Learn About LASIK, EVO ICL and CLR: November 9

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are people… they come to our… they come to us and they say things like, they don’t like that they wake up and they have to reach for.

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Glasses on the nightstand, or they drive to a restaurant, it’s not too much ask to be able to drive to a restaurant and see clearly, and also get to the restaurant and read the menu.

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to sit on your couch, watch TV, and look at a cell phone, just like typical things that we all do, people are here because they want to be able to do it without glasses, so… We’ll be going over a lot of, um, a lot about different vision correction procedures, and, um, I think you’ll learn about which one might be more appropriate for you. So when you come into the consultation, it’ll make more sense of foundation.

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Fantastic. Well, Dr. Benny, let’s start off. Tell us about vision correction and modern vision correction. What is this phrase? What does this all mean?

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Well, um, I mean, vision correction, just general vision correction.

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Um, think of for hundreds of years, people would put on glasses or contacts, and that’s the most common, typical way that people would correct their vision. Vision correction.

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Just simple glasses and contacts, and then… Most people have heard of the term LASIK in the mid-90s. Um, laser vision correction became FDA approved, and.

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So we refer to glasses and contacts as vision correction 1.0.

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And then the initial version of LASIK, that was… that was Vision Correction 2.0.

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And so when you ask me what is modern vision correction, we think of.

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Modern vision correction are the most highly evolved versions of these types of procedures. Um, kind of the best stuff that we have going in 2025, and.

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So we’ll be talking about laser vision correction treatments, and this includes modern LASIK, all-laser LASIK, Smile LASIK, and EpiLASIK. These are laser treatments.

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And then also we’ll talk about different types of lens treatments, so maybe you’ve heard of.

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Evo ICL and CLR, and these are lens treatments. And so, um, what we do, we’re specialists in modern vision correction. These are procedures, so.

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People who are tired of glasses and contacts, readers and bifocals, they just want to simply wake up and see.

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That’s all we do. So… so that’s what we’re going to be talking about today, modern vision correction.

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Yeah, and Dr. Bendy, a quick one-minute anatomy lesson, if you will.

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Um. I can cover it in one minute. So, you can see on the, um, on the left-hand side of the diagram, you see light rays coming into first the cornea, that’s the front part of the eye where people put contacts in.

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put contacts on. The light then pass through the lens inside of our eye.

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And then from there, the latest focused, uh, right onto the retina.

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Now, if someone doesn’t need glasses or contacts, the light will be very clearly focused onto the retina.

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Focusing problems occur when… if somebody’s nearsighted or farsighted or has astigmatism, the light’s not going to be clearly focused.

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And so if someone puts glasses or contacts on, the light can be focused. By reshaping the cornea.

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Uh, with Laser, we can… that works very well to treat nearsightedness, farsightness, and astigmatism with a laser.

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Um, and then Dr. Lang and Kosak will go into a little bit more detail about how our lens procedures can fix vision as well.

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Absolutely, and would you just help describe briefly the three types of LASIK? And, you know, we’re already getting questions.

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What’s the difference between LASIK and PRK, for example? And of course, we have SMILE.

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Sure.

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A little overview, and I’ve got pictures, obviously, of the lasers that people see when they’re in the room.

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Yeah. Yep, yep. So, um, well, when we talk about laser vision correction, these three subtypes, LASIK.

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EpiLASK PRK and Smell, these are the three subtypes.

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Um, what they have in common, they all can treat nearsightedness, they can all treat astigmatism.

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Um, these are procedures where people walk into a laser room. They’re typically in the room for about 15 minutes or so.

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Um, and so that picture you see on the left-hand side, there’s a laser bed, people lay on that bed for about 15 minutes.

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When a patient’s laying on their back looking up, the picture on the right is actually what a patient would see when they’re doing laser vision correction.

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And so we had asked the patient to look at that little green light.

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Most laser treatments take about, uh, 10 to 20 seconds in that range.

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Um, a common question I’ll just say right now, people always ask me.

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What would happen if they blinked during the procedure? What would happen if they moved their head or moved their eyes during the procedure?

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And so the lasers are able to track eye movements up to 1,000 times per second.

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There’s a little device that keeps people from blinking.

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And so those are common questions, but we’ve kind of gotten around those sorts of things.

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Um, when people do LASIK or smile, the… it’s an overnight recovery, so people do need a ride home.

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Um, it… the next day, they can drive and work and do normal activities, but they do need someone to drive them home, and they’re using eye drops, especially the first week or so after the surgery.

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Um, and then lubricating eye drops, usually for a month or two afterward as well.

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Well, you know, you’ve been doing this for many, many years, extremely skilled. Obviously, we already said 75,000.

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procedures. Um… And when we started working together now 6 years ago, you had a vision.

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You had a vision for the practice. to expand it beyond laser procedures into lens procedures, and we’re so blessed to have our two.

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lens specialists with us. Now, at the practice, and could you talk about your goal? Why did you want to expand beyond LASIK?

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Well, I mean, first of all, not everybody is a good candidate for LASIK, so about 80% of the time, I’d see patients, they’d come in, and they would be great for laser vision correction.

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But about 20% of the time, it just wasn’t a good fit. Either because of their lens, or their corneal thickness, or the magnitude of their prescription. There were scenarios where.

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just wasn’t a good fit, and then that’s why I’m blessed to have both Dr. Ling and Dr. Kosak. They specialize in procedures.

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that are really more like LASIK alternatives. These are procedures.

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Um, that can fix nearsightedness, farsadness, astigmatism, they can improve near vision.

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And these are ways that we just weren’t able to help people who had certain measurements.

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Um, one of the things that was kind of interesting is most people know somebody who’s had laser vision correction, and it was such a… kind of a quick, easy process to get through.

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And so, between Sharif and Dr. Kosik and Dr. Ling, we really wanted to make.

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all these procedures we do as easy as if somebody did laser vision correction, so we’ll be talking today about.

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What does it… what is it actually like for a person, whether they have LASIK, or CLR, or Evo ACL?

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The short answer is, they’re all pretty similar to go through. They take about 20 minutes to complete, they don’t hurt.

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Numbing eye drops, pill of allium. You need someone to drive them home, but… but that’s kind of how the process goes, so if you know someone who’s had LASIK, you’ll be pretty familiar with what it’s like to go through CLR and Evo ACL.

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Great, thank you. And with that, I want to turn this over now. We’re going to turn to our other surgeons. We’ll talk to Dr. Ling in just a few minutes, who is our medical director of the LENS program, and we’re going to start, though, with Dr. Sud Kosik.

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Dr. Koscik joined us because of the growing demand that we see in the Bay Area for people who want to have modern vision correction, who say, I’m tired of glasses and contacts, I don’t want those readers.

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I can’t see the menu anymore, I want to see it. Uh, Dr. Kosik, um… You’re based in Pleasanton, you are the surgeon at our Pleasanton, uh, location. You do the laser procedures that Dr. Binney does, you also do the lens procedures.

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I want you to talk about the Evo ICL, because that’s getting a lot of buzz right now, and that’s been growing in the last few years.

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What is the EVO ICL, and why are people excited about it?

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Yeah, thank you so much, Sharif, Dr. Bindi, and Dr. Ling, and everyone tuning in. I mean, you’re spending the Friday lunch period with us, and we really appreciate it. Um, Evo ICL is a fantastic procedure to get you out of glasses and contact lenses, just as.

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Uh, laser vision can get you out of glasses and contact lenses, but we kind of select patients that have.

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Particular anatomy, um, or as Dr. Bindi mentioned, higher prescriptions, prescriptions that maybe.

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may not be benefiting them if they had a laser vision procedure done.

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So, these patients, uh, previously may not have had a great option, now they have a phenomenal option in Evo ICL. And so, ideal patients for this type of procedure are patients who have myopia, or nearsightedness, patients can have astigmatism as well, and that’s a common question that we get is, hey, I have astigmatism.

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I was told I might not be able to have a procedure. Can Evo ICL help me with that? And the answer is yes. So Evo ICL can help you with your astigmatism and nearsightedness.

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Talking about what it is physically, it’s… the analogy I make is, it’s kind of like a contact lens, something you’re very familiar with, something that’s soft, and you obviously place a contact lens on your eye.

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But imagine you don’t have to deal with that. You don’t have to deal with putting it on your eye. You don’t have to deal with it, uh, taking it off before bed. You don’t have to deal with dryness, scratchiness, or irritation, uh, that a contact lens may cause.

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All of these are advantages to the EVO ICL because it is a soft.

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insertable contact lens, in a way, uh, that goes inside the eye and corrects that vision.

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And so, you cannot feel it. No one can tell that you have it in your eyes.

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Uh, and like I mentioned before, it corrects that nearsightedness and that astigmatism, so you are going without your glasses.

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And your contact lenses. Um… Another benefit is, uh, reversibility. A lot of patients ask, is this, uh, you know, something that’s going inside my eye? Can that also come out? And the answer is yes, but the beauty to that is.

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We’re really not taking it out. Patients love their vision, they love the way they see, um, and the only time that we’re really kind of.

