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LASIK
What is LASIK?

LASIK is an acronym for laser-assisted in situ keratomileusis. This laser procedure permanently changes the shape of the cornea – the clear covering of the front of the eye – using an excimer laser.

It is a two-step procedure which begins with a hinged flap creation using a mechanical microkeratome (a blade device) or a laser keratome (a laser device).

The flap is folded back revealing the stroma, the middle section of the cornea. Pulses from a computer-controlled laser vaporise a predetermined portion of the stroma and the flap is replaced.

Reshaping and reduction of the stroma alter the refractive power of the cornea and hence corrects the overall power of the eye.

LASIK surgery cannot treat presbyopia (lao hua) per se. However, monovision through LASIK is a popular option.

In monovision, one eye is fully corrected for distance vision while the other eye for reading, is under-corrected with residual myopia, in order to offset presbyopia.


Who is suitable?

Suitable candidates:

  1. at least 21 years of age

  2. stable spectacle refraction for the last 12 months

  3. not pregnant/ breastfeeding

  4. free of certain diseases of the cornea and retina

  5. good health

Patients should stop soft contact lens wear, at least 1 week, or hard/rigid gas permeable lens, at least 2 weeks, before the consultation.


What are the advantages?
  1. Advantages of LASIK over other refractive procedures

  2. Quick visual recovery

  3. Relatively painless

  4. Established procedure

  5. High patient satisfaction in many studies

  6. Low complication rates

  7. Affordable


The LASIK Process
The Procedure

At the start of surgery, anaesthetic eye drops are applied. Once the eye is numbed, an eyelid speculum is inserted to prevent the eyelids from blinking. Next, a thin flap is created in the outer layer of the cornea, using either a specialised mechanical blade (microkeratome) or a femtosecond laser. A little pressure or tightness may be felt at this stage.

Next, the hinged corneal flap is lifted, exposing the treatment area. You will be prompted to look and focus on an overhead target light while the excimer laser is applied to the treatment area. A loud noise and a slight smell may occur during the application.

Finally, the flap is repositioned upon completion and allowed to adhere, stitch-free. The eyelid speculum is removed at this stage. The whole treatment lasts approximately 15 minutes for each eye.

Once the anaesthetic eye drops wear off, the eye will feel quite gritty and irritable for a few hours. Frequent application of lubricating eye drops is useful. It is important that you do not rub your eyes in the first two weeks as the flap could be dislodged. Vision is misty during the first day and should clear by the next day. If there is severe pain with reduced vision, the flap may have been displaced and you should return to the eye centre immediately.


Post-Surgery

Visual acuity is quite reasonable the next morning and will continue to improve over the next one month. Most normal activities may be resumed immediately but it is important to note that the flap is not secure for some time. Swimming and sea sports should be avoided for three weeks.

Steroid and antibiotic eye drops are routinely used for one week to help the eye heal and prevent infection.

A little dryness and irritation may persist for several months. During this time, lubricating eye drops may be used to ensure comfort.


FAQs

How do I prepare myself for the first consultation? If you wear contact lenses, you will need to leave them out for at least one week for soft lenses, and two weeks for hard or gas permeable lenses prior to the pre-operative consultation. This is to prevent corneal warpage from affecting the measurements of the cornea.


What range of refractive errors can be treated?
In general, myopia up to -15.00 diopters (1,500 degrees), astigmatism from -0.50 diopters (50 degrees) to -4.00 diopters (400 degrees) and hyperopia from +1.00 diopters (100 degrees) to +5.00 diopters (500 degrees) may be treated. The actual refractive error that can be treated will vary and depend on the individual's eye characteristics, such as thickness of the cornea.


If I am pregnant, can I still go for laser vision correction?
It is not advisable to have laser vision correction if one is pregnant. This is because there may be some changes in the shape of the cornea during pregnancy as a result of the hormonal changes in the body.

These changes may potentially affect the result of the treatment. Laser vision correction is not known to harm the unborn baby.

Surgery may be considered six months after delivery and when your menstrual cycle has resumed. Patients should not be breastfeeding too.


What may be the side effects that I might face? Will I go blind if the surgery goes wrong?
Possible side effects following LASIK surgery include dry eyes, light sensitivity, and night vision problems such as glare and halos.

Most of these side effects will usually subside over time. Partial loss of vision may occur if a serious complication such as infection of the cornea resulting in corneal scarring occurs. However, the likelihood of this happening is extremely rare.

