Learn About LASIK, EVO ICL and CLR: March 7

00:00:12.000 –> 00:00:29.000
We will have a great time over the next 30 minutes as you
will get to hear our surgeons answer the most common questions that
people ask when they’re considering either LASIK or the Evo ICL or
custom lens replacement CLR.
00:00:29.000 –> 00:00:39.000
And what you see here on our welcome screen are some of the famous
people that have been treated. Many of you have heard of Greg Papa. He
is the radio announcer.
00:00:39.000 –> 00:00:46.000
For the 49ers and has a weekly show on KNBR. And he’s had custom lens
replacement.
00:00:46.000 –> 00:00:58.000
And then you see Cameron Brink here, who was a star basketball player
at Stanford, now in the WNBA. And you might have seen her on
commercials on TV. Her star is rising in the celebrity world.
00:00:58.000 –> 00:01:15.000
Today, we’re going to talk about you and what your needs are and
whether you are a Famous, well-known person or an adventurer here like
Yoel, who is one of our patients who does all sorts of outdoor high
adventure sports uh or
00:01:15.000 –> 00:01:31.000
Just like the rest of us who are patients who are having trouble
seeing and would like to explore a solution for that, we have
something to offer you. And here’s just a quick video clip of A
patient that was recently treated and her husband is waiting for her
right after CLR. Oops.
00:01:31.000 –> 00:01:40.000
And that didn’t play. So let me go back. There we go. Hopefully that
plays.
00:01:40.000 –> 00:01:48.000
So Christine, how was that for you? That’s so easy. Very, very easy
and simple, but nothing’s a great problem.
00:01:48.000 –> 00:01:52.000
In the middle of your pillow. We’re going to have this forever.
00:01:52.000 –> 00:01:57.000
Awesome. Thank you for letting us take care of you, Christine. We’re
going to see you tomorrow morning.

00:01:57.000 –> 00:02:19.000
Okay, absolutely. All right. Thank you. You know, that’s just one
example of what we get to do every day in terms of helping patients
see better. And today on our webinar, and this will last about 30
minutes You’re going to learn what is modern vision correction in the
first place. How do we characterize that?
00:02:19.000 –> 00:02:26.000
We’ll help you understand if you’re a candidate and maybe which of the
procedures we offer might be best for you. We’ll talk about recovery.
00:02:26.000 –> 00:02:30.000
Side effects, and we’ll talk about cost and whether or not it’s
covered by insurance.
00:02:30.000 –> 00:02:37.000
But with that, I’d like to welcome Dr. Craig Bendy. Dr. Bindi, thanks
so much for being with us.
00:02:37.000 –> 00:02:38.000
Thank you.
00:02:38.000 –> 00:02:43.000
Taking time. I know you’re in between a busy morning and a busy
afternoon of surgery.
00:02:43.000 –> 00:02:44.000
Welcome.
00:02:44.000 –> 00:02:54.000
I’m 100% here, ready to go. And Shareef, thank you for kicking that off
and To everybody out there, well, welcome. Thanks for taking time out
of your day. Happy Friday.
00:02:54.000 –> 00:03:05.000
And today, I think people will learn a lot. People have a lot of
questions sometimes before they come in for a consultation wondering,
are they a candidate for procedure? Is this something they want to
pursue?
00:03:05.000 –> 00:03:11.000
And this is just something that is a good starting point to see if
it’s something that might be a good fit for you.
00:03:11.000 –> 00:03:20.000
First of all, just the concept here is just the thought in 2025, it’s
not too far fetched.
00:03:20.000 –> 00:03:26.000
To be able to wake up in the morning and not fumble around on the

nightstand looking for your glasses.
00:03:26.000 –> 00:03:32.000
Just to start your day or to be able to drive to a restaurant. And
then once you get there, also read the menu.
00:03:32.000 –> 00:03:39.000
Or sit on your couch and watch TV and look at your cell phone. Just
think of all the normal stuff that we all do every single day.
00:03:39.000 –> 00:03:45.000
And the thought here is so you can just do it, but no glasses, no
contacts, no readers.
00:03:45.000 –> 00:03:57.000
No bifocals and so I guess the broader topic today is just so you can
learn more about what we call modern vision correction, that’s kind of
an all-inclusive term for the types of procedures we do.
00:03:57.000 –> 00:04:06.000
It includes laser treatments. People have heard of LASIK. Some types
of LASIK, smile LASIK, epilasic. These are laser treatments on the
cornea we’ll talk about.
00:04:06.000 –> 00:04:15.000
And then we’ll also talk more about the lens treatment. So CLR, custom
lens replacement, as well as Evo ICL, the internal permanent contact
lens.
00:04:15.000 –> 00:04:22.000
And so Shareef, I guess you put up a slide so Is that my cue to tell
about the slide?
00:04:22.000 –> 00:04:24.000
It is. Talk about what happens with vision.
00:04:24.000 –> 00:04:36.000
Okay, so this is a slide maybe you’ve seen before, like in a sixth
grade science class, but it shows Light is coming in on the left hand
of the slide, entering the cornea, the front part of the eye.
00:04:36.000 –> 00:04:40.000
That’s where people put on their contact lenses. Next light passes
through the lens.
00:04:40.000 –> 00:04:53.000
And Shareef, you can put your cursor there on where the lens is, I
guess it points to it. And then what’s important is all the focusing
apparatus of the eye focus light on the retina. And then the image is
perceived as vision

00:04:53.000 –> 00:05:00.000
And so for years, if somebody didn’t have good focused light coming
into their eye.
00:05:00.000 –> 00:05:13.000
They might be nearsighted, farsighted, or astigmatism. They would wear
glasses or contacts so that they could see clearly. And we refer to
this as vision correction 1.0, and it’s just simple glasses or
contacts so people could see.
00:05:13.000 –> 00:05:16.000
Most people on the call are, that’s what they do each day.
00:05:16.000 –> 00:05:36.000
And then over the years in about the mid-90s Laser vision correction
was approved by the FDA and these are kind of the most early versions
of laser vision correction, like the first types, prototypes of LASIK
And LASIK is a laser treatment where we can reshape the front of the
eye of the cornea.
00:05:36.000 –> 00:05:44.000
And that’s a way to use laser to reshape the cornea and put all light
focus on the retina so people don’t need glasses or contacts.
00:05:44.000 –> 00:05:48.000
In fact, that’s how I had my vision fixed 25 years ago with LASIK.
00:05:48.000 –> 00:05:59.000
In this office a long time ago. And then nowadays we’ll be talking
about modern vision correction and this is the kind of the most modern
version of all the types of procedures we do.
00:05:59.000 –> 00:06:14.000
Modern LASIK, epileasic Smile, the lens treatments, CLR and EVOICL.
They’re all procedures that put light focus on the retina But we refer
to modern vision correction as vision correction 3.0 Okay.
00:06:14.000 –> 00:06:26.000
That’s right. And Dr. Bindi, before you talk about what happens in
this view of what the patient experiences I just want to say, if
you’ve got a question, use the question button to ask it. You can
submit questions.
00:06:26.000 –> 00:06:33.000
We’re answering the common ones on this webinar. But if your question
doesn’t get answered directly today.
00:06:33.000 –> 00:06:42.000
We will follow up with you via email. We’ll make sure every single

