What is SMILE?
SMILE is the latest technique in laser vision correction. It is a revolutionary technique that changes the way we operate on the eye and that provides higher precision as well as higher comfort to the patient.
If SMILE is new, how do you know if it is safe?
Over a million people have already done SMILE now with amazing results. It is practiced worldwide and over 1000 surgeons are currently using the SMILE technique as their first choice… And the number is growing!
What is the difference between SMILE and other laser treatments?
There are several differences both in terms of aftercare and also during the SMILE procedure. The treatment is much less invasive than other treatments and it is done in one single process, thereby saving time and increasing comfort for the surgeon and patient alike.
Because of using one step and as minimal a cut as possible, the eye will remain more intact and provide better post-op stability, much lower incidence of transient dry eye syndrome and lessen the risk for infection and other post-op complications with its overall fast healing.
Who can do SMILE?
If you have astigmatism and/or myopia, you could be a candidate. The first step is always to do an evaluation to find out what treatment would best suit your eyes and needs. You might be surprised by your options today!
When can I go back to work after a SMILE procedure?
With SMILE, you can go back to work the very next day!
Are there risks with SMILE or any eye treatment offered by Aveny?
Like all surgical procedures, no intervention is free of risks and side effects. Your physician can explain all potential risks to you and decides whether you are eligible for surgery. To learn more about possible side effects, we suggest this link for Zeiss, the international leader in the fields of optics and optoelectronics.
How long does RLE last?
RLE is a permanent solution, however, it does not prevent other changes or illnesses that may occur in the eye of age.
What are the most common side effects after a lens change?
After a lens replacement operation with multifocal lenses, it is common to see light rings and reflexes around light sources in the evening. These side effects are usually less over time. The need for extra light when reading can also increase after a lens change. It can be remedied with better light or reading glasses in extra refractive situations.
How long after my surgery do I need to stay at home before going back to work?
You can go back to work the day after. Most people can even drive to work the day after. However, this is individual and does not apply to everyone. It’s important to take good care of your unique needs, and that’s what we are here for.
Does it hurt?
No- RLE does not hurt. You might experience some minor discomfort for a few hours after surgery, and you will probably want to rest, but that is all.
Why is RLE so expensive?
It might sound like a large number to start with. However, our mission to keep up the high level of expertise and the most advanced equipment to reduce risk as much as possible makes the pricing necessary. However, we know that glasses and contacts usually add up each year. That means that after a few years, you really are just about equal on the expense. The difference is that after RLE, you have the freedom of living your life without contacts and glasses!
You have a lot of different laser-treatments to choose between. How do I know which one to choose?
When you come to us for your eye evaluation, the optician and surgeon will exam your eye thoroughly to determine what treatment best serves your eye. Therefore, you don´t have to worry. The best treatment will be chosen for you!
Why are you more expensive than other clinics?
We are proud to have the most skilled surgeons, the best equipment, and the most comprehensive services possible. This comes with a cost, which we believe is worth it to provide you with the service you deserve.
How do I know if I am treatable?
We can treat all refractive errors; however, we cannot treat all eyes. Therefore, you will always have to start with an evaluation to see if and what treatment best suits you.
Are there any risks?
There is always risk when it comes to surgery, such as infection and inflammation. However, the risks are very small. At your evaluation appointment, the risks and side effects are carefully considered when determining your treatment options. These will be examined thoroughly, together with your optician and the surgeon, and you will have the chance to discuss everything in great detail with your Personal Care Coordinator’s guidance.
What is a cataract?
Cataract, as it is called in medical terms, means that the eye’s natural lens is clouded.
As the cataracts increase, vision progression usually decreases as the lens becomes more opaque.
Why do you get cataracts?
Cataracts occur at all ages, but occur more frequently with age. Studies show that more than half of all people over the age of 65 have cataracts.
The reasons why older people get cataracts are still not fully known.
There are, however, some factors that we know affect, for example,
– If the eye has been exposed to too much of the sun’s ultraviolet light
– As a result of a disease eg diabetes or rainbow inflammation
– Vitamin deficiency and malnutrition
How do you know if you have cataracts?
Usually you will notice a visual impairment that has occurred recently, in the last year or months. Some of the most common symptoms are:
– Your vision is getting blurry and worsening rapidly
– You may see distorted light (eg when driving in darkness)
– General difficulty with vision
– You have more difficulty assessing distances (eg at sidewalks)
I have been with an ophthalmologist who found that I have cataracts. What happens now?
Surgery is the only effective treatment for cataracts.
