Anyone who is suffering from diabetes mellitus is at risk of developing diabetic retinopathy.  It can occur in people with either type 1 or type 2 diabetes, and the longer the person has had the disease, the greater are the chances of this condition developing.  Controlling blood sugar is of paramount importance to diabetics, and it is when the blood sugar levels become too high that damage to the eye starts to happen.  The damage occurs to the retinal blood vessels, and will make it more difficult for the retina to transmit light and images to the optic nerve.

There are several ways in which the retina is affected by this condition: sometimes the blood vessels in the retina will swell up and blood will leak out of them; new vessels will actually grow across the retina; or fluid will build up on or under the macula, causing a macular edema.  Since the symptoms are often not detected early, diabetic retinopathy can eventually cause blindness.  At the onset of the condition, the leaking of the blood vessels, or the overgrowth will not be noticeable to the diabetic.  After a while, the leakage will cause ‘floaters’, which will appear as spots floating around in the eye.  Double vision can also happen as the condition worsens.   It is of paramount importance to visit Dr. Niksarli immediately if you are diabetic and these symptoms occur.  Early treatment can help prevent further deterioration.

Your first line of  protection against developing blindness from diabetic retinopathy is to schedule regular eye examinations with Dr. Kevin Niksarli.  He will recommend how often you should see him, depending on your condition.  By checking your eyes regularly, he will be able to treat any problems before they become threatening.  If signs of diabetic retinopathy are detected, there are several courses of treatment available.

Laser surgery, a specialty of Kevin Niksarli, MD, can be performed to treat the symptoms of diabetic retinopathy.  In order to control the abnormal swelling of the blood vessels, a scatter laser treatment will help to shrink the vessels.  The treatment will be most effective if given before the vessels have actually begun to leak fluid.  Dr. Niksarli may recommend several laser treatments spread over a number of visits as the amount of laser burns is high to control the damage to the vessels.  Laser is also used to treat macular edema (swelling of the macula).

At times, the blood leaking from the affected vessels will go into the vitreous gel that fills the eyeball.  If the amount of blood leaked is great, your vision will definitely be compromised.  To treat this condition, a procedure called a vitrectomy is done.  This will be done either with general or local anaesthetic, and the fluid in the eye will be removed and replaced with a saline solution.  An eye patch will have to be used for several days after this surgery, but a good measure of sight will be restored afterwards.

Keeping your blood sugar levels as normal as possible, keeping your weight managed, exercising, and watching your blood pressure are all important factors in helping to reduce the chances of developing diabetic retinopathy.  Regular eye exams will also make sure that any developing condition can be caught early.

The following is a testimonial after LASIK surgery with Dr. Kevin Niksarli.

Worth the wait! =)

So I am guessing this coming New Year should be just great for me. Going back to work after the holidays is going to be crazy for me. As I now have new vision! No glasses or contacts. I have been waiting for this for years. I have lived in Dubai (UAE) basically all my life. As a stewardess, I have traveled all over the world. One thing always annoyed me was my glasses and contacts. Mostly my contacts. The hassle of having them on all day and night on the flight, take them off if I have to take a nap, put them back on if I need to get back to work. And if I decide to swim, forget about it! I am completely BLIND! Having a prescription of -8.25 with astigmatism is not a joke.
I went to many doctors in Dubai. I have wanted to do Lasik for a very long time. Unfortunately I never got the opportunity to do so. Number one it was the price I was being charged in Dubai, it was just ridiculous. Although we have great doctors in Dubai but it was just something I couldn’t afford. Then I came to NYC. As this city is basically my second home. I come here as often as every 3 months.
Couple of my friends got their lasik done over here at this Lasik Center. As we went to dinner and got to talking about it. It was just a coincidence that they all got their surgery done from the Manhattan Lasik Center. As I was on vacation and going to be here for a while. I decided to go in for a consultation and get the prices for it. After going for a consultation price I was getting for the quality they were offering was just perfect for my budget. It was a great experience.
So without giving it a second thought, i decided to do the surgery at once. I am now very happy with what the new vision. Nice people. Nice doctors and great price! =) I should be returning to work this coming year with a totally great experience I have gone through in my life. It is kind of like a miracle. Couldn’t be any happier. Now that I think back to all those doctors I went to in Dubai. I am glad I didn’t do it then. It was just worth the wait!

