Thursday, April 3, 2025

What’s the Difference Between LASIK and PRK?

LASIK and Photorefractive keratectomy (PRK) are two of the most well-known types of laser eye surgery, and both can provide excellent vision correction results. At Brusco Vision, we offer both procedures and help patients understand which option best fits their eyes and lifestyle. While the goal of each is similar—clear vision without glasses or contacts—the methods differ in important ways. In this article, we’ll break down how LASIK and PRK compare so you can make an informed decision. Schedule a consultation with Brusco Vision to find out which procedure is right for you.

What are the differences between the LASIK and PRK procedures?

The difference between LASIK and PRK comes down to how the eye is prepared for the laser to reshape the cornea. With LASIK, the surgeon creates a thin flap in the cornea and lifts it to access the underlying tissue. After the laser reshapes the cornea to correct your vision, the flap is carefully repositioned and left to heal on its own. In contrast, PRK does not involve creating a flap. Instead, the outer layer of the cornea, called the epithelium, is gently removed to expose the treatment area. The same type of laser is then used to reshape the cornea, and afterward, a bandage contact lens is placed to protect the eye while the epithelium regenerates. Both LASIK and PRK aim to correct nearsightedness, farsightedness, and astigmatism, but your eye’s structure and overall health will determine which one is safest and most effective for you. At Brusco Vision, your surgeon, Dr. Brusco, will use precise diagnostics and testing to decide which approach is right for your eyes. Whether you’re hoping to ditch glasses for good or simply want more visual freedom, both procedures offer a path to sharper, clearer vision.

How does the LASIK & PRK recovery differ?

LASIK recovery is typically much faster than PRK. Most LASIK patients notice significantly improved vision within a day or two and are able to return to work and normal routines within 24 hours. The flap created during surgery is gently repositioned, and while some mild discomfort or burning may occur for a few hours, many patients leave the office already seeing more clearly. PRK recovery takes longer because the outer layer of the cornea is removed and needs time to regenerate. A bandage contact lens is placed on the eye to protect it as it heals, and vision is usually blurry for several days. Patients often feel irritation and light sensitivity during the first few days, but these symptoms gradually improve. Once the bandage lens is removed, vision continues to get better, with full visual stability often reached over the course of several weeks. At Brusco Vision, we walk you through every step of the recovery process to ensure your comfort, safety, and the best possible results—no matter which procedure is right for you.

Who is a candidate for LASIK and PRK?

Candidates for LASIK typically have thicker corneas and low to moderate refractive errors, while PRK is often recommended for individuals with thinner corneas, irregular corneal surfaces, or those who participate in high-impact activities where a corneal flap could pose a risk. Both procedures require patients to be over 18 years old, have had a stable prescription for several years, and not be pregnant or nursing. People with a higher likelihood of eye trauma may be better suited for PRK. Certain medical conditions, like uncontrolled diabetes, autoimmune diseases such as lupus or rheumatoid arthritis, and some eye conditions like glaucoma or severe allergies, may limit candidacy for either procedure. Pupil size is not a factor in candidacy for either procedure with the most modern lasers. At Brusco Vision, we conduct a detailed evaluation using advanced diagnostics to determine which vision correction option is safest and most effective for your unique eyes and lifestyle.

Is LASIK or PRK more expensive?

LASIK is generally slightly more expensive than PRK, mainly because of the added step of creating a corneal flap and the advanced technology involved. At Brusco Vision, pricing reflects the quality of care, the surgeon’s expertise, and the state-of-the-art technology used in every procedure. While LASIK typically ranges from $2,200 to $3,500 per eye, PRK usually falls between $2,200 and $3,200 per eye, though in some cases the prices are comparable depending on the technology and care included. Factors like location, equipment, and pre- and post-operative services can all influence final costs. Neither LASIK nor PRK is usually covered by insurance, but we offer financing options at Brusco Vision to help make either procedure more accessible.

Pros Cons
PRK (Photorefractive Keratectomy) - Works well for individuals who aren’t good candidates for LASIK.
- Avoids issues related to creating a corneal flap.
- Preserves more of the natural corneal thickness.
- Healing and vision recovery take more time.
- Slightly higher chance of developing an infection in the days following surgery.
- Bright sunlight must be avoided for several days unless wearing sunglasses.
LASIK (Laser-Assisted In Situ Keratomileusis) - Faster healing and visual recovery compared to PRK.
- Lower likelihood of post-surgical infection.
- Routine follow-ups are typically part of the care process to ensure proper healing.
- Not recommended for individuals with thin corneas or certain underlying health conditions.
- Greater potential for surgical side effects or complications.
- May lead to issues such as dry eyes or reduced night vision clarity.

