Menomonee Falls
N89 W16785 Appleton Ave.
Menomonee Falls, WI 53051
Phone: (262) 253-4000
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Refractive Surgery (LASIK), (LASEK), (PRK), (ICL), (RLE)

Refractive surgery refers to a group of surgical procedures designed to help reduce or even eliminate your need for glasses or contact lenses. Various procedures are available to help correct the various types of refractive errors: myopia (near-sightedness), hyperopia (far-sightedness), and astigmatism (a mixture of both near and far-sightedness). Refractive surgery improves your vision by changing the focus power of your eye. This is accomplished by altering either of the two focusing structures of the eye-the cornea and the lens. The cornea or lens can be altered by various surgical techniques.

Since 1996, the founding physicians of the Verre Eye Clinic have always provided the safest and most advanced treatments in refractive surgery for the Milwaukee community. We have grown and with us comes a well trained staff and associates who pride themselves in honoring our traditions. Let's learn about refractive surgery.

LASIK (laser-assisted in situ keratomileusis) surgery is the most common refractive surgery of the cornea. In LASIK, laser energy is used to reshape your cornea, essentially sculpting your prescription into your eye; a thin flap is cut on the surface of your cornea, and then folded out of the way. Laser energy is then used to sculpt your exposed cornea to correct your nearsightedness, and then the flap is put back into its normal position, covering the treated area.

The LASIK flap is created by using a special femtosecond laser with a procedure known as Intralase. This flap cutting is painless, very safe, uniform and precise. It has greatly reduced laser complications and expanded the number of patients who are candidates for the procedure. Ask us about these benefits.

The VISX Star 4 laser uses special wave front guide technology to correct your near or farsightedness, but also other optical aberrations which may exist in your eye. This often improves the quality of your vision as well. Iris registration provides exact treatment to the areas of the cornea which require precise correction. Most treatments take only minutes to perform and both eyes may be done the same day if the patient desires. LASIK is nearly painless, highly successful, and you can see the improvement in your vision immediately after surgery.

LASEK (laser epithelial keratomileusis) uses a thinner flap, and is typically performed in people whose cornea is too thin or too flat for LASIK. It was developed to reduce the chance of complications that occur when the flap created during LASIK is not the ideal thickness or diameter. In LASEK, the epithelium, or outer layer of the cornea, is covered with an alcohol solution for around 30 seconds. The solution loosens the edges of the epithelium. The epithelial flap is then lifted and gently folded back out of the way. The VISX Star 4 laser is then used, as in LASIK, to sculpt the corneal tissue underneath. Afterward, the epithelial flap is placed back on the eye, covering the treated area.

Special instruments called epithelial keratomes also exist to create the surface epithelial flap. This procedure can sometimes shorten the healing time and often requires a bandage contact lens for several days to heal the surface.

PRK (photorefractive keratectomy), which differs from LASIK and LASEK in that no flap is made, the laser directly sculpts the front surface of your cornea to flatten it. PRK uses a cool ultraviolet light beam to precisely remove very tiny bits of tissue from the surface of the cornea in order to reshape it. Both near-sighted and far-sighted people can benefit from PRK.

The top layer of the cornea (epithelium) is removed either by laser (laser scrape) or by a mechanical method using a dilute solution of alcohol and chilled balance salt solution.

PRK may take slightly longer to heal and typically requires a bandage contact lens to heal the cornea. PRK has proven to be equally effective therapy for improving vision in many patients. Typically, we monitor intraocular pressures to watch for glaucoma that can arise from the use of steroid medications.

IOL and RLE (intraocular lens, refractive lens exchange) are two common terms regarding refractive surgery procedures of the lens. An IOL is a refractive lens that it is permanently placed inside your eye. In the context of refractive enhancement, we are referring to a specialty lens placed in front of your natural lens. The implant enhances your natural lens, without replacing it. The strength of the implant is specifically selected to work with your cornea and lens to correct your refractive error. The term RLE, or Refractive lens exchange, involves removing your natural lens and replacing it with a lens implant that works with your cornea to correct your refractive error for both distance and near vision.

Both surgeries are performed in an operating room using a microscope. Outpatient surgery is required as we are working in the inside of the eye, and utilize special equipment to perform either procedure.



Cataract Surgery

The Verre Eye Clinic doctors have an extensive and well-proven track record with cataract surgery, as this is the only proven method to treat cataracts.

The Verre Eye Clinic strives to provide the most comprehensive eye care and disease management in modern Ophthalmology. State of the art testing and diagnostic equipment is available on site. Our skilled and compassionate medical staff will guide the exam process so that your visits are comfortable and efficient.

