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CONTACT

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DATE

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APPOINTMENT

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DOCTOR

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PHONE 605-718-3937

Contact Lenses

If you are a contact lens wearer, you should remove your contact lenses 7 days prior to your exam. Contact lenses can affect the shape of your eye, which can affect your measurements.

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• Find out if you are a candidate for iLASIK or PRK at your first free

consult with one of our doctors.

• You may have post op appointments with your optometrists after

the 1st-day visit.

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We are fortunate to have such an experienced laser vision team. They have treated thousands of eyes and helped many See Life Clearly! They will take great care of you and your eyes.

Our doctors are…

• Certified and experienced with bladeless technologies and the CustomVue Wavefront procedure: similar technology that led to the approval of LASIK for Military and NASA pilots.

• Experienced with several types of eye surgeries such as iLASIK, PRK, ICL, and Lens Exchange, allowing the Eye Institute to offer the procedure that is right for you. • National and international lecturers and have been published in various journals and medical textbooks.

iLASIK vs PRK

iLASIK and PRK are both forms of laser vision correction, and they are actually quite similar. In our experience, the results are the same, with both procedures achieving 20/20 or better for most patients.

What’s the difference?

In iLASIK, the first step is the creation of a thin flap of tissue on the cornea using a femtosecond laser. This flap is folded back, and a custom laser is used to reshape the eye to improve vision. The thin flap is then replaced and allowed to heal.

PRK, or surface laser correction, uses the same custom laser to reshape the eye,

but without the creation of a corneal flap. Instead, the skin cells on the surface of the cornea are gently removed, and the reshaping laser is applied. The skin cells regenerate over three to four days.

The biggest difference between the procedures is the healing and recovery. With

iLASIK, many patients will see 20/20 and can return to work the next day! With PRK, most patients will be able to return to work four to five days after the procedure. Vision improves more slowly as the epithelial cells need more time to heal with PRK than with iLASIK.

While PRK has a longer recovery, it can have significant safety advantages for those with thinner corneas or moderate to severe dry eye. It is also the procedure of choice for those at higher risk for eye trauma. Finally, we typically prefer PRK for those requiring enhancement three or more years from their original LASIK treatment.

What’s best for me?

Both iLASIK and PRK are great procedures that typically achieve excellent results. The procedure that is best for you will be based on our team of doctor’s collective experience of helping thousands of patients achieve improved vision, as well as your input into your desired method of correction.

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Terry Spencer, MD Stephen Khachikian, MD Scott Schirber, OD

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Please plan for the following:

1. Have a driver.

2. Dress appropriately for 66-68 degrees in the Laser Surgery Suite.

3. Eat before you come to surgery.

4. DO NOT wear make-up, perfume, cologne, aftershave or fragrant

lotions.

5. Plan to be at our center for about 2 hours.

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iLASIK is the combination of three leading technologies to improve results & safety of the LASIK procedure. Laser flap creation, custom laser reshaping and iris registration tracking are advancements over older blade flap creation, conventional laser reshaping and pupil tracking. The iLASIK procedure takes 10 -15 minutes, both eyes can be done on the same day, and no stitches are required. The surgery is performed while the eye is numb and an instrument is used to prevent blinking.

The LASIK Procedure: Step-by-Step

Finally, the protective flap that was created in step two is gently placed back in its original position. The cornea begins healing immediately and you can return home. A cool laser beam is used to

re-shape the cornea and eliminate sources of aberration. There are multiple tracking and alignment systems in place to ensure both safety and accuracy throughout your entire procedure.

Using Wavefront technology, we take a “fingerprint” image of your vision. This detailed information is evaluated by the surgeon and is trans-ferred to the laser to provide custom vision correction.

A laser is used to create the corneal flap with the safety and precision of a computer-controlled laser beam. The Surgeon then gently folds this flap back to prepare the eye for the treatment laser.

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Contact Lenses

If you are a contact lens wearer, you should remove your contact lenses at least 7 days prior to your

exam and surgery. Contact lenses can affect the shape of your eye, which can affect your measurements.

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The Day of your procedure

The day of your procedure, we ask that you arrive at your scheduled check in time. We will review your post-operative medications, activity restrictions and answer any remaining questions you may have. Be sure to wear comfortable clothing. You will remain awake through the procedure, during which you can expect to experience little or no pain.