How do I know if LASIK or PRK is right for me?

The best way to know if LASIK or PRK is right for you is to schedule a consultation with your eye surgeon, Dr. Brusco. While a side-by-side comparison of the two procedures can highlight key differences in recovery time, pricing, risks, and candidacy, only a detailed evaluation of your eyes can determine which option is safest and most effective for your vision and lifestyle. At Brusco Vision, we use advanced diagnostics and personalized assessments to guide you toward the best choice for long-term success. Our team is here to answer your questions, explain your options, and help you move forward with confidence. Schedule your consultation today to take the first step toward clearer vision.

FAQ’s About the Difference Between LASIK and PRK

Do LASIK & PRK have different side-effects?

Yes, LASIK and PRK can lead to different side effects due to how each procedure is performed. LASIK may carry a slightly higher risk of dry eye symptoms and flap-related complications, while PRK patients might experience more discomfort and a longer visual recovery period. Dr. Brusco carefully evaluates your eyes to help minimize side effects and promote smoother healing based on the procedure that’s safest for you.

Can you have PRK if you’ve had LASIK?

In some cases, PRK may be an option for patients who have previously undergone LASIK. Since PRK doesn’t require creating a new flap, it can be considered for touch-up procedures when corneal thickness is a concern. At Brusco Vision, Dr. Brusco will use advanced corneal topography and diagnostic imaging to determine if PRK is a safe follow-up option based on your unique eye structure and vision goals.

Which procedure offers better long-term visual outcomes?

Both LASIK and PRK are highly effective at correcting refractive errors like myopia, with long-term visual outcomes being very similar for most patients. The choice often depends on individual anatomy and lifestyle factors. Dr. Brusco focuses on achieving the best possible visual acuity for each patient, no matter which procedure is recommended.

Is there more discomfort with PRK than LASIK?

Yes, PRK typically involves more postoperative discomfort than LASIK due to the removal of the outer corneal layer, which must regenerate during healing. Patients often describe a gritty or painful sensation for a few days following PRK. Dr. Brusco provides pain management strategies, including eye drop medications, to help you stay comfortable during the recovery process.

Are the risks of infection different between LASIK and PRK?

PRK has a slightly higher risk of surface-level infection during the initial healing phase since the outer layer of the eye is removed. LASIK’s flap, while reducing that risk, introduces other possible issues like flap dislocation. Dr. Brusco takes extensive precautions to reduce infection risk and support wound healing in both procedures through customized care plans.

How do LASIK and PRK affect visual perception?

Both procedures aim to improve visual perception by reshaping the cornea to correct how light focuses on the retina. LASIK may provide quicker clarity, while PRK’s results develop gradually. With expert care from Dr. Brusco, patients at Brusco Vision experience enhanced perception of detail and contrast once fully healed.

Does either procedure help with dry eye syndrome?

LASIK may temporarily worsen symptoms in those already experiencing dry eye syndrome due to disruption of corneal nerves during flap creation. PRK is often a better option for patients with this condition. At Brusco Vision, we evaluate for dry eye signs and symptoms before surgery and provide treatment options to support ocular surface health both before and after your procedure.

How does pressure on the eye impact LASIK vs. PRK?

Because LASIK involves creating a flap, excessive eye pressure from rubbing or injury in the days following surgery could cause complications. PRK, which doesn’t involve a flap, is often recommended for patients who play contact sports or have jobs where injury or pressure to the eye is more likely. Dr. Brusco considers your lifestyle carefully when recommending the best refractive surgery approach.

Are there different risks for patients with a history of injury or trauma?

Yes, PRK is often safer for patients who have experienced eye injury or are at higher risk for trauma. Since LASIK surgery involves lifting a corneal flap, it may be more vulnerable in situations where the eye could be hit or disturbed. At Brusco Vision, Dr. Brusco uses detailed measurements and diagnostics to assess the human eye’s history and recommend the procedure with the least risk for long-term complication.

How does Brusco Vision determine which procedure is right for me?

