LASIK & Vision Correction Procedures

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LASIK & Vision Correction Procedures

YOUR VISION IS PRECIOUS

At the Cornea & Laser Eye Institute in New Jersey, our world-class team specializes in advanced vision correction using leading-edge technology, exceptional patient experience, and a focus on improving your quality of life through vision.  CLEI Center offers both surgical and non-surgical vision correction procedures, including Laser Eye Surgery (LASIK), cataract surgery and advanced cornea and lens based treatments to expertly handle all of your vision needs for a lifetime of optimal visual health.

NJ LASIK & Vision Correction

Though LASIK is the most well-known vision correction procedure, there are various methods our doctors may choose from, such as Evo ICL, PRK, or RLE, to best meet your unique visual demands and goals.

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Why Choose CLEI for Vision Correction?

The CLEI Difference 

The CLEI experience is different. We provide a first class patient experience, from your complimentary consultation to your vision correction procedure and beyond. By choosing us you will have peace of mind, knowing that your vision is in the hands of expert surgeons and doctors supported by a world-class team.

The Cornea & Laser Eye Institute has always been at the forefront of vision correction surgery and played a central role in the development and FDA approval of laser vision correction. We value innovation and utilize the most advanced technology available to perform the treatments, ensuring the highest quality care for our patients. Our experience in the field goes back to the origins of laser vision correction, where we were part of the Harvard laser laboratory, one of the first to start the field of LASIK and laser vision correction. We were also among the first clinical investigators on LASIK and among the first to adopt and develop the femtosecond laser to create all-laser LASIK, topography-guided LASIK, EVO ICL procedure and perform premium cataract surgery. We have pioneered, researched, or developed many of the procedures that surgeons around the world perform today and you can feel confident in trusting our experts with your vision.

At the Cornea & Laser Eye Institute, the difference is rooted in the experience, training, and leadership of our entire team and the time that we spend with each patient to plan the right vision correction procedure for them. We do not rely on one procedure or one technique to “treat all” and we never consider any case to be “routine”. We meticulously examine the unique characteristics of each individual’s vision and exam to determine the ideal procedure for them, whether it’s a topography guided LASIK technique or the most appropriate intraocular lens for cataract surgery. Our approach is the reason why patients are referred to our office from around the world to treat some of the most complex refractive cases.

Most of our cornea and laser procedures are performed in-office thereby reducing stress on your surgery day by ensuring that your procedure will be performed in a familiar environment with the same experienced staff who you met at your previous visits. Our lens-based procedures are performed in a local surgical center dedicated solely to eye surgery.

When you decide to trust your vision to our team, we are committed to taking care of all your needs from beginning to end of your vision correction journey, including all medications for post-surgery care and additional refinements if needed to optimize your outcome with enhancement treatments.

Technology moves quickly and at the Cornea and Laser Eye Institute, we ensure to be on the cutting edge by embracing the most modern laser technology available. We are the first in the US to have the latest generation Ziemer LDV8 Neo femtosecond laser for this part of the procedure. This laser uses a low energy and millions of overlapping spots to create the corneal flap, resulting in extremely precise and predictable laser cuts, limiting the collateral damage to the surrounding corneal tissue and thereby causing less corneal inflammation.

Our center uses the ALCON/Wavelight EX500 laser, the latest in excimer laser technology. This laser uses a self-aiming, small spot (“flying spot”) laser system, combines both eye tracking and small beam corneal shaping. The built-in eye tracker automatically follows any eye movement during the laser procedure, and uses a unique iris registration system to account for cyclotorsion (turning of the eye) when you lay down under the laser. These features allow the system to more accurately aim the laser beam and correct for any movement of the eye during the procedure. This laser also adjusts the treatment to minimize optical aberrations, with the goal of improving vision quality both during the day and at night. For select cases, we also use a completely customized approach called Topography-Guided or Contoura laser vision correction.

While technology is important, it is only as good as the doctor using it. The CLEI difference is in our expertise and complete mastery of techniques and technologies, which allows us to achieve exceptional visual outcomes for our patients.

We handle some of the most challenging vision correction cases for patients with complex corneas, such as post radial keratotomy (post RK), corneal scars, post corneal transplant, corneal ectasia, and especially keratoconus. Our CLEI Center for Keratoconus is world-renowned, having played a pivotal role in the FDA approval of Corneal Collagen Crosslinking (CXL) and the development of Corneal Tissue Addition Keratoplasty (CTAK). We are the team that other eye doctors trust to refer their complicated cases for vision correction. After gathering comprehensive data about your optical profile, your records are carefully analyzed, and a surgical plan is developed for you. In some complex cases, the solution may involve multiple procedures to best optimize your results. Our doctors will discuss with you realistic expectations, and all of the surgical and nonsurgical options to achieve the best visual outcome.

The Cornea & Laser Eye Institute has always been at the forefront of vision correction surgery and played a central role in the development and FDA approval of laser vision correction. We value innovation and utilize the most advanced technology available to perform the treatments, ensuring the highest quality care for our patients. Our experience in the field goes back to the origins of laser vision correction, where we were part of the Harvard laser laboratory, one of the first to start the field of LASIK and laser vision correction. We were also among the first clinical investigators on LASIK and among the first to adopt and develop the femtosecond laser to create all-laser LASIK, topography-guided LASIK, EVO ICL procedure and perform premium cataract surgery. We have pioneered, researched, or developed many of the procedures that surgeons around the world perform today and you can feel confident in trusting our experts with your vision.

At the Cornea & Laser Eye Institute, the difference is rooted in the experience, training, and leadership of our entire team and the time that we spend with each patient to plan the right vision correction procedure for them. We do not rely on one procedure or one technique to “treat all” and we never consider any case to be “routine”. We meticulously examine the unique characteristics of each individual’s vision and exam to determine the ideal procedure for them, whether it’s a topography guided LASIK technique or the most appropriate intraocular lens for cataract surgery. Our approach is the reason why patients are referred to our office from around the world to treat some of the most complex refractive cases.

Most of our cornea and laser procedures are performed in-office thereby reducing stress on your surgery day by ensuring that your procedure will be performed in a familiar environment with the same experienced staff who you met at your previous visits. Our lens-based procedures are performed in a local surgical center dedicated solely to eye surgery.

