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July 26th, 2013

As people get older, they oftentimes lose the ability to see close objects. While their distance vision is probably superlative, they will most likely need glasses for reading or any other close-up activity. Until the advent of PresbyLASIK, the only option was bifocal or multifocal glasses. Traditional LASIK eye surgery could only change one aspect of their vision problems, it could allow them to see up close again, but only by sacrificing distance vision. PresbyLASIK has solved this problem by reshaping the cornea to be able to function normally at near, middle, and far distances.

LASIK, stands for LASER IN-SITU KERATOMILEUSIS. Kerato is the Greek word for cornea and mileusis means “to shape.” LASIK is a form of laser surgery that is capable of correcting a wide range of nearsightedness. The procedure uses a computer controlled laser to reshape the cornea to correct your vision. The laser reshaping is done under a protective flap of tissue to promote a very rapid recovery of vision and minimize discomfort.

Before the development of LASIK technology, PRK (photorefractive keratectomy) laser eye surgery was able to alleviate many of the problems associated with farsightedness, nearsightedness, and astigmatism. While most doctors now use LASIK for their eye surgery, PRK is still valuable when treating patients who have thin corneas, for whom LASIK will not work. The only top layer of the eye surface, the epithelium, is removed during this surgery. This leaves a thin cornea more intact than would be the case with LASIK.

LASIK is the most exciting advancement in the field of eye care since the invention of the contact lens. LASIK has become one of the fastest growing elective surgeries in America and hundreds of thousands of successful procedures are performed each year.

There are over 120 million Americans who are nearsighted and almost 70 million that are farsighted. It is our goal at Manhattan LASIK Center to help people eliminate their need for glasses and contact lenses and enjoy life to the fullest.
LASIK Procedure

For Dr. Kevin Niksarli, the typical LASIK procedure takes 5 to 10 minutes per eye. Each step of the procedure is explained to you as it is performed.

• Eye drops are used to anesthetize your eye and make the procedure completely comfortable. No injections or needles of any kind are used during the LASIK procedure.
• The thickness of the cornea is measured very precisely utilizing ultrasound.
• An eyelid holder called a “lid speculum” is used to keep you from blinking during the procedure. Because of the anesthetic eye drops used, you will not feel the need to blink during the procedure.
• A ring is placed on the white part of the eye (sclera) to help hold your eye steady during the creation of the protective corneal flap. You will not see anything or feel any discomfort other than a “pressure sensation” from the ring during the creation of the corneal flap.
• The corneal flap will then be lifted, but remains attached to the cornea by a “hinge” of corneal tissue.
• Dr. Niksarli will ask you to fixate carefully on a red target light. It is not uncommon for patients to move their eyes slightly during the procedure, and small movements will not cause any risk or damage to the eye.
• The computer-controlled laser is then applied to the central part of the cornea to remove a precise amount of tissue. You will hear a clicking or tapping noise while the laser is being used. Kevin Niksarli will be able to constantly keep the laser beam centered on your eye with a joystick control and is able to stop the laser for any reason in a fraction of a second.
• The flap is then placed back in the original position and your eye will be left to “settle” for a few minutes. Your eye will create a “natural vacuum” to keep the flap in place without the need for sutures until the protective layer of the eye grows to keep it together (within 24 hours).
• Vision will be blurry immediately after the procedure, but will start to improve within a few hours. Most patients are able to see to drive and go back to work within one day.
What is Epi-LASIK?

Epi-LASIK eye surgery is a fairly new procedure that seeks to provide a combination of LASIK, LASEK, and PRK for the correction of farsightedness, nearsightedness, and astigmatism says, Kevin Niksarli, MD. This laser eye surgery technique is especially useful for people who have a thin cornea, and would thus be ineligible for regular LASIK treatment. Epi-LASIK is also sometimes recommended for people who will be engaged in heavy physical activity where the flap created by ordinary LASIK might be damaged.
What is Dry Eye?

Dry eye syndrome is exactly that – there is not enough fluid in the eye to maintain the proper level of lubrication needed for comfort and vision. What we think of as tears is actually a mixture of water, mucus, oils, antibodies, and proteins. These last two will help the eye to resist infection. Our tear glands, which are located all around our eyes, provide all these components. Dry eye will occur when one or more of these ingredients is not being produced as it should, resulting in dry spots on the eye.

Dry eyes can be caused by a number of factors, such as wind, heat, or air-conditioning. These causes are usually only temporary and can be dealt with relatively easily with over the counter lubricating drops. However, some conditions will need to be handled with a more involved treatment regimen. Sometimes a person will not be able to produce sufficient tears to keep the eye moist, or they may have a structural defect in the lid that does not permit it to close completely. There are also various medicines that will cause this condition such as antihistamines, birth control pills, diuretics, and certain medicines used to control high blood pressure. Autoimmune diseases such a rheumatoid arthritis and lupus can also cause dry eyes.

The eyes will be irritated and feel scratchy when dry eye occurs. You might also experience blurry vision and eye fatigue after reading or watching television for only a little while. Sensitivity to light and excessive tearing are also symptoms of dry eyes. The doctor may perform several tests to pinpoint exactly what is causing the problem. Dr. Niksarli will check to see what quantity of tears your eyes are producing, and also test the composition of the tears. He will probably also check the surface of your eyes, too.

