FAQs

At times, our patients have additional questions regarding the specific procedures that we do. This section addresses some of the questions that you might have. If you do not see your question listed, just ask, and we'll be happy to answer.

Near Vision FAQ

Am I guaranteed 20/20 vision following Near Vision CK?

No. And no honest doctor can absolutely guarantee a certain result from any vision treatment procedure. However, in the FDA clinical study, nearly 87% of patients had 20/20 vision while looking at objects in the distance and were able to read phonebook-size print (J3) after having Near Vision CK (12-month follow-up data).

Are both eyes treated on the same day?

Near Vision CK is typically performed on just one eye. However, if a patient's prescription requires treatment in both eyes, CK is typically performed on both eyes on the same day - one eye immediately after the other. Most patients are comfortable having the CK procedure performed on both eyes on the same day because the procedure is minimally invasive, takes less than three minutes and is done in-office with only topical anesthesia.

Are there restrictions after having Near Vision CK?

As with any vision treatment procedure where the cornea is altered, certain precautions should be taken. After the Near Vision CK procedure, patients should avoid getting contaminated water in their eyes for at least one week. This includes water from swimming pools, spas, lakes and the ocean. When showering or taking baths, patients should keep their eyes closed in order to avoid getting soap and dirty water into their eyes. When exercising, sweat should be kept out of the eyes for at least a week after the procedure. Also, patients should avoid rubbing their eyes vigorously for two weeks following the procedure. Females should also avoid applying eye makeup for one week after the procedure.

Can Near Vision CK be performed on patients who have a pacemaker?

The Near Vision CK equipment can produce interference that may adversely influence the operation of other electronic equipment. Therefore, Near Vision CK is contraindicated for patients who are wearing a pacemaker.

Can Near Vision CK treat myopia (nearsightedness)?

Near Vision CK was designed for baby boomers who struggle to read menus, price tags or see their computer - symptoms of fading Near Vision which require a steepening of the cornea. Near Vision CK is not designed to flatten the cornea, the effect required for the treatment of myopia. For treatment of myopia, please click on our section on LASIK.

How is a precise amount of RF energy and depth of treatment ensured during the Near Vision CK procedure?

The technology used during the procedure was engineered and designed specifically for performing Near Vision CK. This means that the precise amount of RF energy needed to affect the corneal tissue, at the precise tissue temperature and depth of treatment, were meticulously investigated and defined. The KeratoplastT Tip penetrates the cornea to a depth of 450 µm and utilizes a plastic stop at the very distal portion to assure precise depth of penetration.

How is Near Vision CK performed?

Near Vision CK, pioneered by Halpin-Noll Eye Center in Cincinnati Ohio, uses radio waves, instead of a laser or scalpel, to reshape the cornea and bring Near Vision back into focus. Near Vision CK performed using a small probe, thinner than a strand of human hair, that releases radio waves. The probe is applied in a circular pattern on the outer cornea to shrink small areas of collagen. This circular shrinkage pattern creates a constrictive band (like the tightening of a belt), increasing the overall curvature of the cornea. The procedure, which takes less than three minutes, is done in-office with only topical anesthesia (eye drops).

How soon can I return to work?

With Near Vision CK, the majority of patients are able to return to work and other normal activities the day after their procedure. Although recovery is fairly quick, it is advisable to be careful with your eyes and to avoid any strain. Those whose jobs demand intense clarity of vision (such as dentistry, surgery or computer work) may want to give their eyes some extra rest for several days following the procedure before going back to work.

Is Near Vision CK reversible?

As with most vision correction procedures, Near Vision CK is not reversible. Once the procedure has been performed, it is not possible to"remove" its effects. This is an important factor for anyone thinking about undergoing a vision correction procedure to carefully consider. Our physicians at Halpin-Noll Eye Center will review the risks and benefits with you to make sure Near Vision CK is right for you.

Is radiofrequency (RF) energy safe for use on the eye?

Yes. The use of RF energy is one of todays most advanced surgical techniques. In addition to its use in Near Vision CK, RF technology is being used in prostate cancer therapy, back surgery, even cardiovascular procedures.

What are the risks and side effects of Near Vision CK?

