Custom Lens Replacement Webinar: October 29th

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Well, greetings, everybody. Welcome. Welcome to Laser Eye Center of Silicon Valley’s webinar on custom lens replacement. Today is October 29th. And over the next few minutes, we’re hoping to be able to share with you what we know in terms of what we do to help people like you

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Who are exploring, can I get rid of my glasses or contacts? And

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You see here a couple patients that we’ve treated in the past. Greg Papa, who’s the voice of the 49ers, Cameron Brink, who is now a professional basketball player, and we’re pleased to be able to take care of them. If you look at kind of what we do and why we do it

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It really is about this. It’s really the joy that we strive to bring to people’s lives, because our patients tend to come to us because they’re frustrated, they have a problem. They don’t love wearing glasses or contacts. And as Dr. Bindi has often said, there’s no problem with glasses and contacts, it’s just that

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We don’t do that. We help people who want to get rid of them. And today on the webinar, we’re going to answer a host of questions. We’re going to cover the most commonly asked questions around modern vision correction. And this one is going to have a strong focus on custom lens replacement, but we’ll talk about the other procedures as well. And

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We’ll help you understand, at least at an initial level, whether or not you’re a candidate, a good candidate, which procedure might be the one that might be right for you, or what’s recovery like, how much does it cost, is insurance involved, and how we’re different, how we’ve strived over the past 30 years

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To set a very high standard for what it means to have modern vision correction. I’m going to invite you, if you have a question and you want to submit it, there is a button at the bottom of your Zoom window. You’ll see these icons there, and at the far right is the Q&A button

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And at any time, at any time during the webinar, you can submit a question. And the good news is that if you submit it, and we know who you are, so if you’re anonymous, you’re going to have to put your email in it, we’re going to answer it in the live session. And if we run out of time, we will send you an answer via email, as long as we know who you are. And Renee is helping us in the

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ground to make sure that’s all possible. Our three surgeons at Laser Eye Center, Dr. Craig Bindi, Dr. Sudkoshik, Dr. Dagny Zhu, I’ll be talking more about them later, but for the moment, I’m going to turn off the screen, and I’m going to welcome our surgeons here. We have

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Go for it

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Doctor Bindi and I’m going to talk about you first, Craig, if I could, you know, most of you on here, if you’ve been around the Bay Area for a while, you’ve probably heard about Craig Bindi because either you are on here and you had LASIK in the past, or you know someone who did. He’s

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Bay Area’s most experienced refractive surgeon by a good bit, and he’s also the team ophthalmologist for the San Francisco 49ers. He’s done now over 80,000 procedures, LASIK procedures, and that includes over 100 NFL players

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He’s going to be covering laser vision correction procedures such as LASIK. In addition, we have Dr. Sudh Koshik

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And he is our medical director of our Lens procedures, and one of the busiest refractive surgeons, not only in the Bay Area, but in the nation. So he’s going to be talking about the EVO ICL, and he’s going to be talking about custom lens replacement, or CLR. Those are our two

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Lens procedures. Let’s get on with it. So, Doctor Bindi

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What’s happening in 2026? What’s your view on 2026? And

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Well, first of all, thank you, Sri, for kicking this thing off and welcome to everybody taking time out of your day on a Thursday to learn about what we do every day here at the Laser Eye Center. Well, the reason we’re here today is in 2026

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It’s really not too much to ask for somebody to say, I want to be able to drive to a restaurant without wearing glasses, and when I get there, I would like to read my menu at the same time. Or I want to sit on my couch and watch the game, and also look at my cell phone.

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Or just to wake up and see, you know, the things that people like to do every day, do what they love and not have to deal with glasses or contacts, or as we say, simply wake up and see. So what we do at the Laser Eye Center, we offer conservative advice about modern vision correction

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And we’ll be talking a lot about laser vision correction. Now, laser vision correction includes LASIK procedures, all laser Lasik and epilasik and smile Lasik. And then Doctor Koscik, my teammate, will be talking more about EVO ICL and CLR. These are lens treatments, so we differentiate between laser treatments and lens treatments.

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And to understand that sometimes it helps just to go to an eye diagram just for like a 30-second quick understanding of what we do and the terminology will help you understand

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So in this, hopefully everyone can see that diagram, but you can see light entering the front of the eye we call the cornea. That’s where contact lenses go. Then it passes through the internal lens in the eye, and all the light is focused on the retina

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That’s the back of the eye of the retina. And so focusing problems are any time that the light is not sharply focused on the retina, vision will be blurry. This includes nearsightedness and farsightedness and astigmatism

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And those can… it’s very straightforward to fix these with laser vision correction. Now, in the old days, the only way we could fix nearsightedness or astigmatism was with glasses and contacts, and now looking back, we refer to glasses and contacts as

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Vision Correction 1.0. And in about the mid-90s laser vision correction was FDA approved, and we referred to the kind of the earliest versions of laser vision correction as vision correction 2.0. And you’ll hear us referring to the term modern vision correction

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And these are, or vision correction 3.0, and these refer to the most highly evolved laser vision correction treatments and lens treatments in the year 2026, and we’ll be going into some detail about each of these, okay

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Thank you, Dr. Bindi. Well, let’s jump right into what you specialize in when you’ve done so many of your whole career, what I think we’re 26 years now

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26th, 26th

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Okay.