Antibiotic and steroid eye drops are prescribed routinely to prevent infection from occurring after surgery. SNEC has been performing laser vision correction since 1992. Our surgeons and staff are highly trained and experienced to provide the best possible care for your LASIK surgery.


Can I still use spectacles or contact lenses if the treatment does not give satisfactory results?
Yes, you can still wear spectacles to improve vision if the treatment does not give satisfactory unaided vision. In some cases, contact lenses may be used. It may not be possible to wear contact lenses in all cases as the shape of the cornea has been changed by the laser surgery.


How long is the treatment? Is hospitalisation required?
LASIK takes approximately 15 minutes to perform for each eye. It is done as a day surgery (outpatient) procedure without the need for hospital admission.


Will I suffer any discomfort or pain?
The procedure is performed using anaesthetic eye drops so there is no pain during the procedure. However, you may experience some eye discomfort and tearing during the first 24 hours after the surgery. It will gradually resolve by the second or third day.


How long will it take for me to recover?
For LASIK, most patients will experience better vision within the first 24 hours. Your vision will gradually improve over the next few days. Stability of vision is usually attained in one to three months.


Can both my eyes be operated on at the same time? If not, when can I have the other eye done?
Yes, both eyes are routinely operated on the same day (bilateral simultaneous surgery). However, it may also be possible for some patients to request for surgery for both eyes to be performed on separate days (bilateral sequential surgery). In this case, the second eye can be operated as soon as 24 hours after surgery for the first eye.


When can I exercise or swim after the surgery?
In general, normal activities can be resumed after one week. Please refrain from swimming for three weeks. For LASIK, we recommend that patients avoid contact sports for one month after surgery to avoid accidental injury to the corneal flap.


May I travel by aeroplane after the surgery?
Yes, you may. It is not a problem to travel by aeroplane after the surgery.


How much time off work do I need to take after the surgery? Will medical leave be given?
You are advised to rest for one to two days after the LASIK procedure. If required, you will be granted outpatient medical leave. Please note that not all employers will endorse medical leave granted for laser vision correction.


How do I cope after one eye is operated and the other is due for operation at a later date?
For contact lens users, you can wear your lens in the unoperated eye until three days prior to the surgery of your second eye. You should be able to cope for a short period seeing with the operated eye until the day of surgery for your second eye with no ill-effects to either eye.

For those who are wearing spectacles, do not attempt to remove the spectacle lens from the side of the operated eye because you will have difficulty seeing and balancing the vision. It may be easier to continue wearing your old spectacles or none at all until your second eye is operated on.


Will my eyes be permanently weakened after the procedure?
No, LASIK does not significantly weaken your eyes if you are a suitable candidate for the surgery.


What happens if my vision is not fully corrected after the procedure?
In some cases with under-correction or overcorrection after the initial laser treatment, enhancement surgery can be performed.

This can be done about three months after the LASIK procedure. This time interval is to allow stability of the refraction to be achieved before enhancement surgery is performed.


How long will the corrections last?
Laser vision correction is permanent. There may be a mild fluctuation of vision in the first three to six months while the eye is healing. Thereafter, the result will be permanent.


How often do I need to come back for post-operative review?
You will need to come back for a review on the first day, first week, first month and three months after the surgery.


Price
At the SNEC Laser Vision Centre, we are committed to providing quality and accessible ophthalmic eye care. Our rates are deliberated with the patient in mind. For more information about financial options we offer, please call us at (65) 6322 8891.

We accept payment by cash, NETS (subject to the daily limit), debit and credit cards.

Description

Price with 7%GST (per eye)

Pre-Consultation

S$109.14 (Consultant) S$123.05 (Senior Consultant)

LASIK Suitability Assessment

S$85.60

LASIK Surgery - Blade

S$1,182 to S$1,498 (SNEC Assigned Doctor) S$1,284 to S$1,605  (Consultant) S$1,407 to S$1,712  (Senior Consultant)

LASIK Surgery - Bladeless

S$1,498 (SNEC Assigned Doctor) S$1,659 (Consultant) S$1,766 (Senior Consultant)

NOTE:

  • Pricing for LASIK procedure is inclusive of 1st-day post-operative consultation and enhancement surgery (if recommended by the primary surgeon within two years).

  • Prices indicated are correct as of 23rd June 2014 and may be subject to change without prior notice.