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having to remove that lens is down the road when they’re having normal age-related changes to their eye, things like cataract, things like a dysfunctional lens.

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At that point, you really have that benefit. You can take that Evo ICL out, address that dysfunctional lens or that cataract, and then restore vision again. So, it’s a wonderful procedure.

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Excellent. Ideal candidate for Evo ICL. How would you describe that in a sentence?

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In a sentence, I would say someone who’s nearsighted may or may not have astigmatism.

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And may not be a great candidate for laser vision correction, due to their prescription being very high.

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or their corneas being thin.

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Good. How long does the procedure take? Evo?

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I tell pa- I tell patients, expect 10 to 15 minutes per eye to do this procedure. The actual implantation of the lens is very quick and fast.

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But the bulk of that 10 to 15 minutes involves everything. Making sure your eye’s comfortable, it’s numbed up, the eye is clean, and that you are comfortable when you’re having the procedure done. But the surgery time? 10 to 15 minutes per eye.

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Any downsides, you know, like, short-term side effects, long-term issues, anything that patients need to know about?

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Yeah, and this is something that… it’s so important we have that advanced vision analysis, that we really do a comprehensive exam.

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to identify anything in your eye anatomy or your history that would make you have a higher chance of a certain side effect.

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So, uh, part of that answer is we want to make sure that we have that comprehensive exam. We fine-tune everything before we even touch your eye.

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The second aspect of that is known side effects of a procedure that are kind of unique, I mean, kind of universal to everyone. And something I’ve mentioned to patients with EVO ICL is.

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They may notice a slight halo in their peripheral vision that goes away with time, decreases with time.

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And that’s a property of the lens, and that’s something we discuss in detail with the patient.

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Got it. Thank you. Now it’s, uh, just my privilege to introduce Dr. Joe Ling, and Dr. Ling is the Medical Director of the LENS program here at Laser Eye Center.

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Uh, and I like to describe Dr. Lang, uh, in the competition nationally, because there are.

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Surgeons who do this nationally, and we’re one of the few centers that is exclusively dedicated to refractive surgery and modern vision correction, but.

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Uh, he’s risen to the top of the leaderboard in terms of some of these lens procedures.

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And it takes a lot of pride, because he has sacrificed, as has Dr. Kushik, other things they could have done in eye care, as has Dr. Bendy. They could have managed glaucoma and retina, and dry eye, and written prescriptions for glasses and contact lenses, but we don’t do any of that. We only do this.

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one thing, and it is that focus that has made us, I think, very good at what we do. So, Dr. Ling, welcome.

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And two things. I want you to talk about CLR.

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Um, and I guess… Let’s start there. What is CLR, and what is the problem we’re trying to solve?

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All right, thank you, Sharif. And, uh, nice to meet everyone virtually.

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And to answer your question about what is custom lens replacement.

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Uh, I want us to understand a little bit about how our eyes work and how the.

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at age. So, throughout our life. We are born either with.

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Not much need for glasses, or we have that inherent need for glasses.

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But otherwise, the rest of the anatomy and the infrastructure of the eyes.

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works were very well, with or without glasses. And you’ve adjusted to that, and say you had LASIK or ICL to correct out of the need for glasses, you could still see far.

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and near, and the correction stays with you for quite a while.

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But then something happens over the course of decades.

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Typically around our 40s. And a few things starts to… crop up. The need for reading glasses, the need to transition your glasses to.

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bifocals or progressives. Or even that you had LASIK, and that your vision.

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feels like it has changed since you had LASIK, or LASIK has worn off.

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And that is due to the fact that your eyes isn’t a static.

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pieces of anatomy, there’s a lens within our eyes.

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that age and deteriorate over time. As Dr. Bindi has noted earlier on in that quick anatomy lesson.

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Uh, there’s a lens in our eye, and that lens help us focus, and when it’s, uh, youthful, when it’s fully functional, it allows us to be able to see far and then transition.

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up close to near. But that lens starts to harden up and start to deteriorate. We call it dysfunctional lens syndrome.

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And that lens becomes fixed, so it’s… it isn’t able to refocus your vision anymore, and thereby you have to hold things further and further away to see.

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when you have it in your hand, difficulty seeing in dim lighting.

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And that lens will continue to deteriorate, so the need for glasses only rises, uh, typically.

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starting your 40s and beyond. And that lens, at some point, will become cloudy.

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And that will start to cause even more light scattering.

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And that cloudiness is what we term cataracts. So hopefully this, uh, brief tutorial allows you to connect all the dots of what you may have heard.

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peripherally about, oh, my parents had cataract surgery, someone had cataract surgery, and then some people started wearing reading glasses, and maybe I myself started to feel this way, too.

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It’s all part of the natural progression of our ice age.

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So, to take it back to custom lens replacement.

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This is a tool, uh, designed specifically to address this age-related change that we, every single one of us.

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will undergo. It is not hereditary, it is not, you know, am I just the unlucky one that’s going through this? Every one of us.

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We’ll go through this change in our natural lens, and will require a lens replacement.

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Should we, you know, be lucky enough to live long enough to, you know, undergo that change?

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So, a custom lens replacement is to replace that aging lens.

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With a synthetic one. So, here we have many different.

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type of lenses that we would use. in a custom lens replacement.

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And when you use these implants, instead of relying on your aging, dysfunctional one.

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You can see improvements in your quality of vision.

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restoration of some of the functionality you used to enjoy when the eye was younger.

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So, this is the reason why custom lens replacement exists.

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If you had to compare… Go ahead.

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Dr. Ling, I was going to interject, just a question for you. Do you have to wait.

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Until you have the fully developed cataract to have custom lens replacement.

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Perfect. Great question, and that’s exactly where I was going. If… If you had to compare custom lens replacement to any other procedure that you may have heard of, it’s very… in some ways, very similar to cataract surgery.

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But cataract surgery and custom lens replacement do have very, uh, clear distinctions.

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Custom lens replacement is a procedure that is to improve your vision and reduce your dependency on glasses.

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while taking care of any lens, dysfunctional lens issues and cataracts.

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Whereas cataract surgery, the focus is. very much more on the fact that you have cataract, and you’re just wanting to get that.

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dysfunction, uh, cloudy lens out, replace it with just a lens that is clear, and then you correct.

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with additional classes afterwards. So you can think of custom lens replacement as a more advanced.

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version of cataract surgery. And even a preventative form of a procedure that prevents the need for cataract surgery down the road.

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So just to be clear, if you have CLR, you will never have cataract… need cataract surgery.

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And if you have CLR, is this the way your vision’s gonna be for the rest of your life?

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Yes. For all intents and purpose, once a custom lens replacement is done.

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the… the moving aging component. That basically encompasses the reason why your vision changes over your lifetime, which is the lens itself.

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is basically stabilized. So the synthetic lens will not age or change anymore, thereby your vision will be very stable.

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going forward after a lens replacement. You will not need any additional procedures.

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And could you describe the ideal candidate for CLR?

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So an ideal candidate for CR is someone who has started to demonstrate.

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And a significant change in their natural lens functionality.

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It doesn’t have to be cloudy, it doesn’t have to be an outright cataract.

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But there is a clear indication that, hey, you are very clearly, uh, presbyopic, which is a term.

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losing the ability to focus, starting to use reading glass and progressives.

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And it could also be that the prescription. That we’re looking to treat, it’d just be outside the range of any other alternative procedures.

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Such as laser vision correction, or ICL, and we can look to a custom lens replacement.

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As well. But the typical individual, I would say, is probably, uh, above the age of 50.

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years old, and has a heavy dependency on glasses.

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And Dr. Bendy, there will be some patients who come to you who are in their 50s and 60s.

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And sometimes you refer them to Dr. Koshik or Dr. Ling, but some just say, no, no, no, they can still have LASIK with a little.

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tweak. Could you just describe what that’s about?

00:22:13.000 –> 00:22:22.000
Sure, I can. Um, well, if a patient comes back, and let’s say they had LASIK 10, 15, 20 years ago, and then their vision starts to slip a little bit.

00:22:22.000 –> 00:22:28.000
often we’ll just say we can fine-tune it. If they don’t want to wear glasses, I guess, we could fine-tune with a laser retreatment, a touch-up.

00:22:28.000 –> 00:22:33.000
Um, and then, kind of building off what Dr. Ling was talking about, sometimes we’ll see the lenses beginning to change.

00:22:33.000 –> 00:22:38.000
And that’s where the decision process comes into play. Should we fine-tune with a laser?

00:22:38.000 –> 00:22:43.000
like a LASIK touch-up? Or would it make more sense to fix it with a lens procedure and do CLR?

00:22:43.000 –> 00:22:51.000
And so that’s where the consultation really comes into play, where we can look at all the measurements and start to figure out in each clinical scenario what’s appropriate.

00:22:51.000 –> 00:22:56.000
Um, there are a couple things I’d just add. Dr. Ling, you did a great job of going over CLR.

00:22:56.000 –> 00:23:04.000
And I was gonna say, sometimes if someone’s in their 40s or 50s, sometimes a laser treatment is still the very most appropriate option.