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26, 26 years. But let’s talk about lasers and what laser vision correction is all about

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So for people who wear prescription glasses or contacts, especially if they’re between the ages of about 18 to 21, all the way up to maybe 55, often laser vision correction might be the best procedure or the treatment of choice depending on your measurements

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And so if you know people who’ve had LASIK, you already know it’s great and it works, but what happens, what your friends might describe as a procedure that takes about 15 minutes

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These procedures don’t hurt and they heal up within about a day or so, so it’s a quick recovery. And so up on this screen, you can see the picture on the left shows the laser. A patient would typically lay on that bed for about 15 minutes

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Even though the laser treatment itself usually takes about 10 or 15 seconds, a common question people ask, I’ll just say right now, people say, what would happen if I blink or I move during the laser treatment

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And so during that 15-second laser treatment, the laser is able to track eye movements if you move, and there’s a little instrument that keeps people from blinking, and so if somebody has LASIK, epilasik, or smile, these are laser vision correction treatments. You do need somebody to drive you home, and then these heal within about a day, so the next day you can return

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To normal activities.

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And what do they see? What’s that second picture on the right, Dr. Bindi?

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The picture on the right, you’ll see a green light blinking. And so that’s the view from a patient’s perspective as they’re laying under the laser. So a patient would be looking up and as the laser is reshaping the cornea, we’re using laser light that can reshape the cornea, treats nearsightedness and astigmatism

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And that’s what a patient sees during the treatment, okay?

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Fantastic, fantastic.

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One of the things I’ll just add, I’m really excited. My academic interest has always been vision performance and using lasers to improve vision and function, and that’s how I got associated with NFL players and high-performance athletes. But now we’re able to do laser vision correction in a way so much different from what we refer to as vision correction 2.0.

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We’re actually able to do something called optical ray tracing, which can take 100,000 measurements of a person’s eye using these measurements, I can create a virtual twin eye and I can do simulation surgeries on the virtual twin eye

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Before we even turn on the laser, so it’s really like test driving a LASIK procedure before you even walk in the room, and so a lot of people, obviously, eyes are important, vision is important, and I think people get a lot of peace of mind knowing we’re able to fine-tune things before the patient even has their surgery done

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Which is just incredible, right? The evolution that you’ve seen over your career in the laser technology and the diagnostics surrounding that is not to be underestimated. I mean, you’ve told me many times, this is the safest procedure known to mankind

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Well, I’ve talked to doctors before where I say I challenge a doctor in any field to come up with a procedure that over the last 25 years has the ability to improve people’s lives, the safety record, the effectiveness

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Yes.

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Yes.

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And I think LASIK is number one at the top of the list. Of course, I add to that a couple of challenges might be CLR or EVOICL, which is also a pretty good safety record. And that’s maybe a good point just to start off on is laser vision correction

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It’s great, and it’s amazing, but it’s really not for everybody. And about 80% of the patients that I see are good candidates for a procedure, but about 20% of the time we might uncover a reason where some of these other procedures are better. So during the consultation, Doctor Koscik and I and Doctor Zhu, we like to meet our patients and we can help them navigate

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And see which procedure is best for them, and so, for example, some patients we might say the EVO ICL is going to be better than laser vision correction for that individual, and we’ll make our suggestion based on that. So we can go over some of those scenarios, I guess

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Yeah, well, it’s a great transition now to introduce Dr. Koscik, our lens director. And Dr. Bindi, before Sid starts speaking, just

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Sure.

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Laser versus lens. Could you just give a quick overview? Because I think for a lot of people, they don’t understand this. And we know that because they think CLR is a laser procedure, things like that. Could you

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Yeah, I agree with that. Well, maybe think of there are four ways to treat prescription. Glasses, contacts, a laser treatment, or a lens procedure. And we’re talking about procedures. And of the two categories, laser vision correction is where we use laser light to reshape the cornea, fix the prescription

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There are scenarios where we say it’s going to make more sense to do a lens-based treatment. And this is what Dr. Kosciuk and Zhu specialize in. And EVO ACL and Lens based treatments, these are actually lens implants where we can use a tiny implant to perfect someone’s vision.

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Awesome. Well, Dr. Koscik, welcome. Thank you. I know you’re doing surgery today. Dr. Bindi’s doing surgery today, so to be able to squeeze this in between the morning and the afternoon, how’s your day going so far, Saad?

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Oh, it’s a great day. Yeah, thank you so much, Sharif for for having us and for everyone attending and Dr. Bindi and Steve Scott. I want to basically say I agree wholeheartedly with Dr. Bindi that when we have patients come in to see us, it’s not so much about

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hey, you know, do this surgery or do that surgery. What’s the best fit for this patient in front of us? And for a lot of patients, that’s laser vision correction. And I tell every patient that I meet, it’s about finding that fit. I have a lens-based surgery on my eye, but my wife had a laser-based surgery on her eyes, and so I believe in all the different modalities, and it’s just finding that right fit. But

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Evo ICL and custom lens replacement, those are kind of the procedures that I perform the most of. And Evo ICL is another option for vision correction. Sometimes in patients who may not have been a great candidate for laser due to a very high prescription

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These are patients with high amounts of nearsightedness that doing a laser approach may not be the preferred option. And doing this type of procedure may be beneficial because of a few reasons. Number one, we’re not reshaping that cornea, we’re not using the laser and removing any tissue. Number two, it’s a reversible procedure.

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Think of, like, a contact lens, something that’s very small and tiny, completely safe in the human eye, and the eye cannot reject this. The eye cannot detect this as foreign. So that’s another benefit. But you place that lens inside of the eye, and it corrects the nearsightedness. It also corrects the astigmatism in that patient’s eye

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And the patient can’t feel it. So that’s another benefit patients are asking, you know, if you put this in, like, what’s the maintenance or like, what do I have to do? Or, you know, is it like a contact lens? Like I take it off at the end of the night. No, nothing like that. We place this in the eye. It gets to stay in your eye and you don’t even feel it. And so those are some of these benefits

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Another one is really a lot of patients come in and maybe they’re a great candidate for laser vision correction from a numbers standpoint with their prescription and their anatomy being pretty good, but maybe they just tell me, I have, you know, really terrible dry eye, and it’s something that I’ve been struggling with for a really long time.

