Textbook on Corneal Physiology

Will Vision and Laser Centers Celebrates their Tenth Anniversary  In 1998, Will Vision and Laser Centers became the first surgeon owned center in the United States to open its doors specializing exclusively in laser refractive surgery.  Equipped with the most advanced VISX Star excimer laser system available, our initial procedures were performed at our flagship center located in Vancouver, Washington.  Growing exponentially from this early beginning, Will Vision and Laser Centers ranks amongst the top 3% of laser centers nationally and Dr. Will has attained international recognition for his contributions to the field of refractive surgery. A significant ingredient to our success is our uncompromising commitment to delivering only state-of-the-art LASIK in an environment of personalized care.  Moreover, throughout the course of these ten years we have lead the way for laser vision correction innovation in the region including the:

·         First center dedicated exclusively to refractive surgery in the Pacific Northwest

·         First excimer laser to incorporate advanced “smoothing” technology in the Pacific Northwest – now considered the “gold standard”

·         First excimer laser treatment for farsightedness in the Pacific Northwest

·         First excimer laser treatment for farsightedness with astigmatism in the Pacific Northwest ·         First small spot scanning excimer laser system in the Pacific Northwest – now considered the “gold standard”

·         First eye tracking excimer laser system in the Pacific Northwest – now considered the “gold standard”

·         First to introduce Tracey Wavefront Visual Performance Analysis to the Pacific Northwest

·         First LASIK performed on a patient with nystagmus (uncontrolled erratic eye movement) in the world

·         Recognized as world-class author and speaker with numerous accomplishments to his credit.  Specific “firsts” that he has authored include:o   First in the world to author a chapter in a textbook on LASIK describing the technique of performing LASIK on patients with nystagmus o   First in the world to author a chapter in a textbook on LASIK describing the physiology and pharmacological aspects of LASIKo   First in the world to demonstrate the physiologic relationship between topical anesthetics and epithelial trauma during LASIKo   First in the world to describe the relationship between lamellar keratitis and topical anestheticso   First in the world to correctly describe the underlying etiology and pathophysiology of Grade 4 Diffuse Lamellar Keratitis and Central Toxic Keratopathyo   First in the world to suggest the linkage between control of corneal interstitial fluid pressures and corneal physiology and healing following laser refractive surgery

·         First Femtosecond laser by Intralase in the Pacific Northwest – the new “gold standard”

·         First IntraLASIK procedure in the Pacific Northwest

·         First Wavefront Customized laser vision correction procedure in the Pacific Northwest

·         First Wavefront Customized IntraLASIK procedure on the West Coast of the United States

·         First Iris Recognition enabled tracking Wavefront Customized laser vision correction IntraLASIK procedure in the Pacific Northwest

·         Only refractive surgeon in the Pacific Northwest elected to Best Doctors in America 

Dr. Will’s commitment to leading edge technology is a natural result of his absolute passion for delivering the highest level of surgical precision and safety for his patients.  His dedication to a “zero-defect” surgical paradigm embodies the belief that there can be no tolerance for avoidable surgical error in refractive surgery.  Dr. Will is the only refractive surgeon in the Pacific Northwest recognized by as his peers as one of the Best Doctors in America – an honor attained by only the top 5% of physicians nationwide.  He holds academic teaching appointments at the Loma Linda University School of Medicine and at the Pacific University School of Optometry.  He is Councilor for the Loma Linda University Adventist Health Science Center in Loma Linda, California.  In these roles he has lectured and taught surgical technique to LASIK surgeons and eye doctors at every major ophthalmic scientific meeting during the past 9 years. As a result of these accomplishments and accolades, thousands of patients have experienced the Will Vision and Laser Centers advantage.  In our tenth year we will complete our 35,000^th laser vision correction procedure and our extensive base of satisfied patients continues to provide a strong word of mouth referral network.

Dr. Will leads in the development of a state-of-the-art LASIK center in Penang, Malaysia 

Dr. Will Promoted to Adjunct Clinical Professor at Pacific University School of Optometry 

Will Vision and Laser Centers are pleased to announce that Dr. Will has achieved the status of Adjunct Clinical Professor.

