Learn About LASIK, EVO ICL and CLR: September 19

00:00:04:15 – 00:00:18:04
Want to welcome everyone to our Modern vision correction webinar? Today is September 19th, 2025. And, you may be here because you heard about certain people in the community who have had one of our procedures.

00:00:18:06 – 00:00:42:20
Greg Papa, the voice of the 49 ers, has had custom lens replacement with us. And Cameron Burbank, who was at Stanford several years ago and now is in the WNBA, has had the Evo ICL. And, we look forward to sharing with you stories about how this is changing people’s lives, because what we do, modern vision correction, is just something that we take such pride in to help people who just want to see without glasses.

00:00:43:02 – 00:01:09:02
And just like this gentleman, very, very common occurrence. People after the procedure, celebrating. So happy that they are no longer dependent on glasses or contact lenses or readers or bifocals. And there is a joy that we get to experience as the practice that we hope you are excited about learning about today. A couple things. You should see a, a poll.

00:01:09:02 – 00:01:26:20
And if you see a poll that I did the job properly and I launched it, and if you just answer the questions, it just helps us understand who is on the webinar. I’ll be taking this poll down in a couple minutes. As more people are coming on, we just want to give them a chance to tell us, basically how old you are, how young you are.

00:01:26:22 – 00:01:45:14
Is there a specific procedure that you’ve heard about that you’re interested in and what city you live in? That’s good information for us. And we’re going to cover a lot of topics here in about 40 minutes. So we’ll go through all of these and more. I won’t repeat them now, but just know that we will be able to answer the most commonly asked questions.

00:01:45:15 – 00:02:04:18
And we also encourage you to ask questions. And we provide a button on the bottom of your window. You might have to open it up. There’s a Q&A button if you have a question. Go ahead and pose it there so we can see it. We have Renee on. She’s in the background, but she will be answering questions real time.

00:02:04:20 – 00:02:22:23
And if we cannot get to your question during this session, we will respond to you via email. You’ve just got to make sure that if you joined anonymously, that in your question, you put your email address so that we can respond to you. Otherwise we have no way of reaching you. But with that, I just want to say, first of all, welcome.

00:02:22:23 – 00:02:43:23
My name is Shareef Mahdavi. I’m the chief experience officer here at the laser AI Center of Silicon Valley. And today we get to hear directly from our three surgeons. And you can see them each pictured here with patients. Again, we celebrate after the fact. And, yes, we have couples that come in and have their procedures at the same time.

00:02:43:23 – 00:03:06:09
And we call that couples surgery. That is a common occurrence, particularly with custom lens replacement. But to start this and to kick this off, I’d like to introduce Doctor Craig. Bindi. Doctor Bindi, you’ve probably heard his name. You’ve either had Lasik with him in the past. You know someone who’s had Lasik with them in the past because he’s been doing this for over 25 years.

00:03:06:10 – 00:03:27:07
He’s the medical director at the Laser Eye Center of Silicon Valley. He has done over 75,000 procedures. We call that highly experienced in the top, in the worldwide. That’s in the top realm of experiences, of experienced surgical experience. And he’s going to be covering Lasik. And one other thing, two other things I want to say about Doctor Bindi.

00:03:27:08 – 00:03:47:20
Unknown
He has the unique distinction of having performed laser vision correction on over 100 NFL players, professional football players. That’s something that as his role with the, Raiders when they were here in Oakland for the better part of 20 years, he was a team eye doctor for them and took care of a lot of these professional players who depend on great vision for their livelihood.

00:03:47:22 – 00:04:04:16
Unknown
And lastly, I’ll just say before I hand it over to you, Craig, you’re a Lasik patient yourself. I think it’s almost 25 years since you had Lasik, if I recall, but, But welcome. So good to have you. Thank you. Sharif. And yet, I did have Lasik about 25ft from my desk that I’m sitting at right at this time.

00:04:04:16 – 00:04:23:23
Unknown
So. And welcome everybody. People have taken time out of their Friday or their lunch just, just to hang out with us. So we’ll try to make this worth your while. We, in 40 minutes, I think we can cover a lot of what we do every single day. Just so you have an understanding of what we do, and you can learn about these these procedures.

00:04:24:01 – 00:04:55:12
Unknown
In a nutshell, the the the problem that we fix is for people who are tired of wearing glasses and contacts, readers and bifocals. We specialize in one thing. It’s allowing people to simply wake up and see no glasses, no contacts, and and really in in the year 2025, it is not too much to ask to be able to drive your car to a restaurant and read the menu when you get there, or just to be able to, and anything you do, sit on your couch, look at your cell phone and watch the game on TV.

00:04:55:14 – 00:05:12:17
Unknown
Just normal stuff that people do every day, but they’re kind of, they’re kind of stuck with these behind these things. Glasses and contacts. I just want to do a little bit of an overview. First off, could you just put up a diagram of of the. I just want to go over one quick, quick thing. It’ll help the rest of our discussion go a little bit easier, I think.

00:05:12:19 – 00:05:33:19
Unknown
You betcha. Let me just find it here. All right. Okay. I might have to do this in a couple steps, so I can. There we go. How about that right there. Hey. Good job. So, just a couple things to point out. The front of the eye is the cornea. So as we talk about laser vision correction, we’re talking about a laser treatment on the very front part of the cornea.

00:05:33:21 – 00:05:54:18
Unknown
The other structure is the lens you’ll see in the middle of the eye will be talking about lens implants. And it’s good to know that anatomy, the back of the eye will just refer to as, as the retina. And so, in order for somebody to see clear light comes through the cornea, through the lens, and it should be very, sharply focused on the retina for the person to perceive a clear image.

00:05:54:20 – 00:06:21:14
Unknown
For hundreds of years, people would use glasses, and glasses can correct for nearsightedness and astigmatism. They do quite well. Later contact lenses came out and we refer to glasses and contacts nowadays as vision correction 1.0. And then in the 90s, later 90s is when the FDA approved, laser vision correction. So people have heard of Lasik, you know, for 25, 30 years it’s been approved.

00:06:21:16 – 00:06:49:07
Unknown
And the earliest versions of Lasik, we consider that now vision correction 2.0. And that just by those standards that work quite well. But things have evolved a lot. So nowadays what we’ll be talking about today is modern vision correction, also known as vision correction 3.0. And this is kind of a family of different types of highly evolved procedures, including the three subtypes of Lasik all laser, Lasik, AP, Lasik, and smile Lasik.

00:06:49:08 – 00:07:08:14
Unknown
It also includes lens treatments, so you’ll be learning about Evo, ICL and Cler, which is custom lens replacement. Okay, so at the laser eye center of Silicon Valley, we specialize in all three of these different types of, procedures. It’s all we do. I’ll talk a little bit about Lasik first. Sorry if that’s okay. Do you have.

00:07:08:14 – 00:07:36:21
Unknown
Yeah. Maybe a picture of the laser. Good that you’re on the ball. So, as an overview, when when we do laser vision correction. This is for people who wear prescription glasses and contact lenses. Okay. So if somebody is between the ages of 18 and 55 old enough that the prescription stabilized, before they fully developed cataracts, Lasik treatments are a great option and often the most appropriate option for people in this age and age frame.

00:07:36:21 – 00:07:57:21
Unknown
Okay. Lasik, modern Lasik is where we use a modern laser. It reshapes the front of the eye, the cornea, with laser light. And it works amazingly well. I’m sure you know, people who’ve done a procedure like this. And I know there are, over 15 people on this webinar who I have already done Lasik on, on the past, so they’re familiar with it as well.

00:07:57:23 – 00:08:18:04
Unknown
We consider Lasik as an umbrella term nowadays. It also includes the three subtypes of Lasik all laser, Lasik, AP laser. Again, smile. And really, our job is to help people understand which of these procedures, is most appropriate. But I want this diagram up. Sure. You’ve. Thank you for putting that up. It just shows a little bit of how these processes unfold.

00:08:18:04 – 00:08:39:06
Unknown
So if somebody does laser vision correction, they would walk into the room on the left. There’s a laser. They lay on that bed. They’re in the room for a total of about 15 minutes. Almost all laser treatments are done within ten to 20s. So they’re in the room for 15 seconds, but the laser treatment goes very quickly.

