Fees – What Does Refractive Surgery Cost?
1) Initial consultation (Lasik Checkup): INR 1000
2) Custom Lasik and PRK, (Wavefront Laser): INR – 30,000 (for both eyes)
3) Bladeless Lasik – INR -75,000 (for both eyes)
4) ICL Implantation for very high myopia: INR 80,000 (per eye)
5) SMILE (Flap Less Lasik) - INR 1,20,000
* INR: Indian Rupees, Above costs are for information only, it may change without any prior notice & final cost will be communicated after primary eye checkup.
The vast majority of patients can look forward to either freedom from distance glasses or contact lenses, or at least greatly reduced dependence on them. If your objectives are not met by the first procedure, a second or enhancement procedure can often be performed to provide additional correction. Most people do not need an enhancement but it may be necessary, especially if you have a large prescription.
One eye or both?
If you are having Lasik or a lens implant you may choose to have either one eye corrected at a time or both eyes simultaneously. Generally Laser Vision Correction is done both eye simultaneously while, ICL or Lens implantation is usually done one eye at a time.
How long will it take for my sight to recover?
The time is taken for your vision to return to normal depends mostly on the type of treatment you have had although some patients are quicker than others. Lasik and lens implants recover very quickly – your sight may be excellent within a day or so although there is often ongoing improvement for weeks or even months after the treatment. Lasek or PRK recovers more slowly than either technologies, typically requiring 2 – 4 weeks.
What is the follow-up?
This depends on your treatment, for example after Lasik there is a review on next day & during the first week and again about a month later.
What are the risks?
The vast majority of patients do not experience any complications. However as with any form of surgery there are possible risks and side effects that you must take into account before deciding to proceed. You will be asked to read and sign a consent form before your surgery. We are always prepared to answer your questions and to discuss any anxieties you may have.
Does refractive surgery hurt?
Refractive surgery procedures are painless although you may briefly feel a little pressure. You may have a scratchy feeling for a while afterwards. The exception is PRK or Lasek which may be uncomfortable for 1 – 3 days afterwards.
What anaesthetic is used?
Lasik, Lasek and ICL implantation are always done with anaesthetic eyedrops(Topical Aneasthesia) whilst you are awake. No injections or general (sleeping) anaesthetics are needed.
Is vision correction permanent?
Yes. Once your eyes have healed the correction is permanent. Remember that your glasses or contact lens prescription should be stable before vision correction. If the prescription is changing it means your eye is still growing and some change in the focus of your eye may occur after the treatment because of this.
What if I have strong glasses?
The range of Lasik is up to about 10 dioptres of combined Myopia(Minus Numbers) and astigmatism and 6 dioptres of combined Hyperopia(Plus Numbers) and astigmatism, so it treats most people. you will need a lens implant (ICL) if your numbers are very high & eye is not fit for Laser Treatment.
What if I have astigmatism?
Laser treatment corrects astigmatism very well up to about 5 dioptres of astigmatism.
What if I wear reading glasses?
It is possible to correct reading glasses (presbyopia) with Refractive Lens Exchange surgery which is just like a Cataract surgery. Multifocal Lens or Accomodative Lens are available to correct Presbiopia. Presbyopia after cataract surgery is also correctible. Laser treatment can be used in some cases. It depends on age, numbers etc.
What happens on the day of laser treatment?
o It is important that you do not wear contact lenses before your treatment. This is because contact lenses often cause subtle changes in the shape of your cornea.
o Soft Contact Lenses 1 Week
Rigid Gas Permeable Contact Lenses 2 Weeks
Hard (PMMA) Contact Lenses 3 Weeks
o I ask ladies not to wear eye make-up or perfume as these may interfere with the laser. I will explain the procedure beforehand so that you know what to expect. Your eye(s) will be anaesthetised with drops (no injections are involved) and you will be awake during the procedure. You will lie on a comfortable bed and will be asked to look at an aiming light from the laser. This is all you need to do. Do not worry about blinking accidentally – a small eyelid prop will prevent this from happening. The procedure takes about ten minutes. You will not feel any pain although there may be a brief feeling of pressure.
o You may relax in a chair before leaving. You will not be able to drive home so please bring someone with you or alternatively we will arrange a taxi. You will be given eyedrops with instructions on how to use them and a follow-up appointment.
o Your vision will be blurred for a while. Lasik recovers in about a day, Lasek & PRK takes longer. Lasik may feel scratchy and your eye(s) may water for a day or so, Lasek is usually uncomfortable for 1 – 3 days: you will be given eyedrops to help.
o You should rest as much as possible for a day or so and try to take a few days off work. I recommend that you avoid reading, using the computer or watching the TV for a day after Lasik.
o You may shower and wash your face as normal. When drying off, try to pat around the eye. If you do get soap in your eye, do not rub it! Just keep it closed until the stinging stops.
o The arrangements are different if you are having a lens implant.
Not suitable for laser?
Laser works well for most people, but there are exceptions. It does not work for very strong glasses and may not be ideal if your main problem is dependence on reading glasses. Some eye disorders or general health problems preclude laser and in a few cases the cornea of the eye is too thin.
If you are not suitable for laser, other refractive surgery technologies may help you.
Which method is best for You?
Laser or lens implant – choosing the technology that’s best for you
It is possible to treat any prescription no matter how large for short sight, long sight, astigmatism and presbyopia (reading glasses). The technology best for you depends on factors such as your age, strength of your prescription, whether you use reading glasses, your lifestyle and the particular characteristics of your eyes.
At you initial consultation, your eyes are examined with the most sophisticated diagnostic instruments available. We will then discuss the technology best for you.
As an approximate guide -
Laser - Wavefront all-Laser Lasik: younger patients or older patients who do not mind reading glasses afterward. Prescription +6.0 to -9.0 dioptres hyperopia or myopia and 5.0 dioptres astigmatism.
Lens Implants - ICL: Age less than about 40, prescription outside the Lasik range eg: myopia more than -10 dioptres. Almost any myopic or astigmatic prescription may be treated and some hyperopic patients are also suitable.
Lens Implants - Lensectomy: Age about 50 or more especially if freedom from reading glasses is required or if the prescription is outside the Lasik range. Almost any prescription may be treated by lensectomy.