Advanced Vision Care is one of the leading providers of laser eye surgery in London. We have in our team the industry’s most experienced surgeons with a combined experience of over 75 years. Led by one of the world’s elite laser eye surgeons, Dr CT Pillai, we offer expertise and standards unrivalled by other clinics.
Laser eye surgery is one of the most commonly performed eye surgeries in the world, with over 40 million people having been treated so far. It uses laser technology to correct your vision. It is a wonderful option for people who desire a reduction in dependence on glasses or contact lenses. For both personal and professional reasons, more and more patients are choosing to have Laser eye surgery as it allows them to more freely pursue their hobbies, sports activities or career options – without the hassle of glasses or contact lenses!
Here at AVC, we use only the best, and treat our patients with utmost care. Our treatments have undergone extensive trials and we do not use experimental procedures. With our practice’s level of care, expertise and facilities, we are often the first choice for treatment of patients found unsuitable elsewhere.
It is a safe procedure, and very successful when patients take the time to educate themselves and diligently search for a qualified and skilled surgeon. Our medical director, Mr CT Pillai is a refractive specialist with over 25 years of experience as an ophthalmic surgeon. Mr CT Pillai has remained at the forefront of development and research, always ensuring that his patients benefit from the latest and best technological advances. In order to ensure best possible outcomes, he remains completely hands-on, open and friendly, putting patients at ease.
Laser eye surgery can treat long sightedness, short sightedness and astigmatism by reshaping the cornea at the front of your eye to correct visual defects and imperfections. It is a safe and convenient way to avoid the pitfalls associated with contact lens wear, such as dry and itchy eyes, as well more serious complications associated with overuse of contact lenses such as infections and severe sight loss caused by wearing contacts in water.
Over the years there have been multiple studies on laser treatment regarding its safety and effectiveness. Both LASIK and LASEK are FDA approved, and both provide the same incredible results. Most patients find that they are suitable for LASIK but some find they are better suited to LASEK treatment.
In perfect vision, light rays enter the eye through the cornea and are focused at a single point on the retina (at the back of the eye). When you have a refractive error, light bends but does not form a sharp image on the retina. This is normally due to a problem with the length or shape of the eye.
Laser eye surgery is designed to alter and correct the point where the light reaches in the retina. This involves reshaping the cornea at the front of the eye with a cool excimer laser in order to correct visual defects and imperfections like short-sight, long-sight and astigmatism.
Laser treatment is permanent despite corneal tissue being one of the fastest healing parts of the human body. The treatment is conducted just below the upper layer, meaning that the prescription will not return. However, due to the effects of the aging process on the eye, over time vision can deteriorate slightly and laser treatment will not prevent this ageing or the development of presbyopia, which is the need for reading glasses after the age of 40 years.
If you want to counteract presbyopia’s effects, you might be suited to lens exchange surgery, where your natural lens would be replaced with a synthetic lens meeting your visual needs. Please get in touch with us to learn more about the lens replacement surgery which we offer.
Before undertaking laser eye surgery on any patient, we check that their prescription has been stable over at least a year. If their prescription is unstable, this will indicate that the eye is continuing to change hence the surgery could be hindered in its effectiveness.
100% of AVC patients achieve driving standard and 99% of patients achieve 20/20 vision following laser eye surgery at our London clinic
Compared to the overall cost of regular eye exams, contact lenses and replacing glasses, laser eye surgery can be less costly in the long run.
Vision loss associated with contact lenses pose a greater risk than laser eye surgery, according to research carried out by Oregon Health and Science University. They found that the risk associated with laser surgery may be lower than that with a lifetime of contact lens use, and this risk was highest in patients who wore extended wear contact lenses (those you sleep in).
Laser eye surgery’s results are intended to be lifelong. In the UK, just 5% of patients who receive laser eye surgery later encounter regression. You are more likely to experience regression if your prescription is high or you are long sighted, but rest assured that we provide an enhancement for anyone treated at our laser eye clinic in London.
The ease with which our Harley Street clinic can be reached means that, should you seek laser eye surgery for Essex or Hertfordshire eyes or live somewhere else near London, you can readily utilise our services.
All vision correcting laser eye treatments involve the use of a cool beam laser produced by an excimer laser which is applied to the cornea to modify its shape and correct your vision permanently. Laser does not prevent or treat presbyopia, which is a natural ageing process that results in the need for reading glasses over the age of 40-45 years.
