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FAQs

Your Appointment FAQs

Here at The Eye Care Center we strive to make your visit as seamless as possible. 

Please bring the following items to your appointment:

    • Insurance cards
    • Co-pay if one is required by your insurance
    • Glasses for vision testing
    • List of current medications and dosage
    • Sunglasses, you will be light sensitive after dilation
    • A translator or interpreter if necessary
    • A driver if you are uncomfortable driving while dilated or are having a procedure that requires one.
    • Any forms you have received in the mail from The Eye Care Center

 

For a typical appointment, please plan on being at The Eye Care Center for 1 to 2 hours.  It may take longer if additional testing is required. 

Once you have checked in for your appointment, an Ophthalmic Assistant/Technician will call you back to check your vision, check intraocular pressure, review your health history and dilate your eyes. It will take between 10 and 30 minutes for your eyes to dilate.  Once you are dilated, you will be called into the exam room where your doctor will examine your eyes.   At that time, they will discuss their findings and any treatments if necessary as well as, answer any questions you may have. 

You are welcome to visit our Optical Department to select your eyewear, change lens prescriptions, and/or have your current eyewear adjusted or repaired.   Contact lenses will not be fitted at the time of your dilated exam to ensure a proper fit.

Please note that specific exam requirements may vary by provider; this may affect your exam time.

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Contact Lens Dos and Don’ts

Do wash your hands before putting your lenses in or taking them out. Bar soaps without perfumes, creams or deodorants are best.

Do disinfect your lenses every night. Bacteria grow on the surface of contact lenses.

Do keep a pair of current prescription eyeglasses handy. If you have difficulty wearing your lenses due to illness or other reasons, you will want to be able to drive, work or go to school and not have your routine disrupted.

Do wear sunglasses. You will be sensitive to sunlight when you wear contact lenses. A pair of good quality sunglasses will keep dust and dirt out of your eyes and a smile on your face.

Do wear hypoallergenic, water-based makeup. Other kinds don’t dissolve in tears, so they can be trapped under your lenses or leave oily deposits.

Do come in for your yearly check-up to ensure long and healthy contact lens wear.

Don’t swim while wearing your contact lenses. Soft lenses absorb the water and collect bacteria. Gas permeable contact lenses can easily be washed away.

Don’t switch brands of solution. Cross branding can cause preservative interactions and can result in your developing intolerance to your lenses.

Don’t clean your lenses with water. Bacteria can grow and cause infection.

Don’t sleep with your contact lenses in your eyes. Lenses can stick to your cornea and can cause your cornea to become injured.

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LASIK Surgery FAQs

What is LASIK?

LASIK is an acronym for LASer In-situ Keratomileusis, which simply means, "To shape the cornea using a laser."

What is LVC?

Laser Vision Correction (LVC) is a procedure that uses a cool-beam laser to reshape the cornea, the clear portion at the front of your eye. The reshaped cornea is then able to focus light rays more exactly on the retina at the back of the eye. If you are nearsighted, farsighted or have astigmatism (all of which result in blurry vision when uncorrected) you may be able to achieve clearer sight with Laser Vision Correction.

Who can benefit from this procedure?

If you are 21 or older and are not pregnant, have healthy eyes (no medical problems) and are nearsighted, farsighted or have astigmatism, you may benefit from this procedure. Your eye doctor can tell you if you are a potential candidate for Laser Vision Correction.

What are the primary benefits of LASIK over PRK?

Photo-Refractive Keratectomy, or PRK, treats the surface of the cornea with the Excimer laser while LASIK treats the inner tissue of the cornea. For this reason, with LASIK there is less area to heal, less risk of scarring, less risk of corneal haze, less postoperative pain, fewer post-operative medications, and vision clarity often returns very rapidly. It can also be used to treat higher amounts of refractive errors.

What happens when I come to The Eye Care Center in Canandaigua for LASIK?

In preparation for the procedure, your vision is evaluated, your eyes are measured and corneal topography is completed to determine the current surface shape of the cornea. The eye is examined and your medical history is reviewed to rule out any medical problems. Based on the results of your evaluation, Dr. Hwang determines whether or not you are a good candidate for the procedure. If you are, the surgery can be scheduled. You will spend approximately one hour in the surgery unit to complete both eyes.

Does is hurt?