00:08:39:08 – 00:08:58:10
Unknown
On the right, we put that picture up. That’s actually what the patient can, can see when they’re looking up into the laser. And so we would just direct them to look at the green flashing light, that green light right there on the middle. And then as they look at the green light, laser light reshapes the cornea. It it takes 15 minutes.

00:08:58:10 – 00:09:20:12
Unknown
It doesn’t hurt. And it’s an overnight recovery to do modern laser vision correction okay. Yeah. Well, doctor Penny, we have a bunch of questions. We want to get through specific to Lasik. And first of all, can Lasik treat astigmatism? You know, it’s a good question. And it might be one of the most common questions. And people are surprised somehow they they heard Lasik can’t treat astigmatism or over the years.

00:09:20:14 – 00:09:44:19
Unknown
But absolutely Lasik can treat astigmatism. It’s it’s quite typical for us to treat astigmatism with a laser. First of all, the term astigmatism is when the cornea is not shaped like a perfect sphere, okay? Instead, it has more of a football shape instead of a spherical shape. And most people do have some astigmatism. It’s actually more common to have astigmatism than to not have astigmatism, and therefore ways to treat astigmatism.

00:09:44:21 – 00:10:09:10
Unknown
So people can wear glasses. People can wear contact lenses. We can fix it with a laser or with a lens implant. Okay. And, if somebody is wearing glasses for astigmatism, often vision seems a little bit distorted. There’s something called angular magnification. That’s why a door jambs can seem a little bit slanted or skewed, or headlights might have a starburst effect, with, with, laser vision correction.

00:10:09:10 – 00:10:34:22
Unknown
And like, contact lenses, contact lenses can rotate or they can move on the eye and it can make a stigmatism corrections challenging because vision will be fluctuating and unpredictable. With a laser, it’s very precise. It’s a very predictable way to fix astigmatism. It treats on the exact axis of astigmatism within one degree, and we can treat up to six diopters of astigmatism, which is which is larger than about 99% of people have.

00:10:34:22 – 00:11:04:04
Unknown
So, yes, Lasik can truly fix astigmatism quite well. Excellent. Next question is Lasik safe? Is Lasik safe? Well, first and foremost, safety is the number one priority of all the patients that come through our doors. Eye surgery in general is a safety first kind of a thing. It’s part of the reason why over the last 25 years, I’ve told 15,000 people in the Bay area to not have a procedure.

00:11:04:04 – 00:11:24:04
Unknown
Just wait. Stiff with glasses or contacts. It’s our safety first approach. But but at the same time, patients do come in and they’re concerned. Vision is important, eyes are important and there is some risk when we do it. Laser treatment. Our technology has improved a lot over the last 25 years. Our protocols have gotten better.

00:11:24:08 – 00:11:54:09
Unknown
So the chances of things like dry eye, nighttime vision problems, infection, they’re much lower. But when we do the initial consultation, that’s how we can find out what people are more at risk for. That being said, I challenge any doctor in any field in the entire history of medicine to tell me about a safer, less invasive procedure, one that’s more effective, one that has a higher satisfaction rate over the with a 25 year time span as Lasik.

00:11:54:09 – 00:12:21:23
Unknown
I don’t think there’s one that exists. The, if you look at the real world clinical outcomes of laser vision correction, they are exceptional. A recent study that came out about a month ago showed that with with our most modern version of laser vision correction, 100% of patients can get to see 2020 or better, 89% of patients got to be 2016, and 50% of people got to see 2012.

00:12:21:23 – 00:12:44:03
Unknown
That’s 60% better than than 2020 vision. And so that’s becoming almost a routine scenario that people can see. I mean, think about that. Not as good as glasses or contacts, better than glasses or contacts. So these procedures, they are they are safe. But the caveat is people need to find out if they’re good candidate. If people are good candidates, their measurements are normal.

00:12:44:03 – 00:13:09:11
Unknown
We find that out during the screening exam. Then modern Lasik is effective and very safe. Excellent. Next question. Is Lasik permanent or do I need to have it done multiple times? Good question. So, so what Lasik does it. Whatever someone’s prescription is, it zeroes out the prescription so they are no longer nearsighted or have far sightedness or astigmatism.

00:13:09:17 – 00:13:36:13
Unknown
So it makes a prescription essentially zero. So we can calibrate someone to the vision is perfect. But what we don’t do is we don’t block aging. And that is why if somebody has Lasik when they’re 25 or 35, it’s not uncommon at all. If someone comes back 15 years, 20 years and they say things have drift a little bit, maybe now they’re 2025 or 2030, maybe it’s not as clear as for nighttime driving, and it’s easy to fine tune this with a thin pair of glasses or a laser retreatment to boost it back up to 2020.

00:13:36:15 – 00:13:52:13
Unknown
But it is important because I never tell people when we do laser vision correction, their eyes could never change again. For the rest of their life. I say we can make their vision great and we can make it last a long time, but if it drifts, we could fine tune it with a laser treatment. Right? Right. Outstanding. Another one.

00:13:52:13 – 00:14:10:07
Unknown
I’m over 40. Will laser correct my reading vision? So somebody who’s over 40. Well, if someone’s over 40 and they’re in their early 40s, they should still have good near vision. But I think the issue that, you’re looking to is as people move through their mid-forties, there’s an age related change. The lens in the eye begins to get less flexible.

00:14:10:09 – 00:14:30:16
Unknown
So if somebody wears glasses, they switch into bifocals. If they have contacts or they’ve had laser vision correction, they notice the vision gets worse at the very same age. They start to use more about reading glasses. And so if somebody has Lasik and they’re in their mid 40s or older, we could either make both eyes 2020 and eventually they’ll need reading glasses as they age or what a lot of people do.

00:14:30:16 – 00:14:46:09
Unknown
We make an age adjustment so they can still have good near vision. So Lasik with blended vision or mono vision as it sometimes is called, is a way to make it to somebody who’s over 40. Let’s say they’re 45 or 55, and they want a very good distance vision, but they want to retain their ability to see get up close.

00:14:46:15 – 00:15:14:02
Unknown
We’ll do this age adjustment so they can see up close without reading glasses back. That’s what I do. I’m 55 and I have one eye. That’s 2021. I just 2025, a little bit nearsighted. So I can see this zoom conference as we’re talking without glasses and people want to know how much Lasik cost. So Lasik is just under $3,500 an eye, or if you finance it on a no interest program, which we offer over two years, it becomes it’s under $300 for both eyes to be treated.

00:15:14:02 – 00:15:38:11
Unknown
So we’ve made ways to make it more affordable and more accessible to more of the population. Doctor Mindy, that was outstanding. Thank you for the rapid fire answers to questions. And now I’m going to turn it to our next surgeon doctor Souad Kosuke. He’s a highly trained specialist now. He does the laser procedures similar Doctor Bindi, but he also is a lens specialist and lens procedures are a different category.

00:15:38:11 – 00:16:00:17
Unknown
It’s still modern vision correction and refractive surgery. But all Doctor Kosuke does is refractive surgery. He has sacrificed to managing other diseases like glaucoma or retinal issues so he can focus on this. Doctor Kosuke, so good to have you with us out of your busy schedule. And, you’re also a patient. You’re a patient, but you’re a patient of the Evo ICL.

00:16:00:17 – 00:16:25:02
Unknown
Tell us what that’s like. Yes. Thank you. Sharif. Thank you, Doctor Bindi. And thank you, Renee. I mean, I think this is a great opportunity to educate people about what we can do to get you out of glasses and contacts. I am a patient. Yes, I have Evo ACL. Evo ACL is a wonderful procedure. Where we actually put you can kind of think of it as a contact lens, and this contact lens goes inside of the eye and helps correct nearsightedness.

00:16:25:04 – 00:16:44:06
Unknown
Also helps correct astigmatism, and get you out of those glasses and contact lenses. So I had that procedure done in December of 2023 and ditched the glasses and contacts and have been very, very happy and pleased and since then also have implanted this, technology in, many, many patients eyes to get them eyeglasses and contacts.