Dr. Brusco uses advanced diagnostic tools including corneal topography, wavefront analysis, and an in-depth evaluation of your eye health and medical history to decide between PRK and LASIK. Factors such as refractive error, corneal thickness, lifestyle, and overall healing potential are all considered. Whether you’re dealing with near-sightedness or need a break from corrective lenses, you’ll receive a treatment plan tailored just for you—grounded in the latest advancements in optometry and ophthalmology.



source https://www.bruscovision.com/lasik/whats-the-difference-between-lasik-and-prk/

Friday, February 21, 2025

The High Cost of Progressive Lenses

Understanding the cost of progressive lenses is essential for anyone considering this popular option for multifocal vision correction. Progressive lenses provide a seamless transition between prescriptions in one lens, but they also come with varying price points that can add up over time. In this article, we’ll explore the price range you can expect for progressive lenses, helping you make an informed decision about your long-term vision care. To learn more about the permanent vision correction solutions Brusco Vision offers to get out of progressive lenses, schedule an appointment to discuss the best solutions for your vision needs.

How much do progressive lenses cost?

Progressive lenses cost more than single-vision lenses because of their advanced design and technology.

  • Basic progressive lenses typically range from $175 to $250 per pair, providing essential multifocal vision correction without additional features.

  • Mid-range options, which may include enhancements like wider viewing zones or improved lens coatings, usually cost between $250 and $500 per pair.

  • Premium progressive lenses, which offer the highest-quality materials and the most optimized vision zones, prices can exceed $500, sometimes reaching $1,000 or more per pair.

These price range averages help provide a clearer picture of the large investment involved in choosing progressive lenses. It’s also important to note that these prices usually cover lenses only, excluding frames.

Why are progressive lenses so expensive?

The higher cost of progressive lenses depends on six major factors.

  1. Lens Material – Standard plastic lenses are the most affordable, while high-index plastic lenses (thinner and lighter) and polycarbonate lenses (impact-resistant) increase the cost.

  2. Lens Design – More advanced designs with wider viewing zones and smoother transitions are more expensive, especially those customized to the wearer’s unique prescription and viewing habits.

  3. Brand Choice – Premium brands like Zeiss, Essilor, and Hoya tend to be the most expensive, while mid-range options like Rodenstock, Shamir, and Seiko and budget brands like Younger Optix offer more affordable alternatives.

  4. Coatings & Add-ons – Anti-reflective, scratch-resistant, and UV protection coatings, as well as photochromic lenses that darken in sunlight, all contribute to higher costs.

  5. Prescription Complexity – Stronger prescriptions or those with astigmatism corrections require more intricate lens crafting, increasing both materials and manufacturing costs.

  6. Precision Crafting & Digital Technology – High-end progressive lenses use freeform digital surfacing, which customizes the lens to the exact prescription and wearer’s eye movements, leading to sharper vision but also higher costs.

How does the cost of progressive lenses compare over time to the cost of custom lens replacement?

The cost of progressive lenses accumulates over time due to frequent replacements and prescription changes. In contrast, Custom Lens Replacement (CLR) is a one-time expense, potentially saving money in the long run. CLR eliminates the need for ongoing lens upgrades, making it a cost-effective alternative to traditional progressive lenses.
Progressive lenses typically range from $85 to $1,500 per pair, with premium options reaching higher costs, especially when including frames and additional treatments. Since most people replace their progressive lenses every 2-3 years due to prescription updates or wear and tear, these recurring costs can become substantial. In contrast, CLR, which ranges from $4,000 to $9,000 per eye, is a single procedure that often eliminates the need for glasses or contact lenses altogether, providing a lasting solution for presbyopia and other vision needs.

Custom lens replacement, also called Refractive Lens Exchange, offers potential long-term savings by reducing or eliminating the need for continual eyewear purchases, frame upgrades, routine lens replacements and eliminating the need for future cataract surgery. For those who regularly update their glasses, the cumulative cost of progressive lenses may likely exceed the cost of CLR, making CLR a potentially more cost-effective solution over time.

An Example of Custom Lens Replacement Cost Savings Over Progressive Lenses for a 45 Year Old

Most people replace their progressive lenses every 2–3 years. If you choose Custom Lens Replacement (CLR) at age 50 instead of buying mid-tier or high-end progressive glasses, your CLR savings by age 75 could be $3,500 to $15,500—and that doesn’t even include the cost of progressive sunglasses you’d likely need or the cataract surgery you can now avoid.

With CLR, you pay once and enjoy clear vision for life, eliminating decades of costly glasses upgrades and the need for future cataract surgery.

Additional Cost Benefits of CLR over Progressive Lens Glasses

  • Avoids the cost of needing high-priced progressive lens sunglasses.

