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Refractive Eye Surgery Options
In New York City
There are several vision correction procedures available that are suitable for different patients. The procedure that is best for you can depend on a variety of factors, including cornea shape/thickness, prescription, lifestyle, and age. Dr. Rapoport customizes each refractive plan to each patient.
Refractive Surgery Guide
LASIK – Laser- Assisted In Situ Keratomileusis
LASIK is a laser eye surgery that changes the shape of the cornea to correct the patient’s vision. This surgery is an option for patients with nearsightedness/myopia, farsightedness/hyperopia, and astigmatism.
The procedure is as follows. A flap is created in the epithelium, or the front layer of the cornea. This flap is folded back, and the laser reshapes the cornea by removing corneal tissue. The flap is then repositioned- healing in the following weeks and months. Immediately following the procedure, you may feel that your eyes are itchy, watery, gritty. Your vision can also be blurry. In the following few months, as your eyes heal, you can notice an improvement in vision.
Some of the risks or side effects of this surgery are dry eye or seeing glares or halos. These tend to clear up within weeks or months. However, for those already experiencing severe dry eye, it could worsen with LASIK. You could be a more appropriate candidate for an alternate vision correction procedure. LASIK is also not suitable for those with thin corneas, corneal diseases, large prescriptions, or those who participate in certain high contact sports.
PRK – Photorefractive Keratectomy
PRK is similar to LASIK in the sense that it is also a laser eye surgery that changes the surface of the cornea. Like LASIK, it is appropriate for patients with nearsightedness/myopia, farsightedness/hyperopia, and astigmatism. It is different, however, in the technique. Unlike LASIK, there is no flap created for PRK. The surface epithelial layer is removed and the laser is applied. Apart from this difference, the general procedure follows that of LASIK.
Patients can anticipate a longer healing time than with LASIK due to this removal of the surface layer. This healing time may be a period of discomfort, and it can take a week to experience clearer vision. This procedure may be better suitable than LASIK for those with thinner corneas, higher prescriptions, or those who participate in certain high contact sports. It may also be a better alternative to LASIK for patients with severe dry eye.
SMILE – Small Incision Lenticule Extraction
SMILE is another technique of laser eye surgery. Unlike LASIK and PRK, it is only appropriate for patients with nearsightedness/myopia or myopia with astigmatism. It cannot correct hyperopia. Newer than PRK and LASIK, it uses the Zeiss femtosecond laser to create a lenticule- a tiny, lens-shaped piece of corneal tissue- which is then removed by the surgeon. The incision made on the cornea surface is microscopic- making it relatively less invasive than PRK and LASIK. It can also treat prescriptions higher than LASIK can, up to a -10.
SMILE can take slightly longer to complete than the other two procedures, but it is still a one day procedure for both eyes. The recovery period, in contrast, is slightly faster. Since it disturbs less of the cornea, there is a reduced chance of post-op dry eye and any negative effects on the cornea nerves. Thus, it may also be a better alternative to LASIK for patients with severe dry eye.
Like PRK, this procedure may be suitable for patients involved in high contact sports since they both avoid the risks associated with the creation and healing of a corneal flap. It is not suitable for those with conditions such as glare or halos since the procedure can worsen these.
ICL – Implantable Collamer Lens
An alternate option is an implantable contact lens. During an ICL procedure, a lens is inserted behind the iris, or colored part in the eye, and in front of the actual lens. This lens functions much like a contact lens and can correct nearsightedness/myopia and astigmatism.
Since a lens has to be inserted, this procedure is more invasive than LASIK, PRK, or SMILE. However, since corneal tissue is not being removed, the complication of dry eye is avoided. The quality of vision with ICL can be better than that of LASIK, PRK, and SMILE, because the cornea is not touched, and there is no risk of glare and halos. ]
The recovery period is around 1 to 2 days. This procedure may be suitable for those with too thin corneas to do LASIK or PRK and those with very large prescriptions. Additionally, patients are generally required to be above 21 years, under 40-45 years and have otherwise healthy eyes. The size of the eye must also be suitable for the placement of the ICL.
This procedure is excellent for patients who have very high near-sighted prescriptions (over a -8 but can treat up to -15 and sometimes higher). It can also be an option for correcting the vision of patients with keratoconus, and safe to do so when they have already had cross linking performed.