question that’s asked by every person’s answered. All we ask is that
if you came on an anonymous.
00:06:42.000 –> 00:06:45.000
You need to put your email in with the question so that we can answer
it for you.
00:06:45.000 –> 00:06:48.000
Dr. Bindi, please proceed.
00:06:48.000 –> 00:06:57.000
Okay, soÉ Most people have heard of LASIK, but this is a laser we use
every time we do LASIK and And so the picture on the left.
00:06:57.000 –> 00:07:13.000
Imagine when a person has LASIK Their eyes are numb with eye drops and
we give a pill of Valium if people are anxious beforehand. Most accept
the value when offered. And then they walk into the room, they lay on
that bed for about 15 minutes to complete both ayahs.
00:07:13.000 –> 00:07:18.000
From a patient’s perspective, imagine if you’re laying on that bed and
you were looking straight up.
00:07:18.000 –> 00:07:25.000
What the patient would see is what the picture you see on the left.
And so during the laser treatment, you’ll see a green light flashing.
00:07:25.000 –> 00:07:31.000
And so I tell my patients to look in the direction of the green light.
Most treatments take about 10 to 20 seconds max.
00:07:31.000 –> 00:07:41.000
And while the patient is looking at the green light. The laser
reshapes the cornea and fixes the prescription so people don’t need to
wear prescription glasses or contacts.
00:07:41.000 –> 00:07:49.000
A very common question people ask me is. What would happen if I moved
during the surgery or my eye moves or what if I blink?
00:07:49.000 –> 00:07:53.000
And so while a patient is looking at the green light.
00:07:53.000 –> 00:07:58.000
The laser is actually able to track eye movements. It auto tracks a
thousand times per second.
00:07:58.000 –> 00:08:12.000
So if somebody moves or looks away, the laser stays aligned or if they

move a lot, it pauses until they get back into position. And there’s a
little instrument that keeps people from blinking so if someone blinks
or moves, it doesn’t affect the results.
00:08:12.000 –> 00:08:25.000
And so right now we’re just talking about laser treatments, but the
thought is people walk into a laser room They’re in the room 15
minutes. We have them arrange for a ride home and they’re on Valium
and a little blurry and it heals up overnight.
00:08:25.000 –> 00:08:36.000
So the next day people can resume. Normal activities and And modern
LASIK, LASIK epilasic smile works amazingly well.
00:08:36.000 –> 00:08:46.000
One of the things we’ll talk about today is it’s not for everybody,
though. Sometimes we’ll meet people and let’s say their corneas are a
little bit thin or the prescription is quite large.
00:08:46.000 –> 00:08:50.000
Or they might have different scenarios, their lenses changing with
age.
00:08:50.000 –> 00:08:58.000
And then we might see maybe a different treatment like the Evo ICL. So
Evo ICL we’re going to talk about as well. It’s an alternative to
modern LASIK.
00:08:58.000 –> 00:09:05.000
And this is something that Dr. Koushik can talk about because He had
this procedure done on his own eyes, so he knows it quite well.
00:09:05.000 –> 00:09:17.000
Welcome, Dr. Koshik. Great to have you in between clinic in Pleasanton
today. And if you would, tell us a little bit about this incredible
technology, this Evo ICL.
00:09:17.000 –> 00:09:39.000
Yeah, thank you so much, Shareef and Dr. Bindi for the warm
introduction and welcome. The Evo ICL is a fantastic procedure at
correcting nearsightedness and astigmatism, which honestly the vast
majority of patients who come in have one or a combination thereof.
And this is a, you can think of it as like a contact lens that goes
inside of your eye, behind the iris, the colored portion of your eye.
00:09:39.000 –> 00:10:02.000
And it stays there correcting your vision. The benefits of it are we
can use this for patients who have very high prescriptions, maybe
prescriptions that are not amenable to treatment with laser vision. We
can also use it if their cornea or certain aspects of their anatomy is

not as conducive to a laser vision treatment. So those are some big
advantages.
00:10:02.000 –> 00:10:28.000
It is reversible. So we can always remove the Evo ICL if needed. And
the Evo ICL, as it sits in your eye is is completely without
perception to you. So you don’t have any sensation of pain, any
sensation that the lens is there. I think a lot of patients often ask
me, hey, when I put my contact lenses on, I can feel them. It feels
gritty. It feels dry. I feel like at the end of the day, it doesn’t
sit just correctly.
00:10:28.000 –> 00:10:40.000
So all of these things are solved with the Evo ICL because it’s not
actually sitting on the surface of your eyes, it’s inside. And so you
don’t have any of those sensations. So you can’t see it. You can’t
feel it.
00:10:40.000 –> 00:10:42.000
But you just wake up and see. So it works really well.
00:10:42.000 –> 00:10:51.000
So Dr. Kosick, I’ve heard you speak to patients directly about this
and and I’ve heard you say that it’s kind of like having a contact
lens, but you don’t have to maintain it.
00:10:51.000 –> 00:10:52.000
Mm-hmm. I think that’s a great assessment. Yeah.
00:10:52.000 –> 00:11:10.000
Right. Is that a fair assessment? Great. And as Dr. Vindy said, you’ve
had this procedure yourself as well as I guess, I guess I know five of
our staff members, including three doctors, have had the Evo ICL. So
we can vouch for this being an incredible procedure.
00:11:10.000 –> 00:11:27.000
Let’s move now to a different, let’s talk about the lens and and
transition from these procedures that are appropriate for people that
are 18 to 45, right? If we talk about LASIK, And we talk about Evo
ICL, both equally wonderful. But let’s go back into anatomy and
00:11:27.000 –> 00:11:36.000
And I’d like you, Dr. Kaushik, just to take us on a little journey
about the lens. And I will bring up the flexing lens. So please start.
00:11:36.000 –> 00:11:44.000
Sure. Yeah. So if we look at this diagram, we can see the lens. That’s
called the crystalline lens. This is what everyone is born with.
00:11:44.000 –> 00:11:51.000

And this lens does a fantastic job as shown in this animation of
changing its size.
00:11:51.000 –> 00:12:07.000
And shape so that fluid change is what allows you to bring in objects
into focus very quickly from distance to up close. So if you’re
watching a TV screen and then you’re quickly switching over to looking
at a cell phone or a book.
00:12:07.000 –> 00:12:22.000
The lens shape and change is what allows that focus to come into play.
But we know that with normal process of aging that we have issues with
that lens. The lens actually becomes a little more dysfunctional. It
doesn’t want to change as well. It becomes a little stiffer.
00:12:22.000 –> 00:12:29.000
And it basically isn’t working as well as it did when you were in your
20s or 30s.
00:12:29.000 –> 00:12:38.000
So when we talk about vision correction options like LASIK or laser
vision correction or Evo ICL, those do a phenomenal job.
00:12:38.000 –> 00:12:50.000
When the lens is still working very well and When the lens doesn’t
start working that well, typically in your 50s and there’s lens
related issues, something we call dysfunctional lens syndrome.
00:12:50.000 –> 00:12:57.000
Then we start thinking about other procedures that can fix your vision
and also address distance vision, intermediate vision.
00:12:57.000 –> 00:13:20.000
And near vision. And that would be something like a custom lens
replacement, getting to the root of the problem, which is the aging
lens, the dysfunctional lens, removing it Replacing it with an
artificial lens that does not degrade, it does not change with time or
form a cataract like your natural lens would. So that’s another big
benefit of doing a custom lens replacement.
00:13:20.000 –> 00:13:30.000
Is we’re solving multiple issues. We’re solving distance vision Near
vision, and we’re eliminating the future prospect of a cataract.
00:13:30.000 –> 00:13:38.000
That’s great. And what are these little things? You see this on a
fingertip. So let’s talk about what an IOL is, please.
00:13:38.000 –> 00:14:06.000
Yeah, so these are various different types of intraocular lenses. So