Before surgery, the eye will be rechecked. You will measure the length of the eye using laser (or ultrasound depending on how dense the cataracts are) to calculate the strength of the artificial lens.
During surgery you will receive local anesthesia with eye drops. The cloudy lens is divided into pieces by means of ultrasound which is then “eaten” through the pupil through a small incision in the cornea. Then the artificial lens is inserted. The operation usually takes about 20 minutes and you can go home the same day.
When should you apply for cataract surgery?
If you suspect that you have a cataract, consult an optician or ophthalmologist.
Previously, one had to wait until the cataracts “matured” before operating,
However, thanks to the medical development of the operating method and the medical technology equipment, one can now operate upon the eye as soon as the patient experiences visual impairment and affects daily life.
Why is laser treatment sometimes needed following cataract surgery?
There is a risk of developing posterior lens capsule opacification (PCO) following your cataract surgery. PCO is a complication that causes the back of the lens capsule (which holds your artificial lens in place) to thicken which causes cloudy vision. If this happens you may need to have laser treatment to make vision clear again.
Posterior lens capsule opacification is fairly common and once it has been treated does not normally cause any long term problems with your sight.
There is no risk for recurrence of PCO after Laser treatment.
The procedure to treat posterior lens capsule opacification (PCO) is a painless process which is usually done in an outpatient clinic, and normally takes about 15 minutes.
How is the vision after a cataract surgery?
After surgery, you can still experience some blurred vision. Colors can often be experienced a bit bluer. It is very common for it to feel uncomfortable for up to a couple of weeks afterwards. The eye may also be red and irritated. A recommendation may be teardrop drops, which often help.
A time after surgery, usually about 6 weeks, you may need to try out new glasses, in addition to the new lens. Do this with your optician. People, usually younger, who, before surgery, were able to switch between distant and near vision, lose that ability and need to get reading glasses.
Do you have to go to an optician and get glasses after a cataract surgery?
As you grow older and the natural lens becomes stiffer, the eye loses its ability to adjust from long to short distances, which means you need reading glasses. In conjunction with the cataract operation, one can achieve good near and distance vision by selecting a multifocal lens. There are also lenses that can correct refraction errors and you should be informed about this before your surgery. These lenses are rarely funded by the county council, but in some cases one can pay the difference between a standard lens and cataract surgery.
I had surgery a few months ago and have started to have blurry vision again. Has my cataract come back?
Cataracts are completely cured with an operation and can not be returned.
A common cause of blurred vision after a cataract surgery is PCO (Posterior capsule opacification). PCO is usually noticeable from a few months up to a few years after surgery and can be easily and painlessly removed by laser. Contact your ophthalmologist.
What testing equipment is used for the eye examination?
Visual Field Test
A visual field test is an eye examination that can detect dysfunction in central and peripheral vision which may be caused by various medical conditions such as glaucoma, stroke, pituitary disease, brain tumours or other neurological deficits. Visual field testing can be performed clinically by keeping the subject’s gaze fixed while presenting objects at various places within their visual field. Simple manual equipment can be used such as in the tangent screen test or the Amsler grid. When dedicated machinery is used it is called a perimeter.
Optical coherence tomography (OCT) is a non-invasive imaging test. OCT uses light waves to take cross-section pictures of your retina. These measurements help with diagnosis. They also provide treatment guidance for glaucoma and diseases of the retina. These retinal diseases include age-related macular degeneration (AMD) and diabetic eye disease.
To prepare you for an OCT exam, your ophthalmologist may put dilating eye drops in your eyes. These drops widen your pupil and make it easier to examine the retina.
You will sit in front of the OCT machine and rest your head on a support to keep it motionless. The equipment will then scan your eye without touching it. Scanning takes about 5 – 10 minutes. If your eyes were dilated, they may be sensitive to light for several hours after the exam.
Corneal topography, also known as photokeratoscopy or videokeratography, is a non-invasive medical imaging technique for mapping the surface curvature of the cornea, the outer structure of the eye. Since the cornea is normally responsible for some 70% of the eye’s refractive power, its topography is of critical importance in determining the quality of vision and corneal health.
The three-dimensional map is therefore a valuable aid to the examining ophthalmologist or optometrist and can assist in the diagnosis and treatment of a number of conditions; in planning cataract surgery and intraocular lens (IOL) implantation (plano or toric IOLs); in planning refractive surgery such as LASIK, and evaluating its results; or in assessing the fit of contact lenses. A development of corneal topography extends the measurement range from the four points a few millimeters apart that is offered by keratometry to a grid of thousands of points covering the entire cornea.