What to expect:

1.) The iLASIK procedure will take approximately 15 minutes. Actual

laser time is 15-60 seconds. You will feel some eye pressure, but typically no pain. Before surgery, you will be provided Valium and a relaxing environment.

2.) The afternoon or evening after iLASIK, your vision

slowly improves. You may use your eyes normally.

3.) The day after iLASIK, your eyes may feel slightly sore and scratchy

and your vision may still be slightly blurry.

4.) The days following iLASIK, your vision may fluctuate, you may

have light sensitivity and you may have halos at night. iLASIK increases the chance for excellent vision and has quicker healing than older types of LASIK surgery. It is extremely important to avoid rubbing or bumping your eye for the first week after your iLASIK procedure.

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*Individual results vary.

SURGERY DAY – LASIK

Many patients will experience significantly improved vision immediately. *Patients are given drops to use and protective glasses to wear during sleep for the next several days. We require you have someone drive you home for a day of rest and relaxation. You should wear clear glasses while you are sleeping for the first week after surgery. You will see an Eye Institute doctor for your 1-day post-op visit. You can be seen by your family eye doctor or an Eye Institute doctor for your post-op care after your 1-day visit.

DAY ONE –

AFTER LASIK

Your vision is significantly clearer, if not already 20/20.* You have a postoperative exam to ensure everything is healing

correctly. Most patients are able to drive and return to work and their everyday activities, and will continue to notice improvements in their vision.

DAY TWO –

AFTER LASIK

You are feeling great and seeing better than ever. Your eyes may get a little tired in the afternoon and you may use drops if your eyes become dry. Your future is looking clear and bright.*

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1. No swimming or hot tubs 2. No rubbing of eyes 3. Stay out of oceans, lakes, or rivers

4. No eye make-up 5. Wear UV sunglasses

Our team wants to provide you with

personalized, friendly care.

You will receive our doctor’s cell phone

number for questions or concerns.

We look forward to providing you with an

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DA Y 8 DA Y 9 DA Y 10 DA Y 11 DA Y 12 DA Y 13 DA Y 14 PRED F O RTE PRED F O RTE PRED F O RTE PRED F O RTE PRED F O RTE PRED F O RTE PRED F O RTE 2 tim es p er da y

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Pre d F or te 1.0 % ( gene ri c i s Pr edn iso lone ,u se same drop r egi m en as Pr ed for te ) (s ter oid ey e dr op to red uce in fla m m at io n fo r p ro per h ea lin g) Instru cti ons: *sh ak e p rior t o u se *  Inst ill on e d rop i n t he s ur gi ca l ey e( s) hour ly ev er y w aki ng hour a ft er s ur ger y  U se 4 dr ops d ai ly for the fir st w ee k af te r su rg er y  U se 2 dr ops d ai ly for the se cond week af te r su rg er y  D isc on tinue u se on day 15 Zy max id 0.5% . ( gene ri cs ar e Ga taf lox aci n or O flo xaci n, u se same dr op re gi m en as Zymax id ) ( an tib io tic ey e dr op fo r p rev en tio n of in fec tio n ) Instru cti ons:  Sta rt 1 d ay pr io r t o su rg er y, 1 dr op fou r t im es per d ay  U se on t he da y of sur ger y, 2 dr op s be for e s ur ger y, 2 dr ops a fte r su rg er y  C ont in ue 4 tim es pe r day fo r f irs t f ul l w ee k af ter su rg er y  D isc on tinue on D ay 8 □ You w ill be pr es cribe d 2 diff ere nt ey e drop s in orde r f or the e ye to hea l pr ope rly from sur ge ry . □ Your e ye doc tor ma y cha ng e the inst ru cti ons, a s nee de d. □ P lea se pick up your p re sc riptio ns prior to su rg er y □ W ait a t l ea st 3 m inut es betw ee n inst illi ng (pla cing a dro p on the e ye ) dif fe re nt drops. □ Ref er to che ckli st on re ve rse side to k ee p tr ac k of y ou r dr ops Optive (ar tif icial tear to h el p w ith h ea lin g) Instru cti ons:  Inst ill on e d rop i n t he s ur gi ca l ey e( s) hour ly af ter sur ger y  U se hour ly for the fi rs t w ee k af ter sur ger y  U se as n ee de d a fte r t he f irst w ee k SUB ST IT U TI O N S: The g en er ic dro ps a re no t t he equiv alent , no r are they a s ef fec tiv e. B LACK H IL LS L AS ER VI SI O N CE NT ER: ph one ( 60 5) 7 18 -3937

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prk?