00:23:04.000 –> 00:23:10.000
And we can do lace that can make both eyes perfect at distance, or sometimes we’ll just do an age adjustment. A little bit of nearsightedness.

00:23:10.000 –> 00:23:14.000
So people can still see, get up close, even after LASIK, so they don’t need to use reading glasses.

00:23:14.000 –> 00:23:21.000
And then, fast forward a little bit down, there’s a part… there’s a point in time where we say maybe CLR’s gonna make more sense, and so.

00:23:21.000 –> 00:23:26.000
That… what you said, Sharif, is right. Often, I’ll refer those people to Dr. Koscik or Dr. Ling.

00:23:26.000 –> 00:23:30.000
I say, maybe this is a little bit more appropriate to do a CLR procedure.

00:23:30.000 –> 00:23:36.000
Got it. And Dr. Ling, I want to tell you, I found another visual that we can use in this, uh, in this.

00:23:36.000 –> 00:23:45.000
Because I had questions that were coming in in the last couple days, even before the webinar, saying, okay, so what’s an IOL, what’s a multifocal IOL, what about this light-adjustable one?

00:23:45.000 –> 00:23:50.000
So let’s spend a couple minutes doing that, and let me just bring this up on the screen, because I think it’s going to help.

00:23:50.000 –> 00:23:56.000
Uh, and just first of all, just showing, you know, a new lens implanted, correct?

00:23:56.000 –> 00:24:02.000
Correct. So, that is an interactive lens sitting there in the capsular.

00:24:02.000 –> 00:24:07.000
complex there, whereas the old lens, this functional lens, hasn’t been removed.

00:24:07.000 –> 00:24:13.000
And, you know, as you saw previously, there are many different types of intraocular lenses.

00:24:13.000 –> 00:24:17.000
And this would tell you a few things, that there’s a lot of options.

00:24:17.000 –> 00:24:24.000
But I will add that there’s no perfect option. It is important to go into a consultation with us or anywhere else.

00:24:24.000 –> 00:24:31.000
with a very open mind, and partner up with a professional that can really help you understand what each of these lenses can.

00:24:31.000 –> 00:24:36.000
or cannot do, and what potential side effects that each may carry.

00:24:36.000 –> 00:24:41.000
In our clinic, when you come in for a consultation, we’re going to explore.

00:24:41.000 –> 00:24:48.000
every detail of your eyes. We have an advanced vision analysis that will look at over a million data points.

00:24:48.000 –> 00:24:59.000
to understand both the health, the physiology. the needs and, you know, what is appropriate for your eyes to receive in terms of intraocular lenses.

00:24:59.000 –> 00:25:05.000
And besides the anatomical aspect of things, we also are looking very deeply into.

00:25:05.000 –> 00:25:10.000
Your aspirational, your lifestyle, what is it that’s important to you?

00:25:10.000 –> 00:25:14.000
Because sometimes there will be trade-offs, sometimes there will be compromises.

00:25:14.000 –> 00:25:19.000
At the end, when we make a recommendation for you, it’s because we have very high confidence that.

00:25:19.000 –> 00:25:29.000
Number one, it’s going to meet your expectations. And number two, that essentially your vision is going to be undeniably better than it was before. You had procedure.

00:25:29.000 –> 00:25:35.000
And Dr. Lang, on this slide, I’m going to move to actually, you know, explain these rings.

00:25:35.000 –> 00:25:36.000
Sure. Right.

00:25:36.000 –> 00:25:42.000
What these rings are on that lens, and what that all means. Then I’ve got an example in the next one I’m going to bring up. Go ahead.

00:25:42.000 –> 00:25:48.000
Right, so it may be hard for, uh, for… for some people to see that there are, like, these little etchings on that lens.

00:25:48.000 –> 00:25:55.000
So I’ll break down the different types of lenses, uh, you know, that we have currently on the market in broad categories.

00:25:55.000 –> 00:26:00.000
So we have a multifocal lens. Here, a multifocal IOL.

00:26:00.000 –> 00:26:05.000
There are these concentric rings that are on the optic of this lens. This allows.

00:26:05.000 –> 00:26:11.000
multiple focus points. that would enter into your eyes as light goes through this lens.

00:26:11.000 –> 00:26:15.000
So, the benefit of this is that it will allow.

00:26:15.000 –> 00:26:19.000
And I, individually, to see far, intermediate, and near.

00:26:19.000 –> 00:26:26.000
by splitting the light across, uh, these ranges. That’s what those etchings are for.

00:26:26.000 –> 00:26:32.000
So it’s an excellent option for the appropriate patient who’s looking to really reduce their dependency.

00:26:32.000 –> 00:26:42.000
on glasses across both distance and near. Uh, there are things that we’re going to discuss, whether it’s anatomically appropriate for you, does it meet your expectations, because.

00:26:42.000 –> 00:26:55.000
you know, there’s no free light. Just like there’s no free lunch. Uh, when light goes through and they stretch it out, there’s gonna be a little decrease in contrast. We’re gonna see if that’s relevant to you. Is that important? Are you a huntsman? Are you, uh, someone who’s a bird watcher?

00:26:55.000 –> 00:27:03.000
With that loss in contracts bother you? Or, if you’re someone who drives at night a lot, one of the common side effects with a multifocal.

00:27:03.000 –> 00:27:09.000
IOL is that they’ll give you some glare and halos at nighttime. Very well, uh, adjusted for most people.

00:27:09.000 –> 00:27:18.000
But again, we have to explore into. what is important in terms of the way you want to see. The take-home message is that many options.

00:27:18.000 –> 00:27:21.000
But it is only one right option for you.

00:27:21.000 –> 00:27:29.000
And just to put this in perspective, at Laser Eye Center, we do more of the Evo ICL procedure than anyone else in the Bay Area, and are in the top.

00:27:29.000 –> 00:27:45.000
handful in the country, uh, because of our specialization in it. And, um… The… in terms of these premium implants, this, uh, we call custom lens replacement, we also believe we do more of that. And another one of the lens, besides the multifocal, is the light.

00:27:45.000 –> 00:27:52.000
adjustable lens. So, Dr. Ling, would you just say a quick word about that, and then Dr. Kushik, I’m gonna have you add on to it.

00:27:52.000 –> 00:27:58.000
Yeah, just, uh, thank you, Shuri, so continuing what you were saying in terms of what we do, uh, in very… and are very good at.

00:27:58.000 –> 00:28:07.000
you know, laser vision correction, ICL, I would add, again, custom lens replacement. Every single one of our patients that comes in for COR is a premium.

00:28:07.000 –> 00:28:14.000
patient, whereas anywhere else, typically, that’s. perhaps comprise about 10% of what they do in terms of.

00:28:14.000 –> 00:28:22.000
premium cataract surgery. So if you’re looking, again, for the best outcome, whether it’s for your knee for glasses, or simply you know you have cataracts, but you want.

00:28:22.000 –> 00:28:33.000
to have an elevated outcome and experience. we are, uh, just by the sheer experience, the most, uh, comfortable with that, because every single one of the patients is a customized.

00:28:33.000 –> 00:28:41.000
premium procedure. And we also have all the tools and technologies. So, just like Sharif mentioned, light-adjustable lens.

00:28:41.000 –> 00:28:45.000
as one of the more advanced lenses that’s come into the market.

00:28:45.000 –> 00:28:52.000
Again, very unique, uh, attributes that may be very suitable for an individual.

00:28:52.000 –> 00:29:00.000
And… but not necessary for every single person. We will help you understand that, but to quickly understand what liesible lens, it is an implant.

00:29:00.000 –> 00:29:05.000
That is, of the monofocal category, so not a multifocal lens, which.

00:29:05.000 –> 00:29:11.000
can stretch the light, or split the light up, but a very sharp, single-focus, high-quality vision lens.

00:29:11.000 –> 00:29:17.000
And it is adjustable after surgery as well. The light adjustable lens.

00:29:17.000 –> 00:29:20.000
Do you need surgery again to get the adjustment?

00:29:20.000 –> 00:29:24.000
You do not need surgery again. So how is… do these adjustments occur?

00:29:24.000 –> 00:29:33.000
So, these adjustments can occur after surgery, typically starting at 1 month, where you shine a light onto the lens itself. So that can be done, essentially.

00:29:33.000 –> 00:29:35.000
from a distance away. So we dilate the eye.

00:29:35.000 –> 00:29:41.000
Shine the light onto a lens in a particular pattern to adjust the power of the lens. Now, why do we need to do that?

00:29:41.000 –> 00:29:46.000
Well, sometimes there can be a healing, uh, interference with the final result.

00:29:46.000 –> 00:29:49.000
feeling of the eyes can set the focus of.

00:29:49.000 –> 00:29:55.000
the… the eye and the vision, just a slightly off-target. Typically, that could happen when you had prior surgeries.

00:29:55.000 –> 00:29:59.000
Uh, such as LASIK or other procedures in which.

00:29:59.000 –> 00:30:09.000
Uh, we cannot fully account for. So having a… opportunity to adjust the focus of the eye is very powerful. So an adjustable lens stands out for those.

