Archive for July, 2013

Dr. Kevin Niksarli’s Blog

Friday, July 26th, 2013

Imagine A Life Without Eyeglasses or Contact Lenses

Do you wear glasses or contact lenses? Have you ever wished you didn’t? What would it be like to go to the beach without contacts, to drive without glasses, to wake up and see the alarm clock clearly? Wouldn’t it be nice to go boating or camping and not have to keep up with glasses or contacts? How about snow skiing, wake boarding, water skiing, and surfing without glasses? How much easier is vacation packing when you don’t need to carry a copy of your prescription or a spare pair of glasses!

If you wear glasses or contacts for your distance vision, chances are you’re an excellent candidate for LASIK eye surgery.

About LASIK Eye Surgery?

LASIK eye surgery can be a wonderful way to correct vision problems, however you should be aware that there are certain limitations associated with surgery.  Not everyone who wants to have LASIK surgery is actually a candidate.  There are conditions that will prevent someone from getting  surgery and this should be discussed with surgeon.

To begin with, age can be a limiting factor to getting LASIK. Also most children under 18 years of age cannot have LASIK surgery because the eyes are still in a developmental phase, and the eyes will continue to change until fully mature.   As there are several different approaches to LASIK surgery, you should be aware that some will not be used on patients under 21.

LASIK eye surgery works exceptionally well with some conditions such as nearsightedness, farsightedness, and astigmatism (blurry vision).  If you have any of these eye problems you can probably be helped by laser surgery.  Your surgeon will be the best source of information about how your condition might be helped.  A knowledgeable and board certified ophthalmologist, such as Dr. Kevin Niksarli, can advise you exactly what conditions must be met for you to qualify for LASIK eye surgery.

History of LASIK Eye Surgery

LASIK had its origins about thirty years ago and was originally developed to treat patients who had very poor vision due to corneal disease. It has now evolved into a successful technique for correcting focusing errors of the eye (nearsightedness, farsightedness, and astigmatism). LASIK is an outpatient procedure that combines conventional and laser surgery to correct these conditions.

Celebrity LASIK

Many famous actors, athletes, musicians and other well known personalities are experiencing clearer vision with the help of LASIK surgery. Some celebrities that have undergone LASIK include:

-Brad Pitt
-Drew Carey
-Barry Manilow
-Michael Bolton

Dr. Kevin Niksarli has performed thousands of laser vision correction procedures. LASIK can be performed for low to moderately high levels of nearsightedness, farsightedness and astigmatism. The LASIK procedure involves using a microkeratome (an automated blade) to peel a flap off the top third of the cornea, move it out of the way, then use a laser to shave down the middle of the cornea after which the top third is flipped back on to cover the area removed by the laser. The vision typically improves dramatically over 24 to 48 hours.

If you are interested in learning more about LASIK surgery contact Dr. Niksarli for a consultation.

Custom Wavefront LASIK

Just as every person is a unique individual, so everyone’s eyes are also unique and different from the eyes of the rest of humanity.  While LASIK surgery New York City has made great strides in helping millions of people to see better, regular LASIK surgery has a tendency to treat everyone’s eyes the same.  Custom Wavefront LASIK, on the other hand, is a process that tailors the treatment to each individual’s eyes.  This is an advanced technique that can be used on your eyes by an experienced eye surgeon like Kevin Niksarli, MD.

Custom Wavefront LASIK uses a three dimensional image of your eye to determine exactly how to handle your particular vision problem.  What are termed ‘optical errors’ can develop in the eye that can interfere with clear, sharp vision, and it just these errors that this kind of laser surgery excels in correcting.  Ophthalmologists recognize two basic types of optical errors: lower-order errors such as astigmatism, farsightedness, and nearsightedness; and higher-order errors such as light distortion, night vision difficulty, and a lessening of the ability to discern contrasts.  Ordinary LASIK can handle the lower-order errors without trouble, it is the higher-order errors that require the more sophisticated approach of Custom Wavefront LASIK.

