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LASIK


Why choose us for Lasik?+

Why should you choose Mudgil Eye Associates for LASIK?

At Mudgil Eye Associates, our LASIK patients benefit from the same personalized, state-of-the-art care that is characteristic of all our services. We utilize the highest level of technologically precise instrumentation to guide your LASIK operation and to give you the best possible post-operative vision. We are the first practice in Chester County to utilize revolutionary anterior and posterior corneal topography for the most accurate corneal analysis. This enables us to better screen for occult corneal disorders and select the best candidates for laser vision correction. We are also the only practice in Chester County that offers both advanced surface treatment (epiLASIK) and the all-laser LASIK procedure, giving our patients the broadest laser vision correction options.

Dr. Mudgil received advanced training in laser vision correction at the pioneering Wilmer Eye Institute at Johns Hopkins Hospital. Unlike many other practices that offer laser vison correction, he personally confirms the patient's refraction pre-operatively, enabling him to provide the most customized post-operative refractive result to match the patient's lifestyle and occupational needs.

Complimentary Consultation+

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FAQ+

FAQ

Am I a candidate?+

Today's laser vision correction is capable of treating a much broader range of nearsightedness, farsightedness, and astigmatism than ever before. With all-laser LASIK technology and epiLASIK options, the overwhelming majority of patients will be candidates based on refractive error. Nonetheless, your candidacy also depends on your ocular and general medical health. Be sure to mention to our doctors all your current health issues, past medical and ocular history, and current medications. The best candidate is in good health, at least 21 years old, and has a stable refraction for at least one year. The best way to determine if you are a candidate is to take advantage of our complementary LASIK consultation.

Why is Mudgil Eye Associates my best choice for laser vision correction? +

Mudgil Eye Associates is well known for offering extraordinary care for a broad spectrum of ophthalmological issues. We have performed thousands vision correction procedures of all types. Many of our referring physicians throughout the Chester County community have trusted us to perform surgery on themselves and their families. Our physicians have been recognized as Top Docs by Castle Connolly and Main Line for over a decade. We are also the only practice in Chester County with the expertise to offer the broadest spectrum of advanced laser vision correction procedures: both epiLASIK and all-laser LASIK.

What are some alternatives?+

While there are very few patients that are not candidates for traditional LASIK, we have options for vision correction for those who are not suitable candidates. These options would be discussed after a comprehensive consultation, and they can include:
  1. PRK
  2. epiLASIK
  3. Clear Lens Exchange with the following intraocular lens (IOL) options:
    1. Crystalens
    2. Multifocal IOL
    3. Toric IOL

What vision results can I expect? +

Laser vision correction has been performed in the United States since the mid-1990s, with excellent results. The vast majority of patients with low to moderate myopia achieve better than 20/40 acuity, such that they will not legally require glasses for driving. Most patients achieve 20/20 or better acuity. Some patients can need an enhancement procedure to 'touch-up' the initial outcome. Nonetheless, the goal of LASIK is to reduce dependency on glasses or contact-lenses. As the eye ages, many will eventually still need glasses for reading.

Can LASIK or epiLASIK free me from reading glasses? +

The need for reading glasses as we reach into our 40s is called presbyopia. This has to do with aging changes in the lens of the eye. Because LASIK does not treat the lens of the eye, it cannot be used to directly treat presbyopia. Nonetheless, many undergoing LASIK may elect for monovision, where one eye is corrected for full distance and the other eye for the near/intermediate range. This will reduce the need for reading glasses too. At your LASIK consultation, we will assist you in determining if this is an appropriate option for your condition.

Does LASIK hurt? +

LASIK is by far the most rapid vision correction procedure. It is not an intraocular procedure, so there are no incisions made into the eye. Therefore, topical drops are used to adequately numb the eye, and there is no pain. Most patients will feel a sensation of pressure when the flap is created, but this is very brief. Dr. Mudgil talks to the patient the entire duration of the procedure, advising the patient of what to feel or expect, allowing for a more relaxed experience.

Does epiLASIK hurt? +

Like LASIK, epiLASIK is also very rapid vision correction procedure. It is performed on an even more superficial layer of the cornea, as there is no corneal flap created. The procedure is performed after the eye is numbed with topical drops, and there is no pain intraoperatively. A clear contact lens is placed after the procedure to keep the eye comfortable. However, unlike LASIK, the eye(s) will be scratchier, light-sensitive, and watery for 3-4 days, and patients are advised to take a week off from work while these symptoms abate.

Is laser vision correction covered by insurance? +

Laser vison correction is considered a cosmetic procedure, and it is not covered by traditional insurances.

Can a flexible care spending account (FSA) be used for LASIK? +

YES! FSA funds are an excellent way to make your laser vision correction procedure more economical.

What are the risks of LASIK or epiLASIK? +

The overwhelming majority of patients who have had LASIK are extremely satisfied with their results and indicate they would recommend the procedure to family and friends. However, as with any surgical procedure, for certain patients the outcome of LASIK may not meet all their expectations. The risk of actual LASIK complications is estimated at less than one percent.