00:16:44:08 – 00:17:05:02
Unknown
Yes. And I’m going to show on the screen doctor Kosuke, I’m actually going to bring up an image, that helps you kind of illustrate what the ICL is all about. Go ahead. Perfect. Yeah. So just as you can see in these, three images here, the actual Evo ICL is a very flexible, lens made out of, polymer.

00:17:05:02 – 00:17:25:20
Unknown
And that is completely biocompatible, with your eye. So your eye really cannot reject it. It doesn’t recognize it as foreign. It just naturally can just adapt with your eye. And as you can see in the second image, that is actually the eyeball seal inside the eye kind of sits behind the iris, the colored portion, of your eye.

00:17:25:22 – 00:17:47:14
Unknown
And actually, if someone’s looking at you or talking to you, they cannot see it. It’s invisible to the naked eye. So they can’t even pick up on the fact that you’ve had this, procedure done. And, furthermore, other advantages to this, because I know patients often ask me, you know, can you feel it or do you know that it’s in there after you have the procedure done?

00:17:47:15 – 00:18:07:20
Unknown
No, you can’t feel it. You can’t tell that it’s there. It, it is completely, painless in your eye. And so it’s a really wonderful option for patients, to, improve their vision and get out of the glasses and contacts. Well, let’s talk about those patients who, what and who is even ICL intended for it for people who are handicapped with glasses.

00:18:07:20 – 00:18:54:20
Unknown
Sure. Yeah. So it definitely covers nearsightedness or myopia. It covers astigmatism as well, up to about four diopters of astigmatism. And so it, as of now cannot cover, hyper opia or farsightedness. But most patients, this will, capture their, vision issue and get them, corrected to see 2020. And so additionally, patients that may have a higher prescription, you know, patients that are maybe higher than minus ten, -12, -15, or even up as high as -20 that were not great candidates for treating with laser vision correction can now actually get this wonderful surgery, and have their entire prescription, treated.

00:18:54:20 – 00:19:17:15
Unknown
So, it actually broadens the, available patients that are able to now achieve excellent vision. That’s excellent. And so just a quick, quick summary of the benefits of the Evo ICL, please. Yeah. So one of the big benefits and you might I see already coming up on the comments here, I have dry eyes and I’m worried about my dry eyes and correcting my vision.

00:19:17:15 – 00:19:40:15
Unknown
And even my ACL is actually fantastic for patients, with dry eyes, because it doesn’t actually increase the dry eye condition. And something that Doctor Bindi mentioned before. Safety is our number one. So we’re always going to take a holistic approach and take a look at your eyes and recognize, if you’re a good candidate. But just speaking about dry eyes, we know that the Evo ACL is not, exacerbating that condition.

00:19:40:17 – 00:20:02:17
Unknown
Another thing is it’s reversible. And so a lot of patients asked me, you know, at down the road, you know, maybe when I’m in my late 60s or 70s and I start developing cataracts, what are we going to do with this, evo ACL? What happens? And so you can take it out of the eye. And after you take it out of the eye, you can also take the cataract out of the eye and put in another intraocular lens.

00:20:02:17 – 00:20:37:21
Unknown
And, improve the patient’s vision. So reversibility is a big aspect to it as well. Great. And I understand like the quality of vision, night vision especially. Yeah. The quality of vision. Vision is excellent. Like, with any kind of procedure, we always talk with patients. And this might be another question is kind of what are side effects or are there things that I may notice, with that and, and kind of one thing I do mention to all my patients, and especially with first hand experience, is, you can sometimes get a very faint peripheral, kind of like halo or circle in your vision.

00:20:37:23 – 00:20:57:06
Unknown
That could be a little bit more noticeable at nighttime, but that actually gets better and better with time. And I kind of explain that process as neuro adaptation, your brain essentially adapting to that lens and understanding, how it’s letting light into the eyes. But yes, your vision is excellent. You have excellent night vision as well.

00:20:57:08 – 00:21:22:18
Unknown
And we are addressing, like I said, nearsightedness and astigmatism. How long does the evil ICL procedure take and can just describe quickly what happens during the procedure? Yeah, yeah. So on average, the procedure would take about ten minutes per eye. It is done. Completely painless. We make sure you’re very comfortable. And during that procedure, your surgeon actually takes the Evo ACL, which is custom designed for your eye.

00:21:22:18 – 00:21:48:03
Unknown
The prescription in that Evo ACL is specific to your prescription. And then inserts it behind that iris that colored portion of your eye that this whole process, like I said, takes about ten minutes. The actual insertion of the lens probably takes 10s. But the overall process involving cleaning your eye and making sure everything is nice and healthy, positioning, and cleaning up after the end of the case is about ten minutes.

00:21:48:03 – 00:22:08:01
Unknown
And during that entire time the patient’s not feeling any pain. And they might just notice, kind of different colors and lights, in their vision, kind of. I’ve heard it described and I myself remember it kind of a psychedelic experience that patients are always, something memorable that they’ll always talk about. Valium only. Valium volume only.

00:22:08:01 – 00:22:27:14
Unknown
That’s right. Yeah. So that’s another important part. Thank you for reminding is we’re not using any pokes or prods. There’s no needles, nothing like that. So you’re not getting an IV into your into your arm? Nothing of that sort. You’re just getting one little pill of allium and, you’re also getting all topical, so just eyedrops that are numbing your eye.

00:22:27:16 – 00:22:48:10
Unknown
And so this makes it a very seamless, pleasant experience. And just a note to everybody, all of our procedures are done bilaterally. It’s a technical term, and we do both eyes at the same time, for the convenience of the patient. And that’s the standard within refractive surgery, unless there’s a clinical indication. Otherwise. I just want to point that out because it’s common to everything we do.

00:22:48:12 – 00:23:12:19
Unknown
What am I what will my vision be like after Evo, ICL? Yeah. So, I mean, your vision is going to be, the goal is essentially to get patients to that 2020. Nice. Excellent vision. So, as we alluded to earlier, I kind of make it simple and tell patients, imagine your vision with your contact lenses on or your glasses on, but then imagine you don’t have to put your contact lenses under your glasses on.

00:23:12:19 – 00:23:32:21
Unknown
That’s that’s the vision you’re going to get with your voice. Yeah. And there I would say, is one step further, as a contact lens where myself before my procedure, contact lenses can feel kind of foreign. They can kind of get scratchy and irritated, they can rotate on your cornea, and all of these things are not going to happen with the Evo ACL because it’s inside the eye.

00:23:33:03 – 00:23:52:13
Unknown
So you’re not getting that sensation of grittiness or scratchy ness or anything like that. So in a way, you kind of have a better, vision that you had even with the contact lens that Khorshid you touched on this earlier saying, hey, down the road when he cataract surgery, we can reverse it. But let’s talk about someone who’s a younger patient who says, I want to have this done.

00:23:52:15 – 00:24:10:20
Unknown
I want you to talk about remove ability because that’s a feature of this. And why you know how that gives a little extra assurance to some patients? Yeah. I think, a lot of patients come in and they’re understandably cautious. They want to know what is the safety profile, how can I make sure my eyes are nice and healthy?

00:24:10:22 – 00:24:30:18
Unknown
And this is something that we go into great detail with our patients and, and discuss this, important matter, but in reversibility or remove ability, as you mentioned with the Evo ACL, it’s something that I tell patients that should give you comfort if for any reason, you feel like, you know, you’re not enjoying your vision, then your surgeon can take it out.

00:24:30:18 – 00:24:54:06
Unknown
But I would mention that out of, you know, the innumerable amounts of evo ACL that, we’ve placed, we’re not actually taking them out for patients, because they’re having vision problems usually. And I’ll talk about this on a case by case basis is if the Evo ACL just basically needs to be adjusted for the patient’s prescription, then then sure, we can we can adjust that.

00:24:54:06 – 00:25:11:17
Unknown
But if the prescription is correct for the patient, the patient’s happy with their vision and we don’t even touch it. So it’s something that I mentioned removing ability is there as a peace of mind, but it’s not something that, the patient or the surgeon kind of goes into thinking, oh, I’m going to remove this in a year or two.

