In between SMILE pro, FemtoLASIK, TransPRK – Which one is for you?

Choosing the right laser eye surgery can feel overwhelming, especially with options like SMILE Pro, TransPRK, and FemtoLASIK. Each procedure is designed to correct vision and reduce or eliminate the need for glasses and contacts, but the best choice depends on your eye condition, lifestyle, and vision goals. Here’s a breakdown of each option to help you decide.

What is SMILE Pro?

SMILE Pro (Small Incision Lenticule Extraction) is a minimally invasive procedure that corrects myopia and astigmatism. Unlike LASIK, it doesn’t involve creating a corneal flap. Instead, a small incision is made in the cornea to remove a lenticule, reshaping the cornea and improving vision.

  • Best for: Individuals with myopia and mild astigmatism seeking a minimally invasive procedure with fast recovery.
  • Benefits: Quick recovery, less dry eye risk, no flap-related complications.
  • Considerations: Limited to certain prescriptions (myopia and mild astigmatism).

What is TransPRK?

TransPRK (Transepithelial Photorefractive Keratectomy) is a surface-based laser surgery that does not require an incision or flap. Instead the laser simply ablates (surgically removes) the outermost layer of cells on the surface of the eye to reach the cornea. This makes it an excellent choice for individuals with thin corneas or those who aren’t eligible for FemtoLASIK or SMILE pro. TransPRK offers more versatility by treating a wider range of refractive errors, including myopia, hyperopia, and astigmatism. However, it comes with a longer recovery time and more post-surgery discomfort, as the outer layer of the cornea takes time to regenerate.

Best for: Patients with thin corneas, irregular corneas, or those wanting to avoid any cuts or flaps.

  • Benefits: No flap creation, suitable for thin corneas, less invasive.
  • Considerations: Longer recovery time and more discomfort during healing.

What is FemtoLASIK?

FemtoLASIK is a popular procedure where a femtosecond laser creates a corneal flap. After the flap is lifted, an excimer laser reshapes the cornea to correct the vision. The flap is then repositioned, and recovery begins.

  • Best for: Those seeking fast recovery, minimal discomfort, and who have suitable corneal thickness for flap creation.
  • Benefits: Quick visual recovery, minimal post-op discomfort.
  • Considerations: Slight risk of flap-related complications, such as displacement.

Which One Is Best for You?

The best choice between SMILE Pro, TransPRK, and FemtoLASIK depends on several factors, including your eye health, lifestyle, and personal preferences.

  • SMILE Pro is ideal for those with myopia and mild astigmatism who want a minimally invasive option with a fast recovery.
  • TransPRK is better suited for individuals with thin or irregular corneas or those who prefer a surface-based procedure without incisions or flaps.
  • FemtoLASIK offers the quickest recovery and is a great option for those with appropriate corneal thickness and who want minimal post-surgery discomfort.

Conclusion

Ultimately, the decision between SMILE Pro, TransPRK, and FemtoLASIK depends on your unique eye conditions and vision goals. Consulting with an experienced ophthalmologist will provide personalized guidance on which procedure is the best fit for you.

Understanding the cost of Laser Vision Correction

laser vision correction

SMILE pro, Femto LASIK, TransPRK and glasses – comparing the total costs

Consider the yearly and long-term costs of your glasses and contacts when thinking about investing in laser vision correction. In today’s blog post, we’re going to be discussing cost, value and investment as it relates to your vision correction and care options. This is a very important topic as you consider your options and plan for caring for your vision.

First, let’s acknowledge an important fact. Laser vision correction options such as Femto LASIK and SMILE pro are not inexpensive, especially if you’re investing in quality technology, experienced surgeons and a proven laser program. Your eyes are precious, and laser vision correction is not the best place to shop based only on cost!

So how does the cost of laser vision correction compare to glasses and contacts?

Let’s start with contact lenses. If you wear disposable contacts and replace them every two weeks (which is the most common replacement schedule recommended by eye doctors), you’ll pay about RM 500 to RM 1000 a year for lenses and another RM 100 to RM 250 a year on contact lens solution. This adds up to about RM600 to RM1250 a year to wear your contact lenses.