Dr. Will has presented research data at nearly every major ophthalmic scientific meeting for the past 10 years and has frequently been an invited speaker at venues featuring industry leaders and innovators.  He is a recognized world authority on Femtosecond laser technology and corneal pathology.  His current research interests include understanding how interstitial fluid pressure in the cornea affect refractive surgical outcomes as well as cause pathologic conditions including Diffuse Lamellar Keratitis and Central Toxic Keratopathy.

Dr. Will Promoted to Adjunct Clinical Professor of Ophthalmology at Loma Linda University School of Medicine 

Will Vision and Laser Centers are pleased to announce that Dr. Will has achieved the status of Adjunct Clinical Professor of Ophthalmology at the Loma Linda University School of Medicine.  The Department of Ophthalmology provides leading edge eye care services for millions of people while servicing the largest geographic region in Southern California.  The department is currently experiencing unprecedented growth and expansion under the guidance of Dr. Howard Gimbel, a leading world authority on Cataract and Refractive surgery.   

Loma Linda University Medical Center operates some of the largest clinical programs in the United States in areas such as neonatal care and outpatient surgery and is recognized as the international leader in infant heart transplantation and proton treatments for cancer.  There are more than 400 faculty physicians that support its many programs and services.  Each year, the institution admits more than 33,000 inpatients and serves roughly half a million outpatients. As the only tertiary-care hospital in the region, the Loma Linda University Medical Center is the only level one regional trauma center for Inyo, Mono, Riverside, and San Bernardino counties. 

Dr. Will’s commitment to personalized and compassionate care for each patient finds it roots in his Loma Linda University heritage.  Loma Linda University Medical Center serves the Seventh-day Adventist Church in its mission “to make man whole” physically, intellectually, emotionally, and spiritually. The global purpose of the Loma Linda University School of Medicine is to continue Christ’s healing and teaching ministry. This is accomplished through the education of health-care professionals, scholars, and scientists combined with the delivery of state-of-the-art health care and scientific research. 

Dr. Will has presented research data at nearly every major ophthalmic scientific meeting for the past 10 years and has frequently been an invited speaker at venues featuring industry leaders and innovators.  He is a recognized world authority on Femtosecond laser technology and corneal pathology.  His current research interests include understanding how interstitial fluid pressure in the cornea affect refractive surgical outcomes as well as cause pathologic conditions including Diffuse Lamellar Keratitis and Central Toxic Keratopathy.

