Professional laser optical operations, performed by SwissLaser, are safe, quick, and pain-free. The procedure lasts 15-20 minutes, and within a few hours or a few days, the patient will enjoy clear vision. We work with each individual’s vision deficiencies with maximum attention and care.

Prior to any eye procedures, our patients receive thorough examinations, so that we can determine the ideal procedure. We utilize modern diagnostic equipment and laser technology which guarantees that the procedure is conducted according to the highest standards of safety, quality and comfort.

address:

SwissLaser (Horizon Plaza) Domaniewska Street 39A, 02-672 Warsaw

phone:

+48 221 201 690

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The perfect correction of vision defects with glasses or contact lenses is impossible. The greater or more complicated the defect, the more difficult it is to find adequate glasses or contacts for the patient. It is also worth remembering that not every eye can tolerate contact lenses, and with pronounced defects even the best glasses cannot fully form the image and can make difficult certain tasks, i.e. driving a car. The solution is laser correction for the vision defect – which is becoming an increasingly popular operation to return sharp vision. Rapid growth of optical techniques assures that laser eye surgery is a procedure with maximum safety (number of complications is less than 1% of the cases), painless and providing almost an instantaneous return to a normal, daily life.

The decision to schedule a laser vision correction is made only when the defect is stabilized. This type of procedure is not performed on anyone under the age of 18.The decision to undergo laser vision correction is made only when the defect is stabilized. This type of procedure is not performed on those under 18 years of age, because up to that time, the eye is in a phase of continuous development, and during puberty, vision defects have a tendency to progress rapidly and distinctly. If during the year prior to laser vision correction the defect progresses, there is a risk that it will also progress following the procedure. So, if our goal is to permanently eliminate the defect, the operation must be performed on an eye with a stabilized defect. We are then certain that laser vision correction of the defect will be permanent and a follow-up operation will not be necessary in the future.

Glasses and contact lenses allow the correction of vision defects. Laser eye surgery allows their elimination.

Vision defects and their methods

The most common eye defect addressed by laser correction is near-sightedness, far-sightedness and astigmatism. It is important to remember that astigmatism can arise both with near and far-sightedness and even the best made glasses and lenses are not able to guarantee comfortable sight to the patient, but can only minimalize the worst effects of the present defect.

Nearsightedness (myopia)

Vision defects are due to this, that the optical make-up of the eye distorts the focus of light rays – instead of upon the retina, the focus of the light rays occur in front of the retina. In effect, the object distant from the eye appears fuzzy or blurry. Nearsighted people often squint, tensing the eye muscles to alter the curvature of the cornea and “regulate the image.” A corrective procedure will pass the test only in the initial stages of this defect. As the defect worsens, corrective glasses or contact lenses become necessary. The greater the nearsightedness, the greater sense it is to have corrective laser surgery for the vision defect – not only because of health but also esthetics. Spectacle glasses with an index, namely the thinnest width, are expensive. Spectacle glasses without an index- are thick enough, that they negatively affect the field of vision.

We delineate three levels of advanced nearsightedness:

  • low – to -3 diopters,
  • medium – from -3 to -7 diopters,
  • high – from -7 and above,
  • up to about -6 diopters

Nearsightedness responds very well to laser correction. Depending on the severity of the defect and the patient’s individual circumstances, the following correction methods are used:

LASIK
the cornea is cut with a scalpel (microkeratom). The goal is to model the surface of the cornea so that it can properly focus the image on the retina.
Trans-PRK smart surFace
the abbreviation Trans-PRK- means Trans-epithelium PhotoRefractive Keratectomy. An epithelium flap and correction of diopters occur simultaneously only with the help of an excimer laser.
LASEK/PRK
the procedure consists of removing the upper layer of cells from the cornea (flap), followed by the appropriate fashioning of the corneal tissue by using an excimer laser. The goal of the procedure is the appropriate application of the laser rays on the central surface of the cornea so that the focus of the image will fall precisely on the surface of the retina.
Femto-LASIK (All-Laser-LASIK)
thanks to the precise femtosecond laser, the surgeon performs an incision on the cornea, creating a thin flap of .1mm width. Using an excimer laser, he fashions the uncovered part of the cornea for a few seconds, before replacing the flap, which re-adheres and creates a protective barrier for the cornea.

ATTENTION: Illnesses like cataracts or retinal diseases preclude the usage of laser vision treatments (Trans-PRK). In the case of the treatment method of Trans-PRK smart surface, a plus 3 diopters is the maximum (if hyperopia is present) and minus 6 diopters (in the case of nearsightedness). However, this is the best method to correct nearsightedness, but in the case of correcting hyperopia, a different method should be chosen. Astigmatism may be treated with the Trans-PRK method from 3 diopters

Farsightedness (hyperopia)

Vision defects are due to this, that the optical system of the eye poorly focuses light rays on the retina. Farsighted people see objects clearly at a distance, but have a problem with precise and clear vision of objects up close. Farsightedness is not the same thing as presbyopia . The second condition, though giving the same symptoms and having many things in common with farsightedness, occurs only after the age of 40 and requires different corrective glasses than farsightedness.