Now, let’s consider the cost of eyeglasses, which is a bit more tricky to average due to the wide variety of frames, lenses and brands to choose from. According to Vision Service Plan, the national cost average for a pair of prescription glasses is RM400, with costs ranging from RM300 to well over RM1000+ for designer frames and premium lens technologies.

Now consider these costs over a more than 10-year period. For regular contact lens wearers, this equates to more than RM700 in lens and solution purchases. For glasses wearers, depending on the number of glasses and sunglasses pairs you purchase, it also equates to thousands of dollars.

Finally, be sure to understand the pricing options available at your preferred Femto LASIK or SMILE pro practice. Some practices advertise a very low price for laser vision correction, only to give you a much higher price because of your prescription after you come in for a consultation. Other practices offer a flat fee for your laser vision correction, which will include any and all technologies that will be needed to give you better vision. Be sure you discuss costs in detail with your eye practice and know your exact costs.

In truth, no matter what you choose for your vision correction – TransPRK Femto LASIK, SMILE pro, glasses or contacts – caring for your vision can be expensive! All these treatments are an investment in your vision and your quality of life over many years. Instead of considering only the immediate cost of each option, be sure to invest in a long-term plan that matches your lifestyle.

What do you think? Does considering the cost of glasses, contacts and laser vision correction over 10 or more years change the way you think about the cost? If you have questions about the cost or value of SMILE pro, TransPRK and Femto LASIK, please call or email us and we’ll be happy to discuss your options.

Are you a FemtoLASIK and SMILE pro candidate?

Are you a FemtoLASIK and SMILE pro candidate?

Are you a SMILE pro or Femto LASIK candidate?

As the latest technology in laser vision correction, SMILE pro & Femto LASIK are a comfortable procedure, but how do you know if it’s right for you?

  • Do you have blurry vision or are you nearsighted?
  • Do glasses or contact lenses inconvenience your daily life?
  • Do you often experience dry eye symptoms?
  • Are your eyes intolerant of contact lenses?
  • Do you play contact sports or work on a flight crew, as rescue personnel, or in the military?

If you answered yes to any of the questions above, SMILE pro & Femto LASIK might be the best laser vision correction option for you. 

As part of any laser vision correction program, each patient has to go through a detailed eye examination with an eye doctor to fully determine their suitability for SMILE pro and Femto LASIK and TransPRK. Factors your eye doctor will take into consideration include the nature and degree of the refractive error and the curvature and thickness of the cornea.

SMILE pro and Femto LASIK have quick vision recovery and short post op downtime where they typically regain clarity 1-2 days later. In addition, due to short surgery time, 

this enhances the safety measures and reduces the chances of complication which is an attractive option for patients seeking for laser vision correction. Overall, it is a very comfortable and convenient experience. Patients are able to resume most normal daily activities within a day, including driving, showering, applying makeup and going to work. However, the condition may varies based on individual recovery time.

Call us today to discuss the best laser vision correction option for you!

Femto LASIK AND SMILE pro– What’s the difference?

lasik work

Femto LASIK and SMILE pro: The future is brighter with an advanced laser vision correction technology option. Whether Femto LASIK or SMILE pro is the laser vision correction best suited for you, your vision for the future can be sharpened.

As you know, Femto LASIK has been helping patients for more than 25 years to see more clearly without glasses. Today we want to tell you about the advanced laser vision correction technology coming to our practice – SMILE pro! Together with Femto LASIK, SMILE pro provides us with a complete set of laser vision correction tools to help many patients find better vision and less dependence on glasses or contacts.

Understanding how both Femto LASIK and SMILE pro work will help you understand your vision procedure options.

LASIK was developed in the early 1990s and is the most utilized form of laser vision correction today.

During the Femto LASIK procedure, a laser is used to make a small flap across the cornea. The flap is folded back, and a second laser is used to reshape the cornea, which allows the eye to focus clearly. The flap is then folded back into its original position.

lasik work

After Femto LASIK, it takes very little time for the flap to heal, and side effects include slight risk of infection and dry eye symptoms. Visual recovery takes place immediately. Healing and stability of the flap takes four to seven days.

SMILE pro is the first major innovation in laser vision correction since LASIK. The procedure is minimally invasive, noiseless and odorless.