00:30:09.000 –> 00:30:13.000
Typically, in our practice, we use them for those who had LASIK in the past.

00:30:13.000 –> 00:30:21.000
Dr. Kosak, I know you also do the light-adjustable lens, and I’ve seen some of the reviews that you and Dr. Ling are getting from people afterwards in the comments, and it’s unbelievable.

00:30:21.000 –> 00:30:30.000
I think you’ve had a couple marriage proposals. in the not too, uh, not too distant past from this. So, why are patients so enthusiastic about this LAL?

00:30:30.000 –> 00:30:41.000
Yeah, I mean, I think building on what Dr. Ling had mentioned, um, they… they are attracted by the prospect of being able to kind of fine-tune that vision.

00:30:41.000 –> 00:30:50.000
And that’s something that we talk about in detail with the patient. Make sure you’re the right candidate, make sure that these… our goals are in alignment to get you the best result possible.

00:30:50.000 –> 00:31:11.000
But the very idea of being able to adjust that prescription or fine-tune that vision after surgery without doing more surgery on the eye, just by using light, like Dr. Ling mentioned, is very attractive, and a lot of patients naturally gravitate towards that. It makes also them feel like they have some sense of control in the overall recovery period and outcome.

00:31:11.000 –> 00:31:23.000
So, Dr. Bendy, you know, we’re listening, you’ve been talking, and you have… Been here the longest. Is everybody a candidate for modern vision correction?

00:31:23.000 –> 00:31:35.000
Uh, well, definitely not everybody is a candidate for modern vision correction, LASIK, any of these procedures, and so that’s why people do need to actually come in for a physical consultation in our office and find out.

00:31:35.000 –> 00:31:49.000
Um, we can find out if somebody’s a candidate beforehand, but… I’ll just add one more thing. Sometimes people come in and they’ll say, I’ve been on your website, or I’ve been on the webinar, and they’re really dialed into what procedure they want.

00:31:49.000 –> 00:31:57.000
And Dr. Ling said it kind of quickly, but we want people to have an open mind to come in. We will guide them to a procedure that’s going to make the most sense for them.

00:31:57.000 –> 00:32:04.000
And we’ve had people who come in, and they’re… they really want to do LASIK, and we say, actually, in your scenario, Evo ICL’s.

00:32:04.000 –> 00:32:11.000
I’m gonna be safer, more appropriate, and likewise, we’ll see people the other way around. They want to do CLR, but they’re 25 years old, and it’s not appropriate.

00:32:11.000 –> 00:32:19.000
So, the process is to find out if somebody’s a candidate or not, and then they can always decide based on the advice if they actually want to opt into a procedure or not.

00:32:19.000 –> 00:32:21.000
But that’s why the first step is to come in.

00:32:21.000 –> 00:32:27.000
Well, this advanced vision analysis, this million data points that Dr. Ling referenced, give the three of you.

00:32:27.000 –> 00:32:35.000
The guidance, so that you can say yes, but you can also say no. And how often are we saying no, not yet, don’t do anything?

00:32:35.000 –> 00:32:45.000
Uh, as of the last year, about 80% of the time, people are good candidates, and about 20% of the time, we’ll find a reason where it’s preferable to hold off and stick with glasses or contacts, at least at this time.

00:32:45.000 –> 00:32:46.000
Um, I think it’s something like over 15,000 people over the years. We’ve said.

00:32:46.000 –> 00:32:50.000
Yeah. And it’s…

00:32:50.000 –> 00:32:54.000
just stick with glasses, but for the people where it’s gonna be safe, at least they know they have an option.

00:32:54.000 –> 00:32:59.000
Well, it’s one of the things that when I look at it from the patient’s perspective, I think is so critical.

00:32:59.000 –> 00:33:05.000
that we are going to be told the truth, and I see that, and it’s one of the things I think we should take great pride in at Laser Eye Centers, we’re honest.

00:33:05.000 –> 00:33:14.000
And patients say that repeatedly. They told me honestly, and Dr. Kozuk, I’ve seen a lot of patients walk out with sad faces after seeing you because you told them, no.

00:33:14.000 –> 00:33:20.000
don’t have anything done, go with a frown. And, you know, Renee’s got escorting him out, but we’d rather do that.

00:33:20.000 –> 00:33:27.000
then do something that wasn’t appropriate, right? Um, rapid fire round for the next few minutes.

00:33:27.000 –> 00:33:30.000
Dr. Ling, can we treat astigmatism?

00:33:30.000 –> 00:33:36.000
Yes. in pretty much all cases. All cases, yeah.

00:33:36.000 –> 00:33:37.000
He did say rapid round, so there you go.

00:33:37.000 –> 00:33:38.000
Yes. Yeah.

00:33:38.000 –> 00:33:43.000
All kinds… yeah, good. Good. Doctor… Yeah. You can do… you could do more than one word if you want to, but thank you for that.

00:33:43.000 –> 00:33:48.000
Uh, Dr. Bitton, is there pain in these procedures? Do people feel pain? Does it hurt?

00:33:48.000 –> 00:33:55.000
people do not feel pain. We say people feel anxiety. Most people actually are nervous on some level, that’s why we give a pill of Valium before the treatment.

00:33:55.000 –> 00:34:05.000
Um, but the anesthesia is just eye drop anesthesia, so there’s no… there’s no injections in the eye, there’s no IVs, it’s just numbing eye drops and a pill of allium, and it does not hurt.

00:34:05.000 –> 00:34:07.000
I’ve had it myself, so… I know.

00:34:07.000 –> 00:34:13.000
Dr. Kosik, how quickly, after having one of our procedures, is someone going to be able to see well?

00:34:13.000 –> 00:34:18.000
Yeah, great question. So, in rapid-fire fashion, I would say whether you have custom lens replacement.

00:34:18.000 –> 00:34:27.000
Evo ACL, or a laser procedure like LASIK or SmileLASIK, typically, the vast majority of patients, the next day, they’re seeing really well and they’re improving.

00:34:27.000 –> 00:34:34.000
Part of that, too, anatomy difference and patient differences, and that’s something that we talk about with each individual patient to set the right expectations on when they’ll.

00:34:34.000 –> 00:34:37.000
really get that fine-tuned, clear vision.

00:34:37.000 –> 00:34:46.000
Dr. Ling, um, it’s getting to side effects, and you can go a little… if you want to slow down the fire a little bit, because we don’t… we’re not trying to skip this. We want people to understand.

00:34:46.000 –> 00:34:51.000
What are likely side effects or things that people, you know, might be worried about ahead of time, and how often?

00:34:51.000 –> 00:34:58.000
Yeah, so to be more, uh, comprehensive for all the procedures that we do.

00:34:58.000 –> 00:35:05.000
It’s important for the patient to go in understanding, kind of, okay, what are the things to expect? But just know that.

00:35:05.000 –> 00:35:14.000
For these elective procedures regarding your vision, regarding your eyes, all these side effects and potential for side effects will have been vetted very closely.

00:35:14.000 –> 00:35:22.000
for each individuals, seeing how predisposed they are, have a frank discussion about it, to see if it’s well-tolerated.

00:35:22.000 –> 00:35:28.000
Um, so what are some common ones? Well, you are having a procedure. We are going to be doing something to your eye.

00:35:28.000 –> 00:35:34.000
So, your eyes may feel a little bit tired, a little bit uncomfortable, perhaps for a day or so.

00:35:34.000 –> 00:35:38.000
Some of the procedures may cause some sensitivity to dryness.

00:35:38.000 –> 00:35:47.000
Which is why nearly all of our patients for consultation in which they’re a great candidate or not, we tell them, you should be using some artificial tears to get the eyes ready, or just for.

00:35:47.000 –> 00:35:56.000
normal maintenance of your ocular health. And with that on board, and our detailed exam to see your eyes are appropriate and at the right stage.

00:35:56.000 –> 00:36:03.000
Then after surgery, the discomfort they may feel of having had something done for the eyes will be very, very.

00:36:03.000 –> 00:36:07.000
minimal, and also short in durations. So that’s a common one.

00:36:07.000 –> 00:36:12.000
Changes to how lice can look at night can also be a common one.

00:36:12.000 –> 00:36:16.000
Dr. Koshing, Dr. Bindi may have mentioned, uh, halos or glares at nighttime.

00:36:16.000 –> 00:36:26.000
That’s typically just a byproduct of the change in the focus of your eyes. So, the fact that you wouldn’t need glasses sometimes just gives you a little alteration to how lights look at nighttime.

00:36:26.000 –> 00:36:35.000
And again, this is typically very well tolerated. Which is very short in duration, and part of it is really just your brain getting used to the novelty.

00:36:35.000 –> 00:36:36.000
Right.

00:36:36.000 –> 00:36:45.000
Because you’re going to see gray at nighttime. just the light may have looked a little different than what it was just a minute ago before the procedure, and then the brain get used to it by one month out.

00:36:45.000 –> 00:36:52.000
One of the things you taught me. when he said to me, he said, Sharif, it’s not the eye that sees, it’s the brain that sees. And I said, tell me more.

00:36:52.000 –> 00:36:53.000
Tell me more, tell us more.