  • Price applicable for Singaporean, Permanent Resident and Employment Pass/Work Permit Holder, Dependent Pass Holder or Long-Term Visit Pass - Plus Holder.

  • A surcharge is applicable for Social Visit Pass Holder, Student Pass Holder, Long Term Visit Pass Holder and Tourists.



LASIK Xtra™

What is LASIK Xtra™ LASIK Xtra™ is a LASIK procedure enhanced with an add-on corneal strengthening procedure (cross-linking). During LASIK, the excimer laser thins the cornea in order to correct refractive errors like myopia and astigmatism.

Hence, higher degrees of spectacle power correction result in proportionately thinner corneas. Rarely, thin and weakened corneas may progressively bulge forward, a condition called corneal ectasia. LASIK Xtra™ is postulated to reduce this risk by strengthening the cornea.


Who is suitable?
All LASIK patients especially those with thin corneas.


What are the advantages?
Strengthens corneas especially for those with thin corneas following refractive surgery. Potentially reduces the risk of corneal ectasia in all patients.

The LASIK Xtra™ Process LASIK Xtra™ involves the use of a chemical containing riboflavin (a type of vitamin) and Dextran. Immediately after LASIK, the riboflavin solution is applied to the cornea and ultraviolet light is applied to the cornea for about 45 seconds. The entire process only adds about two minutes to the LASIK procedure. There is no added discomfort during LASIK Xtra™.

As a cornea-strengthening procedure, cross-linking has been widely performed for eyes with weaker corneal strength and also in eyes with corneal thinning after LASIK.

LASIK Xtra™ may be useful in normal eyes where the cornea may become very thin after LASIK. Therefore, it may benefit patients requiring high spectacle power correction and in patients with naturally thin corneas.

In general, visual outcomes are not affected by this additional procedure LASIK Xtra™ and the procedure may reduce the risk of corneal weakness after LASIK in certain individuals.


FAQs

What are the risks of LASIK Xtra™ compared to LASIK? The risks are essentially the same.


Are patients previously rejected for LASIK because of inadequate corneal thickness now suitable candidates for LASIK Xtra™?
No, patients with inadequate residual corneal stromal beds are still not suitable for LASIK Xtra™.


Price
At the SNEC Laser Vision Centre, we are committed to providing quality and accessible ophthalmic care. Our rates are deliberated with the patient in mind.

For more information on financing options, please call (65) 6322 8891.

We accept payment by Cash, NETS (subject to the daily limit), debit and credit cards.

Description

Price with 7%GST (per eye)

LASIK Xtra™ Surgery

S$835 on top of LASIK Surgery price

NOTE:

  • Prices indicated are correct as of 1st April 2013 and may be subject to change without prior notice.

  • Price applicable for Singaporean, Permanent Resident and Employment Pass/Work Permit Holder, Dependent Pass Holder or Long-Term Visit Pass - Plus Holder.

  • A surcharge is applicable for Social Visit Pass Holder, Student Pass Holder, Long-Term Visit Pass Holder and Tourists.


Advanced Surface Ablation (ASA) – LASEK

What is LASEK? Advanced Surface Ablation or ASA is a method of laser vision correction without the need to cut a flap. ASA includes procedures such as LASEK (Laser-in-situ Epithelial Keratomileusis).

This procedure involves softening or loosening the outer surface layer of the cornea (epithelium) with diluted alcohol. The corneal epithelium is then easily removed. The excimer laser is then used to treat the surface of the cornea directly; the amount of treatment is dependent on the individual's refractive error.

At the end of the procedure, a soft bandage contact lens is applied to aid healing and improve comfort. The bandage lens may remain in place for up to a week depending on how quickly healing occurs.

Visual recovery is slightly slower than with LASIK and there may be pain or discomfort while the eye is healing (3-4 days). The vast majority of patients achieve results equivalent to LASIK in the long term.


Who is suitable?
Advanced Surface Ablation or ASA is suitable for some patients such as those individuals with thin corneas and those with active/vigorous lifestyles such as military personnel, policemen or those involved in high impact contact sports.


What are the advantages?
The advantage of Advanced Surface Ablation or ASA is that less tissue is removed from the cornea by laser compared to LASIK.


The ASA Process
The ASA procedure involves softening or loosening the outer surface layer of the cornea (epithelium) with diluted alcohol. The corneal epithelium is then easily removed. The excimer laser is then used to treat the surface of the cornea directly and the amount of treatment is dependent on the individual's refractive error.