When you decide to trust your vision to our team, we are committed to taking care of all your needs from beginning to end of your vision correction journey, including all medications for post-surgery care and additional refinements if needed to optimize your outcome with enhancement treatments.

Technology moves quickly and at the Cornea and Laser Eye Institute, we ensure to be on the cutting edge by embracing the most modern laser technology available. We are the first in the US to have the latest generation Ziemer LDV8 Neo femtosecond laser for this part of the procedure. This laser uses a low energy and millions of overlapping spots to create the corneal flap, resulting in extremely precise and predictable laser cuts, limiting the collateral damage to the surrounding corneal tissue and thereby causing less corneal inflammation.

Our center uses the ALCON/Wavelight EX500 laser, the latest in excimer laser technology. This laser uses a self-aiming, small spot (“flying spot”) laser system, combines both eye tracking and small beam corneal shaping. The built-in eye tracker automatically follows any eye movement during the laser procedure, and uses a unique iris registration system to account for cyclotorsion (turning of the eye) when you lay down under the laser. These features allow the system to more accurately aim the laser beam and correct for any movement of the eye during the procedure. This laser also adjusts the treatment to minimize optical aberrations, with the goal of improving vision quality both during the day and at night. For select cases, we also use a completely customized approach called Topography-Guided or Contoura laser vision correction.

While technology is important, it is only as good as the doctor using it. The CLEI difference is in our expertise and complete mastery of techniques and technologies, which allows us to achieve exceptional visual outcomes for our patients.

We handle some of the most challenging vision correction cases for patients with complex corneas, such as post radial keratotomy (post RK), corneal scars, post corneal transplant, corneal ectasia, and especially keratoconus. Our CLEI Center for Keratoconus is world-renowned, having played a pivotal role in the FDA approval of Corneal Collagen Crosslinking (CXL) and the development of Corneal Tissue Addition Keratoplasty (CTAK). We are the team that other eye doctors trust to refer their complicated cases for vision correction. After gathering comprehensive data about your optical profile, your records are carefully analyzed, and a surgical plan is developed for you. In some complex cases, the solution may involve multiple procedures to best optimize your results. Our doctors will discuss with you realistic expectations, and all of the surgical and nonsurgical options to achieve the best visual outcome.

Which Vision Correction Procedure is Right for You?

Our NJ Vision Correction Services & Procedures

LASIK Surgery

LASIK (laser in situ keratomileusis) is the most popular eye laser surgery that uses lasers to reshape the cornea and correct your vision.

At the Cornea & Laser Eye Institute in New Jersey, we perform the most advanced LASIK Laser Eye Surgery procedures to ensure the safest outcome with the best results possible. Most patients can return to work the next day. CLEI’s professional eye surgeons expertise can offer  a vision correction solution for almost every case. Schedule a laser eye surgery appointment to find out how we can fix your vision.

What Does LASIK treat?

Nearsighted (Myopia)
Farsighted (Hyperopia)
Astigmatism
Reading Vision

LASIK Procedure Time:

20 mins

Recovery Time:

20 mins

Where is the procedure done?

In Office Laser Suite

Book A Complimentary LASIK Consultation

LASIK eye surgery is a safe and effective procedure when performed by a skilled surgeon. Ultimately, the best way to decide whether or not you want to undergo this procedure is to do your research and talk with your doctor about any concerns or questions you may have. Our Doctors have performed thousands of LASIK surgeries including some of the most complicated cases nationally with highest success rates.

Most patients who undergo LASIK eye surgery are 21 years old or older (as the eye is reaching ocular maturity). In some cases, LASIK can be performed in patients as young as 18 years old.

LASIK works by optimizing your corneal shape to correct your vision. This corneal shape change is permanent however your eyes, like the rest of your body, will continue to undergo normal age related changes. The normal age related milestones that affect your vision are primarily related to the lens inside your eye. These changes are the onset of presbyopia, also called dysfunctional lens syndrome, which occurs after age 40, where near tasks become more blurry and cataracts, which generally occur after 60, and cause blurry vision. All normal aging changes can be addressed with surgical options so you don’t have to return to glasses or contact lenses.

Laser vision correction without preparation of a LASIK flap goes by a number of names: PRK (photorefractive keratectomy), LASEK (laser epithelial keratomileusis), surface LASIK, epithelial LASIK, epi-LASIK, or Advanced Surface Ablation, ASA).

Although LASEK and LASIK sound the same, unlike traditional LASIK, LASEK does not require the preparation of a corneal flap.

No, LASIK eye surgery does not hurt. Most people who have undergone LASIK say that it feels more like a gentle pressure than any kind of real pain. This is because the laser used during the procedure works very fast and precisely to remove a small amount of corneal tissue from the surface of your eye. Some mild discomfort may be experienced after undergoing LASIK, but most patients report experiencing no lasting side effects or long-term pain after their procedures.

Continued advancements in laser technology, including wavefront optimized and topography guided treatment patterns which are used by CLEI surgeons, have resulted in improved visual acuity, and an improved quality of vision after LASIK.The latest research reports a 98% satisfaction rate among doctors who had LASIK done on themselves (Journal of Cataract Refract Surgery, Volume 446, Issue 11, November 2020, pages 1466-1473). 99% of patients achieve better than 20/40 vision and more than 90% of patients achieve 20/20 vision or better (Journal of Cataract & Refractive Surgery, Vol. 42, Issue 8, August 2016, Pages 1224-1234).

The accuracy of LASIK depends on various factors, including your current glasses prescription, the surgeon’s expertise and experience, and the technology employed. At CLEI, we utilize the most advanced laser technology available, and our institute is renowned as a leader in the field. Additionally, we use our cutting-edge diagnostic devices, and multiple surgical planning algorithms, to select and customize your treatment for the most accurate results.

The short answer to this question is no – LASIK eye surgery is typically not covered by insurance. This is because LASIK eye surgery, which involves the use of lasers to reshape the surface of the cornea in order to correct vision problems such as nearsightedness and farsightedness, is considered to be a cosmetic procedure rather than a medical one. While there are some exceptions, such as for people who suffer from vision-related disabilities that significantly impair their ability to work or perform other daily tasks, most individuals must pay for the cost of LASIK surgery out of pocket.