There are two forms of vision correction Laser treatments offered at AVC:
Each AVC provided Laser eye treatment in London use Advanced Wavefront technology to provide our patients with a truly bespoke treatment plan, at no additional cost.
We are an independent clinic and as such, we see patients as individuals, and are driven by quality and not quantity. We endeavour to achieve the highest attainable vision for each patient. This is achieved by Mr C T Pillai (corneal and refractive specialist) personally tailoring your treatment for you wherever possible. His wealth of knowledge, expertise and reputation attracts the most complex cases that other providers of laser surgery in London are unable to treat.
The time you can expect your recovery to take will be affected by the kind of laser eye surgery you have received. At Advanced Vision Care, we offer LASIK, LASEK and PTK in our palette of laser eye surgery treatments, about which you can read much more on our website.
While some patients can enjoy normal vision 24 to 48 hours after surgery, other patients might have to wait as long as a week for their full recovery. Whatever the wait will be in your case, the surgeon will let you know exactly how long that wait will be.
As we age, the need for reading glasses is inevitable (after the age of 40), often leading to people having to carry around multiple pairs of glasses or to wear reading glasses on top of contact lenses, or taking off their distance glasses to read. This is called presbyopia, and is a normal age related condition in which the natural lens inside the eye hardens and loses the ability to ‘autofocus’ for near work. Monovision (‘Blended vision’) laser correction can be a great choice for these patients.
With Monovision, one eye is “set” for distance focus, and the other eye is set for better near focus and allows a patient to see both distance and near images without glasses by having blended visual focal points.
The goal of Monovision (‘Blended vision’) is to be independent of glasses for most day-to-day activities and it is realistic to expect to be able to read a menu, watch TV, and drive a car legally without glasses.
Whilst it is not a “perfect” solution to presbyopia, for carefully selected patients, it is well tolerated and very satisfactory. We will only treat using Monovision (‘Blended Vision’) if you are able to adapt to the discrepancy between the two eyes, and this must be carried out in the form of a contact lens trial (to simulate the potential outcome of surgery) by your local optometrist before you attend for your laser consultation.
This is treatment does not directly correct the vision but is used to treat anterior corneal injuries, scars and removes surface level corneal disease such as corneal dystrophy and epithelial erosion syndrome, which affect the quality of vision.
LASIK stands for laser-assisted in situ keratomileusis and is the most commonly performed type of laser vision correction in the world.Lasik
LASEK stands for laser assisted sub-epithelial keratectomy and is a laser alternative for the highly active or people with thin corneas.Lasek
Phototherapeutic Keratectomy (PTK) is a laser treatment used to treat a variety of corneal (front surface of the eye) pathologies.PTK
* Fee includes comprehensive testing with the latest technology and the opportunity to meet with the AVC Medical Director and Lead Surgeon, Dr CT Pillai. We ensure everybody benefits from his expertise, has a definitive answer about suitability and is given a bespoke treatment plan.
*Fee includes comprehensive testing with the latest technology and the opportunity to meet with the AVC Medical Director and Lead Surgeon, Dr CT Pillai either at initial consultation or at a later date. We ensure everybody benefits from his expertise, has a definitive answer about suitability and is given a bespoke treatment plan.
To make vision correction treatment more affordable, we provide flexible interest free finance plans. Using our flexible finance options, you can spread the cost of your surgery with interest free monthly repayments, meaning you don’t pay more than the actual cost of your surgery.
At AVC, we value flexibility and give our patients the option to pay a larger deposit to reduce the cost of the monthly repayments. We have partnered with Hitachi Finance to provide finance plans that are not only interest free but can be paid off early without being penalised.
12 months interest-free finance
is available starting from just £145.42 per month for complete treatment per eye, with a deposit of £250 (APR 0%) per eye, subject to application. If you wish to pay a larger deposit, even lower monthly finance rates are available, all interest-free.
Your first point of contact will be with AVC’s highly trained and knowledgeable patient coordinators.
At AVC, we believe that it is essential to be selective to ensure that every patient has the best treatment to suit their visual and lifestyle needs which is why determining suitability is incredibly important.