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This is a possible advantage with Evo ICL at mitigating that dryness or at least not contributing to it and helping patients with dry eye conditions. So this, as you see in the diagram, very, very small lens going in front of the natural lens and sitting behind the iris, which is kind of the colored portion of the eye, which controls also your pupil size. And so

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That lens sits there nicely. One further thing I wanted to mention is when we do these EVO ICL procedures, we use the highest advanced form of imaging to determine how to fit a patient with this lens. That’s another question patients will often ask me is

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Well, you have this lens and you have my eye anatomy, like, how is this lens going to fit or how do you know how to place this lens? And really, that’s with high resolution ultrasound imaging that we do, and that gives us a three-dimensional look of the eye and the exact location that this lens is going to sit in, so that we can be

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Highly accurate when we place that lens inside of your eye.

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Well, Dr. Koscik, you’re absolutely right. And it’s part of our core value that Dr. Bindi’s had his entire career, which is we are always going to have the best technology that gives the best results, period, end of sentence. And we’re never going to sacrifice

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A patient outcome, either safety or efficacy, to save money by having an inferior device, and that’s why we made that investment in that ultrasound device when it was proving to be better, and I’m glad, I’m really glad to see that you’re happy with it, and you’re finding patients are benefiting

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Yeah.

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This is just could you just review this real quick, the four steps

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Definitely. So one thing I tell patients is the procedure itself for EVO ICL is about 10 minutes per eye, but really that involves everything from cleaning the eye, prepping the eye, looking at the EVO ICL under the microscope, all of that. And so that’s taking up time where we’re not even touching your eyes. So

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Diagram kind of walks you through what happens when we’re actually ready to place an Evo ICL, and that portion, placing it, I’ll walk you through in step one, we’re just cleaning the eye. We’re putting kind of these saline solution to clear the surface and make sure everything’s nice and clean. In step 2, we’re actually inserting the Evo ICL

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Insertion of the EVO ICL will take 10 to 15 seconds, and that Lens nicely inserts through an injector device into the eye. Step three, you can see the lens is sitting inside of the eye, but step four actually places that lens behind the iris, that colored portion of the eye in the position that it needs to be in for

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Long-term benefit. And so that part 1, 2, 3, 4, if you’re actually looking at that, that is much, much, much shorter than 10 minutes. But 10 minutes is the whole process. Cleaning the eye, getting everything ready, making sure you’re comfortable, inspecting the lens

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The actual insertion is very, very quick

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Dr. Kushik, we already had a question from Gustavo. He said, hey, when you put in an ICL, is it like a bifocal contact lens? Do you give up something at near for distance? Can you clarify?

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Yeah, so the Evo ACL, at least in the United States and the way it’s FDA approved with its design is not a bifocal. And so it is correcting vision, I say, at one distance. And so this is important. A lot of patients who are between the ages of 18 to

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early 40s, their natural lens undergoes this process called accommodation. It can flex, it can change its shape, and that allows them to bring things into better focus at near. So we just need to put the EBO ICL in, correct their distance vision and their astigmatism

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Their natural lens will handle the rest and it’ll help them see up close. However, after about 45, these same patients, all of us will lose some of that accommodation. They’ll lose that ability of that natural lens to flex. And when that happens, we have other options, and one could be still using an Evo ICL, but doing something called monovision, where you make one eye better for distance vision, one eye better for near vision.

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Or at that point too, we start talking about other options like a custom lens replacement where if that lens inside of the eye is starting to not function correctly or become dysfunctional, then you can go ahead and replace it with a new artificial lens that will work better.

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Sure.

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Well, this is a beautiful segue from the EVO ICL lens procedure to a custom lens replacement. And Dr. Kosak, I’ve got on the screen and I’m just going to play and I can play this several times. You just describe what’s going on here, okay?

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Yeah, so we have this an animation of the eye, and you can see the lens sitting behind the iris, that colored portion of the eye, and it’s flexing. It’s changing its shape. And there are little tiny fibers called zonules that kind

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pull on the lens and allow it to change its shape. Now, the big thing that’s going to happen with normal aging and normal process is that lens will actually change its composition. It has protein in it, and that lens will change its composition. It’ll become a little bit stiffer.

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And that’ll make it harder to flex or change its shape. And that’s essentially what we call presbyopia or, you know, changing of the lens that affects everyone with age and will affect near vision. Now, with enough time, that will also affect distance vision

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And if you just play things out even further, that’s when the lens will eventually become a cataract. And so this is a good diagram for that. The normal lens is nice and clear. It also flexes very well, but with time and age, that lens will lose its flexibility. It will also become a little more opaque and not allow light

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To come through it very clearly, causing it to get scattered, so patients might exhibit symptoms of glare or starburst, or, you know, poor vision and dim lighting conditions, like driving at night. Other things that frequently are mentioned are colors just aren’t as bright and vivid as they used to be. You know, a lot of

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I tell patients there’s more to vision than just numbers on a screen. We throw black text on a white screen, but the world is full of colors, and so the lens is responsible for that change with age, where things can become duller.

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Well, this is this diagram then shows the problem that occurs, and it’s the next one that talks about the solution, this thing called an IOL, intraocular lens. What is that?

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So an intraocular lens is a artificial lens, but it is completely biocompatible with the human body. We have decades and decades and decades of data on intraocular lenses, so it’s well proven and established in how they work in the eye and how they improve vision. But there are different types of intraocular lenses, and that’s something that when you come in and you meet with us, our doctors will basically be able to walk you through looking at your eye anatomy

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Looking at your concerns and what, you know, most bothers you about your vision to help pair you with the best technology. And so that’s kind of the big thing I also mention to patients is it’s trying to find the best technology for each patient. We don’t do one size fits all. Everyone coming in is not getting the same thing.

