MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Dishler Laser' source. Fri, 28 Oct 2011 01:25:51 +0100 http://www.medworm.com/index.php?rid=5191395&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=5191395 Sun, 04 Sep 2011 03:55:39 +0100 5191395 http://www.medworm.com/index.php?rid=5102848&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=5102848 Sun, 07 Aug 2011 05:13:54 +0100 5102848 http://www.medworm.com/index.php?rid=4852341&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=4852341 Mon, 23 May 2011 16:27:50 +0100 4852341 http://www.medworm.com/index.php?rid=4059801&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=4059801 Wed, 13 Oct 2010 00:41:57 +0100 4059801 http://www.medworm.com/index.php?rid=4017669&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=4017669 Thu, 30 Sep 2010 21:59:25 +0100 4017669 http://www.medworm.com/index.php?rid=4001363&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=4001363 Sat, 25 Sep 2010 21:22:19 +0100 4001363 http://www.medworm.com/index.php?rid=3981898&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=3981898 Sun, 19 Sep 2010 08:50:00 +0100 3981898 http://www.medworm.com/index.php?rid=3938070&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=3938070 Tue, 07 Sep 2010 08:42:10 +0100 3938070 http://www.medworm.com/index.php?rid=3907046&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=3907046 Fri, 27 Aug 2010 09:03:45 +0100 3907046 http://www.medworm.com/index.php?rid=3786849&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=3786849 Mon, 26 Jul 2010 07:35:47 +0100 3786849 http://www.medworm.com/index.php?rid=3706126&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=3706126 Tue, 29 Jun 2010 07:37:32 +0100 3706126 http://www.medworm.com/index.php?rid=3576921&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=3576921 Wed, 19 May 2010 15:04:26 +0100 3576921 http://www.medworm.com/index.php?rid=3548919&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=3548919 Mon, 10 May 2010 16:20:18 +0100 3548919 http://www.medworm.com/index.php?rid=3504613&cid=s_39050_72_f&fid=39050&url= (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=3504613 Mon, 26 Apr 2010 15:56:56 +0100 3504613 http://www.medworm.com/index.php?rid=3436194&cid=s_39050_72_f&fid=39050&url= Health-care can be divided into three groups.  Thing you have to do like go to the emergency room when something bad happens, things you should do, like have a yearly physical, and the things you elect to do, like having LASIK vision correction.  There has been much said in the recent health-care debate and newly passed legislation about the first two categories, and despite my strong beliefs in this area, I want to concentrate on the last category, those things that you can have if you want them. LASIK in this sense is in the same realm as plastic surgery.  No one really needs cosmetic facial surgery, but many people have this to improve their self esteem.  Likewise, no one really needs LASIK to improve their vision, but many have this also as a way to improve their vi... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3436194 Sun, 04 Apr 2010 15:13:24 +0100 3436194 http://www.medworm.com/index.php?rid=3311013&cid=s_39050_72_f&fid=39050&url= Intelligent consumers are always in the position of weighing their best options today against a potentially improved one tomorrow.  Look at the case of computer memory, the price drops in half while the amount of storage doubles almost every two years.  On the other hand, if you need some RAM memory today, it matters little what it will cost tomorrow.  Medical procedures and services have not traditionally been considered consumer items.  For one, if you really need your gall bladder removed, you will take the best technology you can get today, even if someday it will be possible to remove it through your mouth in fifteen minutes. Many elective procedures are in the same situation where a face lift in five years will definitely not be less expensive than one today.&nbsp... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3311013 Fri, 26 Feb 2010 16:34:12 +0100 3311013 http://www.medworm.com/index.php?rid=3253991&cid=s_39050_72_f&fid=39050&url= Vision starts with a camera of sorts, for people this is the human eye.  Just like a camera, light enters an optical system and is focused with some optics onto the retina where it is transformed into electrical impulses that are received by a big computer processor we call "the brain."  In cameras it is all about the quality of the optics, the shape of the optics, and the size of the optics to get enough light into the camera for the film, or the sensor to be able to transform the light into electrical impulses.  Our retina is a much better light sensor than most cameras and certainly more compact than the D3.  It is about the size of the sensor in a Coolpix, but with the light sensitivity of its much bigger brother. Quite simply, the more light you have, the... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3253991 Tue, 09 Feb 2010 16:32:08 +0100 3253991 http://www.medworm.com/index.php?rid=3227304&cid=s_39050_72_f&fid=39050&url= There is one primary reason why LASIK has rocketed to popularity over the last decade, and it has to do with the quick recovery and results.  There are few if any medical procedures where the results are so predictable and rapid as in LASIK laser vision correction.  Although as with any medical procedure their are risks and complications, for the vast majority of patients undergoing this procedure, the vision is restored to normal levels virtually overnight.  