At the end of the procedure, a soft bandage contact lens is applied to aid healing and improve comfort.


FAQs

What is the main difference between LASEK and LASIK? The main difference between LASEK and LASIK is that in LASEK, less corneal tissue is removed in the surgery compared to in LASIK.

LASIK involves cutting a corneal flap (usually measuring 90-115 microns in thickness). In LASEK, on the other hand, only the epithelial or surface layer of the cornea (measuring about 50 microns in thickness) is removed. The epithelium (surface layer) of the cornea is first loosened by the application of diluted alcohol for about 60 seconds before it is removed during the surgery in LASEK.

In modern LASIK surgery, the corneal flap is cut using a femtosecond laser (bladeless surgery).


How does this difference translate into the suitability of a particular individual for laser refractive surgery?
As LASEK consumes less corneal tissue than LASIK, it is suitable for individuals who have thin corneas and who are otherwise unsuitable for LASIK.


Are there any disadvantages of LASEK compared to LASIK? What is the recovery process like following LASEK surgery?
There are some disadvantages of LASEK compared to LASIK.

Firstly, the visual recovery is slower in LASEK. Recovery to reasonably clear vision typically takes about three to five days in LASEK compared to about one day in LASIK. In LASEK, most patients may experience some eye pain for about one or two days after the surgery. This pain is usually relieved by taking analgesics (painkillers).

By wearing a soft bandage contact lens for a few days, the eye pain is also greatly reduced in most patients such that sometimes, oral analgesics are unnecessary. Because of the slower visual recovery process in LASEK, surgery on both eyes is usually done on different days. With LASIK, surgery on both eyes is performed routinely on the same day.


When can I return to work following LASEK surgery?
Depending on the specific occupational requirements of the patient, he or she can usually return to work about five to seven days after undergoing LASEK surgery. This is slightly longer than in LASIK, where the patient may return to work after one or two days following surgery.


When can I resume my normal sporting activities after LASEK surgery?
LASEK patients can resume their sports activities earlier than LASIK patients. As there is no corneal flap in LASEK, there is no danger of any flap complications that may arise due to accidental eye trauma.

LASEK patients may resume a wide range of sporting activities, including contact sports, once the epithelial layer of the cornea has fully healed and they are no longer wearing the bandage contact lens. This typically occurs after one week.


When does long-term visual recovery fully stabilise in LASEK as compared to LASIK?
The long-term visual recovery process typically stabilises at about three to six months following surgery in LASEK as compared to one to two months in LASIK.


How long must I apply eye drops following LASEK surgery to my eyes?
You will be prescribed a variety of eye drops following LASEK surgery. These eye drops consist of antibiotic eye drops to prevent infection, corticosteroid (steroid) eye drops to decrease inflammation and artificial tears eye drops to prevent dry eyes. After LASEK surgery, you are required to apply the steroid eye drops for at least one month. This is in contrast to LASIK surgery where the antibiotic and steroid eye drops are applied only for one week following surgery.


Price
At the SNEC Laser Vision Centre, we are committed to providing quality and accessible ophthalmic eye care. Our rates are deliberated with the patient in mind.

For more information on financial options, please call (65) 6322 8891.

We accept payment by Cash, NETS (subject to the daily limit), debit and credit cards.

Description

Price* with 7%GST (per eye)

Pre-Consultation

S$109.14 (Consultant) S$123.05 (Senior Consultant)

LASEK Suitability Assessment

S$149.80

LASEK Surgery

S$1,926 (SNEC Assigned Doctor) S$2,033 (Consultant) S$2,140 (Senior Consultant)

NOTE:

  • Pricing for LASEK Surgery is inclusive of 1st-day post-operative consultation and enhancement surgery (if recommended by the primary surgeon within two years).

  • Prices indicated are correct as of 23rd June 2014 and may be subject to change without prior notice.

  • Price applicable for Singaporean, Permanent Resident and Employment Pass/Work Permit, Dependent Pass Holder or Long-Term Visit Pass - Plus Holder.

  • A surcharge is applicable for Social Visit Pass Holder, Student Pass Holder, Long-Term Visit Pass Holder and Tourists.


IMPLANTABLE CONTACT LENS (ICL)

What is ICL? ICL, also known as Implantable Contact Lens, is used to correct vision for eyes with high refractive errors (near or farsightedness, with or without astigmatism), and especially if the cornea is unsuitable for laser refractive surgery. At SNEC, the Visian Implantable Contact Lens (Staar Surgical Company, USA) is available.