This is a LASIK NY testimonial from a past patient of Dr. Kevin Niksarli:

OMG! I could never imagine how much contacts or glasses could be such a pain. I work for Ford as a model and having to do photo shoots without glasses or other contacts which does not have my prescription is not a fair deal.
Walking on the runway without my contacts? can you imagine…i am lucky that i havent tripped over anything or bumped into anyone on the runway. Because I have been doing this for such a long time I can hold myself up to it. But now I am getting sick and tired of it. Not allowed to take certain things on the plane like my eye drops and so on and so forth which can be nerve racking. Sleeping on the plane waking up with dry eyes and not having anything on you to make it better is frustrating as well. So I decided to put this all to an end. Luckily I found the Manhattan Lasik Center when I was just surfing the net.
Being such a pris. I am very picky and choosy of who I trust and who I like. I have been to other consultations I realized I was much more comfortable to with this center. I was acknowledged I was heard by the doctors and this is what I was really and initially looking for. I was also very nervous for the procedure… but at the end of it all, it came out to be just fine. Most of the places I went for consultations did not really appeal to me, it seemed like I was not a priority. Which I definitely don’t agree to.
When I came here I liked the atmosphere. Everyone was nice and polite. My goal was to get my eyes fixed as I was getting tired of having to wear contacts and glasses all the time. People would complain saying how come you don’t say hey when you passing by now a days. Imagine passing by someone who has offered you a photo shoot and not even being polite and saying hello to them…? OMG! They would think i was such a snob…..=( My eyes were just getting worse day to day. But overall when I came here I was very satisfied. The surgery itself was easy no pain at all which was the BEST part out of all because like i said i am a chicken..
I am now a free bird I don’t have to worry about anything anymore. And I see everyone who is passing by and never miss a hello or a hi! I would like to thank the doctors and the team for helping me.

Here is a testimonial about one patients experience at Manhattan LASIK Center after surgery with Dr. Kevin Niksarli.

Totally professional outfit. From beginning to end their delivery was amazing and since what counts most is results, well I have 20/20 now and have not had that in 15 years!

These guys are the best in this field, not only does their experience shine through with their attention to detail and care they give the moment you arrive, but during the actual procedure the Doctor’s reassuring words kept me at ease to say the least. The care and focus he gave was as though I was one of his first patients and not his 30,000th.

Before I entered the Lasik center 6 years ago, I was very nervous and it took me a few years to even enter the center and go ahead with the procedure.

Once I met Dr. Kevin Niksarli, I became very comfortable with him and the procedure. It’s now been 6 years and during recent check-up, my sight was confirmed to be 20/15 (which is better than 20/20), which is outstanding and the hardest part of the procedure was forgetting how not to reach for my glasses in the morning.

I’ve recommended Manhattan Lasik Center and Dr. Kevin Niksarli and the Procedure to my family and friends as this has been the best thing I’ve done for myself.

Dream come true!

Hi there! My name is Shantel. I am just an ordinary person who works at McDonalds. As everyone knows how much a person who works at McDonalds make? Yea..not much! So, how can someone afford to do Lasiks? Well I did! I went for a consultation with Manhattan Lasik Center, just to see how much it would be. The next thing I know, I had already booked for surgery! Why? Becuase I never expected it to be so easy. I was wondering even before going there…if it is expensive how will I pay for it? How will I make ends meet? But using the 0% Finance plan with the center, did it for me.

I have had thick glasses all my life. There was one thing that I always wanted to do. Which was Laiks. I wanted to get rid of those glasses ASAP! It was like a dream come true for me. Imagine getting something you really want. On top of that, so easy?so fast? After the consultation, I was introduced to the Financial Consultant. Who went over all the possible plans with me. I was given a few options to pay. Then when I decided to get the 0% finance…it was done in a blink of an eye.

Its been about 6 months since I got my surgery done with Manhattan Lasik Center and its the best thing I have done for myself. I regret not getting it done before. I am very happy with my results.

Get LASIK!

So…I went to MOMA one day…and luckily there was a fair taking place. I waited for a while till everything started up. I personally love going to places where I can learn new things. My name is Jennifer Vilallta. Getting LASIK for my eyes has been one of the best investment in my life.
I wasn’t quite sure if I wanted to do this surgery. But as I got to talking with a nice gentleman at the fair, who basically explained the entire procedure to me, from A to Z, I was impressed as I had nothing to loose. But an hour out of my day to go for a free consultation, where I was provided with some more information on the procedure. So I did. It was quick, it was thorough, and it was helpful. I was nervous, I mean who wouldn’t be? It is your eyes? But right after the consultation, all my doubts were cleared and I was very satisfied with the center and the doctors.
I booked my surgery for the following week. I had to return the next day for the follow up. I felt stupid for being so paranoid on the day of the surgery. The night of the surgery was a breeze. I woke up next morning I could see everything. I mean even my alarm clock without grabbing my glasses. And that moment was the best moment of my life. It was just great, not having to reach out for your glasses the first thing you wake up. Now I am going in for my monthly check up this week.

I would recommend it to everyone! It is a great experience and an awesome feeling. Thank you Manhattan Lasik center!