During a SMILE pro procedure, a thin, contact lens-shaped layer just beneath the surface of the eye is removed through a small opening. Due to removing this layer, the cornea is gently reshaped and the patient’s vision is sharpened, correcting the refractive error.

SMILE pro is a gentle and highly precise procedure lasting only a few minutes total, with the laser only active for about 10 seconds. There is little disturbance to the eye because of the small laser opening size.

Cases of dry eye, severed nerves and infection as a result of laser vision correction are very low with SMILE pro. Overall it tends to be a very comfortable and convenient experience for patients. Patients are able to resume most normal daily activities within a few days, including driving, showering, applying makeup and going to work.

The visual outcome is highly predictable. More than 2,000,000 SMILE pro procedures have been performed worldwide, and results have been consistent.

Why is my vision blurry?

vision blurry

Understanding your vision is the first step in improving it!

Most people deal with some amount and form of unclear vision. From nearsightedness to farsightedness, astigmatism to old age, everyone’s eyes and clarity of vision are different. The more you know about what causes blurry, unclear vision, the better decisions you can make to care for and improve your vision.

By 2050, according to a new report from the Brien Holden Vision Institute in Australia, almost half the world will be nearsighted and require some form of corrective lens, up from a quarter of the global population in 2000.

There are three main factors that can affect your eyes and create blurry, unclear vision:

  1. Genetics. These are the eye factors you were born with. Does your family have a history of glasses or cataracts? More than likely, you will experience something similar during your life. Learn about your family vision history so you can know what might be part of your vision future, and ask your eye doctor for a detailed exam of your eye structure so you can understand what’s naturally affecting your vision.

     

  2. Lifestyle choices and experiences. Choices you make and things that happen to your eyes throughout life can affect your vision in many ways. Behaviours like smoking can slowly harm your vision over many years, while accidents like an eye injury during sports can lead to unclear vision and additional vision conditions as you get older. On the other hand, positive nutrition choices and wearing sunglasses can help protect your vision.

  3. Natural aging. Regardless of your genetics and life experiences, the fact remains that as you get older, the eye also ages and begins to lose some of its flexibility, which creates less clear vision. This is called presbyopia, and nearly every person will experience some degree of blurry vision due to it after the age of 50.
vision blurry

Now for the good news! Even though almost everybody experiences some form of blurry or unclear vision in their lives, our practice and surgeons offer a complete program of proven solutions that can benefit nearly every patient, giving you more options than ever before to achieve better, fuller vision.

Have questions about your vision? Give us a call! We’re happy to help answer your questions.

How exercise affects your eyes

Regular exercise has long been recognized as a way to improve overall health and well-being. Exercise can reduce the risk of heart disease, stroke and obesity, among other ailments. However, what many people do not realise is that exercise can also have a positive impact on our eyes.

Studies have shown that regular exercise can reduce the risk of developing serious eye diseases that may lead to blindness. These diseases include diabetic retinopathy, glaucoma and macular degeneration, which are often linked to high cholesterol level, diabetes and high blood pressure. By reducing these risk factors, exercise can help preserve vision for a longer period.

While no direct correlation has been found between exercise and glaucoma, research has shown that intraocular pressure is reduced after exercising. This is due to the acceleration of aqueous outflow, leading to lower intraocular pressure than usual. People who regularly exercise have a lower risk of developing glaucoma than those who do not. According to the American Academy of Ophthalmology, people who engage in moderate physical exercise are 25% less likely to develop glaucoma than those who are mostly inactive. However, caution should be exercised as certain positions and postures can exacerbate glaucoma, such as a head-stand.

Age-related macular degeneration is a leading cause of severe vision loss worldwide in people over the age of 60. Although there is no direct link between exercise and macular degeneration, studies suggest that exercise can reduce the risk of developing the disease. This is because exercise can improve blood flow to the retina, which is essential for maintaining healthy vision.

In addition to reducing the risk of eye diseases, exercise can also improve energy levels, lower blood pressure and aid in weight loss. All these factors contribute to improved overall health and well-being. Regular exercise can promote a healthier lifestyle, leading to better rest for the body and improved quality of life.