LASIK and Vision Correction Experts from Trusted LASIK Surgeons Directory Achieve Top Awards at ASCRS MeetingSeveral of LASIK and refractive eye surgery experts listed at Trusted LASIK Surgeons were among those eye doctors honored at the recent American Society of Cataract and Refractive Surgery (ASCRS) annual meeting in San Francisco, California. Dr. Parag Majmudar, Dr. Shachar Tauber, and Dr. William Trattler were on the winning team for the annual ASCRS Challenge Cup. The Challenge Cup is a competition between two teams of refractive surgery experts judged by a vote of the audience based on scientific content, entertainment value and costumes. Several surgeons also listed in the Trusted LASIK Surgeons Directory also received “Best Paper of the Session” awards, including Dr. William Trattler, Dr. Douglas Koch, Dr. Kerry Solomon, Dr. James Salz, Dr. Eric Donnenfeld, Dr. Brian Will. Dr. Koch also delivered the honorary Jan Worst lecture to the International Intraocular Implant Club.San Francisco, CA (PRWEB) May 29, 2009 — Trusted LASIK Surgeons is pleased to announce the recent accolades and honors received by members of its Trusted LASIK Surgeons Directory at the recently concluded annual meeting of the American Society of Cataract and Refractive Surgery Meeting (ASCRS) in San Francisco, California. These doctors are among the leading LASIK and refractive eye surgery experts in the advancement of vision correction care. The ASCRS annual meeting is one of the largest gatherings of ophthalmologists in the world. Over 6,000 ophthalmologists, technicians and industry representatives typically attend the ASCRS annual meeting.Doctors Parag A. Majmudar of Chicago Cornea Consultants, Ltd. a LASIK eye surgery expert in Chicago, Shachar Tauber of St Johns Clinic- Eye Specialists, and William Trattler, participated on the “Forme Fruste Cones” team in the annual ASCRS Refractive Challenge Cup Session, an over-the-top spectacle combined with medical education. The match pits two teams of refractive surgery experts in a head-to-head competition. The teams were judged by the audience on scientific quality, relevance to the typical practitioner, and entertainment value. Previous doctors listed in Trusted LASIK Surgeons who have participated in the ASCRS Challenge Cup include Houston refractive surgeon visionaries Dr. Steven Slade of Slade & Baker Vision Center and Dr. Jack Holladay of the Holladay LASIK Institute, Dr. Eric Donnenfeld and Dr. Margueritte McDonald of Ophthalmic Consultants of Long Island in New York, and Dr. Kerry Solomon and Dr. James Salz, who are featured below.    Since the laser eye surgeons listed in the Trusted LASIK Surgeons directory are among the leaders in research and advancement in vision correction surgery, it was no surprise that many of these experts were honored at the ASCRS meeting with a “Best Paper of the Session” awards. Dr. William Trattler, a LASIK eye surgery expert serving patients in Miami, Florida paper was entitled “Quantitative Measurement of Accommodation in Phakic Eyes with a Wavefront Aberrometer”. Houston LASIK eye surgery expert Dr. Douglas Koch of Baylor Vision was honored for his research on “Objective evidence for mechanism of accommodation of the Synchrony dual-optic IOL.” Dr. Koch also delivered the honorary Jan Worst lecture to the International Intraocular Implant Club. Charleston LASIK surgery expert Dr. Kerry Solomon, Professor of Ophthalmology at Magill Vision Center of the Medical University of South Carolina (MUSC), was honored for his contribution regarding “Factors Associated with Patient Dissatisfaction after LASIK”, which determined that LASIK eye surgery has a very high level of patient satisfaction (nearly 94.5%). Los Angeles LASIK eye surgery expert, Dr. James Salz, founder of Laser Vision Medical Associates, was honored for his research on “Pre-Op and Post-Op Wavefront Analysis of 4 Wavefront Guided LASIK Patients with Mesopic Pupils from 9.0 to 9.8 mm”. Portland, Oregon LASIK surgery expert Dr. Brian Will received his award for “Method for Improved Centration of Femtosecond Laser Procedures”. New York expert LASIK Surgeon, Dr. Eric Donnenfeld and his colleague, Dr. Renee Solomon, received a best paper of the session honor for his research regarding “Scanning Electron Microscopy Ultrastructural Comparison of 150 kHz Femtosecond Laser Versus Microkeratome Lamellar LASIK Flap Creation”.In addition to leading the Challenge Cup Team, Dr. Parag A. Majmudar also was a facaulty member for the “EyeTube: Challenging Video Cases for the Young Surgeon,” the “Limbal Relaxing Incision Skills Transfer Course,” as well as for another course, “Cornea and Anterior Segment Disasters: Bringing them back from the