The Custom PRK Procedure: Step-by-Step

Your surgeon covers the treated cornea with a ban-dage contact lens. Within days, new epithelial cells grow back, and the ban-dage contact is removed. A cool laser beam is used to

re-shape the cornea and eliminate sources of aberration. To ensure both safety and accuracy, there are multiple tracking and align-ment systems in place through-out the entire procedure. Using Wavefront technology,

we take a “fingerprint” image of your vision. This detailed information is evaluated by the surgeon and is trans-ferred to the laser to provide custom vision correction.

The epithelium, a thin skin covering the cornea, is removed to prepare the eye for the treatment laser.

Instead of creating a flap as in LASIK, a solution is used to loosen the cells on the surface of the eye. This layer, called the epithelium, is then gently removed, and the advanced tracking and laser are applied just as it would be in LASIK. After the procedure, a soft-contact lens is placed in the eye to protect the healing epithelial layer. Total surgery time is approximately 10 minutes, both eyes can be done on the same day, and no stitches are required. The surgery is performed while the eye is numb and an instrument is used to prevent blinking.

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estrictions

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first

7

DAYs

)

1. No swimming or hot tubs

2. No rubbing of eyes

3. Stay out of oceans, lakes, or rivers

4. No eye make-up

5. Wear UV sunglasses (for one month)

Please plan for the following:

1. Have a driver.

2. Dress appropriately for 66-68 degrees

in the Laser Surgery Suite.

3. Eat before you come to surgery.

4. DO NOT wear make-up, perfume, cologne,

aftershave or fragrant lotions.

5. Plan to be at our center for about 2 hours.

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The Day of your procedure

The day of your procedure, we ask that you arrive at your scheduled check in time. We will review your post-operative medications, activity restrictions and answer any remaining questions you may have. Be sure to wear comfortable clothing. You will remain awake during the procedure, during which you can expect to experience little or no pain.

1.) The procedure will take approximately 10 minutes. Actual laser

time is 15-60 seconds. You will feel some eye pressure, but typically no pain. Before surgery, you will be provided Valium and a relaxing environment.

2.) After PRK, it is normal to have foggy or “smoky” vision. You

should go home and take a 2-3 hour nap. You may take the prescribed medication and cold packs for any discomfort. A clear bandage contact lens will be inserted immediately after surgery and will be removed 5 days following treatment by your doctor.

3.) The afternoon or evening after PRK, your vision will fluctuate.

You may use your eyes normally. Discomfort and light sensitivity are normal.

4.) Your vision will fluctuate for the first 3-4 days. The 3rd day after

surgery is usually the blurriest. Typically vision achieves a functional level on the 4th or 5th day.

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*Individual results vary.

WEEK ONE – AFTER PRK

Many patients will experience some improved vision. * For the next several days, patients are given drops to use and protective glasses to wear during sleep. A postoperative exam is scheduled to ensure everything is healing correctly. You should wear clear glasses while you are sleeping for the first week after surgery. You will see an Eye Institute doctor for your 1-day post-op visit. You can be seen by your family eye doctor or an Eye Institute doctor for your post-op care after the 1-day visit.

WEEK TWO-FOUR – AFTER PRK

Vision typically improves each week. Some shadowing or ghosting in vision is normal and will gradually lessen. By the end of week 4, most patients have approximately 90% of their clarity.

MONTHS 2-3 – AFTER PRK

Most patients notice stabilization of their vision during this time. Dry eye and night vision also improve. Most patients will achieve 20/20 or better during this period.*

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Our team wants to provide you with personalized, friendly care.

You will receive our doctor’s cell phone number for questions or concerns.

We look forward to providing you with an exceptional vision correction experience!