Because Near Vision CK is minimally invasive, the procedure has exhibited very minimal risk and almost no side effects. During the first 24 to 48 hours after Near Vision CK, you may experience tearing and some discomfort, including a foreign-object sensation in the eyes. You may also experience initial slight over-correction of your vision, which stabilizes during the following weeks. However, because Near Vision CK doesn't cut or remove tissue, many of the side effects associated with other vision treatment procedures have not been observed with Near Vision CK.

What enables Near Vision CK to be performed in-office?

Near Vision CK is a minimally invasive procedure that does not require cutting of the cornea, and therefore does not carry the associated risks or surgical complications. The procedure is relatively quick and easy to perform - taking an average of just 3 minutes.

What type of anesthesia is used during the Near Vision CK procedure?

A local anesthetic in the form of eye drops is used to numb the eye. Those patients who are nervous or have a high level of anxiety will be given a mild sedative to help them relax.

What will I feel during the Near Vision CK procedure?

The Near Vision CK procedure is considered painless. You will be aware of a support (speculum), which helps to hold your eye open. The most common sensation that patients experience is a feeling of pressure on the eye. After the procedure, there may be some mild discomfort, and many patients experience a foreign-object sensation or"scratchiness" in the eye. This usually subsides within 24 hours of the procedure.

Who is Near Vision CK right for?

  • Are over age 40
  • Had great vision your whole life
  • Require reading glasses to compensate for fading Near Vision

To determine if Near Vision CK is right for you, you can meet one of our physicians for a free consultation to discuss the complete list of indications and contraindications.

Why doesn't Near Vision CK use a laser?

Near Vision CK is a non-laser procedure that uses controlled radio waves to improve Near Vision. Rather than removing tissue with a laser, Near Vision CK reshapes the cornea using an entirely different method: the application of low-level, radiofrequency (RF) energy applied in a circular pattern on the outer cornea, to shrink small areas of corneal tissue.

This circular pattern acts like a belt tightening around the cornea to increase its overall curvature and bring life's details back into focus. The procedure, which takes less than three minutes, is done in-office with only topical anesthesia (eye drops).

Will I have to wear patches over my eyes after the Near Vision CK procedure?

You will not have to wear patches or bandages.

Will my health insurance cover the cost of the Near Vision CK procedure?

Because Near Vision CK is considered elective surgery (cosmetic), most health insurance plans do not cover it. Financing options are available to make Near Vision CK more affordable. For more information about financing, go to our financing page.

Will my vision fluctuate after Near Vision CK is performed?

Most patients will experience mild fluctuation in their vision after the procedure, but few notice it. Any fluctuation will usually subside within a few weeks. Patients who have a procedure to steepen the cornea (presbyopia or hyperopia), regardless of the procedure, usually require a longer stabilization period than those who receive a treatment that flattens the cornea (myopia).

Will my vision improve immediately after the Near Vision CK procedure?

Patients usually notice an immediate improvement in their vision after the Near Vision CK procedure. However, it usually takes several weeks for the eyes to adjust to the final level of treatment. Our surgeons will be glad to review patients' results performed at our Cincinnati area offices.

Will the instrument used in the Near Vision CK procedure penetrate my cornea?

Near Vision CK is performed using a probe (KeratoplastT Tip) that is as thin as a strand of human hair. The probe, introduced into the cornea, applies controlled radiofrequency (RF) energy, stabilizes the CK procedure and guarantees the precise depth of treatment.

Will you be cutting the cornea?

No. Near Vision CK is performed without the cutting or removal of tissue. It is a safe, minimally invasive procedure for baby boomers who struggle to read a newspaper, menu, alarm clock, or computer.

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LASIK FAQ

Can I still develop a cataract after the procedure and can it be removed if I have LASIK?

Yes, your eye may still develop a cataract in the years ahead. However, it can be removed in the usual manner. The laser does not cause cataracts.

Can I wear contact lenses again after the procedure if I need them?

Since LASIK is performed primarily to eliminate the need for any corrective lenses, it is doubtful that you would need contact lenses. However, if there would ever exist any unusual circumstance regarding some other condition that would require lenses, then lenses would be custom-shaped for the slight flattening that results from LASIK surgery. This would be recommended by your ophthalmologist.

