The Custom Cornea Procedure

We offer our patients the latest advances with Custom LASIK, wavefront and Custom Cornea. We are proud to house both the LADARVision® Custom Cornea system and the Intralase FS laser in our state-of-the-art surgical facility. This allows our surgeons to customize surgery specifically to each individual's eyes and achieve the highest outcomes possible. Our treatment process can be broken down into three main parts.

Wavefront Mapping

LADARWave™ is a unique system for wavefront mapping. It charts the individual visual aberrations present in each eye prior to surgery. This system is a major advance eye surgery, beyond the standard vision testing used for years by ophthalmologists to measure lower-order aberrations (nearsightedness, farsightedness, and astigmatism). By using this before surgery, doctors can also measure higher-order aberrations-subtle visual distortions that affect clarity and are linked to problems such as glare, halos, ghosting, and other visual disturbances, particularly at night.

Originally developed to reduce the visual distortions astronomers experience when looking at objects in space through the earth's atmosphere - is now used in surgery to create a customized, three-dimensional map of each patient's eyes. The technology works by passing a ray of safe light through the eye and then comparing the distortions that appear in the wave against the pattern from an optically perfect eye. The system then uses this information to create a customized map of your eye, plotting both your lower and higher order visual aberrations.

The map is used for pre-operatively to determine whether you are a good candidate for eye surgery and to guide the laser reshaping of your cornea.

If you are interested please contact us for laser eye surgery today.

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Down-Up LASIK™

Dello Russo Laser Vision is proud to have pioneered the Down-Up LASIK™ laser eye surgery system of all-laser LASIK. Surgeon Dr. Joseph Dello Russo developed this system in response to a need for greater safety and stability during the second stage of Custom LASIK laser eye surgery: creating the corneal flap.

Prior to the introduction of the Intralase FS laser, the flap stage of Custom Cornea LASIK surgery had to be performed using a mechanical blade called a microkeratome. While safety and results were often excellent using this device, the advent of the Intralase laser allowed for far greater precision and predictability when creating the corneal flap.

Dr. Joseph Dello Russo further improved upon the all-laser LASIK procedure with the introduction of his down-up technique at his Manhattan and Brooklyn offices. During the Custom Cornea procedure, the laser cuts a circular flap in the outer tissue of the cornea, leaving a small hinge at the top of the eye (rather than on the side, as was done previously). The flap can then be lifted up from the bottom, thus the name: down-up.

The Down-Up LASIK™ method allows the flap to close in a natural position after surgery, where it bonds with the cornea and is kept in place by the blinking action of the eye.Dr. Joseph Dello Russo's method for corneal flap creation is safer and more comfortable than previous methods used and allows for a faster post-operative recovery.

For more information please contact us for laser eye surgery today.

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Custom LASIK

The final stage of Custom Cornea laser eye surgery involves the actual reshaping of the inner corneal tissue with the excimer laser. The individualized wavefront map will be programmed into the excimer laser, and the LADARVision system and is then guided through the action of the laser during surgery. This also utilizes advanced flying spot technology, combined with an active tracking system, to follow the minute movements of your eye during surgery.

This is highly effective in treating both lower- and higher-order visual aberrations and has been proven to deliver superior outcomes for patients. To find out more, please contact our vision correction center today.

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