of the cornea using a highly accurate diagnostic device called VARIO Topolyzer, 22,000 reference points are analyzed to yield comprehensive and detailed data. These data are then used to detect the most subtleabnormalities of the cornea and are then seamlessly transferred to Wavelight EX500 excimer laser for a true customized laser vision correction surgery. In the FDA study, T-CAT results have far exceeded other LASIK procedures with the highest rate of vision better than 20/20, the highest rate of patients seeing better than with their glasses or contact lenses, and finally highest rate of patient satisfaction. (Please see our video)

SMILE stands for Small Incision Lenticule Extraction. Frequently referred to as the Flap-less LASIK,it combines the safety of PRK and precision and faster recovery of LASIK. In SMILE, a refractive lenticule (sliver of corneal tissue) is created in the middle part of the cornea by making an anterior and posterior cut with a highly precise femtosecond laser (VisuMax). The amount and the type of correction (i.e. nearsightedness and astigmatism) are determined by the thickness and the shape of the lenticule.This lenticule is thenextracted through a tiny (2mm) peripheral incision.

This method of performing laser vision correction offers several advantages over conventional LASIK particularly in terms of safety profile. First, since a flap is not created as in LASIK, there are no flap- related complications such as dislodged flap and wrinkling of the flap. This means that starting immediately after the surgery, patients can rub their eyes, put on eye makeup, and not be subjected to the strict post-op care as is required with other forms of eye surgery. Second, as the front part of the cornea give much of the structural support, leaving it uncut and intact allows the cornea to retain much of its structural integrity. This is particularly beneficial in
patients with high correction or thin corneas.

What is the best method for me?

The advances in vision correction technology have now made the concept of true custom correction a reality. This means that “good enough” is no longer the expected nor acceptable outcome. At CCRS, we are dedicated to bringing out the very best vision in all of our patients. It is also equally important to offer the safest surgery possible. Considering the significant variation in the eye condition among patients, this cannot be achieved through one method alone. LASIK for everyone is now the concept of the past. We now have procedures that are effective and safe for people with high correction, a thin cornea, dryeyes, those at risk for glare and halos, and those with a higher probability ofexperiencing regression following surgery. These methods will also need to be modified according to the patient’s age. At CCRS, the patients will undergo a thorough examination following which all possible options will be discussed. (Please refer to our procedures section for different types of vision correction surgery.)

What causes glare or halos? Can this be prevented or predicted before the surgery?

There are multiple reasons why a patient may experience glare and halos following vision correction surgery. The common underlying reason is the scattering of light as it passes through the cornea. This is why corneal surgeries such as PRK and LASIK tend to cause more glare and halos than non-corneal surgery such as ICL. PRK and LASIK physically alter the part of the cornea that is in the path of light whereas ICL does not induce any in changes to the natural shape of the eye. Dry eyes resulting in uneven tear film over the cornea can also scatter light and is another important reason for glare and halos.Finally, while large pupil size has been widely regarded as a cause for glare and halos, it has been shown recently that except for very large pupils (greater than 9 mm), there is no significant correlation between pupil size and degree of glare and halos observed following LASIK surgery.

What causes dry eyes following LASIK?

The eye has a self-monitoring and self-regulating mechanism to keep itself lubricated. Following LASIK, eyes can become dry as a result of disruption in this mechanism. Approximately two to four weeks following surgery, this mechanism is restored and tear production returns to baseline. However in some patients,
especially those who have a preexisting dry eye condition, the post-operative recovery process may be delayed or incomplete. Very rarely this condition will affect the health of the eyes. Also now there are several effective treatments to address dry eyes.

What causes vision change following surgery?

There are two reasons why vision may change following vision correction surgery. First is the “healing or reparative process” following surgery, and the second is the
natural changes that occur with age. This healing process is observed with “subtraction procedures” such as LASIK and PRK in which corneal tissue is removed. Thus, with a greater amount of tissue removal, there is a greater probability of change in vision following surgery. This process, called regression, can be effectively addressed with a “touch up” or enhancement procedure.

What is the best age to undergo vision correction surgery?

While there is no specific age that is considered to be the best time for eye surgery, people in their 20’s and 30’s are considered to be optimal candidates. This is not
because eyes of the people outside this age range are not physically suitable for the surgery but because of the patients’ desire to be glasses independent as long as possible and also due to the misunderstanding that vision correction surgery is a one-time event. It is well understood that children and those going through puberty have a higher probability of vision change with the passage of time. Furthermore starting in the mid-40’s, people will start to develop a need for reading glasses. This means that, while vision correction procedure can still benefit people in these categories, their probability of becoming and remaining glasses free for a prolonged period of time is lower. However, depending on their specific needs, many people can benefit from surgery. This is particularly so as, now, there are different vision correction procedures that can be utilized at different stations in life. This is why it is important that patients have a long term plan and consult a doctor who has
expertise in all forms of vision correction surgery.

Does LASIK hurt?

No. Local anesthesia is achieved with eye drops and the procedure takes less than five minutes per eye. Furthermore, during VisuMaxBladesless LASIK, patients
experience minimal pressure and discomfort. The curved interface of the laser makes gentle contact with the eye similar to putting on a contact lens. This gentle way of creating a flap is also the most precise and safest way to perform LASIK surgery. While some patients may experience tearing and mild burning sensation following surgery, there are drops to significantly reduce this post-operative discomfort.

What is a Refractive Cataract Surgery?

This is a process in which a vision correction is performed at the time of cataract removal. This is now possible as a result of advancements in cataract surgery, diagnostic devices, and lens technology. These advancements allow the doctors to prepare for surgery with greater precision, perform surgery with greater safety, and
utilize advanced technology lenses to restore best natural vision independent of glasses following cataract surgery. Be sure to inquire about the newest technology in cataract surgery.


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