It all starts with an appointment with our surgeon Dr. Saif Smadi. We will gather data about your
eyes including: visual acuity, refraction, measurement of current glasses, biomicroscopy, infrared
pupillometry (measurement of nighttime pupil size), pachymetry (measurement of corneal
thickness), corneal topography (using up to 3 different systems to measure both anterior and
posterior surfaces), and if applicable, wavefront analysis. Based on these findings, Dr. Saif will
select the best treatment for your eyes. He will take as much time as necessary to thoroughly
understand your expectations and explain the risks and benefits of the procedure.

There may be times when Dr. Saif may need to turn away patients because they are not a good
candidate for the procedure because our number one concern is not the number of patients we
bring in but the quality of care and high level of service we provide in a completely safe way.

With all the different names you hear about in refractive surgeries, we can simply divide them into
3 types:
1) Undersurface procedures: Lasik or Ultralasik procedures
2) Surface procedures: PRK or Epilasik or Lasek procedures
3) Implantable Collamer lenses.

1) Undersurface procedures (Lasik and Ultralasik)

In these procedures we use an extra step to make a flap (a thin layer of the cornea). After this we
lift this flap and apply our laser correction. This flap can be done mechanically (in this case the
procedure is called Lasik) or using a special Femtosecond Laser ( Ultralasik).
Major advantages are:
- Very quick response and healing

- ability to correct degrees that are impossible with the Surface technique.
- Ultralasik technology makes even a thinner flap which decreases the chance of dry eye
syndrome and keeps a residual thicker and stronger cornea.

2) Surface procedures

Major advantages are:
· No complications associated with a corneal flap
· Surface procedures may reduce the development of dry eyes in some individuals (when
compared to Lasik)
· Decrease the chance of post-operative epithelial in-growth

Who is a candidate?

Good candidates for the Surface techniques include patients who:
· Individuals who are over 18 years old
· Have healthy corneas and no major vision-related issues
· Stable vision – No significant change in their vision within the past 12 months prior to the

· Patients who use glasses or contact lenses to improve their vision are ideal candidates
· Patients with steep or very thin corneas

FAQs about Laser refractive procedures

Q: How soon after my procedure can I drive? Return back to work?
A: Immediately following the procedure you would need to have someone drive you home.

Depending on how quickly you are able to recover, and your particular case, most patients are
typically able to drive 3-5 days after the procedure and return back to work 3-5 days after.

Q: When will I be able to return back to physical activity, such as sports?
A: As part of the follow-up process, your recovery will be assessed at each follow-up visit to
determine when it is suitable to return to physical activities. Typically patients are able to return to
physically activity sooner than expected, however strong, direct sunlight and dirty/dusty
environments should be avoided for as long as possible after your procedure.

Q: Will I feel any pain?
A: During the procedure you will feel no pain. Some patients report minor to moderate pain during
the recovery period. The Laser Clinic will provide instructions to minimize any discomfort and do
everything to ensure you are fully aware of expectations. Everything is discussed before, during
and after the procedure.

Q: What are the odds of no longer needing glasses for distance with the laser procedure?
A: Studies have shown that nearly every patient experiences a marked improvement in their vision
as compared to their previously uncorrected vision with glasses or contacts. Over 99% of patients
will attain corrected vision that will meet or exceed the the requirements to achieve a driving
licence requirements.

Q: What will I see during the procedure?
A: During the procedure, we will ask you to focus on a blurry, blinking red light. Immediately after
the procedure the red light should become much clearer, and you should notice an improvement in
your vision.

Q: I am very concerned about being able to remain still during the procedure?
A: This is a common fear many patients have. Since every patient moves during the procedure,
the laser treatment is designed to stop instantly if necessary. Our preferred refractive machines
have eye trackers that will follow your eye during the procedure. The laser delivers the pulses
wherever they are supposed to go, despite any eye movements.

Q: What if I blink during the procedure?
A: To minimize blinking, your eye will be numbed by an aesthetic. Even if you blink, the eye is held
open by a small device called speculum, a minimal discomfort, and the Eye Tracker will still track
your eyes to ensure proper laser placement.

Q: Will I need to wear anything over my eye(s) after the procedure?
A: This depends on the procedure, some patients will wear a clear shield immediately after the
procedure and during sleeping hours.

Q: Will I have any scars? Will anyone know that a refractive procedure has been done to me?
A: Surface treatments will leave no evidence of scarring in almost all cases. Undersurface
procedures however, will do.

3) Implantable Collamer lenses (ICL)

If you are a patient experiencing high amounts nearsightedness this procedure might be right for
you. The ICL procedure has been repeatedly improved through years of studies and continued
refinement. This lens is a posterior chamber implant that is situated behind the iris (the coloured
part of the eye) and in front of the natural crystalline lens. It is also known as a Phakic IOL.

The surgery



The surgery is performed on an outpatient basis, which means that a patient has surgery and leaves the same day.
During the surgery your eye will be numbed and a local anesthesia will be administered.
There is very little discomfort and normally no pain associated with the procedure.
Some drops or perhaps oral medication may be prescribed and a post-operative visit is usually scheduled the day after surgery.
Patients will be advised to arrange for someone to drive them to
and from surgery.


Are you a Candidate For The Implantable Collamer Lens (ICL)?

The ICL or implantable collamer lens provides an opportunity to those individuals who are not
candidates for lasik eye surgery or laser vision correction. As you may already know certain
patients cannot have lasik for reasons ranging from high prescriptions to thin corneas. This new
ICL will now give these patients the opportunity to experience the same lifestyle change that lasik
has brought to millions of people


FAQ about Implantable Collamer Lenses (ICL)

Q: Can you feel Intraocular Lenses in your eye?
A: Absolutely not, in the same way you cannot feel a dental filling for a cavity. The lens is situated
inside your eye, not on the surface, so it’s not visible to the naked eye.

Q: What are the risks with Intraocular Lens implant surgery?
A: Complications are rare, but infections, retinal detachment, increased intraocular pressure,
cataracts, loss of corneal endothelial cells and inflammation may be possible, although unlikely

We will always thoroughly discuss any potential risks with you before recommending any form of
intraocular lens treatment

Q: What are the side effects of Intraocular Lens implant surgery?
A: Side effects are usually minimal. Some people may experience temporary blurring for a few
days, plus an increased sensitivity to light in the following weeks.Glaring may occur, where halos
appear around lights, making tasks in dark rooms or driving at night difficult.

Q: Can Intraocular Lenses correct astigmatism?
A: Toric versions of IOLs may be also be suitable and these can correct your distance vision and
astigmatism at the same time (like traditional toric contact lenses, these lenses are orientated to
provide a varying prescription in different parts of the lens).

Q: What will I feel during the Intraocular Lens implant procedure?
A: Patients experience virtually no discomfort during the surgical implant procedure. It’s performed
using a local or topical anaesthesia (eye drop) to numb the eye.
There may be some mild discomfort for the first 24 hours following the procedure, but over-thecounter
pain medication such as ibuprofen is usually sufficient to control this.

Q: Can both eyes be treated at the same time during my IOL procedure?
A: We treat one eye at a time, allowing the eye 1-2 weeks to stabilise before treating the second.

Q: What precautions do I have to take after Intraocular Lens implant surgery?
A: A plastic shield is provided to protect your eye immediately after surgery, both during the day
and while sleeping.

You should avoid touching the eye for any reason for the first month after surgery and avoiding
getting sweat, dust, smoke, or cosmetics in your eyes. It is best to avoid swimming for four weeks,
but showers do not usually present an issue.