Using the new Wavefront system, the visual errors occurring in the eye can be plotted onto a map.  The information from the map will be programmed into the excimer laser, and this data will be used to perform the corrective surgery on the patient’s eye.  The Wavefront technology will provide a three dimensional image of the eye, allowing for the precise and exact way in which the laser will treat the eye.  Because the Custom Wavefront LASIK understands how each eye is reacting to image processing, and how the irregularities in the eye are affecting vision, it can work to correct even higher-order visual errors.

Besides being able to treat higher-order errors, the patient who selects Custom Wavefront LASIK may well achieve better than 20/20 vision.  This laser treatment also reduces the chance that the patient will regress visually, and has been used to help people who have lost their best-corrected vision (the level of vision that glasses or contact lenses will provide) with other laser therapies.  In the hands of a competent eye surgeon, such as Dr. Niksarli, it is very likely that your vision problems can be corrected.

As with most laser surgeries, it is recommended that after receiving Custom Wavefront LASIK treatment that you spend several days resting at home.  You will probably be given eye drops to keep the eye moist, and these might also contain an antibiotic.  It is essential that you avoid rubbing your eye during the healing period.  You should not swim, allow sweat to run into your eyes, or use a hot tub.  There will be some visual disturbances while your eye heals, such as halos and blurriness, but these will pass within weeks.  Your best source of information on the recovery time for your eye will be Dr. Niksarli, who will be able to explain the healing process to you in detail.

Manhattan LASIK Center Invests $2.9 Million in Technology

Over the last decade Dr. Kevin Niksarli has invested over $2.9 million in laser vision technology to ensure that his patients receive the best medical treatment available.

Dr. Kevin Niksarli has performed over 60,000 successful laser vision correction procedures.  If you are interested in having LASIK surgery contact Dr. Niksarli for a FREE consultation.

Dr. Niksarli Sponsors Training Courses

On a regular basis, Dr. Kevin Niksarli of Manhattan Lasik Center sponsors training courses for Intralase technology at the state-of-the-art laser vision facility in midtown Manhattan. More and more eye surgeons are interested in using this new and exciting technology as the initial step in the LASIK procedure.

However, there is a significant learning curve involved with Intralase, as in any new technology which is why at Manhattan Lasik Center, Dr. Kevin Niksarli’s goal is to make this transition as smooth as possible for the surgeons involved. Dr. Kevin Niksarli states, “we are always available to go over questions and concerns relating to the use of the FS60 Intralase.”

The FS60 is the most advanced version of the Intralase technology in use, as of today. If you are interested in upcoming training courses contact Dr. Kevin Niksarli and the Manhattan LASIK Center.

Read & Watch Our Testimonials

Kevin Niksarli, MD has performed thousands successful LASIK procedures. He is board-certified by the American Academy of Ophthalmology and is one of the most respected LASIK surgeons in New York City. Watch a testimonial from a LASIK NYC patient after having surgery with Dr. Niksarli.

Other testimonials…

“……Dr. Niksarli and his staff has been simply amazing”

“My experience with Dr. Kevin Niksarli and his staff has been simply amazing. Dr. Niksarli and his staff were very friendly and professional and they helped make my LASIK experience fantastic. All of my questions were answered prior to the procedure. The day of my surgery I felt at ease and I experienced no pain at all throughout the procedure. The best part was that the very next morning, my vision was perfect! For the first time in years, i could see clearly without having to use contact lenses. Having the LASIK procedure was one of the best decisions I’ve made and I’ve recommended it and Dr. Niksarli and Manhattan Lasik Center to all of my friends.”

“My name is Romina T. and I just had the LASIK procedure done at Manhattan Lasik Center . The experience was an overall pleasant one. The center specializes in courtesy and professionalism.The staff was helpful and knowledgable in every aspect of the LASIK procedure. The actual procedure was short and virtually painless. I would recommend Kevin Niksarli , MD and his staff to anyone looking to improve their eyesight and seek personal care and comfort.”