Precipice,” of which Dr. Trattler was also on the faculty. Dr. Tauber, who treats patients from Springfield, Missouri seeking LASIK eye surgery, presented his research in the field of Cornea and Refractive Surgery on “Managing the Ocular Surface After Refractive Surgery.” Dr. Tauber’s presentation demonstrated the need for treating the ocular surface before and after LASIK eye surgery so that patients get the maximum benefit from their elective eye surgery. Dr. Tauber also taught a course entitled “Vision and Sports: The Sports Ophthalmology Society of the Americas,” which discussed ophthalmic management and treatment of athletes and included a discussion on LASIK versus surface ablation for athletes and the legal ramifications for team ophthalmologists. Dr. Tauber also made a presentation to technicians and nurses of the Joint Commission on Allied Health Personnel in Ophthalmology concerning sports and vision injuries where he demonstrated the potential for eye injury in patients that participate in athletics as well as methods to decrease the risk of permanent injury.Omaha LASIK Eye surgery expert William Schlichtemeier of LaserVision Correction in West Omaha, Nebraska, who attended the ASCRS noted that “the fact that continues to resonate with me is the people who know it best are taking advantage of laser vision correction. Over 20% of all eligible ophthalmologists have had vision correction treatments. And over 70% of all ophthalmologists have an immediate family member who has had treatments. Those facts show that the people who know it best trust and believe in the technology.”The refractive eye surgeons listed and profiled in the Trusted LASIK Surgeons Directory are among the most highly qualified LASIK and refractive surgeons and includes many of the true pioneers in vision correction surgery, not just with LASIK but other procedures such as lens implants, phakic implants, and conductive keratoplasty.For more on why consumers should consider the refractive eye surgeons listed in the Trusted LASIK Surgeons directory for their vision correction needs, please visit:Why choose an eye surgery expert from the Trusted LASIK Surgeon’s DirectoryTo find a highly accomplished LASIK and refractive specialist in your local area who has been qualified and listed in the Trusted LASIK Surgeons directory, please visit Trusted LASIK Surgeons DirectoryAbout Trusted LASIK Surgeons, Inc.Trusted LASIK Surgeons, Inc. (Trusted LASIK Surgeons) is a premier LASIK, laser eye surgery, and refractive eye surgery directory service whose primary mission is to assist consumers in finding the best and most qualified LASIK and vision correction surgeons in their local area in the United States. To accomplish this, Trusted LASIK Surgeons uses a unique screening process where each prospective LASIK eye surgeon must meet the minimum required qualifications set by Trusted LASIK Surgeons. These qualifications for these doctors are based on experience (not just in LASIK but complete refractive care), research (including FDA approval studies for manufacturers and academic appointments at major universities), publications and lectures (to their peers, not to the public via infomercials) and patient care standards (treating other eye professionals and managing complications from patients first operated on by someone else). All refractive eye surgeons listed at Trusted LASIK Surgeons have qualified, been accepted, and have subscribed to our services. For more information on why we believe consumers interested in LASIK should consider an eye surgeon listed in the Trusted LASIK Surgeon’s directory, please visit our website.Trusted LASIK Surgeons(800) 483-8028About the American Society of Cataract and Refractive Surgery (ASCRS)
The American Society of Cataract and Refractive Surgery (ASCRS) is an independent non-profit organization founded in August of 1974 to disseminate information about anterior segment ophthalmic surgery. Since 1974, ASCRS has seen anterior segment surgery develop into a highly sophisticated form of ophthalmic treatment. Through its educational programs and services, ASCRS has become the physicians’ primary source of up-to-date information on scientific developments within the field, as well as the regulatory decisions that affect ophthalmic practices. The mission of the American Society of Cataract and Refractive Surgery is to advance the art and science of ophthalmic surgery and the knowledge and skills of ophthalmic surgeons. It does so by providing clinical and practice management education and by working with patients, government, and the medical community to promote the delivery of quality eye care. For more information about the ASCRS, please visit www.ascrs.com.