RLE – Refractive Lens Exchange
Similar to ICL, refractive lens exchange also involves the insertion of a custom lens. Because of this, they share similar risks and possible complications. However, unlike ICL which places the new lens in front of the existing one, this lens replaces the natural lens completely. This procedure can thus correct for hyperopia and myopia.
This procedure is typically suitable for patients older than 45 since it can help with both distance and reading vision, and the lens that is implanted corrects for all distances and corrects for astigmatism as well. It is also suitable for patients in their 60s or older since RLE and cataract surgery follow the same procedure. Having this procedure will prevent the possible development of a cataract in the future, which is an important benefit to this procedure.
Dr. Rapoport was fantastic - she explained all my options in detail and was very diligent in giving me instructions pre/post operations - even when I asked twice/three times. She's always available to talk and super empathetic. I could not recommend a better eye surgeon!”
I feel confident in her abilities - and it is my eyesight afterall!”
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Dr. Yuna Rapoport has performed many LASIK and other procedures over the past 10 years. Her medical expertise, technical proficiency, and passion for the industry’s most advanced vision correction technologies have garnered praise from patients and colleagues from around the world. She has been accepted to the “Trusted Lasik Surgeons Directory” and named “One of the Best Lasik Surgeons in America” by the Southwest Magazine.
During your consultation, you can take comfort knowing that Dr. Rapoport will perform several advanced diagnostic tests to clearly determine whether you’re a viable candidate for a vision correction procedure before making a recommendation based on your specific needs and situation. Because here at Manhattan Eye, our focus is always on you and your eyes.
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We offer a wide range of vision services to
meet your needs, including:
Easily corrects very high prescriptions, causes 0 dry eye and has no recovery course
A popular procedure for nearsightedness, farsightedness and astigmatism.
Especially thin or irregular
cataract surgery- tiny flexible lenses … that replace your existing cataract
The preferred solution for patients with very high prescriptions or those with irregular corneas
A great solution for patients with presbyopia who need distance and reading glasses
Tiny, flexible lenses that are 100% biocompatible and provide UV proection.
"I've been essentially blind my whole life and recently decided to get elective eye surgery. I unfortunately did not qualify for Lasik, but did qualify for PRK. Dr. Rapoport was fantastic - she explained all my options in detail and was very diligent in giving me instructions pre/post operations - even when I asked twice/three times. She's always available to talk and super empathetic. I could not recommend a better eye surgeon!"
“My experience with Manhattan Eye and Dr Yuna Rapoport was great. I had extreme nearsightedness, my prescription was -7 for the right eye and -8 for the left eye plus astigmatism. I did SMILE surgery 4 days ago and today I had my check up and my vision is 20/15 now. After wearing the contacts all my life I finally can see everything without them just after morning wake up.”
“I have now seen Dr. Rapoport for dry eyes, removal of papillomas around my eyes, and Lasik surgery. When I originally asked about Lasik, she gave me a very balanced perspective on my options, which I really appreciated. She also has a great energy about her, and she's just an overall pleasure to be around. I have referred several friends and family to her and they've all said great things about her as well. I can't recommend her enough.”
"I strongly recommend Dr. Rapoport if you are considering LASIK, or if you are simply in need of a great eye doctor.”"I strongly recommend Dr. Rapoport if you are considering LASIK, or if you are simply in need of a great eye doctor.”
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As an eye care specialists, we understand that the potential costs of a laser refractive procedure might be a cause for concern. However, these interventions are not only beneficial for your vision, but are also surprisingly affordable. We strive to make this procedure accessible to everyone, and to that end, we have excellent financing plans in place. With our zero percent interest options, we can work together to find a payment solution that suits your financial situation.
During your initial consultation, we’ll assess whether you’re a suitable candidate for the procedure, and I’ll be more than happy to discuss in detail about the pricing and the financing options available. Our main aim is to ensure you’re completely at ease, well-informed, and confident before making any decisions about your eye health.
“I had a great experience with Dr. Rapoport during my entire refractive procedure process and would recommend to anyone in the area looking for LASIK.”
Our Manhattan based LASIK surgery services offer care and solutions for different vision problems. We provide information regarding your medical treatment and we will walk you through the process. At Manhattan Eye, we value your time and give you the best LASIK services. Our Manhattan based vision correction center provides laser eye medical services that are quick and safe. We understand that the idea of laser eye surgery sounds daunting at first, but with our experienced and trained medical professionals, you can trust that you are receiving quality LASIK and eye care services.