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Laser Operations

Laser Operations

The vision defects are corrected by Computer Automated Laser devices by changing the shape of the cornea. The procedure is known as “Laser Operation”. Excimer laser is applied to the corneal tissue which is at the front part of the eye and the carbon bonds are broken; vaporizing the tissue and correcting the eye-sight. The cornea is “rasped '' with the correct amount of laser waves directed to the desired area so the refractivity is changed and the desired values are reached.

​“The Best Choice to Get Rid of Your Glasses & Contact Lenses”

The vision defects are corrected by Computer Automated Laser devices by changing the shape of the cornea. We can call this procedure shortly as “Laser Operation”.

Excimer laser is applied to the corneal tissue which is at the front part of the eye and the carbon binds are broken, vaporizing the tissue and correcting the eyesight. Cornea is “rasped” with the correct amount of laser waves directed to the desired area, so the refractivity is changed, and the desired values are reached.

Assessment Before the Excimer Laser Treatment

The diagnoses and pre-operative tests are really important before the treatment. After the diagnoses, the treatment is applied to the risk-free patients. Corneal topography will be mapped, the thickness of corneal will be measured and other disorders of the cornea will be detected. All those diagnoses are touch-free tests, performed by dedicated special devices

Who cannot get the Laser Treatment?

In situations and conditions which will prevent the cornea to regain its form again after the operation or if there are eye-related diseases; LASIK might be undesirable. The eye should be examined, and tests should be performed before the operation by the high-tech devices. Other than this, it is not recommended to have Lasik surgery if the patient is under the age of 18, pregnant or at the breastfeeding period, if the patient has cataract, keratitis, keratoconus, dry eye etc., diabetes or immune based systematic diseases

What can Excimer Laser solve?

Myopia: The corneal surface is probably very curved, or the eye is longer than usual. The image is reflected in front of the retinal layer so the patient cannot see the far.

Hypermetropia: The image is reflected behind the retina because the cornea is straighter, or the eye is shorter than normal. The patient more likely cannot see the close.

Astigmatism: Patients cannot see the close and far at the same time because the surface of the eye is curved like an egg.

Presbyopia: Elasticity of the ocular lens is decreased age relatively and the patients over 45 years old more likely have problems to see the close. By the result of natural aging the patients use reading glasses for the close sight and a second additional glass for the far.

Excimer Laser Application Methods

PRK: It’s the first application method of the Excimer Laser. The thin- alive layer over the cornea called “epithelia” is scratched by the “spatula” and excimer laser is applied right after the corneal surface is epithelia free within a 9 mm Radius.

TPRK: This method is only applied with the Schwind Amaris Excimer Laser and the epithelia is not removed. The laser is applied directly on the cornea. The healing process is faster with this method.

Lasik: It is a special procedure developed for more satisfying results with a minimum pain level. This procedure has 4 main advantages:

1) Less pain than TPRK and the post-operative complaints disappear or gets minimum after the 2. day.

2) The vision is corrected faster. The patient sees totally clear in 3-5 days.

3) The eye numbers don’t increase again; the cornea doesn’t get blurry.

4) Can be applied on myopia patients with the eye number up to 10.

MAIN STEPS WITH THE LASIK METHOD

1) Preparing the corneal flap                     

2) Application of the Excimer Laser

Corneal Flap is opened by laser
Corneal Flap is folded back, and the laser reshapes the cornea.
Corneal Flap is folded to its original position after the process is terminated.

1. STEP: By the Lasik method, before the laser is applied, the surgeon makes a thin and round incision, and this layer (corneal flap) is folded backwards carefully. The important point here is how the flap folding folded. To perform this procedure a knife called “microkeratome” is used.

2. STEP: Laser is applied after the corneal flap is taken under protection. Afterwards the flap is moved to its own position and operation is terminated.

EXCIMER LASER OPERATION

By the Excimer Laser method, needles or narcosis - alike anaesthetics are not used but topical anaesthesia with eye - drops are applied.
Excimer Laser process and the flap folding process takes only around 1-2 minutes. Thanks to the new laser technology, it takes less than a minute. However, with the preparation of the eye for the surgery and other preparations it takes around 5 minutes per eye.
The patient is able to communicate with the doctor during the surgery.
During the operation, the patient needs to stay calm, relaxed but stable. However, thanks to the modern technology of the Excimer Laser devices, the eye-position is followed and even if the eye is moved, the laser will be applied perfectly, and the necessary amount of laser lights will be directed to the area.


