Shroff Eye Hospital is India's First Eye Hospital accredited by the Joint Commission International (USA) since 2006. Shroff Eye is also India's first and only Wavelight Concerto 500 Hz LASIK center. Shroff Eye has stood for excellence in eye care since 1919. A firm commitment to quality is at the heart of all services provided at our centers at Bandra(W) and Marine Drive, Mumbai.
What kind of laser does the doctor use?
The laser we use is the Concerto 500 Hz laser, the only one in India and the Femtosecond Zeiss Laser- the VisuMax to do the third generation laser treatments called ReLEx smile. There are about just 10 centres in the world which use this most advanced laser, and no one with the combination of the Concerto 500 Hz excimer laser with the Femtosecond Zeiss VisuMax laser. Please see the following link for details lasikindia.in
What do you mean by the “flap”?
What makes LASIK pain-free and what was invented 20 years ago is the ‘LASIK flap’. It is created before the laser removes the numbers. The thickness of the flap to be taken is determined during your evaluation process. We work best with the Moria M2 microkeratome, a completely automated and very safe device for creating the flap. Bladeless LASIK like Femtosecond LASIK is when the flap is made using a laser, to make a precise flap or Surface ablations like EpiLASIK are procedures where no flap is taken.Also, the recent advancement being using the third generation laser procedure- Smile ReLEx which is a flapless and bladeless procedure
What is the corneal-saving advantage of LASIK on the Concerto Laser?
The US FDA gives a baseline of 250 microns cornea to be left behind after the laser treatment. Our centre believes in leaving at least 300 microns. Your calculation will be done during evaluation. It should leave at least 300 microns behind on the cornea after the laser treatment is completed.
What if you have an electric cut out during my laser or my treatment is disrupted for any reason?
We work on the uninterrupted power supply system or UPS with the laser. NEVER run the laser without it. Hence, there is no interruption in the surgical procedure even in case of power cut from the external source.
How do I find out which laser system is good?
The laser systems should possess specific features for higher quality visual results. The Wavelight company [our laser company] was the first laser to have done the worldwide wavefront LASIK treatment which others have modified or upgraded in their already existing lasers.
I understand Wavefront-guided LASIK is what is being carried out recently by taking a 3D map of the eyes in order to customise the treatment to each person. I believe this is best for better night vision and the absence of glare and halo effects. A friend of mine had glare and not so great night vision. Have any of your patients had any issues with night vision and glare?
Wavefront-guided LASIK or custom LASIK is the most advanced LASIK method today. But it can be performed using various lasers. The speed of the laser and its application are very important in delivering results. Today, we use one of world’s fastest lasers the 500 Hz whereas most other lasers are 50-100 Hz and some 200-250 Hz. Many older lasers are only upgraded for Wavefront-guided treatments whereas the WaveLight is built from scratch for incorporating wavefront principles.
How different are you from other laser/ LASIK centres or what are the advantages of Wavefront Analysis?
Dr. Anand Shroff, Chief Surgeon, at the Shroff Eye Hospital, Bandra, Mumbai, has several years of experience in LASIK and is among the country’s longest-standing users of the benchmark ‘flying-spot’ laser technology.
Is Wavefront technology Customized Ablation with the Nidek EC5000 CX III Advanced Vision Excimer Laser system on Navex Platform, which is approved by FDA USA superior than Wavelight Concerto 500 Hz?
The laser you mentioned and their website do not mention anywhere the speed of the laser. 500 Hz is the speed of firing the laser shots on the Concerto. The eye barely moves 10 times a second so having a fast eye tracker and a snail-slow laser makes no sense. Besides if you use a broad-beam laser [a technology that we stopped using in 1998] at 1,000 Hz you’d probably destroy the eye. So the website very cleverly makes no mention of the laser firing speed and nor the fact that it is a broad-beam laser.
Does the wavefront guided LASIK mean you will cut a flap or remove the top layer (epithelium)? Please also advise which machine you use for the op. i.e. – nidek, bausch & lomb, allegreto , etc.?
Ans I shall try and make this simple for you to understand, as your Q’s revolve around technical details. Most patients understand the complex terminologies better when explained as under….