No, the treatment itself is painless. Because the cornea is easily numbed with "eye drop" anesthesia, most patients report little, if any, discomfort during and after the procedure. In some cases, patients may experience discomfort for one to three days after treatment. Many patients compare this to a sensation of sand in the eye. Dr. Hwang can prescribe pain medication to alleviate any discomfort during the recovery.

When will I be able to see clearly after the procedure?

Results vary from patient to patient. Most patients have functional vision in one to three days. Full visual results are usually realized within one to four weeks.

Will I have 20/20 vision?

That is the goal, but as with any medical procedure, there is no guarantee that you will have perfect vision or that you will not need distance or reading glasses again. However, almost everyone experiences improved vision, and most see well enough to pass a driver's test without corrective lenses.

How long does it take to heal? When can I go back to work?

You will notice improved vision almost immediately. The eye will heal on the surface very quickly, within a day or two. Most people can return to work within a day or two. It is important that your eye(s) be protected from infection and injury for a month or two beyond the surgery to allow complete healing to occur.

Is Laser Vision Correction safe?

Yes. Over four million patients worldwide have had this treatment performed on them successfully. The FDA has recognized Laser Vision Correction for nearsightedness, farsightedness and astigmatism, and found the treatment safe and effective for eligible patients. Like any medical procedure, LASIK has some risks. Because LASIK uses a microkeratome, results are more dependent on surgical experience than with PRK. Your doctor will give you more detailed information regarding risks and complications prior to your having LASIK and all of your questions will be answered.

Is LASIK approved by the FDA?

The FDA does not usually approve procedures, they approve medical devices such as the Excimer laser. Several Excimer lasers have been approved, and others are in the final stages of clinical trails. The FDA is currently monitoring studies on LASIK for the treatment of nearsightedness, farsightedness and astigmatism.

Our Price Includes...

At The Eye Care Center in Canandaigua, the fee per eye covers all of the following services:

  • Consultation
  • Pre-operative evaluation
  • Corneal topography
  • The surgery itself
  • Prescription eye medications

Post surgical office visits for one year and any enhancements for three years with a manufacturer's required fee of $290.00 per eye.

We accept Visa, Mastercard and Discover credit cards, as well as bank certified checks. We also offer a financing program, which allows a monthly payment under $100 per month for 48 months, similar to what it would cost to finance braces.

Laser Vision Correction is cost-effective, compared to what you would have to spend on glasses, contact lenses, and lens care over the course of twenty years. The difference is you'll have clear, natural vision and reduced or eliminated dependence on glasses and contacts.

How do I find out more about Laser Vision Correction?

You may obtain further information by calling our Community Liaison at (585) 394-2020, extension 1213. Ask to schedule your free consultation, where your eyes will be evaluated, your questions will be answered, and the doctor will tell you if you are a potential candidate for LVC.

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Retina Frequently Asked Questions

I have a question about my surgery but will not be seeing Dr. Piper before the day of my surgery. What should I do?

It is very important to us that you and your family understand exactly what to expect before and after your surgery. Our Surgical Coordinator is available at 585-394-2020 to answer any of your questions.

My friend had a similar sounding retina problem but different treatment. Why is this?

There are different ways to correct similar problems. You should ask Dr. Piper to further explain this since there can be several reasons for one person requiring a different procedure than another person. For those of you undergoing macular hole surgery, this is very different than an individual who has a “tear in the retina” and has laser in the clinic. Macular hole repair requires surgery in the operating room with the placement of a special gas bubble in the eye.

Do you remove my eye to do the surgery?

No. We use tiny microsurgical instruments that we place through the white part of the eye. For patients who need surgery inside the eye, these instruments cut, peel, and remove blood and scar tissue as well as perform many other functions such as laser. This is done while the surgeon looks through the dilated pupil with a special microscope. For those of you having retinal detachment surgery, this is done on the outside of the eye. We have examples of these instruments in the eye clinic exam room for you to see. We also have a great book with pictures describing the surgery you will have. If you have not received this book, please ask us for one.

Will I be having laser?

Laser is a special type of light that helps seal leaky blood vessels as well as fix tears in the retina. It is routinely used in many retina surgeries. However, laser alone will not fix most retina problems. To remove blood, remove scar tissue, put the retina back in place, fix a macular hole and many other surgeries, additional instruments and techniques are required in addition to laser to help your eye. If laser by itself will fix the problem, then we can usually do this quite easily in the eye clinic.