There are 2 generally seen side effects immediately after LASIK. First, your eyes may feel dry. Typically, these sensations are mild and are treated with artificial tear drops and resolve over several weeks.  However, dry eye sensations can last in some patients. 

Second, you will notice a glare/halo around lights at night early after the procedure.

These, too, tend to resolve over the first few days or weeks after the procedure. They can last in a few patients; normally these symptoms can be helped with re-treatment if necessary. Furthermore, older patients, 40 years and older, may require reading glasses after the procedure.

There are also more severe complications that can occur with LASIK, as with all eye surgeries. Although rare, these will be discussed in depth before your procedure.

Rest assured, though, today’s LASIK procedures at the Cornea and Laser Eye Institute in New Jersey are very safe and we do everything to safeguard your outcome from preoperative analysis to meticulous surgery, to careful postoperative care.

Advanced Surface Ablation (PRK/LASEK)

PRK, (photorefractive keratectomy) an alternative laser procedure may be better suited for your eye. For patients with thin corneas or high glasses prescriptions, PRK and LASEK (or epithelial LASIK), both also known as advanced surface ablation (ASA), use the same laser technology but don’t require the corneal flap made in LASIK. Since laser treatment is done on the surface of the cornea, LASEK/PRK preserves more corneal tissue. Studies that we have published show that the expected results are the same in LASIK and LASEK/PRK. At CLEI our top NJ PRK specialists have successfully restore vision to thousand of patients using PRK.

What Does PRK treat?

Nearsighted (Myopia)
Farsighted (Hyperopia)
Astigmatism
Reading Vision

PRK Procedure Time:

20 mins

Recovery Time:

Where is the procedure done?

In Office Laser Suite

Book a Complimentary PRK Consultation

PRK, like LASIK, permanently changes the shape of your cornea to correct your vision. While this change in corneal shape is expected to be permanent, normal age related changes of your eyes will occur in the long term and will affect your vision. These normal age related milestones that affect your vision are primarily related to the lens inside your eye, and happen whether or not you have had PRK. These changes include the onset of presbyopia, also called dysfunctional lens syndrome, which occurs after age 40, where near tasks become more blurry, and cataracts, which generally occur after age 60, and cause blurry distance and near vision. Frequently, these age related changes can be addressed with surgical options to avoid returning to glasses or contact lenses.

After PRK it is generally safe to watch TV as soon as you feel comfortable enough to do so. Your eyes may be sensitive to light and have some discomfort in the first few days after PRK. It is important to take it easy and rest your eyes during this time. After the first few days you should be able to watch TV as long as you are not experiencing any discomfort or straining of your eyes.

The recovery period after PRK surgery can be broken down into two stages: the healing phase and the vision improvement phase. The healing phase typically lasts a few days and is characterized by the regeneration of the epithelium (top layer of the cornea). The vision improvement phase, on the other hand, can take several weeks, and during this time, your vision will fluctuate and gradually improve. Most people are able to drive within about one week of having PRK done. Following your doctor’s instructions carefully is the key to efficient recovery. This includes using any prescribed eye drops or artificial tears, avoiding rubbing your eyes, and wearing protective eyewear as instructed. By doing so, you can help ensure that your eyes heal properly and that you achieve the best possible visual outcome.

PRK (photorefractive keratectomy) and LASIK (laser-assisted in situ keratomileusis) are similar procedures; both use the same laser (an excimer laser) to reshape the cornea and improve vision. In PRK, the surgeon removes the top cell layer (epithelium) and then uses an excimer laser to reshape the underlying corneal tissue. The epithelium then regrows over the reshaped cornea. In LASIK, these cells are not removed. Instead, the surgeon creates a thin flap in the cornea, lifts the flap, and then uses an excimer laser to reshape the underlying cornea. The flap is then repositioned and adheres to the underlying cornea without the need for sutures.

LASIK typically has a shorter recovery time and less discomfort than PRK, but it may not be suitable for people with certain eye conditions or occupations that increase the risk of eye trauma. PRK, on the other hand, may be a better option for people with thinner corneas and it does not carry the risk of flap complications associated with LASIK. Ultimately, the choice between PRK and LASIK depends on individual factors to optimize the outcome.

The time it takes for you to be able to drive after PRK varies depending on several factors, including your individual healing process. Generally, it’s recommended to wait at least 4 to 5 days after PRK surgery before driving, as your vision may be blurry or hazy during the first few days of recovery. In general, at CLEI, we perform your PRK procedure on a Thursday, so that you have the weekend for visual recovery.

In general, PRK can be repeated if necessary. The healing process can take several months, and during that time, your doctor will monitor your vision and check for any complications. It’s important to note that not everyone is a good candidate for a second PRK procedure. The decision to undergo a second PRK surgery will depend on various individual factors.

Yes, PRK can correct astigmatism. It is important to note that not all cases of astigmatism can be corrected with PRK, and the success of the procedure depends on various factors such as the severity and type of astigmatism, the thickness of the cornea, and the overall health of the eyes. At CLEI, we will perform a comprehensive eye exam, with the most advanced equipment to help determine if PRK is the right option for you.

Everyone’s post-operative experience with PRK is different. Some people may experience little to no discomfort after the procedure, while others may find it more uncomfortable. Typically, discomfort or pain during the recovery period lasts a few days. After the surgery your eyes may feel gritty, scratchy, or like there is something in them. You may also experience tearing and light sensitivity. These sensations can generally be managed with over-the-counter pain medications, such as acetaminophen or ibuprofen, and rest.

EVO ICL

The EVO ICL is a soft, thin, biocompatible lens that is safely and gently placed inside your eye to correct nearsightedness and astigmatism. Although it is often called the Implantable Contact Lens, ICL officially stands for Implantable Collamer Lens. The EVO ICL procedure was FDA-approved in the United States in March of 2022. This technology has been available for many years internationally, and over a million EVO ICL’s have already been performed outside the US. Here at CLEI, we are excited to offer the EVO ICL to our patients. Our expert refractive surgeons have been placing the EVO ICL with excellent results. To see if you are a candidate for the EVO ICL contact us for a complimentary consultation.

What Does EVO ICL treat?