when we take that dysfunctional lens out of your eye, we’re actually
left with a multitude of options that we can then use to to put inside
your eye a new artificial lens like I mentioned before. These come in
different powers. These come in different brands and makes and they
each have capabilities that are unique to them. Some help you give a
whole range of vision. Some help you give just really good distance
vision.
00:14:06.000 –> 00:14:19.000
And so this is something that we take a lot of pride in understanding
how they work very well and matching that technology to your anatomy,
your eye, your visual goals.
00:14:19.000 –> 00:14:28.000
So we really want to pair the right technology with the right patient.
And that’s what we do so well in picking these type of intraocular
lenses to help you see well.
00:14:28.000 –> 00:14:34.000
And there’s a question on here that someone said, hey, I had LASIK a
number of years ago.
00:14:34.000 –> 00:14:39.000
Would I be able to have custom lens replacement later in life?
00:14:39.000 –> 00:14:54.000
Yes, that’s a question that we hear a lot is I’ve had LASIK or I’ve
had Evo and I need my vision corrected now many, many years later. Can
I have this custom lens replacement done? And the answer is yes.
00:14:54.000 –> 00:14:58.000
We would be happy to see you and see if you’re a great candidate for a
custom lens replacement.
00:14:58.000 –> 00:14:59.000
Great, great.
00:14:59.000 –> 00:15:09.000
Yeah, that’s actually a common scenario, Shareef. And even the people
on this call right now, there are several people who I personally did
LASIK on maybe 15, 20 years ago.
00:15:09.000 –> 00:15:18.000
And the surgery back then, it was good at fixing distance vision. And
then as they got older, their lens became less flexible, like Dr.
Kosher was talking about.
00:15:18.000 –> 00:15:25.000
Their near vision probably got a little worse. And often they’ll say,
I had LASIK, but now I’m noticing my near vision is worse. Can that be

fixed?
00:15:25.000 –> 00:15:29.000
And the answer is yes. There are a couple of different ways it can be
fixed.
00:15:29.000 –> 00:15:34.000
Sometimes just doing a laser treatment to fine tune things can make
sense and we can just fine tune with the laser.
00:15:34.000 –> 00:15:48.000
There are other patients, it’s kind of a common scenario where people
come back in their 50s or 60s And they just want to get out of the
readers and bifocals. And that’s where we talk about these lens
treatments. And often it’s often that scenario, it’s the light
adjustable lens.
00:15:48.000 –> 00:15:54.000
That’s great. And I’m going to just put a couple of questions that are
coming in real time. Dr. Kosick.
00:15:54.000 –> 00:16:00.000
When you have CLR, do you need to look down to see up close and look
up to see a distance the way you do with progressives?
00:16:00.000 –> 00:16:04.000
Does the eye well flex the way a young person’s natural lens does?
00:16:04.000 –> 00:16:16.000
Yeah, this is a great question. Something that a lot of patients ask
me because you’re familiar with your bifocals or you’re familiar with
your progressive glasses and that’s kind of what you’re used to.
You’re trying to find that sweet spot with your eye to help bring
things into focus.
00:16:16.000 –> 00:16:22.000
But the short answer is no, you don’t have to worry about that. With
these intraocular lenses.
00:16:22.000 –> 00:16:36.000
They present that light to you and your brain interprets all that
information real time in the fly. And so you’re not trying to navigate
through a sweet spot, if you will. You’re not having to move your eye
into a certain position to be able to then readjust for
00:16:36.000 –> 00:16:47.000
For near vision, it’s just working kind of seamlessly. You don’t have
to think about it. So I think that’s a great benefit to these
intraocular lenses at getting you out of progressives and not having
to deal with that annoyance.

00:16:47.000 –> 00:17:02.000
Great, great. And keep asking these questions. It’s great if we don’t
get to them during the call, we will answer every single one of them.
Dr. Bindi, back to you. I’m going to put up on the screen And ask you
to answer, you know.
00:17:02.000 –> 00:17:06.000
People want to know, where do you do these procedures? Do you have to
go to a hospital?
00:17:06.000 –> 00:17:17.000
Got it. So as you look at the, so these two rooms, these are different
rooms. The picture on the left, that’s our laser room. So when people
have LASIK. They come into the room on the left. The one on the right.
00:17:17.000 –> 00:17:32.000
We refer to that as Lenzopolis in our building but these are
completely in our office. So everything that we do from the initial
consultation the actual surgery and all the follow-up is done in our
office in San Jose or office in Pleasanton. So it’s
00:17:32.000 –> 00:17:43.000
Completely self-contained. And just to kind of envision how this
process unfolds On the day of the surgery, people are usually at our
office maybe an hour and a half or so.
00:17:43.000 –> 00:17:46.000
They walk into either of these rooms for about 15 or 20 minutes.
00:17:46.000 –> 00:17:53.000
These are procedures that they’re outpatient procedures. So after the
procedure, they need someone to drive them home.
00:17:53.000 –> 00:18:00.000
And there’s no hospital, there’s no outside clinic. It’s done with our
team, our staff.
00:18:00.000 –> 00:18:10.000
And we only do modern vision correction. So we don’t do glaucoma
surgeries, retinal surgeries. We don’t do knee replacements or
anything like an ambulatory surgical center.
00:18:10.000 –> 00:18:18.000
We do modern vision correction. And so on the left, that’s a patient,
I guess I just did surgery. Well, that was about six months ago.
00:18:18.000 –> 00:18:27.000
There were also 10 other people who woke up this morning fumbling for
their glasses. They walked into that room this morning and they’ve

already been fixed this morning. We have more to go this afternoon.
00:18:27.000 –> 00:18:33.000
And then the left, that’s Dr. Ling with one of his patients right
shortly after she had CLR.
00:18:33.000 –> 00:18:48.000
And I mean, people are always asking, well, you know, are you put
under, like, are you put under general anesthesia? None of that. In
fact, every patient as we know is alert, awake and And the doctor, the
surgeon and the patient are having a conversation. We’ll put on the
music of your choice.
00:18:48.000 –> 00:18:59.000
Try to make this an incredible experience. And Dr. Bindi, what was it
about that made you want us to offer lens procedures like the ICL and
CLR to make it like LASIK?
00:18:59.000 –> 00:19:10.000
Well, I mean, for the last couple of decades, we would see people who
had LASIK and they would talk about how quick, easy, painless and
amazing it was. It was so easy to get through.
00:19:10.000 –> 00:19:19.000
And then we’d hear other people who did procedures in a hospital and
they might have cataract surgery or something like this And they
described like a totally different process.
00:19:19.000 –> 00:19:25.000
And working with Dr. Koshek and Dr. Ling and Shareef as well, who helps
with our patient experience.
00:19:25.000 –> 00:19:30.000
We said, let’s make CLR and Evoi CL a LASIK-like experience.
00:19:30.000 –> 00:19:39.000
And so it’s interesting. If you spoke to a person after they had LASIK
or Evo or CLR, and you listen to the way the terms that they use to
describe it.
00:19:39.000 –> 00:19:46.000
They actually would use the exact same terms. They would say the
procedure takes about 15 to 20 minutes to complete. It doesn’t hurt.
00:19:46.000 –> 00:20:01.000
And within a day or two, they’re kind of back to normal. So these are
kind of overlapping patient experiences and And we just pick the
procedure that’s most appropriate for the person and If we see
somebody who’s in their 20s, 30s, early 40s, and sometimes up into the
50s.