00:25:11:18 – 00:25:32:02
Unknown
Nothing like that. Got it, got it. Well, thank you very much, doctor Kosuke. And Doctor Kosuke is, Along with who? I’m just about to introduce Doctor Lang. There are two of the busiest refractor surgeons in. Not only in the Bay area, but in the entire nation. And we know this with this Evo ICL particularly, and with the next procedure, we’re going to talk about custom lens replacement.

00:25:32:04 – 00:25:49:14
Unknown
We’ve developed a reputation not just for excellence, but for the level of experience we have doing more of this than anyone else. And I now want to turn. Oh, one last thing, doctor Kosuke. If you have a few minutes, will you stay afterwards to help us answer other questions after the webinar? That’s good. I would love it if you’re asking a question.

00:25:49:14 – 00:26:18:03
Unknown
We haven’t been able to answer it. Doctor Kosuke and I will stay on afterwards. And so just hang in there with us. But right now, it’s just my privilege and pleasure to introduce Doctor Joseph Lang. Doctor Lang joined us for coming 4 to 5 years ago now. And really helped design and bring the For the Lens program for the laser eye center, which just basically expanded who we can help because we had just been doing Lasik for many, many years and were really, really great at that.

00:26:18:05 – 00:26:37:02
Unknown
But now we had patients who had had Lasik, as Doctor Bindi mentioned, and now they may be graduating or aging out beyond what Lasik can do. And it really has to do with the late, aging of the natural lens. So, Doctor Lang, thank you. I know you were busy in surgery. Thanks for making time afterwards to get with us.

00:26:37:04 – 00:26:54:12
Unknown
Yeah, yeah. Pardon my, tardiness. Completed surgery. It was a great morning of procedures. Thank you, everyone, for joining us today to learn a little bit more about some that we’re all very passionate about here at Laser Eye Center, which is vision correction and helping people live a better life. So. So, Doctor Lang, let’s start off this way.

00:26:54:12 – 00:27:13:14
Unknown
What problem are we trying to solve with clear? And I just want to let you know about two thirds of the people on this or in that kind of 50 and older age group. So see how our class is likely going to be the most appropriate, procedure as an introduction, what problem are we solving? We’re solving for age related changes that occurs to the vision and the eye.

00:27:13:16 – 00:27:38:12
Unknown
And this may come as, news to many, that in our eyes, there’s a lens. And that lens is a very functional, optical device that we utilize and take for granted when we’re younger. We can see pharmacy near, whether it’s, you know, whether was with glasses or contact lens, you could have just worn, a single pair of glasses to be able to see far and then up close.

00:27:38:12 – 00:28:03:23
Unknown
That’s called accommodation. And it’s our natural lens that does that for us. It’s clear, it’s pristine, and it just functions, you know, without us having to even think about it. But when we hit 40 years old and onwards, that lens starts to deteriorate. We termed that dysfunctional lens syndrome. This is where that lens hardens up and lose its flexibility to produce accommodation.

00:28:04:01 – 00:28:29:13
Unknown
And many people on this, webinar attending it may exactly pinpoint when that happened. You woke up one morning like, hey, I have real trouble reading my phone or with my glasses car. I can’t really read. I had to take my glasses off or graduate into bifocal progressives. And that’s when that lens starts to fail, essentially. And then over time, you give it more time and then you enter your 50s.

00:28:29:15 – 00:28:56:17
Unknown
Then that lens starts to become cloudy, that cloudiness, when it gets severe enough, we call it a cataract. So many people at this point then can connect the dots like, oh, well, it sounds like everyone at some point will get cataract. And the answer is yes. So it’s not a genetic thing. You know, some people get early or some people get later, but it’s all a spectrum of progression that unfortunately is a liability for your sight, for your vision, your your function.

00:28:56:23 – 00:29:15:01
Unknown
So people will start to have trouble driving at nighttime. Difficulty with, you know, vision and dim lighting or there’s keep getting higher and higher prescription as they progress forward in life. And this image on the screen that you describe, the normal lines, just what is happening, what is happening, the effect of the aging lens on light.

00:29:15:03 – 00:29:47:16
Unknown
Yeah. So as you see on the left side is a clear lens. Light goes in unobstructed like a clear, glass would allow light to pass through. But as that lens becomes cloudy and we say is becoming dysfunctional or becoming a cataract, then it becomes more like a fog lens or fog glass. So when light goes through it, it just has to take whatever path it gets bounced around in through these opacities and scatter so people will get a lot of glare, poor quality vision or glasses or contact lenses simply don’t work as well.

00:29:47:18 – 00:30:05:12
Unknown
Or to the effect of Lasik, which worked very well for many, many years. For some people, they feel like their Lasik has worn off. Well, not so much. The Lasik has worn off. It’s that underneath, the lens is starting to deviate from what the Lasik was correcting for. Got it. Now that’s great. Thank you. And just a quick, logistics here.

00:30:05:12 – 00:30:26:07
Unknown
Rene is asking for those of you who are anonymous and are submitting questions, please include your email with the questions so she can answer it. Because I think she’s getting bombarded with questions right now. And if if you put it in the chat, we’ll do our best to look at it, especially at the after party. But it is the Q&A button that will guarantee with your email that we were able to answer that.

00:30:26:09 – 00:30:51:10
Unknown
Okay. So you’ve talked about the problem, doctor language is this light scatter. So what is clear and how does it help? Custom lens replacement. The name describes much of what we do. So it’s a customized procedure and was replaced the lens that we have within our eyes. Because at some point, like we mentioned, that lens becomes a liability, only gets worse, it will never get better.

00:30:51:12 – 00:31:16:15
Unknown
And it will basically result, end stage and a very dense cataract that people you have heard, you know, getting treatments for. So custom lens replacement is simply a procedure that, preempts that process, vision loss and worsening vision by getting ahead of that cataract, replacing the dysfunctional lens with a synthetic lens. And here we have, in front of us.

00:31:16:15 – 00:31:54:00
Unknown
In short, there are lenses. So replacing the dysfunctional lens with a synthetic one. And these synthetic lenses are customizable, meaning that we take a biometric of your eyes. We now know what power, what focus, what technology should go in there to allow you to see better than before. So that whatever we put in in terms of customization, it will allow you to either decrease your dependency on glasses, either partially or entirely, or allow you to, you know, see better at nighttime or, you know, whatever is obstructing your vision.

00:31:54:02 – 00:32:22:13
Unknown
When we see that console, we can fine tune the intraocular lens, customize it in a way that addresses your needs. And and if you, kind of heard the way I describe it, it means that every person that comes in can come in with a different set of problems. So it’s a very much a individualized, customized process. You know, when we talk about getting people out of boxes, you know, for some people it means many, many, types of situation where it’s from near to far.

00:32:22:18 – 00:32:45:05
Unknown
That can be possible. And for some people, their their goal is really just give me the sharpest distance vision. And I don’t mind where reading glasses still. And that may sound strange, but sometimes there are give and take nature to how we help prescribe the vision. And it’s important, to understand each person has a very unique path or unique, needs that may be different from the next person.

00:32:45:10 – 00:33:29:23
Unknown
So we really take that individualized, customized approach, to heart and custom lens replacement treat astigmatism. Yes. It wouldn’t be very good customization if we couldn’t. So yes, astigmatism can be treated far. Nearsightedness, can be treated presbyopia, which is the again dysfunctional lens. Not being able to see far in there can be also accounted for. And if you could just briefly touch on answer this question is clear a new procedure in some ways it’s not in some ways the concept can be can be considered newer custom lens replacement shares a lot of similarities with something most I’ve heard of, which is cataract surgery.

00:33:30:01 – 00:33:51:04
Unknown
But the approach, the technique and the technology that we incorporate incorporating custom lens replacement is different from basic cataract surgery. The way to look at it is that, well, the lens, which is a liability is at various stages of, severity. And for some people they’ve been told, well, you know, you’re I know you’re in glasses, but you’re cataracts.

00:33:51:04 – 00:34:12:20
Unknown
Not dense enough, right. Wait another five, ten, 20 years and you’re like, I have issues today. Custom lens replacement will solve that problem for you as well as the future problem. So think of custom ones replacement as a very advanced preventative form of cataract surgery. So. So when someone has custom lens replacement they will never need cataract surgery.