Unlike other eye clinics, AVC has both our laser and non-laser theatres under one roof, enabling you to be treated in one convenient location.
Your aftercare begins immediately after treatment when you are taken to the recovery room to relax and, when you are ready to leave, our specialist nurse will examine you before you go home.
Gold standard in laser treatment, using only the safest and most advanced technology to provide outstanding results, constantly surpassing expectations. AVC has the fastest treating excimer laser available on the market, treatment typically taking only 3 to 5 seconds. First and only clinic in Europe to have a transparent theatre, used for purposes of training and allowing families to watch treatment. Both laser vision correcting treatments (Lasik and Lasek) are approved by the FDA.
Truly bespoke treatment plans individually designed for each eye of every patient. Dr Pillai was one of the first surgeons in the UK to perform bilateral (both eyes treated on the same day) Lasik treatment. AVC’s Medical Director and laser surgeon is a refractive and corneal specialist with over 25 years of experience as an ophthalmic surgeon.
If a patient is found unsuitable for laser treatment, alternative treatments can be offered to correct the prescription. AVC have the largest independent optometrist network in the country, meaning patients can have treatment at the Harley Street clinic and enjoy incredible aftercare at a more convenient location. Transparent pricing – you pay the same price regardless of how complex your prescription is.
Lasik treats prescriptions up to -9D, +4D with an astigmatism of up to -5D. Lasek is able to treat prescriptions up to -9D, +3D with an astigmatism of up to -5D.
Suitability is determined at the consultation by the surgeon after comprehensive testing. Patients should be over the age of 18yrs and have had a stable prescription for a year.
Absolute contraindication for laser treatment: pregnancy, breastfeeding, autoimmune disorders, keratoconus.
There is no upper age limit for Laser Eye Surgery as long as it is the ideal treatment for the patient’s needs and expectations, and there are no signs of cataracts. Most laser patients tend to be between the ages of 18 and 50.
For Laser Eye Surgery, you must be over the age of 18 with two stable prescriptions and there is no upper age limit.
For Implantable Contact Lenses (ICL), you must be between the ages of 21 and 40 and have two stable prescriptions.
Patients looking for management of Keratoconus must be over the age of 16 and have had disease diagnosed as progressive.
Wavefront laser eye treatment corrects the aberrations (imperfections) in the eyes which cause a prescription. AVC deliver a gold standard in Laser treatment with our personalised treatment plans and sole use of Wavefront technology. Our state of the art laser eye surgery provides better quality vision and reduces night time glare that can be experienced with basic Laser treatments.
As with any surgery there are no 100% guarantees. There are many variables, the main being corneal healing and general health. If you have 20/20 vision with glasses or contact lenses, it is highly possible this will be achieved after treatment; this will be discussed at the consultation.
98% of our patients’ achieve 20/20 vision and approximately over 30 to 40% of our patients’ achieve better than 20/20 vision.
LASIK is the most common laser surgery performed worldwide, it has undergone numerous clinical trials and is FDA approved.
As with any surgery procedure Laser eye surgery is not completely risk free. Complications are very rare and these will be explained and discussed at your consultation. Any complications that may arise can easily be dealt with by our comprehensive aftercare system, which is included in the cost of your treatment.
The Intralase FS eliminates all blade related complications attributed to the mechanical blade keratome.
Computer controlled accuracy of the IntraLase iFS creates a precise cornea resection with greater consistency of flap thickness.
It will take about 15-20 minutes to treat both eyes but you will be in clinic for 1 to 2 hours to prepare, perform the treatment, recover and be discharged.
Brand new: AVC’s Advanced Control Eye-tracking (ACE) System is the most sophisticated 6 dimensional (XYZ, intraoperative rotations and static rotations using Iris Recognition) eye tracker. It takes pictures of the eye (sampling rate) 1,750 times per second (1750Hz) and has a response time of 2ms, so no laser pulses are ever misplaced. The Eyetracker can follow the most sudden or subtle of eye movements.
Before the procedure, the surgeon will apply anaesthetic drops to numb your eye so no pain is felt. However, the eye lid guard that prevents blinking throughout the procedure can cause some discomfort. Some patients also report a sensation of pressure for a few seconds whilst the flap is created.
