LASIK Vision Correction
All laser vision correction surgeries work by reshaping the cornea, the clear front part of the eye, so that light traveling through it is properly focused onto the retina located in the back of the eye. LASIK is one of a number of different surgical techniques used to reshape the cornea.
Pepose Vision was the first to offer LASIK vision correction in the St. Louis region and continues to have among the best track record for vision outcomes of any LASIK provider in the country. Our highly-experienced surgeons use the most advanced, bladeless technology and perform the procedures at our facility. We’ve even earned the distinction of “top 100” LASIK providers nationwide!
After reading this page, please visit our special LASIK website to learn even more and schedule a free consultation where we’ll explain the LASIK procedure in detail, perform key eye tests to determine your best option and answer all of your questions.
How do I know if I am a candidate for LASIK?
The only way to know is have a complete examination by a LASIK expert. We offer a free one-on-one consultation where we’ll explain the LASIK process in detail, give you an eye exam to let you know if you’re good candidate for LASIK, answer any further questions and honestly explain your options.
See clearly without the hassles of contacts or glasses… LASIK vision correction for as low as $119/month!
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Can you explain the LASIK Vision Correction procedure?
During bladeless LASIK vision correction surgery (also known as IntraLase), a laser is used to create a thin flap in the cornea. The cornea is then peeled back and the underlying corneal tissue is reshaped using another laser. After the cornea is reshaped so that it can properly focus light onto the retina, the cornea flap is put back in place and the surgery is complete. LASIK is performed while the patient is under local anesthesia and usually takes about 10 minutes to complete. Patients may also request mild sedation.
Here’s the process, using our advanced (and the absolute latest) IntraLase™ FS Laser
We create your personalized vision profile
The first step is to perform a wavefront diagnosis using theWaveScan WaveFront System. Your eye is unique—as personal as your fingerprint. The WaveScan WaveFrontSystem creates a 3-D map that provides detailed information of your vision correction requirements to develop a personalized laser vision correction plan.
We create your LASIK flap without blades
Then we use a process called the IntraLase Method to create a thin LASIK flap, precisely personalized just for you, that is folded back in preparation to gently reshape the cornea. Studies have shown that flaps created with the IntraLase Method have fewer complications and greater stability than flaps created with a blade.
We correct your vision!
Lastly, we use a second, ultra-precise “cool” laser to gently reshape your cornea to the desired curvature, based on the digital information from your personalized WaveScan WaveFront map. Then we reposition the LASIK flap, and your procedure is complete. Many of our patients sit up and immediately notice dramatically better vision.
U.S. News & World Report recently listed Dr. Jay Pepose
among the TOP 1% of LASIK Surgeons in the entire nation and he is ranked annually at the very top of LASIK surgeons in St. Louis.
Frequently asked questions
LASIK requires that a thin corneal flap be created, which acts as a natural bandage to promote healing. Once the flap is created, a pulsating, cool-beam laser is applied beneath the flap to gently reshape the cornea. The flap is then refloated to its original position and within a short time re-adheres to the cornea and is extremely difficult to disturb. LASIK offers rapid visual recovery and minimal postoperative pain. Most patients opt to have both eyes treated together, and even drive to their follow-up exam the very next day. The only difference between LASIK for nearsightedness and LASIK for farsightedness is the way in which the laser’s beam is used to remove tissue from the cornea. During Hyperopic LASIK, the laser removes tissue from the periphery of the cornea, instead of from its center. This flattens the outer area and causes the center of the cornea to steepen, thereby reducing the patient’s farsightedness.
At Pepose Vision, we use the latest wavefront analyzer to examine every patient’s cornea, resulting in literally thousands of data points that your surgeon can use to improve your treatment plan. This is particularly important when a patient has significant corneal aberrations. These tiny aberrations cause some patients to complain that the letters on an eye chart appear “ghostly”, that headlights at night have “tails” on them, and that streetlights have “halos,” problems that are not easily corrected by contact lenses or glasses. Wavefront-Guided LASIK is clinically relevant for a small subset of patients who have large amounts of specific forms of wavefront aberration pre-operatively, sometimes associated with a larger pupil size, and who are not good candidates for standard LASIK surgery. Wavefront measurements are used in the programming of the laser to offset the eye’s higher order wave aberrations, as it corrects for nearsightedness, farsightedness and astigmatism. This treatment is often referred to as Custom LASIK, because it actually customizes your laser treatment to the unique topography of your cornea.