00:36:53.000 –> 00:37:02.000
Yeah. Yeah, let’s understand that a little bit, about that. The vision that you’re using your eyes for right now to watch this webinar is a construct.

00:37:02.000 –> 00:37:07.000
of your brain. Your eyes are just receiving photons.

00:37:07.000 –> 00:37:13.000
Lights, rays of light, whether they’re focused or not, is one thing. You do want the light to be.

00:37:13.000 –> 00:37:18.000
focus as much as possible for your brain to interpret. And that is what vision correction is.

00:37:18.000 –> 00:37:24.000
We are… and here’s a new analogy I started using. Feel free to use this one, Dr. Goshen, Dr. Bindi.

00:37:24.000 –> 00:37:34.000
you know, in Silicon Valley, I like to tell people, we are the hardware folks. We give you the hardware, we match you with the right focus, the implant, the procedure.

00:37:34.000 –> 00:37:38.000
It is then up to your software, which is your brain.

00:37:38.000 –> 00:37:43.000
to basically update, patch itself, to adjust to it. Luckily.

00:37:43.000 –> 00:37:49.000
Once we marry the software and the hardware discussion during the consultation together.

00:37:49.000 –> 00:37:55.000
We’ll know which one is essentially is going to be turnkey, which one’s just gonna be plug and play.

00:37:55.000 –> 00:38:04.000
For you, with minimal, uh, side effects, with minimal adjustments, so that it just works well for you.

00:38:04.000 –> 00:38:05.000
Beautiful. Dr. Bendy, I brought a picture up on the screen.

00:38:05.000 –> 00:38:07.000
like a charm.

00:38:07.000 –> 00:38:10.000
Please tell us what people are seeing here.

00:38:10.000 –> 00:38:21.000
Well, these are two of our laser rooms. On the left, that’s where we do laser vision correction, so, um, you can see, um, people walk into that room to have LASIK on the left is where.

00:38:21.000 –> 00:38:24.000
Dr. Lang and Dr. Kozuk do CLR and Evo ACL.

00:38:24.000 –> 00:38:25.000
On the right. Mm-hmm.

00:38:25.000 –> 00:38:29.000
Um, so these are… these are our procedure rooms, is what… that’s what… that’s what we’re looking at.

00:38:29.000 –> 00:38:35.000
Yeah, and everything is done on-site as opposed to an outside surgery center or hospital, correct?

00:38:35.000 –> 00:38:42.000
Well, it’s one of the things that’s different is, um, instead of having people go to an ASC, a hospital.

00:38:42.000 –> 00:38:53.000
Uh, we do everything in-house, so the same people that they met during their consultation, they’re, uh, they’re gonna meet the doctor, the patient counselors, the technicians.

00:38:53.000 –> 00:38:59.000
Those are all the same people that they’re gonna see. They don’t have to drive to a different building, they don’t have to go with all these different people, put on a hospital gown.

00:38:59.000 –> 00:39:05.000
There’s none of that, it’s just their consultation is a way to kind of get a window into what it’s going to be like for the procedure and their post-op appointments.

00:39:05.000 –> 00:39:16.000
And, you know, here’s some patients, you know, some… that one in the middle with Dr. Ling, right after the procedure. Is this something… do they need to be taken out on a gurney, or do they just get up and walk?

00:39:16.000 –> 00:39:17.000
right after the procedure.

00:39:17.000 –> 00:39:25.000
So, we haven’t talked about this yet, but custom lens replacement, again, is very similar to LASIK and ICL. It’s about a 10 minute per eye procedure.

00:39:25.000 –> 00:39:31.000
an aesthetic eye drops, 100% effective for numbing the eyes. A little eyelid holder to help keep the eye open, and then you just.

00:39:31.000 –> 00:39:35.000
lay back and enjoy the light show. very well-tolerated process.

00:39:35.000 –> 00:39:39.000
Once both eyes are done for you on that day, you sit up and just put on little sunglasses.

00:39:39.000 –> 00:39:47.000
Yes, Vision will be cloudy. right afterwards. But typically, it’s not so cloudy to the degree that you can’t navigate.

00:39:47.000 –> 00:39:54.000
to your driver’s vehicle and go home, you can care for yourself that day, but you’re just going to be resting your eyes closed. So this lady right here.

00:39:54.000 –> 00:39:58.000
Uh, it’s just one of, you know, hundreds we do each month.

00:39:58.000 –> 00:40:08.000
She basically just got up, put on some sunglasses, shook my hand, we took a photo together, and out she walked. And I told her, go take a nap. Tomorrow, you’re gonna see dramatically better.

00:40:08.000 –> 00:40:13.000
Yeah. And you know, what’s interesting is I like to say that we take our own medicine.

00:40:13.000 –> 00:40:21.000
at the Laser Eye Center. Uh, each of our surgeons have had one of our procedures. I have as well. Renee in the background has as well.

00:40:21.000 –> 00:40:32.000
And I think, Dr. Bendy, it’s well over half of our team, because not everyone is a candidate or even needs glasses, but it’s unbelievable how many of our own employees have chosen Modern Vision Correction.

00:40:32.000 –> 00:40:37.000
over being in glasses or contacts.

00:40:37.000 –> 00:40:47.000
Yeah, and I’ll just add one extra thing that, um, we’re really excited about is people here more and more, I see a couple of questions on the chat about WaveLite Plus, what that procedure is.

00:40:47.000 –> 00:40:53.000
And we are the only place, only private practice in the Bay Area that offers WaveLite Plus technology, but.

00:40:53.000 –> 00:41:04.000
This is the most modern version of laser vision correction, and it’s… It’s complex in the way it takes the measurements, but using biometry, corneal topography, and wavefront data.

00:41:04.000 –> 00:41:10.000
gets 100,000 data points. builds a 3D structure of the eye. It’s actually pretty crazy, all the things that it does.

00:41:10.000 –> 00:41:14.000
But in real-world data, since we’ve been doing it.

00:41:14.000 –> 00:41:20.000
over, um, the data’s… 2020 is now accomplishing 100% of people in WaveLite Plus people.

00:41:20.000 –> 00:41:21.000
Everybody.

00:41:21.000 –> 00:41:26.000
89% of people are seeing 2016. And 50% of people are seeing.

00:41:26.000 –> 00:41:44.000
2012. And so 2012, if you think about that, that’s 60% better than 2020, so… No longer are the days where we just settle for 2020. It seems funny to say 2020 vision, but… But we’re aiming for, better than anybody’s ever seen in their entire life with modern WaveLite Plus procedures.

00:41:44.000 –> 00:41:50.000
You know, another question that we did not talk about directly, but I believe is on people’s minds.

00:41:50.000 –> 00:41:53.000
Is this safe? Dr. Bendy, is this safe to do?

00:41:53.000 –> 00:42:01.000
Sounds like a good question to ask while everybody’s here, and um… well, I sure hope so. I’ve done it on my mom, my dad, my brother, my best friend, my dentist.

00:42:01.000 –> 00:42:03.000
Pretty much everyone I have known since elementary school.

00:42:03.000 –> 00:42:08.000
But, um, but… so, of course, I do think LASIK is safe, but the caveat is.

00:42:08.000 –> 00:42:14.000
Not everybody’s a candidate for LASIK, so… it’s not a, over the webinar, we can say it’s safe.

00:42:14.000 –> 00:42:20.000
It’s find out if you are a candidate, and if you’re in the percentage and your measurements are normal, your clinical scenarios.

00:42:20.000 –> 00:42:28.000
LASIK is very safe, and there’s a 20% chance we say LASIK’s not a good fit. Perhaps a LASIK alternative, Evo or CLR is appropriate.

00:42:28.000 –> 00:42:33.000
Uh, but come meet Dr. Kosik or Dr. Ling or myself, and we can, um, guide you along.

00:42:33.000 –> 00:42:39.000
Well, you know, and that really brings up the point. I’m looking at a lot of the questions, and people are asking very specific. I am this age.

00:42:39.000 –> 00:42:53.000
With this condition and this thing. You know, it’s like, uh, you know, am I a candidate? Well, we’d love to answer that. Renee would love to tell you yes or no, but that’s just not possible, and it’s why we ask people to come in for a consultation. Here’s all the different instruments.

00:42:53.000 –> 00:43:00.000
That we use, and there’s even more not on here to do this incredibly thorough assessment to give our doctors and our surgeons the.

00:43:00.000 –> 00:43:06.000
the information, the data they need, so that when they examine you physically, and they look in your eyes with that thing called a slit lamp.

00:43:06.000 –> 00:43:12.000
Then they can tell whether or not you’re a candidate. And it’s just such an important point, so for all of you who ask those questions.

00:43:12.000 –> 00:43:17.000
We want you to come in. And you can do that in multiple, uh, multiple.

00:43:17.000 –> 00:43:28.000
multiple different ways that you can do that, is what I was trying to say. Um, cost comes up, and I’m just gonna bring up the next slide so people can see what the cost of these procedures are. This is an investment.