The Visian ICL is able to correct myopia of -3.0 D to -20.0 D (US FDA approved). Toric models, which can correct both myopia and astigmatism simultaneously, are also available, eliminating the need for subsequent procedures to correct astigmatism.


Who is suitable?
Patients with refractive errors who are not suitable for LASIK, e.g. those who have very high myopia and/or those with thin corneas.


What are the advantages?
Since the cornea is not changed by the procedure, therefore there is no corneal-related problems, dry eyes and future issues with cataract surgery and glaucoma management, should there be any. Higher powers of hyperopia, myopia and astigmatic correction are possible.


The ICL Process
The ICL is a one-piece foldable intraocular lens, which is implanted just in front of the natural crystalline lens as a 10-minute, day surgery procedure. This ICL is inserted through a stitch-less, small corneal incision allowing fast visual rehabilitation, high quality (high definition) vision, thus eliminating the need for hospital admissions.


FAQs

What is the ICL? ICL stands for Implantable Contact Lens. It is a foldable lens that is inserted through a small opening in the cornea into the eye, to greatly improve vision. It is safe, effective and reversible, and its main advantage is that it does not change the shape or thickness of the cornea.


What is a phakic intraocular lens?
The ICL is a type of phakic intraocular lens that is placed in the eye without removing the eyes natural crystalline lens to correct refractive errors. Phakic intraocular lens surgery is a safe and effective alternative for patients whose corneas are not suitable for LASIK.


Can you explain the entire process to me?
  • The implantation of an ICL is an intraocular surgery that can be performed as an outpatient procedure.

  • Two weeks before the surgery, a small opening is created at the top of the iris (which is invisible to the naked eye) to allow better aqueous flow in the eye. This is performed by a painless, quick, non-invasive laser procedure at SNEC.

  • On the day of surgery, most patients will be operated under anaesthetic eye drops and mild sedation. However, others may prefer general anaesthesia.

  • During the surgery, a small opening is made in the cornea and the ICL is inserted into the eye with a special injector.

  • The lens is placed behind the iris and in front of the eyes natural lens.

  • The procedure takes around 10 to 15 minutes for each eye. Most patients find the procedure pain-free and easy to tolerate.

  • After the surgery, the patient will be observed for two to four hours before they are allowed to go home.

  • The procedure is very similar to cataract surgery that has been safely practised for decades worldwide.    


How do I know it is suitable for me?
It is suitable for patients who are at least 21 years of age, have myopia up to -20.00 diopters (2,000 degrees) with or without astigmatism. You should not be pregnant or have significant active ophthalmic conditions like glaucoma, iritis or diabetic eye disease. The doctor will be able to better advise you after a comprehensive pre-operative examination and assessment at the SNEC Laser Vision Centre. Please contact us if you would like to have more information or would like to schedule an appointment.


Why is it more expensive than LASIK?
The ICL is customised to your prescription and the lens is tailor-made for you. This intraocular procedure requires a few more pre-operative assessments, the use of an operating theatre, and anaesthetic support.


How long has it been on the market?
It has been on the market for more than 10 years and published clinical trials with long-term results have shown ICL to be safe and effective. The US FDA approved its use in December 2005 for myopia. It has been used in Singapore since 2005.


I
still think LASIK is better since all my friends had done LASIK. How do I know I can trust this new procedure? LASIK is a proven and safe procedure, but not everyone qualifies for it. The ICL is cornea-conserving. This means that for some patients whose corneas are unsuitable for LASIK, ICL may be an option.


Is it safe?
The risks are generally low. However, as this is an intraocular procedure, the risk is slightly higher than laser refractive surgery like LASIK.


What are the possible complications?
The most serious complication is infection resulting in a permanent decrease in visual acuity. Infection of the intraocular tissues or endophthalmitis, although rare, is a potentially sight-threatening complication. The risks are similar to those of cataract surgery.

Complications include a rise of pressure in the eye soon after surgery. However, this complication is uncommon and can be managed by eye drops and/or oral medication. Other potential but much less common problems include, but are not limited to, retinal detachment, cataract, corneal decompensation and glaucoma.


Can the ICL be seen by the naked eye?
No. It is clear and cannot be seen by the naked eye.


What happens when I get lao hua (presbyopia) later on?
The ICLs will not prevent or delay the onset of presbyopia. You may still need reading glasses when you develop presbyopia. If you are already in your forties, you can decide with your surgeon to opt for monovision which can give you good far and near vision.