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And that is because everyone’s different, right? Your eye is a little bit different person to person, and so we’re trying to pair that technology to maximize each individual. And so in this image, you’re just basically seeing different types of intraocular lenses. They can have different designs or shapes

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They can come with astigmatism correction or non-astigmatism correction. They can come with just helping you with distance vision, or they can help with kind of the whole range of vision. And so the lenses have different technology in them to help achieve the goal that the patient and the surgeon want to meet together to achieve

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Fantastic. And, you know, it’s worth saying that the IOL has been around now, as you said, for decades, and the traditional cataract surgery is the most widely performed surgical procedure in the world. We know that. And Dr. Bindi also knows that LASIK is the most commonly performed elective surgical procedure in the world

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In the world. So as ophthalmologists, you have the kind of the top position in two categories, which is amazing, but let’s feature one of our patients now. We’re so lucky today to have a radio announcer, Steve Scott, who’s been in the Bay Area now for several years, came to us from Chicago

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Steve, welcome. And it was such a pleasure to be able to take care of you and help you with custom lens replacement. It’s been now, what, over six months. How’s it going?

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Well, Sharif, it’s going great. And hello, everybody, and thank you for inviting me to be here today. I was saying before we went on, I brought some props. These are old reading glasses that I used to wear. Now they just sit in a drawer and they’re gathering of dust

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Because I don’t need them anymore. I was probably in my early 40s when I noticed that… I think the first time I noticed I couldn’t read the ingredients on the back of a can of soup.

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And that started the wearing the reading glasses, and, like, every year I’d have to increase the magnification, and, you know, it wasn’t getting any better. I’d have to hold the menu in the restaurant out to here, and… and so, you know, I needed to do something about it, and it’s really rewarding for me to see Dr. Koscik today. He did my procedure, my surgery

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And, you know, it’s not hyperbole. Anybody who knows me or listens to me on the radio knows I’m not given to hyperbole or bending facts or anything, but

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Dr. Koscik and the procedure has changed my life. It really has, to the point now where, you know, I hold up these props. I don’t even think about glasses anymore. You know, I work at the radio station where I read the news off of screens, but I also have things on paper

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Some are closer, some are a little farther away. I used to have to put the screen, the computer screen, 5 feet away from me to be able to read it, and then I’d still have to put on the reading glasses. Now I just have it at normal distance, and it really is amazing. And I can’t say enough

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about how this procedure really has changed my life. I know the slogan is, just wake up and see, and that’s exactly what happened. I had the procedure. Dr. Koscik sent me home, my eyes were dilated, I went to bed, I woke up the next morning

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I picked up my phone

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and I could read emails, and I’ve never been able to do that because my eye problems predate iPhones. I could never do that before the morning after I was reading emails on my phone, and you know, picking up pieces of paper and

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reading words off of paper. So it really has been life-changing for me, and I’m certainly enjoying, you know, the advantages of my new vision.

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Well, and for those of you who are Warriors fans and make your way over to Chase Arena to watch the team play, you’re probably saying, I’ve heard this gentleman’s voice before. Steve is the PA announcer in the Chase Arena for the Warriors. And how’s it made your like, you know, you’re watching the game, you’re keeping track of stuff. How’s CLR made that easier for you

00:24:31.000 –> 00:24:48.000
You know, it’s funny that you say that because I sit at the scorer’s table. I’m right. I’m the guy who’s sitting there right at center court at the scorer’s table. And I’m watching the play on the floor. So there’s some distance vision needed there. But I also have a score sheet. I’m marking down while I’m looking down who made the basket, how many fouls do they have

00:24:48.000 –> 00:25:04.000
Things like that. Well, I could see the floor pretty well every now and then before my procedure, I’d say, is that number 6 or is that number 8? You know, it was a little difficult. But then I would, if I were to look down and look at my score sheet

00:25:04.000 –> 00:25:23.000
I couldn’t read it at all. You know, so what I would do is I would wear reading glasses, but I’d have them way down on my nose like this, so I could see my score sheet, and I’d look over the top at the action on the floor. I don’t need that anymore. Now my vision, I can look down, I can look straight out at the court, I can look straight down again

00:25:23.000 –> 00:25:31.000
It really is amazing. It’s made my job a lot easier. Now I know if it’s number 6 or number eight.

00:25:31.000 –> 00:25:32.000
Fantastic. I mean, that

00:25:32.000 –> 00:25:48.000
Yeah, Steve, I was just going to add, I’m sure there are a lot of people on this webinar right now listening to your story. And they’re starting to relate to that because it’s one of the things I hear, a common question that I hear people ask is, well, I had LASIK 20 years ago. Often my patients, I did LASIK on 20 years ago

00:25:48.000 –> 00:26:06.000
And then they come back 20 years later and they start to slide their glasses down their nose, and even if their distance vision is clear, they had LASIK, they got older and the lens in their eye got a little less flexible as Doctor Koscik talked about, and then near vision starts to change, and so a common question people ask me is, can you do CLR to fix your near vision

00:26:06.000 –> 00:26:24.000
If you’ve already had LASIK and the answer is absolutely yes, we do this all the time, so the concept is LASIK is a great way to fix your prescription and fix your vision so you don’t need glasses. It just doesn’t block aging, doesn’t block the aging process, and when the lens changes, CLR is a way to fix the aging lens

00:26:24.000 –> 00:26:35.000
From dysfunctional Lens syndrome to fix near vision, so you did a great job explaining that, and I can imagine what you do. You don’t just watch basketball games and you don’t just look at your notes, you have to do both back and forth.