“I had my lasik surgery last Friday and I am now able to see 20/20! Dr. Kevin Niksarli is one of the best doctors I have ever been to and his staff is excellent. Dr. Niksarli has the latest technology in New York City and he used the bladeless Intralase laser on my eyes. His office and his staff is amazing. I was able to drive the next morning and the procedure itself took only 15 min. I highly recommend Dr. Niksarli to anyone who is considering to have this amazing procedure!”

“I went to Dr. Kevin Niksarli for a consultation. The staff is very friendly. I was whisked into a consultation room where I was given all the necessary information to get the procedure done.
I came back the next day. I was a little scared but Dr. Niksarli made me feel very comfortable. After a few minutes, I was done. I did not feel anything. The next day, I came back and they checked my vision. I could see as good as my contacts.
I am thrilled with my results and recommend this facility to anyone !!! Best money I ever spent.”

““Man destroys pair of eye glasses with garbage disposal!” Okay, so I’m exaggerating just a little to make a point. (I actually kept my old frames and turned them into sunglasses.) But there was certainly no love loss between me and my old prescription glasses.I had been prisoner to glasses like these for practically all my life. The day after my New York City Lasik surgery the prison sentence finally ended. I wore glasses from 1987 to 1997, contacts (when I could get them to stay in my eyes) from 1997 to 1998, and glasses again from 1998 to 2001. No more. I am no longer handicapped. It’s cliché but true; the day after the procedure was the best day of my life! I woke up and felt this amazing sense of freedom. If you have never been a convict in this vision prison you can’t understand, but to my fellow inmates, Lasik is everything they say it is, and more. A world in which I can walk confidently down the halls without any visual crutches. The surgery itself was scary. No two ways about it. I found it nearly impossible to control my fight or flight instincts during the procedure and just relax. (If you are offered drugs, take them!) Dr. Kevin Niksarli and his staff (they deserve big raises) were fantastic. During the scariest part of the surgery was when I was most glad I selected Dr. Niksarli. If I was this nervous with the best laser eye surgeon in New York city, how would I have felt under the laser at another surgeon? It’s worth the money. Go to the best. And as bad as people say it is, it really wasn’t that bad. Then, the laser runs for a few minutes and you’re done. The anxiety I felt was all mental, I couldn’t tell my body to stop shaking and allow someone to think that a flap was being created in my eye. But after a few minutes it was all over and I was on my way home. If I had to I would do it again. And again and again and again. I love my new vision that mush! What are a few minutes of discomfort for a lifetime of crutch-free vision? You can’t see much immediately after the surgery. You’re eyes are numb, because of the drops also and everything is a little blurry. Protective goggles are worn that fog up and keep moisture inside. Also to make sure you don’t touch your eye or nothing flies into it. I would lift the goggles now and then just to test my vision. I noticed improvement throughout the day but nothing compared to that next morning. Computer screens look different; it takes some adjusting but I was able to work the next day. Thank you Dr.Niksarli. I love my new eyes! If you’ve been a prisoner to glasses or contacts, break free! Lasik is here.”

Dr. Niksarli board-certified by the American Academy of Ophthalmology and is one of the most respected LASIK surgeons in New York City. Watch a testimonial from a LASIK NYC patient after having surgery with Dr. Kevin Niksarli.”

Learn About Different Eye Conditions (Pink Eye, Glaucoma and Cataracts)

Glaucoma

Although Dr. Kevin Niksarli does not treat glaucoma patients, he recommends individuals seek routine eye exams in order to detect early diagnosis and treatment. Glaucoma is the leading cause of blindness in the United States. It is a disease that most commonly affects older people, but it can occur at any age.

The eye has about one million tiny nerve fibers, which run from the back of the eye to the brain. These nerve fibers allow us to see. Glaucoma is a disease that causes the destruction of these fibers. It was once thought that the loss of nerve fibers was due strictly to high pressure in the eye. Now it is known that even patients with normal eye pressure can have glaucoma and lose these nerve fibers. In many patients, the disease is not detected in its early stages, because there is no pain and no noticeable change in vision. Early diagnosis by an eye doctor is the key to the prevention of vision damage from glaucoma

Pink Eye

Nearly everyone has experienced pink eye (conjunctivitis) at some time in their life, usually when they were a child.  This is an inflammation of the tissues covering the conjunctiva, the white of the eye, as well as the inside of the eyelids.  The white of the eye will appear to be either pink or red as a result of the irritation caused by pink eye, and there will often be a discharge as well.