00:34:13:00 – 00:34:37:00
Unknown
It’s essentially you have treated the dysfunctional lens which will ultimately become a cataract. There’s nothing there to become a cataract. So sale are what take place of cataracts. Whereas if you’re already having cataracts, you could still get custom lens replacement because again, just because the lens has progressed from dysfunction to cloudy, it doesn’t mean we can’t help you with the same advanced technique and technology.

00:34:37:02 – 00:34:55:14
Unknown
So what are some things that sets it apart? It means the approach. The approach is mentality. Going in is that we’re here to get you the best possible vision and get you out of glasses. This is what sets the all apart from basic counter surgery where the basic services are okay. There’s a cloudy lens in there. Let’s get it out and we’ll put a basic lens in.

00:34:55:15 – 00:35:22:22
Unknown
And you’re going to be perfectly fine wearing glasses afterwards. Right. And that’s kind of the approach for cataract surgery. So technique as well. Everything that’s done for CR is a very patient centered approach, which is why we offer, bilateral sequential same day, meaning that we do both eyes free on the same day, with the highest level safety so that the person can resume a higher level lifestyle and quality of life as soon as possible.

00:35:22:23 – 00:35:48:07
Unknown
No delays of weeks. A month between the two eyes. It’s also once someone has clear, are there any limitations on activities following the procedure? So there are restrictions that will place temporarily to ensure maximum healing. So during the first week is a critical window in which we give very clear instructions. No eye rubbing, no strenuous exercise, no swimming.

00:35:48:09 – 00:36:10:18
Unknown
And we provide instructions on how to use eye drops that will provide for medicated eye drops as well. But after CR, most people are seeing well, typically the next day they’ll notice big improvements and then many people are back to work 3 to 5 days out. If they work in the office or a week later, they work more in a, a dusty, dirty environment or outdoors.

00:36:10:19 – 00:36:36:10
Unknown
And is sealer permanent, or does a patient need to have this done multiple times? CR is known to be a one time permanent procedure. And and many people will say, well, you know, how’s that a little different from the Lasik, you know, in which we’re now, I mean, cr well, the root, cause of aging and vision change is, is pointed towards that lens that we just replace.

00:36:36:10 – 00:36:55:15
Unknown
So once you have a synthetic lens, the drifting of vision one has throughout their entire life largely stops. And the synthetic lens doesn’t care. It doesn’t age. You won’t have need to have that replaced. That stays steady with you to correct your vision for the rest of your life. Now, it’s always good to kind of see both side.

00:36:55:15 – 00:37:23:05
Unknown
Now CR doesn’t prevent you know your eyes from developing disease. You otherwise would, you know, may develop things like Mac degeneration. So there are other variables that one can go through and encounter throughout life. But CR in terms of vision correction, maintaining proper focus, that is long duration and can be considered permanent. And how would you describe, side effects of CLA?

00:37:23:06 – 00:37:45:11
Unknown
Are they likely are they minor? They major. And how long would they last? Can you just comment on that? Yeah, there are certainly nuances and novelties associated with getting a brand new lens. The reason we recommend is because it will be overwhelmingly positive for each individual. And the important, take home that I always share with all my patient is vision is very personal and subjective.

00:37:45:11 – 00:38:08:07
Unknown
So when you get a brand new lens that’s in better focus, different from your lens, that you have grown up, live with your entire life and now is a liability, there can still be subtleties that 1st May notice. So I’ll point out a few to just, so we have some clear cut examples. Many people they see, well, the next day they’re like, wow, I, you know, have ditched the glasses.

00:38:08:07 – 00:38:31:07
Unknown
I can already tell. They may notice. Oh yeah, I see a little bit of shadow to the side. And that is what we call it. This stops here. So a new lens bends light differently compared to the original one that you’ve had. So people can pick up these visual artifacts. And we in fact, we are born with many visual artifacts to which our brain has adapted, adopted and adapted to.

00:38:31:07 – 00:38:57:00
Unknown
We call it neuro adaptation. So the same process will quickly take place. You may notice some shimmering of vision, some glare, some, some peripheral, halos. And many, many of these, side effects that you may notice early on quickly dissipate as your brain adjusts to the vision. And we rely on this new adaptation process for many people to adjust to their vision.

00:38:57:03 – 00:39:17:22
Unknown
And many people do. But we always, make sure it’s clearly understood that, yeah, there’ll be a process of adjusting to your new vision, but because largely it’s such an overwhelming positive thing, the brain get used to it very easily. For many. And custom lens replacement is considered a refractive elective procedure. It is different from standard cataract surgery.

00:39:18:00 – 00:39:39:16
Unknown
We we have a fee of $6,950 per eye. It’s just under $600 a month, over 24 months for both eyes to be treated. And the one change from that is if you are required or recommended for the light adjustable lens, which is another technology that involves many more post-op appointments in order to even further customize the result.

00:39:39:18 – 00:40:01:13
Unknown
There is just a slightly higher charge for that because of the additional time required with the patient. As part of this, we had one person ask, is this available on the website, the pricing? Yes. And we do have a pricing guide under the pricing cost section that you can download, at any time. That kind of goes through all of this and talks about how this is really an investment in yourself.

00:40:01:15 – 00:40:16:20
Unknown
Doctor Binnie, I’m going to bring it back to you. And I want to talk about your philosophy about when we decided we were going to have a lens program and why it was so important to do it a certain way. And I’ll bring up a picture of where we do where we do our procedures here. All right.

00:40:16:21 – 00:40:42:03
Unknown
Well, after years of doing laser vision correction and seeing people say it was quick, easy and painless, we would hear of people doing cataract surgery and other lens treatments, and it seemed like a whole different thing altogether. As I started to work more with Doctor Lang and, Doctor Kushnick, our goal was really to make whatever the procedure was, whether it was a laser treatment or ACL or CR.

00:40:42:05 – 00:40:59:08
Unknown
We really wanted to be a Lasik like experience where people would walk into the room, you know, it’s these these procedures take about 5 to 10 minutes per eye. They don’t hurt. And a very quick recovery. So when people have the procedure, you can see of these two pictures, the one on the left, that’s our laser room.

00:40:59:08 – 00:41:17:20
Unknown
We affectionately call that the big house. And the one on the right that’s Doctor Ling, in what we call lens op less. But these are the actual rooms. They’re in our very same clinic where people come in for their eye exam. And so in these two rooms, people are able to come in pill of allium numbing eyedrops, and they spend a brief time in there.

00:41:17:22 – 00:41:35:19
Unknown
They don’t have to go to an outside, hospital or an AC. It’s done with the very people they already know in our very office. So it’s very easy, convenient, for people to, go see the process. And then their appointment the next day is at the very same building that they’ve done their exam, their surgery and their post ops.

00:41:35:21 – 00:41:54:04
Unknown
So that was a philosophy. And and here we just see pictures. I mean, I think that patient in the middle with Doctor Lang, if I recall, she was this is right after she had her procedure, like two minutes. Right? That’s correct. We just completed both eyes and just came out. Give her some instructions, and we snap a photo together right there and then.

00:41:54:06 – 00:42:18:08
Unknown
Yeah. And, you know, you what? You know, people don’t really understand what happens, but you you come off, you literally sit up off of that table where you’ve just had a procedure, whether it’s laser or a lens procedure, and you walk out, you walk right out. There’s no there’s no wheelchairs or anything like that. This is this is very much a, low invasive in terms of overall types of different procedures and surgeries that people can have on themselves.

00:42:18:10 – 00:42:42:17
Unknown
And also just worth noting that, in Pleasanton, we do all the procedures in both locations. We have a similar set up in our Pleasanton location as we do in our sample Oso location, which is just convenient for more patients. I also want to point out Doctor Lang, you too. As we’ve said, the other two surgeons have had a procedure, but, you know, you’ve had the smile Lasik procedure, I think, what, 4 or 5 years ago now?

00:42:42:19 – 00:43:06:06
Unknown
Yeah. Going on six years now. Six years. Six years. Yes. How are things going? Fantastic. It’s been very stable for me. Very happy. Yes. I know Rene has had custom lens replacement. I’ve had PRK. So across the five of us representing laser eye center, we represent the full spectrum of procedures. And Doctor Bindi, you know, you talk about conservative advice, proven procedures.