00:26:35.000 –> 00:26:51.000
Right. And that’s what I had trouble with before. I could see the action on the floor, but I could not read the notes that were right down in front of me unless I was to try to hold them out to here, and even then, I would have trouble doing it. So now, after CLR performed on me by Dr. Koscik

00:26:51.000 –> 00:27:09.000
It’s… it’s just seamless. I look down, I look up, I look down, I look up. There’s… it doesn’t take a while for one to fade out and the other one to fade in. You know, it’s… it’s just perfect. And then, also, knowing in my mind that I will never get a cataract, let’s face it, I’m

00:27:09.000 –> 00:27:16.000
you know, approaching that age. And the fact that after CLR, I will never develop a cataract, that’s just an added bonus.

00:27:16.000 –> 00:27:17.000
It’s awesome.

00:27:17.000 –> 00:27:35.000
You know, that’s a good point. A lot of people might not have caught that, but when we talk about CLR, this is a procedure that can fix distance vision and fix near vision. And since the human lens is upgraded to a tiny lens implant, that lens implant is an inanimate object. It doesn’t age or change, and that’s why you never then develop a cataract

00:27:35.000 –> 00:27:40.000
So that’s one of the big differences with these procedures.

00:27:40.000 –> 00:27:42.000
Well, and what I’ll go ahead, Craig, was something else?

00:27:42.000 –> 00:28:01.000
Oh, because I just want to say to Steve, thank you. I know your time’s important, so I just wanted to say thanks for taking time to tell us your story, and even though I’ve heard that, you know, tens of thousands of times, and Dr. Koscik so many times, it’s kind of what we like to do. It’s what makes it fun to come to work and to talk to our patients

00:28:01.000 –> 00:28:07.000
And the enthusiasm, thank you for sharing. And it’s a big part of what makes us love what we do.

00:28:07.000 –> 00:28:25.000
Well, thank you. And I wonder why did I wait so long? Why did I wait so long to do it? Because it really has changed my life. It’s changed how I work, both calling basketball games and reading the news on the radio. It really has been fantastic. So it’s my pleasure

00:28:25.000 –> 00:28:38.000
to come back and let people know that it really has been a great experience for me, literally a life-changing experience. So, Dr. Bindi and Dr. Koscik and Sharif, thank you very much for inviting me. I appreciate it.

00:28:38.000 –> 00:28:40.000
Oh, you’re welcome. Thank you for being with us.

00:28:40.000 –> 00:28:41.000
Thank you, Steve

00:28:41.000 –> 00:28:42.000
All right, very good. Thank you.

00:28:42.000 –> 00:28:54.000
And Dr. Koscik, back to you, because I think what Steve was describing is almost summarized in this slide, because I want this to be a prelude to you talking about another technology we use, the light adjustable lens, but let’s set it up with this.

00:28:54.000 –> 00:29:11.000
Yeah, I mean, so essentially, I think if you go see an eye doctor, they’re going to talk to you about distance vision, intermediate vision, and near vision. And that can be kind of a confusing topic because those are just vague terms. So I just wanted to clear that up a little bit. I kind of just say, what is distance vision?

00:29:11.000 –> 00:29:29.000
If you just put your arm out in front of you and you put your fingertips all the way out, outstretched arm, I kind of call distance vision where your fingertips end all the way off into infinity. That’s distance. From where your fingertips begin and come inwards, that’s kind of starting to change between intermediate and near. So

00:29:29.000 –> 00:29:43.000
Maybe intermediate is more of that computer distance, that car dashboard, things that are about, you know, 20, 25 inches away from the face. And then near starts becoming more like cell phones, watches, menus at a restaurant

00:29:43.000 –> 00:30:11.000
Things that you’re holding much closer, maybe 12 or 14 inches away from your face. And so I just wanted to kind of give that description of what are we actually talking about when we say distance, intermediate, and near, and then now talking about lens, you know, if we’re talking about specifically a type of lens technology called the light adjustable lens, I think that’s a great lens option for many patients because it allows reshaping of the lens even after surgery. So what I mean by that is

00:30:11.000 –> 00:30:28.000
A lot of patients, after you have the surgery, if they’re still feeling like, hey, you know, the distance vision’s really, really good, I like it, but I wish I had just a little bit more near, or can you tweak it? We can tweak it. We can do laser vision correction, and we can tweak it, and it works really, really well

00:30:28.000 –> 00:30:48.000
But this is just another option for that patient where we actually wouldn’t have to do any laser vision correction after the custom lens replacement. We can just shine UV light, and that UV light can then adjust the lens to help the patient see better at whatever distance that they’re talking about, whether it’s the distance, whether it’s the intermediate, whether it’s the near

00:30:48.000 –> 00:31:09.000
And that UV light, I mean, you’re talking about a process which takes 60 to 80 seconds. There’s no pain involved, and it’s basically just shining light, UV rays to help adjust that lens. And then the patient can go home and say, hey, you know, over the next week, I like this, this is really good

00:31:09.000 –> 00:31:33.000
Come back and let us know their results. So this diagram that Sharif is showing you is just kind of showing you a general, you know, timeline of events after the surgery. And it’s not going to be the same for every single person because every single person is going to have a different desire for their vision goals, and it might require fine-tuning that light adjustable lens more than one time. But I will say

00:31:33.000 –> 00:31:49.000
What is the beauty of it is for the vast majority of our patients, we can just do 1 adjustment and get them to where they need to be. Even though the lens technology allows for us to do multiple adjustments. And so I’ll kind of pause there and see, Sharif, if you had kind of

00:31:49.000 –> 00:31:50.000
areas that I should highlight

00:31:50.000 –> 00:32:12.000
I think that sets it well. I think for patients to know, and there are certain patients that just are super, super finicky, picky, right? We’ve seen them about their vision. This gives them now multiple opportunities to make those adjustments to dial it in the right way. And that’s why we’re so excited about this technology. I’ve been following it for 25 years

00:32:12.000 –> 00:32:28.000
While it went through development, it’s only been in the last 5 to 7 years now that it’s been available to us commercially. And again, Dr. Bindi wanted to make sure we always had the best technology available to help take care of our patients, and given how many LASIK patients he’s treated in the past, Dr. Bindi