Despite this fact, many potential LASIK candidates are cautious due to their previous experience with contact lenses.  This is the secret question that many potential LASIK patients ask themselves:  "If my eyes can be so uncomfortable with a tiny glob of mascara underneath them, how will I tolerate h... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3227304 Mon, 01 Feb 2010 17:30:07 +0100 3227304 http://www.medworm.com/index.php?rid=3184981&cid=s_39050_72_f&fid=39050&url= Dishler Laser Institute, is not just a name, it is really an eye research center which has conducted numerous clinical trials over almost two decades to help advance the field of eye surgery and vision.  We have been part of many aspects of laser vision development while maintaining an active clinical practice.  Most recently we have been selected as one of just five clinical sites to implant the Revision Lens into properly selected and informed candidates as part of an FDA clinical trial currently pending final approval.  These patients will all be people who have had great vision all of their lives, and now in their mid-life, are experiencing an inability to see well at near.  The lens is carefully implanted as a minor surgical procedure just  beneath the surface... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3184981 Tue, 19 Jan 2010 16:25:15 +0100 3184981 http://www.medworm.com/index.php?rid=3163349&cid=s_39050_72_f&fid=39050&url= There will be two winners:   Details HERE. One humorous LASIK video and one serious LASIK video will be chosen. Submitted You Tube videos must be at the minimum 2 minutes in length but no longer than 4 minutes. We know every video requires some work on your part, so everyone who submits a video will be sent a coupon via e-mail for $500 off bilateral Custom All Laser LASIK surgery. ($250 off per eye – may not be combined with other discounts or offers, no cash value, etc.). 4 finalists will be chosen by Dishler Laser Institute. Finalists must agree to come into our office to determine their candidacy for LASIK. The 2 winners chosen must be a candidate for LASIK, and agree to the terms and conditions of the contest. The two winners will receive Free Custom All Laser LASIK ... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3163349 Tue, 12 Jan 2010 17:35:22 +0100 3163349 http://www.medworm.com/index.php?rid=3122016&cid=s_39050_72_f&fid=39050&url= Quite candidly, the perception of many people as well as our own was that a primary determinant of the affordability of LASIK  was strongly related to the cost of having it done. We wonder if centers that charge slightly more or less than others benefit or are hurt by placing financial stress on the patients who elect to choose them.  We are concerned about how important the cost of the procedure weighs in the average patient's decision.  Therefore, we decided to model the costs of LASIK at our current charges for the procedure  as compared to the costs of glasses, contacts, solutions, and routine eye care to see just how much of a premium was involved for those who choose this option.  We expected LASIK to cost more, and were very surpised just the opposite.&... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3122016 Sat, 26 Dec 2009 15:49:01 +0100 3122016 http://www.medworm.com/index.php?rid=3088820&cid=s_39050_72_f&fid=39050&url= PREPARATION- This includes a thorough evaluation, education and meeting with the patient to be sure that we can meet their expectations and to limit their expectations to what is reasonable to expect.  For instance we cannot be as assured of a perfect result in extremely bad corrections and we also warn about reading vision in patients who are a bit older.  Preparation also includes putting in temporary punctal plugs in every patient since some degree of dry eye immediately post operatively is common and best to be avoided.  We also use a proprietary mixture of medications tailored to the patient to make them comfortable and relaxed for their procedure.  The secret is to avoid the unexpected and make the flow of experience for the patient as pleasant as possible. EXPE... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3088820 Tue, 15 Dec 2009 16:05:26 +0100 3088820 http://www.medworm.com/index.php?rid=3074994&cid=s_39050_72_f&fid=39050&url= Maybe not tomorrow or next month, but right now if you go to the website for TLC vision, you will see Tiger Wood's smiling face, dressed up to play golf, and being quoted that he choose TLC for his vision correction and now he sees 20/20 without glasses.  While it is impressive that  LASIK has helped to make someone who had extremely bad vision (the advertisement says he was -11.00 which is really extreme) now have vision so good that he can be perhaps the best in the world, it was not really TLC that fixed his vision.  TLC is a company which is actually a corporation that began in Canada, and owns a chain of laser vision correction centers throughout North America.  One particular doctor, who happened to work at TLC did correct Tiger's eyes, and that does not mean that... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3074994 Thu, 10 Dec 2009 15:53:14 +0100 3074994 http://www.medworm.com/index.php?rid=3062926&cid=s_39050_72_f&fid=39050&url= Many people have sticker shock about the cost of LASIK vision correction.  While there is some disparity in pricing, when one compares the cost of this procedure to that of other options, it is surprisingly affordable.  