The procedure is carried out in seconds and is completely painless.
Endothelial Cell Camera
With this equipment you can take a picture from the inner part of the cornea and you can analyze the pictures and measure the amount and the shape of the cells.
In some corneal endothel diseases you need to have this information before the surgery or for following up of the diseaese.
It is non-invasive, non-contact method and easy and comfortable to the patients and it takes only a few minutes to take that.
The A-scan provides data on the length of the eye, which is a major determinant in common sight disorders. The most common use of the A-scan is to determine eye length for calculation of intraocular lens power. Briefly, the total refractive power of the emmetropic eye is approximately 60. Of this power, the cornea provides roughly 40 diopters, and the crystalline lens 20 diopters. When a cataract is removed, the lens is replaced by an artificial lens implant. By measuring both the length of the eye (A-scan) and the power of the cornea (keratometry), a simple formula can be used to calculate the power of the intraocular lens needed.
B-scan Ultrasonography, often called just B-scan or Brightness scan, offers two-dimensional cross-sectional view of the eye as well as the orbit. A. B-scan is used on the outside of the closed eyelid to view the eye. This type of diagnostic tool is most helpful when there is difficulty examining the eye normally. There might be lid problems that make a routine examination difficult like edema or tarsorrhaphy or severe cataracts and keratoprosthesis. A B-scan can help accurately view other eye structures like the lens, choroid, sclera, vitreous and retina. A B-scan is helpful in diagnosing retinal detachment. A B-scan is often a tool combined with an A-scan to help determine various eye abnormalities.
What are PCO, SLT and DRP?
PCO ( Secondary Cataract ) – a side effect or condition related to RLE that is easy to treat
Posterior capsule opacification (PCO) is a fairly common complication of cataract surgery. Sometimes you can develop a thickening of the back (posterior) of the lens capsule which holds your artificial lens in place.
This thickening of the capsule causes your vision to become cloudy. If this happens you may need to have laser treatment to make vision clear again. Once you have had the laser treatment for PCO it doesn’t normally cause any long term problem with your sight.
SLT – a laser treatment to treat glaucoma patients
SLT laser stands for “Selective Laser Trabeculoplasty”. This is a laser procedure used to treat glaucoma by reducing the pressure in the eye. Also see New Micropulse laser for glaucoma.
SLT utilizes selective photothermolysis to target only specific cells, leaving the surrounding tissue intact. SLT stimulates the body’s natural mechanisms to enhance outflow of the fluid in your eye.
SLT does not rely on medicines, instead, uses an advanced laser system to target only specific cells of the eye – those containing melanin, a natural pigment. This allows for only these cells to be affected, leaving surrounding tissue in tact. As a result, your body’s own healing response helps lower the pressure in your eye.
DRP – a condition or disease related to diabetes
People with diabetes can have an eye disease called diabetic retinopathy. This is when high blood sugar levels cause damage to blood vessels in the retina. These blood vessels can swell and leak. Or they can close, stopping blood from passing through. Sometimes abnormal new blood vessels grow on the retina. All of these changes can steal your vision.
Can the county council help pay for eye surgery?
In Sweden, adults can not get any financial support from the county council for visual aids. It is up to you if you want to operate your vision or use glasses or contact lenses. Please ask us about our interest-free financing!
Why does eye surgery cost so much?
If you only think of the short amount of time a lens laser or lens change takes, it’s understandable that it’s perceived to be expensive. But there are an incredibly amount of considerations that go into making your visit fast and efficient. We are careful to have the best equipment and the most competent staff. We use well-proven methods and generally avoid new methods that do not have sufficient documentation of long-term results.
Is the vision perfect after the refractive operation?
The purpose of a visual corrective eye surgery is to reduce or lessen the need for glasses and lenses. You never get back the view you had as a child, but rather, a view that corresponds to what you have with the best glasses before surgery. That is, an eye surgery should be an equivalent alternative to glasses or contact lenses for those with visual disturbances. 98% of patients say they no longer need glasses and lenses. For lens change, the corresponding figure is 89%. The rest use glasses at some point.
Why are you sometimes more expensive than the competitors?
There are many factors that affect the price of different clinics. An important factor is the staff working at the clinic and helping you. Aveny Ögonklinik has nurses, opticians and doctors – all with advanced education in refractive surgery. We require our doctors to have 1000’s of eye surgeries under their belt before they start with us. We are very proud of the quality staff you will meet and have tend to you at Aveny Ögonklinik.