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SUB ST IT U TI O N S: In so m e ca ses, the ph ar m acy o r yo ur ins ura nce pro vider w ill su bs tit ute F lurbi pro fen f or AcuVa il, G at af lo xa cin fo r Zy ma xid or P re dn iso lo ne f or Pre d Fo rt e. T he g ener ic dro ps a re no t t he equiv alent , no r are they a s ef fec tiv e. Sepa ra te All dro ps by a t lea st 3 m inu te s Sh ak e Well ZY M A XI D O PTI V E PR E D FOR T E

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B LACK H IL LS L AS ER VI SI O N CE NT ER: ph one ( 60 5) 7 18 -3937 Ac uva il 0.45% ( ge ne ric is Fl urbi prof en ) (e ye dr op u sed to tr ea t p ain an d in fla m m atio n) Instru cti ons:  Star t 3 d ay s p rio r to su rg er y 2 ti m es p er d ay ea ch d ay lead in g u p to su rg er y (g en eric u se 4 times p er d ay lea din g up to su rg ery)  U se on t he da y of sur ger y 1 dr op b ef or e s ur ger y and 1 dr op a fter sur ger y (gene ric use 2 d rops bef ore sur ger y & 2 drops af ter sur ge ry )  C ont in ue 2 d rops a da y f or 3 day s a fter sur ger y (gene ric us e 4 ti m es p er da y f or 3 days a fter surge ry )  D isc on tinue u se on day 4 (gene ric d iscont inu e us e on day 4) Pre d F or te 1.0 % ( ge ne ri c is Pr edniso lone ) (s ter oid ey e dr op to red uce in fla m m atio n f or p ro per h ea lin g) Instru cti ons: 6 we eks of use * sh ak e p rior t o u se *  Inst ill 1 dr op i n t he sur gi cal ey e( s) four ti m es af ter sur ger y  C ont in ue 4 d rops pe r day th e fir st and se cond w ee k af te r su rg er y  C ont in ue 3 d rops pe r day for th e th ird and fou rth w ee k af ter sur ger y  C ont in ue 2 d rops pe r day th e fif th w ee k af ter sur ger y  C ont in ue 1 d rop p er d ay th e si xt h w eek af te r s ur ger y. D isc on tinu e af ter si x w ee ks. Zy max id 0.5% ( gene ri cs are G at ifl ox aci n or O flo xac in, us e s am e drop re gi m en as Zymax id ) ( an tib io tic e ye dr op fo r p rev en tio n o f i nf ec tio n) Instru cti ons:  Sta rt 1 d ay pr io r t o su rg er y 1 dr op 4 ti m es per d ay  U se on t he da y of sur ger y, 2 dr op s be for e s ur ger y and 2 dr op s a fte r su rg er y  C ont in ue 4 tim es pe r day fo r 7 day s a fter sur ger y  D isc on tinue u se on day 8 □ You w ill be pr es cribe d 3 diff ere nt ey e drop s in orde r f or the e ye to hea l pr ope rly from sur ge ry . □ Your e ye doc tor ma y cha ng e the inst ru cti ons, a s nee de d. □ P lea se pick up your p re sc riptio ns prior to su rg er y. □ W ait a t l ea st 3 m inut es betw ee n inst illi ng (pla cing a dro p on the e ye ) dif fe re nt drops. □ Ref er to che ckli st on re ve rse side to k ee p tr ac k of y ou r dr ops SUB ST IT U TI O N S: The g en er ic dro ps a re no t t he equiv alent , no r are they a s ef fec tiv e. Optive ( a rtific ial te ar to he lp wit h he ali ng ) Instru cti ons:  Sta rt on e dr op i n the su rg ic al ey e( s) ho ur ly af te r su rg er y  U se dr op s hou rly fo r t he f irst w ee k af te r su rg er y  U se as n ee de d a fte r t he f irst w ee k Oral S up plem en ts Vit am in C : Ta ke 500m g 2x /da y, star ting 1 we ek prior to su rge ry and c onti nue for 1 mont h a fte r sur ge ry . Om ega 3: Ta ke 2 -3g ra ms dail y of Ome ga 3 suppl ements su ch a s Fish Oi l st arting 1 w ee k pr ior to surge ry a nd c onti nuing for 1 mont h a fte r su rg er y.

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CustomVue Laser Vision Correction

The Black Hills Regional Eye Institute Vision Center understands that everyone’s eyes are unique. We are among an elite group of eye surgeons to now offer our patients the benefits of VISX CustomVue, the new standard in vision correction. With this system, we can actually treat more than simple nearsightedness, farsightedness, and astigmatism.

