About Dr. Kevin Niksarli

Dr. Kevin Niksarli, M.D. received his undergraduate degree from Columbia University, and his MD degree from Cornell University Medical School. After completing an Internship in Internal Medicine, Dr. Niksarli pursued his eye surgery residency training at the prestigious Lenox Hill Hospital, where his final year of service was distinguished by his appointment as Chief Resident in Ophthalmology. Dr. Niksarli further obtained extensive additional training at Harvard University and certification in LASIK, PRK, Laser Vision Correction, Corneal Transplants, and Cataract Surgery, both during and after his Fellowship at the renowned Manhattan Eye, Ear & Throat Hospital and Cornell University – NY Hospital Medical Center.

Considering LASIK Surgery?

LASIK is a well-known refractive surgery technique that can help improve your vision. Patients planning to undergo LASIK surgery will have a number of questions, says Dr. Kevin Niksarli. It is very important that all your questions and uncertainties be explained before undergoing LASIK.

Are You A Good LASIK Candidate

The best method to determine your capability for undergoing LASIK is to have a complete preoperative examination, which ascertains any circumstances that might prevent LASIK. Usually, the criteria says that you must be 18 plus, and should have healthy eyes with low to medium refractive error (for accurate results), and should not be undergoing with any other eye ailments. Moreover nursing or pregnant women are recommended to delay LASIK surgery until after their medicine stabilizes.

Farsightedness (Hyperopia)

Nearsightedness and farsightedness are both eye disorders which are caused due to distance. These are very common visual ailments seen in people. Both are eye conditions which are related to the distance at which objects in visual stretch are located, says Dr. Kevin Niksarli.

Nearsightedness is a condition where a person can easily locate objects which are nearby but has a problem in seeing objects far away. It is also called myopia or shortsightedness. Farsightedness is a condition where the sufferer can see the things which are far away very easily but the things close by are seen blurred. Dr. Kevin Niksarli says it is usually related to age and affects people older in age specifically after their forties.

This is because as age increases the eye lenses become solid and gradually lose their ability to focus on any object. People generally take age related eye sight problem solutions limited up to glasses or shades. But, they do not take into consideration that training your eye muscles for making it up for the hardened tissues and lenses.

Farsightedness is also called hyperopia or hypermetropia which is more a mental disease, says Dr. Niksarli. It relates to what the subject thinks. If a person fears of thinking about what is there close by but fearlessly thinks about the things in the future then he or she can be affected by such an eye ailment.

The causes of farsightedness or long sightedness can be many times genetic also. It should be detected in its early stages during regular eye check ups. Many times Hyperopia is confused with presbyopia which is a condition that appears in people of forties wherein nearby objects appear blurred.

Whereas, Far sightedness or hyperopia has symptoms like blurred vision and for severe cases everything appears blurred including the close by and distant objects. The distance vision problems are cured differently by different optermetrists. Most of the time patients are prescribed with contact lenses or eye shades. There is also a LASIK surgery available for curing this defect.

Farsightedness can be efficiently cured with natural eye exercises. There are specific exercises for far sightedness. These exercises train the eyes to focus on nearby objects. Glasses or contact lenses can be used as corrective measures and exercises can be used as corrective as well as preventive measures.

Now days LASIK surgery is preferred by many people to get rid of eye sight problems permanently. It is recently found that LASIK fails in correcting farsightedness permanently and correctly. The surgeons find it difficult to make the eyes co-operate with one another. In other words the surgery guarantees restoration of nearby vision at the risk of losing long vision.

Thus farsightedness is a common visual ailment. It has genetic roots and hence you can get affected by it either at the time of birth or later at an older age. It can be prevented as well as corrected to clearly see the close by objects.

Nearsightedness (Myopia)

Nearsightedness or near sighted eye is alternatively called myopia. Nearsightedness has a self-explanatory definition, says Dr. Kevin Niksarli. It is a refractive defect of the eye wherein the nearsighted people can visualize nearby objects clearly but have a problem in reading and watching objects at a larger distance. We know the human eyes have the capability of focusing on pictures or images of both nearby and distant objects, because the lenses of their eyes assume a larger curvature and stretch to focus on  nearby objects whereas take a flatter shape to get a distant object into focus.

Nearsightedness occurs when eyes are not able to provide a long focal length and distant objects appeared blurred.  Dr. Niksarli says it can be detected with an eye test to test the vision by measuring dioptres and it usually results in a negative number. The number is inversely proportional to the strength of eyes. It can be categorized in three levels as low myopia, medium and high myopia. It can also be categorized as simple, nocturnal, induced and pseudo myopia depending on how they appear clinically.

Nearsightedness or short sightedness can be easily cured using glasses or contact lenses but, if not so the patient has to go for surgery options like LASIK and CK in which laser therapy is used to cut out a flap through the cornea. Today most of the youngsters are affected with nearsightedness due to the various bad habits of watching television, reading with books close to the eyes and reading in sunlight and so on. Heredity is also a factor reading to myopia. It has been noticed that if both the parents are nearsighted, the children are supposed to get the defect.

Myopia or short sightedness can also be caused due to psychological problems. For example some people are afraid of what lies in front of them and would rather refrain from looking towards the future. Curing myopia needs some simple exercises rather than directly going for heavy surgeries. People do not understand the importance of simple exercises and do not believe in the fact that exercise can improve the vision.