Deciding upon laser eye surgery, farsighted people have options:

Presbyopia

The treatment of presbyopia also includes laser surgery.

Monovision depends upon this, that each eye is adjusted with a different correction of strength in the breaking down of light for the purpose of preparing one eye to see at a distance, and the second eye to see up close. In short,
one eye is artificially altered to be shortsighted and one eye is altered to be farsighted! One eye is prepared to see correctly at a distance, the second up close. The patient’s preference is discerned before the operation, with the help of a simulation by test glasses or contact lenses. Finally depending upon personal preference and feeling, the patient himself decides whether monovision is best for him.

The presbyMax method (bi-aspherical, multifocal corneal ablation) depends upon the laser, multi-curvature fashioning the surface of the eye, modeled upon the algorithm for the light refraction. The gaining through this method of the new corneal curvature allows the patient to see at varying distances. The central part of the cornea allows vision up close, even to a few inches.The central part of the cornea allows vision from close range, and the paracentral part facilitates vision from medium to far distances. The advantages of this method include the non-invasive procedure, which lasts only a few minutes; quick return of vision up close, high quality of vision from different distances and the possibility of simultaneous- during one procedure- correction of vision defects.

In addition to monovision, lens surgery is available (refractive lens replacement, Phakic lenses).

Astigmatism

Vision defects are due to this, that the cornea or the lens are stretched and distorted. Optical elements of the measured eye are symmetrical relative to the axis. If the eye has a greater width than length, the lens and cornea instead of focusing on the light in the oval field of the retina, will create an image blurred in one of the possible directions. Astigmatism does not see clearly both up close and at a distance. Ophthalmologists and optometrists clarify a variety of types of astigmatism- due to the distorted element of the optical system of the eye (cornea, lens, mixture) or due to the mutual placement of the astigmatism axis (regular- not composed, composed, mixed, simple, inversed, oblique, or irregular). For the patient, astigmatism always means the same thing: the person with astigmatism will see the image unclearly in a certain field of vision from every distance. It is worth mentioning, that in the case of irregular astigmatism, the defect in general cannot be corrected with glasses, but can only be helped with contact lenses.

Understanding the tendency, that astigmatism often occurs with near- and far-sightedness, the most sensible solution remains laser correction of astigmatism. The method is selected individually. The advantage of the most modern laser used in the treatment of astigmatism is that very accurate correction is possible by using the so-called- static cyclorotation compensation.

Qualifying exam for laser vision correction

As has already been mentioned, regardless of the qualifying conditions for the laser eye surgery, is the stability of the defect. That means, that a year prior to the initial qualifying exam, the defect should remain at the same level. Breaking this principle may prompt a reoccurrence and worsen the vision defect following the laser eye correction. The next premise related to the performing of the procedure is the age of the patient. It is accepted that before the age of 18, the eyes should not undergo surgery considering that the eyes are still growing, though in justified situations, laser procedures for correcting vision defects are performed on people who have turned 18. During the initial exam qualifying the patient for surgery, the ophthalmologist will lead a detailed interview to determine if there are any contraindications regarding the procedure.

Contraindications for laser eye surgery

Among contraindications for laser vision correction procedures are:

  • an unstable vision defect,
  • rapidly growing defect within a year of the proposed surgery,
  • cataracts,
  • glaucoma,
  • types of dry eye,
  • tendency to inflammatory eye diseases,
  • retina disorder including diabetes,
  • tendency to develop scar tissue with an autoimmune disorder,
  • autoimmune diseases (autoimmune)
  • allergy,
  • pregnancy,
  • breast feeding,
  • autoimmune disease, and unstable hormonal balance.

It is worth noting, that although a lower age limit exists at which the doctor will agree to a laser corrective eye procedure for an eye defect, an upper age limit does not exist.

Laser vision correction – complications

As previously mentioned, the number of complications after laser procedures occur in about 1% of the cases.

  • As a result of the procedure, the inclusion or displacement of the corneal flap, can be corrected with a quick procedure.
  • ZThe phenomenon of the bulging cornea (keratosis) is very infrequent (1 in 10,000-40,000 cases) but when it occurs, it is easy to strengthen the cornea with the CXL method.
  • In connection with the variability of the healing process and power of the laser, it may under correct or overcorrect the vision sharpness by 20%, which can still be corrected in the 3-8-month period following the operation.

How does the procedure go – what does the patient feel?

Laser vision correction is conducted with local anesthesia as an outpatient. Depending upon the patient’s chosen method, he may feel less or more, but either way a short duration of discomfort. None of the laser eye correction methods include any great degree of pain DURING the operation.