00:43:28.000 –> 00:43:44.000
You are making your vision. We have a pricing guide that people can download on our website, and I just thought I’d summarize it here. If you want to have laser vision correction, LASIK, you can see here, uh, we can finance it over 60 months, we can finance it with no interest over a shorter time period.

00:43:44.000 –> 00:43:49.000
Or you can pay by credit card or by ACH, the modern version of writing a check.

00:43:49.000 –> 00:43:57.000
Um, Evo ICL. CLR, and then the LAL are also spelled out here, so you can see that having.

00:43:57.000 –> 00:44:05.000
the ability to see without glasses is an investment, and it’s $7,000 up to $16,000, depending on what’s appropriate for you, but.

00:44:05.000 –> 00:44:15.000
You know, Dr. Bendy, you’ve said many times about the amount of money that people spend every year on glasses or contacts. Do you remember about what amount that is, typically, and going to more eye exams?

00:44:15.000 –> 00:44:23.000
Well, everyone can do their own math, but if someone buys a pair of glasses and they spend 500 bucks on glasses to $1,000 if they add some daily contact lenses.

00:44:23.000 –> 00:44:29.000
I mean, $1,000 a year, just do the math after 10 years, there’s a point where it becomes, um.

00:44:29.000 –> 00:44:37.000
cost neutral, or they’re in the plus. Uh, plus you factor in solutions and, you know, all these eye exams for optometric appointments.

00:44:37.000 –> 00:44:42.000
Um, so people can figure out at what point they become, uh… but you know what, it’s funny, too.

00:44:42.000 –> 00:44:53.000
When people have their vision corrected. That’s… that is a true benefit, but people don’t say that afterward. What they’re happy about is they can just wake up and see and do all the stuff they love without glasses or contacts.

00:44:53.000 –> 00:44:58.000
It is kind of nice to know the rational part of our minds also want to make the cost part make sense.

00:44:58.000 –> 00:45:00.000
But people are thankful that they can just see.

00:45:00.000 –> 00:45:06.000
Absolutely, absolutely. You know, I see a question coming here, what is LAL? Because I think they saw it come up on the price sheet.

00:45:06.000 –> 00:45:20.000
Uh, Deborah, that is earlier in the webinar, but we’re gonna have a recording of this webinar that you’ll be able to go back and re-watch it and learn, and you’ll hear Dr. Ling’s description, and Dr. Koschek talking about why so many patients are so happy after they have the LAL.

00:45:20.000 –> 00:45:28.000
And as promised, I wanted to tell you what we are doing this fall to create a little motivation, to create an incentive.

00:45:28.000 –> 00:45:35.000
For those of you who say, I want to look into this, I want to see better, not only during the holidays, but in the new year. So we have the.

00:45:35.000 –> 00:45:48.000
promotion called Fall in Love With Your Vision. Um, it is for people who are ready, they want to come in and learn more. It applies to all our procedures, which is kind of unique. We usually don’t even do things on our lens procedures.

00:45:48.000 –> 00:45:59.000
You have to have this done by December 31st. You can take advantage of any option, but if you’re interested, I encourage you to schedule your consultation soon. Don’t wait until December 27th.

00:45:59.000 –> 00:46:02.000
You know, to schedule a consultation, that’s not gonna work.

00:46:02.000 –> 00:46:07.000
Uh, to do that, you can simply… you can call us.

00:46:07.000 –> 00:46:12.000
I’ll give you the number in a moment. You can go to our website, you can click a button, and you can see us in either San Jose or Pleasanton.

00:46:12.000 –> 00:46:22.000
If you are farther away and you want to do a virtual consultation, one of our specialists, one of our education counselors will be glad to do that with you. Or if you just want to talk about money.

00:46:22.000 –> 00:46:32.000
And figure out the way to afford this, we can also just fill out that little form, and we’ll get in touch with you and do a brief financial consultation. But our phone number is here, and yes, that is Sarah.

00:46:32.000 –> 00:46:36.000
One of our team members who gets mentioned quite a lot in reviews, because.

00:46:36.000 –> 00:46:42.000
She’s just loves taking care of patients on their big day, and putting in their eye drops, and.

00:46:42.000 –> 00:46:47.000
Giving them that little Valium chill pill, and just enjoys, and we love having her with us as our.

00:46:47.000 –> 00:46:50.000
Uh, Joe, what is her title now? Patient Experience?

00:46:50.000 –> 00:46:51.000
Patient Experience Coordinator. She’s fantastic.

00:46:51.000 –> 00:47:07.000
champion or advocate. coordinators, does an awesome job at it. Any questions, you can send them to us. Here’s our phone number. There is the website.

00:47:07.000 –> 00:47:08.000
Thank you.

00:47:08.000 –> 00:47:17.000
Uh, Dr. Bendy, Dr. Ling, Dr. Kosik. Thank you. Thank you for giving us your lunch hour so that we could help educate more people in the community. Everyone on this is going to get a link to the recording, and actually, I think we have some highlight snippets that we’re going to be able to send out as well.

00:47:17.000 –> 00:47:23.000
We encourage you to think about this and to get in touch so we can see if we can help you.

00:47:23.000 –> 00:47:29.000
Uh, and with that, we’re going to close the formal webinar. Dr. Kosherk, do you still have a few minutes?

00:47:29.000 –> 00:47:30.000
I do, yeah.

00:47:30.000 –> 00:47:43.000
Okay, so what… so those of you who ask questions, we’re going to look to see what hasn’t been answered yet. We do… we call this the after-party, uh, because I know we’ve got patients waiting already, uh, for their big day. They’re having their procedure today.

00:47:43.000 –> 00:47:49.000
Dr. Bendy, you’ve got laser this afternoon. Dr. Ling, you’ve got lens this afternoon, because it’s Friday, Fun Day.

00:47:49.000 –> 00:47:55.000
Uh, Dr. Koshik, you did your procedures yesterday, so thank you for spending some time with me. Thank you, Renee, in the background.

00:47:55.000 –> 00:47:56.000
Very good. Thank you. Thank you, Sharif. Thank you, everybody. Hope to see you soon. Happy Friday.

00:47:56.000 –> 00:48:00.000
And, uh, we’ll call a timeout now.

00:48:00.000 –> 00:48:01.000
I’m not going to the after-party, but thank you.

00:48:01.000 –> 00:48:02.000
Thank you, everyone. See you all soon in our office.

00:48:02.000 –> 00:48:06.000
All right. Dr. Koscik, we’re… We’re gonna jump right in. We’re gonna jump right in, Sud.

00:48:06.000 –> 00:48:08.000
Yeah, let’s do it.

00:48:08.000 –> 00:48:14.000
Okay, I love this. Anonymous attendee. What would you recommend with a candidate with a minus 28 diopter.

00:48:14.000 –> 00:48:20.000
Myopic, nearsighted prescription. I haven’t even… I haven’t met anyone who’s a minus 28. That’s pretty unique.

00:48:20.000 –> 00:48:34.000
Yeah, uh, so minus 28 as this… patient probably is aware is a high myopic prescription. Really, it will come down to your eye anatomy. Typically, for a patient who’s greater than minus 20.

00:48:34.000 –> 00:48:43.000
There may still be options, but it might be actually a combination of procedures. I have done EVOICL, and then on top of Evo ICL, done LASIK.

00:48:43.000 –> 00:48:49.000
To fully correct a prescription, and usually that’s for patients that are greater than minus 20.

00:48:49.000 –> 00:48:55.000
That may be an option for you, but as we mentioned, I’d want to do a thorough consultation with you and discuss that.

00:48:55.000 –> 00:49:04.000
Good, good, good. Um, you know. Here’s one. I have dry eyes, not sure which one is applicable to me. I’m 53 years old.

00:49:04.000 –> 00:49:07.000
Yeah, uh, well, here’s the good news for this patient.

00:49:07.000 –> 00:49:17.000
Dry eyes are something we see day in and day out. It’s a product of our lifestyle. We live on computers, on cell phones, on smartwatches, on tablets.

00:49:17.000 –> 00:49:23.000
And all of these things are drying out our eyes, so nothing that Dr. Bindi, Dr. Ling, or myself have not seen.

00:49:23.000 –> 00:49:30.000
And something that we would adequately manage before a procedure. As for what procedure you may be a candidate for, once again, it’s.

00:49:30.000 –> 00:49:42.000
It’s hard to know without truly looking at your eyes. I will say, classically, over the age of 50, um, it ends up being a little more likely that it’s a custom lens replacement, and you can definitely do that with dry eyes.

00:49:42.000 –> 00:49:48.000
And Daniel asks a question, and this is why people need to come in for a consult, but let’s see what we can handle here.

00:49:48.000 –> 00:49:49.000
from an expert. Am I a candidate if I have presbyopia.

00:49:49.000 –> 00:49:52.000
Sure. Yeah.

00:49:52.000 –> 00:50:00.000
astigmatism in both eyes. Myopia in both eyes, and spontaneous hyphema in my left eye.

00:50:00.000 –> 00:50:05.000
Yeah. Uh, so… Astigmatism, presbyopia.

00:50:05.000 –> 00:50:10.000
Myopia all make you a candidate. We will have solutions for those three things.