00:43:06:06 – 00:43:27:06
Unknown
Just say a little more about that. Well, I guess we never forget what we’re really trying to accomplish here. We are trying to give people the very best vision they can get, get them out of glass or contacts. But this I was saying, this is a safety first, kind of a thing. So, I always tell people when they say, should I do Lasik or a procedure?

00:43:27:06 – 00:43:47:00
Unknown
I say, well, you got to find out if you’re a candidate first. And so the first step, without a doubt, is come into our clinic. They’ll be at our office for an hour, hour and a half. They’ll meet with one of our doctors where we can say what’s appropriate. And 80% of the time we do have a great treatment and 20% will say, it’s better to hold off for now.

00:43:47:02 – 00:44:03:19
Unknown
But we’ll make sure that people will, get conservative advice about which procedures are going to work best for them. Yeah. And Doctor Ling, you know, on the screen now, I just brought up the, you know, the in-depth testing that we do. Could you just describe what an advanced vision analysis is and why we do this?

00:44:03:21 – 00:44:27:20
Unknown
So every person that comes in through our doors, for a consultation or, you know, even for post-op, we put them through a very detailed examination process with all state of the art diagnostic device so that we can understand their eyes from front to back. So many times, people will come in and say, this is the most detail eye examination I’ve ever had.

00:44:27:20 – 00:44:47:10
Unknown
And that’s likely true because we look at things that most routine, I, I care, locations don’t really look at. And again, because we’re looking through a lens of we’re going to do, our most utmost to figure out, are you a good candidate? What type of technique and procedure would you require to get your best results?

00:44:47:12 – 00:45:08:06
Unknown
So that’s what we call the ABA. Procedure, which in itself is a fantastic experience to undergo. Just to know a little bit more about yourself. Yes, yes. And, we have counted up how many points of data we collect cumulatively, and it’s well over a million, and it’s only going to get more as we bring in more and more devices as they get developed.

00:45:08:06 – 00:45:26:07
Unknown
And and our surgeons believe that they will improve the ability to properly, understand what’s going on and how to solve the problem with the best procedure available. So that is something we do. And, you know, every once in a while we have patients ask, well, why does your consultation take so long? Right. Why a 90 minutes? That’s a long time.

00:45:26:07 – 00:45:43:19
Unknown
Well, I think at the other side of it they understand. Right. Doctor Kozak with all the testing you do and the time you’re spending with patients, do you feel that they’re appreciating what we’re doing for them? Definitely. Yeah. I think most patients will even remark on on saying that. Oh, well, I think I’ve never had an exam like this.

00:45:43:19 – 00:46:02:14
Unknown
This was so thorough and I received so much information here today. So definitely patients appreciate it. Yes. Yes. And and so kind of in closing and then we’ll close the official, webinar in just a minute or two because I know that, Doctor Bendis got to get back to clinic. Doctor Ling’s got his afternoon surgical patients waiting for him.

00:46:02:14 – 00:46:26:20
Unknown
Doctor Kosuke and I are going to stick around a little longer before he has to get back in clinic and answer a few more questions, but just wanted to, make sure that people who are ready, who want to go the next step know what they need to do. And it’s very easy on our website, or via telephone, you can just schedule one of three types of consults in person, either in San Jose or Pleasanton.

00:46:26:22 – 00:46:41:11
Unknown
And you’ll meet with one of our doctors and prior to the surgery, if you’re meeting with an optometrist in the first time, well, you will come back and have a pre-op and you’ll meet with the surgeon. So or you might meet with the surgeon during our consultation. We’re just we we try to make as much availability as we can for patients.

00:46:41:11 – 00:46:58:01
Unknown
And if you’re not yet ready to come in, you can schedule a virtual consultation. And that can be done via zoom like this or via telephone. And you’ll meet with one of our, educating specialists, one of our counselors, and we’ll talk more about what your problem is and see if it’s a good fit for you to come in.

00:46:58:01 – 00:47:19:20
Unknown
Because we can’t recommend a procedure until we do all the testing on you. So we might be able to give you an idea of what you might be a candidate for. But everything’s got to be confirmed by coming in person. And with that, and, oh, by the way, also, there’s another thing on the right, if you just want to talk about, how to finance this, better just fill out that form on our website under the cost section.

00:47:19:20 – 00:47:39:17
Unknown
And again, we’ll be more than happy to spend some time with you just talking about how you can make this affordable so you can enjoy what all of these patients have enjoyed. And this is the wall just inside our front lobby. When people come in and it really it really says it all. They all wore glasses until they didn’t.

00:47:39:19 – 00:47:57:01
Unknown
And that is something that again, we take such great pride in being able to serve the community here in the Bay area. And we have people coming from long distances who want to be seen by us and want to be treated by us. We take every single patient on patient visit, as if it was one of our own family members.

00:47:57:01 – 00:48:17:07
Unknown
And many of our own family members have been treated by us. But that’s that’s how we view this. And, a lot of emphasis on not just creating an incredible surgical outcome if it’s recommended for you, but also we want the overall experience to be one that is memorable and wonderful and not like the typical what it means to go to a doctor.

00:48:17:09 – 00:48:34:03
Unknown
And with that, just want to say thank you for your attention. Thank you for spending your lunch hour with us. If you’re on the West Coast and this is our phone number and our website, and you can send any questions in if you, see this afterwards, we are going to send you, a link to this.

00:48:34:03 – 00:48:50:05
Unknown
It’ll be next week when this is up on our website, this recording. So you’ll be able to visit it, share it with friends and family, and you’ll probably get another text or two before that, with the summary of what we learned today. But with that, I want to thank Doctor Bindi. I want to thank Doctor Lang.

00:48:50:05 – 00:49:14:16
Unknown
I want to thank Rene for being with us. And then Doctor Kosuke and I are going to stay on for a little bit longer. So here, 1249 doctor Bindi. So we we got it done on time. Okay. Good job. Cheers and happy weekend everybody. Yeah. Thanks everybody for being me one okay okay. Very good. And those of you who are staying for the after party, some are dropping off, but but please feel free to stay.

00:49:14:16 – 00:49:34:12
Unknown
We are going to look at the Q and A. We’re going to look at the questions. Doctor, doctor Kaushik, I saw one that I want to address right from Ruben. Do you offer fourth generation eye design Lasik? And I don’t know if you were doing this in Cleveland. Did you guys have the visor or do you moved on to the wave, like, moved on to the to the wavelength?

00:49:34:17 – 00:49:59:12
Unknown
But, you know, this is this is a good question. I the way I would answer this, is honestly, you’re going to read a lot about different practices, different places and what they offer for laser vision correction. And a lot of it is truly marketing. And and the laser platform, is the company that makes that specific laser or that specific, or laser is going to market it a certain way.

00:49:59:14 – 00:50:20:01
Unknown
So what we do, I think very well, as we explain, number one, what is actually going on with your vision, what is your nearsightedness or farsightedness or your stigmatism. And then we address how we’re going to treat it with our, laser vision, options. I mean, if you’re interested in knowing what type of product we were using, we do use a Zeiss, vision Max.

00:50:20:01 – 00:50:39:20
Unknown
That’s the laser that actually is probably preferred by the vast number of surgeons for, either doing, smile or creating a flap in Lasik. And then we do use a mirror laser as well for, you know, Lasik and Lasik procedures. So the wave light and, you know, we’re going to be even updating some of the equipment with the wave light over time.

00:50:39:20 – 00:50:53:05
Unknown
But, you know, I design has been around for a while. In fact, I helped launch that. I was with that company many years ago. And these are fine technologies. But to think that, oh, this eye design is going to be better than this, actually, the market would say differently that more people have gravitated to the other way. But it’s a fine technology.

00:50:53:05 – 00:51:09:18
Unknown
But I don’t really I don’t think that’s something that you should base your decision on that. Just put it that way. I’m going to take this next one anonymously posed in the Q&A. These corrective surgeries are cosmetic and do not address the root cause, which is what is happening with the brain. Right. So how do we actually fix that?