The protective contact lens is placed in the eyes as a precautionary measure and if it falls out there is no need to replace it or to worry about it. The lens is removed at the first post-operative check which for LASIK is one or two days after treatment and for LASEK is 4 to 5 days. We recommend not touching the lenses, even if you are an experienced lens wearer.
Your vision will be a little blurry after LASIK surgery and this wears off a few hours after treatment. Recovery times after laser eye surgery vary as everyone’s eyes heal independently at different rates. Initial recovery after LASIK treatment is usually 24 to 48 hours and for LASEK is 3 to 4 days. It is recommended that all aftercare instructions are followed to aid recovery.
Following LASIK majority of patients are back to work within 48 hours, and within a week for LASEK patients. However, this can vary depending on your occupation; working in a dusty environment may mean that more time off is needed. The amount of time off work needed will be suggested at your consultation.
At your first post-operative check, your surgeon will examine your eye to determine how your vision is recovering and advise when to start driving. It is typically between 1 to 2 days after treatment LASIK and a week after LASEK
The treatment will last indefinitely, however does not prevent natural deterioration, or changes due to health issues or environmental factors. If there is deterioration in vision, retreatment may be required to fine tune it. Laser treatment will not prevent the natural ageing of the eyes – presbyopia – which is the need for reading glasses from the age of 40-45yrs.
For presbyopic patients (over 40yrs of age with reading glasses), this is where one eye (dominant eye) is corrected for distance vision and the other is corrected for near vision. To be able to have this type of treatment you must undergo a contact lens trial to ensure you are able to adapt to the discrepancy between the two eyes. Not everyone can tolerate this; hence a contact lens trial is imperative to simulate the potential outcome.
This procedure is ideal for patients who are unsuitable for (e.g. dry eyes, high prescription, thin corneas, etc) as it does not involve modification of the cornea and can treat high prescriptions.
ICL is the only vision correction treatment that is reversible. It has a proven safety record, is FDA approved and has undergone extensive clinical trials. The procedure involves implanting an artificial lens behind the coloured part of the eye (the anterior chamber) thereby meaning it cannot be seen.
These treatments are identical – the only difference is whether a clear or a cloudy lens (cataract) is removed. The procedures involve removing the natural crystalline lens of the eye and replacing it with an artificial lens tailored to a patient’s prescription.
Laser treatment cannot be carried out if you are pregnant. To be able to undertake any form of vision correction surgery you must wait at least 3 months after finishing breast feeding.
It is a requirement that the epilepsy is under control with anti-epileptic medication. Epileptics can have vision correction treatment given that strong lighting is not used throughout any of the treatments.
As long as the conditions are under control, vision correction is possible.
Blepharitis is an inflammation of the eye lids caused by clogging or irritation of the oil glands found in the follicles of the eyelashes. Clogging of the oil glands can also lead to infections. There are two types – occurring on the outside of the eye (anterior) and in the corner of the eye (posterior).
To determine if someone who has blepharitis can have treatment is dependent on whether or not there is an infection. If so the infection must clear before attending a consultation or treatment. There are also other symptoms caused by blepharitis that can affect suitability for treatment, these will be assessed at your consultation.
Suitability will be determined at your consultation as it depends on the degree of amblyopia; the lazy eye must have a minimum amount of visual function. Vision correction treatment will not correct amblyopia; instead the prescription is corrected, achieving the same vision as obtained with glasses and contact lenses.
This depends on the direction and angle of deviation. Strabismus surgery is needed if you want to correct the misalignment which will involve surgery on the muscles around the affected eye. Treatment to correct the prescription can be performed before or after strabismus surgery. For patients requiring prisms in glasses, this will remain the same after vision correction surgery.
This is age related and can affect one or both eyes where damage to the macula (central part of the retina) results in loss of central vision. It causes blurred vision and can lead to a complete loss of central vision (partial blindness). Vision correction treatment is not recommended and instead you should see a specialist to determine the best form of treatment.
Floaters are small dots that can be seen in your field of vision. They are small pieces of debris that float in the vitreous humour. This debris casts a shadow on the retina but can often go unnoticed as your brain adapts and learns to ignore floaters or they quickly move out of the field of vision. Floaters are part of the natural ageing process and cannot be prevented. However, if they significantly affect your vision they can be removed at a specialist clinic. Vision correction treatment will correct your prescription but it will not remove or prevent floaters.