Welcome! Thank you for considering referring your patient.
Myopia
For most myopic patients SmartSight Lenticule Extraction is the preferred procedure. Lenticule Extraction provides an amazing quality of vision with large optic zones and fast (within 1 week) visual recovery with most patients seeing better than 20/40 on post-op day one.
We love Lenticule Extraction because there are no large incisions, everything is completed through a tiny 2-3 mm incision. The procedure is painless and causes minimal dry eye due to better preservation of corneal nerves. The rate of complications like postoperative ectasia is lower than LASIK and on par or better than PRK.
SmartSight Lenticule Extraction is available in the range of -1.5 to -12 D with up to 6D* of astigmatism correction.
Please see the video below detailing how SmartSight works.
*Present Health Canada approval up to 2.5D astigmatism but the expanded range is coming soon.
High Myopia
Individuals with myopia greater than 8 to 9 diopters are at increased risk of postoperative ectasia due to a greater percentage tissue altered. For patients without sufficient corneal tissue Staar Implantable Collamer Lens (ICL) is an excellent option. The Visian EVO ICL has a small central opening to allow increased fluid circulation and avoid the need for a laser peripheral iridotomy. ICL insertion surgery is a simple 20 minute operation and can provide correction in the range of -0.5 to -18 D with astigmatism up to 6D. The ability of the lens to correct low myopic prescriptions is also ideal for patients with abnormal corneas such as individuals with keratoconus. To be a candidate for ICL surgery, a patient must have an internal anterior chamber depth greater than 2.8 mm. We use a cutting edge anterior segment OCT, the MS-39 and its artificial intelligence software to achieve the best possible ICL size customization for each patient. The EVO ICL surgery can be used in combination with laser refractive surgery techniques to further the possible treatment range.
Please see the video below detailing how Implantable Collamer Lens surgery works.
Hyperopia and Mixed Astigmatism
Patients with hyperopia up to 3 D may be good candidates for LASIK or PRK surgery. We offer CustomEyes tomography guided treatments in both LASIK and SmartSurface transepithelial PRK options. Tomography guided otherwise known as corneal wavefront based treatments are the highest precision forms of excimer ablation and have the ability to gain lines of visual acuity through higher order aberration reduction. Up to 6 D of astigmatism can be treated through a single ablation profile.
Please see the video below illustrating the concept behind CustomEyes tomography guided treatments.
High Hyperopia
Individuals with hyperopia greater than 3 diopters are at increased risk for regression and night vision disturbances from reduced optic zone sizes. The Staar Implantable Collamer Lens (ICL) is an excellent option for these patients. The Visian ICL is available to treat +0.5 to +10.0 D and up to 6 D of astigmatism. To be a candidate for hyperopic ICL surgery, a patient must have an internal anterior chamber depth greater than 3.0 mm. We use a cutting edge anterior segment OCT, the MS-39 and its artificial intelligence software to achieve the best possible ICL size customization for each patient.
Keratoconus and other Ectasias
Keratoconus was once a difficult to treat and cure condition. Fortunately, corneal cross-linking has provided the ability to stabilize corneal shape. We can combine corneal cross-linking with limited tomography guided transepithelial PRK to reshape the keratoconic cornea improving visual quality and quantity in glasses.
Additional keratoconus therapy is available in the form of Corneal Allogenic Intrastromal Ring Segments (CAIRS). This novel treatment utilizes an arc segment of collagen to recontour the cornea by lifting the base of the cone and improving corneal shape. We combined CAIRS with cross-linking to stabilize the improved corneal shape providing hope for patients who may otherwise have struggled. CAIRS is a minimally invasive surgery where the arc segment is implanted through a 1.5 to 3 mm tunnel. Typical recovery is within 1 week.
Safety
Matching the best surgery for each individual patient and individual eye is our passion. We have invested in class leading diagnostic technology to understand the shape of a cornea to an extent previously not possible. The MS-39 is an anterior segment OCT combined with placido disc topography. For the first time, this allows simultaneous mapping of the stroma and epithelium, visual axis referenced to pupil offset, iris registration for cyclorotational control, scleral-spur to scleral-spur sizing and so much more.
Epithelial thickness mapping significantly improves pre-operative detection of subclinical keratoconic eyes. We are thrilled to have the MS-39 at the forefront of our screening and planning.
We strive for exceptional quality and exacting outcomes, this is only achievable through precision pre-operative measurements and attention to detail.
Please see the video below detailing a few of the MS-39’s amazing features.
Through cutting-edge technology and adept surgery, our promise to your patients is to deliver the best results we can every time.
We offer pre-operative assessments at two locations: BoydVision in Burnaby and Langley Eye Surgeons in Langley. Please feel free to refer to your patients to the most convenient location to them. All surgery takes place at BoydVision.
Please refer your patient by any means most convenient to you. We do not have a required referral or co-management form.
BoydVision
503 – 4980 Kingsway Burnaby, BC Tel: 604-430-9560
Toll-Free: 1-877-355-3937
Fax: 604-430-5578
Langley Eye Surgeons
201-20434 64th Ave, Langley, BC, V2Y 1N4
Tel: 604-530-6838
Fax: 604-530-5292
Email: Refractive.Surgery@LangleyEyeSurgeons.com
Optional patient intake form (for patients to complete themselves if this is easier for you).