Laser eye surgery treatment: How do I choose the best laser eye surgery in Yorkshire?


How do I choose the best laser eye surgery in Yorkshire?

I think this is a really difficult one for patients. There’s such a wealth of information on the Internet. Every clinic claims to have the best technology, the best surgeons and the best outcomes. The truth is, modern laser eye surgery is very good, and it is true that all clinics are delivering good care and achieving good outcomes.

The only clinic in this region, however, that has the ability to offer PRESBYOND blended vision laser eye surgery to provide distance through to near and the only clinic that has the ability to offer SMILE Keyhole Laser Eye Surgery is St. James Laser Vision at St. James University Hospital in Leeds. This is the laser clinic and the laser platform that I can access as a Consultant there, as the Medical Director of that service and as the Director of Custom Vision Clinic with our relationship with St. James Hospital.

By having access to all those tools with the most accurate laser platform, (I’m sounding like the internet with everybody saying they’re the best, but I’m going to it back up), the reason the ZEISS Vision Max is the most accurate laser for flap creation, is the same reason that it is the only one that it can perform SMILE. To perform SMILE Keyhole Laser Eye Surgery, you have to have submicron accuracy. You have to be able to make a lens within the cornea that accurately. But of course, what that means is that it is safer than any other laser and more accurate creating the flap. So there’s a perception out there it’s only for performing SMILE but no, it isn’t. It’s amazing at doing the safest job possible of creating a LASIK flap for you. So if you’re having a laser eye surgery, you can tick that off. You know the most important surgical step is being performed with the most accurate and safe piece of technology available to do that job.

Then it’s about the care. It’s about how well you’ve been assessed and how well you’ve followed up. All clinics say that they take care of you, but in our clinic, you are evaluated by my team and me, but I draw out the surgical plan, perform the surgery and all my patients have my personal mobile phone number. So you can imagine how highly motivated I am to do an incredibly good job because I have a family and I like to have downtime. But what is the most important to me is that if my patients are aware that they can access me by just dialling the number. It’s always on. I can listen to what they’re going through, and I just reassure them that it’s absolutely fine but if I am worried as well, I can be at one of my hospitals in twenty minutes, sorting out whatever issue there is. Although the surgery is very safe and efficient, there are problems. If you do enough surgery, some issues can need sorting out to achieve an excellent outcome for patients. Providing you sort them out, you will achieve an excellent outcome but providing that care is critical to getting those great outcomes consistently.

Then it’s about continuity of care. If you have an issue further down the line from the surgery, and you’re talking to the fifth optometrist that you’ve met on that journey, and you have to explain where you started from and then what happened at the surgery and what happened to visit two and three because the records don’t quite add up and they didn’t make a note of what you said, you can imagine that the quality of care may be compromised. So what you are after is a clinic with the safest and the most accurate lasers with really careful assessment, ready and rapid access to the surgeons performing the surgery and great continuity of care. Then you’ve done everything you can to give yourself the best possible chance of a great outcome.



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About the author

Mr James Ball | Consultant Ophthalmic Surgeon

MA (Cantab) MB BChir FRCOphth CertLRS

I am a Consultant Ophthalmic Surgeon at Custom Vision Clinic, St James’s University Hospital, and Nuffield Hospital. My major interest is in refractive surgery and finding the best treatment suitable for each patient.


Read more about laser eye surgery

New refractive surgery guidelines from The Royal College of Ophthalmologists, together with patient information on Laser Vision Correction, Phakic Intraocular Lens Implantation, Refractive Lens Exchange and a Checklist for patients will be published in April 2017. Click here for more information

Take this checklist to your consultation with your refractive surgeon performing the procedure. Discuss each item with your surgeon to help you make the decision that is right for you before having
refractive surgery. Click here for more information

The Royal College of Ophthalmologists’ Laser Vision Correction Patient Information booklet (PDF). Click here for more information

Tips for patients interested in laser eye surgery. The road to laser eye surgery can sometimes be confusing. Thinking of the journey as a step-by-step process, from an early interest in laser eye surgery all the way to post-operative care, might make it easier. The following supporting materials will help you learn more about what happens during the process, and answer questions along the way. However, it is recommended to consult with an eye care provider to get more knowledgable of the procedure and to find out whether laser eye surgery might be an option. Click here for more information
Discover how laser eye surgeries differ and compare. The following chart provides an overview of all key facts and figures when it comes to laser eye surgery. While all three Laser Vision Correction procedures have a high success rate, they differ slightly in the refractive errors treated, the treatment method used, and the clinical specifics of each procedure. A doctor or clinic representative can help you understand which procedure is best for your individual eye condition. Click here for more information

SMILE corrects myopia and astigmatism, or a combination of both refractive errors with only a very small incision at the corneal surface. This high-precision procedure is the latest development in the refractive laser treatments. Includes videos, treatment steps, and questions and answers.
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LASIK treats refractive errors by folding away the top layer of the eye and re-shaping tissue underneath. If a femtosecond laser is used, this type of procedure is called Femto-LASIK. Includes videos, treatment steps and questions and answers. Click here for more information

PRK/LASEK procedures remove a thin cell layer from the top of the eye so the laser can reshape the underlying cornea. This surgery may be an option for those who are not eligible for LASIK or those who look for the most economic option for refractive laser surgery. Includes videos, treatment steps, and questions and answers. Click here for more information

Laser eye surgery treatments are clinically proven and established procedures. Like all surgeries, however, laser eye surgery is not free of risks and side effects. Only your ophthalmologist can explain the individual risks and decide whether laser eye treatment is an option. Some complications that can occur are… Click here for more information
Photorefractive (laser) surgery for the correction of refractive errors. Understanding NICE guidance – information for people considering the procedure, and for the public. Click here for more information
Custom Vision Clinic’s YouTube Channel features James Ball answering hundreds of eye-related questions on video – ranging from laser refractive surgery, lens exchange and keratoconus treatment. Click here for more information
Laser eye surgery reviews of Custom Vision Clinic on Trustpilot. Click here for more information