
Frequently Asked Questions
About CK
Is CK permanent?
The FDA official studies of more than 400 patients have
showed good stability to date, after more than 2 years
since treatment. One important fact is that longsight
and presbyopia (needing reading glasses) tends to progress
with age so in years to come a top-up procedure may
be needed. As someone commented, “We can turn the clock
right back but we can’t stop it ticking”. It is easy
to apply additional CK to the cornea and is no more
difficult than the original 3-5 minute treatment.
Is CK reversible?
As above, CK seems to be long-lasting in its effects,
although long term studies aren’t yet available. The
treatment is not in itself reversible. Although it is
possible to use traditional laser vision correction
to reshape the cornea and undo the effect, CK should
be considered irreversible. Because of this, each patient
should discuss his or her options fully with Mr. Allamby
or Mr. Heaven before going ahead.
How much does CK treatment cost?
CK is comparable to laser correction.
You will have a comprehensive consultation. If you are
suitable and proceed to have CK, the £50 consultation
fee is offset from the cost of treatment. You can pay
with either cheque, bankers draft or any major credit
or debit card.
Is CK safe? What are the risks and side effects of CK?
Because it is minimally invasive, the procedure has very
few surgical complications. More than 400 patients were
involved in the official FDA studies in to the effectiveness
and safety of CK, prior to its formal approval in April
2002. No patient had a serious complication or lost
significant best corrected vision from the CK procedure.
It is because of this high safety profile that many
patients in the 40-70 age group, typically more conservative
than the younger laser vision correction patients, are
comfortable coming forward to have CK. These patients
like CK because a) there is no blade used, b) no laser
is needed, c) no tissue is removed, and d) the important
central corneal line of sight isn't touched.
You may experience some foreign body sensation, tearing
or discomfort for the first 24 to 48 hours after the
treatment. You may also notice an initial overcorrection
for the first week or two, allowing you to see clearly
up close, but with some blurring of your distance vision.
Some patients experience halos and glare around lights
at night for the first few weeks.
Will my vision improve immediately after CK?
Patients normally notice an improvement in near vision
immediately after treatment. It can take a week or so
for the vision to settle down, and some fluctuations
can continue for a few weeks, as the cornea adjusts
to its new shape and reach the final level of correction.
When can I go back to work?
Most patients find they are able to go back to work and
perform normal activities by the following day. While
recovery is very quick, it is still advisable to get
adequate rest and not strain the eyes unduly. Those
people who require very high clarity of vision for their
jobs (e.g. dentists, some computer operators) may find
work more difficult for a few days afterwards.
Will CK hurt?
CK is considered a painless procedure. You will feel
a mild pressure on the eyes, and you will be aware of
the small retainer used to keep your eyelids apart during
the treatment. Afterwards, most patients feel some grittiness
or foreign body sensation. Some patients experience
mild discomfort. These symptoms subside after about
24 hours. You will be given drops for the first 1-2
days to keep the eyes comfortable.
What kind of anaesthetic is used?
Topical anaesthetic eye drops are used to fully numb
the surface of the eye. The drops achieve their full
effect after only a few seconds. No injection is needed.
Will I have to wear eye patches afterwards?
There is no need to wear patches or bandages on the eyes
after CK. You should bring a pair of sunglasses with
you on the day of treatment to reduce any glare from
sunlight. You may have a temporary contact lens inserted
to reduce any discomfort. The lens will be removed by
the doctor the following day.
Can you treat both eyes on the same day?
If treatment is required on each eye, both can be treated
on the same day. Most patients having both eyes done
choose this option, because of the minimally invasive
nature and high safety profile of CK. Each procedure
only takes a few minutes to perform.
Why doesn’t CK need a laser?
Laser vision correction works by vapourizing and so removing
tissue, reshaping the cornea to provide a new focus.
Laser treatment works best for shortsight, for which
it was originally developed. CK reshapes the front of
the eye by an entirely different method: the application
of low-level radiofrequency (RF) energy to specific
spots around the edge of the cornea. This causes peripheral
collagen to shrink and contract, like a belt being tightened,
steepening the central cornea into a new focus.
How do you apply the radio wave energy?
A wire carries the radiofrequency energy from the CK
machine to a small pen-shaped instrument. The tip is
thinner than a single human hair, and passes into the
cornea by less than half a millimetre. It has a specially
designed stop to make sure it goes no further than this.
Are there any restrictions after having CK treatment?
Like all vision correction procedures, you will have
to take certain precautions to protect your eyes. You
should avoid getting any potentially contaminated water
in your eyes for the first 7 days. This includes saunas,
Jacuzzis, swimming pools, rivers and the sea. Keep your
eyes closed while taking a shower for the first few
days. Avoid getting any soap in your eyes. You may do
mild exercise after 3-4 days, but should avoid getting
sweat into the eyes for at least one week. Avoid rubbing
your eyes for two weeks and use no eye makeup for 7
days.
Will CK guarantee me 20/20 vision?
No vision correction procedure can guarantee 20/20 vision,
including CK. Clinical studies showed that 92% of patients
with mild to moderate longsight at or close to 20/20
sufficient to be able to drive without glasses.
Can CK get me out of reading glasses (presbyopia)?
The FDA is currently in the final stages of its CK studies
for presbyopia (loss of reading vision). About half
of all CK patients are using it to stop wearing their
reading glasses, and have normal distance vision. This
is achieved by having only one eye treated; this produces
an effect called blended vision (or monovision). The
CK eye is corrected to give some reading vision while
the other has full distance vision. The treated eye
is good enough to drive without glasses, and both eyes
are still used together for sharp distance vision. The
bonus is that the CK eye allows you to read a newspaper,
menu etc. without the need to put on the “granny glasses”.
Can CK treat shortsight?
No. CK works by steeping the cornea and correcting longsight.
Shortsight must be corrected by flattening the cornea.
LASEK or LASIK laser vision
correction are the most effective ways to do this.
Will my health insurance cover the cost of my CK treatment?
Like other types of elective vision correction, most
insurance plans will not provide cover. You can spread
the cost of your CK treatment with one of our financial
agreements or by paying with a credit card and making
repayments to suit your budget.
Will I ever need glasses or contacts again?
The great majority of CK patients do not need corrective
lenses of any kind after the procedure. However, according
to your age and type of refractive error, you may need
additional correction (CK, glasses, bifocals) at some
point in the future. This is due to the eye continuing
to change as you get older. Fortunately, CK can be repeated
in most cases.
What
do I do next?
Please
feel free to call our centre on
One
of our team will talk to you briefly by telephone to
help you know whether you may be suitable, and avoid
an unnecessary journey. If you wish to proceed, we will
arrange to see you for a full consultation. (You should
have someone come with you, so that they may drive you
home.)
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