How many people have used this?
Over 100,000 ICL procedures have been performed worldwide.


Is it approved in Singapore?
Yes. It has been used in SNEC since 2005. It is approved for use in USA, Europe and in 45 countries.


Can I remove the lens if I change my mind in future?
It can be removed in the same way it was implanted. However, this will require another intraocular surgery with its attendant risks.


What happens when I develop cataract later?
This procedure does not prevent or slow down cataract formation. However, if a cataract operation is required, the ICL can be removed safely, and a normal cataract surgery can be performed. A new intraocular lens inserted for cataract surgery can correct the inherent refractive error but not the presbyopia.


Will the lens affect my healthy tissues?
No. The composition material is highly biocompatible. The ICL lens is made from a technologically advanced material, called Collamer, which is made of collagen and copolymer. The advanced lens material is easily accepted by the eye.


Why should I have my ICL implantation performed at SNEC?
At SNEC, the ICL procedure is performed by our team of experienced and skilled surgeons. SNEC has a set of strict guidelines and you can be assured that we perform stringent assessments, high-quality surgery and provide excellent aftercare.


Price At the SNEC Laser Vision Centre, we are committed to providing quality and accessible ophthalmic eye care. Our rates are deliberated with the patient in mind.

For more information on financial options, please call (65) 6322 8891.

We accept payment by Cash, NETS (subject to daily limit), debit and credit cards.

Description

Price with 7%GST (per eye)

Pre-Consultation

S$109.14 (Consultant) S$123.05 (Senior Consultant)

ICL Suitability Assessment

S$214.00

ICL Surgery

S$6,131.10 to S$6,837.30

NOTE:

  • Prices indicated are correct as of 9th February 2015 and may be subject to change without prior notice.

  • Price applicable for Singaporean, Permanent Resident and Employment Pass/Work Permit Holder, Dependent Pass Holder or Long-Term Visit Pass - Plus Holder.

  • A surcharge is applicable for Social Visit Pass Holder, Student Pass Holder, Long-Term Visit Pass Holder and Tourists.



ReLEx® Smile

What is ReLEx® Smile? ReLEx® Smile is a new technique of laser vision correction.

Unlike conventional LASIK, this procedure creates no flap and involves the use of only one laser (the femtosecond laser). Instead of vaporising cornea tissue to correct the underlying short-sightedness and astigmatism, ReLEx® Smile removes a small piece of corneal tissue called a lenticule through a small keyhole incision (about 2.5 to 4mm only). This single-step, all-in-one-laser operation is a day surgery procedure that takes about 25 minutes for both eyes.

ReLEx® Smile is able to treat short-sightedness between -1.00 diopters to -10.00 diopters (100 degrees to 1,000 degrees), and astigmatism of up to -5.00 diopters (500 degrees). There are certain cornea thickness requirements for the refractive error being treated. Your eye doctor will advise you accordingly.

The experience is relatively painless. There is no frightening blackout, no bleeding (no red eye) during the procedure or swelling of the eye after. Foreign body sensations and mild discomfort may be experienced by some patients after the procedure, but this usually lasts for about four to six hours. The procedure is fast, and the laser odourless and silent.

Due to the smaller wound by minimally invasive surgery, ReLEx® Smile results in a much stronger eye and less immediate post-operative discomfort and tearing. The use of a small incision also means that fewer corneal nerves are severed during the procedure, which also means less dry eye. With no flap created, flap displacement or dislodgement is not an issue, and so you will be less susceptible to trauma. ReLEx® Smile is a good option for those who are involved in contact sports.

Most patients will experience a dramatic improvement in their vision a day after the surgery but attaining full visual potential may take some time. ReLEx® Smile patients will notice their vision improving over time, with full restoration of their eyesight three to six months after the surgery.


Who is suitable?
You will need an initial evaluation by your eye doctor to determine if you are a good candidate for this treatment. Your eligibility will depend on the amount and type of refractive error, the curvature and thickness of the cornea and a number of other factors. Your eye doctor will advise you, but these are some general guidelines:

  • You must have healthy eyes — no glaucoma, infection, cataracts, severe dry eyes or any other condition that would affect postoperative healing

  • You must be an adult: age 21 or older

  • Your vision/degree must be stable for at least 12 months before surgery

  • You must not be pregnant or breastfeeding


What are the advantages?
The smaller wound in ReLEx® Smile helps to retain more tectonic strength for the cornea and there is less post-operative discomfort and tearing. The use of a small incision also preserves more corneal nerves during the procedure, resulting in less dry eye discomfort. In this flapless procedure, traumatic flap displacement or dislodgement is not an issue. Therefore, ReLEx® Smile is an option for those who are involved in contact sports.