CustomVue allows us to analyze your eyes’ specific irregularities with 25 times more accuracy than standard measurements used for glasses and contacts. This completely customized laser eye surgery gives you the potential to see better than you ever have with contacts or glasses, with many patients reporting less glare and improved night vision. *

iFS Advanced Femtosecond Laser

The iFS Laser gives surgeons greater control for maximum customization – providing an indispensable tool for LASIK and beyond. With nearly 4 million procedures performed to date, IntraLase Technology is the femtosecond technology of choice. *

VISX Star S4 IR Laser

At Black Hills Regional Eye Institute Vision Center, we are committed to offering you the most advanced in vision correction technology. And, make no mistake; the type of laser your doctor uses can dramatically affect your level of satisfaction with refractive surgery. Black Hills Regional Eye Institute Vision Center surgeons use the VISX Star S4 IR Laser, which has many exclusive features, including:

Variable Soot Scanning (VSS) – Produces seven variable sized treatment beams,

offering greater flexibility for faster, smoother procedures.

3D ActiveTrak TM – Automatically tracks the subtle movement of your eyes in all

three dimensions providing additional control and precision.

Iris Registration – Aligns and adjusts the laser to compensate for rotation in the eye

that occurs when a patient lies down during the procedure, improving the precision of the vision correction.

We use all of these exclusive technologies to provide a safer, more precise approach to your vision correction. *

* http://www.amc-ilasik.com

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NEARSIGHTEDNESS

Nearsightedness, or myopia,

occurs when the cornea is too

curved or the eye is too long.

This causes light to focus in

front of the retina, resulting in

blurry distance vision.

FARSIGHTEDNESS

Farsightedness, or hyperopia,

occurs when the cornea is too

flat. This causes light to focus

beyond the retina and results

in blurry near vision.

(13)

ASTIGMATISM

Astigmatism often occurs

alongside either farsightedness

or nearsightedness.

Astig-matism is when the cornea

is shaped like a football and

causes light to focus on more

than on point on the retina

blurring or distorting vision.

PRESBYOPIA

Presbyopia is the natural again

process of the eye that affects

everyone, usually starting

around age 40. As we age, the

natural lens in our eye loses

flexibility, decreasing the ability

to focus on things up-close and

requiring for reading glasses.

e

nhAncement

p

LAn

o

ptions

m

erging

t

echnoLogies

CustomVue

For the CustomVue treatment we capture a fingerprint of your vision, which is then transferred to the laser allowing us to correct minute details in your vision that glasses or contacts cannot. With Custom-Vue you may see better than you ever have before.

Iris Registration

As a part of the VISX technology, Iris Registration is very similar to an eye scanner. This advanced technology maps points on the iris and focuses the laser using those points. This creates a more individualized adjustments that in turn, further improves and enhances the quality of your laser vision correction treatment.

iFS

With the ultra high precision IntraLase laser, creating the corneal flap is now safer and more accurate. By eliminating the blade once used in traditional LASIK, our patients enjoy a premium level of safety.

VISX S4

The VISX S4 laser offers you the highest level of accuracy. This laser is accurate to 0.25 microns, an amazing figure when you consider a human hair is about 70 microns thick. And with 3-D Active Eye Tracking technology, it’s the only system that allows the surgeon to track your eye movement in all three dimensions.

Standard Enhancement Plan

Covers enhancement if needed for one year.

Extended Enhancement Plan

Covers enhancement necessary in the future. *You must have an annual eye exam to keep this coverage valid. This annual exam can be with your local optometrist.

*Please check your price sheet for more details on our enhancement plans.

f

inAncing

The Eye Institute utilizes Care Credit to provide interest free payment options.

With Care Credit, iLasik can be less than $100 per eye per month. Visit www.carecredit.com for more information.

Flex Spending. iLASIK is a qualified expense

(14)

Does LASIK hurt?

Because the cornea is numbed with eye drop

anesthesia, patients report little to no discomfort

during the procedure. Some patients experience

some scratchiness of grittiness for a few hours

following while others did not experience any

discomfort at all. We ask everyone to go home

and take a nap immediately after his or her LASIK

procedure. For any discomfort that remains after

your nap, Advil or Tylenol is usually sufficient.