  • Avoids the cost of glasses repairs.

  • Avoids the cost cataract surgery later in life (a hidden cost-saver)

  • Avoid the cost of trip and fall incidents that are more prevalent with progressive lenses in seniors

Discover a Lasting Solution to Vision Correction at Brusco

While progressive lenses are a popular choice for multifocal vision, their costs can add up over time with regular updates and replacements. Custom Lens Replacement (CLR) from Brusco Vision offers a permanent, hassle-free solution that may ultimately be more affordable in the long run. Take control of your vision and schedule a consultation with Brusco Vision to see if Custom Lens Replacement is right for you.

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FAQ’s About The Cost Of Progressive Lenses

Are progressive lenses more cost-effective than other types of glasses?

Progressive lenses provide multifocal correction, covering near, intermediate, and distance vision without the visible line of bifocals. While they offer convenience, the cost of updates to match a new eyeglass prescription every 2-3 years can add up. Brusco Vision offers Custom Lens Replacement as a potential one-time solution, which may prove more cost-effective for patients in the United States with changing vision needs.

How often do progressive lenses need to be replaced?

On average, progressive lenses need replacement every 2-3 years due to wear, prescription changes, or updates in lens technology. Over time, these frequent replacements can become costly. At Brusco Vision, Custom Lens Replacement offers a lasting vision solution, helping reduce the need for these recurring expenses.

Is there financing available for progressive lenses and CLR?

Many eyewear providers and vision centers offer financing options for progressive lenses and Custom Lens Replacement. Brusco Vision provides options to make CLR more accessible, helping patients manage the upfront costs of permanent vision correction.

Are there hidden costs associated with progressive lenses?

Beyond the lenses themselves, progressive eyewear often requires additional costs for frames, coatings, and potential adjustments, along with cleaning supplies, cases, and progressive sunglass lenses, which can accumulate over time. With Brusco Vision’s Custom Lens Replacement, patients can avoid these recurring expenses and gain a long-term vision correction solution.

How do vision insurance plans cover progressive lenses and CLR?

Most vision insurance plans cover a portion of progressive lenses, though coverage may vary by provider. Custom Lens Replacement is typically considered an elective procedure, so it may not be covered by insurance. Brusco Vision offers assistance with insurance questions and financing options to help patients explore all possibilities for CLR.

What happens if my prescription changes frequently?

Frequent changes in an eyeglass prescription mean more regular replacements of progressive lenses, which can increase long-term expenses. In contrast, Custom Lens Replacement from Brusco Vision provides a stable correction solution that can improve visual acuity, reducing the need for future adjustments and helping manage costs over time.

Are there differences in long-term durability between progressive lenses and CLR?

Progressive lenses are subject to daily wear and tear, requiring periodic replacement. CLR, on the other hand, is designed as a lasting solution, reducing the need for future eyewear adjustments or replacements. Brusco Vision’s CLR procedure can provide a durable, permanent option for vision correction.

Can progressive lenses delay or eliminate the need for costly cataract surgery?

Progressive lenses don’t affect the development of cataracts, and cataract surgery may still be necessary in the future. Custom Lens Replacement at Brusco Vision includes lens replacement, which can eliminate the need for cataract surgery later in life.

What are the advantages of CLR for presbyopia over progressive lenses?

Custom Lens Replacement provides a permanent solution for presbyopia, eliminating the need for progressive lenses and associated ongoing costs. Brusco Vision specializes in CLR, offering a one-time procedure that enhances long-term vision quality without the recurring expenses of progressive lenses.

What types of coatings are available for progressive lenses?

Progressive lenses often come with options like anti-reflective coating for clearer vision and reduced glare, as well as ultraviolet protection to shield eyes from harmful sun rays. These coatings can enhance visual perception and comfort, though they do add to the overall cost. Brusco Vision offers guidance on lens options, ensuring you get the right corrective lens for your needs.



source https://www.bruscovision.com/custom-lens-replacement/the-high-cost-of-progressive-lenses/

Sunday, February 2, 2025

How much does cataract surgery cost in Northern Virginia?

If you’re thinking about cataract surgery, understanding the costs involved is an essential part of planning for this life-changing procedure to restore clear vision. Brusco Vision is committed to offering clarity and transparency about the investment required for cataract treatment in Northern Virginia. This article will break down the key factors that influence the cost of cataract surgery, helping you make an informed choice for your vision care. Book a personalized consultation with Brusco Vision today.

What is the average cost range for cataract surgery in Northern Virginia?

