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Refractive Surgery


Are there any information events offered by the Departement of Ophthalmology in Heidelberg concerning refractive surgery?

Yes. We offer free information evenings every 4-6 weeks. Dates are listed on our web pages www.lasik-hd.de or can be inquired by phone under +49 6221-56 4573.


Which refractive procedures are offered by the Department of Ophthalmology in Heidelberg?

We offer Femto-LASIK or LASEK in the field of laser correction methods. All laser correction methods are perfomed with an excimer laser. The flap, which is needed for LASIK is perfomed with a microceratome or by the help of the femtosecond laser.

In the field of surgical correction methods there is the possibilty of intraocular lens implanation (IOLs). This includes the phakic IOLs, which are implanted additionally to the crystalline lens and premium IOLs, which replace the crystalline lens (RLE) .


Which parameters are important for choosing the right refractive method?

Main parameters necessary are the refraction (prescription of the lenses), the health condition of the eyes, as well as your personal visual requirements after the surgery.


Which preoperative parameters are important?

The main precondition is, that your eye is healthy and that you are of legal age. Furthermore parameters like the corneal thickness, the prescriptions and the pupil size have to be in a certain relation to each other, to perform a secure procedure.  


What is the difference between Femto-LASIK and LASEK?

During the LASIK procedure a femtosecond laser creates a thin flap of the corneal tissue. This flap is opened to enable a treatment of the underlaying corneal tissue with an excimer laser. Following the treatment the flap is repositioned in its initial position and heals within a few hours.  
For LASEK the surgeon does not create a corneal flap. Only the superficial corneal layer, the so-called epithilium, is carefully removed by the help of an alcoholic solution. Subsequently the laser treatment is performed to reshape the cornea. This may lasts 3-5 days.  


Are there any other surgical procedures beside laser correction methods, to help become independent from glasses or contact lenses? 

Yes. Microsurgical methods use an artificial lens (IOL), to correct ametropia. On the one hand, there is the possibility to implant a phakic artificial lens (pIOL) in front of the iris, like an implantable contact lens. It is often used, when ametropias are out of the laser application range e.g. the prescription is too high or the cornea too thin.
On the other hand, there is the possiblity to replace the crystalline lens by an artificial lens (RLE). The procedure itself is an established method, which is used to treat cataract. With the use of a femtosecond laser this surgery can be performed much more precisely and securely. Furthermore the wide range of artificial lenses e.g. multifocal lenses offers an adjustment on various distances. This surgical procedure will often be used beyond an age of 40 years.


How much are the costs?

Please inquire about the costs for laser treatments as well as for artificial lens surgeries by phone +49 6221-56 4573, via email or in one of our information evenings.

The statutory health insurance in Germany does not cover the costs of treatments and examinations in the field of refractive surgery. In exceptional cases some costs are covered by private insurances.   



Which screenings are used during the preliminary check?

Beside the ophthalmological examination and the subjective and objective refraction, we measure the size of the pupil, aberrations of the eye (wavefront analysis), the corneal thickness, irregularity of the cornea (topography) as well as the cell count of the endothelium. Your surgeon considers all the findings and examinations and diskusses with you, which treatment is best for you.


Do I have to stop wearing contact lenses prior to the preliminary check or surgery?

Yes, soft and hard contact lenses must be out of the eyes at least 14 days prior to the preliminary check and the surgery. Only when considering this advice, we can ensure an exact screening, treatment planing and sucessful surgery.



Am I able to drive a car after the preliminary check?

No. Because of the application of pupil-dilating eye drops to examine the retina, you will see blurry and be photosensitive. This could last 12 to 24 hours. In this time you are not allowed to drive a car.



Does a laser eye surgery hurt or do I feel uncomfortable after the treatment?

The procedure itself is painless, because of the application of anaesthetic eye drops. Depending on the laser procedure you may experience slight irritations or a local pain after the surgery, which can be well treated with medication and a therapeutic contact lens.



How long does a laser treatment take?

The procedure does only take a few minutes and the pure laser treatment even less than 60 seconds, depending on the prescription.



Does an artificial lens surgery (RLE, pIOL) require an inhouse health care?

No. The surgery is done outpatiently.



Am I able to drive a car directly after surgery?




Do I have to take some medication?

Yes. You will get some antibiotic an anti-inflammatory eye drops, which you should apply upon the instructions of your surgeon. 


When do I have to come for the follow-up checks?

The frequency of the follow-up checks depends on the healing process. Until the final check 3 months after treatment, we recommend periodical appointments.    


Is a retreatment possible?

Yes. If a retreatment is necessary and enhances your vision, we will discuss this option with you in detail and if desired, we will perform it.


Is there a 100% guarantee, to get off glasses and contact lenses?

The aim of every refractive surgery is an independence of glasses and contact lenses. Because of individual circumstances and different healing processes a residual error could be possible in minor cases. Therefore we cannot guarantee a total abandonment of it. But please be assured that we will do all the best to satisfy you and offer you a high quality of treatment.

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