Nearsightedness
Astigmatism

EVO ICL Procedure Time:

20 minutes

Recovery Time:

24-48 hours

Where is the procedure done?

Same Day Surgery Center

Book A Complimentary EVO ICL Appointment

The EVO ICL is an additive technology that corrects vision without removing any corneal tissue. The ICL can be safely placed in many patients, including those who are not candidates for LASIK because of a cornea that may be too thin or a prescription that may be too high for adequate laser correction. No maintenance is required for the lens, and it is intended to remain in place as long as you are satisfied with your vision. If at any point your vision changes or you wish to have the EVO ICL removed, this can be done easily, making the procedure reversible with minimal to no side effects

The EVO procedure was FDA approved in the United States in March of 2022. Over a million EVO ICL’s have already been performed outside the US, and we are excited at CLEI to have the opportunity to offer the EVO ICL to our patients in the US. The EVO ICL is designed with fenestrations in the lens itself to maintain the natural flow of fluid in the eye. With the EVO ICL, you will no longer require peripheral iridotomies (laser holes created in the iris tissue) before the ICL procedure.

EVO+ ICLs are designed with a larger optic (area to see through) within the lens. This may decrease glare and halo symptoms and further improve the quality of your vision after the ICL, particularly at night. EVO+ is not available for every glasses or contact lens prescription, but at CLEI, the EVO+ lens will be used when available for you.

This varies among patients.  In general, your uncorrected vision should be similar to your vision with glasses or contact lenses.  Studies show, similar to LASIK, over 99 percent of patients in general achieve 20/40 or better vision (vision needed to pass the driver’s test) and about 90 percent achieve 20/20 or better.  Results may be better or worse depending on a patient’s degree of refractive error.

The ICL procedure is designed to decrease your dependency on glasses and contact lenses, not necessarily eliminate them for all tasks.  For instance, some patients may need glasses for night driving or other specific tasks.  However, most patients can do most things without glasses or contact lenses after the procedure.  

In LASIK, a laser treatment is applied to the cornea to permanently reshape the cornea and reduce your need for glasses or contact lenses.  The ICL is an implantable Collamer® lens, placed in your eye in front of your natural lens to reduce your need for glasses or contact lenses.  If necessary, the ICL can be removed at any time.

Possible side effects and complications will be discussed in detail with you.  As in any kind of eye surgery, there is no guarantee of success.  In general, there are three possible side effects important to consider (although, of course, others are possible).  They include:

  • Undercorrections and overcorrections.  While we aim for the best possible vision, some patients may be undercorrected and others overcorrected.  In general, in these cases, your vision is improved but not 20/20. In some cases, the ICL can be exchanged for new lens with a different power or a laser may be used to “fine-tune“ your vision after ICL.
  • Glare/halo/double vision.  In some instances, especially at night, a patient may notice glare from lights or “ghost” images. Now with the larger ICL optic (EVO+) these symptoms are less common.
  • Increase intraocular pressure. Rarely after EVO ICL placement, your intraocular pressure may increase. This increase in pressure may necessitate the removal or exchange of the EVO lens.

Cataract.  After ICL, scar tissue may develop on the front surface of your natural lens. This scar tissue formation is very rare with the EVO ICL, but may cause a worsening of your vision over time. If your vision is affected, the ICL will be removed, and you may require cataract surgery to improve your vision.  Careful postoperative follow-up will allow any side effects and complications to be promptly identified and treated if necessary. 

The ICL is approved for patients who are 21 to 45 years old and are nearsighted or have astigmatism.  It is currently not approved for farsighted patients.  Patients with thin corneas, corneal irregularity, keratoconus, or prescriptions that are too high for laser vision correction can still benefit from the ICL to reduce their need for glasses or contact lenses. 

The procedure is performed in an outpatient surgical center.  You will be given some mild sedation by an anesthesiologist before the procedure.  During the procedure, topical numbing medications will be used so that you are comfortable throughout the procedure. There may be some scratchiness and discomfort after the procedure when the anesthesia drops wear off.  Medications are given to minimize this discomfort.

Most patients choose to have the ICL implanted in both eyes on the same day.  It is performed as two separate procedures on the same day. This can increase your time at the surgery center on the day of surgery.

After placement of the ICL we will see you back in the office for a brief exam a few hours after the procedure is done.  In general, we will then see you for a checkup on the day after your procedure, 1 weeks, 1 month, and 3 months after your procedure as well.  If necessary, a laser enhancement can be performed between the one and three-month examinations.  The examination schedule is tailored to your specific situation.

This depends on your job.  In general, ICL patients can return to work in one or two days, but the vision may fluctuate for a few weeks.  You will need to see us the day after your procedure for a follow-up examination. 

After ICL, visual improvement is usually noted the day after the procedure.  Vision will continue to improve over the first 3-5 days, and you may experience mild changes over the next weeks.  

The implantable contact lens is designed to remain in your eye forever, but if needed it can be removed at any time. Patients may have long-term changes, based on their individual aging changes but such changes are generally small compared with the original visual problem. Ten years after ICL, 87% of patients remained within 1 diopter of their original treatment.  Less than 4% of ICLs were removed over the same 10-year period. If necessary, laser vision correction retreatments usually can be performed to address small changes in your prescription.

Depending on your night vision with glasses or contact lenses before ICL placement, some patients will note improved night vision, others little change, and others worse night vision.  Testing before ICL can help to identify patients who might have night vision problems.  We may decide that you are not a good candidate or that night driving glasses, contact lenses, or laser retreatment may help the problem in your case.

The need for reading glasses is age dependent.  As you get older, the natural lens in the eye becomes less flexible and less able to focus up close.  ICL is used to improve distance vision without glasses or contact lenses.  Since it is like wearing permanent contact lenses, your reading vision after ICL will be similar to that with your contact lenses.

In general, if you currently wear reading glasses ICL is likely not the best procedure for you.  In that case we will discuss other options that will improve both your distance and reading vision.

In general, patients with keratoconus can safely have the EVO ICL procedure. In some cases, the  ICL procedure will be performed after a corneal reshaping procedure such as CTAK, topography-guided PRK, or Intacs to further correct a residual prescription in a patient with keratoconus. The visual expectations for patients with keratoconus will be provided by our surgeons during your consultation.