00:50:10.000 –> 00:50:22.000
Spontaneous hyphena, that means there… there is something happening inside the eye that causes bleeding. Um, and so we would have to figure out exactly what that is, and identify the root cause.

00:50:22.000 –> 00:50:34.000
And then only be able to advise you yes or no, or other options. You know, maybe we manage it, and then we consider doing a surgery down the road. But I would welcome you to schedule a consultation.

00:50:34.000 –> 00:50:38.000
Now, Gregorio asked a question, and we’re gonna have a little dialogue on this one. Let me set it up.

00:50:38.000 –> 00:50:44.000
Do you use scalpel or laser to open the eye for CLR? If laser, what kind? Let’s talk through this, okay? You start, and then I’ll add on.

00:50:44.000 –> 00:50:55.000
Yeah. Yeah. Yeah, this is actually a very common question. Um, in terms of doing a custom lens replacement, the question you’re basically asking is.

00:50:55.000 –> 00:51:02.000
That incision, that entry point to actually go ahead and remove the natural lens and place that artificial lens.

00:51:02.000 –> 00:51:10.000
Can it be done with a laser, or are you going to do something with a scalpel? And the answer is, you can do either one, and they are equally efficacious.

00:51:10.000 –> 00:51:27.000
If you look at the studies comparing the outcomes. So, the answer is, for us, we’re not using a laser for that portion. We find no need to use a laser. A laser is going to increase cost for your surgery, and that cost would get transmitted down to you as the patient.

00:51:27.000 –> 00:51:40.000
And looking at all the data in the studies where it’s not changing your outcome at all. Uh, we asked ourselves that question, and we said, why would we add on costs to the patient if it makes no change to their vision? I think.

00:51:40.000 –> 00:51:49.000
Dr. Ling, Dr. Bindi, and myself can sit and say, hey, if we know that this is going to make their vision even better, yes, let’s do it. We want to make the best possible vision for the patient.

00:51:49.000 –> 00:51:53.000
But if we know it’s the exact same, why are we charging the patient more?

00:51:53.000 –> 00:52:06.000
Well, that’s… and that’s really the point, and I think it’s a testament to our continually evaluating technology and asking that question, does it add value? And in this case, it’s, does it make the patient’s outcome better?

00:52:06.000 –> 00:52:07.000
Yes.

00:52:07.000 –> 00:52:13.000
And we found, no. I think perception, you know, it sure sounds… need, and maybe even sexy. Ooh, I had it done with a laser.

00:52:13.000 –> 00:52:14.000
Yeah.

00:52:14.000 –> 00:52:21.000
But I had a procedure done 25 years ago, and they didn’t use a laser, and what the doctor said to me, and this was a urologist, so you can understand what procedure I had.

00:52:21.000 –> 00:52:28.000
Right? Look, the doctor said it to me very, very plainly. He said, that’s just marketing.

00:52:28.000 –> 00:52:35.000
That’s just marketing. And I said, okay, do it the old-fashioned way, right? Or do it the other way, with the scalpel.

00:52:35.000 –> 00:52:42.000
And I had to accept that, and I think we’ve got the same thing here, and you know, this laser for cataract surgery has been available now for about 12, 13 years.

00:52:42.000 –> 00:52:52.000
I was involved in the launch of that in an earlier part of my career, helping see what the data were, and people were very excited about it, but here we are a decade out.

00:52:52.000 –> 00:53:01.000
And the problem is, the results are no better. So why invest? Why put that burden? So we’re not… we’re not gonna do that. So hopefully that answered that one.

00:53:01.000 –> 00:53:15.000
I saw another question here… Um, let me see if it got answered, um… Do we need to go for follow-up appointment and for how long? Does that cost extra? No, we don’t… we include.

00:53:15.000 –> 00:53:22.000
that… those follow-ups. We want to make sure you’re healing. Dr. Kushik, talk about why it’s so important to be seen at either a day or a week, and then, you know, a month, three months.

00:53:22.000 –> 00:53:25.000
Yeah, so the simple thing I tell patients is.

00:53:25.000 –> 00:53:38.000
We can control your surgery. We can control a fantastic surgery, the right technology, all of that. What we can’t control is every unique healing, because person A is different than person B, which is different than person C.

00:53:38.000 –> 00:53:45.000
So that’s why it’s so important to see you for the follow-ups. I want to make sure you’re doing well, and you’re hitting all your milestones, and you’re seeing as you expected. So.

00:53:45.000 –> 00:53:56.000
As Sharif mentioned, we include all those follow-ups. I do want to see my patients back to make sure that they’re doing well and they’re happy. Um, and so that’s a big part of the recovery process, is seeing you.

00:53:56.000 –> 00:54:04.000
I’m just seeing some that have been answered, but I think they might be good for other people here. I am 68 years old with an astigmatism, and I… am I too old for this?

00:54:04.000 –> 00:54:17.000
No, that’s the… that’s probably the easiest answer I can give. You are not at all limited, uh, to having, uh, to not having a procedure. You can have a procedure if you’re 68, 78, 88.

00:54:17.000 –> 00:54:18.000
Here’s another one. I am 70, and I had LASIK about 30 years ago.

00:54:18.000 –> 00:54:21.000
98.

00:54:21.000 –> 00:54:27.000
Visions are not perfect, but it’s not bad. I have astigmatism now. I use readers to read, but I also play tennis.

00:54:27.000 –> 00:54:32.000
I need to see in the distance for tennis, and I need to see up close for driving, and reading, working on a computer.

00:54:32.000 –> 00:54:33.000
is this gonna help?

00:54:33.000 –> 00:54:39.000
Yeah. Yes, it’s gonna help, and you… I don’t want you to feel left out, or that you’re unique.

00:54:39.000 –> 00:54:45.000
Um, in terms of, uh, this, this difficulty with your vision, a lot of patients that we see have had LASIK in the past.

00:54:45.000 –> 00:54:56.000
Uh, do want to be able to do the sports that you mentioned and drive their car, and we’re able to help them with something like a custom lens replacement and getting them that independence from the glasses.

00:54:56.000 –> 00:55:01.000
Yeah, I mean, I see a question, even Renee couldn’t… how about… what about IVL?

00:55:01.000 –> 00:55:07.000
For nearsighted individuals who have related issues with nearsightedness, IVL, does that sound… is that a typo, or does that sound like something?

00:55:07.000 –> 00:55:12.000
I’m trying to look at the question myself. I’m not… it’s not immediately jogging something in my head.

00:55:12.000 –> 00:55:13.000
Not ringing a bell. I mean, I’ve heard of IVF, but that’s a whole different… you’re not an IVF specialist.

00:55:13.000 –> 00:55:18.000
Yeah. Not an IVF specialist.

00:55:18.000 –> 00:55:24.000
That’s something else, okay. So, you know, I just had… Bobby, you gotta come in. Gotta come in so we can take a look.

00:55:24.000 –> 00:55:33.000
karaoke. Uh, here it is. Okay, uh, Linda asks, I had LASIK many years ago, and my vision has continued to decline significantly.

00:55:33.000 –> 00:55:43.000
Probably didn’t have LASIK with us. Um… Uh, she’s minus 9. Hmm, that’s interesting. Am I a good candidate for Evo ICL? So this is interesting. We don’t know how old Linda is.

00:55:43.000 –> 00:55:44.000
But let’s say Linda was in her early 30s.

00:55:44.000 –> 00:55:50.000
Yeah.

00:55:50.000 –> 00:55:51.000
Yeah.

00:55:51.000 –> 00:55:57.000
Okay, she had LASIK, but now she’s a minus 9, so I don’t… I don’t know even how to interpret that, but based on what we see here, could she have… can you have an ICL after LASIK?

00:55:57.000 –> 00:56:08.000
You can have an ICL after LASIK, that is possible. The real question would just be figuring out why you became a minus 9 prescription after LASIK. I want to talk to… on a kind of related note to patients.

00:56:08.000 –> 00:56:11.000
Yeah.

00:56:11.000 –> 00:56:20.000
When we offer you a procedure, we are looking at something called refractive stability. So, obviously, this patient didn’t have surgery with us, but.

00:56:20.000 –> 00:56:26.000
We’re looking to see how stable is your eye to have a surgery. I can tell you that Dr. Bindi, Dr. Ling, and myself.

00:56:26.000 –> 00:56:31.000
When we see a patient we offer surgery, uh, years later, they’re… they’re not developing.

00:56:31.000 –> 00:56:42.000
minus 9, minus 8, minus 7, minus 6. It’s, it’s, uh, this… something else is happening to the eye, and so we definitely have to examine that and see if you’re a candidate for another surgery.

00:56:42.000 –> 00:56:47.000
Um, you know, this is a good one. Here’s a good one, okay, that got answered by Renee, but I think, again, for the general.

00:56:47.000 –> 00:56:53.000
group. When you do CLR and replace our natural lens, what happens if you get hit in the face?

00:56:53.000 –> 00:56:56.000
with a basketball, or a snowball, or something like that.

00:56:56.000 –> 00:57:01.000
How is that lens fastened? Is it breakable? What damages it, and would that need to be replaced again?