00:20:01.000 –> 00:20:12.000
Often laser treatment is the treatment of choice. If somebody has a
huge prescription or thin corneas, we might have that person pivot a
little bit more to Evo ICL.
00:20:12.000 –> 00:20:16.000
And then also when we see somebody in their later 50s, 60s and 70s.
00:20:16.000 –> 00:20:20.000
We start to say, well, maybe a lens treatment like CLR is even the
most appropriate thing.
00:20:20.000 –> 00:20:33.000
And so that’s where during the consultation We meet with our patients.
They come to our office. They spend time taking A whole host of
measurements. We call this the advanced vision analysis.
00:20:33.000 –> 00:20:49.000
And in that time. Over a million data points are gathered. I guess
Shareef is showing the um advanced vision analysis. And it’s a cadre of
tests that we take about corneal thickness, corneal shape, the
prescription, the health of the eyes, health of the retina.
00:20:49.000 –> 00:20:56.000
Not just a routine eye exam It’s our advanced vision analysis to see
is it appropriate to do a laser treatment.
00:20:56.000 –> 00:21:07.000
Better to do EVO ACL or CLR. And then Dr. Koshek, Dr. Ling and I, We
meet firsthand with the patient to explain what option makes the most
sense.
00:21:07.000 –> 00:21:13.000
Just in the amount of time they spend with us, they leave knowing they
have a firm suggestion of what’s going to work well.
00:21:13.000 –> 00:21:19.000
Also, about 80% of the time. A laser treatment or a lens treatment is
appropriate.
00:21:19.000 –> 00:21:24.000
Also, about 20% of the time we say it’s actually preferable to do
nothing and just stick with glasses or contacts.
00:21:24.000 –> 00:21:32.000
And so this is a safety first kind of a scenario here where if it’s
going to work great, we say this is the option.
00:21:32.000 –> 00:21:38.000

And a lot of people will say just stick with glasses or contacts.
That’s just safe.
00:21:38.000 –> 00:21:44.000
Even though I’ve done about 75,000 surgeries, I’ve also told almost
15,000 people to not do a procedure.
00:21:44.000 –> 00:21:48.000
And so that’s what we do during the consultation. We offer
conservative advice.
00:21:48.000 –> 00:21:52.000
About which procedure is going to be the best for them or nothing at
all.
00:21:52.000 –> 00:22:05.000
Dr. Koshek, would you just comment briefly on on likely things that
they can expect like the day after surgery. In terms of healing and
maybe even some side effects, some common side effects.
00:22:05.000 –> 00:22:25.000
Yeah, so I think just speaking very commonly to all the different
modern vision corrective procedures that we perform, I expect patients
the next day to see so much better than they did walking into our
clinic the day before. Things that you might experience still, just
that one day visit is a little bit of dryness. I think that’s pretty
common. Patients might have that.
00:22:25.000 –> 00:22:48.000
Slight kind of gritty sensation. Artificial tears really help with
that. And they might be a little bit light sensitive because now you
just have this procedure done and possibly you’re still a little bit
dilated depending on the type of procedure that you had done. And so
you can be a little bit light sensitive there. But patients rapidly
notice that their vision improves even on day one. And I would say
even very conservatively, probably like
00:22:48.000 –> 00:22:59.000
95% or higher. And Dr. Bindi can chime in on this, of patients the
next day drive themselves into their post-operative visit because the
vision’s that good the next day.
00:22:59.000 –> 00:23:00.000
Yeah, so we tell people they should be fine the next day to resume all
their normal activities.
00:23:00.000 –> 00:23:01.000
Yeah.
00:23:01.000 –> 00:23:05.000

Yeah.
00:23:05.000 –> 00:23:13.000
People are surprised the very next day when they drive to their
appointment, we’ll see our patients, surgery patients today, we’ll see
them tomorrow.
00:23:13.000 –> 00:23:20.000
And they come in, they go, is it legal that I drove here? And we go,
well, you can see 2020. So the answer is yes, they can drive the next
day.
00:23:20.000 –> 00:23:37.000
And so these procedures There’s no injections or blood or blades or or
It’s just a different, these are laser treatments and lens treatments.
So these are quite simple to get through and recovery is accordingly
very quick.
00:23:37.000 –> 00:23:42.000
And we invite family members or friends, if you have them with you,
they can watch the procedure right outside the room.
00:23:42.000 –> 00:23:55.000
That’s fine. You know, we were asking and people have been putting
questions in the chat, which we won’t be able to see once we end this
so If you have a lengthy question, please copy it and paste it into
the question box so we can make sure we get back to you.
00:23:55.000 –> 00:24:06.000
You know, there’s questions about how long will this last, right? Is
this permanent? And this gets into your discussion about lens changes
later on. But Dr. Bindi, could you just summarize You know, the LASIK
and the transition lens. Thank you.
00:24:06.000 –> 00:24:17.000
Sure. Yeah. So I tell people when someone does LASIK, We treat all the
prescription, nearsightedness, farsightedness, or astigmatism.
00:24:17.000 –> 00:24:23.000
We can set someone to be 2020. And I make the analogy, let’s say today
someone got a brand new pair of glasses and they said.
00:24:23.000 –> 00:24:30.000
How long will that pair of glass perfect their vision over the next
10, 20, 30 years.
00:24:30.000 –> 00:24:33.000
And I say it’s just like getting a new pair of glass. We set it to be
perfect.

00:24:33.000 –> 00:24:39.000
It’s not uncommon at all if someone does laser treatment and they come
back 15, 20 years later.
00:24:39.000 –> 00:24:42.000
Just to fine tune things a little bit, get it back up to 2020.
00:24:42.000 –> 00:24:51.000
Again, I had mine 25 years ago and I can still see clear, but I’ve
slipped a little bit in one of my eyes and I could do a touch up if it
continues to drift.
00:24:51.000 –> 00:24:55.000
But as people get older, as they move through their 50s and 60s.
00:24:55.000 –> 00:25:02.000
We just say anticipate as the lens gets less flexible. People will
start to eventually need reading glasses if they do a laser treatment.
00:25:02.000 –> 00:25:13.000
And sometimes we’ll make an age adjustment. We’ll leave a little bit
of nearsightedness And that makes it more comfortable for people to
read as they move through their 40s, 50s and 60s, just so they don’t
need reading glasses.
00:25:13.000 –> 00:25:19.000
And then that’s right to the heart of the matter when we see somebody
who’s already in their 50s or 60s.
00:25:19.000 –> 00:25:24.000
We might talk about a lens treatment that might have an advantage
because remember, it can fix distance vision.
00:25:24.000 –> 00:25:34.000
And near vision, and it fixes the aging part of the eye. The lens is
replaced with that lens implant and then people don’t need to use
reading glasses. They never get cataracts.
00:25:34.000 –> 00:25:36.000
And that’s why that’s one and done.
00:25:36.000 –> 00:25:44.000
Right. Well, it’s wonderful to have Dr. Ling be able to join us after
he finished his morning cases as well. Joe, welcome.
00:25:44.000 –> 00:25:58.000
And I’m just going to pose a question to you because I’m seeing it
come up. Would you talk about dry eye and what we do kind of
preoperatively to help the patient manage if they have dry eye
conditions and what they could expect post-operatively.

00:25:58.000 –> 00:26:06.000
Yes, absolutely. Thanks, Shareef. Hi, everyone. So I would love to
answer that question. So dry ice is a very common condition.
00:26:06.000 –> 00:26:17.000
Especially here in the Bay Area. Dry is a form of wear and tear on our
eyes in terms of both usage and environmental causes, as well as age-
related causes.
00:26:17.000 –> 00:26:27.000
So it’s multifactorial. Our eyes are meant to be moist. We create
tears to lubricate our eyes and we require the moisture to be able to
see well.
00:26:27.000 –> 00:26:41.000
Feel well and have any sort of quick recovery process as well in case
our eyes go through a procedure. So dry care is very important. We
assess that in detail for each individual that comes into our clinic.
00:26:41.000 –> 00:26:56.000
So things that can make dry worse would include screen use. So here in
the Bay Area, we have a lot of software engineers. In general, we use
our phones and read a lot these days That causes us to reduce our
blink reflex and increase the amount of dry eyes
00:26:56.000 –> 00:27:09.000
That we get and feel. There’s also the humidity you know we subject
our eyes to in our environment. So in the Bay Area is pretty much in
the desert, low humidity that takes moisture out of our eyes.
00:27:09.000 –> 00:27:13.000
And over time, through age, we produce less tears as well.
00:27:13.000 –> 00:27:19.000
So when you come in for a consultation and evaluation, we’ll look at
the current status, put you on the right therapy.
00:27:19.000 –> 00:27:36.000
Of artificial tears, which is the first line ointments and some common
habits to have in place, or we can you know continue to increase the
level of therapy to make sure that you’re a good candidate for vision
correction.
00:27:36.000 –> 00:27:42.000
Thank you, Dr. Ling. I appreciate that. I’m going to just put some
slides back up as well.
00:27:42.000 –> 00:27:57.000
And let me go to full screen. I wanted to show everyone that uh We had