The ReLEx® Smile Process

PREPARING FOR YOUR ReLEx® Smile CONSULTATION In this straightforward exercise in getting you prepared, our qualified and experienced paramedical staff will put your mind at ease. Your pre-operative examination at SNEC will include:

  • A comprehensive eye examination

  • An assessment of your refractive error

  • A computerised mapping of the shape of your cornea and

  • A personal consultation with one of SNEC’s refractive surgeons

Please check with your doctor with regards to the expected benefits as well as the potential risks and side effects that may occur.

Please also take note of the following:

  • If you are currently using contact lenses, please abstain from wearing them for two weeks for hard/rigid gas permeable lens and one week for soft lens prior to the consultation

  • Please bring your most recent pair of eyeglasses for the consultation

  • Your consultation will take approximately three hours, as it will include a series of comprehensive tests. Kindly take this into consideration when you make plans for the day

  • Please do not plan to drive immediately after the consultation as you may experience blurred vision due to dilation of your pupils. You may want to consider bringing a pair of sunglasses to help shield your eyes from excessive glare

  • Kindly bring along your identification card for registration and verification purposes


ON THE DAY OF YOUR SURGERY
It’s normal to feel anxious about your surgery. On your arrival at the SNEC Laser Vision Centre, every effort will be made to make you feel comfortable and relaxed. Our nursing staff will then familiarise you with the procedure.

The whole process from registration through to surgery and final discharge takes approximately two hours.

Checklist for your surgery appointment with us:

  1. Do not wear soft contact lenses for three days or hard/rigid gas permeable contact lenses for one week on the eye to be operated on prior to the surgery date.

  2. On the day of the surgery, please: - Do not use any make-up, perfume or hair care products - Bring extra warm clothing as the laser suite can be cold - Bring along the Laser Request form

  3. Continue to take any medication you require for medical conditions such as hypertension and diabetes.

  4. Fasting is not required, and you can have your normal meals.

  5. If possible, arrange for someone to accompany you home after the procedure as you may be sedated.

  6. Do not drive immediately after the procedure. Please arrange for private transport or take a taxi home.

ReLEx® Smile surgery is performed as an outpatient procedure with no need for admission afterwards. You will be ushered into the preparation room in the laser suite. You may be given a mild sedative or you may ask for one to help you relax. The nurse will then clean your eye and administer the anaesthetic eye drops to prepare you for the procedure. All the information required to correct your refractive error is programmed into the computer controlling the femtosecond laser by the surgeon.

You will be positioned on a bed under the operating microscope where the procedure will take place. Throughout the procedure, your surgeon will be constantly talking to you, explaining every step so that you will know what to expect. The procedure is painless, though you might feel some tightness in the eye during the procedure.

ReLEx® Smile procedures are usually completed within 30 minutes.


Following your surgery, please take note of the following:

  • Use the antibiotic eye drops every two hours until bedtime. On the following day, continue using the eye drops every four hours (four times a day) for one week or till further instructions from your doctor

  • Apply the eye lubricants (Bion Tears/ Cellufresh/ Refresh/ Tears Naturale Free) once every hour until bedtime on the first day. Thereafter, you may use these lubricants as much as you need to manage the dry eyes

  • Use the protective eyewear for the first 24 hours after the procedure. Thereafter, for the first week, wear it when sleeping to prevent rubbing and accidental injury to the eye

  • Do not rub the operated eye

  • Wear sunglasses to protect your eyes from bright sunlight when necessary

  • Do not wear eye make-up for the first week

  • Do not swim or take part in water sports for two weeks after your procedure. All other activities may be resumed after one week

  • Avoid getting water, soap or shampoo in the operated eye for the first week

  • If you play contact sports or racquet games, wear protective eyewear for one month after surgery

  • You are advised to rest one to two days after the procedure (medical leave can be granted by your doctor if required)

  • If you have any queries or need urgent medical attention, please call - (65) 6322 8891 during office hours  - (65) 6532 4865 after office hours (answering service) or - Email: laservisioncentre@snec.com.sg

  • For medical attention after office hours, go to the A&E Department of the Singapore General Hospital

It is normal for you to experience some discomfort and tearing but that usually diminishes within the first day. Your doctor will want to examine your eye the day after your procedure. You may then be able to return to work.

