Dr. Gulani was among the First in the World to be exposed to the LASIK Laser internationally in the early1990s and involved in early clinical trials years before FDA approval in the USA.
While LASIK surgeons in the USA started performing LASIK surgery in 1995, Dr. Gulani had already become a Lasik instructor for surgeons worldwide and invented award-winning Lasik surgical instruments.
Over three decades of continued innovation with an enviable track record of success along with his award-winning inventions, publications and international teachings to colleagues globally especially having consistent success with some of the most varied and complex Lasik cases from all over the world have resulted in Dr. Gulani’s new innovation: NexGen Lasik surgery- LaZrPlastique™
Read Dr. Gulani's concepts of LASIK Surgery in the Medical Media
While most surgeons perform only Lasik, Dr. Gulani performs LASIK Surgery as an ART among a full range of over 20 Lasik techniques including technology combinations. He is committed to ensure that his patients clearly understand the underlying logic behind his approach to Laser Vision Surgery and not be confused about all the hype around LASIK.
Since the curvature or shape of your cornea (front clear window of your eye) decides, in most cases, whether you are nearsighted (steep curvature), farsighted (flat curvature) or have astigmatism (football shape as opposed to a basketball shape), we use a variety of treatments to reshape the cornea using an invisible, painless, highly accurate and computerized Laser.
The entire range of procedures to re-shape the cornea using a painless and cold, 160nm Excimer Laser is called Laser Vision Surgery.
Lasik (Laser-Assisted in situ Keratomileusis), SBK (Sub-Bowman’s Keratomileusis), BladeLess Lasik, LASEK (Laser Epithelial in Situ Keratomileusis), Epi-Lasik (Epithelial flap Lasik), PRK (Photo-Refractive Keratectomy) and ASA (Advanced Surface Ablation) are all variant forms of Laser Vision Surgery used to correct nearsightedness, farsightedness and astigmatism.
Custom Lasik or Custom Laser Vision Surgery is a technological advance in Laser Vision Surgery using 3-Dimensional measurements including wavefront technology of how your eye interprets and projects images to guide the Excimer Laser in reshaping your cornea. The Wavefront technology along with aberrometry and understanding of your higher order vision errors beyond simple nearsighted and farsightedness allows for greater accuracy in the corrective prescription and the delivery of treatment.
Having honed Lasik surgery for nearly three decades, Dr. Gulani does not approach laser vision surgery as a “cookie cutter” procedure. He approaches it as an Art, which demands careful selection and skillful execution. He offers the entire range of surgeries to best suit your individual eyes and vision goals.
With an enviable track record of zero “Re-Dos” and Zero “ Touch-ups” and zero blindness over 28 years of having performed thousands of eye surgeries on patients who fly to him from all over the world, Dr.Gulani strives to make patients see the best they can and in most cases beyond 20/20.
Generally, Lasik surgery involves making a flap in the cornea, like a page in a book, and then reshaping the underlying cornea with a laser. The flap can be made with a blade or a laser, and can be of different thickness or size depending on what is best for your eyes.
Several variant ways of doing Lasik have been devised to accommodate people who have thinner corneas or high astigmatism. They feature different ways of creating the corneal flap, or can even avoid cutting a flap all together.
“I wasn’t ready for Lasik surgery until I met Dr. Gulani and I’m glad I waited. I recommend him to patients daily,” - Dr. Cindy C (Eye doctor)
Given Dr.Gulani’s desire to maximize your vision in the safest way by selecting the unique technique and technology best suited for your eye, our diagnostic examination is extensive.
With one of the nation’s first PENTACAM AXL system which provides images of your eye like an MRI and Cat Scan, Dr.Gulani can within minutes, analyze your entire optical system of your eye similar to a camera.
This Advanced Computerized Pentacam analysis system, enables him to do a highly sophisticated study of the corneal topographical maps including 3-D analysis, and to detect any problem areas or pathology which would disqualify a person.
Pathology can be present on either the front side or back side of the cornea. Dr. Gulani’s Pentacam and its software give him a 3-dimensional image of both these corneal surfaces, in just two or three seconds.
This next generation technology can also provide the stats of your crystalline (Natural) lens and determine its impact on vision for Dr.Gulani to also review to see if that needs address.
With one of the First Oculus KERATOGRAPH system, Dr.Gulani meticulously studies yoru tear film and eye surface stability to look for dry eyes or any surface anomaly that might impact surgery or healing post-surgery.
Using the KONAN endothelial analyzer, he looks at the minute micron sized cells that determine the health of your cornea to determine if they are healthy enough to withstand impact of surgery.
The Marco OPD III helps Dr. Gulani understand your glasses prescription or contact lens prescription in simulation with the errors in your eyes that need to be corrected and its impact on surgical outcomes
With OPHTECH 6500, he studies your vision beyond just quantity (ie. 2030, 20/20 etc) and looks at your night vision, glare and other subjective vision issues you could have including color vision and contrast sensitivity.
The OPTIVUE OCT allows breakdown of minute levels of anatomical understanding and correlate to other eye structures to determine surgical depth and structural abnormality if present.
Infra-red (Zeiss IOL Master- Germany) and ultrasound (QUANTEL- France) axial measuring devices determine lens impact and powers to plan for holistic or staged approach to vision corrective surgery.
Pupillomtery (Colvard, DGH and OPD)using infrared and ultrasound devices determine your night vision planning with laser vision surgery.
Epithelial Mapping systems (OCT) that have recently been FDA approved, allow Dr.Gulani to study how you will heal following a certain laser vision surgical procedure
Corneal Pachymetry using Ultrasound and Epithelial study along with pentacam anterior chamber analysis allows Dr.Gulani to plan depth of laser surgery in correlation to safety of tissue removal for long term safety
After diagnostic evaluation with these Advanced technologies and personal interpretation by Dr.Guani in a personal consultation with him, he shall then decide on what technique, technology and surgical plan he needs to design for your individual eyes to take you to your best vision capacity for a life of vision freedom!
Please see our Lasik Questions page for more detail on many aspects of vision correction.
On the Quiz Your Surgeon page you can pick up some good questions to ask if you are in the process of choosing a Lasik surgeon.
Like all surgery, a Lasik procedure brings some risk. You can minimize that by choosing a high-quality and highly experienced, pioneering, world leader eye surgeon like Dr. Gulani, who has a great deal of experience in managing Lasik complications.
If you are wondering whether Lasik or one of its variants is a good option for you, please see our page on Is Lasik For You? There are links there to related pages.
If you are looking for a highly-qualified and experienced Lasik surgeon, you could not come to a better place. Dr. Gulani teaches Lasik surgery to other eye surgeons worldwide and his articles and lectures have been published in both print and digital formats.
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