Beyond LASIK

Your guide to better vision

Not all patients are ideal candidates for LASIK, and some patients who get LASIK may require additional lenses for reading because of the normal aging process of the eye. Cullom & Farah Eye & Laser Center offers services beyond LASIK that help each and every patient to achieve his or her best possible vision.


Following LASIK most patients don’t need glasses for their daily activities. However, patients who are over the age of 40 may still need to wear reading glasses because of the normal aging process of the eye. MonoVision LASIK is an alternative to glasses for people with presbyopia.

With MonoVision, one eye is corrected for distance and one for near. Typically the eye that is corrected for distance is the dominant eye. With this procedure, when you look in the distance, your distance eye is at work. When you are reading, the eye corrected for near is working.

Many patients enjoy this option because it can eliminate the need for reading glasses or bifocals. However, a very small percentage of patients do not adjust well to MonoVision. To determine if MonoVision is a good option for you, your surgeon and our staff will perform a free trial with contacts or glasses.


PRK (Photo Refractive Keratectomy), also known as Advanced Surface Ablation, was the first procedure performed using the Excimer laser. It corrects vision just like LASIK by reshaping the cornea. However, instead of making a protective flap in the first step, the epithelium, the thin layer of clear protective skin that covers the cornea, is removed. After the laser treatment a protective contact bandage is used while the surface the epithelium grows back over the treated area, usually within three to seven days. Functional vision typically returns within the first week.

With LASIK, patients encounter less discomfort and a faster recovery time. However, PRK may be a better option for patients with larger pupils or thin corneas.

“Dr Cullom performed PRK (photorefractive keratectomy) on me in 2003. He chose that route when the rage was lasik because it was better suited to my individual needs. My vision is still 20/20 . I would recommend his practice to anyone considering vision correction.”

- Tressa O’quin-Wright

Each patient’s outcome is determined by multiple factors including their past ocular history, their ocular anatomy and current condition of the eyes, and suitability for a particular procedure.


For those patients with extremely high prescriptions that fall out of the range that LASIK can correct, we are proud to offer the Visian Collamer Lens (ICL). This lens that rests inside the eye behind the iris, or colored part of the eye, provides vision correction that helps patients enjoy sharper, clearer, and more vivid vision, with greater depth and dimension.

The ideal candidate for the ICL is between the ages of 21 and 45, with moderate to severe nearsightedness. Because the lens is positioned behind the iris, the lens itself is not visible to the naked eye.

Most ICL patients see improvement in their vision fairly quickly, with 80-90% of their vision restored within 24 hours and continued improvements over the next few weeks. Implantable Contact Lens procedures have been a life-altering event for clients around the world, many of whom are now able to drive, play sports, and perform other daily activities without glasses or contacts for the first time in their lives!

Since the Visian ICL is implanted inside the eye, the procedure is more extensive and requires more technical expertise. Dr. Cullom has performed thousands of procedures in addition to LASIK so you can trust you are in the right hands.


Refractive Lens Exchange (RLE), also known as Refractive Lensectomy or Clear Lens Exchange, uses the same modern cataract removal techniques to remove your natural lens and in its place, implant a clear lifestyle lens in order to reduce the dependence on glasses or contacts. The difference between RLE and cataract surgery is whether or not a cataract is present. A cataract is a clouding of the eye’s natural lens. If this lens is still clear, without a cataract, the procedure is used primarily for vision correction purposes and is called Refractive Lens Exchange.

RLE is an ideal choice for those patients who are not candidates for LASIK or wear bifocals or trifocals and do not yet have a developed cataract needing removal. These patients have the goal of reducing or eliminating their need for glasses for most of their daily activities.

Schedule a Consultation

If you’re considering LASIK eye surgery or want to learn more about your options, give us a call to schedule a one-on-one consultation. At Cullom & Farah Eye & Laser Center, you're in good hands.

Take the first step toward better vision today. Request a consultation by calling 757-378-5028.

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