Femto – Lasik

Femto - Lasik method is one of the newest developments in the field of refractive surgery. Corneal incision is performed neatly without any mechanical intervention and any blades used with a fully computer automated system

Why Femto - Lasik?

Femto Lasik brings an extra secure progress by eliminating the potential complication risks of the real blade - mechanic keratomes.

With Femto Lasik there is the chance to apply the laser to the patients with a thin layer of cornea thanks to the new technology of Femto Laser.
It is possible to make a very thin cut of the flap with the Femto Laser. So, the patients with high eye numbers (such as 10.00 myopia) can also be treated.
After the flap is cut with Femtolaser and Excimer Laser is applied, it fits better to its own position.
It is painless and more comfortable to create the flap with the femtolaser on cornea.
Wavefront (Eagle-eye) Technology

In addition to myopia, hypermetropia or astigmatism some eyes have the disorder called Aberration related to the irregular islets on the corneal layer. Aberrations creates incapability of night vision and decrease in sharpness.

These irregularity on the islets are also corrected additionally to the myopia, hypermetropia or astigmatism after a very detailed eye-topography with this technology also commonly known as “Eagle Eye”. The patient gains a perfect night vision and sharpness; better than the one with glasses.

Frequently Asked Questions

At Which Ages Can I Get a Laser Treatment?

It is possible to have the operation between the ages of 18 and 65. However it is more likely recommended to be between 18-40 for the far-sight to be corrected and 40-65 for the close sight to be corrected.

Will my Eye-Numbers Relapse After the Excimer Laser?

At the first times when the Excimer Laser was very new, this problem was encountered. However, is no more observed especially in Lasik Method other than the exceptions.

Is It Possible to Have Cataract Surgery if I Already Had Excimer Laser Before?

Yes, it is possible to have cataract surgery in the future after the patient had an Excimer Laser in the past. An Excimer Laser treatment is a surface-treatment which doesn’t intervene inside the eye and doesn’t restrict a possible cataract surgery in the future.

Will the Eye Numbers Relapse? Can I Have a 2nd Operation?

It is important that the patient is over 18 years old, and the numbers have not changed more than 0.25 in the last year. The numbers are less likely to relapse thanks to new technology of Lasik however some of the vision defects which stopped at the age of 18 might relapse after a while. It is possible to have a 2nd Operation 6 months later if there is a significant change in the numbers or desired vision is not obtained

Is the Operation Risky?

The risk occurs mostly in the stage of lifting the flap by the blade which is less than %1 from the hands of an experienced surgeon. By Femto-Lasik device the risk is less than that. This risks never create irreversible situations and losing the eye or becoming totally blind is not even a matter of discussion