In the Northern Virginia area, cataract surgery costs typically range from $2,000 to $8,000 per eye. This variation depends largely on the type of facility, with hospitals generally charging more due to higher overhead expenses, while ambulatory surgical centers often offer more cost-effective options, and type of procedure. Brusco Vision focuses on Refractive Cataract Surgery, a premium procedure aimed at enhancing visual acuity and reducing reliance on corrective lenses, providing long-term benefits that justify the initial investment. At Brusco Vision, we prioritize complete cost transparency—there are no hidden fees, ensuring you won’t face unexpected charges for anesthesia, medications, or other services.

5 Factors that affect Cataract Surgery Cost in Northern Virginia

  1. Type of Facility: Where you undergo cataract surgery plays a significant role in determining the cost. Hospital-based procedures tend to be more expensive due to higher overhead costs, with charges ranging from $3,000 to $8,000 in the Northern Virginia area. In contrast, ambulatory surgical centers often offer more affordable rates. At Brusco Vision, we perform Refractive Cataract Surgery in a dedicated, specialized office designed for advanced vision correction procedures, providing a more streamlined and cost-effective experience.

  2. Type of Procedure: The type of cataract surgery you choose significantly impacts the overall cost. While traditional cataract surgery is less expensive, Refractive Cataract Surgery offers superior visual outcomes by addressing refractive errors such as nearsightedness, farsightedness, and astigmatism. This advanced approach, available at Brusco Vision, utilizes precise techniques and technology to deliver lasting value by reducing or eliminating the need for corrective eyewear.

  3. Choice of Intraocular Lens (IOL): The IOL you select is a key cost factor. Standard monofocal IOLs restore basic vision but may not correct other refractive needs. At Brusco Vision, we specialize in premium options such as toric lenses for astigmatism and multifocal or extended-depth-of-focus lenses. These advanced IOLs provide sharper, more versatile vision, allowing patients to enjoy a lifestyle with minimal dependence on glasses or contact lenses.

  4. Surgeon’s Expertise: The expertise of your eye surgeon is crucial to achieving the best results, especially for Refractive Cataract Surgery. Dr. Brusco’s extensive experience with advanced lens technology and refractive procedures ensures that patients receive exceptional care and precise outcomes, making the investment in your vision well worth it.

  5. Additional Pre- and Post-Operative Care: Comprehensive care before and after surgery is essential for optimal results. At Brusco Vision, we provide personalized pre-operative consultations and thorough post-operative care to support recovery and enhance visual outcomes. Our commitment to each patient ensures a smooth and successful cataract surgery journey.

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Does insurance cover cataract surgery?

In the U.S., most cataract patients over 65 have Medicare, which typically covers about 80% of the cost for standard cataract surgery, leaving an average out-of-pocket expense of approximately $1,052 per eye. Private health insurance plans also generally consider cataract surgery medically necessary and cover a portion of the costs. However, coverage details can vary significantly. It’s important to check with your insurance provider regarding specifics such as coverage percentages, in-network providers, pre-authorization requirements, and post-operative care.

At Brusco Vision, we do not accept insurance, allowing us to deliver a boutique, personalized experience focused on exceptional care and results. By avoiding the limitations often associated with insurance plans, we ensure that quality and patient satisfaction remain our top priorities.

Can I use my HSA or FSA to pay for cataract surgery?

Yes, both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) can be used to pay for cataract surgery. These accounts consider cataract surgery a qualified medical expense, allowing you to apply funds directly toward the cost of the procedure. FSAs enable you to set aside pre-tax dollars for medical expenses, including eye exams, glasses, contact lenses, and surgeries like cataract surgery, potentially reducing your overall costs by lowering your taxable income. However, it’s important to check your plan’s specific guidelines for eligible expenses.

HSAs also provide a tax-advantaged way to cover out-of-pocket medical costs, including cataract surgery. For 2024, HSA contribution limits were $3,850 for individuals with high-deductible health plans (HDHPs) and $7,750 for families. Utilizing HSA funds for your procedure not only helps manage expenses but also offers significant tax savings. To make the most of your HSA or FSA for your cataract surgery at Brusco Vision, review your plan’s details to ensure compliance and maximize benefits.

Start Your Journey to Clear Vision

Understanding your options and the costs involved is a crucial part of planning for cataract surgery. At Brusco Vision, we are committed to providing the information you need to make confident decisions and ensuring a seamless experience from your initial consultation to recovery. Interested in learning more about the benefits of Refractive Cataract Surgery? Schedule a consultation with Dr. Brusco today and discover how we can help you achieve clearer vision with complete transparency.