While EVO ICL can improve your vision, it is not designed to change your eye color. The color of your eyes is determined by the amount and type of pigments in the iris, which the EVO ICL will not affect.

Refractive Lens Exchange

In refractive lens exchange, your natural clear lens will be removed with a similar procedure to cataract surgery.  After the lens is removed, an artificial lens, called an intraocular lens (IOL) or implant, is placed within the remaining membrane (or bag) of the original natural lens. There are different styles of IOL’s, many of which can correct distance, computer, and reading vision.

Candidates for refractive lens exchange are generally older than 40 years of age when one requires glasses to read, work on the computer, and possibly for distance as well.  In some cases, patients have a prescription that is not ideally treated with blended vision LASIK.  This procedure is performed one eye and a time in an ambulatory surgery center.  Surgery on the second eye is usually performed two weeks after the first eye is complete. The amount of time it takes to see an improvement in vision varies. Most patients see better and can return to work within a few days.

What Does RLE treat?

Nearsighted
Farsighted
Astigmatism
Reading Vision

RLE Procedure Time:

20 mins

Recovery Time:

24-48 hours

Where is the procedure done?

Same Day Surgery Center

Find Out If You Are a RLE Candidate

Refractive Lens Exchange (RLE) is a surgical procedure that replaces the natural lens of the eye with an intraocular lens (IOL) implant to correct refractive errors. The IOL is carefully selected for each patient to correct nearsightedness, farsightedness, astigmatism, and even presbyopia (near vision). Using a femtosecond laser during RLE can improve accuracy and visual outcomes. Overall, RLE is an effective option to improve vision, particularly for patients who need both distance and near correction.

RLE is intended to be a permanent solution to correct refractive errors. However, it’s important to remember that even with the IOL in place, the eye will continue to change with age, and other ocular conditions may arise which impact vision over time. After RLE, it is important to continue to go for annual eye exams to examine the general health of the eye. If you previously had RLE and you have noticed a decrease in your distance or near vision since surgery, you may be a candidate for an enhancement procedure.

RLE surgery is a safe and effective way to correct your vision, but like any surgical procedure it carries some risks. Possible side effects and complications will be discussed in detail with you. As in any kind of eye surgery, there is no guarantee of success. In general, there are three possible side effects important to consider (although, of course, others are possible). They include:

  • Undercorrections and overcorrections. While we aim for the best possible vision, some patients may be undercorrected and others overcorrected. In general, in these cases, your vision is improved but not 20/20. In some cases, the IOL can be exchanged for a new lens with a different power or a laser may be used to “fine-tune“ your vision after RLE.
  • Glare/halo/double vision. In some instances, especially at night, a patient may notice glare from lights or “ghost” images.
  • Increase intraocular pressure. Rarely after RLE your intraocular pressure may increase. This increase in pressure may necessitate treatment. Generally, this treatment is only required for a brief period of time, but rarely this treatment could be required permanently.

Possible rare complications of RLE surgery include infection, bleeding, inflammation, and retinal detachment.

Yes, undergoing RLE surgery after having LASIK is a viable option and may be suggested for individuals who have already maximized the amount of correction possible through LASIK, or for those who are experiencing age-related vision changes such as presbyopia or dysfunctional lens syndrome, which can impact their ability to see things up close. Having an experienced surgeon is crucial because the procedure requires more intricate planning for patients who have undergone LASIK, and the choice of the appropriate IOL can have a significant impact on the final result.

Vision correction options for children and teens include non-surgical treatments. LASIK and PRK for kids and teens is not typically recommended as their eyes are still developing. Alternative options include Ortho-K, a form of specialty contact lens treatment, and myopia management, which uses a combination of glasses, contact lenses, and/or atropine eye drops to slow the progression of nearsightedness.

More on Ortho-K Contact lenses and Myopia Management

High-Performance Visual Needs 

We have been the team doctors for the New York Jets for over 20 years, and have corrected the vision of countless professional athletes from multiple NFL, NBA, MLB, and NHL teams. Additionally, we have corrected the vision of numerous commercial airline pilots, military personnel, and first responders who needed to eliminate glasses and contact lens wear.

How Much Does LASIK Cost?

The cost of LASIK surgery or vision correction procedures may be more economical than the recurring costs of glasses and contact lenses over time. Use our calculator to compare vision correction costs:

Average Lifetime Cost of Wearing Glasses/Lenses
*Based on average US lifespan 79years and $100 yearly accessories

Contact CLEI for LASIK and Vision Eye Surgery Cost

Our financial counselors will review all financing options with you during the complimentary consultation.

See What Our Patients Have To Say

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How Does Our Vision Correction Process Work?

1. Consultation

During your initial complimentary consultation, we discuss your candidacy for vision correction surgery and the options that may be right for you. You will meet our expert team, who will explain the different procedures, timelines, financials, and answer any questions you may have. This can be done via video conference from the comfort of your own home, but we highly suggest visiting our office to understand the difference in experience and expertise from other centers.

Step 2: Examination

This eye examination is an in-depth evaluation of your eyes and vision, utilizing the most advanced instrumentation available. We are sure that this will be the most thorough eye exam you have ever had. This exam will provide us with all the data necessary to create a custom surgical plan for your eyes to achieve your visual goals. 

Step 3: Procedure

Everyone’s procedure day will look a little different depending on the surgical plan and procedure being performed. We recommend that you plan to be at our center for 2 to 3 hours on the day of surgery. We always do final measurements before your procedure (our “triple check” before surgery). We will review all of your instructions for after surgery and answer any final questions that you have. Generally, your procedure will take less than 30 minutes, and you will take a mild calming medication by mouth beforehand. After your surgery is complete, you will rest in our office, and your surgeon will examine your eyes before you return home to rest.

4. Aftercare

Aftercare for all procedures is important to ensure proper healing. Although vision is often improved immediately after your procedure, the healing process will take a few days. Our doctors will examine you the day after your procedure and approximately 1 week later. You will need to take eye drops at home for one to four weeks, depending on which procedure was performed. Though your vision will generally be good at the 1-2 week mark, it will continue to improve, typically reaching its peak performance between 1 month and 3 months after surgery.