We also have extensive quality work and we actively research refractive surgery around the world. We focus on keeping a technically updated clinic with the most complete range of services possible. In this way, you know that we will always offer you the best method for your eyes so you can feel completely confident when you come to us.
How much improvement can I expect in my vision?
The aim of a visual-correcting operation is to get a view that corresponds to the way you look with your best glasses on.
After eye surgery, how soon before we can go home?
You’re basically completely done and ready to go home right after your operation. However, it is imperative that you follow the doctor’s instructions for the eye drops that you should take after the operation and any other instructions. For a few patients, there may be talk of a supplementary eye laser treatment approximately six months after the first surgery. This is to achieve the best possible results.
Is it cheaper to receive treatment abroad?
Undergoing treatment abroad can initially be found cheaper, but it can also be very expensive and more costly for you in the long run. It’s important to carefully think about your choice of who will perform the refractive operation, regardless of whether you choose to do it in Sweden or abroad. As a patient, you are vulnerable because you may be in an environment with tropical diseases and a bacterial flora that we Swedes are not used to. It is also more difficult to insure the eye clinic’s competence and reputation in another country.
If you are undergoing refractive eye surgery in Sweden, at a certified eye clinic that meets all requirements for safety and that the eye surgery is performed by experienced and legitimate personnel, you can feel safe with your choice. Do not forget that it is important to follow up the results after your refractive eye surgery periodically. If you choose to receive treatment abroad, it may be difficult to get the same continuity, and it will be more expensive to make the necessary checks as there are usually long distances to travel. Patient insurance, which entitles you to compensation if you are injured in healthcare, applies only if you have done your refractive eye surgery in Sweden.
How long must I be away from work after the refractive operation?
Depending on where you work, you can usually be back to work already the day after surgery. However, if you work in a dirty or dusty environment, wait one week after surgery before returning to work. Have you done a LASEK or PRK/Lasek (no-cut) surgery, you should expect to take about a week away from work, as these methods make you feel very light and have pain after surgery.
How does the refractive eye surgery work?
We always start a thorough investigation to ensure that your vision can be corrected with eye lenses, lens implants or lens change, and in such cases which method fits you and your eyes best. The actual eye surgery differs slightly between the different methods we use. In several of the operating methods, you get pupillary eye drops prior to the sync surgery. We can also offer proactive pain relief management if you prefer before you are welcomed into the operating room. A nurse is always by your side, which will help you feel comfortable and safe. Afterwards, you will have plenty of time to relax and rest before you are ready to go home. You will get instructions on how to take care of your eyes for the first time after eye surgery, and schedule times for re-visits before leaving the eye clinic.
How long does the result of eye surgery last?
The result of a lens exchange one (RLE) is permanent and lasting. If you have undergone eye laser surgery with us, it does not prevent your vision from continuing to develop, however, and you will have age-sensibility in the long term, regardless of whether you have done eye laser surgery or not. We donate 20% for lens replacement to those who previously had surgery with us.
Is there any age requirement for eye laser surgery?
Yes, you need to be at least 18 years old and have been medically stable for at least 2 years to get an operation with us at Aveny Ögonklinik
What are your hours of operation?
The reception is open all weekdays:
Monday thru Thurs, 08.00 – 17.00
Fri 08.00 – 14.30
Phone operators: 08.00 – 16:00
We sometimes are open weekends and evenings, and will notify you when this is possible.
Do you see children?
Yes. From age 4 and older (require a referral from hospital).
What should I know to prepare before surgery?
Contacts: If you wear contacts, you will not wear them for the 3 days prior to your surgery.
Beauty treatments: During the week prior to your surgery, you should avoid treatments like eyelash extensions or eyelash tinting.
Transportation: Ask us to provide assistance with transportation, if needed. Remember to arrange for transport home after your surgery. Your eyes can feel a bit irritated and you might experience blurry vision and discomfort not safe for driving.
Illness: If you have fever or cold or other illness, please contact us as soon as possible hence we might need to postpone your day of surgery. If you have other illnesses, for example rheumatism or diabetes, please inform us as soon as possible. If you have allergies or take medication, we will ask for the details in our consultation and exam.
What should I know to prepare the day of surgery?
DAY OF SURGERY: Remember before you arrive to the clinic:
- Don’t wear any makeup or perfume
- Don’t take sedatives or drink any alcohol prior to surgery
- You should’ve eaten prior to surgery
- Sunglasses (bring for comfort on way home)
Where should I park?
There are multiple places to park that are close and convenient for you, near any four of our locations:
Closest parking is on the street just around the corner. However, there is often a time limit of 30 minutes for parking there, so not optimal for evaluation day customers.