mentioned this earlier, but all of our surgeons have had a procedure
and the majority of our team members that support surgery, whatever
their role.
00:27:57.000 –> 00:28:10.000
We believe in this so strongly we’ve had it done. I had Epi LASIK now
30 years ago. Renee, who’s taking notes in the background, had custom
lens replacement with Dr. Ling about two years ago. So we’re patients
as well.
00:28:10.000 –> 00:28:29.000
And we know exactly what everyone goes through because we’ve been
through it ourselves. And there are a lot of questions that are coming
on about Do I need to come in for appointment or my optometrist did
measurements? Do I need to redo them with you? Absolutely. We’re going
to do all the measurements that advanced vision analysis and
00:28:29.000 –> 00:28:45.000
There’s really the next step is for you to set up a consultation. If
you know you’re you’re ready, yeah, I want to have this done as long
as I’m a candidate. Well, you can just go right to our website or you
can contact us by phone and set up an appointment in either our San
Jose or Pleasanton location.
00:28:45.000 –> 00:28:52.000
If you’re a person that you’re not really sure you want to learn a
little more about it, you’d like to have a Zoom or phone consultation
virtually.
00:28:52.000 –> 00:28:59.000
From your home or office, we can do that as well. You can schedule
that. And if you really just want to talk about price and understand
our fees.
00:28:59.000 –> 00:29:09.000
Yes, let’s fill out that form on our website and we’ll be glad to have
a phone call with you and do a virtual consultation. But as Dr. Bindi
said, I’m sorry, a financial consultation, just talk about fees.
00:29:09.000 –> 00:29:24.000
But as Dr. Bindi had said earlier, there is no substitute for this
advanced vision analysis. Many tell us it is the best eye exam they’ve
ever had in their life. And we need to be thorough to make sure that
you are a candidate and that you could join
00:29:24.000 –> 00:29:32.000
This wall of fame, if you will, of just a small sampling of our
patients that all wore glasses until they didn’t.
00:29:32.000 –> 00:29:39.000

Dr. Bindi, any kind of additional thoughts or things that we need to
cover in this part of the webinar?
00:29:39.000 –> 00:29:52.000
Well, I for sure think it’s good. Afterward, we’re going to do the
after party. So if people have some specific questions that they just
want to be able to voice and get it We’re so lucky Dr. Kosick has
volunteered to do that this time.
00:29:52.000 –> 00:30:08.000
And I do have to get ready because I’m getting ready. We have
surgeries this afternoon. I just wanted to say Thank you very much for
taking time out of your day and I look forward to meeting you in
person when the time is right, if that’s something that you want to
look into. Okay. And all my previous patients.
00:30:08.000 –> 00:30:10.000
Thanks for being back at the Laser Eye Center. All right. Bye, guys.
Thank you very much.
00:30:10.000 –> 00:30:26.000
Thank you. Thank you, Dr. Bindi. And, you know, one topic that we
promised we’d cover on this is does insurance cover these procedures.
And these are considered refractive procedures. Joe, Dr. Ling, why
don’t you just talk about that difference between refractive surgery
and
00:30:26.000 –> 00:30:28.000
Kind of disease-based surgery.
00:30:28.000 –> 00:30:39.000
Yeah, so here are the Laser Eye Center. Hyper focus on refractive
surgery. And what is refractive surgery is essentially correcting the
focus of the eye.
00:30:39.000 –> 00:30:43.000
And if we boil down even more, essentially it’s helping people get out
of glasses.
00:30:43.000 –> 00:30:48.000
Because that’s typically the reason we wear glasses for is to align
the focus to the eyes.
00:30:48.000 –> 00:31:05.000
And I’m sure you guys already gone through kind of the basic
physiology of it but we are a practice in which we’re all trained to
perform the full range of vision correction that includes laser vision
correction lens replacements, ICLs.
00:31:05.000 –> 00:31:23.000

So when you come and step in through our doors here, you’re getting
the full evaluation of whether something is a potential or not. We’re
going to establish candidacy or not. Not every person that walks in
through the door walks out the procedure, but if you are recommended
procedure
00:31:23.000 –> 00:31:30.000
That means that we are very confident that you’re going to be very
happy with the procedure that we recommended for you.
00:31:30.000 –> 00:31:34.000
So it’s all about coming in to get looked at. We have an amazing team.
00:31:34.000 –> 00:31:52.000
Of specialists and it’s not just any one individual. It’s the whole uh
you know practice and individuals that that creates such a great
experience for our patients. So as Dr. Benny has said, I look forward
to meeting Each and every one of you that’s interested in getting out
of glasses.
00:31:52.000 –> 00:32:01.000
Got it. And just to review pricing, because people want to know what
the fees are for laser vision correction, it’s $3,000 to $3,500 per
eye.
00:32:01.000 –> 00:32:19.000
For the EVO ICL, it’s just under $5,000 per eye. And for custom lens
replacement, it’s just It’s either $7,000 to $8,000 per eye. We do
offer no interest financing that breaks up these payments over 24
months. And I did some rough calculations for LASIK. That’s going to
be under $300.
00:32:19.000 –> 00:32:38.000
For both eyes. For the Evo ICL, it’s going to be just under, I think,
$400. And for CLR, it could be just under 600 or just over 600,
depending on whether or not you need the light adjustable lens. That’s
something that’s a lens choice we would discuss with you during your
consultation. But those are the fees to have it and we’ll work
00:32:38.000 –> 00:32:51.000
And show you our counselors are very good at showing patients how this
actually makes economic sense to have this procedure when you think
about how much money is spent each year by people on glasses and
contact lenses.
00:32:51.000 –> 00:33:03.000
And ongoing eye exams check prescription. There’s an absolute
financial case to be made for having laser vision correction, the Evo
ICL or custom lens replacement.

00:33:03.000 –> 00:33:10.000
Depending on what’s most appropriate for you. What we’re going to do
right now is we’re going to just formally end the webinar. I will say
before that.
00:33:10.000 –> 00:33:27.000
If you typed in a question and you were anonymous And we didn’t answer
it, please kind of copy it, do it again and add your email address
because that’s the only way that Renee can get back to you and send
you an answer. We want to make sure that we answer every single
question that gets asked.
00:33:27.000 –> 00:33:46.000
Dr. Kosick and I are going to stay on for a little bit longer once I
end the webinar and stop recording it, and we will answer questions
until he has to go. Dr. Ling, I don’t know your schedule. I know you
just had a brief break with all the lens patients that you’re treating
today.
00:33:46.000 –> 00:33:47.000
Okay. Okay.
00:33:47.000 –> 00:33:52.000
Yeah, and we have another session starting in about 30 minutes so
Well, Rhett, it was great for everyone to attend today. Enjoy the
after party And I’ll see everyone in the future.
00:33:52.000 –> 00:34:05.000
Great. Thank you, Dr. Linge. And those of you that are still on, as
long as we’re on the webinar, you can submit your questions. I’ll be
looking at some of them as well. I’m going to stop sharing right now.
00:34:05.000 –> 00:34:11.000
And I’m also just going to pause recording because we’ll just take
these as we are. Actually.
00:34:11.000 –> 00:34:16.000
Now, let’s just keep recording. We’ll have these will end up being
available for people to see.
00:34:16.000 –> 00:34:36.000
We will post this webinar to our website. It takes us a couple days to
get it all done, but by Tuesday, you should be getting a notification
from us via text with a link right to the webinar. You can watch it
again. You can share it with other people to watch and learn about
everything that we discussed around modern vision correction.
00:34:36.000 –> 00:34:47.000
Dr. Kosick, you and I are both looking at the webinar chat and um
Okay, I see one here from Rosa. Would someone who suffers from chronic

