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You Look Wonderful!
November 2002

   It's not about plopping our charge card out onto the counter and latching on to some magic potion. It's not about buying a new sweat suit, although that may help in time. It's not about envy or regret, or shouldn't be, as much as self expression and enjoying life more fully. Dance to the music and all that jazz.

   The road to an enhanced physical appearance for the New Year begins with a solid look in the mirror. Don't shy away or squint. We must care about what we see there and want what reflects back at us to look and feel better. Beauty, by which we mean a body that we are comfortable with and in which we can achieve the things we wish for in life, begins with self-inspection and a healthy dose of selfishness.

   As long as we are going on about looking better, how about also seeing better - shedding ourselves of eyeglasses or contacts, if that is our desire?

   Today's procedures for LASIK surgical correction of refractive vision errors (nearsightedness, farsightedness and astigmatism) are excellent, says Dr. William Myers of Michigan Eyecare Institute, with 95 percent of patients achieving vision of 20/40 or better (good enough to pass one's driver's test), and approximately 85 percent seeing 20/20 following surgery. These results are independent of normal age-related changes in our ability to focus at close distances, the kind for which reading glasses are prescribed.

   Dr. Myers is one of the nation's pioneers in surgical corrective of refractive errors, having since 1976 completed more procedures than any ophthalmologist in the United States. He has also lectured and taught other practitioners worldwide and was instrumental in introducing to the Midwest, along with his medical partners, Dr. Mark Rubinstein and Dr. Walter Cukrowski, the use of the advanced excimer laser for refractive corrections.

   LASIK stands for Laser-Assisted In Situ Keratomileusis, whereby an excimer laser is used to change the shape of the cornea and correct for refractive errors, as opposed to using external lenses (glasses or contacts) to correct vision by making lightwaves focus more quickly or less quickly or along the proper axis as they strike the retina. LASIK is basically a two-step procedure, completed today in minutes. A tiny knife, the microkeratome, is used to cut a flap in the cornea. A hinge is left at one end of this flap. The flap is folded back revealing the stroma, the middle section of the cornea. Pulses from the computer-controlled laser literally vaporize a portion of this stroma, creating the "surgical vision prescription." The flap is replaced; it will usually adhere on its own with contact pressure. Within one day, the patient can expect normal, comfortable vision. The excimer laser takes its name from the particular energy level of laser light that can be best targeted in human tissue without damaging adjacent tissue.

   With locations in Southfield, Livonia and Dearborn, Michigan Eyecare Institute employs today's most advanced excimer laser, the Alcon (formerly Summit) LADARVision. One of the few excimer lasers that are FDA-approved in the United States as a tracking laser, the LADARVision automatically follows natural eye movements during surgery for greater precision.

   The LADARVision excimer laser employed by Michigan Eyecare Institute also has received FDA approval for its incorporated wave front technology, the next revolution in laser refractive surgery. In this mode, the LADARVision instruments sends out a wave whose reflected pattern is compared against the original. The measured difference, which can now be treated by the excimer laser, can detect higher orders of optical aberrations than what the traditional eye examination measures or eyeglass prescription corrects.

   "This new procedure will solve such issues as night vision, spherical aberration and other distortions still seen after LASIK," says Dr. Rubinstein. "We will be able to achieve 20/20 night vision and better quality of vision for many patients, 20/15 will be a new standard and 20/10 is not uncommon from what we have seen in clinical trials with the LADARVision wave front technology."

The procedure is expected to be available in the first quarter of 2003 and Michigan Eyecare Institute will the first ophthalmological special practice in the Midwest and the only one in Michigan to offer it, says Dr. Myers. Dr. Cukrowski, adds that, unlike "surgery only" clinics, the Michigan Eyecare Institute is a full-range ophthalmological practice, providing comprehensive eye care for patients before and after surgery.

   For more information on LASIK surgery and the medical staff of Michigan Eyecare Institute, visit www.micheyecare.com.

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