Cataract surgery requires the removal of the intraocular lens and replacement with an artificial lens. This procedure can be performed on an outpatient basis at the hospital or surgical center. A preoperative evaluation must be performed in order to measure the front corneal surface of the eye, and the length of the eye. From these measurements, the doctor can determine the correct intraocular lens that will be used in this procedure.

Almost all newer cataract surgeries are performed under local anesthesia with sedation given by an anesthesiologist. Clear corneal cataract surgery with small incisions that do not usually require a suture allow for rapid visual recovery. Phacoemulsification (ultrasonic cataract extraction) is the normal method used to remove the inside of the lens leaving the bag intact. Laser is not used to remove the cataract.

Most intraocular lenses are placed into the lens bag by injecting the lens into the eye with a lens shooter. Many different intraocular lenses can be used. Special coating, UV blocking, and glare reducing optics are standard for most lenses. Astigmatism and reading/distance lenses are a special lens options that can also be used, please ask your eye doctor.



Cosmetic and Therapeutic Plastic Surgery

Muscle Surgery/Eye Lid Surgery
The Verre Eye Clinic can provide treatment solutions for eye muscle-based abnormalities to eliminate your double vision or treat amblyopic conditions.

Treatment options vary from surgery to eyeglass prescriptions to strengthen the weaker eye. Muscle surgery is performed on an outpatient basis at the hospital under general anesthesia, under the care of an anesthesiologist.

The extra ocular muscles are found just beneath the outer layer of the eye known as the conjunctiva. The muscles are isolated and moved along the outer surface of the eye called the sclera. Many years of experience and new adjustable sutures allow for excellent results.

Most eyes are in good alignment within the first week of surgery. The eye requires anti-inflammatory drops for approximately one month to return the eye to a white and clear appearance.



AMD (Age-Related Macular Degeneration) Treatment

Verre Eye Clinic will conduct multiple tests to determine the best treatments for Age-Related Macular Degeneration that suits your particular needs: Amsler Grid, Dilated Eye Exam, Tonometry, Fluorescein Angiography (FA), and Optical Conherence Tomography (OCT).

The most effective treatment for wet form macular degeneration is the use of LUCENTIS™. These injections may be performed in a hospital outpatient facility or in the office. Pre-injection antibiotics are used, the patient is placed in a supine position, the eye is prepped in a betadine solution, and a local anesthetic is administered followed by an injection into the vitreous cavity. Lastly, post operative antibiotics are given.

Based on test results, several treatment options are available, all which can be performed within the Verre Eye Clinic:

  • Therapeutic LUCENTIS™ Injections: are injections given directly into the eye to target abnormal blood vessels in the eye causing Wet-AMD. (links off to eye disease section)
  • Hot Laser Treatment: a laser is focused on the eye, the retina and macula, and burns away abnormal blood vessels.
  • Photodynamic Therapy (PDT): employs a combination of light-sensitivity drugs and cold laser to "shut off" abnormal blood vessels.
  • Preventative Measures: the use of daily supplements, such as vitamins A, C, E, Beta-Carotene, Zinc, and copper to reduce the risks of developing severe AMD (links off to eye disease section).




Glaucoma Therapy

The Verre eye clinic can provide several treatment solutions for Glaucoma:

  • Eye Drops or Pills: are used to control the intraocular pressure.
  • Glaucoma Surgery: is used to create new drainage channels and relieve pressure or remove tissue and using implants to relieve eye pressure.
  • Selective Laser Trabeculoplasty: a modern, studied treatment of some forms of Glaucoma. A painless procedure that takes but a couple minutes can often eliminate the need for drops for years.



Diabetic Retinopathy Treatment

The Verre Eye Clinic can provide treatment solutions for Diabetic Retinopathy based what will best serve your needs:

  • Laser Surgery: a laser is focused in the eye, the retina or macula, to decrease the fluid leakage. The main goal of this treatment is to prevent further loss of vision.
  • Panretinal Photocoagulation (PDR): focuses on all parts of the retina except for the macula. This treatment shrinks abnormal blood vessels and prevents further growth in the future and reduces the chance of vitreous bleeding or retinal distortion will occur.
  • Vitrectomy: is a micro-surgery which replaces the blood filled vitreous with a clear-vitreous solution.



Botox Injections

Botox is used to remove wrinkles around the eyes, forehead, lips, and cheeks. Botox is targeted directly to facial muscles, and using a very fine needle, injects Botox into the affected area. The Botox protein will then block transmission of targeted area's nerve endings to the muscle. This effect greatly reduces the appearance of wrinkles in the patients for an average of three to six months.



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