Step 5: Longterm

Once your vision has been corrected, it is important to maintain routine care with your primary eye care provider as eye diseases, affecting your vision, can still develop throughout your life. Over time your vision will go through natural processes and changes, such as presbyopia and cataract formation. As you reach these different age-related milestones, our expert team is here to address your new visual needs throughout your lifetime. 

Our Commitment to Your Vision

At the Cornea & Laser Institute, we are committed to helping you through your entire journey of vision correction. On occasion, after your initial procedure, your vision may be slightly under or over corrected. This can happen in the healing phase and frequently will resolve without any further intervention. In some cases, if this residual correction does not resolve after a few months, we will perform a laser enhancement to further improve your vision. 

General Vision Correction FAQ’s

The clarity of your vision is dependent on 3 main parts of the eye, the cornea, the crystalline lens, and the retina. The curvature of the cornea and the shape of the crystalline lens are variable from person to person, and this is what determines the focus of the eye. You can think of the cornea and crystalline lens like lenses in a camera, each contributes to the focus of the eye. 

When an individual is nearsighted (myopia or myopic) or farsighted (hyperopia or hyperopic), the focus is off and the vision is blurry. To improve the vision we must adjust the focus. 

This can be done by wearing glasses or contact lenses, changing the cornea’s curvature through surgical and non surgical treatments, such as LASIK, PRK, and orthokeratology, or adjusting the power of the lens with surgeries such as the EVO ICL, and RLE.

In some cases, vision is blurry due to disease of the cornea or crystalline lens. Diseases of the cornea may affect the corneal shape, such as keratoconus, or the corneal clarity, such as a scar or cornea swelling. In other cases it is due to the clarity  lens, such as a cataract.

Another cause of blurry vision is retinal disease. The retina is similar to a movie screen. If the screen is damaged changing the focus of the projector will not improve the image. Similarly, if the retina is damaged, changing the focus of the cornea or the lens will not correct your blurry vision. Here at CLEI, our skilled team will perform an in depth evaluation of your eye, including your cornea, lens, and retina to determine if you are a candidate for vision correction surgery, and if so, whether a cornea or lens based procedure is right for you. Just as importantly, if a procedure is not indicated, such as in certain cases of retinal disease, we will advise accordingly.

Generally, refractive surgery is uneventful and healing occurs as expected. Our surgeons are meticulous. They will use the information collected from your advanced eye exams to customize a treatment plan for your eyes, and to minimize the possibility of complications during surgery and throughout the healing process. Despite our best efforts, on rare occasions, complications, such as infections, scarring, flap related events, dry eyes, corneal neuropathy, double vision and corneal ectasia can happen. Should a complication occur, rest assured you are in expert hands. You will be managed by our team of experienced refractive and corneal surgeons who are prepared for any situation which may arise. In fact, our experience makes us a complication referral center from refractive surgeons around the world. 

Our New Jersey expert eye surgeons and Laser Eye Specialist will examine your eyes and clearly explain the options which are best suited for your eyes. You can be sure that at CLEI you will be tested using state of the art equipment by the top eye specialists and will receive the best care.

Technology moves quickly. To ensure we are on the cutting edge, we embrace the most modern laser technology available. At the Cornea and Laser Eye Institute, we are the first in the US to have the latest generation Ziemer LDV8 Neo femtosecond laser for this part of the procedure.This LDV8 Neo is a low energy laser which uses millions of overlapping spots to create the corneal flap. The Ziemer Femtosecond laser uniquely works in the nanojoule (very low energy) range which results in extremely precise and predictable laser cuts, limiting the collateral damage to the surrounding corneal tissue and thereby causing less corneal inflammation.  

Our center uses the ALCON/Wavelight EX500 laser, the latest in excimer laser technology. This uses a self aiming, small spot (“flying spot”) laser system.  Wavelight combines both eye tracking and small beam corneal shaping. The built-in eye tracker automatically follows any eye movement during the laser procedure. This laser also uses a unique iris registration system to account for cyclotorsion (turning of the eye) when you lay down under the laser. These features allow the system to more accurately aim the laser beam and correct for any movement of the eye during the procedure.

Older excimer laser systems may leave the eye with increased spherical aberration, which may degrade the quality of vision, especially at night.  Our Wavelight laser adjusts the treatment to minimize optical aberrations, with the goal of improving vision quality both during the day and at night.  In addition, for select cases we can also use a completely customized approach called Topography-Guided or Contoura® laser vision correction. This uses your unique corneal topography maps to guide the laser treatment.      

We are located adjacent to a Marriott hotel and The Hampton Suites.  We can also arrange for transportation. In addition, we work closely with doctors throughout New Jersey, the United States, and overseas who would be able to perform some of your checkups closer to home.

Of course! As leaders and experts in the field, we are referred cases from all over the US from other eye care practitioners including complicated cases.

If you have further questions, you can ask us directly.

Clear vision is priceless, and a vision correction procedure offers a significant improvement in your quality of life. The ability to wake up, see, and to do the activities you love without the burden of glasses or contact lenses is invaluable. 

At the same time, you might be surprised that in many cases your investment in vision correction surgery can also be the most economical one. If you currently wear glasses and contact lenses, you know that the cost of appointments and the actual lenses and frames are recurring and add up over your lifetime. With eye corrective surgery, the cost is a one time investment that provides your desired result for a lifetime.

LASIK Surgery

LASIK (laser in situ keratomileusis) is the most popular eye laser surgery that uses lasers to reshape the cornea and correct your vision.

At the Cornea & Laser Eye Institute in New Jersey, we perform the most advanced LASIK Laser Eye Surgery procedures to ensure the safest outcome with the best results possible.  The LASIK procedure takes just one minute per eye and most patients can return to work the next day. CLEI’s professional eye surgeons expertise can offer  a vision correction solution for almost every case. Schedule a laser eye surgery appointment to find out how we can fix your vision.

What Does LASIK treat?

Nearsighted (Myopia)
Farsighted (Hyperopia)
Astigmatism
Reading Vision

LASIK Procedure Time:

20 mins

Recovery Time:

20 mins

Where is the procedure done?

In Office Laser Suite

Book A Complimentary LASIK Consultation

LASIK eye surgery is a safe and effective procedure when performed by a skilled surgeon. Ultimately, the best way to decide whether or not you want to undergo this procedure is to do your research and talk with your doctor about any concerns or questions you may have. Our Doctors have performed thousands of LASIK surgeries including some of the most complicated cases nationally with highest success rates.