00:57:01.000 –> 00:57:07.000
Yeah, great question. Everyone’s so active, which I love, and so they ask these great questions, but.

00:57:07.000 –> 00:57:18.000
Typically, when you’ve had a custom lens replacement, anyways, the first week or so after surgery, we’re telling you to take it a little bit light, a little bit easier. I’m gonna tell you to avoid contact sports, I’m gonna tell you to avoid heavy lifting.

00:57:18.000 –> 00:57:30.000
That’s a critical period of healing and recovery for your eye, and so that helps you in terms of long-term recovery. Now, let’s kind of move forward. If you were, let’s say, 2 years out from a custom lens replacement, and.

00:57:30.000 –> 00:57:39.000
And, uh, and you had some, uh, kind of injury to the eye, I would not expect that lens, actually, to change or have any issues or break, or kind of move in position.

00:57:39.000 –> 00:57:44.000
Now, if you had a severe trauma, and we’ve all seen patients of all types.

00:57:44.000 –> 00:57:50.000
Severe motor vehicle accident, a fall off of a motorcycle, uh, you know, hitting a tree, these kind of things.

00:57:50.000 –> 00:57:53.000
Yes, you could have damage to your eye, but what I tell patients is.

00:57:53.000 –> 00:57:57.000
The mechanism of trauma, the injury that you went through.

00:57:57.000 –> 00:58:15.000
to cause you to have an issue after. your lens replacement. That would still cause you harm and affect your vision, even if you never had the lens replacement. You’re basically suffering such a severe trauma that whether you had a lens replacement or not is irrelevant to the point.

00:58:15.000 –> 00:58:29.000
So, um, the basically short answer is, in that critical recovery period, definitely that first week, take it easy and light. After that, I don’t really anticipate you having issues with normal kind of activity, skiing, golf, basketball, skydiving, scuba diving.

00:58:29.000 –> 00:58:35.000
We had a… Stu asked a question, what about sensitivity sunlight? Which I had quite a bit of after my surgery.

00:58:35.000 –> 00:58:40.000
I don’t know if he had surgery with us, I don’t know what kind of surgery he had, but generally speaking with Modern Vision Correction and sensitivity to sunlight.

00:58:40.000 –> 00:58:50.000
Yeah, I mean, sensitivity to sunlight is something I talk about with patients with modern vision correction, and I do expect, after the surgery, for at least a few days, that they might be adjusting their eyes.

00:58:50.000 –> 00:58:56.000
are still so, you know, it’s healing from the surgery, and so that’s why every single patient that walks out of here gets.

00:58:56.000 –> 00:59:05.000
sunglasses, you know, just to help them with that little bit of recovery. But I don’t expect them to need that long-term. So, uh, that photophobia, what we call light sensitivity.

00:59:05.000 –> 00:59:08.000
Uh, medically, uh, that improves with time.

00:59:08.000 –> 00:59:16.000
Now, here’s a question. Is there a warranty after accidents? Lol. So I think Michelle thought she was joking, but I actually think this is a good question, not so much after accidents, but just.

00:59:16.000 –> 00:59:18.000
Yeah.

00:59:18.000 –> 00:59:21.000
Our commitment to people being happy, and let’s talk a little about some, you know, some patients need a re-treatment or enhancement.

00:59:21.000 –> 00:59:31.000
Yeah. Yeah, so, I mean, we stand by our work, we stand by giving you the best experience possible and the best vision possible.

00:59:31.000 –> 00:59:40.000
Um, so if that means, let’s say you have a surgery, let’s say you have a custom lens replacement, and then you come back, and two months later, and you say, hey, I feel like.

00:59:40.000 –> 00:59:52.000
It’s… the vision’s not quite as sharp, or I wish it was a little bit sharper. We’re gonna stick with you, we’re gonna check your scans again, we’re gonna check your prescription again, we’re gonna make sure that there’s not something that we could address to fine-tune that vision. And if there is.

00:59:52.000 –> 00:59:57.000
We’re gonna walk you through that process, and you’re not paying an additional cost or anything for that.

00:59:57.000 –> 01:00:12.000
Um, so that’s our commitment to you, and that’s true for laser vision correction, for Evo ICL, and for custom lens replacement. But here’s the other aspect of that. It’s very uncommon that you’re going to need that. I typically talk to patients, and I say, based on their eye anatomy and their health.

01:00:12.000 –> 01:00:18.000
Uh, usually it’s about a 1% or less chance that you are going to.

01:00:18.000 –> 01:00:23.000
need any fine-tuning or enhancement. So, very uncommon anyway.

01:00:23.000 –> 01:00:29.000
Um, okay, Pael, looks like someone had RK in the past.

01:00:29.000 –> 01:00:31.000
Could they have something done now?

01:00:31.000 –> 01:00:40.000
Yes, you can. I mean, we treat patients with Radial Keratomy all the time, and so we would take a good look at your eye and determine what’s the best procedure for you, but yes.

01:00:40.000 –> 01:00:51.000
Stu, I didn’t cover this in the thing, but consultations are of no charge, we do not charge for them, and insurance and Medicare does not cover this, uh, does not cover… because it’s considered refractive surgery. Uh, this is the good stuff.

01:00:51.000 –> 01:00:57.000
And patients gotta pay for the good stuff. Insurance and Medicare aren’t gonna cover… aren’t gonna cover this. Okay.

01:00:57.000 –> 01:01:03.000
Alright, here’s one, um… I tend to rub my eyes a lot when they itch.

01:01:03.000 –> 01:01:04.000
If I forget that I’ve had surgery, and one month later I rub my eyes hard, will the lens, my vision, or my eye be impacted?

01:01:04.000 –> 01:01:10.000
Mm-hmm.

01:01:10.000 –> 01:01:14.000
Yeah, so I think you’re talking about a custom lens replacement, if you’re talking about the lens, maybe Evo ICL.

01:01:14.000 –> 01:01:15.000
But maybe even LASIK, just, you know, a month after the fact, right?

01:01:15.000 –> 01:01:38.000
Yeah, yeah, so here’s the short answer. A month after the fact, likely nothing is going to happen to your eye. But here’s something I tell all my patients. Let’s say you don’t have surgery with us. I’m still gonna tell you, try not to rub your eyes. Rubbing your eyes makes it a little bit more dry, irritated, scratchy, you’re kind of spreading things from the eyelid itself, the back surface of the eyelid, onto the surface of the eye.

01:01:38.000 –> 01:01:54.000
And over time, that can kind of weaken your cornea. So I tell patients, don’t rub your eyes, even if you never have surgery. If they feel itchy, gritty, scratchy, dry, use artificial tears. And so that’s the same thing I’m going to tell you, even if you have a surgery, don’t rub your eyes, use artificial tears.

01:01:54.000 –> 01:02:01.000
Uh, but to make it more safe and kind of a clear answer, a month out, if you’re doing that, occasionally, here and there, something falls into your eye.

01:02:01.000 –> 01:02:03.000
It’s okay.

01:02:03.000 –> 01:02:09.000
Jasmine asked a bunch of questions, I’m gonna try to do it all together. Jasmine, you’re looking, if you do the fall promotion, you get $1,000.

01:02:09.000 –> 01:02:16.000
reduced, so it’s just under $6,000 for both eyes, and you can return to work how soon?

01:02:16.000 –> 01:02:19.000
After you have a laser procedure, Doctor. Koshik, what would you say?

01:02:19.000 –> 01:02:24.000
Yeah, I mean, most patients, I tell them, it really depends.

01:02:24.000 –> 01:02:33.000
Uh, there are outliers based on their occupation, but most patients, 99%, could return to work the next day, if you would like. I mean, that’s how fast the recovery is.

01:02:33.000 –> 01:02:40.000
Uh, if I do some laser vision correction on a patient, uh, like I did yesterday, today they come in, they’re 20-20, and they’re able to work.

01:02:40.000 –> 01:02:44.000
Uh, the main things I do discuss with them are.

01:02:44.000 –> 01:02:49.000
For example, you’re a construction worker, you are around a lot of dirt and dust.

01:02:49.000 –> 01:03:00.000
hey, maybe let’s reexamine that, maybe let’s take a break for a little bit, or where those wraparound safety goggles to protect your eyes. So there are outliers, and those would be talked about with you on an individual basis.

01:03:00.000 –> 01:03:06.000
Awesome. All right, I’m just looking through. I see… I think we have… done, uh, yeoman’s work here.

01:03:06.000 –> 01:03:13.000
I appreciate you sticking around. I think Renee was also… oh, Renee had to leave.

01:03:13.000 –> 01:03:14.000
Yeah.

01:03:14.000 –> 01:03:19.000
She had to see a patient. So, thanks, Dr. Koscik. Have a great rest of the day in clinic, and let me just a lot of very helpful images. Okay, yes.

01:03:19.000 –> 01:03:25.000
If you’re more interested, Michelle and others, you need to come in and see us, so we can tell you.

01:03:25.000 –> 01:03:30.000
Definitively. Have a great afternoon. Thanks, everybody. Bye-bye.