FLAPLESS LASIK (LASEK) does not require the creation of a corneal flap. Instead, the outer skin of the cornea, called the epithelium, is treated with alcohol. This causes the outer skin to gel and adhere together. Using a special set of instruments, the outer corneal skin is delicately slid back as an intact sheet. The entire thickness of the underlying cornea is available for laser reshaping. The epithelial sheet is then gently floated back into its original position and a band-aid type contact lens is placed for 4 days of continuous wear. This allows the outer skin to quickly and completely heal. Flapless LASIK is ideal for individuals with thin corneas, deepset eyes, and those who are concerned about the creation of a flap. While flapless LASIK is associated with increased post-operative discomfort and a delay in achieving the full vision benefit of surgery, clinical studies have demonstrated that at 6 months post-op, patients who underwent LASIK and LASEK had the same improvements in vision. Because of its minimal discomfort and rapid visual recovery, LASIK remains the clinically preferred treatment for most patients.
Each and every vision correction procedure requires that a surgeon perform microsurgery on your cornea, using the laser and other instruments as tools to achieve your vision outcome. Each stage of the procedure requires surgeon input, whether it is to choose the appropriate laser, pre-program it for your precise vision treatment plan, create a corneal flap or epithelial sheet, or monitor the eye to avoid post-operative complications. Because all of these vision correction procedures are forms of corneal surgery, choosing a surgeon who is subspecialty trained in cornea will ensure the very best vision outcomes possible. At Pepose Vision Institute, your surgeon is cornea subspecialty trained and at the forefront of vision correction technologies and procedures.
While the FDA has approved this laser in terms of safety and efficacy, it does not guarantee that all surgeons using this technology will achieve the same vision outcomes. Pepose Vision Institute has tracked its vision outcomes since inception; these outcomes have been consistently superior to those reported to the FDA during the laser’s clinical trials. During your visit to PVI, ask to see its vision outcomes for patients with a pre-operative prescription just like yours.
Hormones produced during pregnancy causes most women’s prescriptions to fluctuate dramatically, whether they are wearing glasses or contacts. The same occurs during the breastfeeding phase. This is because variability in hormonal levels causes fluctuations in the curvature of the cornea. As a result, having Lasik surgery performed during pregnancy or while still nursing increases the likelihood that a retreatment will be needed later, when a new mother’s vision stabilizes after delivery and the end of breastfeeding.
Because the Verisyse IOL is placed directly behind the cornea, it is important that this surgery be performed by a cornea subspecialist, who is trained to evaluate the cornea to ensure that you are an excellent candidate for the procedure. Pepose Vision Institute was one of the first centers in the nation to be certified in the use of Verisyse Phakic IOLs and has the most experience in the bi-state area in safely implanting these lenses.
Numerous studies of laser vision correction outcomes have demonstrated that the best way to minimize the risk of any complication is to choose a cornea subspecialty trained surgeon who has lots of vision correction experience and provides a thorough pre-operative exam to confirm your candidacy for the procedure and create a detailed treatment plan for your unique eye anatomy. Patients who meet their surgeon on the very day of surgery are unable to take full advantage of the medical training and surgical experience that assures the very best vision outcome possible.
All of the vision correction procedures offered by the Pepose Vision Institute will permit a patient to have cataract surgery should such surgery be warranted at some later date. However, once a patient has undergone laser vision correction, we strongly recommend that a highly experienced vision correction surgeon perform future cataract surgery; this will ensure that the intraocular lens replacement is measured precisely to reflect the earlier vision correction treatment.
In addition to being a leader in cataract surgery following laser vision correction, PVI surgeons have likewise performed vision correction surgery on patients who have already had cataract and other forms of eye surgery, thereby enhancing the clarity of their distance vision
Did you know Pepose Vision played a leading role in the original clinical trials leading to the worldwide introduction of LASIK and continues to be a leading LASIK research facility?
Why choose Pepose Vision for your LASIK Vision Correction?
LASIK outcomes improve dramatically with the experience of the surgeon. Dr. Jay Pepose was the first to offer the LASIK procedure in the St. Louis region, and remains the most experienced LASIK surgeon in the bi-state area.
U.S. News & World Report recently listed Dr. Pepose among the TOP 1% of LASIK Surgeons in the entire nation.
Each patient undergoes a 3 hour state-of-the-art testing process, directly supervised by our surgeons who then create a precise, personalized treatment plan.
Pepose Vision’s research department is continually leading clinical studies for new LASIK technologies and techniques and as it has since LASIK was first introduced, remains at the leading edge the industry.
PVI uses numerous diagnostic devices to confirm each patients’ unique test results. We are also constantly collaborating with eye technology industry leaders on “next generation” diagnostics.
Pepose Vision will never promote a less expensive service simply to get a patient in the door and then up-sell more costly procedures or reveal hidden costs. Nor will we ever provide varying price levels for our services just so we can do a procedure. We will honestly tell you the best way to improve your vision and provide the exact cost to do so.