dry eye be ruled out for having a procedure.
00:34:47.000 –> 00:35:12.000
Yeah, that’s a good question. So the best part of our advanced vision
analysis, like Shareef mentioned, is we are comprehensively looking at
your eye and we’re identifying anything that would prevent you from
having the best possible vision after a procedure. So we do procedures
on patients who have dry eyes, but we want to make sure that the dry
eye is well managed before we do that procedure.
00:35:12.000 –> 00:35:19.000
If you deal with dry eyes, we would identify it. We would put you on a
treatment regimen to improve your dry eyes.
00:35:19.000 –> 00:35:28.000
And then only once we feel like everything is safe and the dryness is
resolved, would we then say, yeah, let’s go forward with a procedure
that’ll help you see better?
00:35:28.000 –> 00:35:37.000
A lot of questions about, am I a candidate if I had keratoconus, if I
had a retinal tear? We talked about dry eyes a minute ago. I mean.
00:35:37.000 –> 00:35:41.000
It’s impossible right on a webinar to diagnose that way. But what’s
your general commentary on that for patients?
00:35:41.000 –> 00:35:58.000
Yeah. Yeah, so generally because all of those kind of things are very
unique and it has to do with how is it affecting your vision? What
degree of that condition do you have? Is it very mild or is this
something very serious?
00:35:58.000 –> 00:36:11.000
Because of that nature, I think the true answer is we have these
amazing consultations that are of no charge. Come in, get a full
comprehensive eye exam from a wonderful team.
00:36:11.000 –> 00:36:21.000
And then we’ll be able to accurately say, yes, this is something that
we can do for you. Or if we can’t, like Dr. Bindi mentioned earlier,
20% of patients we tell.
00:36:21.000 –> 00:36:26.000
Hey, I don’t think this is a great option right now. Let’s reevaluate
in the future.
00:36:26.000 –> 00:36:32.000
Got it. Got it. People are asking, is there a cost for the advanced
vision analysis? And I’ll just take that no.

00:36:32.000 –> 00:36:38.000
We did not want to create a barrier to this life-changing potential.
00:36:38.000 –> 00:36:44.000
We don’t. We could charge. If you were to add up the cost of doing all
the tests, it’s in the several.
00:36:44.000 –> 00:37:03.000
Well over $300 is what you would pay for that. We don’t do that.
That’s our commitment to the community to help people understand
what’s going on with their vision and get really a very thorough eye
exam. I see GP has raised his hand, but GP, I can’t do that. Please
put your question in
00:37:03.000 –> 00:37:15.000
In the Q&A and we’ll do our best to answer it there. So no, we do not
charge for that. And then another one, I just, you know, Courtney,
thank you so much. Really scary because my vision is very poor. She’s
minus nine.
00:37:15.000 –> 00:37:20.000
Mayo, can we do Evo ICL on a minus nine? Dr. Koushik.
00:37:20.000 –> 00:37:36.000
Yes, we can definitely do EVO on a minus nine. Both Dr. Ling and
myself have done Evo on prescriptions that are even larger than that.
I’ve done minus 18. So we have the capability to treat a wide variety
of nearsightedness.
00:37:36.000 –> 00:37:50.000
And the anonymous attendee who said, are these the same doctors who do
the procedures or are there others? No, you’ve met all three of our
surgeons here who perform highly skilled world-class specialists who
only do modern vision correction.
00:37:50.000 –> 00:37:57.000
Javier says he’s very interested. Thank you. And I’m going to make an
appointment. Yes, please do. You can do that on our website or you can
call us.
00:37:57.000 –> 00:38:10.000
408-984-1010 or the toll free is 877-ET-2020. That’s what you hear if
you hear the radio commercials that go on. But yes, we have a team of
people. We’ll be happy.
00:38:10.000 –> 00:38:14.000
To find a convenient appointment for you either in San Jose or in
Pleasanton.

00:38:14.000 –> 00:38:27.000
You know, some specific you know some specific 60-year-old male with
longstanding keratoconus can ICL be done without cross-linking first?
So remember, Dr. Koshek, 60-year-old male.
00:38:27.000 –> 00:38:48.000
Yeah. So, I mean, just based off of the age, I have to think that the
lens is being affected at this point, just statistically speaking. And
so likely ICL might not be the best option for you. It might actually
end up being something like a custom lens replacement. But that’s
something we would look to deeply with our advanced vision analysis
and give you the best possible recommendation.
00:38:48.000 –> 00:38:56.000
Kathleen, absolutely. You can use your FSA or HSA funds for any of the
procedures that we do.
00:38:56.000 –> 00:39:05.000
You know, people are asking about dry eye again. This question is, you
know, I had LASIK a long time ago and my eyes water a lot.
00:39:05.000 –> 00:39:09.000
You know, am I still a candidate? And how do you answer that?
00:39:09.000 –> 00:39:14.000
Yeah, so still a candidate, still options that we have to improve your
vision.
00:39:14.000 –> 00:39:29.000
If you’ve had LASIK a while ago, likely probably would not repeat
LASIK, but there are other options available to you. And so we would
address both the dryness, the watering, and then whatever kind of
visual complaints that you have.
00:39:29.000 –> 00:39:40.000
Got it. You know, Shana’s asking a two-part question the first Part
I’ll answer, how long have you been doing EVO or CLR procedures? We
started our lens program four years ago.
00:39:40.000 –> 00:39:46.000
And we’ve quickly emerged as really the top practice in the San
Francisco Bay Area.
00:39:46.000 –> 00:40:01.000
And the reason is because it’s the only thing we do. And I think that
one of the differences about laser eye center Silicon Valley is
because our surgeons And our entire team are focused on modern vision
correction. We sacrifice the ability to treat glaucoma.
00:40:01.000 –> 00:40:18.000

Or retina or dry eye, which are all very important things that need to
be treated. And you’ll find general ophthalmology practices or
comprehensive of them that have subspecialists that do all of them
that’s Wonderful. It’s just not what we chose to do. We just chose to
do one thing and do it exceptionally well.
00:40:18.000 –> 00:40:24.000
And then I’ll leave this one for you, Dr. Koshek. How long has CLR
been approved in the US? Let’s talk about that.
00:40:24.000 –> 00:40:37.000
Yeah. So yeah, I think if we talk about a custom lens replacement, we
really have to talk about how long has a lens or a cataract in the eye
been removed. And I mean, we can go back decades and decades for lens
based surgery i mean
00:40:37.000 –> 00:40:45.000
The first done in modern history is 1949. So we’re talking about over
70 years of wonderful experience.
00:40:45.000 –> 00:40:52.000
And then on top of that, with the technology that we use to do a
custom lens replacement now, having only gotten better and better.
00:40:52.000 –> 00:41:02.000
You’re looking at well proven results for over 20, 30 years doing
these type of highly sophisticated custom lens replacements.
00:41:02.000 –> 00:41:10.000
And one thing it’s hard for patients to appreciate is how the lens
technology has evolved So much, particularly in the last five to 10
years.
00:41:10.000 –> 00:41:27.000
And our surgeons take a lot of pride about matching the technology to
both the goals And let’s call it the anatomy of the patient. That’s
something that you take very seriously. We did have a question about
what is the light adjustable lens. So why don’t you just take a minute
and just
00:41:27.000 –> 00:41:28.000
Kind of briefly describe that.
00:41:28.000 –> 00:41:36.000
Yeah, so the light adjustable lens is an intraocular lens that I put
into the eye during a custom lens replacement.
00:41:36.000 –> 00:41:43.000
Typically, that lens is used most often in patients who have had
previous laser vision correction like LASIK.