This depends on many factors which includes whether and the type of contacts being worn, the type and cost of glasses, and other considerations.  In general, most people pay about a dollar a day for contact lens wear when one considers the cost of contacts, solutions, exams, etc.  This is about the cost of a LASIK procedure over ten years.  Now if you also have a pair of backup glasses every two years, it can make the costs higher and therefore the amortization period shorter, say 7-8 years.  For those who wear toric contact lenses, these ... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3062926 Mon, 07 Dec 2009 16:04:03 +0100 3062926 http://www.medworm.com/index.php?rid=3056102&cid=s_39050_72_f&fid=39050&url= The Neuroptics pupillometer is a state of the art device used to measure the size of the pupil in real life conditions.  We acquired this technology in relation to a new FDA study that is beginning soon at Dishler Laser Institute.  In learning about this device we are so impressed that we have decided to use it for all of our LASIK evaluations to measure the pupil of the eye prior to surgery.  This device uses infrared light to measure the pupil 39 times per second for two seconds and then averages these readings to give an average pupil size which is accurate to 0.1 mm with a digital readout.  The human pupil is never stationary and constantly is changing in size depending on lighting conditions.  Even when the light level is constant, there are pupil fluctuations... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3056102 Fri, 04 Dec 2009 15:52:48 +0100 3056102 http://www.medworm.com/index.php?rid=3035808&cid=s_39050_72_f&fid=39050&url= After 25+ years of practice with the last fifteen being almost exclusively LASIK, we have enjoyed meeting people from throughout the world as patients and many beyond the confines of Denver, and Colorado.  Within the borders of Colorado, many patients have had vision correction from as far south as Pueblo and as far north as Fort Collins and beyond.  Westward we have seen increasing patients coming from Grand Junction, and recently an increase from Telluride which is a really long drive to our location.  While we appreciate each and every patient, it is noteworthy that Aspen has has a strong referral pattern which is due to several factors.  One of our earliest LASIK referring practices is Aspen Vision Source which has offices in Aspen and Carbondale.  Dr. Tim Baue... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3035808 Sat, 28 Nov 2009 15:58:14 +0100 3035808 http://www.medworm.com/index.php?rid=3018660&cid=s_39050_72_f&fid=39050&url= There have been five major advances in LASIK since it was first invented: 1. The use of eye trackers - The first LASIK procedures required the patient to fixate on a light and that was what was used to center the treatment. The invention of eye tracker technology allows the laser to be programmed to define the location of the pupil and when the treatment is started even if the eye moves, the laser stays centered on the pupil which gives treatments that are correctly centered over the optical portion of the eye. 2. Small spot scanning lasers - The first lasers and ones still in use today use a "broad beam" where the treatment laser beam is as large as the optical zone being treated and astigmatism is corrected by varying the shape of this beam. Although this is effective, ther... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3018660 Mon, 23 Nov 2009 16:03:17 +0100 3018660 http://www.medworm.com/index.php?rid=3016907&cid=s_39050_72_f&fid=39050&url= This simple question is profound, because it touches on an invention that has changed the way in which the world views vision correction and has helped millions of people worldwide to see better without the aid of glasses or contact lenses. For perhaps millions of years, much of human kind has suffered with vision problems. There are the serious eye diseases such as cataracts, glaucoma and a myriad of other problems. Beyond this is the simple fact that many people are unable to see clearly at distance, near, or both. This is from the imperfections of the eyeball as a camera and this was greatly helped over that last few hundred years by glasses and more recently in the last 50 years by contact lenses. Although with the advent of lasers, there was a hope that such technology could improve... Dishler Laser news http://www.medworm.com/rss/comments.php?id=3016907 Sun, 22 Nov 2009 15:57:38 +0100 3016907 http://www.medworm.com/index.php?rid=2993683&cid=s_39050_72_f&fid=39050&url= In 1995 we were one of the first ten LASIK providers in the United States.  This was a new procedure at that time almost 15 years ago, and since that time the success of that procedure has blossomed into an industry with over 10,000 LASIK providers today.  It is certainly impossible to say who or where is the very best LASIK providers, but it is always good to be considered amongst the best.  When one reviews the doctors and centers picked for the prestigious Goldline independent consumer research of best or most dependable LASER VISION providers in the last few years, it is obvious that they have picked very well recognized and credible choices.  This year we were notified a few weeks ago, that we were selected by Goldline as one of only 10 LASIK practices in the entir... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2993683 Sun, 15 Nov 2009 15:49:50 +0100 2993683 http://www.medworm.com/index.php?rid=2969971&cid=s_39050_72_f&fid=39050&url= www.dishler.com/pages/technology#zywave (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=2969971 Sat, 07 Nov 2009 15:48:35 +0100 2969971 http://www.medworm.com/index.php?rid=2943168&cid=s_39050_72_f&fid=39050&url=   If you are the kind of person who is extremely difficult to satisfy, who demands absolute perfection, and who gets easily flustered with even the slightest delay, then LASIK may not be your best option.  If on the other hand, you are looking for a substantial improvement in your vision to improve your quality of life which you overall find satisfactory except for the problems associated with glasses or contact lenses, then you are probably a good LASIK candidate.  If you meet this test, then the next step is to find your best option for obtaining your vision improvement.  To be happy with LASIK you must believe that you made a reasoned choice in LASIK providers.   Most importantly, try to find a good referral source to a doctor beyond advertising o... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2943168 Fri, 30 Oct 2009 16:00:30 +0100 2943168 http://www.medworm.com/index.php?rid=2926892&cid=s_39050_72_f&fid=39050&url= It is important to distinguish real technological advancements, from marketing hype and this is especially true when it comes to laser vision correction.  There is not much question that I-LASIK is the latter of these in that it was the matching of two existing technologies.  The VISX laser was one of the first approved lasers, and although there have been some improvements, it is still a broad beam first generation technology which is limited as compared to many newer lasers that have been available for a number of years since.  Yes, there is a good chance of getting to 20/20 vision with VISX but no greater than any other platform, and it has limitations in the type of ablation that can be created.  This gets into subtler issues than just 20/20.  For instance, it ... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2926892 Mon, 26 Oct 2009 16:33:37 +0100 2926892 http://www.medworm.com/index.php?rid=2911888&cid=s_39050_72_f&fid=39050&url= Concierge is a French term and originally applied only to hotels as a person who helped guests with services related to their stay.  In America and elsewhere the term has been extended to a broader range of meanings.  The Wikipedia defines a "Hospital Concierge"  as: 'In hospitals, concierge services are becoming increasingly available. A hospital concierge provides similar services to those of a hotel concierge, but serve patients and employees as well'.  It is not so important what the term is but rather the qualifications and duties of the person involved.   At  Dishler Laser Institute, our patient counselor, Dana C., is a registered nurse (RN).  She has worked at our facility for a number of years in a variety of nursing duties including scr... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2911888 Wed, 21 Oct 2009 15:16:31 +0100 2911888 http://www.medworm.com/index.php?rid=2902728&cid=s_39050_72_f&fid=39050&url= It was not that long ago that in the American West where we now reside, patients were given something to bite on, like a soft bullet to reduce the pain of surgery.  Modern anesthesia has made remarkable advances in that while unconscious patients can be treated oblivious to their surroundings.  It is a different matter for LASIK vision correction.  Here we need the patient to cooperate and to fixate on a lighted target in order to properly perform the procedures.  We also have advanced in that there are eye trackers, all laser procedures, and much improved technology but in the end we require an awake and cooperative patient to perform this procedure. One of the benefits of having a surgery center as opposed to an office environment is that we can confidently give our p... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2902728 Sun, 18 Oct 2009 14:40:19 +0100 2902728 http://www.medworm.com/index.php?rid=2901432&cid=s_39050_72_f&fid=39050&url= It was not that long ago that in the American West where we now reside, patients were given something to bite on, like a soft bullet to reduce the pain of surgery.  Modern anesthesia has made remarkable advances in that while unconscious patients can be treated oblivious to their surroundings.  It is a different matter for LASIK vision correction.  Here we need the patient to cooperate and to fixate on a lighted target in order to properly perform the procedures.  We also have advanced in that there are eye trackers, all laser procedures, and much improved technology but in the end we require an awake and cooperative patient to perform this procedure. One of the benefits of having a surgery center as opposed to an office environment is that we can confidently give our p... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2901432 Sat, 17 Oct 2009 14:35:57 +0100 2901432 http://www.medworm.com/index.php?rid=2890003&cid=s_39050_72_f&fid=39050&url= Dr. Dishler appears weekly on Martino TV as a vision expert. Martino TV is on channel 31 from 9-10 AM on Tuesday mornings.  He is also on Channel 2 from 11AM until noon.  Tune in to find out the latest on LASIK.  His appearances can be found on the channel 31 website or KDVR Denver.  During his first appearance Dr. Dishler explained how LASIK works and what is different about the blade free or all laser LASIK.  Video that was taken at his office was shown demonstrating how the procedure is done.  On the second appearance June 9th one of Dr. Dishler's patients, Brian, explained his experiences just three weeks before during his procedure and how he now can see better than 20/20 in both eyes.  