It is important that you keep all scheduled appointments and use the eye drops as instructed in order to reduce the chances of any post-operative complications from occurring.

The refractive power of your treated eye and your vision may vary for the first few weeks as part of the normal healing process. Your vision should progressively improve as your eye heals and stable vision is usually attained within the first three months.

Once your vision is stable, the treatment is permanent.


FAQs
What is ReLEx® Smile eye surgery? ReLEx® Smile is a new technique of laser vision correction. Unlike conventional LASIK, this procedure creates no flap and involves the use of only one laser (the femtosecond laser).

Instead of vaporising cornea tissue to correct the underlying short-sightedness and astigmatism, ReLEx® Smile removes a small piece of corneal tissue called a lenticule through a small key-hole incision (about 2.5 to 4mm only). This single-step, all-in-one-laser operation is a day surgery procedure that takes about 20 minutes for both eyes.


Is it painful? What extent of discomfort should I expect to feel?
The experience is relatively painless. There is no frightening blackout, no bleeding (no red eye) during the procedure or swelling of the eye after. Foreign body sensations and mild discomfort may be experienced by some patients after the procedure, but this usually lasts for about four to six hours. The procedure is fast, and the laser is odourless and silent.


What is the treatment range for ReLEx® Smile?
ReLEx® Smile is able to treat short-sightedness between -1.00 diopters to -10.00 diopters (100 degrees to 1,000 degrees), and astigmatism of up to -5.00 diopters (500 degrees) There are certain cornea thickness requirements for the refractive error being treated. Your eye doctor will advise you accordingly.


What are the benefits of ReLEx® Smile treatment over other laser vision correction procedures?
The smaller wound in ReLEx® Smile helps to retain more tectonic strength for the cornea and there is less post-operative discomfort and tearing.

The use of a small incision also preserves more corneal nerves during the procedure, resulting in less dry eye discomfort. In this flapless procedure, traumatic flap displacement or dislodgement is not an issue. Therefore, ReLEx® Smile is an option for those who are involved in contact sports.


Are there any side effects for ReLEx® Smile treatment?
ReLEx® Smile is a generally safe and highly accurate procedure with no major side effects. Minor side effects similar to other laser vision correction procedures are to be expected, and this will be discussed with your eye doctor.


What follow-up treatment may be necessary?
After surgery, you will receive medicated eye drops and artificial tears together with a post-operative care instruction leaflet. The eye drops are generally prescribed for two weeks, and artificial tears for about one month. The first follow-up check is normally carried out the day after surgery. Further checks should follow at intervals of several weeks until you have regained stable vision. Your eye doctor will advise you.


How long will it take for my eyesight to be restored after ReLEx® Smile treatment?
Most patients will experience a dramatic improvement in their vision a day after the surgery but attaining full visual potential may take some time. ReLEx® Smile patients notice their vision improving over time, with full restoration of their eyesight three to six months after the surgery.


Are the results achieved from ReLEx® Smile surgery permanent?
Yes, in the vast majority of patients, the correction achieved from ReLEx® Smile surgery is permanent.


Price
At the SNEC Laser Vision Centre, we are committed to providing quality and accessible ophthalmic eye care. Our rates are deliberated with the patient in mind.

For more information on financial options, please call 6322 8891.

We accept payment by Cash, NETS (subject to the daily limit), debit and credit cards.

Description

Price with 7%GST (per eye)

Pre-Consultation

S$109.14 (Consultant) S$123.05 (Senior Consultant)

ReLEx® Smile Suitability Assessment

S$85.60

ReLEx® Smile Procedure

S$2,341 (Consultant) S$2,448 (Senior Consultant)

NOTE:

  • Pricing for ReLEx® Smile procedure is inclusive of 1st-day post-operative consultation and enhancement surgery (if recommended by the primary surgeon within 2 years).

  • Prices indicated are correct as of 23rd June 2014 and may be subject to change without prior notice.

  • Price applicable for Singaporean, Permanent Resident and Employment Pass/Work Permit Holder, Dependent Pass Holder or Long-Term Visit Pass - Plus Holder.

  • A surcharge is applicable for Social Visit Pass Holder, Student Pass Holder, Long-Term Visit Pass Holder and Tourists.