OUR DOCTORS

He graduated from the Faculty of Medicine at Hacettepe University (Medium of education: English) in 1997. He completed his specialty in Ophthalmology at Ege University Medical School, at the Ophthalmology Department. He became an Assistant Professor in 2006, and an Associate Professor, in 2010 and received the Professorship title in 2016. In 2003, he received a training on retinal and vitreoretinal surgery at the University of Helsinki's Cornea and Refractive Surgery and in 2017 as a visiting physician at the retinal section of George Washington University in the USA. His main areas of interest are Cataract, Retinal Diseases (Diabetes, Yellowhead Disease, Retinal Vein Diseases etc.), Corneal Diseases (Keratoconus, Dry Eye, Conjunctival Surface Diseases), Uvea (Behçet's Disease) Diseases. He scored over 6000 surgical cases in these areas. He has 36 scientific articles which have been published in international scientific indexes. He has over 80 presentations in various congresses. He has worked as a chapter writer and book editor in Turkish ophthalmology books. He has attended many national and international scientific meetings as a lecturer and panel speaker. He is an active member of the Turkish Ophthalmology Association (TOD) Cataract and Refractive Surgery Unit (2010), Turkish Ophthalmology Association (TOD) Cornea and Ocular Surface Unit (2010), TOD Uvea Unit (2010). Prof. Dr. Sinan EMRE can speak English. He is married and has one child.
He was born in Ankara in 1945. He attended TED Ankara College, İzmir Bornova Anatolian High School and Ege University, Faculty of Medicine between 1963 and 1969, respectively. Upon his graduation, he started his specialization at Ege University, Faculty of Medicine, Eye Diseases Department and assumed the title of Eye Diseases Specialist in 1971. Between 1974 and 1975, he performed his military service as an ophthalmologist in Hatay Military Hospital in İzmir. After that, he was educated on Retinal Diseases and Lasers in Ophthalmology Clinic of the Faculty of Medicine at University of Gant, Belgium for 1 year. In 1977, he assumed the title of Associate Professor of Ophthalmology, and he founded and operated Retina and Contact Lenses units in Ege University, Faculty of Medicine, Department of Eye Diseases. In 1982 he became a Professor of Eye Diseases. Between 1992 and 2000, he served as the Head of Department of Eye Diseases, Faculty of Medicine, Ege University. In the meantime, he published 3 books and more than 150 domestic and foreign scientific papers, and about 170 papers in national and international congresses. He is married to Dr. Nigar Erbakan and has two sons.
Dr Esat Çınar was born in Diyarbakır in 1976. He started İstanbul University, Faculty of Medicine in 1997 and graduated in 2003. He completed his speciality degree between 2003 and 2009 at İzmir Ege University, Faculty of Medicine, Ophthalmology Department. He was in charge of Glaucoma and Cornea Departments as a Deputy Associate Professor in İzmir University Hospital Faculty of Medicine, Department of Ophthalmology. He studied “Keratoplasty” in Ege University, Faculty of Medicine for 6 months (also known as “eye transplant”). He also was in charge of the controls of the premature babies’ in İzmir University Ophthalmology Department. He attended the course for vivisection both in clinical and laboratory fields for one month. His special interests are; Cataract surgery (multifocal, trifocal and thoric intraocular lenses), Cataract surgery with laser (Femtosecond Cataract), Keratoplasty, glaucoma surgery (non-penetrant surgeries such as viscocanalostomy, deep sclerotomy), Excimer Laser Surgeries (Lasik, Lasek, PRK), medical retinal diseases. He has many published articles in international indexes. He has many verbal and written presentations in national and international scientific meetings. He is an active member of the Turkish Association for Ophthalmology. He speaks fluent English and has one child.
He was born in Izmir, in 1971. He attended summer school at Mids School of English, Eastbourn, England for learning a foreign language while he was in Bornova Anatolian High School and graduated with a high degree. He started his medical education at Ege University and continued with his specialization at JL Uni-Giessen, Germany, where he had the chance of working peer to peer with names such as Prof. Dr. Karl W. Jacobi, Prof Dr. Herbert Kaufmann, Prof. Dr. S. Pavlovic. Then, he found the opportunity to further his education in the field of refractive surgery by working with the most important names, such as Prof. Dr. T. Kohnen, JWG Uni-Frankfurt, Prof. Dr. I. Pallikaris, University of Crete, Prof Dr. Mahmut Kaşkaloğlu, Ege University Faculty of Medicine and Kaşkaloğlu Eye Hospital. Besides, he did scientific studies about medical glaucoma treatment, which is his other field of interest, with Ass. Prof. Dr. Karl Georg Schmidt, CGC Uni-Dresden. He is a member of DOG, ESCRS, ISRS of the AAO and TOD. He is married and has one child.