00:41:43.000 –> 00:41:50.000
And it’s the only lens that we can change the prescription of that
lens in your eye without doing another surgery or procedure.
00:41:50.000 –> 00:42:10.000
We can just use light, hence the light adjustable. We can just use
light to change that prescription and do that in the matter of 60
seconds in a simple clinic visit to get you the vision that you want
and fine tune your vision. So oftentimes patients who have had LASIK
in the past are great candidates for a custom lens replacement.
00:42:10.000 –> 00:42:16.000
And we will utilize the light adjustable lens technology to give you
that perfect vision that you want.
00:42:16.000 –> 00:42:20.000
And of course, when someone has had laser vision correction lasik Or
even RK in the past, Dr. Kosheic will only do the light adjustable
lens, correct?
00:42:20.000 –> 00:42:25.000
Yeah. Yes, that is the preferred. And to give you the patient the best
possible result.
00:42:25.000 –> 00:42:29.000
For the most part.
00:42:29.000 –> 00:42:34.000
Pauline asked, I heard the halo light effect is pretty bad after CLR.
00:42:34.000 –> 00:42:36.000
Comment, please.
00:42:36.000 –> 00:42:49.000
Yeah, so I mean, this is a question I hear from a lot of patients too.
Once again, it kind of comes back to your eye anatomy, your eye
health, something that we will screen very carefully to make sure,
hey, are you at risk for this? Is this something that could be
possible for you?
00:42:49.000 –> 00:42:57.000
And also the type of lens that we put inside the eye. So we line those
two up. So we look at your anatomy, we look at what lens would work
best for it.
00:42:57.000 –> 00:43:06.000
To minimize or even eliminate, in some cases completely any
possibility of that happening. It just really all depends on the
technology we’re using and the anatomy of your eye.

00:43:06.000 –> 00:43:10.000
And some patients are asking, can only one eye be done? And the answer
is For all our procedures, correct?
00:43:10.000 –> 00:43:32.000
The answer is yes. Yeah, it really is. Yeah, for all of our
procedures. And once again, that’s the most important thing. I think
if you ask Dr. Ling and you ask Dr. Bindi and you ask myself, we all
love doing surgery. We would want to do it all day if we could. But we
also know when to do surgery and when not to do surgery. So if you can
get the vision that you want by just doing surgery in one eye.
00:43:32.000 –> 00:43:35.000
That is something that we would present to you and be able to do that.
00:43:35.000 –> 00:43:39.000
Zara is asking a question. Are there any complications at all?
00:43:39.000 –> 00:43:42.000
Right. Which is a loaded question because this is surgery. But Dr.
Koshek, I’ll start with you and then I might add in.
00:43:42.000 –> 00:43:54.000
Yes. Yeah. So, I mean, I think, Shareef, you hit the nail on the head.
I think any honest ethical person would say, yes, there’s always a
possibility, right? It’s medicine.
00:43:54.000 –> 00:43:57.000
But when we talk about the different procedures that we do.
00:43:57.000 –> 00:44:02.000
Whether it’s laser vision correction, Evo ICL, or a custom lens
replacement.
00:44:02.000 –> 00:44:17.000
And we look at your anatomy, we are very cognizant of what are the
potential risks for that patient with that type of procedure. And
we’re only going to recommend it if we feel like this is the least
possible risk for this patient and the best possible vision.
00:44:17.000 –> 00:44:34.000
And so going back once again to what Dr. Bindi said, where we
eliminate 20% of the patients that we see because they are not good
candidates, that means the 80% that we leave and say, yes, you are a
good candidate. It’s because we have identified that your risk is
incredibly low. And we would talk to you about that.
00:44:34.000 –> 00:44:48.000
And so that’s why those patients, the 80% we actually sign up for

surgery do so well. They come out, they love it, they love their
vision, and they’re not dealing with these kind of complications.
00:44:48.000 –> 00:44:49.000
Mm-hmm.
00:44:49.000 –> 00:44:58.000
And our entire process, our facility is designed safety first, right?
Of course, the recommendation of the surgeon to either do or not do a
procedure, but safety first, everything that we do in an environment
that we fully control and maintain.
00:44:58.000 –> 00:45:13.000
Many other practices that don’t invest in that facility have to take a
patient somewhere else And we didn’t do it that way because we wanted
to make sure that the people you meet during your consultation are the
same ones and the same staff
00:45:13.000 –> 00:45:17.000
To support the surgeon during your procedure. And that’s worked out
very, very well for us.
00:45:17.000 –> 00:45:26.000
Another question that came about, what’s the minimum age? So would you
talk about the age range mainly for the 18 to 45 and then the kind of
45 and above.
00:45:26.000 –> 00:45:39.000
Yeah. Yeah. So definitely 18 years of age to about 45 is classically
what we see a lot of laser vision correction. So things like smile
LASIK, all laser LASIK, Epi LASIK, and EboICL.
00:45:39.000 –> 00:45:57.000
I think once you get past that, especially 50s And onward, we’re
looking more to a custom lens replacement. And so that’s the kind of
distinction we have. There’s always going to be exceptions to that
general rule. There are patients that are great candidates for a laser
vision correction and they’re 50 years old.
00:45:57.000 –> 00:46:02.000
And there are patients that are a great candidate for a custom lens
replacement and they’re 45 years old.
00:46:02.000 –> 00:46:13.000
So it really all depends, but those are the general guidelines. 18 to
45 for laser vision correction and Evo ICL, and then 45 onwards for
more of a custom lens replacement.
00:46:13.000 –> 00:46:22.000
I’m looking at just some of the questions here that just kind of

continue to come up. And I think we’ve covered a lot of them. I mean,
I’ll just put one on. I have a dry eye and astigmatism.
00:46:22.000 –> 00:46:27.000
And now I got cataracts. Can you fix me?
00:46:27.000 –> 00:46:42.000
Yeah, yes, we can definitely fix astigmatism. We can fix the cataract.
And then the dry eye, we can treat with medication. So that’s
something that we would kind of put as part of our treatment plan with
you. But yes, all three of those things are very fixable
00:46:42.000 –> 00:46:48.000
Yeah, and this is one I’m going to try to summarize. It came in
anonymous. I had LASIK 15 years ago.
00:46:48.000 –> 00:46:54.000
For my nearsightedness and astigmatism. Since then, I’ve been fine,
except now I’m 55.
00:46:54.000 –> 00:47:06.000
And I need readers to read labels and other items. Is my only option
the lens implant or replacement? Is there no laser option? By the way,
the dramatic is mine, okay? Maybe not the patient.
00:47:06.000 –> 00:47:07.000
Yes.
00:47:07.000 –> 00:47:13.000
Custom lens replacements need to place a lens on the eye and I would
prefer a laser procedure, but I’m not sure that’s an option.
00:47:13.000 –> 00:47:14.000
Let’s help guide this patient.
00:47:14.000 –> 00:47:30.000
Yes, of course. Yeah. So given, just to recap, 55 years of age, LASIK
15 years ago, noticing a little bit of issues with reading up near.
And It all comes down to best quality vision and how long do you want
that vision to
00:47:30.000 –> 00:47:59.000
Last. And so by doing a lens replacement, I know that you’re going to
have that improvement in vision for the rest of your life. That lens
is going to give you that vision that you want and not it’s not going
to change. Your prescription is not going to change and you won’t
develop a cataract. So really, yes, a custom lens replacement would be
the most definitive solution for you at treating that prescription.
Now, that being said, we’ll do the comprehensive analysis and if
there’s a way that we could get you more time with a laser vision