00:51:09:18 – 00:51:27:06
Unknown
Let’s answer this together. First of all, these are not cosmetic. I think that’s I think that’s wrong. Right. To say this is cosmetic, like having Botox is wrong. These are functional. These improve your vision. But I think the gist of his question is, yeah, we’re not going in and dealing with the optic nerve. Right. Or dealing with the brain.

00:51:27:06 – 00:51:48:13
Unknown
And Doctor Cushing, you said to me, it is the brain that sees, not the eyes, right. The eyes, just the medium that gets there. So comments a little bit from your clinical surgical perspective. Yeah, definitely. So let’s let’s take for example, let’s do a case scenario, a custom lens replacement like we talked about what is actually happening in the eye that is making your vision worse year by year.

00:51:48:15 – 00:52:11:05
Unknown
It is the lens. It’s becoming dysfunctional. It’s it’s tending to go towards a cataract. Or if you already have a cataract, it’s already dysfunctional and cloudy. So we’re doing a very functional thing. We’re removing a cloudy, poorly functioning lens that is not focusing light. And we’re putting in an artificial lens that does focus, that light that does not degrade and gives you the best image quality.

00:52:11:07 – 00:52:32:04
Unknown
So the brain is then going to receive all this great extra information. Now because this lens is helping, compared to the old cloudy dysfunctional. And so I hope that case example illustrates that. Yes, it’s the brain that’s seeing and processing, but the eyeball is the conduit. It is what, you know, the rate limiting step there if you will.

00:52:32:10 – 00:52:51:03
Unknown
And so we are fixing a problem there in the eye and improving vision that way. Got it. And just want this just kind of last call if you’re anonymous and your question didn’t get answered and you wanted answered and the guarantee gets answered, you need to put. And I just had another comment with your email so we can take care of you if you came in as yourself.

00:52:51:05 – 00:53:07:17
Unknown
And we have your email, then we already know and we’ll be glad to send that to you. Okay, let’s now there’s a couple that were around Dry Eye, and one of them, you know, okay, is I, you know, I guess I have dry Lasik okay for me or is Lasik okay? Is dry eye okay? Is Evo ICL okay if I have dry eyes.

00:53:07:17 – 00:53:26:22
Unknown
So let’s just talk about dry eye and how you handle that if someone presents with dry eye. Yeah. So dry eyes or something that are actually fairly common, especially in our day. Now in 2025, we’re all on computers. We’re all on cell phones or on tablets. It’s just nonstop screens. And so that dries your eyes out as well.

00:53:26:22 – 00:53:56:14
Unknown
So I would say just for comfort, whoever’s asking this question, a vast majority of our patients that we see have some form of dry eye, and we are still able to treat them and offer something that will improve their vision. So having dry eyes is not, a limiting factor or excludes you from surgery. But this being said, your surgeon is going to look at your eyes and determine what severity of dry eye you have, and then prescribe you treatment for that dry eye before we jump to surgery.

00:53:56:16 – 00:54:15:11
Unknown
So if you have an amount of dry eye that the surgeon is concerned about, then we will treat that before we offer you a custom lens replacement or before we offer you, laser vision correction. Yeah, yeah. Got it. I love this question. I’ve been told my pupils are too large for Lasik. Is this a thang?

00:54:15:13 – 00:54:35:03
Unknown
So this emphasis is mine. But I love the way you ask the question. Yeah. No, that’s a that’s a really good question. So part of our advanced vision analysis is actually looking at your pupil size. And so we get measurements of your pupil size in dim lighting conditions in bright like light conditions. And we see how the people changes.

00:54:35:03 – 00:54:59:09
Unknown
Because you have to remember the pupil is dynamic. It is not a fixed, size. So if you if someone says they have large pupils, well then the natural question is when is it when it’s dark is when it’s daytime all throughout the day. But to answer your question, when we do laser vision correction, traditionally the optic zone, the amount of treatment that we’re treating is enough to cover the vast majority of people sizes.

00:54:59:09 – 00:55:18:22
Unknown
So when you come in, I hope you do. We would do a thorough exam and make sure that you’re a great candidate. And so pupil size in and of itself is, is not a, it’s not a limiting factor. Got it. And as we go to the next question, I just, will help Pankaj here. Pankaj said, hey, please put up the contact information for everybody.

00:55:19:03 – 00:55:49:03
Unknown
408 984 1010 is our call team. Be glad to help you and 2020 eyesight sitcom is our website and you can go there as well. Or send us an email to cler at 2020. Eyesight.com. Julio, ask a question around. He said I’m short sighted, nearsighted, more than 16 diopters in both eyes. And he’s saying, you know, my ophthalmologist last year told me my corneas are very thin, can’t receive laser probably.

00:55:49:03 – 00:56:10:15
Unknown
Correct. So maybe the best option would be Evo ICL procedure question mark. Yeah. I mean, honestly, based on what we have, the information you provided, you may be a great, candidate for the Evo ICL. Just personally, you know, I’ve treated patients with -20, prescription in their eye with the Evo ACL, so we’re able to treat that prescription.

00:56:10:15 – 00:56:31:12
Unknown
But, there’s so many more components to your eye anatomy that we would have to safely take into consideration. And so that’s the real benefit of coming in for a complimentary exam and allowing us to really do that deep dive into your eye and making sure we can improve your vision with something like Evo ACL. And just to reiterate, someone with chronic dry eyes says that just automatically exclude them from a procedure.

00:56:31:12 – 00:56:54:04
Unknown
Or can we therapeutically do things to intervene and make it safe? Exactly. Yeah. So we would definitely focus on first improving your dry eye condition, treating it medically and then going ahead and doing a procedure. Because if you keep in mind, for example, if you have cataracts and as well as chronic dry eye, you’re still going to need cataract surgery.

00:56:54:04 – 00:57:11:12
Unknown
We still want to help you and improve your vision, but we will focus on that dry eye first, to give you the best result. And we have a question from Zed. He said, hey, is EOL appropriate for a person with chronic dry eyes? Right? So as we as you said, there’s dryness everywhere because we’re on our screens so much of the day now.

00:57:11:12 – 00:57:31:01
Unknown
And of course, dust in the air and whatnot. 53 year old, and you go, so remove cataract first, then clear. And we know that’s not correct. Help him understand this a little better. Yeah, definitely. That’s a that’s a great question. So essentially, if you have cataract and we’re talking about a custom lens replacement, don’t think of it as two separate things.

00:57:31:01 – 00:57:54:04
Unknown
Think of it as a custom lens replacement involving removal of your cataract. So it’s done all simultaneously. We are removing that cataract, that dysfunctional lens, and we’re putting in a artificial lens that achieves your goals, your desires, distance, vision, improved intermediate vision improved, Nir vision improved. And then something that’s permanent and last the rest of your life.

00:57:54:04 – 00:58:14:10
Unknown
So it’s done concurrently at the same time, at your surgery. So it’s not one step. And then you have to go through a waiting process and have another set. No, it’s all done on the same day. You know, here’s here’s another one from Julie. Does your prescription need to be stable for a period of time? And I’m before you can have one of these procedures.

00:58:14:12 – 00:58:37:05
Unknown
Yeah. That is an excellent question. And something that we take very seriously. For example, I’ll take, Lasik or laser vision correction and then eyeball ICL. Traditionally these patients are under age, 50. And I would say that, we do look for, stability in your prescription. So oftentimes, as Doctor Bindi had mentioned, safety is our number one priority.

00:58:37:11 – 00:58:57:14
Unknown
If I see a 17 year old patient who is a great candidate for surgery, I may tell them still. Hey, let’s wait a year or two and let’s see how your prescription is stabilizing. And if everything is stable, then yes, we can do the surgery for you and get you out of the glasses. So refractive stability is what we call it.

00:58:57:14 – 00:59:27:01
Unknown
And and yes, we do look for that. Dawn, like so many millions of people all out there already had Lasik done a long time ago. Is still is clear, still doable. I’ll make that very clear answer. Yes, we do claw on plenty of patients who have had Lasik, happy Lasik, smile, Lasik, or even even ACL. So none of these procedures, limit you from getting a custom lens replacement, Justine or Jason?

