Cheap laser eye surgery in Budapest at the JCI Certified Eye Hospital. Due to the latest developments excimer laser vision correction treatments are performed with high precision, the results are excellent and predictable. After the laser treatment there are no restrictions, you can continue your normal lifestyles, sports activities, and finally take advantage of seeing clearly without any aid.
Laser treatment types
There are two types of laser vision correction that we offer: surface ablation, more commonly known as PRK and under flap treatments such as FemtoLasik. The excimer laser treatment that alters the refractive power of the cornea, is carried out for each method. The industry gold standard, FemtoLasik, is the preferred refractive laser treatment of choice worldwide accounting for over 70% of all refractive procedures carried out.
Advantages of FemtoLasik (flap) treatment include:
- Immediate visual recovery using the latest technology
- Fast, safe, predicatble and efficient
- No absence from work required post treatment
- Completely painless recovery
The most advanced type of laser vision correction is FemtoLasik correction, which is faster than the surface treatment, leads to immediate visual recovery, without any pain or recovery time. The femtosecond laser creates millions of air bubbles beneath the surface of the cornea within seconds and a flap is created. The flap is easily lifted by the treating doctor and Excimer laser is then performed to re shape the surface of the cornea. The flap is then put back into place and is seals by itself.
The surface treatment (cPRK)
- Safe method
- Can be painful in the immediate post operative period
- Slow recovery (weeks)
Another type of refractive treatment is the surface ablation or PRK treatment as it is more commonly known. This is the oldest method used and is now being offered as the second choice of laser treatment for those patients who are not eligible for Femtolasik. The surgery is quick, however recovery could be painful initially and visual recovery may take weeks.
You are eligible* if:
- you are over 18
- Myopic from -1.0D up to -10.0D
- Hyperopic from +1.0D up to +3.5D
- Astigmatic from +2.5D up to -4.0D
- Have not had significant change in refraction for one year prior to the procedure date
- Your eyes no longer tolerate wearing contact lenses
- Want to see clearly without your glasses or contact lenses
* This table is intended to serve only as a guidance and is not a substitute for a professional eye examination
Contraindications for laser treatment:
- Autoimmune disease
- Wound recovery problems, keloid susceptibility
- Amblyopia, lazy eye
- Pregnancy planned within six months
- Nursing mothers
- Keratoconus (irregular shaped cornea)
- Previous Herpes infection in the eye
- Severe dry eye syndrome
- Wearing reading-glasses only
Comprehensive eligibility test
A major step towards the road to surgery is the detailed, comprehensive eligibility test. Our team of experts will determine the diopters to be treated and consider whether you are a suitable candidate or not, and if so, will indicate which treatment modalities best suit your requirements in order to achieve the best possible outcome which is that of perfect vision without glasses or contact lenses. The test consists of various diagnostic examinations and is completely painless.
Important notes before the test:
- Do not wear your contact lenses before the test ( soft lenses for 7 days minimum, hard lenses for 1 month)
- Remember that if you have a previous ophthalmological evidence or a prescription for glasses, bring them to the test
- The whole examination takes about 1.5 hours
- To ascertain the refraction and examine the fundus correctly, dilating eye drops are added, resulting in a slightly blurred vision after the test, so please avoid driving for 3 hours immediately following the examination.
- Bring with you any medication that you are taking
Oculyzer test – Completely personalized
One of the most important parts of the eligibility test is the corneal scan. The results obtained form this specialized scan will be inserted into the laser device while planning the laser treatment. This is what makes the treatment completely personalized and customized to your particular correction required. This advanced diagnostic tool performs the precise analysis of the anterior segment of the eyeball and gives us the exact shape, curvature and thickness of your cornea. The test takes a few seconds and is done without touching the eye.
FemtoLasik (flap) treatment
You may be given a mild sedative tablet before surgery, a few anaesthetic eye drops will be applied and the eyelids and area around the eye will be cleansed with an antiseptic solution. The surgery is completely painless. You may just feel some slight pressure on the eye while creating the flap and will be able to hear the sound of the laser as the treatment is in progress (few seconds).
The surgery consists of two steps:
Step 1. The patient lies comfortably on the laser bed. First, the flap is created using the femtosecond laser device, then excimer laser is perfomed to reshape the curvature of the cornea.
Step 2. We replace the flap. Vision improves immediately, however on the day of surgery you might experience slighty blurred vision. Most patients are usually able to see clearly as from the very next morning. No Pain is expected after surgery.
After the treatment it is required to use the prescribed eye drops, which are usually necessary for a much shorter period than they are after the PRK treatment. The day after surgery and a week later a follow up check up should be scheduled, and a further one or two controls are recommended within six months. It is advisable to wear sunglasses with UV protection for two or three months, when out in the sun. Solarium is not allowed.
“What should I be aware of after the surgery?” after FemtoLasik treatment:
- Protect the eye from water for 1 month while showering
- Do not rub your eye for 4 weeks
- Do not use eye make-up for 1 week, and do not use cream around your eye area for 1 week
- Do not swim, use sauna for 4 weeks
- After 1 week you are allowed to run, ride a bike, do aerobics, but wear sunglasses outdoors
- Avoid strenuous contact sports for 8 weeks
- Avoid solarium for 3 months (even with protective glasses)
You may feel your eyes dry for the first few months, so use artificial tears frequently. The prescribed eye drops are very important to avoid the development of infection.Your vision may keep improving for the first three months. In any case of unusual symptoms, such as severe pain, or sudden vision loss contact your doctor immediately.