He graduated from Hacettepe University Faculty of Medicine in 1998. He completed his speciality in İzmir Dokuz Eylül University Faculty of Medicine Department of Eye Diseases between 1998 and 2002. He studied Retinal Surgeries in Munich Ludwig – Maximillian University Faculty of Medicine, Department of Eye Diseases. Special Interests: Cataract Surgeries (Multifocal, Trifocal, Toric Intraocular Lenses), Laser Cataract Surgeries (Femtosecond, Laser Cataract), Excimer Laser Surgeries (Lasik, Lasek, PRK) and Medical & Surgical Retinal Surgeries, Eyelid Surgeries. He has many articles published which were also scientifically indexed. He has oral and poster presentations in national & international science meetings. He is an active member of Turkish Society of Ophthalmology. He speaks English & German well, and married with 2 children.
He graduated from Istanbul University, Faculty of Medicine and completed his specialty training in S.S.K Istanbul Hospital in 1984. He worked at Çanakkale State Hospital between 1984 and 2007. After 2007, he worked in private sector health units. He is an active member of The Turkish Ophthalmology Association and American Cataract and Refractive Association. Anterior segment (cataract) medical retina, glaucoma and contact lens are his areas of interest. He has a good command of English.
He was born in 1977. He graduated from Ege University. Fields of Interest: Cataract Surgery (Monofocal, Multifocal, Trifocal, EDOF, Toric Lenses) Excimer Laser (Femtosecond LASIK, PRK, No-Touch) ICL Keratoconus - Crosslink, Hard Contact Lens Application, Intrastromal Corneal Ring Strabismus Surgery Oculoplastic Surgery (Eyelid Aesthetic Surgery, Ectropium, Entropium, Ptosis, Probing, Tear Duct Obstruction) Pterygium Surgery (with Autograft) Glaucoma Medical and Laser Therapy Retinal Diseases (Intraocular Drug Injections, Diabetic Retinopathy, Yellow Spot Disease, Retinal Tears) Soft Contact Lens Inspection and Application He is a member of Turkish Association of Ophthalmology. He is married.
Dr. Kaan Okan Erdem was born in İzmir, in 1968. He finished middle school in Private İzmir Türk College and high school in Atatürk High School. He studied medicine in Selçuk University Faculty of Medicine. He is an active member of European Association of Cataract and Refractive Surgery, European Association of Ophthalmic Plastic and Reconstructive Surgery. He is interested in cataract, refractive surgery, oculoplastic and reconstructive surgery (upper and lower eyelids, tumour removals around the eye, entropium, ectropium ptosis, blepharoplasty), eye ultrasound, medical retinal and glaucoma. He speaks fluent English and married with 2 children.
He graduated from Dokuz September University Faculty of Medicine in 1996. He completed his specialized education in the Department of Ophthalmology of the Faculty of Medicine of the Aegean University between 1996-2001 and earned the title of ophthalmologist Dec. He has published numerous scientific articles that fall into international scientific indexes. There are numerous oral and poster presentations to national and international scientific meetings. He is an active member of the Turkish Ophthalmology Association (Tod). He speaks good English, Opr. Dr. Uğur Karagöz is the father of 2 children. Special interests: Cataract surgery (multifocal, trifocal, Toric intraocular lenses) Cataract surgery with laser (Femtosecond Laser Cataract) Excimer laser surgeries (Lasik, Lasek, PRK) Medical and surgical Retina Eyelid Surgeries
Born in Cyprus Serdarlı, he graduated from Nicosia Turkish High School. He graduated from Dokuz Eylul University Faculty of Medicine. He completed his specialization in Atatürk Health Site Yeşilyurt State Hospital with his thesis on the comparison of the rear camera lens application and the front camera lenses, which was started to be applied for the first time in the clinic under the management of Zühal Çakırca, the clinical chief. She worked as a contact lens center in İzmir for three years and then as chief physician at Karşıyaka Kızılay Fatma Kutluay Dispensary. He continued to work in Karşıyaka by establishing the Private Yalı Polyclinic in 2005 and the Private Yalı Eye Health Branch Center in 2007, his special interests are refraction and contact lenses. He is a member of the Turkish Ophthalmology Association.
He graduated from Ege University Faculty of Medicine in 1989. Specialization he completed his education in Izmir Education and Research between 1991-1994. He completed his Ophthalmology Department at the Hospital. International A large number of scientific articles included in scientific indexes have been published. Numerous oral and poster presentations to national and international scientific meetings has a presentation. He is an active member of the Turkish Ophthalmology Association (TOD). Fluent in English, Opr. Dr. Gazi Duman is married and has two children. Special interests: Cataract Surgery (multifocal, trifocal, toric intraocular lenses) Cataract Surgery with Laser (Femtosecond Laser Cataract) Excimer Laser Surgery (Lasik, Lasek, PRK) Medical and Surgical Retina Eyelid Surgery Strabismus Surgery
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