00:32:28.000 –> 00:32:33.000
Don’t you believe this LAL for someone who previously had LASIK may be the right path

00:32:33.000 –> 00:32:50.000
It’s often, well, first of all, if somebody had LASIK a long time ago, they’ve become accustomed to seeing gray and not using glasses or contacts. With some other types of cataract surgery or lens implants, if it was off, they would have to do another surgery like a laser treatment or replace the lens

00:32:50.000 –> 00:33:08.000
And this really makes it so 1 surgery can fix all these issues, these focusing issues, and so the way it works is someone does their surgery, if they like it, we can lock it in. If they test drive it for a while and after a couple of months they want a little bit better distance, a little bit better near

00:33:08.000 –> 00:33:24.000
We can adjust it, and when they like it, they can lock it in. If they need another adjustment, we can fine-tune a little bit. So it allows people to do non-surgical adjustments using just light instead of surgery to fine-tune the results, and that’s really how we’ve been able to make it so

00:33:24.000 –> 00:33:29.000
A patient who could be not as happy with the surgery can be ecstatic about the surgery

00:33:29.000 –> 00:33:34.000
And that’s really what Doctor Koscik’s area of expertise is. That’s why I feel lucky to have him as my teammate.

00:33:34.000 –> 00:33:44.000
Awesome. Let me let’s go through rapid fire. We’re going to go through a lot of quick questions and answers. So, Dr. Bindi, here’s where we do our procedures. Why is this important for people to know about where we do our procedures?

00:33:44.000 –> 00:34:00.000
Well, just, I think maybe from the pictures, the picture on the left, that’s where I do laser vision correction. Dr. Koscik also does LASIK procedures in there. The one on the right, that’s the lens treatment room. And I guess the point is these are in our office. So when people have

00:34:00.000 –> 00:34:16.000
LASIK, or SMILE, or epilasik, EVO ICL, or CLR, these are all done in-house. We don’t send people off to a hospital or an ambulatory surgical center or some other place that they’re not familiar with. Everything we do is in our office, so they come to their consultation

00:34:16.000 –> 00:34:31.000
They meet the staff, they meet the doctor, they meet the patient counselor, and that’s exactly where they do the procedure. They’re not, you know, showing up to a different place, different people they didn’t know. It just makes it way more comfortable, I think, of a process. And it all began with

00:34:31.000 –> 00:34:47.000
We got used to people having Lasik, and they would say it was so quick, easy, and painless, and they would show up the next day for their post-op one, and they’d be kind of done. And we wanted to make lens-based procedures, EVO ICL and CLR

00:34:47.000 –> 00:35:04.000
At the same level, we wanted to be like a LASIK-like experience, and so we start off with saying, let’s do everything in our house. This is getting everything at the highest level certified, the best equipment certification, so everything is at least at the level of doing at an ambulatory surgical center or surpassing it

00:35:04.000 –> 00:35:19.000
You know, and here’s one of our team members, Alex, who’s just one of our awesome technicians. And, you know, he’s there on the day of surgery, and you probably met him when you were in for your consultation. So having the same team in the same environment, patients tell us is just very reassuring

00:35:19.000 –> 00:35:35.000
Reduces the natural anxiety that people have whenever they’re having any kind of a procedure. This one, I just want to showcase just something we celebrate with our patients, and here are patients either immediately after or within a day or so of their procedure, you know, people are saying, you

00:35:35.000 –> 00:35:52.000
you know, how do you get home? Well, you get up off the the table, off the off the bed, and you walk home, and you’re guided. We just don’t let you drive home on that first day. But many people drive themselves to that day one post-procedure appointment where our doctors want to just make sure that everything went

00:35:52.000 –> 00:35:56.000
as planned, and that’s typically obviously the case, but just a way to celebrate here. Yeah

00:35:56.000 –> 00:35:59.000
Sharif, go back to that picture right before, the one right before that one

00:35:59.000 –> 00:36:00.000
Yeah.

00:36:00.000 –> 00:36:13.000
So what that is, these are the chairs where people sit right before the procedure. And I was just going to highlight it’s natural. People come in, they might be anxious about the procedure. That’s where they get a pill of Valium, they get numbing eye drops

00:36:13.000 –> 00:36:30.000
And one of the things that maybe makes Dr. Koscik and I work so well together is even though we’re vision correction surgeons, I feel like managing anxiety and making people feel comfortable is kind of an added trait of what makes us work so good together. So

00:36:30.000 –> 00:36:48.000
Usually when you hear people who are done with their surgery, they’ll say, man, I was anxious before, and then as they leave our office, they go, that was about 10 times easier than I expected. Valium doesn’t hurt, but I think a team that’s used to dealing with these sorts of situations, making it as amazing and rewarding as possible

00:36:48.000 –> 00:36:49.000
Well, go ahead. Sorry. Yeah, please.

00:36:49.000 –> 00:37:04.000
Yeah, and I’ll just jump in real quick. Sorry to interrupt. I echo those comments completely. And talking about office-based surgery, another benefit, definitely the patient is familiar with the team because they’ve met them before the surgery. But the other benefit I wanted to highlight is the surgeon

00:37:04.000 –> 00:37:20.000
is so much more in, you know, sync with the team that’s doing the surgery, because traditionally, when you do, let’s say, cataract surgery or lens-based surgery in a hospital, and these are things that Dr. Bindi and myself have done, you know, in hospital settings

00:37:20.000 –> 00:37:36.000
We’re coming in as surgeons and we’re operating and we might not recognize that scrub tech that’s working in the OR that day because they have to work with so many different surgeons that are doing other procedures and, you know, all different kind of branches of surgery and medicine

00:37:36.000 –> 00:37:56.000
Whereas in our office-based setup, this is what we do. We do this day in, day out, and this is the team, the scrub techs, the circulating nurse, all of that are people that Dr. Bindi and I know and work with in clinic as well. And so I think that adds another level of benefit because almost it gets to a point where you can kind of read each other’s minds

00:37:56.000 –> 00:37:59.000
And it really helps the flow in the operating room.