The risks of Femtolasik surgery
We wish to openly explain the risks associated with refractive error surgery, even if their appearance is very rare these days. The FemtoLasik method has further reduced the risks associated with laser operations, which were already rare. These days it’s fair to say that with FemtoLasik laser surgery, getting rid of spectacles is a very safe procedure!
1. Dry eyes
Dry eye is a common side effect in post operative stage. For this reason, it is recommended that lubricating eye drops are applied to the operated eyes for a three- to six-month period. Most patients report, however, that they no longer need these eye drops for more than a month or two after surgery. Very few patients will need to put these drops for a longer period of time.
2. Decreased night vision
The risk of decreased night vision is extremely small and nowadays it is rarely documented to advancement in technology.
3. Over- and under-correction
Laser surgery-related side effects may be over- and under-correction. Over-correction means that in correcting the vision we go from minus to the plus side, which nevertheless generally evens out with time. Our operation warranty guarantees free-of-charge corrective surgery for a period of one year, if the target value has not been reached resulting in an unsatatisfactory outcome. .
4. Sensitivity to light
Sensitivity to light is quite a rare complaint nowadays. It may be said that from two to six hours after surgery, the eye will be recovered from the procedure.
5. Protrusion of the cornea (keratoconus)
In FemtoLasik surgery, the very thin and uniform flap produced by the femtosecond laser has enabled the correction of increasingly larger refractive errors in a completely safe manner. Due to these factors, the risk of corneal protuberance has been limited to the minimum when using the FemtoLasik procedure. Due to the current technology, the risk is, as a consequence, practically non-existent. The more precise preliminary examinations have also raised safety to a whole new level – and have already enabled the detection of keratoconus at an early stage.
6. Retinal damage
In the FemtoLasik method, eye pressure does not need to be raised to a high level. For this reason, damage to the retina is very rare indeed.
7. Growing epithelium under the flap
About one month after the operation, there is an additional check to see if an epithelium – i.e. surface layer on the eye – has grown under the flap. The removal of an epithelium has to be performed these days to fewer than one in one thousand of those operated.
8. Incomplete flap
The femtosecond laser utilized by the FemtoLasik method has brought improved the safety aspect to a whole new level in this area as well. If for some reason the flap is made in an incomplete manner, a new one can be made immediately.
The speed of the FemtoLasik procedure has minimized the risk of infection. The flap made in the eye with a femtosecond laser is open for a very short time, thereby reducing the risk of infection. The quick procedure and highly developed equipment maintenance ensure an infection-free zone for the FemtoLasik operation.
10. Technical supervision
In order to avoid mistakes, an experienced technician is present during the operation who monitors the laser technique and related equipment, ensuring that the mathematical values measured from the patient during the preliminary exam are correctly inputted into the laser’s computer. The technician operates and supervises the devices, thereby allowing the physician to personally concentrate on the operation and patient. Before surgery, the physician and technician further confirm together the values inputted.
Surface (PRK) treatment
We give a mild sedative pill before surgery, anesthetize with eye drops, the surgery is completely painless.
The surgery process:
Step 1. First we remove the top layer of the cornea by means of a special instrument, the epidermis, followed by a few seconds of laser treatment.
Step 2. Subsequently, a therapeutic soft contact lens is placed around the eye for approximately 3 days.
Mild pain and foreign body sensation may be experienced for 24-72 hours after the surgery surgery. This discomfort can be improved by pain-relieving drugs. The epithelisation is usually complete in 3 to 5 days, the symptoms disappear. Vision improves gradually following the treatment, and may be unstable depending on the diopters corrected. Best visual acquity is restored usually within 1-4 weeks however there are some cases that may take longer to recover. After surgery, eye drops must be used for a few months and check ups with the doctor need to be scheduled. It is advisable to wear sunglasses for UV protection for 2 to 3 months following the surgery. Solarium is not allowed.
After surface treatment:
- You can use eye make-up after 1 week
- You can swim after two weeks
- Do not perform contact sports for 4 weeks
- Do not rub your eyes for 2 weeks
- Avoid water in your eyes for 2 weeks
- Sauna after 1 month
- After the laser vision correction avoid solarium for six months
Risks for PRK
1. Over /under correction
2. Sensitivity to light that lasts more than 5 days in some cases
3. Inability to open the eyes in the first day post operatively
4. Droopy eyelids for a few daysinfections
5. Regression of Refraction due to the unpredictable healing that comes with PRK
High-tech laser equipment
In the Saint James Eye Clinic we use the most advanced laser technology. Surgeries are performed using the latest Femtosecond laser unit, the WaveLight FS 200 where a flap is created in 9 seconds and the excimer laser treatment is performed using the WaveLight Allegretto Eye Q device.
“Why is the quality of the laser equipment important?”
The more accurate and faster the laser treatment is, the better surgical outcome can be expected. This means that, the visual quality is enhanced. Better contrast and sharpness can be achieved, and with this refined laser technology there will be less light scatter. The flying spot lasers used today, transform the corneal surface point by point. The active eye tracking system ensures that if during the treatment the eye moves, the laser beam moves the same way, so the treatment will always be applied with total precision.