Lasik FlowChart:

1.

Full screening - you will a undergo series of tests which will determine your eligibility for lasik procedure. This will
take 2 3 hours.

Bright Room:
* Automated Refraction gives a computer estimate of your eye grade. This is yet to be confirmed or refined by the
Optometrist.
* Corneal Topography generates a digital image (color map) of the contour or curvature of your corneas.
* Specular Microscopy/ Pachymetry determines the status of the cornea. The corneal cells are counted and the corneal
thickness is measured.
* Air Puff Tonometry estimates the intra-ocular pressure of your eyes.
* Subjective Refraction The Optometrists will determine your refraction or eye grade. This part of the screening may take
around 30 minutes. This will be used as a reference for the eventual laser treatment.
Dark Room:
* Wave Front Analyzer used to map aberration/distortions in the passage of light in the eyes optical system such as lower and
higher-order aberration.
* OPD Scan This will also measure the distortions of light, and determines the size of the pupil in dim or night and normal
illuminations that will give us an idea whether patients are prone to experiencing halos and glare at night.
* Pentacam - Evaluates the anterior segment (front part) of your eye. Gives us one of the most important measurements which
is the thickness of the cornea.
* ORBS Scan shows the over all architecture of the cornea such as thickness, shape of its anterior and posterior.
Additional test if necessary:
* Topolyzer identifies the topography or curvature of the cornea and as well as distortions or scaring of the cornea.
* Biometry The measurements derived (i.e. eyeball length, anterior chamber depth and lens thickness) are correlated with
your refraction.
* Contact Pachymetry the Optometrist will double check the corneal thickness.
* Visual Field Test this is done to determine the extent of patients visual field.
* Contrast Glare Test
* Schirmers Test test the tear quantity of the patient.
2.

Cyclopegic Refraction This is done on the same day your retinas are checked. Under normal conditions, your eyes
have a built-in focusing mechanism that enables them to adapt to changes in lighting conditions. We temporarily
weaken this focusing mechanism to obtain the real grade of your eyes. This is achieved by instilling dilating eye drops
on your eyes. It is not advisable to drive after this examination is done. Effect of pupillary dilation usually 3 to 5 hours.

3.

Evaluation/Counseling Our Lasik Consultant will discuss our packages and details. The Ophthalmologist will be
the one to perform external and internal eye health examination.

Precaution for Contact Lens User:

Do not use, your contact lens prior to screening:
- 2 weeks before surgery: for hard contact lens/torric soft contact lens
- 1 week before surgery: for soft contact lens

 If you wear contact lens after your pre-operative examination, please make sure to inform us on the day of your
surgery because this may affect the surgical out come.
Preparing for your surgery laser eye correction:

Do not use make up on the day of your surgery.

If you are taking any medications or using eye drops, please bring the prescription or other documentation that shows
the name of your medicines and inform your doctor before your surgery.
Do not wear wool clothing, hats or fur. Do not use perfumes, antiperspirant or spray for your appointment. These may
cause instability for the laser. Do not wear earrings.
We cannot keep any luggage at our reception desk, please limit your luggage size or leave your things to your
companion.
Do make arrangements for your transportation after procedure. It is not advisable to drive yourself home.

Steps you will undergo on lasik surgery day:

1.
2.

Consent patient will be asked to read and sign consent form.

You will undergo pre-operative examination by a doctor to see if there are significant differences or irregular
conditions that exist since your last consultation.
3. Payment You can pay via cash or credit cards. Major cards are accepted with no additional charges. Cheque payment
will be cleared 3 days prior to procedure date.
4. Lasik Procedure
5. Recovery * Close your eyes and rest for 15 to 30 minutes.
* After the rest, nurses will discuss medication and doctor examines your eyes. If there is no problem, you
can go home.
6. Appointment Card Lasik Consultant will inform you the post-operative visits schedule (Day 1, week 1, Month 1,
Month 3, Month 6, Year 1 yearly follow-up after the first year is encouraged).
Dos and Dont after lasik eye surgery:

Do follow the schedule of medication (i.e., eye drops) prescribed to you by your eye doctor. If you sometimes
miss or forget to put a drop on schedule, put it in as soon as you remember and put in the next drop on schedule.
Do handle the medication with clean hands and dont inadvertently injure the eye in putting eye drops. If you find
it difficult to put the drops, have a friend or relative put them for you. Keep the medication bottles clean, cool and
dry place. Dont share medication bottles to someone else. If you inadvertently touch the open nozzle of the bottle,
or it falls down, replace the bottle. You must protect yourself from infection.
While bathing, make sure that soap or water do not enter the eyes. Dont splash water into the eyes. If they feel
dry, use artificial tears instead. Do however wash your face and area around eyes (while keeping eyes closed).
Dont allow all dirt to accumulate on or around the eye lids.
Do wear sunglasses while you go out into the sun, or smoky and dusty areas.
Engaging in sports or exercise activities is not harmful. However, you are advised to gradually return to these
activities, particularly if your vision has not adequately improved yet.
If your vision suddenly gets blurred, or you get sudden sharp pain or your eyes get very red, dont wait for a
couple of hours, please call our center or come visit us.

Please feel free to call or email the Center anytime if you have concerns or questions:

Shinagawa Lasik and Aesthetic Center

Mezzanine, Tower 2, The Enterprise Center, 6766 Ayala Ave. cor. Paseo De Roxas,
1226 Makati City, Philippines

Hotline: (+63-2) 491-0000 Email: inquiry@shinagawa.ph Website: www.shinagawa.ph