IntraLASIK

The Intralasik treatment is a computer-controlled laser eye method. Because a laser is used and not a microkeratome (blade), the flap is 100 times more accurate than a flap made with a microkeratome (as with the Lasik eye laser method). As a result, astigmatism and higher diopter strengths can be treated and the risk of flap complications decreases. Your refractive error will be corrected with this treatment. We offer this laser eye treatment in addition to the TransPrk and RelexSmile treatment.

The treatment always takes place at our head office in Rotterdam.
On the day of the treatment, several people will have an appointment at the same time.

First of all, your data will be reviewed again and any additional or additional measurements will be taken. After that you will receive an explanation about the treatment, this explanation is done in a group.

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Voor de behandeling

Preparation
  • If you wear soft contact lenses, you should remove them at least 14 days prior to treatment.
    If you wear hard (oxygen-permeable) contact lenses, you should remove them at least four weeks prior to treatment.
    Night lenses should be removed at least 6 weeks before treatment.
    We recommend the use of omega 3-6-9 capsules based on fish oil. This product provides better tear film stability.
    Your eyes should not be made up during the treatment. Small make-up particles can end up in the operating area and cause inflammation. We advise you to stop wearing make-up the day before the treatment and to thoroughly clean the eyelid margins.
    You are not allowed to have your eyelashes dyed or have fake eyelashes (extensions) placed. 4 weeks after the treatment you can have your eyelashes dyed again or have extensions placed.
    Come to the treatment rested.
    Do not use perfume, aftershave and/or day cream on the day of treatment.
    Wear comfortable clothing during the treatment. Avoid wool and clothing with a lot of loose fibers, as these can contaminate the surgical area. The operating room has a constant temperature of 18 degrees, so keep this in mind when choosing your clothing.
    Bring your sunglasses and cap. You may be extra sensitive to light after the treatment. Sunglasses also protect your eyes from UVA and UVB rays. The photosensitivity can be quite intense for the first few days. Wear the sunglasses according to your own needs (also indoors if necessary).
    You will not be able to go home independently after the treatment. You must bring an accompanying person.
    You must carefully read the informed consent (the treatment agreement). On the day of the treatment you will be asked to sign an informed consent.
Treatment step by step
Werkwijze bij de IntraLasik behandeling
Ogen laseren bij Visus Oogkliniek

Visus eye clinic does not provide a sedative as standard. If you still want this, you can ask for it.

Step 1
The ophthalmologist or assistant instills anesthetic eye drops into the eye to numb the eye. Then he/she disinfects the eye with iodine. A ring is then placed on the eye. This ring ensures that the flap can be created in the right place. This ring stays on your eye for 20-30 seconds.

Step 2
The ophthalmologist creates the corneal flap in about 20 seconds using the first laser device, the computer-controlled Femtosecond laser. Each pulse the laser gives will create a small bubble. This creates the final flap. The flap will remain attached on one side. You will be able to see little or nothing during this treatment and you will experience a pressure sensation in the eye.

If you squeeze your eyes or move your eyes during this process, you can push the ring off. We will have to place the ring again, this has no consequences for the treatment, but it can result in a bleeding of the whites of the eyes, in short an innocent red eye. This bruising will completely disappear after about 4-6 weeks.

Step 3
In order to create the best possible flap, you have to wait about 5 minutes in an interspace between the two laser treatments.

Step 4
You will then be taken to the second laser device. There you will again be given anesthetic drops in the eye and the eyes will be cleaned again. You will also be given a sterile cloth over your face that you are not allowed to touch. An eyelid expander is placed in the eyelid margins to prevent you from blinking during the treatment. The ophthalmologist turns the flap, like a page of a book. The underlying corneal tissue is therefore accessible to the laser beam.

Step 5
The ophthalmologist checks the settings again and points you to the fixation light to look for. The eye tracker keeps a close eye on the eye and follows every movement your eye makes. If this movement is too great, the laser will stop.

Step 6
The second laser, the computer-controlled excimer laser, removes a minuscule amount of corneal tissue in a short time and “sharpens” your cornea into the desired shape. If you have opted for a treatment with wavefront software, the optimization of the shape of the cornea will be performed here.

Some people smell an odor of burnt hair during the treatment.

Step 7
After the laser treatment, the ophthalmologist will first rinse the eye well. Then the flap is put back in place. After a few minutes, the flap is sufficiently tight. No sutures are used. The ophthalmologist drops the eye with antibiotics and anti-inflammatories to speed up healing. The ophthalmologist may choose to place a bandage lens on the eye after the laser treatment. This lens ensures that the flap heals quickly in the event of minor damage.

Step 8
After the laser treatment, you will go to a room where you can relax. There you will receive the medication you need after the treatment. You will also receive an explanation of how to use it.

Step 9
Before you go home, your eyes will be checked.

How long does the Intralasik treatment take?
The actual treatment takes about half an hour. In total you will be present for approximately 2-2.5 hours. Because Visus eye clinic works with the most advanced equipment, it reserves the right to reschedule an appointment for a treatment until the last minute if the equipment does not meet our very high quality requirements.

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Na de behandeling

Prescriptions after treatment

Prescriptions after treatment

We recommend the following for sports:
Do not practice martial arts (physical contact) and do not dive for the first 3 months. Do not perform the following sports/activities for the first 3 weeks:

Martial arts (bag training)
Team sports such as football, handball, tennis, etc.

You should postpone swimming in both salt and chlorinated water for 2 weeks. The first week after the treatment you are not allowed to run, do no cardio and do no fitness / strength training.