Most patients who undergo LASIK eye surgery are 21 years old or older (as the eye is reaching ocular maturity). In some cases, LASIK can be performed in patients as young as 18 years old.

LASIK works by optimizing your corneal shape to correct your vision. This corneal shape change is permanent however your eyes, like the rest of your body, will continue to undergo normal aging changes and these aging changes will affect your vision. The normal age related milestones that affect your vision are primarily related to the lens inside your eye. These changes are the onset of presbyopia, also called dysfunctional lens syndrome, which occurs after age 40, where near tasks become more blurry and cataracts, which generally occur after 60, which cause blurry vision. All normal aging changes can be addressed with surgical options so you don’t have to return to glasses or contact lenses. 

Laser vision correction without preparation of a LASIK flap goes by a number of names – LASEK (laser epithelial keratomileusis), surface LASIK, epithelial LASIK, epi-LASIK, or Advanced Surface Ablation, ASA).

Although LASEK and LASIK sound the same, unlike traditional LASIK, LASEK does not require the preparation of a corneal flap. (LINK TO LASEK PAGE).

No, LASIK eye surgery does not hurt. Most people who have undergone LASIK say that it feels more like a gentle pressure than any kind of real pain. This is because the laser used during the procedure works very fast and precisely to remove a small amount of corneal tissue from the surface of your eye. Some mild discomfort may be experienced after undergoing LASIK, but most patients report experiencing no lasting side effects or long-term pain after their procedures.

The short answer to this question is no – LASIK eye surgery is typically not covered by insurance. This is because LASIK eye surgery, which involves the use of lasers to reshape the surface of the cornea in order to correct vision problems such as nearsightedness and farsightedness, is considered to be a cosmetic procedure rather than a medical one. While there are some exceptions, such as for people who suffer from vision-related disabilities that significantly impair their ability to work or perform other daily tasks, most individuals must pay for the cost of LASIK surgery out of pocket.

There are 2 generally seen side effects immediately after LASIK. First, your eyes may feel dry. Typically, these sensations are mild and are treated with artificial tear drops and resolve over several weeks.  However, dry eye sensations can last in some patients.

Second, you will notice a glare/halo around lights at night early after the procedure. These, too, tend to resolve over the first few days or weeks after the procedure. They can last in a few patients; normally these symptoms can be helped with re-treatment if necessary. Furthermore, older patients, 40 years and older, may require reading glasses after the procedure.

There are also more severe complications that can occur with LASIK, as with all eye surgeries. Although rare, these will be discussed in depth before your procedure.

Rest assured, though, today’s LASIK procedures at the Cornea and Laser Eye Institute in New Jersey are very safe and we do everything to safeguard your outcome from preoperative analysis to meticulous surgery, to careful postoperative care.

Advanced Surface Ablation (PRK/LASEK)

PRK, an alternative laser procedure may be better suited for your eye. For patients with thin corneas or high glasses prescriptions, PRK (photorefractive keratectomy) and LASEK (or epithelial LASIK), both also known as advanced surface ablation (ASA), use the same laser technology but don’t require the corneal flap made in LASIK. Since laser treatment is done on the surface of the cornea, LASEK/PRK preserves more corneal tissue. Studies that we have published show that the expected results are the same in LASIK and LASEK/PRK. At CLEI our top NJ PRK specialists have successfully restore vision to thousand of patients using PRK.

What Does PRK treat?

Nearsighted (Myopia)
Farsighted (Distance Vision)
Astigmatism
Reading Vision

PRK Procedure Time:

20 mins

Recovery Time:

Where is the procedure done?

In Office Laser Suite

Get a Free PRK Consultation

PRK, like LASIK, permanently changes the shape of your cornea to correct your vision. Normal age related changes of your eyes will occur in the long term and will affect your vision. These changes typically are related to a separate part of your eye called the crystalline lens, which is a small flexible collagen structure responsible for your ability to focus on things that are close to you. As you age this will lose flexibility and clarity over time and will affect your vision. These are normal expected changes and they can be addressed with other surgical procedures.

You can watch TV after PRK. Your vision on day one will be blurry and your eye may be uncomfortable. As you continue to heal you will be  

Yes PRK can correct astigmatism.

EVO ICL

The EVO ICL is a soft, thin, biocompatible lens that is safely and gently placed inside your eye to correct nearsightedness and astigmatism. Although it is often called the Implantable Contact Lens, ICL officially stands for Implantable Collamer Lens.The EVO ICL procedure was FDA-approved in the United States in March of 2022. This technology has been available for many years internationally, and over a million EVO ICL’s have already been performed outside the US. Here at CLEI  we are excited to offer the EVO ICL for our patients. Our expert refractive surgeons have been placing the EVO ICL with excellent results. To see if you are a candidate for the EVO ICL contact us for a complimentary consultation.

What Does EVO ICL treat?

Nearsightedness
Astigmatism

EVO ICL Procedure Time:

20 minutes

Recovery Time:

24-48 hours

Where is the procedure done?

Same Day Surgery Center

Book Your Free EVO ICL Appointment

The EVO ICL is a soft, thin, biocompatible lens that is gently placed inside your eye to correct nearsightedness and astigmatism.  With the EVO ICL your vision will be corrected without removing any corneal tissue. 

The ICL can be safely placed in many different cases. This includes people who are not candidates for LASIK, such as those with high nearsighted prescriptions or with corneas which are too thin for adequate laser correction. No maintenance is required for the lens, and it is intended to remain in place as long as you are satisfied with your vision.

Additionally, the EVO ICL is reversible. If at any point your vision changes or you wish to have the EVO ICL removed, this can be done with a short removal procedure.

The EVO procedure was FDA approved in the United States in March of 2022. Over a million EVO ICL’s have already been performed outside the US, and we are excited at CLEI to have the opportunity to offer the EVO ICL to our patients in the US. The EVO ICL is designed with fenestrations in the lens itself to maintain the natural flow of fluid in the eye. With the EVO ICL, you will no longer require peripheral iridotomies (laser holes created in the iris tissue) before the ICL procedure.

