What Happens During iLASIK Eye Surgery?

iLASIK (“laser-assisted in situ keratomileusis”) is an outpatient refractive surgery procedure that treats nearsightedness, farsightedness, and astigmatism.

Who is a Good Candidate for iLASIK?

Candidates considering this procedure should meet the following requirements:

  • You should be at least 21 years old.
  • You should not undergo this procedure if you are pregnant or breastfeeding.
  • You should not have this procedure if you are taking certain prescription drugs such as Accutane, Cardarone, Imitrex, or oral prednisone.
  • Your eyes must be healthy and your prescription should be stable. If you have nearsightedness, make sure your condition has stabilized before your procedure. Nearsightedness may continue to increase through mid to late 20s.
  • You should be in good health. iLASIK is not recommended for patients with diabetes, rheumatoid arthritis, lupus, glaucoma, herpes infections of the eye, or cataracts.

How Does the iLASIK Procedure Work?

iLASIK is commonly performed in a reclined position under a surgical device called an excimer laser in an outpatient office. To prepare for the surgery, the eye is numbed with a few drops of topical anesthetic. An eyelid holder is placed between the eyelids to keep them open during the procedure. A suction ring is placed on the eye lifts to flatten the cornea and help keep the eye from moving. You may feel pressure from the eyelid holder and suction ring but mild.

Once the cornea is flattened, a hinged flap of corneal tissue is created using an automated microsurgical device, either a laser or blade. This corneal flap is lifted and folded back, then the excimer laser is positioned correctly to the center of the eye. As the excimer laser sculpts the corneal tissue, you will focus your look at a special pinpoint light called a fixation or target light. The corneal flap is then placed back into position. Stitches will not be necessary.

Risk and Benefits of LASIK Eye Surgery

iLASIK, like any surgery, has potential risks and complications that should be carefully considered. Although rare in occurrence, risks associated with LASIK/iLASIK Eye Surgery may include:

  • Corneal infection
  • Corneal scarring or permanent problems with the cornea’s shape, making it difficult to wear contact lenses
  • Decrease in contrast sensitivity
  • Dry eyes
  • Light sensitivity
  • Patches of red or pink in the white of the eye

Recovery and Post-Operative Care

After the procedure, you may experience burning, itching, or a feeling that something is in your eye. This is temporary and lasts no more than 6 hours. An eye shield or patch will be placed over the eye to protect the flap until it has enough time to heal (usually overnight). It is very important to refrain from rubbing the eyes after the surgery, and keeping the eyes closed will help the healing process.

Vision may be blurry or hazy the day of surgery but will improve by the next day. If these symptoms worsen before your scheduled follow-up appointment (usually 24-48 hours after surgery), call your doctor immediately.

Do not drive until your vision has improved and wound has healed. Avoid swimming, hot tubs, contact sports, etc. A designated driver should be arranged to drive you home after the procedure. It may take three to six months after the surgery for the improvements in vision to fully stabilize.

Are Results Permanent?

iLASIK eye surgery offers numerous benefits and can dramatically improve your quality of life. While most people achieve 20/20 vision after the surgery, results do vary. Some people may still need to wear glasses or contact lenses following the procedure, though your prescription level will be much lower than before.

A small percentage of patients will need LASIK enhancement, a touch up procedure to achieve acceptable visual acuity. If needed, this procedure typically takes place a few months after the iLASIK surgery.

If you are over 40, reading glasses may still be needed because of normal age-related loss of vision called presbyopia.

While iLASIK surgery has a high success rate, it is important that you discuss all facets of the procedure with your surgeon prior to scheduling a date. To find out more about iLASIK or to discuss if it’s the right solution for you, contact Dr. Ghosheh of Advanced Eye Medical.

Clear Lens Extraction: An Overview

Clean lens extraction is a wonder of today. It is a newer and safer methodology that has come out of advances in surgery to remove cataracts. Our eyes begin to lose the ability to focus clearly on near objects, especially so at the age of 40 and onward. This natural occurrence continues to worsen until age 60, and treatment options include reading glasses, bifocals, progressive lenses, and trifocals. Clean lens extraction offers an opportunity to safely intervene in what would otherwise be a lifelong commitment to reading glasses.

What is Clear Lens Extraction?

Clear lens extraction, also known as refractive lens exchange, is the removal of a non-cataractous natural lens of the eye with or without intraocular lens placement as a refractive procedure. In most cases, the synthetic lens corrects distance vision. This procedure can be used for patients who have farsightedness or nearsightedness combined with astigmatism.

The procedure is well-suited to patients over the age of 40 who are dependent on optimal accessories for clear vision.


Benefits of clear lens extraction include:

  • An alternative for patients who are not eligible for laser surgery.
  • Corrects high myopia (nearsightedness) and hyperopia (farsightedness) that is out of range of laser surgery.
  • You will no longer develop a cataract as the lenses have been removed and replaced by a clear implant.
  • You will experience minimal postoperative discomfort and recovery.

What is the Procedure?

Dress casually and comfortably, and do not wear any makeup or skin creams prior to your procedure. You will need to arrange for someone to drive you home following the procedure.

As the procedure begins, you will be given a light sedative to help you relax, followed by a series of eye drops to numb the eye. Allergic reactions to these medications are rare, but please advise your surgeon about any allergies you may have.

The procedure is performed under topical anesthetic, so you will be awake and aware for the duration of the surgery. A surgical instrument called an eyelid speculum will be placed between your upper and lower lids to prevent you from blinking during the procedure. A small incision is then made in the sclera (the white of the eye) and near the edge of the cornea. The natural lens will be broken into tiny pieces with an ultrasonic tool.