While it is true that nearly everyone associates laser eye surgery with the LASIK process, there are quite a few different approaches to laser eye surgery, says Kevin Niksarli, MD.  Although LASIK may work well for most people, certain conditions, such as have a thin cornea, will make LASIK inappropriate.

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.

As people age, they often lose the ability to see close objects.  While their distance vision is probably superlative, they will 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 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.

Another approach to laser eye surgery is LASEK surgery.  This is a variation of PRK surgery and is suitable for patients with very steep or thin corneas.  The biggest difference is that while PRK actually removes a layer of epithelium from the eye, LASEK surgery replaces that layer, using it like a flap.  This results in a faster healing time than PRK.

Bladeless LASIK is yet another improvement on laser surgery that might be considered by anyone seeking to improve their eyesight.  While LASIK surgery uses a tiny blade, the microkeratome, to cut into the cornea to form the flap, Bladeless LASIK uses two kinds of lasers to do the cutting and forming.  This results in more precision and less chance of ragged edges on the flap, as well as a more precise configuration of the cornea.  Fewer complications have been associated with the use of Bladeless LASIK, but it should be noted that the cost is somewhat higher than with traditional LASIK.

Perhaps one of the most exciting developments is Custom or Wavefront LASIK.  This represents a real advance over the regular LASIK treatment in that many of the undesirable effects of LASIK, such as halos, glare, and night vision problems, are basically eliminated.  Wavefront LASIK is able to achieve these results because a three dimensional image of your eye is used to program the computer laser, so the shaping is more exact and precise.

With so many laser eye surgery options now available, it is imperative that anyone who wants this surgery speak to a competent, experienced eye surgeon.  Many people living on the East Coast have found that they can place their confidence in Dr. Kevin Niksarli.  Dr. Kevin Niksarli has performs thousands of laser eye surgeries, and is renowned for his skill and expertise.  When you are having surgery done on your eyes, it makes sense to seek out the best.

Dr. Kevin Niksarli is part of the Ceatus Media Health Network with provides information about various topics include LASIK, plastic surgery, malignant mesothelioma cancer and weight loss surgery.

Related Articles:

• How to choose a cataract surgeon
• LASIK video testimonial
• LASIK with Dr. Niksarli

Previously, when cataract surgery had to be performed, the patient was left with a lenless eye.  The only way to see after surgery was to wear extremely strong eyeglasses or contact lenses.  Fortunately, the development of artificial lenses, the intraocular lens, in the 1960s meant that people with cataracts would be able to regain nearly normal vision. However, these intraocular lenses were not used too commonly until the 1970s.

Cataracts destroy vision by making the crystalline lens of the eye cloudy.  This is caused by proteins in the lens clumping together.  It is a gradual process, and often goes undetected until the cataract is well established.  Removing the cloudy lens and replacing it with the intraocular lens will restore vision, although until recently, this was of a somewhat limited nature.  These IOLs are called monofocal lenses.  The patient could choose to have the lens provide near, intermediate, or distance vision.  This meant that if they chose intermediate vision, they would still have to use glasses for reading and for distance, says NY LASIK surgeon Dr. Kevin Niksarli.

The problem has now been solved with Premium IOLs.  These sophisticated lenses will provide the patient with vision that is good at all distances, working just as the crystalline lens would.  If you decide to have Premium IOLs inserted to replace your cloudy lens, the procedure is basically the same as it would be for the monofocal lens.  This is a procedure that will be done in the surgeon’s office and it will take about half an hour.  A small incision is made in the cornea and the cloudy lens is removed.  At this point, the new Premium IOL will be inserted.  Many eye surgeons will use ultrasound to make the incision, which will allow the eye to heal more quickly as this is a ‘no-stitch’ procedure.

As there are several different types of Premium IOLs, it is important that you discuss each type with Dr. Kevin Niksarli to find the one that will be best for you.  All of these Premium IOLs will provide the chance for the patient to experience normal, or nearly normal, eyesight.  Most of the people who have Premium IOLs inserted after cataract surgery never need to use glasses or contact lenses again.

One type of Premium IOL is what is called an accommodating lens.  This type of lens actually responds to the movements of the eye’s muscles to focus at varying distances.  Accommodating lenses are also used to correct presbyopia.  There are also several kinds of Premium IOLs that are called multifocal lenses.  These will not respond to movements of the eye’s muscles, but are formed in certain ways to allow for focusing at nearly all distances.  In these lenses, the structure of the lens itself, rather than its mobility, is what allows for improved vision.

It should be noted that the cost of Premium IOLs is considerably higher than for monofocal lenses.  Most insurance companies and Medicare will only pay for the monofocal lens, so anyone considering Premium IOLs should be aware that their additional, out-of-pocket expense will probably be between $1,000 and $2,000 per eye.