EVO+ ICLs are designed with a larger optic (area to see through) within the lens. This may decrease glare and halo symptoms and further improve the quality of your vision after the ICL, particularly at night. EVO+ is not available for every glasses or contact lens prescription, but at CLEI, the EVO+ lens will be used when available for you.

This varies among patients.  In general, your uncorrected vision should be similar to your vision with glasses or contact lenses.  Studies show, similar to LASIK, over 99 percent of patients in general achieve 20/40 or better vision (vision needed to pass the driver’s test) and about 90 percent achieve 20/20 or better.  Results may be better or worse depending on a patient’s degree of refractive error.

The ICL procedure is designed to decrease your dependency on glasses and contact lenses, not necessarily eliminate them for all tasks.  For instance, some patients may need glasses for night driving or other specific tasks.  However, most patients can do most things without glasses or contact lenses after the procedure.  

In LASIK, a laser treatment is applied to the cornea to permanently reshape the cornea and reduce your need for glasses or contact lenses.  The ICL is an implantable Collamer® lens, placed in your eye in front of your natural lens to reduce your need for glasses or contact lenses.  If necessary, the ICL can be removed at any time.

Possible side effects and complications will be discussed in detail with you.  As in any kind of eye surgery, there is no guarantee of success.  In general, there are three possible side effects important to consider (although, of course, others are possible).  They include:

  • Undercorrections and overcorrections.  While we aim for the best possible vision, some patients may be undercorrected and others overcorrected.  In general, in these cases, your vision is improved but not 20/20. In some cases, the ICL can be exchanged for new lens with a different power or a laser may be used to “fine-tune“ your vision after ICL.
  • Glare/halo/double vision.  In some instances, especially at night, a patient may notice glare from lights or “ghost” images. Now with the larger ICL optic (EVO+) these symptoms are less common.
  • Increase intraocular pressure. Rarely after EVO ICL placement, your intraocular pressure may increase. This increase in pressure may necessitate the removal or exchange of the EVO lens.

Cataract.  After ICL, scar tissue may develop on the front surface of your natural lens. This scar tissue formation is very rare with the EVO ICL, but may cause a worsening of your vision over time. If your vision is affected, the ICL will be removed, and you may require cataract surgery to improve your vision.  Careful postoperative follow-up will allow any side effects and complications to be promptly identified and treated if necessary. 

The ICL is approved for patients who are 21 to 45 years old and are nearsighted or have astigmatism.  It is currently not approved for farsighted patients.  Patients with thin corneas, corneal irregularity, keratoconus, or prescriptions that are too high for laser vision correction can still benefit from the ICL to reduce their need for glasses or contact lenses. 

The procedure is performed in an outpatient surgical center.  You will be given some mild sedation by an anesthesiologist before the procedure.  During the procedure, topical numbing medications will be used so that you are comfortable throughout the procedure. There may be some scratchiness and discomfort after the procedure when the anesthesia drops wear off.  Medications are given to minimize this discomfort.

Most patients choose to have the ICL implanted in both eyes on the same day.  It is performed as two separate procedures on the same day. This can increase your time at the surgery center on the day of surgery.

After placement of the ICL we will see you back in the office for a brief exam a few hours after the procedure is done.  In general, we will then see you for a checkup on the day after your procedure, 1 weeks, 1 month, and 3 months after your procedure as well.  If necessary, a laser enhancement can be performed between the one and three-month examinations.  The examination schedule is tailored to your specific situation.

This depends on your job.  In general, ICL patients can return to work in one or two days, but the vision may fluctuate for a few weeks.  You will need to see us the day after your procedure for a follow-up examination. 

After ICL, visual improvement is usually noted the day after the procedure.  Vision will continue to improve over the first 3-5 days, and you may experience mild changes over the next weeks.  

The implantable contact lens is designed to remain in your eye forever, but if needed it can be removed at any time. Patients may have long-term changes, based on their individual aging changes but such changes are generally small compared with the original visual problem. Ten years after ICL, 87% of patients remained within 1 diopter of their original treatment.  Less than 4% of ICLs were removed over the same 10-year period. If necessary, laser vision correction retreatments usually can be performed to address small changes in your prescription.

Depending on your night vision with glasses or contact lenses before ICL placement, some patients will note improved night vision, others little change, and others worse night vision.  Testing before ICL can help to identify patients who might have night vision problems.  We may decide that you are not a good candidate or that night driving glasses, contact lenses, or laser retreatment may help the problem in your case.

The need for reading glasses is age dependent.  As you get older, the natural lens in the eye becomes less flexible and less able to focus up close.  ICL is used to improve distance vision without glasses or contact lenses.  Since it is like wearing permanent contact lenses, your reading vision after ICL will be similar to that with your contact lenses.

In general, if you currently wear reading glasses ICL is likely not the best procedure for you.  In that case we will discuss other options that will improve both your distance and reading vision.

In general, patients with keratoconus can safely have the EVO ICL procedure. In some cases, the  ICL procedure will be performed after a corneal reshaping procedure such as CTAK, topography-guided PRK, or Intacs to further correct a residual prescription in a patient with keratoconus. The visual expectations for patients with keratoconus will be provided by our surgeons during your consultation.

Refractive Lens Exchange

In refractive lens exchange, your natural clear lens will be removed with a similar procedure to cataract surgery.  After the lens is removed, an artificial lens, called an intraocular lens (IOL) or implant, is placed within the remaining membrane (or bag) of the original natural lens. There are different styles of IOL’s, many of which can correct distance, computer, and reading vision.

Candidates for refractive lens exchange are generally older than 40 years of age when one requires glasses to read, work on the computer, and possibly for distance as well.  In some cases, patients have a prescription that is not ideally treated with blended vision LASIK.  This procedure is performed one eye and a time in an ambulatory surgery center.  Surgery on the second eye is usually performed two weeks after the first eye is complete. The amount of time it takes to see an improvement in vision varies. Most patients see better and can return to work within a few days.

What Does RLE treat?

Nearsighted
Farsighted
Astigmatism
Reading Vision

RLE Procedure Time:

20 mins

Recovery Time:

24-48 hours

Where is the procedure done?

Same Day Surgery Center

Find Out If You Are a RLE Candidate

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