Once the lens has been broken apart, it will be removed from its capsule by a suction device. The capsule is then polished and left in place to help position and support the implant lens when it is inserted into the eye using a specialized instrument. Lastly, the incision is then closed.

The procedure is typically completed within 15 minutes.

Recovery and Post-Operative Care

After the procedure, use the eye drops as instructed. Your surgeon will provide you a kit containing all of the required eye drops and oral medication for pain as needed.

You may experience some light sensitivity or mild irritation, and your vision may be blurry. This is normal and your vision may fluctuate during the first month or so.

You may need to wear an eye patch while sleeping to protect your eye from accidental injuries. Follow up appointments will be scheduled to ensure that the healing process is progressing normally. Avoid getting water or soap in your eye, and avoid swimming, hot tubs and saunas for at least two weeks after your procedure. Also avoid rubbing your eyes for at least a month. It is best to leave your makeup off for at least two weeks.

You can return to work after the one-day post-operative check up, but some choose to wait an extra day or two.

If you think clear lens extraction may be the right procedure for you, contact Dr. Ghosheh to schedule an appointment so you can discuss your options and what needs to be done moving forward.

Here are 8 Reasons You May Have Sore Eyes

Sore Eyes: Benign or Something More Concerning?

Eye conditions and diseases can occur in patients both young and old, for an array of reasons. Some are benign, while others manifest in physical discomfort.

Sore eyes are an unpleasant sensation in or around one or both eyes. Your eyes may feel gritty, tender or tired. You may have several other symptoms along with sore eyes, including eye pain, redness, itchiness, swelling, tearing, or discharge from the eyes. Depending on the underlying cause, your healthcare provider may advise the use of different treatment options.

What are the Causes?

Sore eyes can be caused by a variety of reasons. In most cases, they are caused by staring at a computer or book for too long. Other causes may include:

1. Airborne irritants can trigger soreness in sensitive eyes. The air is filled with pollutants, chemical smoke from factories, automobile exhaust, smog, and more. At certain times of the year, notably in the springtime, pollen can be a powerful irritant.

Other airborne eye irritants include dust and other fine particles stirred up by strong winds, dust, and debris. General irritants, airborne or otherwise, may include:

  • Contact lens wear
  • Excessive rubbing of eyes
  • Inflammation caused by allergens or infections
  • Too much sun exposure
  • Dry eyes or inadequate lubrication of eye surface
  • Viral infections such as the common cold
  • Blepharitis
  • Pink eye

2. Contact lenses or glasses can easily cause irritation for those unaccustomed to them, especially if they are worn incorrectly or for too long. If you are experiencing sore eyes and wear contacts, check with your eye doctor to see whether the source of your eye pain might be your contact lens. It is possible that you are inserting them incorrectly or the fit is incorrect. You may simply need time to get used to a new prescription or may need to have your existing prescription changed or updated. This applies to glasses, as well.

3. Excessive rubbing of eyes can cause sore eyes in those who have compulsive behavior causing them to rub their eyes constantly.

4. Inflammation caused by allergens such as animal dander, pollen, dust, and other common airborne substances can trigger allergic reactions. In reaction to these triggers, you body releases chemicals called histamines, which cause itching, sneezing, and eye inflammation.

5. Sun exposure can cause your eyes to become sore because your eyes are irritated by the UV rays and the eye muscles become fatigued from constant squinting. To avoid this problem, always be sure to wear a hat and sunglasses when you go out in the sun, and be sure your sunglasses are designed to offer maximum UV protection.

6. Dry eyes syndrome is a medical condition, which can cause painful, sore eyes.

7. Excessive computer use may cause eye fatigue, which can in turn cause sore eyes. If you spend a good portion of your day staring at a computer monitor, electronic display or even a book, sore eyes can irritate and cause discomfort.

Digital displays, in particular, are concerning for patients with sore eyes. The human eye cannot focus on computer pixels for a long duration of time, and it must continually readjust while you are working at your computer. Over time, this causes a repetitive stress and injury to the eye.

8. Viral infections can sometimes cause sore eyes such as pink eye (also known as conjunctivitis) or cellulitis (eyelid infection).


Sore eyes can wreck havoc on everyday activities. If you are experiencing the following symptoms, consult your eye doctor for diagnosis and treatment.

  • Redness of the eyes
  • Discomfort
  • Burning
  • Gritty sensation
  • Photophobia (sensitivity to light)
  • Pain
  • Difficulty opening eyes after sleeping
  • Eyelids stuck together after sleeping
  • Watery discharge
  • Soreness
  • Runny nose
  • Sore throat

Treatment Options

If you have sore eyes, seek medical attention. Treatment for sore eyes can begin once a diagnosis is made, and prevent further damage to your eyes.

Depending on the cause of your condition, your ophthalmologist or optometrist may prescribe you anti-inflammatory or antibiotic eye drops or ointments. To relieve discomfort at home, here are a few tips to implement:

  • Warm compression to your eyes for five to ten minutes, three times a day
  • Get more sleep at night
  • Drink plenty of water throughout the day
  • Eat a well-balanced diet
  • Avoid rubbing your eyes
  • Take “eye breaks” from activities that may be causing eye strain, such as prolonged computer use

If your sore eye symptoms are not easing, then be sure to get in touch with Dr. Ghosheh at Advanced Eye Medical.