At Mudgil Eye Associates, a thorough examination and discussion with the surgeon occurs prior to the procedure. Each patient is informed of the risks and benefits of laser vision correction and needs to feel comfortable that he/she is making an educated decision based upon facts. Additionally, unique complication risks that may pertain to your specific case are reviewed in detail.

Although rare, some general complications and side-effects associated with LASIK or epiLASIK include:
  1. Over or under-correction of vision
  2. Dry eye syndrome
  3. Infection or inflammation that can lead to vision loss
  4. No guarantee of perfect vision
  5. Device malfunction during surgery
  6. Loss of best corrected acuity
  7. Need for further procedures
For a comprehensive discussion of risks, please refer to our consent form, provided at the time of your consultation.

Laser Technologies+

All-Laser Technology

At Mudgil Eye Associates, our doctors use the latest All-Laser technology for LASIK. This is in contrast to traditional LASIK, where a blade (known as microkeratome) is used to cut the corneal flap that is necessary for laser application. With the All-Laser method, only a laser is used to create the corneal flap; a blade is never used. This laser technique allows for greater precision, effectiveness, and safety in the LASIK procedure. The benefits of the All-Laser LASIK procedure over traditional LASIK include:
  1. Decreased patient anxiety
  2. Stronger flap after recovery
  3. Improved safety and risk reduction
  4. Reduced post-operative complications
  5. Improved quality of vision
  6. Increased precision in flap creation
At Mudgil Eye Associates, in contrast to other practices, because our primary concern is patient safety, we have never charged more for the All-Laser method, despite its being a more sophisticated and technologically intensive procedure.

Alcon® Allegreto Wavefront Laser

At Mudgil Eye Associates, we utilize the fastest laser platform in the ophthalmic industry: Alcon's Wavelight® FS200 femtosecond laser system (to create the flap) and the Allegretto Wavelight® excimer laser (to perform the laser vision correction). With this platform, an advanced laser protocol known as Wavefront Optimized® LASIK allows us to perform the surgery in a manner that maintains the natural contour of your peripheral cornea. This allows for reduction of optical aberrations, known as spherical aberration, that could cause glare and halo symptoms at night.

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LASIK vs. epiLASIK+


LASIK vs. epiLASIK: which is better for you?

At Mudgil Eye Associates, LASIK and epiLASIK are the two most common laser vision correction procedures performed. LASIK involves using a femtosecond laser to create a partial thickness flap in the cornea, followed by using an excimer laser to change the shape of the remaining cornea to correct the refractive error. Following the laser applications, the flap is reflected back into place. The vision usually improves over the next day, but it will continue to heal/improve over the next 3 to 6 months. The patient can typically return to work the day after surgery.

On the other hand, epiLASIK doesn't involve creating a corneal flap. Rather, a device called epikeratome is used to remove the epithelium layer of the cornea, like peeling and discarding a small disc (about 9mm) of onion skin. The excimer laser treatment is then applied directly onto this exposed corneal surface. Following this, an antimetabolite agent known as mitomycin-C may be applied to prevent future corneal haze/scarring. Finally, a high-oxygen permeable clear contact lens is then placed on the treated cornea to conclude the surgery. Typically, over the next 3-4 days, the epithelial cells re-grow over the treated surface, after which the contact lens is removed. The patient can return to work about one to two days after the contact lens is removed.

Because of the additional healing time, epiLASIK is a less convenient procedure than LASIK. Some people can have pain and light-sensitivity for 2 or 3 days after surgery. It also takes longer for the vision to recover while the surface is healing. Some days can be good and other days more blurry. Over time this levels out, eventually getting to the same vision result as LASIK, but epiLASIK takes longer to get there.

However, since there is no flap with epiLASIK, some consider it to be the safest laser vision procedure available. Indeed, most laser vision correction complications today are flap related, and epiLASIK eliminates this element (albeit small) of risk.

epiLASIK may be more appropriate for certain patients who may not qualify for LASIK due to their corneal thickness or high prescription. When we create a flap on the cornea with LASIK and then remove additional corneal tissue with the excimer laser, only the remaining cornea provides bio-mechanical strength for the eye moving forward. Because of this, if the estimated remaining cornea is projected to be too thin, we become worried that the remaining corneal tissue may not provide enough support to keep the eye and the prescription stable throughout the patient's life. This is typically the case if the estimated remaining corneal tissue is projected to be thinner than 250 microns, in which case the patient is not a candidate for LASIK. In this instance, the patient could qualify for epiLASIK, which typically saves an additional 120 microns of corneal tissue, allowing for a safe and excellent vision-correction outcome. In general, a patient who is a candidate for LASIK is always a candidate for epiLASIK, but not the other way around.

There are additional unique reasons a patient may be better suited for one procedure over the other, but such considerations would be reviewed at the consultation visit as indicated. A benefit of laser vision correction at Mudgil Eye Associates is that we are the only practice in Chester County capable of offering both procedures, allowing us to cater the best treatment for your eyes!

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Pre-Op/Post-Op Care+