8907 Warner Avenue #125
Huntington Beach, CA 92647
(714) 962 - 6400
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8907 Warner Ave., Suite 125, Huntington Beach, CA 92647 | P: (714) 962 - 6400
Proudly Accepting: VSP, EyeMed, Spectera, Davis Vision, MES, Avesis, Safeguard & More!
At Healthy Eye Center, we are committed to providing the latest, most effective and unobtrusive eye care services available. From our friendly, knowledgeable office staff to our licensed eye care professionals we undergo continual training and certification to ensure that we deliver the highest levels of patient care available in Huntington Beach.
The field of Optometry has undergone dramatic and positive changes over the years and we have been at the forefront of offering new, less invasive and more affordable eye care services to those in need of our services.
We find it to be critically important for all of our patients to understand the vision correction options that best suit them. That's why we have compiled some of the most important pieces of information here, for your benefit. If you have any questions, please call us at (714) 962 - 6400.
Patient Kim: Doctor, I have to wear glasses to drive. I don't want contact lenses (CL) because I cannot touch my eyeballs. I need to see when I swim. My glasses fog up when I exercise...
Husband Dan: On the contrary, I'm farsighted. I need glasses for close-up reading and computer work. I always misplace my glasses. Can Laser surgery fix our eyes ?
Doctor Johan Tran: What both of you would need is Refractive Surgery. The conventional way was to use a knife blade to make small cuts on the cornea to reshape it, so lights will then re-focus on the retina to make you see clear without glasses or CL's. Now, a laser is used as the major process to pulverize the inner stromal layer of the cornea to reshape it. That's “LASIK” you heard about.Other similar techniques are LASEK, PRK, Intralase, etc,...Usually these procedures take about 10 minutes, and full recovery takes place within a few days. The newly acquired vision usually is stable for a long time. However, there are side-effects which I will discuss in more details during the consultation exam.
Patient Kim: So, apparently Lasik can fix all corneal problems ?
Doctor J. Tran: Not true. Many corneal conditions such as scarring (due to a past infection or injury) or Keratoconus (KC) need a transplantation operation. In KC, the cornea becomes weak, thin and irregularly shaped thus causing poor vision. However, recent studies show that KC can be managed with irradiation of Riboflavin (Vitamin B complex) on the cornea with Ultra-Violet A rays to re-form new cross-links between the collagen fibers of the corneal stroma, to improve vision.
Husband Dan: Doctor, our 5-year-old daughter has a "lazy” eye. Can surgery fix her eye condition?
Doctor J. Tran: “Lazy” eye is a condition in which the eyeballs are not oriented in the same direction (Strabismus). The eye turn may be constant, intermittent, or alternating. Since she is only 5 years old, and her eyesight is still developing, it's important that you bring her in for regular eye exams. The surgery to fix lazy eyes, if the eyes are misaligned, is called Strabismic Surgery. The surgeon would do a long "physical" operation on the extra-ocular muscles (which control eyeball movements) to tighten them, or make them less tight, to re-align the eyes. In rare cases, instead of surgery, injection of a nerve attenuation chemical (such as Botox) into a muscle that is overactive, or into a muscle that is overcompensating for a weaker one, may help control eye movement. But in most cases, strabismus can be treated and poor vision can be improved, non-surgically and non-invasively, by eyeglasses, eye drops, or vision training such as eye exercises or patching.
Grandma Betty: Doctor, my sister had Cataract Surgery, in which the surgeons removed the old cloudy natural lens and implanted a clear plastic lens. That sounds scary. I have cataracts too. But can they use Laser instead of the knife to remove my cataracts ?
Doctor J. Tran: Not on the very first operation. Cataracts surgery is a "physical" operation: the eye needs to have a small incision or cut, the cloudy lens extracted, and a new lens implanted. Many years later, fibrotic scar tissues may grow on the implant and blur the vision again. At this time the surgeon will use YAG Laser to burn away the scar tissues off the implant to restore vision without physically re-cutting the eye. So, the "Cataract Laser Surgery" is a secondary enhancement procedure, not the first cataract removal operation. Sometimes, the scar tissues have grown on the implant so badly or if the implant is dislodged inside the eye, a second cataract operation (physical operation, not Laser) has to be done again to re-position or change the implant.
Grandpa Arthur: Doctor, I am diabetic and through the exam with you, you found diabetic retinopathy in my eyes. I'm scheduled to be treated with Laser surgery next week. How does Laser surgery help me?
Doctor J. Tran: Uncontrolled blood sugar levels damage small blood vessels in the eye, causing fluids to leak out of the blood vessels. The eye bleeds internally at the retina level in the back of the eye. Laser pulses are used to "melt" the blood vessels and the surrounding tissues to stop the bleeding. The technique is called Photo-coagulation. Obviously, small parts of the vision will be permanently destroyed. However, the photo-coagulation technique would save the eye from losing total vision. This laser surgery technique is non-invasive; no cutting by knife is employed.
Grandma Betty: I have the serious Wet Macular Degeneration and my vision is getting worse. How will surgery fix my problem ?
Doctor J. Tran: In this condition, there is no true bleeding, but there is an undesirable overgrown array of blood vessels near the Macula (also called Fovea, which is the most light-sensitive part of the eye) and this neovascularization causes damage to the underlying cells and thus affects the central vision. As treatment, either a steroid (for example, Lucentis) is injected into the vitreous gel of the eyeball to prevent further neovascularization, or a combination of drug and Laser (Photo Dynamic Therapy) technique is employed to burn away the neovascularized tissues, therefore stopping their spreading.
Grandpa Arthur: I have borderline glaucoma. If it has to be treated, can I choose Laser instead of lifetime use of glaucoma eye drops ?
Doctor J. Tran: The answer depends on the type of glaucoma you have. Glaucoma is an optic nerve degeneration condition that slowly destroys peripheral and then central vision and is often associated with elevated eye pressure. Glaucoma could be inherited, or acquired from a systemic disease such as Diabetes, or from some previous eye injury or inflammation. There are many types of glaucoma which are treated differently. One technique is the use of Laser to burn tissues and punch holes on the iris (Iridectomy) or another part of the eye (Trabeculoplasty) to drain the accumulated fluid and lower the eye pressure to prevent further optic nerve damage. Attachment of a minuscule "plumbing system" on the conjunctiva is another procedure to lower eye pressure. However, pressure-lowering anti-glaucoma eye drops are widely used in the U.S. to treat glaucoma.
In summary, Laser surgery is widely used to treat many eye conditions. There are several types of Laser surgery. Different eye conditions are treated differently. Laser surgery, however, is not necessarily the most refined and most effective technique. Not all eye conditions can be treated by Laser surgery. Not all surgeries are without risks or side-effects. And not all surgeries give permanent results. Patients should see a knowledgeable, experienced, eye care professional to have their eye problems diagnosed, explained, and treated accordingly.