When will I be able to see?

Many patients notice an immediate improvement

in their vision and have functional vision the very

next day. Full visual results are typically reached

within one to three weeks but individual results

do vary.

When can I return to work, drive and to my

normal activities?

You can resume most normal activities such as

driving or working, the day after your procedure.

Exercising and more vigorous activities can be

resumed after the first week. Eye makeup cannot

be worn for one week. Swimming or contact

sports such as basketball or racquetball should

be delayed for three weeks.

What if my eye moves during the treatment

or I blink?

During the procedure a device will gently hold

your eyelids open, which will prevent you from

blinking. In addition, at Black Hills Regional Eye

Institute the laser we use incorporates advanced

eye tracking technology. The laser will be

constantly and minutely adjusted to the position

of your eye at any given time. In fact, every four

to six milliseconds the eye’s location is measured

and the laser is automatically aligned. If, at any

time, our eye moves too quickly or out of range,

the laser will pause and wait for your eye to move

back into position.

Will I need to wear glasses after?

Most patients who have undergone iLASIK at

Black Hills Regional Eye Institute no longer need

glasses for their daily activities. However, if you’re

over 40 and do not elect MonoVision LASIK, there

is a possibility that you will need reading glasses

because of the natural aging process of the eye.

This condition, presbyopia, occurs as you get

older.

t

Ake

the

next

step

Call us today and schedule your FREE

Consultation to determine if you are a candidate!

Call 605-718-3937 or visit

www.lasikrapidcity.com.

LAsik

(15)

What’s the difference between PRK vs

LASIK?

PRK and LASIK are both eye procedures to

reshape the cornea with the objective to produce

clearer vision. In LASIK surgery, the surgeon

creates a corneal flap in the first step of the

procedure. However, in PRK, the surgeon instead

removes the cornea’s outer membrane, called the

epithelium. In both procedures the second step is

performed in the same manner, with an excimer

laser reshaping the cornea.

Why wouldn’t I qualify for LASIK?

Patients with thin corneas or very dry eyes are

typically better candidates for PRK. Also, those

with higher risk professions (military, police, etc.)

or hobbies (boxing, martial arts, etc.) are good

candidates for PRK.

When will I be able to see?

Many patients notice an immediate improvement

in their vision. Most patients achieve functional

vision to return to work on the fourth day. Vision

gradually improves as the epithelium heals.

When can I return to work, drive and to my

normal activities?

You can resume most normal activities such as

driving and working within one week after your

procedure. Eye makeup cannot be worn for

one week. Swimming or contact sports such as

basketball or racquetball should be delayed for

two weeks.

Will I need to wear glasses after?

Most patients who have undergone refractive

surgery no longer need glasses for their daily

activities. However, if you’re over 40 and do

not elect MonoVision, there is a possibility that

you will need reading glasses because of the

natural aging process of the eye. This condition,

presbyopia, occurs as you get older.

t

Ake

the

next

step

Call us today and schedule your FREE

Consultation to determine if you are a candidate!

Call 605-718-3937 or visit

www.lasikrapidcity.com.

Find Us

prk

fAQ

s

LasikRapidCity

.com

Review the Black Hills Laser Vision Center and

your Surgery Experience at

(16)

At the Black Hills Regional Eye Institute, we are dedicated

to serving our community as successfully as possible.

We offer our patients the commitment and compassion that go unmatched by our competitors. Highly focused on the well-being of the community, our staff reaches out to deliver preventative screenings to the public in order to teach them about eye health. In addition, the Eye Institute hosts technical, educational seminars for other eye care professionals.

Interstate-90

Omaha St.

Main St.

St. Joseph St.

St. Patrick St.

Cambell St.

5th St.

I-190

Haines St. LaCrosse St. Exit 59 Exit 58 Exit 57 W . Blvd.

3rd St.

Mt Rushmore Rd. (8th St.)

Cathedral Dr

.

Fairmont Blvd.

BLACK HILLS REGIONAL EYE INSTITUTE RAPID CITY REGIONAL HOSPITAL



16

79



N

2800 Third Street

|

Rapid City, SD 57701

605.341.2000

|

www.lasikrapidcity.com

We also offer Laser Vision Consultations at our Gillete ,WY office:

3100 West Lakeway, Suite 2

References

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