When will I be notified about the time of my surgery?

Young children and others who are more ill usually are scheduled earlier in the day. Individuals who must come long distances will often ask to be scheduled later in the day. If you have a request please notify the Surgical Coordinator at your pre-op visit or call us at 585-394-2020.

How soon after I arrive at the Surgical Care Center will I be having my surgery?

There are preoperative preparations that occur prior to surgery so that your surgery is done under the absolute safest conditions. This period of time can last 1-2 hours. Unscheduled emergencies prior to your surgery can occur. This can significantly delay your surgery time. We will do our best to notify you and your family if this occurs.

What can I expect once I am in the operating room?

Once you are in the operating room, no one will look familiar since everyone is required to wear masks and head covers to maintain sterility. You will receive sedation to help with relaxation. Dr. Piper will be in the room and will be performing the surgery. There will be an assistant who will help clean and sterilize the area around the eye as well as apply antibiotics and a patch at the end of surgery.

F.F. Thompson Hospital is very committed to providing us with “state of the art” equipment for all types of retina surgery. As technology has changed, so has the equipment enabling us to provide the most modern surgical procedures.

How long will my surgery last?

Retina surgery usually lasts between 45 minutes and 3 hours. We can be more specific with you according to what surgical procedure you are undergoing.

How will I feel after surgery?

Patients respond differently to anesthesia. It is not unusual to feel groggy after surgery. This can last from several hours to several days. However, please notify use if there is anything unusual. It is important that you call even if you think it is about something minor. Retina surgery is major eye surgery. Expect the eye to hurt after surgery after the local anesthesia wears off. Much of this can be relieved with pain medicine. We strongly encourage the use of pain medicine every 4-6 hours after surgery unless there is a contraindication. Many of you already know what works best for you. If not, we will usually give a prescription for Motrin 800mg and/or Tylenol #3. Some patients do have medical conditions which do not allow us to use these. If your pain worsens or is not relieved shortly after using pain medications, please call us. There is always an eye doctor on call and you can always reach us in the office.

How long will I spend in the recovery area after surgery?

This will vary depending on how you feel. This time usually lasts 1-3 hours depending on the duration of the surgery.

Will I get any stitches?

Yes. Unlike some eye surgeries, several very small stitches are required with retina surgery. Fortunately, these will dissolve on their own in several weeks. Following your surgery, you will probably feel like there is something in the eye. These are stitches you feel. Since both eyes move together, the best way to relieve this discomfort is to close both eyes. In fact it may be hard to keep the un-operated eye open immediately following surgery since the sensation of the sutures in the other eye cause the good eye to sympathize and try to close. This is not a problem and will stop as the stitches dissolve. While the stitches are present, there will be more tearing than you are accustomed to. This will also stop once the stitches dissolve.

Occasionally, a little clear cyst can develop around a stitch on the white part (sclera) of the eye. This is okay and usually resolves as the eye heals. If it does not, we can easily remove it.

How will my eye look and feel after surgery?

Your eyelid will be swollen and droopy, and “black and blue”, when we remove the patch. This is normal and will get better over the next 2 weeks. It is okay to apply a cool clean washcloth to the lids. Ice may be used for 20 minutes every hour for the first 48 hours. Rarely, the eyelid may not go back up 100% especially in older patients who have undergone multiple surgical procedures. If this is the case several months after surgery, a minor procedure performed in the clinic can usually help this. The white of the eye will be very red. This is usually significantly better within 2 weeks.

Blood may be seen on tissue paper when you wipe your eye. This is usually okay and is coming from the outside part of the eye. This should stop within several days.

Watering from the eye and nose is expected, and it is a stimulus to good healing, so you do not need to be concerned about a watery discharge. If you notice a pussy discharge, please call us immediately. Sunglasses may help with your comfort following surgery but are not mandatory.

What can I expect at my appointment on the day after surgery?

After removing the patch, your eye will be examined. Expect the vision to be very blurry at this visit. Retina surgery is very different than cataract surgery in two ways. Unlike cataracts, retina problems requiring surgery often times result in permanent visual loss. When vision improves it is gradual. In fact complete healing after retinal surgery often takes 6 months. In most cases, the visual acuity at 6 months will be the final vision. There is normal swelling of the eye after retina surgery, which initially, will limit the vision.