Pink eye has three main causes: bacteria, viruses, and allergens.  All three of these can cause the symptoms of pink eye, and it is best to check with Dr. Kevin Niksarli to find out just which one is causing your problem.  He will know just what treatment you will need to clear up your pink eye.

Bacterial pink eye is caused by a variety of bacteria, including Streptococci and Staphylococci, and is highly contagious.  This form of pink eye will produce not only a very red looking eye, but also a yellow or green discharge, and can affect one or both eyes.  The eye will be painful and often swollen, and night discharges will often seal the eye shut, necessitating the application of warm washcloths to loosen up the crust.  Dr. Niksarli will prescribe antibiotic eyedrops or ointment to deal with bacterial pink eye.  As this pink is so easily spread, it is best to keep the affected person home until the infection is cleared up to prevent spreading it to others.

Another very contagious form of conjunctivitis is viral pink eye.  This is spread in much the same way that colds or flu are.  The eye will appear red, but the discharge from viral pink eye is usually clear.  Most forms of viral pink eye will resolve themselves in time, about two weeks, just as a cold will just go away after it has run its course.  However, in some cases, the cornea will become affected by the viral infection, and specific treatment will have to be prescribed to deal with this.  You can experience viral pink eye in one or both eyes.

Allergic conjunctivitis is caused by allergens, not bacteria or viruses.  Anyone who is allergic to cats or pollen will usually experience this at some time.  Both eyes are usually affected with allergic pink eye, and there will be redness, irritation, and copious tearing.   There is no need for antibiotic treatment with this form of pink eye, and over the counter eye drops will usually provide relief from this condition.  Antihistamines will also help to control allergic pink eye.

While it is probably impossible to avoid pink eye at some time in your life, you can do certain things to minimize your chances of catching bacterial or viral conjunctivitis.  Avoid sharing washcloths, towels, and pillowcases with your family members.  Wash your hands often, especially after being outside the home.  If you enjoy swimming, wear swim goggles.  This will not only cut down on your chances of catching viral or bacterial pink eye, but will help prevent allergic pink eye if you are using a swimming pool.  Never use someone else’s cosmetics, or let someone else use yours.  If you do get pink eye, throw away all eye cosmetics, you can be reinfected by these.  At the first sign of pink eye, consult with Kevin Niksarli, MD, he will be your best source of information about this condition.

Cataracts

Nearly everyone has experienced pink eye (conjunctivitis) at some time in their life, usually when they were a child.  This is an inflammation of the tissues covering the conjunctiva, the white of the eye, as well as the inside of the eyelids.  The white of the eye will appear to be either pink or red as a result of the irritation caused by pink eye, and there will often be a discharge as well.

Pink eye has three main causes: bacteria, viruses, and allergens.  All three of these can cause the symptoms of pink eye, and it is best to check with Dr. Kevin Niksarli to find out just which one is causing your problem.  He will know just what treatment you will need to clear up your pink eye.

Bacterial pink eye is caused by a variety of bacteria, including Streptococci and Staphylococci, and is highly contagious.  This form of pink eye will produce not only a very red looking eye, but also a yellow or green discharge, and can affect one or both eyes.  The eye will be painful and often swollen, and night discharges will often seal the eye shut, necessitating the application of warm washcloths to loosen up the crust.  Dr. Niksarli will prescribe antibiotic eyedrops or ointment to deal with bacterial pink eye.  As this pink is so easily spread, it is best to keep the affected person home until the infection is cleared up to prevent spreading it to others.