00:37:59.000 –> 00:38:16.000
Well, and not only that, but also the fact that we do both eyes at the same time in the same session, unless there is some clinical indication not to, which is not the norm in traditional cataract surgery, right? They schedule you several weeks apart, which doubles the visits and everything else. We just

00:38:16.000 –> 00:38:34.000
Doctor Bindi, when you and I were conceiving this years ago, we thought we wanted to make it LASIK-like, and we’ve done everything we can, and we continue to move in that direction. Doctor Bindi, how many… you keep track of how many of our employees have had a form of modern vision correction out of the 30-some.

00:38:34.000 –> 00:38:35.000
Do you have the number?

00:38:35.000 –> 00:38:38.000
Well, over the years, it’s well over 40.

00:38:38.000 –> 00:38:47.000
Okay, because of former employees as well, yes.

00:38:47.000 –> 00:38:48.000
Three years ago

00:38:48.000 –> 00:38:53.000
But right there, so I had LASIK 26 years ago. Dr. Koscik, I think you had your surgery maybe three years ago. You had Evo ACL. Dr. Zhu, I did her LASIK procedure just maybe three months ago

00:38:53.000 –> 00:38:54.000
Yeah, yeah

00:38:54.000 –> 00:38:59.000
But pretty much everybody on our staff, they’ve had one of these procedures.

00:38:59.000 –> 00:39:08.000
Steve’s had CLR, Renee’s had CLR, I’ve had PRK. So we take our own medicine, I think is the best way to summarize that.

00:39:08.000 –> 00:39:22.000
We’ve had some people who they were patients and then they like the concept so much they became employees. And we’ve had several patients that had their surgery and then became eye doctors afterward, optometrists and doctors. So, yeah.

00:39:22.000 –> 00:39:37.000
It’s incredible. So one of the things you’ve talked about is the need for patients to come in for a consultation. I mean, people are asking questions here thinking, oh, will this tell me if I’m a candidate? But Dr. Koscik, why is the consultation so critical?

00:39:37.000 –> 00:39:38.000
Yeah.

00:39:38.000 –> 00:39:39.000
And I’m just going

00:39:39.000 –> 00:39:40.000
Go ahead

00:39:40.000 –> 00:39:53.000
I… the consultation is so critical just because your eyes are unique, and Dr. Bindi, myself, the other doctors here, we need to be able to get an idea of what your eyes look like, and not only just us looking at it with our microscope, but in the previous slide that you showed

00:39:53.000 –> 00:40:09.000
kind of all this amazing technology that is getting high resolution scans of your eye, different areas of the eye, different kind of measurements for repetition and accuracy sake, all of that is really, really important because

00:40:09.000 –> 00:40:28.000
You’re only as good as the data that’s coming in, right? And so we get so much data, and we use that, and we’re able to, you know, cipher through it and determine, okay, this is the best procedure for this patient, and we would use it with this type of technology to achieve the best result for this patient. So the consultation is

00:40:28.000 –> 00:40:39.000
It’s so important, and even furthermore, you’ll be able to ask those questions in real time. And Dr. Bindi and I will be able to just nicely kind of flow and answer your questions that I know are important.

00:40:39.000 –> 00:41:00.000
Truly about 80% of people are candidates, but when it comes to that 20%, it’s because the testing we’ve uncovered a reason where we say not doing a procedure is actually going to be better. And if I meet people with no measurements, I just meet people in a park, they’ll often ask me, yay, should I get LASIK? And I go, well, there’s about 80% chance you’re a candidate and a 20% chance you’re not

00:41:00.000 –> 00:41:16.000
We don’t know which camp you’re in until we do the testing. And also, that’s how we learn about you, the patient, to find out what’s going to be a good fit and what’s going to work well. So this is not a AI thing or, you know, we have to actually person-to-person talk

00:41:16.000 –> 00:41:31.000
and learn what’s going to be good for you, and that’s what we do with refractive surgeons. It’s definitely a safety first kind of a thing, though. This is something where we can identify risk factors and see if it’s something to consider, and then avoid them if it’s going to be safer

00:41:31.000 –> 00:41:48.000
And then one last thing I’ll just say is some people ask me, hey, Dr. Bindi, what’s the best procedure? Should I do LASIK or SMILE or Evo ICL? And there’s really not an answer like that. It depends if people have thin corneas, we pick the one that works best in that scenario. If someone with a lot of astigmatism, maybe a different procedure. What if somebody’s farsighted?

00:41:48.000 –> 00:41:56.000
What if they’re 21 versus 58? So that’s where a lot of this comes in, and that’s what happens in our consultation. We kind of direct you to the right answer.

00:41:56.000 –> 00:42:02.000
Got it, great. Could you comment quickly on recovery time typical for our procedures, Dr. Bindi?

00:42:02.000 –> 00:42:19.000
Sure. So laser vision correction, these are procedures that the next day people they do need a ride home. They take a pill of allium. They’re a little bit groggy. And so we say take a day just to recover and the next day they can drive to their follow-up the first day

00:42:19.000 –> 00:42:22.000
Dr. Kochek, what about side effects? What should people expect?

