Serving San Jose, Hayward, Castro Valley & Concord
Femtosecond All-Laser LASIK Re-defined
This breakthrough, computer-controlled, all-laser technology with its unique software provides Dr. Mandel with the highest technology, blade-free approach to creating the corneal flap for LASIK. This results in unparalleled safety for the patient because no metal blade touches the eye, the flap edge is fashioned so as to create a tighter junction, and the bed and flap surfaces stick together more like Velcro thus achieving a firmer seal of the flap. Dr. Mandel customizes the corneal flap procedure according to each individual patient’s corneal anatomy. The patient may simply relax in comfort as the procedure is completed. Dr. Mandel, in association with Horizon Vision Centers is the only LASIK surgeon in San Jose and The Bay Area to offer two different femtosecond laser platforms – the IntraLase and the Ziemer Z-4.
All Laser LASIK FAQ
Why All-Laser LASIK?
Traditional microkeratome LASIK is a safe procedure. In fact, Dr. Mandel has successfully performed over 50,000 microkeratome LASIK surgeries. While the risk of complications in his hands is very minimal, all surgery carries some degree of risk. Now, an advanced laser technology is available that reduces the risk of complications to an even lower percentage. This is known as “all-laser LASIK” with the femtosecond laser (IntraLase or Ziemer) to make the flap.
How is All-Laser LASIK different from conventional LASIK?
LASIK surgery is actually a 2-step process. First, a flap of corneal tissue must be created and then folded back. After creating a corneal flap with the femtosecond laser, Dr. Mandel is able to perform the laser vision correction treatment on the inner layer of the cornea by reshaping the cornea with the excimer laser using wavefront technology.
Traditionally, the surgeon creates the corneal flap with a hand-held mechanical device called a microkeratome, which utilizes a metal blade. This method is safe and has worked well over the years. However, the performance of these devices can be unpredictable. Although LASIK complications are extremely rare, this mechanical device is the most common source of reported intraoperative complications, which is why we perform all-laser LASIK using a laser for BOTH the flap creation and the wavefront reshaping of the cornea.
With the femtosecond laser, Dr. Mandel uses the precision of an FDA-approved laser to create the corneal flap. This advanced technology puts unprecedented control in Dr. Mandel’s hands, and even allows him to customize the corneal flap for each individual patient. The advantage, in addition to the fact that no metal touches the eye, is that the edges of the flap created with the laser fit tighter giving the flap greater stability and the flap seals down to the underlying corneal bed more tightly making it more difficult to displace the flap months and years after surgery.
Is All-Laser LASIK safer?
Yes. Because of the above, all-laser LASIK is considered by many to provide a safer approach to vision correction surgery. This is a result of the superior precision of a computer-controlled laser as compared to that of a hand-held mechanical device for creating the flap, and the fact that no metal blade touches the eye.
Is conventional LASIK unsafe?
No, but the femtosecond laser reduces even further the already low risk of intraoperative complications reported with the traditional way of making the corneal flap.
Are femotosecond lasers new?
The femtosecond laser was approved by the FDA and became commercially available in 2001. Dr. Mandel is among an elite group of leaders in ophthalmology who continually evaluate advanced technologies and adopt them into practice as soon as he is convinced that they are safe and effective.
Why is femtosecond technology more expensive?
Advanced technologies are more expensive for the surgeon and laser center to employ in their facility. Most patients agree that the added level of safety and assurance offered by safer technology is well worth the additional cost when considering vision correction surgery. In addition, OPTIMA offers a number of financing options to help you pay for treatment.