Another very contagious form of conjunctivitis is viral pink eye.  This is spread in much the same way that colds or flu are.  The eye will appear red, but the discharge from viral pink eye is usually clear.  Most forms of viral pink eye will resolve themselves in time, about two weeks, just as a cold will just go away after it has run its course.  However, in some cases, the cornea will become affected by the viral infection, and specific treatment will have to be prescribed to deal with this.  You can experience viral pink eye in one or both eyes.

Allergic conjunctivitis is caused by allergens, not bacteria or viruses.  Anyone who is allergic to cats or pollen will usually experience this at some time.  Both eyes are usually affected with allergic pink eye, and there will be redness, irritation, and copious tearing.   There is no need for antibiotic treatment with this form of pink eye, and over the counter eye drops will usually provide relief from this condition.  Antihistamines will also help to control allergic pink eye.

While it is probably impossible to avoid pink eye at some time in your life, you can do certain things to minimize your chances of catching bacterial or viral conjunctivitis.  Avoid sharing washcloths, towels, and pillowcases with your family members.  Wash your hands often, especially after being outside the home.  If you enjoy swimming, wear swim goggles.  This will not only cut down on your chances of catching viral or bacterial pink eye, but will help prevent allergic pink eye if you are using a swimming pool.  Never use someone else’s cosmetics, or let someone else use yours.  If you do get pink eye, throw away all eye cosmetics, you can be reinfected by these.  At the first sign of pink eye, consult with Kevin Niksarli, MD, he will be your best source of information about this condition.

How to Choose A Cataract Surgeon

Being diagnosed with cataracts can be a frightening experience.  Losing even a portion of your eyesight is a major disruption in anyone’s life, and if surgery is the recommended treatment, more anxiety will be added to an already tense situation.  However, bearing in mind the improvement in vision and quality of life that will result from the surgical removal of the cloudy lenses will make facing surgery easier, says Dr. Kevin Niksarli.

While the early stages of cataracts will not interfere with vision to a great degree, this is a progressive disease, and the cloudiness will only get worse with time until, if untreated, blindness will result.  Fortunately, most people in this country never have to subject themselves to this extreme condition and have their cataracts taken care of while they still have some measure of vision.

There are several ways to make the best decision about which cataract surgeon will be the right one for you.  Checking to see whether the surgeon is board certified is a very good way to start.  In order to get board certification, the surgeon must have taken more training than was absolutely necessary.  Additional testing is also done to make sure that any surgeon who has been certified is at the top of their profession.

Your impression of the doctor’s office will often provide a good clue as to whether you want this person to operate on your eyes.  You will want to find a clean and well-run office.  The waiting room should be comfortable and the staff friendly and helpful.  The surgeon himself should be willing to answer any questions you may have and should give you a thorough eye exam before recommending any course of treatment.  If you feel uncomfortable or rushed, you might try going to another surgeon’s office to see how it compares.

A competent, knowledgeable surgeon like Kevin Niksarli, MD will be able to provide you with testimonials.  Nothing rings more true as to a surgeon’s capability than happy, healed patients.  One look at Dr. Niksarli’s website will demonstrate how satisfied his clients are with him.  Your eyes are one of your most precious assets, choosing the right surgeon to treat them is very important.

As the old saying goes, “Practice makes perfect”, and by choosing an eye surgeon who had done hundreds or thousands of cataracts surgeries, you will be assured of getting the best and most competent treatment possible.  Knowing how to manipulate the necessary tools and properly implant the artificial lens is paramount to your cataract surgery success.

Your cataract surgeon should also discuss whether you feel that standard lenses or premium lenses will be the best for you.  Standard lenses will provide for distance viewing, but glasses will be needed for reading, driving, and doing close work.  Premium lenses will usually give you the ability to see at all distances.  However, a competent cataract surgeon will also point out that premium lenses come with no guarantee that you will never need glasses again.

The staff of the office should be willing to discuss the difference in cost between the two types of lens and explain that while most insurances and Medicare will pay for the standard lens, premium lenses are usually an out-of-pocket expense.  Discussing these matters with your surgeon should make the treatment clear and remove any fears you may have about the procedure.