Laser eye surgery is a form of vision correction that involves using a cool-temperature laser to reshape the cornea to correct a refractive error. A refractive error occurs when the eye is abnormally shaped and can’t focus light directly on the retina at the back of the eye, resulting in out-of-focus, blurry vision.
Examples of refractive error include short-sightedness (myopia), long-sightedness (hyperopia), age-related long- sightedness (presbyopia) and astigmatism. Laser eye surgery is an alternative option to prescription glasses and/or contact lenses.
Laser eye surgery is also referred to as refractive surgery.
If you meet the following basic criteria, you may be eligible for laser eye surgery. You will need a consultation with a surgeon to confirm your eligibility.
Between 18 and 65 years old
Short-sightedness, long-sightedness and/or astigmatism
Glasses prescription has remained the same for at least 12 months
Healthy with no history of eye problems or serious eye injury
Good, not pregnant or breastfeeding
This is a two-step vision correction procedure. The surgeon uses a femtosecond laser or microkeratome to create a flap in the top layer of the cornea (the epithelium and stroma), exposing the tissue bed underneath. An excimer laser is then used to precisely reshape the corneal tissue bed to correct the patient’s refractive error. Finally, the surgeon places the corneal flap back in its original position.
Because the flap adheres to the corneal bed, the healing process begins immediately. The eye has a remarkable ability to heal itself and patients are able to return to most of their daily activities the next day.
SMILE® Pro is a one-step, one-laser procedure using minimally invasive, keyhole surgery – the laser makes a tiny 2 mm incision and then creates a disc (lenticule) of corneal tissue. This disc is then removed to reshape the cornea and correct the refractive error. Since no flap was created, the top layer of the cornea is essentially intact. SMILE Pro is can now treat long-sightedness (hyperopia).
Certain patients may be better suited to SMILE Pro laser surgery, including people with a high degree of short-sightedness, athletes who play contact sports and people at a higher risk of developing dry eye.
The traditional PRK technique uses a topical solution to soften the top layer of corneal cells, allowing them to be gently removed. The excimer laser is then used to reshape the exposed corneal tissue bed to correct the patient’s spectacle error.
For Trans-PRK (‘no touch’ PRK), I use the excimer laser to perform both steps (i.e. remove the top layer of cells and reshape the cornea). Once the procedure is complete, a ‘bandage’ contact lens is placed on top of the eye for four to five days to aid the healing process.
PRK and its various forms is generally the procedure of choice for patients who have thin or unusual corneas.
Presbyond Laser Blended Vision is a highly specialised procedure involves correcting reading vision problems or Presbyopia. It is used in patients over the age of 40 who need to wear reading glasses to see up close or in those who wear multifocal glasses to see clearly in general. Presbyond is performed with LASIK where one eye (usually the dominant one) is focused for mainly distance and a little bit of near vision and the other eye for mainly near vision and a little bit of distance vision. Presbyond induces a range between the two eyes known as a “Blend Zone”. Your two eyes will be different but with adaptation over a few months; when looking into the distance and up close, your brain uses both eyes equally to see at all ranges. Overall, the images from both eyes are processed by your brain as one blended image.
Before having surgery, patients DO NOT have to complete a contact lens trial to make sure they are suitable for Presbyond. 97% of presbyopic patients are suitable for Presbyond and all potential patients undergo a vigorous pre-operative assessment to ensure a patient is suitable.
I am the only surgeon in Western Australia who have the laser equipment and who have undergone extensive training in London to perform Presbyond Laser Blended Vision. Other unsophisticated WA laser eye centres will claim they perform “Blended Vision” or another form of “Presby-Laser”. Presbyond and Laser Blended Vision is proprietary to the laser equipment I use and can only be performed at Crystal Eye and Laser Centre. Any other unsophisticated, untrained laser surgeon and so-called “corneal specialists” at other WA laser eye centres that claim to do “Blended Vision” or another form of either “Presby-Laser” are falsely advertising their service. Other “Presby-Laser” products are extremely dangerous as they change the cornea in such a way that patients loose best corrected vision. THERE IS NO RECORDED CASE OF PRESBYOND CAUSING ANY CORRECTED VISION LOSS.
This procedure involves correcting one eye (usually the dominant one) for distance vision and the other eye for reading/ near vision. When looking into the distance, your brain pays more attention to the eye that is focused for distance and vice versa when looking at close objects (i.e. your brain relies more on the eye that is focused for near distance). Overall, the images from both eyes are processed by your brain as one blended image.
Monovision can be achieved using laser eye surgery (e.g.