enhancement. That’s something we could consider. But I’d say most
patients want
00:47:59.000 –> 00:48:04.000
To come in, have a great procedure, and then not kind of deal with it.
Just be kind of done.
00:48:04.000 –> 00:48:07.000
And so that’s why custom lens replacement would work really well for
you.
00:48:07.000 –> 00:48:13.000
Maria is asking, what about people over 80? Is 82 old, Dr. Kosick.
00:48:13.000 –> 00:48:25.000
80 is not too old. Both Dr. Ling, myself, we’ve done lens replacement
or cataract surgery on patients who are 80 and older.
00:48:25.000 –> 00:48:35.000
Definitely age is not a limit. Definitely want to get you seeing as
well as you possibly can as soon as you possibly can so that you can
enjoy your vision.
00:48:35.000 –> 00:48:38.000
Yes, yes. Is the lens synthetic? That gets implanted.
00:48:38.000 –> 00:48:56.000
So the lens is an artificial lens and they come with different type of
materials. So it depends on the type of lens. I’d say most commonly
the lenses that we are utilizing are made out of either acrylic or
silicone. And these are completely inert in your eye. Your body cannot
have a rejection to it. Your body cannot
00:48:56.000 –> 00:49:03.000
Kind of have a response to it that is negative. And they’ve been well
studied in the human eye for years.
00:49:03.000 –> 00:49:16.000
Got it. Let’s just, while we’re on this theme of people who’ve had
LASIK and then they’re noticing a decline in vision, could you just
reiterate that it’s not that your LASIK wore off, it’s that there’s
lens changes.
00:49:16.000 –> 00:49:45.000
Exactly. Yeah. So we have to think back to that diagram of the eye.
The lens is inside your eye. That lens nicely adjusts its shape and
size when you’re in your 20s, your 30s, and even early 40s. But as you
get into the mid 40s and 50s, that lens is becoming a little more
rigid and flexible and the quality of the vision through that lens is
also suffering. It’s starting to cloud. It’s starting to develop

changes to its translucent nature.
00:49:45.000 –> 00:49:52.000
And so that’s what’s causing your vision to slip, especially if you’ve
had LASIK, let’s say 15 or 20 years ago.
00:49:52.000 –> 00:49:57.000
It’s that lens changing. And so your prescriptions coming up because
the lens has changed.
00:49:57.000 –> 00:50:11.000
Thank you. And, you know, there’s more questions about Flora asked
question about cost. And so I had said that LASIK for both eyes on a
24 month, no interest plan would be just under somewhat under $300.
00:50:11.000 –> 00:50:34.000
A month and then you’re done compared to spending hundreds and
hundreds of dollars every year on glasses contacts and exams We think
this is actually a very, very wise investment. And then also it could
be lower if you went on a longer term, like a 60 month payment plan.
But in my analysis of this, the 24 month no interest is a better deal.
00:50:34.000 –> 00:50:39.000
For the consumer. So if you can qualify for that, you should get that.
And we’re happy to help you through that process.
00:50:39.000 –> 00:50:53.000
Three different banks, if you will, that are on our website that you
can go and get pre-approved or reach out to us and one of our
financial counselors will help you walk you through that process. I
also see uh
00:50:53.000 –> 00:51:09.000
Nathan had asked a question about not going to the gym and, you know,
just kind of, and he Looks like Nathan does daily work requires heavy
lifting or physical contact. So how long would you want them kind of
on the sidelines, Dr. Koshik, before they got back in?
00:51:09.000 –> 00:51:10.000
To doing that.
00:51:10.000 –> 00:51:35.000
Yeah, when we’re talking about heavy lifting and I kind of just do a
general cutoff at, let’s say if you’re lifting more than 15, I would
say after a custom lens replacement or Evo ICL, refrain from that type
of lifting for one week. And we reevaluate you at that one week mark
just to see how the eyes are doing, making sure everything’s feeling
well. And then you can kind of resume those kind of normal activities.
But just for clarification, we’ve done

00:51:35.000 –> 00:51:51.000
These type of surgeries on power lifters, bodybuilders, extreme
athletes that do marathons, triathlons, these kind of very intense
physically demanding activities and they do just great. It’s just that
first week you might need to take it a little easy.
00:51:51.000 –> 00:52:02.000
Yes. And other professions, I know you’ve treated police officers and
marksman and the gentleman who came in recently and it was uh it
wasn’t, was it Crossbow? He was an archery person. Archery is a And he
competed in archery.
00:52:02.000 –> 00:52:07.000
Yes. Yeah.
00:52:07.000 –> 00:52:10.000
So how are they doing?
00:52:10.000 –> 00:52:30.000
Yeah, exactly. So these patients are doing great. I mean, we just had,
like Shareef mentioned, a police officer very recently that we did who
is now seeing very well without glasses and contact lenses, both at
distance and at near. And so even these other athletes, as you
mentioned, are doing very well. So everything comes down to that
00:52:30.000 –> 00:52:36.000
Evaluation, how comprehensive we are in doing that evaluation, and
then pairing that right technology for that patient.
00:52:36.000 –> 00:52:53.000
Right. Some of the things that we covered earlier, but people have
come on late and, you know, can you describe the CLR procedure?
Jeanette, we can’t do it justice during this call, but everyone is
going to receive a link to the webinar so you’ll be able to watch the
whole thing from start to finish and get your questions answered. And
of course.
00:52:53.000 –> 00:53:08.000
We can also talk about that in a virtual or in-person consultation.
Ahmad’s asking about, do we accept medical insurance? The answer is
no. And we talked about that earlier, that this is Refractive surgery
is considered an option because you can always wear glasses or
contacts, but this is for people
00:53:08.000 –> 00:53:17.000
Who see value in the investment and don’t want the hassle of contacts
and glasses and just want to simply wake up and see and get on with
their lives.
00:53:17.000 –> 00:53:23.000

Another question I’ll reiterate is the evaluation consultation free of
charge? And the answer is yes, we do not.
00:53:23.000 –> 00:53:41.000
Charge for that and that is by design. This is a highly valuable
consultation exam that you have in terms of the thoroughness and just
the sheer number of tests we do. And it takes, you’re going to be with
us an hour and a half, maybe longer. But you know what? That’s a good
thing. You wouldn’t want to rush through an exam of this, especially
if you’re considering
00:53:41.000 –> 00:53:55.000
Considering modern vision correction. And it allows our doctors and
our surgeons to get all the data to understand the health of your eyes
and to make the correct recommendation, which could be don’t do
anything. Please wait because it’s not appropriate for you.
00:53:55.000 –> 00:54:04.000
I’m going to go Bridget’s question. Is it possible to go to the pool
or near fire or heat? Or I saw something about a sauna.
00:54:04.000 –> 00:54:08.000
Sauna after the procedure, sauna and steamers. Could you just please
give some advice on that?
00:54:08.000 –> 00:54:22.000
Yeah, so typically for any of the modern vision corrective procedures
that we do, we do say to avoid pools or the beach or the lake or the
sauna for about one week. And that’s really just for infection
control. Pools and lakes and ponds and the beach.
00:54:22.000 –> 00:54:29.000
They all have bacteria and we don’t want that type of bacteria
anywhere near your eye. So we avoid that for about one week.
00:54:29.000 –> 00:54:37.000
Got it. Got it. And Dr. Kosick, I’m sad to say we have to call the
after party to an end. I know you’re getting, I can tell you’re
getting called back into clinic.
00:54:37.000 –> 00:54:48.000
I want to thank everyone for joining us today. Please give us a call.
We have our team. Our call team is ready to help 877-GET2020 or go to
our website.
00:54:48.000 –> 00:54:58.000
2020 eyesight.com. Lasericlr.com. We have a bunch of different URLs
and we’re glad to help you. Thanks so much.
00:54:58.000 –> 00:55:10.000

Those of you who didn’t have your specific questions answered on the
call will get an email from Renee and she’ll take care of that for
you. Hope you have a great rest of your day and enjoy the weekend.
00:54:58.000 –> 00:55:10.000
Bye