FAQ’s About How Much Does Cataract Surgery Cost In Northern Virginia

What factors influence price differences in cataract surgery?

The cost of cataract surgery varies due to factors such as the type of facility, surgeon expertise, and the specific procedure performed. Hospitals often charge more than specialized centers due to higher overhead costs. At Brusco Vision, we focus on refractive cataract surgery in a boutique setting, offering transparent pricing and personalized care for every patient.

Are there hidden fees with cataract surgery?

Certain providers may include extra charges for anesthesia, post-operative care, or facility fees. At Brusco Vision, we prioritize complete transparency, ensuring our patients receive a detailed cost breakdown upfront, so there are no surprises throughout their treatment.

Does Brusco Vision provide financing options for cataract surgery?

Yes, Brusco Vision offers financing options to make high-quality refractive cataract surgery accessible to more patients. These plans allow for manageable payments over time, especially beneficial for those opting for premium IOLs or laser-assisted procedures.

Are discounts available for cataract surgery at Brusco Vision?

While we don’t offer traditional discounts, Brusco Vision does offer financing options, and focuses on delivering exceptional value through advanced technology and personalized care. Our specialization in refractive cataract surgery ensures enhanced visual outcomes that provide long-term benefits, making it a worthwhile investment.

How much does cataract surgery cost without insurance?

In Northern Virginia, cataract surgery typically costs between $4,000 and $8,000 per eye without insurance, depending on the provider and procedure complexity. At Brusco Vision, our pricing reflects the premium quality of refractive cataract surgery, advanced IOL options, and the tailored care delivered by Dr. Brusco.

What is the average out-of-pocket expense for Medicare patients?

Medicare generally covers 80% of the cost for standard cataract surgery, leaving patients with an average out-of-pocket expense of around $1,052 per eye. Although Brusco Vision does not accept insurance, we provide a premium boutique experience and clear pricing for refractive cataract surgery, ensuring patients know exactly what to expect.

How does surgeon expertise affect the cost of cataract surgery?

The expertise of a surgeon can significantly influence the cost of eye surgery, as more experienced surgeons often charge higher fees for their specialized skills and proven outcomes. Dr. Brusco’s extensive experience in refractive cataract surgery ensures exceptional care and results. His attention to each patient’s unique visual needs makes this investment in advanced ophthalmology a valuable choice for long-term vision and quality of life.

Are there additional costs for post-operative care after cataract surgery?

In the United States, some providers charge separately for post-operative visits, medications, or follow-up care. At Brusco Vision, comprehensive post-operative care is included in our services, ensuring patients receive the necessary support for optimal healing without unexpected costs. This commitment to transparency sets us apart in Northern Virginia.



source https://www.bruscovision.com/patient/how-much-does-cataract-surgery-cost-in-northern-virginia/

Tuesday, January 28, 2025

Dr. Michael A. Brusco: Teaching the Future of Refractive Surgery at George Washington University

At Brusco Vision, we’re excited to celebrate that Dr. Michael A. Brusco, MD, FACS. Dr. Brusco is teaching at the George Washington University Department of Ophthalmology as an assistant professor. In this role, he will teach refractive surgery, sharing his expertise with the next generation of ophthalmologists. This appointment reflects his extraordinary skill in advanced vision correction and his passion for driving innovation in the field.

Dr. Brusco’s career is defined by excellence. As a highly-experienced refractive surgeon and board-certified ophthalmologist, he has performed thousands of vision correction procedures, including LASIK, SMILE, PRK, and EVO ICL. These procedures have transformed the lives of countless patients, helping them achieve clear vision without the need for glasses or contact lenses. As an assistant professor at one of the nation’s most prestigious academic institutions, Dr. Brusco will share his knowledge and experience to advance surgical techniques and train future leaders in ophthalmology.

Dr. Brusco’s academic journey is equally remarkable. He earned his medical degree from Northwestern University, graduating with multiple clinical clerkship honors. He then completed his residency at the University of Kansas, where he was recognized as one of the program’s most accomplished residents. His passion for innovation and his commitment to patient care led him to pursue a preceptorship in refractive surgery, cementing his expertise in complex visual impairments and cutting-edge treatment options.

