NearVision CK San Diego

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More About NearVision CK® San Diego


Before the CK® Procedure

First, if you have an interest in CK®, you will need to have an examination before treatment to determine if your eye is healthy and suitable for CK®. This exam will include a complete medical and eye history, and a complete evaluation of both eyes. In addition, this examination will involve mapping your cornea with a computer to determine if it is smooth and properly shaped.

To determine your ability to adapt to the monovision resulting from CK®, in which one eye is used for near vision and the other eye is used for distance vision, you will complete a monovision trial or have a documented history of successful monovision wear. This assessment is important in determining whether CK® is appropriate for you.

WARNING:
If you wear soft contact lenses, it is very important to stop wearing them at least 2 weeks before the evaluation. If you wear hard or rigid gas permeable contact lenses you will need to stop wearing them at least 3 weeks before the evaluation. Failure to do this will produce poor results since it might affect the determination of your baseline refraction and amount of surgical correction needed.

Before the procedure:

  • Tell your doctor if you take any medications or have any allergies.
  • Talk with your doctor about eating or drinking right before the procedure.
  • Arrange for transportation, since you must not drive right after the procedure. Your doctor will tell you when you can resume driving.



The Day of the CK® Procedure

Before the CK® procedure, your doctor will ask you to lie on your back on a surgical bed. Your doctor will place anesthetic (numbing) drops into your eye to be treated. These drops ensure the painless application of treatment. Then, your doctor will place an instrument between your eyelids to hold them open during the CK® procedure. The eye not having the procedure will be taped shut.

The microscope will be positioned over your eye and the surgeon will ask you to look directly at the microscope’s light. The surgeon will mark your cornea using an inked instrument. This instrument will provide the template, which will be used to guide the surgeon during treatment. It is important to continue looking at the microscope’s light throughout the marking process and procedure to ensure proper treatment application. During the procedure, you may hear a series of beeps. These audible tones provide the surgeon with an indication that the appropriate energy has been delivered to your cornea. The Keratoplast™ Tip will be used to introduce the radiofrequency energy into your cornea. This will be repeated 16 to 24 times depending on the amount of treatment you require. Overall, the procedure takes about 5 minutes. The surgeon will measure your correction and will apply additional treatment if necessary.

After the procedure is complete, your doctor will place drops into your eye, which aid in the healing process. The numbing drops will wear off in about 30-45 minutes. After this time, you may experience some discomfort or pain for 1 to 3 days. You will be offered dark glasses to wear as needed.

The First Days After the CK® Procedure


You may be somewhat sensitive to light and have the feeling that something is in your eye for the first few days. Sunglasses may make you more comfortable during this time.

Your doctor can prescribe pain medication to make you more comfortable during this time. You should contact your doctor if you notice any pain (beyond the first week after the procedure) or any change or loss of vision in your eye.

IMPORTANT:
Use the antibiotic eye drops, non-steroidal anti-inflammatory eye drops and lubricants as directed by your doctor. Your results depend upon you following your doctor’s directions.

The Weeks Following the CK® Procedure


During the first 24 to 48 hours after CK®, when you look in the mirror, you may be able to see the CK® treatment spots on your cornea. These spots will fade and you should not be able to see them in the mirror after 48 hours.

You may also experience blurred vision with or without glasses in the first week to one month after the procedure. Some patients may experience a reduction in their vision with glasses in the first week to one month as compared to before the procedure, but this tends to improve over time.

Some patients may experience small changes or fluctuations in their vision. For example, their vision may improve or worsen. These changes may occur for several months after the procedure. Your vision with and without glasses should become stable within the first few months after the procedure. Please refer to the section entitled “What are the Benefits?” for information on visual outcomes in the clinical study.

Visually demanding situations should be avoided during the adaptation period as described above. You may at first experience some mild blurred vision, dizziness, headaches, and a feeling of slight imbalance.

Some patients feel that automobile driving performance may not be optimal during the adaptation process. This is particularly true when driving at night. Before driving a motor vehicle, it may be recommended that you be a passenger first to make sure that your vision is satisfactory for operating an automobile. Your doctor will tell you when you can resume driving.

Having supplemental glasses to wear for specific visual tasks, such as driving at night and reading fine print, may improve your success with the CK® procedure. Additionally, make use of proper illumination when carrying out demanding visual tasks.



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