Alan W. Brown, M.D.
Richard Dax Hawkins, M.D.


CK Conductive Keratoplasty

Trouble with up close vision?
Over 40? Had good vision most of your life? Frustrated with your reading glasses? CK, Conductive Keratoplasty, could be for you! CK is a no incision, in office procedure that treats aging eyes by reshaping your cornea. After CK, most patients are able to see a price tag, a dinner menu, or their watch without fumbling for their readers. CK changes how the eye focuses light by reshaping the surface of your eye (cornea). When the shape is changed, the light can be refocused on the correct part of your eye
(retina). To produce the reshaping, CK uses the controlled release of radio frequency energy to heat and shrink the corneal tissue. This steepens the cornea and allows light to properly focus on the retina again.
CK Frequently Asked Questions

1. Is Conductive Keratoplasty (CK) permanent?
CK may be able to “turn back the hands of time…but we cannot stop the clock from ticking.” The goal is to try and take you back to the time where you just started relying on reading glasses for reading a menu in dim lighting and up close work. As you age, so do your eyes. The effect of CK is permanent but as we age our vision continues to weaken.

2. Can CK correct presbyopia? (The result is that it is more difficult to read at close range)
If you have presbyopia, Dr. Brown may recommend “blended vision.” Unlike “monovision” (where one eye is treated for near vision, leaving the untreated eye for distance vision), blended vision improves your ability to focus on near objects without sacrificing distance vision in the treated eye. This makes it easier for you to adjust to the two separate images. If you have not tolerated monovision treatments in the past, blended vision may be a better choice.

3. Will I ever need glasses or contacts again?

We intend CK to make you less dependent on glasses, however dpending on your age and the type of refractive disorder you have, you may need additional vision corretion (surgery, reading glasses, or bifocals) at some point. This is because your eyes continue to change as you age. CK is not designed to allow you to throw away your readers; but to make you less dependent on them for reading price tags, menus, score cards, etc.

4. Will my vision improve immediately after surgery?

Patients usually notice an immediate improvement in their vision after the CK procedure. However, it usually takes several weeks for the eyes to reach the final level of correction.

5. What are the risks and side effects?

Because CK is minimally invasive compared to all other refractive surgery, and very controlled, the procedure has very few surgical complications.

Interested? Call us today to come in for a Free CK evaluation with one of our technicians to see if you are a candidate.
Implantable Contact Lens
Not a candidate for LASIK or PRK? Looking for an alternative?

ICL placement is a great alternative to laser surgery. These lenses are permanently inserted, much like in cataract surgery, but without removing the natural lens of your eye. Similar to a contact lens, an ICL allows your eye to focus. The lens fits inside the eye, just behind the pupil. Because the natural lens of the eye is not being removed, the patient retains the natural focusing capability of the eye for near focusing tasks. The placement of an ICL is reversible and so allows you to correct your vision without changing your cornea.
Implanting the contact lens is an outpatient procedure, and takes about 15 minutes. A few hours after the procedure you will be able to leave the clinic. One eye is done at a time.


What are the advantages of the Implantable Contact Lens?

1. Performance - provides excellent quality of vision with predictable and stable results

2. Simplicity - Inserted through a micro incision utilizing a procedure that is familiar to the surgeon. The lens is invisible to both you and observers. It requires no maintenance.

3. Versatility - Capable of correcting a wide range of nearsightedness and is removable if necessary
Frequently Asked Questions for the ICL

1. Who are candidates for an ICL?
If you are between 21 and 45 and nearsighted, you are an excellent candidate for the ICL. It is preferable that you have had no previous ophthalmic surgery or history of ophthalmic disease such as glaucoma, iritis, or diabetic retinopathy.

2. Exactly where is the Visian ICL placed in the eye?
The ICL is placed in the “posterior chamber,” behind the iris and in front of the eye’s crystalline lens. The lens does not touch an internal eye structures and stays in position.

3. What if your vision changes?
The ICL offers treatment flexibility. If your vision changes dramatically, the lens can be removed and replaced, or another procedure can be performed. With an ICL, you can wear glasses or contact lenses if necessary. The ICL does not help presbyopia (difficulty with reading in people over 40), but you can add reading glasses if needed.

Interested? Call us today to come in for a Free ICL evaluation with one of our technicians to see if you are a candidate.
PRK Photo Refractive Keratectomy

PRK involves the same laser correction procedure as LASIK with the exception that your surgeon does not create a flap on the cornea. Instead the outer covering layer of
the cornea, or epithelium, is gently removed which allows the laser to be applied directly to the corneal surface.A non-prescription “bandage” contact lens is placed over the treated area, while the epithelium grows back. Your eyes may take several weeks to stabilize at your final vision.
One of the biggest advantages of PRK is
that the procedure eliminates all risks associated with creating the flap. Typically, PRK candidates are people who cannot undergo LASIK due to thinner corneas, dry eyes, or retinal problems.


The difference between LASIK & PRK:

Custom LASIK


Corrects nearsightedness, farsightedness and astigmatism.

Wavescan Technology allows Dr. Brown and Dr. Hawkins to customize your procedure.

Numbing drops deliver a virtually painless surgery procedure.

Cool-beam Excimer laser used to reshape the cornea after a protective flap of corneal tissue is created and lifted.

A flap of corneal tissue is made using either a microkeratome or a laser. The flap is lifted then replaced to help protect the treated area.

Flap complications are very rare, but may include a dislodged flap and infections/inflammation under the flap.

2-Day Recovery, allowing most patients to be driving after 24 hours of surgery. 1 Week of eye drops necessary after surgery, including an antibiotic, a steroid and artificial tears.




PRK (Epi-K)

Corrects nearsightedness, farsightedness and astigmatism.

Wavescan Technology allows Dr. Brown and Dr. Hawkins to customize your procedure.

Numbing drops deliver a virtually painless surgery procedure.

Cool-beam Excimer laser used to reshape the cornea on top of the actual surface of the cornea, after the epithelium has been removed.

A non-prescription “bandage” contact lens is placed over the treated area, which will be removed after 4 days.

No flap-no flap complications.

3-5 day recover to allow the epithelium to heal completely.

1-3 months of eye drops are necessary after surgery. Mild pain medication may be prescribed to treat any discomfort.

PRK-better for thin corneas, younger patients, Dry Eye, military personnel, higher perscriptions and abnormal topography results.
Cataract & LASIK Eye Surgery – Surgical Eye Care, Wilmington, NC
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