Dr. Brusco’s influence extends far beyond the operating room. In addition to his clinical practice and teaching responsibilities, he is an active member of leading professional organizations, including the American Society of Cataract and Refractive Surgery (ASCRS) and the American Academy of Ophthalmology (AAO). He is also a founding member of the World College of Refractive Surgery & Visual Sciences, a group dedicated to advancing global standards in vision correction.

The Department of Ophthalmology at George Washington University has long been recognized for its excellence in education and patient care. By combining rigorous academic instruction with hands-on clinical experience, the department ensures that its residents and fellows are equipped to deliver top-tier care in an ever-evolving medical landscape. Dr. Brusco’s appointment to the faculty is a testament to his dedication, skill, and ability to shape the future of refractive surgery.

At Brusco Vision, we see Dr. Brusco’s new role as more than just a professional achievement. It underscores our commitment to not only providing outstanding patient care but also contributing to the broader field of ophthalmology. Patients who choose Brusco Vision can be confident that their care is guided by a leader whose expertise is helping to shape the future of vision correction.

Dr. Brusco’s patients often highlight his approachable demeanor, meticulous attention to detail, and the life-changing results he delivers. His unique blend of technical precision and a patient-first philosophy has made him a trusted partner in helping patients achieve their vision goals. Now, his influence will inspire the next generation of ophthalmologists to uphold the same high standards of care.

We’re proud to support Dr. Brusco as he teaches the next generation. His dedication to advancing the field of ophthalmology ensures that both patients and aspiring surgeons will benefit from his knowledge, passion, and vision for the future.



source https://www.bruscovision.com/patient/dr-michael-a-brusco-teaching-the-future-of-refractive-surgery-at-george-washington-university/

Friday, January 10, 2025

LASIK After Retinal Detachment Surgery

Recovering from retinal detachment surgery often raises questions about vision correction options, including LASIK. At Brusco Vision, we understand the importance of personalized care for patients with unique eye health histories. While LASIK may be an option after retinal detachment surgery, several factors determine whether it’s a safe and effective choice. To learn more and explore your options, schedule a consultation with Brusco Vision today.

Can I have LASIK after retinal detachment surgery?

Yes, LASIK may be an option after retinal detachment surgery, but it depends on several factors specific to your eye health and recovery. Studies have shown that LASIK can successfully improve vision for many patients with a history of retinal detachment surgery. However, it’s essential to allow sufficient healing time—typically at least several months—before considering the procedure. This waiting period helps ensure your eye has recovered fully and is stable enough for further treatment.

Several considerations must be addressed before moving forward with LASIK. Scarring from the previous surgery, particularly conjunctival scarring, can pose challenges during the LASIK procedure as it may affect the creation of the corneal flap. Additionally, eyes with a history of retinal detachment may have a slightly higher risk of vision regression after LASIK compared to those without such a history. Your prescription stability, corneal thickness, and overall eye health will also be carefully evaluated to determine your eligibility.

Every case is unique, and a thorough examination by an experienced ophthalmologist is necessary to assess whether LASIK is the right choice for you. At Brusco Vision, we take a personalized approach to care, ensuring that each patient receives a treatment plan tailored to their individual needs and eye health. If you’ve had retinal detachment surgery and are exploring vision correction options, schedule a consultation with Brusco Vision to discuss your goals and find the best solution for your vision.

Can LASIK improve vision in eyes that have undergone retinal detachment surgery?

Yes, LASIK can improve vision in eyes that have undergone retinal detachment surgery, but it requires careful evaluation. Studies have shown that LASIK can successfully correct refractive errors, with many patients experiencing significant improvements in vision. For example, uncorrected visual acuity improved in all cases studied, and most patients achieved a refractive result close to perfect vision.

However, certain factors need to be considered. Scarring from the previous surgery can make the procedure more challenging, and there may be a slightly higher chance of vision changes over time compared to those without a history of retinal detachment. That said, no retinal complications were reported in the studies, and regular follow-ups ensure the best outcomes.

If you’re considering LASIK after retinal detachment surgery, a thorough evaluation is critical to determine if it’s the right option for you. At Brusco Vision, our team will guide you through the process and create a personalized plan to help you achieve your best vision.

Explore Your LASIK Options with Confidence

If you’ve had retinal detachment surgery and are considering LASIK, the team at Brusco Vision is here to provide expert guidance. Our personalized approach ensures your unique eye health needs are addressed, helping you make the best decision for your vision. Schedule your consultation with Brusco Vision today to explore your options.

LASIK Self Test

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Are you a candidate for LASIK in Washington DC and the DMV? Let’s find out. Take this 60 second quiz to see which procedure might be the best option for your eyes.