Brian wants to be a pilot in the air force, and his excellent vi... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2890003 Wed, 14 Oct 2009 14:59:22 +0100 2890003 http://www.medworm.com/index.php?rid=2890002&cid=s_39050_72_f&fid=39050&url= The number which is most familiar to people when we discuss vision is 20/20.  This is so much so that there is a television show with this title.  20/20 simply means being able to see at 20 feet what a "normal person" can see at 20 feet.  There is a line on the eye chart which signifies this level of vision.  Therefore 20/40, the minimum vision to drive, is that vision which can be seen at 20 feet that a "normal person" could see if they were farther away, in fact twice as far at 40 feet.  While this is important, and a standard measure of vision, it does not explain all of what is important in vision.  For instance, it says nothing about near vision, and in older patients, presbyopia or difficulty seeing at near is a consideration.  A... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2890002 Wed, 14 Oct 2009 14:59:22 +0100 2890002 http://www.medworm.com/index.php?rid=2890001&cid=s_39050_72_f&fid=39050&url= Did you ever wonder why almost everyone can hear the same, but so many people don’t see the same?   Most people love the sound they hear from an Apple i-Pod™, but many cannot enjoy a movie without their glasses or contact lenses. Somehow, evolution just hasn’t completely perfected vision, at least for many of us.  And that is especially true when it comes to astigmatism, the most challenging form of vision imperfection.  Astigmatism is when the front of the eye is not round like it is supposed to be.  There just isn’t any good reason for an eye to be warped, and we just don’t see this kind of distortion when it comes to ears.  Of course vision is a lot more complicated than hearing, and therefore this is understandable.  Mayb... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2890001 Wed, 14 Oct 2009 14:59:22 +0100 2890001 http://www.medworm.com/index.php?rid=2890000&cid=s_39050_72_f&fid=39050&url= There are several web sites that track the cost of LASIK procedures by geographic region, by year, and by other metrics.  It is surprising how little the costs of this procedure have changed over the last 10 years, and how little it varies between providers.  There is a range of costs which are certainly more in places like New York or Los Angeles, but in the midwest including Colorado, these costs are fairly stable.  In general LASIK costs between $1000 and $3000 per eye or $2000 to $6000 total.  For the quality centers which offer blade free LASIK with state of the art lasers, the average cost is about $2500 per eye or $5000.  Our charges are significantly lower than these averages. Some centers market directly to perspective patients with "teaser"... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2890000 Wed, 14 Oct 2009 14:59:22 +0100 2890000 http://www.medworm.com/index.php?rid=2889999&cid=s_39050_72_f&fid=39050&url= Doctor Dishler began performing LASIK in 1995 as the first doctor in Colorado, and the region to perform LASIK.  In 2000 he was the first to perform IntraLASIK, the all blade free LASIK procedure.  Over the years we have led in the laser vision correction field, including participation in numerous clinical studies, and being admitted to the organization "Trusted LASIK Surgeons."  Throughout this period, most of the patients that have been treated by Dr. Dishler have been referred to him by other doctors in Denver, Centennial, Aurora, and Littleton as well as Highlands Ranch and other areas in metro Denver.  Many patients have come from Boulder, Colorado Springs, Loveland, Fort Collins and mountain areas such as Aspen and Grand Junction. Most of these patients ... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889999 Wed, 14 Oct 2009 14:59:22 +0100 2889999 http://www.medworm.com/index.php?rid=2889998&cid=s_39050_72_f&fid=39050&url= The eye is covered in a tear layer, and we all know that tears can be increased with stress, sorrow, or even the wind, sometimes rolling down the cheek in a torrent.  The tears both keep the eye clean and also are the critical front optical surface of the eye.  What is less appreciated, is that a decrease in tears can actually result in blurred vision.  This blurry vision is many times thought to be due to some other problem than a dry eye cause.  We have to understand that the tears are actually made of three separate layers.  The outer or lipid oil layer slows tear evaporation.  The main layer is the liquid layer which is mostly water and some solutes such as sodium which is what makes tears salty.  The inner layer which smoothly attaches the tears is a... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889998 Wed, 14 Oct 2009 14:59:22 +0100 2889998 http://www.medworm.com/index.php?rid=2889997&cid=s_39050_72_f&fid=39050&url= There is a perception that if one goes to a large corporate entity, one will get better value than a small boutique individually owned store.  While this has proven true for big box stores like Walmart or Home Depot, it is not necessarily true for service based businesses.  As an example, large corporate tax preparation entities are not going to be less expensive than your local tax accountant.  In the field of medical services, we rarely have to consider cost since most medical care is covered, at least in part, by health insurance.  