The doctors who are into the business of curing eye sight problems never suggest for exercises but the first option they provide is to go for trendy glasses or contact lenses. There are however some good doctors who prescribe less of medicines and more of natural exercises which are comparatively more productive than any medicine or surgery.
An eyeball affected with shortsightedness is too long which cause the retinal image. Near sightedness have symptoms like blurred vision and strain on the eye and sometimes even headache. Near sightedness is partially caused due to genetic disorders and partially due to environmental causes. People indulged in close work often end up with short sightedness or myopia and it is more prominently seen after the age of 40.

Results & Outcomes

Along with the new supporting technology and surgeon expertise LASIK eye surgery results have continued to enhance, says Dr. Kevin Niksarli. It offers some reassurance to the patients who are not sure about what to expect.

Nowadays, with the growing use of LASIK procedure, millions of individuals around the globe are less dependent on contact lenses or glasses. Still the decision to undergo a LASIK procedure should be taken very cautiously, since any surgery involves some potential risks and some of them are interconnected.

While performing LASIK procedure you will be contemplating surgery on the other healthy eye as LASIK is considered to be an elective process. For this reason, you can consider that you have an alternative of effective and safe non-surgical options, such as contact lenses and glasses. While planning for LASIK, you will need to do some research, homework and discuss about the different alternatives thoroughly with your eye specialist to know more about the process. It’s natural that you will also need to learn about the potential complications and visual results that may occur due to LASIK procedure.

During your examination, ask your surgeon about the technology that is used for a procedure, says Kevin Niksarli, MD. In LASIK a hinged, ultra-thin flap is lifted from your eye surface. After that laser energy is used to reshape the cornea, and the flap is repositioned to serve as a part of natural binding.

Does your surgeon undergo a laser-created flap or blade-created flap associated with the current invention of bladeless LASIK? You need to consider that during the procedure the recently improved eye-tracking in an excimer laser facilitates to make inadvertent eye movement slow. Also wavefront-guided or traditional LASIK diminishes the possibilities of nighttime visual troubles such as halos and glare.

LASIK is similar to several other surgical procedures. Where you begin is a significant predictor of where you finish. In general the outcomes are affected by the health of your body, your eyes in specific and the position of your current vision. Along with all the surgical procedures, expertise and experience of surgeon are main factors that cannot be avoided.

When you go through the learning process to understand your preferred and suitable treatment options and the available techniques, it is imperative to know the level of experience of your surgeon. After a potential discussion about all these problems, you will become more prepared to take an appropriate decision, which will enhance your possibilities of a good LASIK result.

You are asked to hear the advice of the surgeon carefully in order to best anticipate your expectation from LASIK from the viewpoint of results of vision and related potential complications. At the same time you also need to take a close glance at your particular situation. Altogether, you help determine the best results of LASIK.

Pros & Cons of Contact Lenses vs. iLASIK

The iLASIK Procedure is not without risk, but wearing contacts has its own unique risks. Infections with contact lenses can occur, especially when they are not cared for properly. In fact they are an order of magnitude more common when compared to the iLASIK procedure, states Dr. Kevin Niksarli, M.D. So considering this possibility, the hassle of contacts and the lifetime costs of wearing contacts, it may be wise to consider the iLASIK Procedure.

Certain patients may also be more inclined to get contact lens related infections, such as those living in warmer climates, or who sleep with contacts, and/or wear them for weeks at a time without removing them. Overnight wear of contact lenses has been shown to be a major risk factor, even if they are approved for it and dispensed accordingly. It is also wise to seek an eye-care professional as soon as the contacts become irritating and untolerable, states Kevin Niksarli, M.D. The discussion at the meeting also contains up to date information on newest vision correction techniques and technologies, including LASIK, iLASIK, IntraLASIK, Advanced Surface Ablation, among others.

LASIK Financing

LASIK surgery is a substitute to wearing corrective lens for patients with hyperopia, astigmatism and myopia. Unlike the corrective lenses, however, LASIK surgery is not covered by most insurance plans and companies. This means that a patient has to manage their own finances for the LASIK procedure, says Dr. Kevin Niksarli.

Nowadays, you will find a number of financing companies are specialized in offering finances for LASIK surgery. The company provides you with a line of credit, just as similar to bank loan. The financing company will allot you with some rate of interest and you are asked to make monthly payments in accordance to your loan.
Most of the insurers consider the process of vision correction to be cosmetic and hence do no cover it, but you can ask them if they provide. If Dr. Kevin Niksarli suggests you for surgery, some insurance companies can offer a few part of coverage, generally as an indemnity plan.

It would be a brilliant move if you ask your surgeon about the financing options before you plan to choose any financing company. Some surgeons prefer to work with selected financing companies. It may come in your benefit if your surgeon suggests you some good options to avail financial help. Many surgeons offer financing that you would find cheaper than any other options.

Through the online search for LASIK financing you can be able to locate some financing options. With the help of this method you can avail more cost effective financing plans which would offer minimum rate of interest.

If you are planning to get financial help, still you should be able to come up with a primary down payment.  You need to have possibly good amount of down payment. If you possess a huge amount of down payment then the needed fund amount will be reduced. Additionally, at the end you will have to pay less interest as you have large amount of down payment and hence the amount you needed for financing will be less.

The amount of down payment can be arranged from your savings or if you posses a flexible spending account then you can avail that.

While getting financed for LASIK surgery you need to keep in mind that it’s a crucial task that you have to attempt with special attention and precautions. If you have a poor credit or no credit then it might be a difficult task to find a proficient financing company. Since there is no collateral for the insurer to collect the money from you it will be a risk for the company to allot you with the required loan. You might get financed if you have less credit, but in this case you need to have good amount of down payment.

To get your LASIK financed having good amount of down payment is the better option for less rate of interest .With some online research and contacting knowledgeable people you can avail financing your LASIK surgery.

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