How do I keep my eye open and not blink during the procedure?

A small wire lid speculum is used to gently hold the eyelids apart.

How long do I have to leave my contact lenses out before the procedure?

This will vary depending on which type of lenses you wear, the frequency that you wear them and your doctor's recommendation for you individually. Maximum time is usually 1 week for soft contacts, 2 weeks or longer for gas perm and hard lenses.

How long has LASIK been performed in the United States?

The excimer laser was approved in 1995 and then widely performed here since 1996.

How long will I have to use eye drops after the procedure?

This depends upon the patient's specific need. This can be discussed at the second follow-up visit. Artificial tears can be used during, after this period, and for as long as needed.

How many follow-up visits will I have and at what frequency?

Follow-up schedules vary with the type of surgical procedure and will be described during your initial consultation. A typical situation would probably involve four visits from day-after surgery up to a year.

How many years has the procedure been done and how many patients have been treated worldwide?

The first LASIK procedure was performed in 1987. The procedure has been widely performed in the past ten years and approximately 3.5 million have had LASIK to date.

How soon can I fly and travel after the procedure?

You will be able to travel the day following the procedure. Flying tends to dry the eyes more, so artificial tears may be used as needed if this occurs.

How up-to-date is the laser that you use for this surgery?

The Halpin-Noll Eye Center features the current state-of-the-art Allegretto Wave Laser which offers the world's most advanced laser vision enhancement technology. The Allegretto provides fantastic improvements over previous equipment in terms of maintaining the natural shape of the cornea and the reduction of post-operative glare and halo occurences, and also increases the number of potential LASIK candidates who, prior to now, could not have received LASIK.

Is the procedure painful?

No, topical numbing drops are used to anesthetize the eye. The only sensation you may have is slight pressure. Valium is offered to help you relax and if at any time you are uncomfortable, you can tell your surgeon. Most patients only experience a slight burning, foreign body sensation and/or increased tearflow for several hours afterward. Tylenol or aspirin are usually sufficient to relieve these symptoms.

Is there a better procedure on the horizon than LASIK, or is it here to stay?

LASIK is an exceptional procedure, we believe it will be around for a long time. If you are looking for a “no cut” alternative, ask about Custom Surface Ablation or LASER. There is a newly FDA approved procedure for very low degrees of myopia, the Intrastromal Corneal Ring (ICR).

Is there always a doctor available in case I have a question or problem?

Yes, a LASIK trained physician is on call 24 hours a day 7 days a week.

What are my options if I am at the age where I now need reading glasses or bifocals? Will I still have to wear reading glasses after the procedure?

There is a monovision procedure that your surgeon can discuss with you on your examination. This involves leaving one eye somewhat nearsighted so you are still able to adjust for up-close vision. Otherwise, you can have both eyes corrected for distance and wear glasses for reading only. You and your surgeon can decide together which option is best for your individual situation. We recommend simulating monovision first with contacts, if this possible before having correction in this manner with laser.

When can I go swimming after LASIK?

This can range from 1-2 weeks depending on the amount of post-operative inflammation. The physicians at Halpin-Noll Eye Center, a leading eye institute in Greater Cincinnati, will discuss this with you at your next-day post-operative visit.

When can I return to work?

This would of course depend upon several factors including type and extent of the procedure, the specific physiological response of the individual patient and certainly the type of work. This advice will be best provided post-operatively by your surgeon.

Will I always be seen by my surgeon on the follow-up visits?

Yes, the technician will check your vision on the eye chart and your surgeon or another physician in the practice will examine your eyes at each visit.

Will I see glare, starbursts or halos around lights or while driving at night after LASIK?

Yes, this is not uncommon but fades over time after the procedure. This experience is not much different from what many people see with their contacts and glasses before the procedure. Higher levels of myopia and patients with larger pupils experience this symptom more commonly. If this is experienced, it is usually not incapacitating.

Will my vision change as I get older?

Everyone eventually develops presbyopia, or the need for reading glasses. Your distance vision will remain stable, unless you later develop age-related eye conditions such as cataracts or retinal disease. However, your vision will not change as a result of LASIK.

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