00:42:22.000 –> 00:42:51.000
Yeah, I mean, I think that also comes down to the consultation, making sure the right eye anatomy is there for the patient so that we can minimize side effects. But the common ones I do talk about with patients is you can have some dryness after the procedure, and that’s pretty typical. Things that will gradually improve with time and the use of the eye drops that we recommend. And then in terms of actually other things I want to clarify, you can’t feel like if I’m talking about a lens procedure, you can’t feel the lens in your eye, like there’s no way that you could sense that

00:42:51.000 –> 00:43:11.000
But determining the right lens implant is important too because certain lens implants can have other side effects that could maybe cause a little bit of halo, a little bit of circle around light sources, which are not in any ways, you know, limitations on a patient’s ability to do things, but something that they might notice. So it’s important to tell the patient about that. So those are common things that we talk about

00:43:11.000 –> 00:43:27.000
Great, that’s great. Well, one of the questions that’s coming up, people want to know how much, how much is this? And we want to show that what our fees look like for the different procedures. You see it here on the chart ranging from $7,000 for both eyes up to $16,000, and that’s

00:43:27.000 –> 00:43:42.000
One fee that covers everything, your preoperative visits, your procedure, obviously, all the technology we use, and then a year of follow-up after that. And of course, we also do, if you need any kind of enhancement, that’s included as part of this as well

00:43:42.000 –> 00:44:02.000
We offer through three different companies, financing. If you want to break up those payments, either on a no interest basis, which you need to qualify for, or over a longer period of time, which is less expensive per month, and you can see the fees here. And, you know, we do, on occasion, we will run at the right time, some type of promotion or special

00:44:02.000 –> 00:44:21.000
that we think will just help as an incentive, and we do have our fall promotion. We call it Fall in Love With Your Vision. It is $500 per eye on any of our procedures off of those prices you just saw. The procedure needs to be completed by the end of the year, so that means if you’re thinking about this

00:44:21.000 –> 00:44:36.000
And you want to improve your vision, you need to call us soon now or soon to schedule a consultation because it does take some time. First of all, most importantly, to make sure you’re a candidate. So we’ll show you how to do that. Most of you already know how to contact the office, but

00:44:36.000 –> 00:44:52.000
We do have that promotion that’s good for now until the end of the year, and to schedule a consultation is very simple. Actually, you can do it on our website, modern vision.com, easy to remember. And when you get to the screen or schedule the consultation, you can choose

00:44:52.000 –> 00:45:08.000
to come to one of our two locations, or if you’re like, you know what? I want to ask some questions first. I’m not sure. You can go on the right, and you can choose a remote consultation, which we can do by Zoom or video or just over the telephone. And now we offer it in English, Spanish

00:45:08.000 –> 00:45:23.000
And Mandarin. So if you are more comfortable speaking in one of the other languages, you just choose that button, and you’ll see the schedule and the availability there for you as well. As we get close to the end, I want to just revisit

00:45:23.000 –> 00:45:36.000
That, you know, Dr. Bindi you have been the team eye doctor for the Raiders for many years and the 49ers now. And they’re playing not this weekend, but they’re playing

00:45:36.000 –> 00:45:38.000
Next weekend.

00:45:38.000 –> 00:45:43.000
And here you go, you have it. And so who do you want to win?

00:45:43.000 –> 00:45:56.000
Well, that’s a tough question. You know, I’m not going to make predictions. You know, there’s one thing that I hope for when I’m on the sidelines of either team. I really hope for no eye injuries.

00:45:56.000 –> 00:46:03.000
That’s what I hope for. So I hope for a great game, health, healthy, no getting poked in the eye.

00:46:03.000 –> 00:46:04.000
Beautiful. That’s a good outcome. We’re both

00:46:04.000 –> 00:46:06.000
That’s very diplomatic. Is that a good diplomatic answer?

00:46:06.000 –> 00:46:24.000
He has a good diplomatic answer. Both teams win on that, which is fantastic. I want to go back because I’m just seeing some of the questions come up. Renee, thank you. You’re doing an awesome job answering, handling all these questions that come through. But if you are from out of town, if you’re farther than like an hour, hour and a half away.

00:46:24.000 –> 00:46:33.000
We want to know that when you schedule your consultation to come in, because what we’ll strive to do is schedule it so that you can have your measurements

00:46:33.000 –> 00:46:54.000
You can meet with a counselor, and if you’re ready to move forward, we’re gonna do your preoperative measurements in that same session. You’ll be there longer, you’ll likely be dilated, so bring sunglasses with you, but we get it all done in one visit. And really, that’s our goal, to strive to make it as easy and convenient for all our patients. So if you’re not 10 minutes away from the office, but, you know, 50 miles

00:46:54.000 –> 00:47:06.000
Let us know that. We’ll do everything we can to accommodate you on that visit, and to make sure, A, you’re a candidate, B, you’re taken care of, and C, we can get you… get all the measurements that need to be done on the front end

00:47:06.000 –> 00:47:22.000
And with that, I just want to say thank you. Here’s the phone number to contact us. There’s our website, also at modernvision.com, and we are just so happy that you spent some time with us today. We hope you learned something. We hope you had your questions answered

00:47:22.000 –> 00:47:37.000
I believe all of them have been answered, but if we didn’t get it, and you were anonymous, for example, just call us, and we’ll be happy to take care of you. That’s what we’re here for. And with that, 48 minutes in, Dr. Bindi to give you a few minutes to have lunch

00:47:37.000 –> 00:47:45.000
If you did great. And I look forward to meeting all of you. I know when you come in, Dr. Koscik and I will meet you and I look forward to when you come in. Thanks, Sharif. Good job.

00:47:45.000 –> 00:47:46.000
Great. All right. All right.

00:47:46.000 –> 00:47:47.000
Thank you all. Thank you, Steve.

00:47:47.000 –> 00:47:48.000
All right, everybody.

00:47:48.000 –> 00:47:51.000
Thank you. Thank you again, Steve. Thank you, Renee. Everyone have a wonderful afternoon.

00:47:51.000 –> 00:47:52.000
Thank you.

00:47:52.000 –> 00:47:59.000
Okay, bye bye.