As people age, the ability of their eyes to provide enough moisture often lessens, and they can begin to experience dry eyes. Post-menopausal women also often suffer from this. If you have any problems with dry eyes, it would be best to speak with Dr. Kevin Niksarli about this problem. A thorough check of your eyes will let him know whether your problem can be handled with over-the-counter or prescription eye drops, or whether some corrective surgery is in order.

While it is true that dry eyes do not cause any serious problems for most people, eyes that are persistently dry can develop complications such as infections, inflammation, and damage to the surface of the cornea. If your dry eyes do not respond to drops, it might be time for a further look at what might be causing this. Surgical help can be given if the shape of the eye lids is the problem, or if the tear ducts need to be treated. Punctal plugs can also be inserted surgically to keep your tears in your eyes longer. Additional lubrication for the eye can also be provided by an insert that releases lubrication into your eye. Kevin Niksarli, MD can provide you with all the information you need about your particular case.
Comments on Higher Order Aberrations in Normal Eyes Measured With Three Different Aberrometers.

Dr. Kevin Niksarli, of Manhattan LASIK Center states that the study suggested that no instrument was superior over the others, and all three instruments were very reliable

Dr. Niksarli assesses the repeatability of measurements of higher order aberrations using three different aberrometers and to compare higher order aberration measurements between optical path difference (OPD) scanning and the Hartmann-Shack method.

The study was designed and conducted with collaboration of Drs. Ahmet Burakgazi, Bernard Tinio, Alejandro Bababyan, Kevin Niksarli, and Penny Asbell.

Wavefront aberration data obtained using the NIDEK OPD-Scan, Bausch & Lomb Zywave wavefront aberrometer, and VISX CustomVue wavefront analyzer were compared.

A total of 19 subjects were included in the study. Repeatability errors in all three machines were found to be low, suggesting that all three machines are reliable in their repeated measurements. Significant differences were demonstrated between OPD scanning and Hartmann-Shack aberrometers.

All three machines showed statistically significant differences in several higher order aberration parameters when compared to each other.

Dr. Niksarli, concludes that the three different aberrometers provided repeatable measurements, but statistical differences were noted in the measurement of higher order aberrations when comparing the machines.

The study suggested that no instrument was superior over the others, and all three instruments were very reliable.
Dr. Kevin Niksarli Membership Associations

Dr. Kevin Niksarli is a diplomat of the American Board of Ophthalmology and has been conferred the status of Diplomat by the National Board of Medical Examiners. He is medical director of Manhattan Lasik Center which has also been awarded the prestigious VISX Star Award for his vast experience for performing LASIK surgery utilizing the VISX Laser. He is also a member of the American Academy of Ophthalmology, the International Society of Refractive Surgery, the American Society of Cataract and Refractive Surgery and the New York State Ophthalmological Society. As a leader and expert in LASIK, Dr. Niksarli has been listed in the America’s Top Ophthalmologists. He is currently on staff at prestigious Manhattan hospitals, including Lenox Hill Hospital and Manhattan Eye, Ear, and Throat Hospital.
Manhattan LASIK Center Signs 5.4 Million Lease Agreement

NYC LASIK surgeon Dr. Kevin Niksarli and the Manhattan LASIK Center recently announced the extension of their lease at the current location 110 East 55th Street 3rd Floor, New York, NY, 10022. The latest lease agreement was for $5.4 million for 15 years bringing the total to 25 years. This represents the longest continuous lease for any Laser Vision Correction Center in Manhattan at the same location.

The office occupies the entire 3rd floor of a state-of-the-art professional office building in the hear of Manhattan and Park Avenue. This will ensure quality care and comfort for all the prospective patients of Manhattan LASIK Center who can benefit from the convenient location and extended hours. The center is open six days a week to accommodate the individuals seeking laser eye correction.
Save $1,000 on INTRALASIK

For a limited time only the Manhattan LASIK Center is running a special of $1,000 off INTRALASIK.

Dr. Kevin Niksarli is a board certified ophthalmologist who has performed over 45,000 successful vision correction procedures.

Schedule your Free Consultation Today!

*Off list price of LASIK. Not to be combined with other offers and promotions

Dr. Kevin Niksarli is the medical director of Manhattan LASIK Center. Dr. Niksarli is a board-certified ophthalmologist that specializes in LASIK and Laser Vision Correction. The following is a testimonial from a LASIK patient after having surgery with Dr. Niksarli.


Here is a testimonial about one patients experience following LASIK eye surgery with Dr. Kevin Niksarli.

I came to Manhattan Lasik Center at the recommendation of my sister who is also a patient here. From the moment I walked into the laser center I was treated very well. The Drs. and assistants are all very courteous and friendly and they make you feel at ease. The procedure went exceptionally well and I’ve been 20/20 for almost a year now without any problems or side effects.
I highly recommend LASIK and Manhattan Lasik Center to anyone who suffers from nearsightedness, astigmatism and farsightedness. I am extremely happy and satisfied with the results.

Thank you for everything!


Loving it

Since the age of six I’ve worn glasses and contact lenses. I was the guy who couldn’t see the “Big E” on the chart. Finally, I heard about PRK about 10 years ago. I immediately investigated only to be disappointed and to know that my vision was well beyond the possibility of correction through PRK. When LASIK was approved, I was ready in a heartbeat and couldn’t be happier with the results.