For health care that is outside of that system, we can look at plastic surgery for example and find that the costs for most procedures are fairly constant and the differences are largely due to the reputation of the doctor involved. When i... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889997 Wed, 14 Oct 2009 14:59:22 +0100 2889997 http://www.medworm.com/index.php?rid=2889996&cid=s_39050_72_f&fid=39050&url= Denver, Colorado is what we say when people ask where we are located.  True, we are not actually within Denver city limits, but we are located at what many believe is the most convenient spot for everyone within the greater Denver metropolitan area to easily come and visit.  In normal conditions, you can reach our office within 15-20 minutes from downtown Denver, Cherry Creek, most of Aurora, Centennial, and Highlands Ranch.  And within 30 minutes we are from Arvada, Wheatridge and Castle Rock or Denver International Airport.  This is because we close to the intersection of all the major freeways in the Denver area.  We are virtually on I-25 between I-225 to the north, and I-470 to the south.  This means convenient travel from the newly improved highway system... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889996 Wed, 14 Oct 2009 14:59:22 +0100 2889996 http://www.medworm.com/index.php?rid=2889995&cid=s_39050_72_f&fid=39050&url= Great results require great data.  When we reach the step of applying laser energy to the eye, we are on almost the last step of a checklist that has many steps preceding it.  To begin with we must take a careful history of the patient, their vision, and their eye and medical history.  We need to understand their visual needs, what they are currently wearing (contact lenses or glasses or nothing) and how effective these have been.  Then we want to understand what the patients expectations are with laser vision (ususally LASIK) correction, make sure that they are a suitable candidate mentally and physically for this procedure, and discuss alternatives and options that are available to them.  They need to decide whether to have one eye done at a time or both the same... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889995 Wed, 14 Oct 2009 14:59:22 +0100 2889995 http://www.medworm.com/index.php?rid=2889994&cid=s_39050_72_f&fid=39050&url= LASIK is an acronym which means the letters each stand for a word.  In this case it is Laser Assisted Stromal In-situ Keratomileusis.  This is definitely a mouthful, and when we were in the early 1990's trying to come up with a word describing this procedure, this seemed to make sense.  It was preceded by another acronym, ALK, which stood for Automated Lamellar Keratoplasty, and was the non-laser predecessor of the LASIK procedure.  We began doing ALK in the early 1990's and this was a procedure where a flap was made with a microkeratome, some tissue was cut using the same microkeratome with some special settings, and the flap was replaced.  It worked fairly well, but when lasers came along, it seemed obvious that the increased accuracy of the laser would make this... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889994 Wed, 14 Oct 2009 14:59:22 +0100 2889994 http://www.medworm.com/index.php?rid=2889993&cid=s_39050_72_f&fid=39050&url= We have signed on with Allergan Pharmaceuticals to dispense Latisse for our patients in Denver, Centennial, Aurora and from Colorado Springs and Fort Collins who wish to have longer, thicker, and darker eyelashes.  We have received numerous requests from existing patients to offer this product, and although it does not have the "gravity" of LASIK or laser vision correction, it is something that many of our female patients have been requesting.  Since Latisse can only be prescribed by medical doctors (MD) and not optometrists (OD) we are also providing this for patients referred by our network of co-managing Optometrists.  Tomorrow I am going for my weekly segment on the Tom Martino Show on Channel 31 and channel 2 in Denver, to introduce our Latisse program, and to... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889993 Wed, 14 Oct 2009 14:59:22 +0100 2889993 http://www.medworm.com/index.php?rid=2889992&cid=s_39050_72_f&fid=39050&url= LASIK has been a breakthrough in vision correction in that it is quick, virtually pain free and in most cases eliminates the need for glasses or contact lenses.  The achilles heel of LASIK was always the first step, making a corneal flap.  Here was the non-laser part and in about 50% of cases this technique based on technology that is about 50 years old, is still in use today.  Basically a motor driven electric disposable razor blade cuts the cornea to remove the top layers and allows the laser to treat the inner cornea with the flap replaced and in hours the eye is functionally healed and vision is restored.  The cutting of this flap is in most cases reliable, but as one can imagine, sometimes there can be problems which include tears, holes, incomplete and mis-created... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889992 Wed, 14 Oct 2009 14:59:22 +0100 2889992 http://www.medworm.com/index.php?rid=2889991&cid=s_39050_72_f&fid=39050&url= For all of the convenient restaurants and hotels near our office and a map please go here to find more about Denver's first Denver LASIK laser vision correction center. (Source: Dishler Laser) Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889991 Wed, 14 Oct 2009 14:59:22 +0100 2889991 http://www.medworm.com/index.php?rid=2889990&cid=s_39050_72_f&fid=39050&url= Patients need to have their individual needs evaluated from both a safety and effectiveness standpoint when considered for laser vision correction surgery.  