In conclusion, exercise is beneficial not only for the body but also for the eyes. Regular exercise can significantly lower the risk of developing serious eye diseases. While exercise cannot single-handedly prevent or cure eye diseases, it can certainly help in your overall well-being. Additionally, it is crucial to get regular eye checks, as they can aid in the early detection of any eye disease. Don’t forget to visit our centre, OasisEye Specialists, where we provide comprehensive eye care services to help you maintain optimal eyesight.

Men vs Women: Eye Health and Vision

It might come off astounding at how contrasting vision and eye health could be between men and women.
Take for example, men tend to succumb in sustaining sight-threatening eye injuries than women, however, women do tend to be more at risk to various eye diseases. What could both sexes do to address such eye concerns?

Common Eye Diseases in Women

Women are more susceptible to glaucoma and age-related macular degeneration (AMD) than men. The progressive loss of central vision is known as AMD, whereas, damage to the optic nerve would result in permanent vision loss known as glaucoma. Women are more susceptible to these diseases due to having longer life expectancies than men. Annual routine eye exams are beneficial for early detection hence, the best way to prevail them.
Besides the diseases mentioned above, women are also more prone to chronic dry eyes and basic refractive errors. When dry eyes are left as it is, it may lead up to an increased risk of eye infections. Symptoms of dry eyes include redness, discomfort, prickly sensations, irritation, and blurred vision.

Risk Factors for Eye Diseases

Age is a major risk factor in eye disease developments. However, for women this too includes pregnancy, birth control, as well as menopause. This is because it involves significant changes and fluctuations in hormone levels. Dry eyes is more anticipated due to these hormone changes too. Birth control may show indications of a woman’s chances in cataract development.

Eyes of Men and Hormones

In adolescence, pubescent boys may turn out nearsighted (myopic) for a short period of time as their eyes develop. As they undergo a growth spurt, their eyes may get longer. It should be noted that oftentimes this effect lasts into adulthood. Despite that, it can be simply resolved with spectacles or contact lenses. They may also consider refractive surgery such as TransPRK, ICL, etc. once they reach adulthood and their refraction stabilises.

Eye Injuries in Men

Comparatively to women, men are more susceptible to eye injuries as they are oftentimes more exposed to work in hazardous occupations or partake in high-risk sports. Men are also less inclined to wear protective eyewear and this facilitates the risk more when compared to women. Men too often tend to tough out their injuries and seek professional advice only after the injuries are intolerable. Whereas, women would have been more emotionally driven by the pain and anxiety to seek for advice sooner.

Vision in Men and Women

Both men and women actually see things differently. When it comes to distinguishing subtle differences in colour, women are better than men at it. Men in actuality are more commonly susceptible to colour blindness which are inherited from their mothers. In retrospect, men surpass women at identifying minute details and rapid movement. So don’t blame men too much if they can’t tell your lipstick shades apart!
One theory to account for these differences is that they go back to the hunter-gatherer days, Men did the hunting while women did the foraging, so the men would have needed to spot game at a distance in order to be effective hunters, whereas women needed to be able to tell nutritious plants apart from poisonous ones (especially green and yellow tones).

What Is Nystagmus?

Nystagmus is an eye condition where the eyes move rapidly and are unable to control. The areas of the brain that control eye movements are not working properly. There are three types of movement of nystagmus which are horizontal nystagmus (moving from side to side), vertical nystagmus (moving up and down), rotary nystagmus which move in a circular motion. This eye condition usually happens in both eyes and can occur in children or adults. The speed of movement may vary, it can be fast or slow and shake more in a certain direction. Therefore, you may have noticed nystagmus patients will tilt or turn their head to see clearer. This is because it helps to slow down the eye movements.

Types of nystagmus : Congenital and acquired.

Congenital nystagmus

Congenital nystagmus normally occurs in infants at the age of 6 weeks to 3 months old. It likely affects both eyes by moving horizontally (side by side). Congenital nystagmus causes are yet unknown, but sometimes it might be due to inheritance.

Acquired nystagmus

Acquired nystagmus usually occurs later in life. It can be caused by serious medical conditions, drugs or alcohol consumption.
Generally, children with nystagmus don’t feel their eyes shaking but notice some blur of vision. Unlike adults with nystagmus will often feel shaky when looking around.