Though LASIK Vision Correction has become “routine” in terms of occurrence, it is still SURGERY. We recommend that the best way to ensure a successful outcome is to choose a highly experienced surgeon who is involved in developing state-of-the-art treatments to enhance your vision outcome.
Pepose Vision offers flexible and affordable financing, including 0% for 24 months!
Questions to ask before choosing your LASIK surgeon
What if I can’t have LASIK? Introducing Visian ICL.
There are times when patients aren’t able to have LASIK, due to their thin corneas or they were too nearsighted. Now, there is an alternative to LASIK – the FDA approved Visian ICL™, Implantable Collamer Lens.
The Visian ICL™ (Implantable Collamer Lens) is a procedure for the correction of moderate to high nearsightedness (myopia) that will allow patients to enjoy their active lifestyle demands with nothing less than the highest quality of vision. Why do these patients come to Pepose Vision Institute for their Visian ICL?
Because, we have a distinguished track record of surgical innovations and have experience with as many as 3 different lens implants for treating high levels of nearsightedness.The Visian ICL offers these attractive features:
- The Visian ICL procedure is very quick and comfortable. After a painless 15-minute outpatient procedure, most patients experience an immediate improvement in vision quality, producing the “WOW” effect!
- Due to the very small size of the incision required, healing is rapid and any minimal grittiness generally resolves within one or 2 days.
- High quality of vision – The Visian ICL not only improves your visual acuity, but it also enhances your quality of vision by producing sharp, vivid vision with greater depth and, dimension. These are the unique advantages that define what we call “High Definition Visian™.”
- Visian ICL is FDA (Food and Drug Administration) approved as safe and effective for the treatment of patients with moderate to severe nearsightedness (myopia) ; over 650,000 ICLs have been successfully implanted in over 20 countries!
- The Visian ICL has been embraced by the U.S. military because of the lens’ reliable visual clarity.
Vision Correction for a Lifetime – Only at Pepose Vision.
LASIK and related vision correction procedures have been proven to be the most stable answer to nearsightedness, farsightedness and astigmatism. But Pepose Vision Institute goes the extra mile. We make a lifelong commitment to your newly restored vision.
We are pleased to offer qualified vision correction patients free enrollment in our Vision Correction for a Lifetime program. Unlike other providers who charge extra for this coverage, our coverage is included in your initial surgical fee. Yet another value that we bring to our vision correction patients!
About Our Vision Correction for a Lifetime Program
During the first year after initial vision correction surgery, our patients receive touchups free of charge, when medically indicated. Beyond this first year, touchups continue to be offered free of surgical fees, when medically indicated. Patients will only pay laser facility and post-operative care fees, and applicable royalties or taxes.
Patients must have annual eye exams performed at Pepose Vision Institute or by your co-managing vision correction eye care provider, within three months of the anniversary date of the original surgery (patients are responsible for annual exam visit fees). These exams assure that unrelated eye conditions can be addressed so as not to diminish the benefit of your vision correction surgery.
In addition to having an annual eye exam performed at Pepose Vision Institute or by your co-managing vision correction eye care provider, touchups after the first year are free of surgical fees as long as:
The touchup is medically advisable, in a programmable range of refraction, with residual spherical equivalent of one diopter or more, and corrective lenses improve uncorrected vision by at least 3 lines on the acuity chart.
Patient’s uncorrected vision following initial surgery or enhancement during the first year is within 3 lines of the pre-operative best spectacle-corrected vision, as recorded at the one-year postoperative visit, and refractive outcome at the one year post-operative visit is of spherical equivalent of less than or equal to +/- 0.75D.
While the vast majority of our laser vision correction patients are eligible for our lifetime program, exclusions apply in the following situations:
- Loss of vision as a result of eye disease, pathology or trauma
- Corneas that by calculated corneal thickness are too thin to advise treatment, or corneas that show evidence of ectasia
- Irregular astigmatism
- Previous refractive surgery not performed by Pepose Vision Institute
- Patients with cataracts, glaucoma, corneal, retinal or optic nerve pathology, or stroke, except for those cataract patients who have previously had multifocal lenses implanted by Pepose Vision Institute
- LASIK following cataract extraction or corneal transplantation
- Refractive changes resulting from developing presbyopia
- Patients with pre-operative myopic spherical equivalent of greater than or equal to 11 diopters or astigmatism equal to or greater than 3.0 diopters
- Patients using contact lenses after first anniversary of refractive surgery
- Original vision correction treatment was prior to September 1999
Ready to see the world in High Definition?
Without glasses or contacts?
If you're interested in LASIK Vision Correction, schedule your free consultation where we will explain
the procedure in detail and see if you are a good candidate. You'll then be just days away from having great vision, without glasses or contacts!