00:59:27:01 – 00:59:46:04
Unknown
I’m not sure the exact pronunciation, but as I say, I’m almost 56 and have developed a cataract currently. I experienced discomfort in sight and sunlight while my vision remains very clear and comfortable at night. Based on this, I like to check whether I might be a good candidate for vision correction options during cataract surgery. Appreciate your input and any guidance on next steps.

00:59:46:06 – 01:00:07:05
Unknown
Yes, I think this. I would love to to meet you myself or Doctor Laser doctor Bindi because, we can definitely, offer you, cataract removal and at the same time, implantation of a advanced artificial lens that can get you out of glasses and contacts. Yeah. Someone’s, Pankaj is asking about VSP. Is there any discounted coverage I can expect?

01:00:07:05 – 01:00:28:23
Unknown
I would say no. Don’t expect anything. You know, VSP doctors, they’re fine doctors, but VSP is like an insurance company that wants you to just discount, discount, discount. And that’s not consistent with our philosophy. We believe that would actually be insulting to our patients to have to cut corners or not do things like all this testing in order to offer a lower pricing.

01:00:28:23 – 01:00:53:13
Unknown
We just won’t compromise. We will not compromise on your safety. We will not compromise on technology, will not compromise on outcomes. And therefore we have to have our fees at a certain level. Now we do we do have for laser patients who have Lasik, we are able to somewhat honor VSP without accepting it. That’s not true in the lens procedures ICL and and CR because they don’t offer any benefit for that as well.

01:00:53:13 – 01:01:16:11
Unknown
So we do what we can. But please understand that we are not a, I don’t know, Lasik shack USA. You know, it’s one way we don’t do that. We are not a corporate owned center. We are owned locally and privately by our doctors. And we take this we take your vision very, very seriously. And so, yes, I’m, I’m, I’m emphatic about that, if you haven’t already, figured that out.

01:01:16:11 – 01:01:32:15
Unknown
Let me see what else. You know, again, a lot about your eyes we’ve talked about now. Christina said she couldn’t hear a word early on. I hope she was able to get her volume turned up. But if not, Christina, you and everybody else is going to receive a link to a recording of this webinar, and you should be good there.

01:01:32:17 – 01:02:00:20
Unknown
Just checking to see if there are any other questions. Out there, doctor Kosuke. Oh, I still have some astigmatism. Susan said she still has some astigmatism, but passed the DMV exam without glasses. Well, good. Congratulations. Your astigmatism wasn’t, I guess wasn’t too terrible, right? Yeah. I mean, if your vision is still bothering you. Of course. I mean, there’s one thing to pass a, test because there’s a kind of minimum requirement there.

01:02:00:20 – 01:02:18:20
Unknown
And then there’s another thing to having great clear vision. So, if you still have some astigmatism and that is, taking out some joy in your life, then I would say, please, allow us to help you. Shane is asking. Let’s repeat it. I know we covered it earlier. Are there any or. No. What are the risks for clear.

01:02:18:20 – 01:02:35:06
Unknown
Not. Are there any? There are. There’s risks in anything we do in life. But what are the risks for Claire. Yeah. And so this is something that we talk about with every surgical patient. You know, considering custom lens replacement. The main things that I tell patients are there’s going to be a little bit of dryness after surgery.

01:02:35:06 – 01:02:54:01
Unknown
Anyone who does surgery on the, is going to deal with dryness. And that’s why dryness is such an important topic. But we make sure we manage that and we kind of coach you through that. So dryness is one thing. A second thing I mentioned is the overall, kind of recovery afterward can, involve use of eyedrops, antibiotic eyedrops particularly.

01:02:54:03 – 01:03:13:12
Unknown
And so we always think about infection. Infection in the eye is incredibly, incredibly rare with a custom lens replacement or cataract surgery. But something that your surgeon, takes very seriously. So that’s why we tell patients for the first, you know, week after surgery, avoid water around your eyes, like, don’t go jump in a pool, don’t get into a sauna or Jacuzzi.

01:03:13:12 – 01:03:35:00
Unknown
Those kind of things don’t rub your eyes and and kind of things like that. So infection is a risk, but something we take seriously and monitor and is incredibly low. Other things, like we had touched on, you can notice visual phenomenon, things like maybe a little glare, maybe a little halo. And certain of these conditions are more relevant or applicable to certain intraocular lenses.

01:03:35:00 – 01:03:59:07
Unknown
So your surgeon will help counsel you through this process and help you be aware of which lenses have which side effect profile, if you will. And we match the patient, their goals, their anatomy with the technology. So we’re never going to implant a lens into your eye that would, compound an issue that you already have. So that’s really important to remember when you’re thinking about a custom lens replacement.

01:03:59:09 – 01:04:17:19
Unknown
Is that we have to match this lens with, you know, it’s not a one size fits all. It’s with you. So that helps minimize side effects. I’m going to say last call on questions, type them in. Sue had raised her hand, but I don’t have an easy way of bringing people on live. It’s not a talk show that way.

01:04:17:19 – 01:04:37:04
Unknown
So, Sue, couple options. If you type your question, we’ll try to address it here before we end. If you’re more comfortable, talk to someone, not just call us. Just call us and I will be glad to set up a call for you. We’ve got one again from Julio. Currently, I use contacts, but I need to wear reading glasses to read close with Evo ACL.

01:04:37:04 – 01:04:59:08
Unknown
What? I still need reading glasses too. Yeah. So Evo ICL just for reference, anyone listening? It is a fixed, kind of focused lens, so it doesn’t offer a range of vision, by itself. But we do use that technology and something that we touched on before. We are able to do things like mono vision or blended vision.

01:04:59:08 – 01:05:17:12
Unknown
And this is stuff that your doctor will talk to you about. And then that way we can reduce your dependance on reading glasses. So, there are a lot of different ways to get you out of reading glasses. And that’s something that, we’d have to discuss in your example. Remember, Julia was the one who had, -16 in both eyes.

01:05:17:13 – 01:05:42:13
Unknown
Okay. So we just know we already know that if Julia is a candidate for Evo, ICL, let’s just say clinically everything works out there. Life is going to change forever. They are good. Yes. I will say with confidence because I’ve seen your patients doctor cross-check. They will be super, super happy. And it’s like they’ll cry. And we have patients who cry because they cannot believe that this was even achievable or possible because -16.

01:05:42:13 – 01:06:09:14
Unknown
For those of you who aren’t -16, -16 is extremely nearsighted. And you are literally I mean, how would you describe it? Can they even see the fingers in front of their face without glasses? It would probably be very blurry even to see that. Yeah, yeah. So it’s life changing. And if at the end of it you don’t need glasses for anything except the little, plus one for reading, I think I would predict that’s a trade off worth making to not be -16 anymore.

01:06:09:16 – 01:06:34:09
Unknown
So that’s why I think our, our Evo ICL patients who are the higher ones are really everyone’s happy and they’re like even more happier because of what we’ve been able to do to change their lives. I am looking I am not seeing anything new in the last few minutes. I want to thank the 22 of you who are still on with us to stay for the after party, and you’ll be hearing from us over the next week or so.

01:06:34:11 – 01:06:50:00
Unknown
Happy to help you out in any way we can. Oh, wait a minute. One last one just under the wire. Phil is asking, do I need to get an eye exam beforehand? So, Phil, I don’t know what you’re asking. Are you saying do you need to go somewhere with a primary optometrist to get an eye exam before you come in?

01:06:50:00 – 01:07:09:22
Unknown
No. You can come to us and have what we think is the best eye exam you will ever have in your life, because the amount of equipment. But absolutely. If you mean do I need to have an exam before I have surgery? Yeah. We can’t do surgery on someone without physically evaluating them by our doctors and coming up with the specific recommendations.

01:07:09:22 – 01:07:31:16
Unknown
So I do hope that that answered your question. If not, feel free to, feel free to call, and we’ll be glad to help you. So with that, Rene, thank you so much, Doctor Kaushik. Thank you so much. Appreciate your time today. Everyone is here. Thank you. We did everything we could to answer questions. And everyone go have a great rest of the Friday and a great weekend.

01:07:31:18 – 01:07:34:00
Unknown
Thank you so much. Bye bye.