FAQ’s About LASIK After Retinal Detachment Surgery

How long should I wait after retinal detachment surgery before considering LASIK?

It’s generally recommended to wait at least 3 to 6 months after retinal detachment surgery before considering LASIK. This allows your eye to fully heal and stabilize, ensuring the safest possible outcome. Dr. Brusco evaluates each patient’s unique situation to determine the right timing for LASIK and to ensure optimal results.

Can scar tissue from retinal detachment surgery affect LASIK results?

Scar tissue, particularly conjunctival scarring, can complicate the LASIK procedure by interfering with the suction ring used to create the corneal flap. However, our experienced surgeon, Dr. Brusco, carefully assesses and plans each procedure to minimize risks and work around potential challenges related to scarring.

Is LASIK riskier for patients with a history of retinal detachment?

While LASIK eye surgery can be safe for many patients with a history of retinal detachment, there may be a slightly higher risk of vision regression compared to those without such a history. At Brusco Vision, we conduct comprehensive evaluations to ensure that LASIK is both safe and beneficial for each patient’s specific eye health.

Can LASIK cause another retinal detachment?

There is no direct evidence to suggest that LASIK increases the risk of a second retinal detachment. However, regular monitoring of the retina is essential. At Brusco Vision, our team emphasizes follow-up care and retinal health assessments to ensure long-term safety and success after LASIK.

What vision issues can LASIK correct after retinal detachment surgery?

LASIK surgery is designed to correct refractive errors such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. If these issues persist after retinal detachment surgery, LASIK may be an effective solution. Brusco Vision specializes in advanced LASIK procedures to help patients achieve their best possible vision.

Will LASIK work if I have a silicone oil bubble from retinal detachment surgery?

LASIK is typically not performed if a silicone oil bubble is still present in the eye, as this indicates ongoing treatment or incomplete healing. At Brusco Vision, we ensure all conditions related to retinal detachment surgery are fully resolved before considering LASIK.

Do I need additional tests before LASIK after retinal detachment surgery?

Yes, additional tests such as corneal thickness measurements, retinal evaluations, and prescription stability checks are critical to determining LASIK eligibility. Brusco Vision uses state-of-the-art diagnostic tools to thoroughly assess whether LASIK is a suitable option for you.

Are there alternatives to LASIK if I’m not a candidate after retinal detachment surgery?

If LASIK isn’t an option, other procedures such as PRK (Photorefractive Keratectomy) or lens-based solutions may be better suited to your needs. These options work well for addressing refractive errors while considering factors such as visual perception and overall eye health. At Brusco Vision, we’ll guide you through all available options to find the best fit for your needs.

Does insurance cover LASIK after retinal detachment surgery?

LASIK is considered an elective procedure and is generally not covered by insurance. However, flexible spending accounts (FSAs) or financing options may help make the procedure more affordable. Brusco Vision can provide guidance on payment options during your consultation.

How do I know if I’m a good candidate for LASIK after retinal detachment surgery?

Determining candidacy for LASIK involves evaluating your prescription stability, corneal thickness, overall eye health, and the time elapsed since your retinal detachment surgery. The team at Brusco Vision conducts detailed assessments to provide personalized recommendations tailored to your vision needs.

What are the signs and symptoms that might affect LASIK eligibility after retinal detachment surgery?

Signs and symptoms such as persistent vision changes, flashes of light, or floaters could indicate potential complications in the vitreous body or retina, which need to be resolved before considering LASIK. At Brusco Vision, our team specializes in ophthalmology and performs thorough evaluations to ensure your eyes are healthy enough for the procedure.

How does LASIK work with near-sightedness after retinal detachment surgery?

LASIK reshapes the cornea to correct refractive errors, including near-sightedness (myopia). For patients who have undergone retinal detachment surgery, a detailed analysis of the human eye, including corneal thickness and retinal health, is essential to ensure a successful outcome. At Brusco Vision, we focus on tailoring treatments to your specific vision needs.

Can previous retinal tears or bleeding affect LASIK?

Retinal tears or bleeding from a prior detachment surgery can complicate LASIK candidacy if the retina has not fully healed. Ensuring that the retina and surrounding structures, such as the vitreous body, are stable is critical before proceeding. Brusco Vision prioritizes safety by conducting thorough preoperative evaluations.



source https://www.bruscovision.com/lasik/lasik-after-retinal-detachment-surgery/

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