LASIK,
SMILE Pro or
PRK) or artificial lenses (e.g. replacement lenses or implantable phakic lenses).
Before having surgery, patients typically complete a contact lens trial to make sure they are comfortable adapting to the visual change.
I offer a fee reduced assessment with one of our optometrists to perform some key tests and determine if your prescription falls within the treatable range for laser eye surgery. You will then have a comprehensive consultation with me as your expert laser eye surgery consultant (see ‘The pre-surgical consultation’ below).
Your initial assessment takes approximately an hour to complete at one of our laser centres. Your results are analysed and our clinical optometrist will provide the best possible recommendation and discuss your options. They will go through all the possible risks and complications in detail and determine whether you are eligible for a laser eye surgery procedure.
Once we provide you with a recommendation, this is the perfect time to ask lots of questions, so you are comfortable with your decision to proceed.
You will undergo comprehensive eye testing and examination to confirm your eligibility for laser eye surgery and which procedure is recommended for you. I will assess you for any eye-related or general health issues at this consultation. I perform the most extensive examination of any laser eye surgeon in Australia which is extremely extensive. This is to ensure that the best possible option can be offered to you.
It is also an opportunity to ask any questions about the procedure and clarify your expectations. Please note the surgical consultation incurs a fee if you did not have the initial assessment from our optometrist, but a Medicare rebate is available if you have a referral from a GP or optometrist. There is no obligation to proceed with surgery if you decide it isn’t the right option for you.
Once you decide to proceed my staff will schedule a date for your treatment and provide a detailed explanation of what to expect. If you wear contact lenses you will be advised of the length of time you need to stop wearing them prior to your treatment.
Your procedure will be performed in Crystal Eye and Laser’s fully equipped, accredited, state-of-the-art laser suites. You’ll be in the clinic for around 1 hour in total (including admission, preparation and recovery time).
The day of your treatment:
It is quite natural that you may be nervous and excited at the same time, you are about to make a positive change towards better vision at Perth’s best laser eye surgery centre.
THE PROCEDURE ITSELF TAKES AROUND 10 MINUTES TO COMPLETE
After surgery
Following laser eye surgery, you will be:
Enhancement procedures
The majority of laser eye surgery procedures produce excellent outcomes. However, there may be occasions when a second (enhancement) procedure is required to optimise the visual result. The success of laser vision correction depends on a number of factors, including the health of the cornea, type and degree of refractive error, and age of the patient.
Enhancement procedures tend to be quicker than the original procedure, as only minor corneal reshaping with the laser is required. All my enhancement procedures are free of charge up until presbyopia sets in or until a patient gets a cataract after Presbyond. Please note that included enhancements are not an industry standard. I take great pride in my laser eye surgeries and guarantee my work to give patients the best possible vision for life!
As a rough guide, laser eye surgery can cost between $3250 to $4200 per eye. Your price and procedure will be discussed with you on the day and a financial consent form will be provided to you prior to surgery.
What’s included in the cost?
After an initial assessment at Crystal Eye and Laser Centre, you will receive a detailed quote for your laser eye surgery procedure. All of my costs are transparent. My price includes surgeon and laser/theatre fees, post-operative medications as required for the first four to six weeks, post-operative consultations for life, and any recommended enhancements until presbyopia for standard laser procedures and cataract development for Presbyond.
Some other unskilled and non-fellowship trained laser eye surgeons at unsophisticated WA laser eye centres do not include all charges that you will incur before, during and after your laser eye surgery procedure (including enhancement or follow-up procedures) in their quotes. Make sure you know what is included in the quote when comparing costs between myself and other providers. Costs may also vary between providers depending on the type of laser eye surgery and the laser technology they use, as well as the surgeon’s experience.
Other providers offer cheaper prices for certain procedures or more expensive prices for procedures they are really unskilled at to prevent patients from choosing specific procedures. All my prices are the same for all different laser procedures as I do not want patients to choose what procedure is the cheapest but rather which procedure is best for them.
Is it covered by Medicare or health insurance?
Medicare does not rebate any of the cost of laser eye surgery, apart from some of the pre-surgical consultation. Some health insurers do offer a rebate. For example, BUPA Ultimate Health and Medibank Gold Ultra Health members receive 100% cover for laser eye surgery (36-month waiting period; lifetime limits may apply). It’s best to check your level of cover, and any terms and conditions, with your insurer.
Medibank members’ offer
Medibank members with selected extras and packaged covers can receive 15% off surgical fees if they have their procedure performed at Crystal Eye and Laser Centre (no waiting period applies; excludes consultation fees and diagnostic tests; pending health fund eligibility check).