The most important reason for seeing you the next day is to check the eye pressure and to make sure that there are no complications that need attention. Complications are rare but can be dealt with if we can follow you closely after surgery.

Will I need to use drops?

You will be given a prescription for antibiotic eye drops. They are to be placed in the eye 4 times each day while you are awake. Use the drops until the bottle runs out. If you are using more than one type of drop it is important that you separate instillation of the drops by at least 5 minutes since the eye can only hold one drop at a time. If you feel the drop has not gone in properly you may place another drop in the eye. This will not harm you since the eye only holds one drop at a time.

What will be involved with follow visits?

We will usually ask to see you on the day after surgery, the following week and then again in 3-4 weeks.

After surgery, what things should alert me to call the eye clinic?

Anything at all that seems unusual should prompt you to call us-no matter how minor you think it may be. The symptoms that we are especially on the looks out for postoperatively are:

  • eye pain that is not relieved with pain medication, especially if it is associated with nausea(this can indicate high pressure in the eye)
  • yellow discharge (this can indicate infection); crusting around the eyelids and increased tearing are to be expected
  • new or increased floaters or flashing lights (can indicate retinal tear or detachment)
  • sudden shade over vision or worsening vision

Please call immediately with any of the above symptoms!! When you call the eye clinic during the day at 585-394-2020, it is important to indicate that you are one of Dr. Pipers’ surgery patients to distinguish you from the many phone calls that our secretaries receive. If you do not receive a call back shortly, please call again.

How long will I wear a patch?

We will remove the patch on the following day. Some patients prefer wearing a black “pirates” patch while the eye is healing since the blurry vision after surgery can be frustrating. This is perfectly okay.

Was my surgery successful?

Patients undergoing retina surgery usually have retina damage or disease that has caused permanent damage to the retina. Surgery is often performed to halt further visual loss or to save the eye itself. This usually involves removing blood and scar tissue within the eye. It can take up to 2 months to determine if the surgery has been successful in this regard. The success of your surgery will be dependent on the degree of disease prior to surgery.

Can I take a shower?

It is best not to get dirty water in the eye for several days. You can take a bath but try to avoid getting water in your eyes.

What can I expect in regards to my vision?

Because of damage to the retina prior to surgery, the final visual outcome can be impossible to predict. Visual improvement is gradual and can improve for up to 6 months. The use of your good eye will not harm your operated eye. However, you may feel a strain since you may not be used to using just one eye.

Will glasses improve my vision after surgery?

Glasses may or may not help with vision after surgery. The retina is very similar to the film in a camera. It has to be healthy to get a clear picture. In a camera with damaged film, even a more powerful lens on the front of the camera may not result in a clear picture. However, several months after surgery we do advise getting checked for a glasses prescription since it may further improve your final vision.

When can I go swimming after my surgery?

We recommend that you wait 2 weeks to go swimming.

What are my limitations?

Some patients will have to position in certain directions because of a special gas bubble placed inside the eye. Your activities will depend on the type of positioning that you must do. For example- If you have to position on your left side in bed, you may watch television as long as you can maintain this position. This will be discussed with you.

If you do not have a position then you may read, do light housework, ascend or descend stairs, watch television, etc. It is best to avoid dirty environments to help prevent infection. Car trips are okay as long as you are not required to do special positioning. Avoid lifting heavy objects.

When can I return to work?

In most cases, I recommend taking off from work for a week. This may be shorter or longer depending on the type of surgery. You can increase your activity gradually over the week. For those of you who must position due to placement of a gas bubble, it is very important to limit your activity so that you can position properly for 90% of the day for two weeks. This will be discussed with you.

I have had a retinal detachment. What are the odds that I will have one in my other eye?

In general, there is a 15% chance of developing a retinal detachment in your other eye. There are risk factors such as near sightedness that may increase the chances of this occurring. The most important thing is to be aware warning signs…flashing lights, floaters, a “shade” coming across your vision.

Who can I call if I have a question or problem?

It is very important for us to know if you are having a problem no matter how minor you think it may be. Dr. Piper can always be reached in the clinic during the day at 585-394-2020.  For after office hours calls there is always an ophthalmologist on call for our practice. Please call the office at 585-394-2020, you will be directed to the doctor on call.

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