Cause of nystagmus

In some cases the cause of nystagmus is still unknown. In other cases, nystagmus can be caused by other eye conditions.
Possible nystagmus causes :

  • Family history of nystagmus
  • Albinism
  • Certain eye disorders in infants or children (etc. congenital cataracts and binocular anomalies such as strabismus)
  • Multiple sclerosis
  • Inner ear problems (etc. Meniere’s disease)
  • Trauma or head injury (common happens in younger people)
  • Stroke (common happens in older people)
  • Alcohol or drug consumption
  • Use of certain medications (etc. lithium or anti-seizure medications)

Symptom of nystagmus

The main symptom of nystagmus is that eyes move rapidly and are unable to control. The movement usually is side to side. It also can be up and down or circular motion. The speed of movement can vary fast or slow and shake more in a certain direction.

In addition, other nystagmus symptoms may include:

  • Dizziness
  • Photophobia (sensitive to light)
  • Having difficulty seeing in dark environment
  • Blur of vision
  • Turned or tilted head position to see
  • Shaking environment

Nystagmus Treatment

Nystagmus are treated based on the underlying causes. Those who are born with nystagmus usually are not able to be cured. However, refractive correction with glasses or contact lenses is able to provide them a clearer vision which may help slow down the rapid movement.

Surgery repositioning the eye muscles that move the eyes is rarely done, and it does not correct or cure nystagmus. It only helps people with nystagmus to keep their head in a more comfortable position by limiting eye movement.

In acquired nystagmus sometimes it can go away by treating the underlying causes of nystagmus. For instance by treating the medical condition or stopping drug or alcohol intake.

Nystagmus can be diagnosed by an ophthalmologist. The ophthalmologist will examine the eyes to rule out any eye condition which relates to nystagmus conditions including binocular anomalies, cataract and any retina disease including optic nerve. Sometimes they also refer to an ear examination ,a neurological examination and brain imaging (computerised tomography (CT) and magnetic resonance imaging (MRI)) if necessary to rule out the underlying causes.

Therefore, it is advisable to visit an ophthalmologist as soon as possible if you notice any unusual sign or symptom of nystagmus especially for parents with infants or children. In addition, an eye screening can also be beneficial.

The impact of smoking on eyesight

Smoking your way to blindness

Tobacco smoking is the consumption of tobacco which can be found in lighting cigarettes, cigars and pipes. The practice of inhaling and exhaling such fumes poses an epidemic on its own, known most commonly to cause significant damage to the heart and lung. Ever thought how smoking could develop or exacerbate eye problems that are sight-threatening and potentially lead to blindness? Some of the eye diseases are such as:

Dry Eye Syndrome

Tobacco smoke irritates the conjunctival mucosa of the eye, decreases the quantity and quality of tears, thereby causing eye dryness. The insufficiency of quality tears causes smokers to experience itchiness, eye redness, foreign body sensation, swelling, and watery eyes.

Cataract

It is the clouding of the crystalline lens of the eye. Studies have found smokers significantly increase their risk of cataract development up to 3 folds as the practice of smoking causes alteration in the cells and increases build-up of heavy metal residue in the crystalline lens.

Age Related Macular Degeneration (AMD)

AMD is an acquired degenerative condition that impairs the central vision. Smoking causes constriction of the blood vessels and reduction in the level of lutein and zeaxanthin in the macula, which accelerates the rate of developing AMD by up to 4 times. It causes one to have difficulty in reading, seeing fine details, poor facial recognition, seeing wavy lines, and many more.

Uveitis

It is the inflammation of the central layer of the eye, known as the uvea. According to studies, smokers have an increased risk of 2.2 times to develop uveitis compared to non-smokers.

Glaucoma

Glaucoma is an eye disorder which is indicated by compromised blood flow to the optic nerve, resulting in progressive loss of nerve tissue and gradual vision loss. Smoking contributes to this condition by increasing plaque formation in the blood vessels, which in turn reduces blood flow.

Diabetes Retinopathy

It is established that smokers with Type 1 diabetes mellitus (DM) have a higher risk of developing diabetic retinopathy. The act of smoking combined with the chronic hyperglycemic state damages the tiny blood vessels in the retina by reducing retinal blood flow, causing these vessels to break, leak or even block.

