Part 4: Should I Pay More For Wavefront? What is the Truth?

If you read yesterdays post you are up to speed on wavefront technology. OK, so far so good. It seems wavefront correction improves quality of vision after laser eye surgery. And indeed clinical trials confirm that vision results are much better after laser makers added the ‘wavefront‘ upgrades to their machines.

For example, the American made VISX lasers, used at all Optical Express laser clinics, have much better results when using their wavefront upgrade from 2002. I would not recommend having laser eye treatment today in 2008 without choosing the wavefront package on that system.

Wavefront technology used in laser eye treatment - is it the whole story?

Wavefront laser eye surgery - is it the whole truth?

So now you want ‘wavefront‘ in your laser eye treatment! Of course, as the results are better. But when laser manufacturers introduced ‘wavefront’ they actually bundled in other improvements which may account for much of the jump in results! They just didn’t tell you. Why? Because it is complicated to describe all these improvements to someone who isn’t familiar with the technology – such as you, the patient!!

And honestly, I bet the sales people at most clinics talking on the phones who want to sell you a consultation don’t really understand it either! However, they have been trained to explain the wavefront part only, as something like this… “we take a scan, a unique fingerprint, of your vision and the use that fingerprint to perfectly correct your vision“. Go on, call them and check it out!

But for you, as a patient or customer, don’t really care about which part of that technology is helping you the most, you just want great vision, right?

So don’t let clinics blind you with science about wavefront scanners, wavefront maps, measuring hundreds of points of light or how much better their scanner is than other clinics scanners. It is usually marketing spin! Take it all with a pinch of salt.

However, you should choose the ‘wavefront option’ because within that package are the big improvements in laser eye treatment over the past several years. The success of surgery may actually be less to do with the true wavefront technology that has helped astronomy, but rather other improvements that may be confusing to patients but get wrapped up in the marketing of wavefront LASIK.

We come back to ethics again here. Is it ethical for some clinics to still sell ‘non-wavefront’ laser eye surgery technology that was replaced back in 2002?

For my own clinic, we do not offer non-wavefront treatments at all. None at all. I want every one of my patients to have the benefit of the newer laser eye surgery results. So we made it very affordable. In fact, we charge less for wavefront LASIK than other clinics do for their ‘entry level’ lower price non-wavefront LASIK. Really.

That’s my plug for FOCUS done! So, do choose wavefront but don’t pay more than you have to!

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About the Author: Mr. Dave Allamby FRCS FRCOphth is a leading London-based laser eye surgeon. You may have seen him on the This Morning TV show with Phillip Schofield and Fern Britton or read one of several articles in the national press, recently for treating Denise Van Outen, rock giant Rick Wakeman and broadcaster Paul Ross. David is Medical Director at Focus Laser Vision, known as a world-leading clinic in the treatment of presbyopia, or age related loss of close vision. Focus Laser Vision is also London's only clinic to offer next-generation Z-LASIK laser eye treatment for short sight, long sight or astigmatism.

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  1. Peter says:

    Hi Dave
    Apologies for the length of this query but I would relly appreciate your honest opionion.
    One pieces advice I have seen on a couple of web sites is to ask your clinic for a copy of the pre and post wavefront scans, saying that good quality clinics would be happy to oblige. While I personnaly would not be able to interpret the information I thought that from a Customers perspective this is the only document that provides a technical assessment of what the surgeon / equipment had actually done. So if a clinic truly had the conviction of its marketing assertions then it would have no issues with providing a copy of the wavefront scans . I had more or less decided on my clinic of choice when you guessed it, in answer to a request for a copy of the scans they stated that they do not provide copies and would not elaborate further as to their refusal.
    My view is that if a mechanic can not give me a full breakdown of the work he has undertaken even if the individual items are gibberish to me then I would be inclined to think I that my vehicle repair bill included parts I had not received and a quality of service below what I had paid for.
    Given that you can legally obtain a copy of the scans under the data protection act can you suggest any reasons why a big UK clinic would blankly refuse to willingly provide copies of scan data.
    Finally should I be bothered by this refusal at all, it was a throw away question after all, its only because I received a refusal that a small warning light has started to glow.
    Many Thanks
    Peter

  2. Darren says:

    Hi Dave

    I’ve been looking at laser eye surgery for a while now and from what laser vision focus are offering the best deal, but I was wondering what is the turn around time from consultation to actual surgery as I plan to get laser eye surgery asap after my uni exams (May 21st) and before i start my job (7th June).

    I was also wondering what price range I would be looking at due to the website saying “from £997″.

    I’m 21 and I’ve worn the same glasses with no degradation for the past two years and my prescription is:

    sph -2.50 cyl -0.75 axis x180
    BC 8.6 DIA 14.2

    I’m short sighted and have astigmatism.

    Kind Regards

    Darren

    • Dave Allamby says:

      Hi Darren
      Usually you can have treatment very soon after consultation – 48 hours allows time for the dilating drops to have fully worn off, although often shorter than that. Seems your prescription is now stable so that’s one box ticked. The price based on your Rx for wavefront Z-LASIK would be £1297 per eye.
      Please let me know if you have any more questions. If you would like to get booked in, please call us on 0845 5000 500.
      With best regards, Dave

  3. Dave Allamby says:

    No problem Kay! Lot of ground to cover but its all good stuff! LASEK vs LASIK (vs PRK) is another great topic I look forward to getting into.
    Regards
    Dave

  4. Kay says:

    Hi Dave

    Thank you for the detailed response about the wavefront technology, your comments are very much appreciated. I look forward to hearing your opinion on the subject of lasek v lasik.

    Kind regards

    Kay

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