The first phase of the operation always looks the same: precise preparation of the surgical area. The patient’s face is specially cleaned with a disinfectant solution, and his eyes are numbed with eye drops. The patient’s eyelids are painlessly immobilized with clamps. The following steps depend upon the chosen method. The procedure progresses differently for each approach, similarly as the progress toward normal functioning and full sharpness of vision.

After the laser eye surgery, some pain may appear, which can be addressed by normal painkillers.

Immediately following the FemtoLASIK method, the patient can observe, that he sees clearly, yet the eyes should be protected for the remainder of the day. After the operation using the FemtoLASIK, the patient may feel certain discomfort associated with burning or stinging in the eye. The regeneration of the cornea lasts several hours and a patient can see very clearly the day following the procedure.

In the case of the Trans-PRK smart surFace method, it takes 4-5 days for the vision to recover, and ideal vision is recovered after 3-4 months. In rare cases, treated patients complain that the healing process is sometimes a little painful, and some patients also experience a sense of corneal haze/scarring (haze effect). This usually causes a temporary deterioration of vision. Eye drops help in this case for a short time, however, this blurriness is not permanent. It is essential that following the procedure, the patient returns for the scheduled follow-up visit with the ophthalmologist.

In the case of the LASEK/PRK method, the patient notices an improvement in vision, but the eyes should be protected for the rest of the day. Cell regeneration following the operation occurs within the first 2-3 days and can cause severe pain, because the upper layer of the cornea is removed. Pain can be relieved with painkillers. It is important to remember that the vision quality may change during the first weeks and months following the procedure.

Laser vision correction – convalescence

After laser correction eye surgery, it is recommended to:

  • avoid driving on the day of the procedure. The operated eye is more sensitive to light (this sensitivity may be temporary or permanent), may tear up or burn,
  • for several days after the procedure, one should limit work in front of a computer,
  • should wear sun glasses,
  • care should be taken against strong motions with the hands in the area of the eye- avoiding wiping the eye or rubbing the eyelids for a month,
  • sun glasses should be worn while sunbathing and the patient should avoid dusty or smoky places,

In the case of any kind of doubt, pain or the occurrence of inflammation, the patient should immediately call the doctor.

After 5-7 days from the time of the operation, the patient should begin to function normally, and after a month should see perfectly.

Prices of procedures in the field of laser correction for eye defects

Unfortunately, laser eye correction procedures are not refundable by NFZ and can only be performed in private clinics. The reason for this state is the fact that the National Health Fund treats laser vision correction as a cosmetic procedure.

In Warsaw’s SwissLaser Clinic, the initial qualifying exam for a procedure is free. In the course of this exam, we provide:

  • a consultation with an optometrist who consults, when needed, with a surgeon,
  • the ophthalmology exam results,
  • crafting an individual strategy to address the correction of the present eye defects and the specific procedural options.

Preparation for the procedure costs 200 PLN. A packet of information will be given, which includes:

  • comprehensive ophthalmological exam results from precise techniques,
  • ptical and medical measurements from the initial exam which prompts the scheduling of the specific procedure,
  • answers to any lingering questions.

When the decision is made regarding the specific laser method of the eye operation, we can count on the following costs:

  • PRK/LASEK – from 2200zl per eye
  • Trans-PRK smart surFace – from 3950 zl per eye – this operation is touchless and without a corneal incision
  • Femto-LASIK basic- from 4,000 zl per eye
  • Femto-LASIK 7D standard – per 4500 zl per eye
  • Femto-LASIK 7D – Z 3D premium – per 4800 zl per eye

The price of each STANDARD package is good for two years, and included in the price of each PREMIUM package- a ten-year warranty, covering free corrections if the agreed upon goal for correction was not achieved (due to the healing process, measurement errors, differentiation of the laser therapy). Vision correction must be medically safe and performed according to international standards and guidelines. The warranty does not cover eye diseases such as glaucoma or cataracts and progressive presbyopia.

Laser methods for correcting eye defects

LASIK Method
Keratoconus treatment by using a scalpel (microkeratome) in order to correct a vision deficiency.
LASIK Wavefront Method
A method involving the removal of a cell layer with the aid of an excimer laser.
Trans-PRK Method
Method of removing the epithelium and fashioning the upper layer of the cornea by using the excimer laser.
LASIK/PRK Method
Removal of the epithelium and fashioning the corneal tissue by using the precision excimer laser. The method of removing the cell layer by using the excimer laser.
LASIK Femto Method
FemtoLASIK is a uniquely modern method of classic LASIK in which the cornea incision is made by an ultra-precision laser.
RelEx SMILE Method
With the help of the femtosecond laser, the amount of tissue for removal can be determined for optimal visual improvement.