For specific sports or in case of doubt, you can consult the doctor or clinic on 0800 0088.

When is the result reached

The speed of recovery varies from person to person. What you see in the first few days is not indicative of the result of the treatment. Visibility is generally good within a day, but can be variable in the first few weeks. Most people go back to work after 2 days. The final result will be achieved after 4-6 months.

We often see a slight overreaction immediately after the treatment due to swelling of the treated surface. With an initial minus strength (-), this means that you will temporarily end up in the plus (+): this can make reading a bit more difficult for a while.
With an initial plus strength (+) you can temporarily end up in the minus (–): because of this the distance will not be very sharp right away.

In the first few months after the treatment it is common that you notice light scattering (glare or halo mainly in twilight/dark) and that the eye feels dry. These side effects will usually disappear on their own.
You may also be more sensitive to light and your strength may not have stabilized yet.
During the first 6 months after the treatment, the vision can be experienced differently with a lot of computer use and/or a lot of driving. You can then drip extra artificial tears.

In a very small percentage of people (<2%) the strength does not come out as discussed and hoped. Visus Oogkliniek will discuss with you what the options are for a retreatment in the event of a proven stable eye test. As a rule, a retreatment will not be performed within the first year of the initial treatment.

Resignation letter general practitioner
On the day of treatment you will receive a discharge letter for your GP. You should give this letter to your GP. At the last check-up, a final report will be drawn up for you and your GP.

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Nazorg

Medication
Aftercare IntraLASIK

To make laser eye treatments accessible to a wider public, many health insurers reimburse part of the costs of your treatment from the supplementary insurance. In exceptional cases, you may qualify for a medical indication and your treatment will be paid for under the basic insurance. During our extensive preliminary investigation, we can determine whether you qualify for this.

Which medication should you use and when?

After laser eye surgery, use drops to speed up corneal recovery. You will receive a number of medicines from us. These medicines are prescribed by the ophthalmologist and declared to your health insurer by the home pharmacy of the clinic. Any personal contribution and costs for this are at the expense of the patient. For a repeat prescription, please visit our website: www.visusoogkliniek.nl. Below is an overview of the medication to be used after laser eye surgery. You only use this medication for the treated eye(s)(s).

NB!

If your doctor deviates from the standard medication described on this page, follow your doctor's advice and ignore this page.


Hylan (kunsttraan)

The Hylan drops are eye moisturizing drops without preservatives. These serve to moisten the eye and prevent dehydration, the Hylan drops will also improve the comfort level of your eyes. In the first four days after the treatment, we advise you to administer these drops every 15 minutes while you are awake. After your first follow-up check-up, we recommend that you reduce these drops to one drop per eye approximately every hour until approximately six weeks after the treatment.

In addition to the desired effect, Hylan can cause side effects. This is the case in about ten percent of people. The main side effects are a slight burning sensation and blurred vision during and just after instillation. This should be over in a few minutes.

In order for the drops to take effect properly, you must wait at least five minutes between dripping the different drops.

Many people like to keep Hylan in the fridge, the cold drop gives a cooling effect.

We advise you to regularly take a screen break behind the computer and to make sure to blink your eyes regularly and, of course, to drip the artificial tears well during the first 3 months.

Recommendation: Use Omega 3,6,9 capsules based on fish oil until at least 6 months after treatment.

  • Until day 7 after treatment One drop in each eye at least every half hour
  • Until day 14 after treatment One drop in each eye every hour.
  • Up to 3 months after treatment 6 to 12 times a day, depending on your need.

Tobradex

The Tobradex eye drops are used after the IntraLasik treatment to prevent inflammation and infections. On the treatment day (day=0) immediately after treatment, use the Tobradex drops every hour until you go to sleep, one drop in each eye per drop moment, until the day check.

From the next day (day=1) you already start with the reduction of these drops. The Tobradex drops are only used six times a day on day 1. You decrease these drops per day by deducting 1 drop, so day 2 you only use five drops, day 3 you only use four drops, and so on. Try to spread the Tobradex drops sufficiently throughout the day while you are awake.

  • On the treatment day 1 drop per eye every hour until you go to sleep
  • 1st day after treatment 6 x 1 drop per eye/per day
  • 2nd day after treatment 5 x 1 drop per eye/per day
  • 3rd day after treatment 4 x 1 drop per eye/per day
  • 4th day after treatment 3 x 1 drop per eye/per day
  • 5th day after treatment 2 x 1 drop per eye/per day
  • 6th day after treatment 1 x 1 drop per eye/per day
Tips for eye drops
Oogdruppelen bij uzelf
How to drip another?

Follow the following steps:

  1. Wash your hands with soap and dry them well with a clean towel or paper.
    Sit down and take the bottle of eye drops in your writing hand.
    With the tips of your fingers on your other hand, pull down the lower eyelid to create a trough.
    Tilt your head back and look up (towards your eyebrow). If you cannot bend your head back properly, lie down.
    Place your hand with the bottle on top of the hand that makes the gutter. Place the bottle above your eye. Avoid contact of the bottle with the eye, eyelids and eyelashes.
    Squeeze the bottle and let one drop fall into the gutter.
    Close your eye (don’t squeeze). You can sit up straight again.
    Then press your tear duct closed for 1 minute, by pressing gently just below the small hard bump in the inner corner of your eye (on the side of your nose). This ensures that as little of the eye drop as possible ends up in your nose and pharynx.
    Wash your hands with soap and dry them with a clean towel or paper