The first laser treatment, and the one that the laser companies thought was going to be the only laser treatment was to treat the front of the eye with the laser and let a new skin or epithelium heal with the eye patched.  Although this was the most simple approach, it had several limitations.  For one, there was considerable discomfort, and this made it none to popular.  There were other problems such as haze or scarring of the cornea, decreased vision, and others.  When LASIK came along, as an upgrade to a previous procedure, ALK, it seemed to resolve most of these problems and was quickly adopted as the trea... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889990 Wed, 14 Oct 2009 14:59:22 +0100 2889990 http://www.medworm.com/index.php?rid=2889989&cid=s_39050_72_f&fid=39050&url= When you visit the Dishler Laser Institute, you will take an elevator to the 12th floor where you will enter to a panoramic view of the Rocky Mountains (we used to be called Laser Institute of the Rockies).  You will be greeted by our receptionists/patient counselors who are highly trained to not only get you checked in, but to answer your questions and make you feel at home.  You can use your cell phone, our courtesy phone, have a cup of java, and relax in our spacious waiting area.  You will be seen by a patient counselor, an ophthalmic technician, and either Dr. Brownfield or Dr. Petraitis during your free screening.  You will have some quick an painless diagnostic scans taken of your eyes, answer a few questions about your general and eye health, and see a short vid... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889989 Wed, 14 Oct 2009 14:59:22 +0100 2889989 http://www.medworm.com/index.php?rid=2889988&cid=s_39050_72_f&fid=39050&url= Contact us at Dishler Laser Institute to learn more about our summer special.  Not valid with any other offers.  This is definitely the best deal you can get on the most advanced laser vision correction in Denver Colorado and it has brought patients from throughout the region to enjoy this opportunity for better eyesight.  If you live anywhere within a few hundred miles of Denver Colorado, you might want to consider this offer.   And with financing from either Care Credit or Chase, we have the most competitive rates for vision correction affordability, including no interest financing for 24 months (wac).  We also work with hundreds of referring doctors and you can get LASIK or PRK from us at this unbelievable price including your own personal doctor's fees which ar... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889988 Wed, 14 Oct 2009 14:59:22 +0100 2889988 http://www.medworm.com/index.php?rid=2889987&cid=s_39050_72_f&fid=39050&url= Back in the year 2000 (almost 10 years ago) I was approached by some people that I knew in the vision correction industry and was told that they were working on a new laser which among other things could be a better way to do LASIK.  Intrigued, I flew to San Diego and watched Dr. Lee Nordan (now retired) perform some of the first uses of this new device, a femtosecond laser, to make a corneal flap.  It was much different than the production devices we have today, slower for one thing, but it did make cornea flaps with light, which was a really neat trick.  The company which had just started was called Intralase, and the core of its competence was drawn from scientists and physicists who had worked on this project at the University of Michigan. I became one of the group of th... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889987 Wed, 14 Oct 2009 14:59:22 +0100 2889987 http://www.medworm.com/index.php?rid=2889986&cid=s_39050_72_f&fid=39050&url= Trusted LASIK surgeons is an organization that states on their website you must have the following qualifications: Have over 10 years experience and have performed at least 2,000 refractive surgery procedures Offer Intralase ("all-laser") LASIK and Wavefront ("custom") LASIK & PRK Offer complete refractive care, not just LASIK Are leaders in LASIK and refractive surgery research and cataract surgery Have treated other eye surgeons and eye professionals or their families Have treated patients who had problems with a previous LASIK surgery Trusted by the manufacturers of lasers to perform studies to obtain FDA approval Teach and certify other LASIK and re... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889986 Wed, 14 Oct 2009 14:59:22 +0100 2889986 http://www.medworm.com/index.php?rid=2889985&cid=s_39050_72_f&fid=39050&url= When a patient comes to us or any doctor, we are supposed to not be treating just a complaint or an illness, but rather the whole individual.  This means taking into account a broad range of factors that includes not only what brings them to visit with us today, but also, what they are about and where they have been and where they hope to be going in the future.  It is much more than taking a reading from their glasses, and then putting them under a laser for a few minutes.  We must make a clinical determination if and what would be the best treatment for a particular patient.  Also we consider what would suit their particular needs not only now but into the future.  Contrary to popular opinion, most of the patients that we treat have significant corrections that w... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889985 Wed, 14 Oct 2009 14:59:22 +0100 2889985 http://www.medworm.com/index.php?rid=2889984&cid=s_39050_72_f&fid=39050&url= A brief anatomy and optics discussion is needed because this is not really easy to understand.  