|
Welcome
to First Colonial Eye Center, an institution dedicated to
Laser Vision Correction and complete family eye care, including cataract surgery, other refractive surgeries, eye glasses, contact lenses, and
the prevention, diagnosis, and treatment of eye diseases.
Dear Guest:
We have assembled what Dr. Rampona
considers to be the best, most technically qualified, and
congenial staff with whom he has had the pleasure of working.
Additionally, at First Colonial Eye Center you will find
state-of-the-art diagnostic and laser equipment including the
VISX STAR S4 Excimer CustomVue Laser
System and
Zeiss Optical Coherence Tomographer
which gives precision diagnostic studies in retina and glaucoma.
Dr. Amit Jeevan is an expert in both
performance and interpretation of the Optical Coherence
Tomographer.
First Colonial Eye Center is the home of
SUPRALASE™, the most technologically advanced all laser vision
correction procedure for
myopia and
astigmatism. SUPRALASE™
was designed by Dr. Rampona in conjunction with world renowned
surgeons. SUPRALASE™ performs rapid healing surface laser
correction without cutting a flap in the cornea, and thus
eliminates all the complications associated with "flap" (LASIK
or INTRALASE) laser vision procedures. SUPRALASE™ derives
from the Canadian "No Touch" laser and is the only all laser
vision correction procedure, a fact which differentiates it from
conventional
PRK, LASIK or
INTRALASE, all of which invoke
a mechanical step in the procedure. SUPRALASE™ can only be
performed with the VISX Star IV tracking laser. It cannot
be performed with other lasers (LADARVision®).
Both LASIK and INTRALASE require that a
suction ring be placed on the eye for flap creation. LASIK
requires a device called a Keratome to create the flap.
INTRALASE creates tiny perforation bubbles in the cornea for
flap creation. The corneal flap dissection is then
completed with bladed instruments called flap lifters.
Because it is an all laser procedure NO
TOUCH, SUPRALASE™ performs laser vision correction without
surgical flap instrumentation.
Historically, the first laser vision
correction was performed as surface PRK (Photo Refractive
Keratectomy) treatment (mid 1980s). The procedure was
limited by restriction of the treatment of high prescription and
immense discomfort and slow return to good vision. In
1996, flap laser surgery (LASIK) was approved in the United
States and became a laser vision correction treatment of choice.
This was subsequently followed by INTRALASE, also a flap
procedure, which is more precise in the depth of flap thickness
creation, but may involve a slight increase in inflammatory
response beneath the flap.
Dr. Rampona believes that both LASIK and
INTRALASE are excellent procedures in select cases.
However, flap procedures are limited by several factors:
- First is age:
After the late thirties and forties corneal flaps do not
heal thoroughly and heal much more slowly. (Dr.
Rampona compares this to a fracture bone). There is a
great difference in the rate of healing between a 25 year
old and a 45 year old body.
- Second is dryness:
The main nutrient supply to the outer cornea comes from
tears (there are no blood vessels in the normal cornea).
The most commonly reported side effect of LASIK or INTRALASE
is dryness. This results from the cutting of the
deeper nerves in the cornea, which control actual tear
production by notifying the brain that more tears are
required. In patients with mild dryness, this
condition generally improves. However, patients who
have significant dryness before flap laser surgery may
develop severe dryness. Dry eyes often do not feel
well or see well and heal very poorly. SUPRALASE™ does
not affect tear production or increase dryness and surface
laser is the laser treatment of choice for dry eye patients.
Additionally, Dr. Rampona routinely employees dry eye
treatments on all refractive patients to speed recovery.
- Third is corneal thickness:
Laser vision correction involves removal of a tiny amount of
corneal tissue; usually one third to one half the thickness
of a human hair. Flap procedures weaken the cornea in
proportion to the thickness of the flap. In patients
with thin corneas or high prescriptions, this weakness can
produce a bulging (ectasia) which usually does not appear
until several years after the procedure and represents one
of the most significant complications of either LASIK or
INTRALASE.
- Fourth is the optic nerve or
retinal hemorrhage: This is
considered to be a result of the suction ring in flap
procedures.
SUPRALASE™ does not create a flap and
therefore does not similarly weaken the cornea, create dry eyes
or depend upon healing of a flap or patient age.
In recent years, the most technologically
advanced approach to laser vision correction has been in surface
correction. Indeed, every FDA study performed on every
laser platform (LADAR, Zoptix, VISX, etc.) indicated superior
vision with surface correction as opposed to flap.
Eminent Canadian laser vision surgeons,
the late Don Johnson, MD and Raymond Stein, Jr. MD were
responsible for the initial development of a “NO TOUCH” laser
system. This was augmented by Dr. Rampona and reported in
Ocular Surgery News an ophthalmic surgery journal with
world-wide distribution. Dr. Rampona has received federal
trademark status on the SUPRALASE name and patent pending status
on the SUPRALASE formula.
We recommend that interested individuals
visit the web site of London Place Eye Clinic for a description
of the
Canadian “NO TOUCH” method.
Also, you may want to
view
actual LASIK flap and INTRALASE flap elevation and SUPRALASE™
procedures performed here at First Colonial Eye Center.
Dr. Rampona has been selected to teach
SUPRALASE procedures at the American Society for Cataract and
Refractive Surgery the largest meeting of its kind in the world.
Have you already scheduled your first visit
to our office? Find out what you need to bring with you by clicking
here.
Thank you for visiting our web site. We
hope you will find our site informative in content. We appreciate
you comments and suggestions, so always feel free to
Contact
Us.
| We are committed to
providing the best of eye care for you and your family.
Please come by to visit us. |
Yours truly,
Dr. Doug Rampona and the First Colonial
Eye Center Staff |