Not only do smokers significantly increase their risk for all these diseases, it affects the eyes of people around them via passive exposure (secondhand smoke) as well. The negative impact of smoking during pregnancy can be transmitted to newborns, contributing to higher risk of visual disorders.

Residents within Klang Valley in areas such as Cheras, Puchong, Shah Alam, Petaling Jaya, and Kepong can visit our low vision specialist, Ms Vinodhini Naidu to have their eyes examined at Nexus Bangsar South KL branch. Residents in Seremban 2, Senawang, Sendayan and Port Dickson can visit Dr Teh Wee Min at our Seremban branch. Residents in Johor Bahru, Skudai, Kulai, Iskandar Puteri, Senai, Tebrau, Batu Pahat, Kluang, Segamat can visit Dr Ling Kiet Phang or Dr Chan Choon Teng at our Johor Bahru branch. Residents in Perai, Bukit Mertajam, Butterworth, Penang island, Alor Setar, Kulim and Sungai Petani can visit Dato’ Dr Haslina at our Penang branch.

What is Ocular Toxoplasmosis?

Toxoplasmosis is an infection caused by the intracellular protozoan parasite known as Toxoplasma gondii. The infection may be acquired or congenital, whereby the foetus acquires it from the mother while in the womb. Most people contract toxoplasmosis by eating raw or undercooked meat, vegetables or dairy products, or by coming into contact with infected cats, contaminated sandboxes or cat litter boxes – all of which have been contaminated with cat faeces. Although most parasite-infected individuals do not exhibit any symptoms, some people may experience flu-like symptoms, such as fever, headache and muscle aches. Infants and those with low immune systems are most frequently affected by serious forms of this disease. Toxoplasmosis during pregnancy may cause miscarriage and birth abnormalities.

Ocular toxoplasmosis occurs in the eye, where Toxoplasma gondii can cause inflammation. Frequently, ocular toxoplasmosis results from the reactivation of a congenital infection, although an acquired infection is now regarded to be more common. The parasite typically affects the retina causing eye pain, blurred vision and possibly permanent damage, including blindness.

What investigations are involved?

Ocular toxoplasmosis can look like other eye diseases that cause inflammation in the back of the eye (posterior and panuveitis). The doctor will look at the signs and symptoms to aid in coming to a diagnosis, which is based on clinical findings. If it’s not clear, a test called polymerase chain reaction (PCR) can be done to look for Toxoplasma DNA in the fluid from the eye and blood samples.
There are two imaging tests called Fundus Fluorescein Angiography (FFA) and Indocyanine Green (ICG) that can be used to visualize blood flow in the eye, which may help diagnose ocular toxoplasmosis.

Management / Treatment

Ocular toxoplasmosis requires personalized care, meaning that treatment will vary from person to person depending on factors such as the location of the infection, the severity of inflammation, and the patient’s immune system. If someone with a healthy immune system gets an ocular infection, it will usually go away on its own. However, if the infection affects certain parts of the eye, treatment may be necessary. People with weakened immune systems, such as those who have had transplants or are HIV-positive, may need long-term treatment.
There are several drugs available to treat ocular toxoplasmosis, and doctors often use a combination of drugs to help patients recover quickly and with minimal damage to their eyes. These drugs can kill the parasite responsible for the infection, but they work best when used together. In some cases, surgery may be necessary to treat complications like retinal detachment, cataract and choroidal or epiretinal neovascular membranes involving the macula.

It’s common for ocular toxoplasmosis to recur after someone has had it before, but relapses are not contagious and do not pose a risk to others. Relapses don’t pose a threat to an unborn child if the mother is pregnant.

Prevention

Preventive measures include thoroughly cleaning and washing fruits and vegetables, cooking meat adequately to destroy any harbored cysts, and avoiding contact with cat litter pans during pregnancy. Women of childbearing age must take adequate contraceptive measures for six months following primary toxoplasmosis infection.

In conclusion, preventing toxoplasmosis is crucial for maintaining healthy eyes, and early diagnosis and treatment are essential for managing the infection. At OasisEye Specialists, we offer comprehensive eye care services, including diagnosis and treatment of uveitis caused by toxoplasmosis. Our experienced team of eye specialists is committed to providing personalized care and innovative treatments to preserve and improve our patients’ vision. Contact us today to schedule a consultation and take the first step towards optimal eye health.