In contrast to nearsightedness where the eye is too long for the corneal shape, in farsightedness the opposite occurs.  Light rays want to focus behind the eye rather than on the retina where they belong, and this blurs the vision.  Unlike nearsightedness,  the youthful eye can overcome this with the lens inside the eye which can focus and overcome this defect in the shape.  However, as we age, the lens loses this ability, and things get out of focus.  For these eyes this is more true the closer something is that we are looking at, so this is why reading up close is the first thing to go. With LASIK or any of the flavors of laser vision correction (such as PRK), we ... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889984 Wed, 14 Oct 2009 14:59:22 +0100 2889984 http://www.medworm.com/index.php?rid=2889983&cid=s_39050_72_f&fid=39050&url= Many people do not understand the revolution in vision correction surgery ushered in by LASIK and why it works so well.  The eye, like the rest of the body, has a defense mechanism that when anything more than touches us we have response to repel the invader.  This is the limitation of PRK, or surface ablation where the outside of the eye is reshaped.  The eye shortly after this knows that something drastic has happened and a healing response begins.  We can blunt this response with things like mitomycin C (off label) and a contact lens, and other medications, but there is a battle to calm the eye while it heals.  LASIK was an evolution from ALK (Automated Lamellar Keratoplasty) where a flap is made and tissue was removed using the same cutting device.  Althou... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889983 Wed, 14 Oct 2009 14:59:22 +0100 2889983 http://www.medworm.com/index.php?rid=2889982&cid=s_39050_72_f&fid=39050&url= Modern cameras have image stabilization which can make a jittery photographer take great pictures.  Using a similar principle, modern lasers employ eye trackers to "lock on" to reference areas of the eye and makes small movements invisible to the laser which is providing the correction.  Many different types of eye trackers have been utilized but most rely on the pupil and use infrared imaging to obtain the high contrast needed for effective tracking. Once the patient is under the laser, and in the case of LASIK, after the flap has been lifted, the eye tracker is engaged and almost instantaneously knows where the pupil is throughout the treatment.  If the patient moves their fixation too drastically, the laser will stop until fixation is within a safe range to trea... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889982 Wed, 14 Oct 2009 14:59:22 +0100 2889982 http://www.medworm.com/index.php?rid=2889981&cid=s_39050_72_f&fid=39050&url= Being one of the small handful of doctor/investigators to usher in the femtosecond lasik procedure almost 10 years ago, and with a long period before general acceptance by most of our competitors, I am always amused to notice just how many local "experts" there now are on the all blade free procedure.  It was five years before a second Colorado doctor stepped up to this technology, and it was not a center in Denver.  Today there are a whole bunch of doctors with a variety of femtosecond lasers, all claiming to be the latest and greatest. Lasers are tools, and a better tool can do a better job.  It is equally important that the person who is using that tool understands its application and its limitations.  There are private web discussion groups where doctors ... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889981 Wed, 14 Oct 2009 14:59:22 +0100 2889981 http://www.medworm.com/index.php?rid=2889980&cid=s_39050_72_f&fid=39050&url= One thing is for sure about medical procedures, and that is, that nothing is for sure.  On rare occasion even relatively trivial procedures can turn into disasters, and most often very complex surgery goes extremely well.  Doctors are taught and ethics demands that we cannot promise any result since there are so many variables that such a promise is not reliable.  What we can do is show our past experiences in similar cases and there is a good chance that your experience will follow others like you.  This is where it is important to ask your doctor not for the experience of dozens of doctors from around the country who pool their numbers and experiences, but rather from your specific doctor in treating others with your specific problem. We at Dishler LASIK have data bas... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889980 Wed, 14 Oct 2009 14:59:22 +0100 2889980 http://www.medworm.com/index.php?rid=2889979&cid=s_39050_72_f&fid=39050&url= When laser vision was first conceived, an optical engineer named Dr. Charles Munnerlyn developed a mathematical model for reshaping the front of the eye in the 1980's to correct nearsightedness and he received a patent for his work.  I met Dr. Munnerlyn recently and he is still very interested in the field of laser vision correction.  His formula was to flatten the cornea the correct amount to achieve a desired result without much emphasis on real world issues such a night vision.  As it turned out, this formula worked quite well and was the basis of a company and a laser very familiar to many called VISX.  Without delving into a tremendous amount of detail, it became understood over time that although these lasers could correct vision predictably and became FDA approve... Dishler Laser news http://www.medworm.com/rss/comments.php?id=2889979 Wed, 14 Oct 2009 14:59:22 +0100 2889979