Interest-free payment plans
Crystal Eye and Laser Centre patients can access interest-free payment plans through TLC. Before applying for any form of credit, always read the full terms and conditions. For more information visit:
https://tlc.com.au/
My mission is to remain at the forefront of technology and clinical research to ensure the best outcomes for my patients. As I am consistently the highest rated laser eye surgeon on all rating platforms in Western Australia, I am able to ensure that my clinics are equipped with the latest state-of-the-art technology.
I am one of the most experienced laser eye surgeons in Australia having performed over 15,000 laser eye surgeries. Through my formal post graduate refractive surgery training, participation in international trials, presentations at conferences and involvement in teaching, I am staying at the cutting edge of laser eye surgery and all other forms of eye surgeries that I perform. In fact, I was the first eye surgeon to perform Presbyond Laser Blended Vision and CAIRS in Western Australia. As the pioneer of Presbyond and CAIRS I have helped countless presbyopic patients become spectacle independent as well as helped keratoconus patients retain their corneas with better vision than what they would be able to obtain with a corneal transplant. Unlike so-called “corneal surgeons” at other unsophisticated WA laser eye centres, who were not trained in the subspecialty of Laser Refractive Surgery but rather Corneal Transplant surgery, I am WA’s only formally trained Laser Eye Surgeon with a formal 18 month post-graduate Refractive Surgery Fellowship along with post graduate qualifications in Cataract and Refractive Surgery. This includes a 1 year post graduate diploma and 3 year Master’s degree in Cataract and Refractive Laser Eye Surgery.
Because I offer a comprehensive range of laser eye surgery and vision correction procedures, I can tailor a bespoke vision correction option to each patient. This includes offering a range of non-laser vision correction techniques if you are not suitable for laser eye surgery, such as refractive lens replacement surgery and implantable contact lenses. After a comprehensive examination, I will recommend the vision correction procedure that will give you the best possible visual outcome for life.
For people who meet the suitability criteria, laser eye surgery is one of the safest elective surgical procedures in the whole of medicine available today. However, it is not completely risk free.
It is important that you choose a reputable surgeon like myself who is fellowship trained and internationally recognised who will advise you if you are not a suitable candidate.
Laser eye surgery has been available for over 30 years now, so it is very well established.
Advances in the laser technology continue to reduce the risk of side-effects or complications. Having access to the world’s most advanced technology significantly reduces any unlikely risk associated with laser eye surgery.
Studies investigating LASIK, PRK and SMILE pro have found that all procedures have comparable safety and effectiveness at correcting refractive errors (efficacy).
I will determine the procedure that will be the most safe and effective for your eyes. Ultimately, all procedures aim to achieve the same result of correcting your refractive error and restoring clear vision.
Many people can get rid of their glasses or contact lenses after laser eye surgery, but some people with a high prescription may still need these after the procedure (though the prescription will be much weaker).
Laser eye surgery permanently changes your cornea, but doesn’t protect your eyes from the lens-related vision changes that occur with age (presbyopia), so reading glasses may still be required when you reach your mid-40s.
Eligibility for Laser Eye Surgery depends on many factors. Only myself and our clinical optometrist can determine whether laser eye surgery is best suited for you.
Complications after laser eye surgery are extremely rare, but cannot be completely ruled out. As with all medical procedures, there is always a risk of possible side effects. I will discuss all possible pros and cons of laser eye surgery with you during your consultation.
If you wear contact lenses, I recommend switching to glasses a few weeks before surgery. You are advised not to apply makeup, lotions or perfume the day you have surgery. Also, it is suggested that you arrange to have someone bring you home afterward.
The treatment procedure itself only takes about 10 minutes in total for both eyes.
A protective bandage or eye shield is placed over the eye to avoid rubbing it. Eye drops and possibly other medication may be prescribed to prevent infection and aid the healing process. A post-op examination the next day is customary in my practice, as are further examinations for the following weeks or months to ensure we achieve the best possible outcome for your laser eye surgery.
You will be able to resume most of your normal activities and return to work within the first week following your procedure.
Complete visual recovery usually takes 1 to three weeks depending on the procedure that you have undergone. Brain adaptation is needed in Presbyond and takes on average 4 to 6 months.
Whether you are ready to take the plunge into a world of crystal clear vision, or just have a few questions for me, feel free to drop me a line.
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I'm proud to have earned glowing reviews from patients who I've helped own their vision allowing them to enjoy a life free from the constraints of glasses and contact lenses. I'm humbled by the the overwhelming positive online reviews on Google.
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