SOURCE: Trusted LASIK Surgeons

Clinical Skills Transfer Course Instructor at American Society of Cataract and Refractive Surgery  Dr. Will participated as the keynote instructor at the recent American Society of Cataract and Refractive Surgery in San Diego, California.  The Skills Transfer Course entitled “Understanding Laser Cornea Interactions and Femtosecond Laser System Optimization” was directed at both new and experienced Intralase laser users from around the globe wishing to enhance their LASIK surgical skills. Dr. Will presented detailed information regarding the physiology of laser – tissue interactions and their influence on refractive surgery healing and visual outcomes.  He also demonstrated how laser induced sonic compression waves can induce inside out transmembrane signaling that directly influences control of stromal interstitial fluid pressures.  Based upon a novel pathophysiologic cascade first described by Dr. Will in 2004, it is this transmembrane signaling mediated by beta-integrin proteins located on the cell membrane that can induce lamellar keratitis and transient refractive effects in LASIK and PRK. 

During his lecture, Dr. Will also described his innovative technique of Continuous Plane Photodisruption for the Intralase, which incorporates his soft docking technique first described by Dr. Will in 2002 and optimization of laser energy and spot energy first described by Dr. Will in 2003.   Hundred of surgeons world wide now use the surgical techniques developed by Dr. Will

Best Paper of Session at American Society of Cataract and Refractive SurgeryA Novel Method for the Centration of Femtosecond Laser Procedures  Will Vision and Laser Centers is pleased to announce that Dr. Will has been recognized with the honor of having his presentation entitled “A Novel Method for the Centration of Femtosecond Laser Procedures” selected as Best Paper of Session at the April, 2009 American Society of Cataract and Refractive Surgery (ASCRS) in San Francisco, California. Papers are recognized for their scientific merit, innovation and the significance of their contribution to the field of refractive surgery. Only a select number of papers presented at the ASCRS achieve Best Paper status. 

This achievement further recognizes Dr. Will’s pioneering contributions to the practical application of Femtosecond laser technology to laser vision correction.  Accurate centration is a critical challenge for nearly all procedures that utilize femtosecond laser technology including LASIK surgery, intracorneal ring or lens placement, arcuate incision placement, intracorneal lens extraction and corneal transplantation.  Dr. Will proposed and patented a revolutionary marking technique that employs excimer laser technology to mark the cornea using iris registration and pupil centroid shift compensation and highlight this “Smart Mark” using fluorescent dyes.  With appropriate “Smart Marks” the surgeon can then more accurately align the surgical procedure to the patient’s visual axis.  Utilization of this novel technique will likely provide superior post-operative visual acuities and fewer intraoperative complications.

Best Paper of Session at American Society of Cataract and Refractive SurgeryStage 4 Diffuse Lamellar Keratitis and Central Toxic Keratopathy – Causes, Pathophysiology and Management 

Will Vision and Laser Centers is pleased to announce that Dr. Will has been recognized with the honor of having his presentation entitled been recognized with the honor of having his presentation entitled “Stage 4 Diffuse Lamellar Keratitis and Central Toxic Keratopathy – Causes, Pathophysiology and Management” selected as Best Paper of Session at the April, 2008 American Society of Cataract and Refractive Surgery (ASCRS) in Chicago, Illinois. 

Papers are recognized for their scientific merit, innovation and the significance of their contribution to the field of refractive surgery. Only a select number of papers presented at the ASCRS achieve Best Paper status. 

Prior to Dr. Will’s discoveries, eye surgeons believed that severe cases of disorders such as Stage 4 Diffuse Lamellar Keratitis could lead to blindness or the need for corneal transplantation.  This achievement recognizes Dr. Will’s pioneering contributions to the field of refractive surgery and complication management.  Contrary to conventional thought that Stage 4 DLK is caused by tissue necrosis, Dr. Will’s paper demonstrates that Stage 4 DLK is a rapidly reversible biomechanical event in the cornea modulated by inflammatory cytokines and “outside-in” trans-membrane signaling.  Through the use of sophisticated imaging technologies, including Scheimphlug tomography and Optical Coherence Tomography, Dr. Will was able to document characteristics of corneal tissue response to laser surgery. 

The result is a highly innovative perspective on the causation and management of Diffuse Lamellar Keratitis and Central Toxic Keratopathy.  Dr Will’s paper redefined the effects of inflammatory cytokines, toxins, thermal and mechanical injury on the physiological, physical and biomechanical properties of the cornea.  His paper and its ideas will revolutionize the science of corneal biomechanics, allowing surgeon to provide superior post-operative visual acuities and fewer intraoperative complications for their patients.  The Best Paper of Session award is given in recognition of this scientific leadership, systematic logic and scientific discipline.     

Best Paper of Session at American Society of Cataract and Refractive SurgeryContinuous Plane Photodisruption – Optimizing the 60 kHz Femtosecond Laser Will Vision and Laser Centers is pleased to announce that Dr. Will has been recognized with the honor of having his presentation entitled “Continuous Plane Photodisruption – Optimizing the 60 kHz Femtosecond Laser” selected as Best Paper of Session at the American Society of Cataract and Refractive Surgery (ASCRS) in San Diego, California. 

Papers are recognized for their scientific merit, innovation and the significance of their contribution to the field of refractive surgery. Only a select number of papers presented at the ASCRS achieve Best Paper status.  This achievement recognizes Dr. Will’s pioneering contributions to the practical application of Femtosecond laser technology to laser vision correction.  Rather than being “point and shoot”, Dr. Will demonstrated that optimization of Femtosecond laser energy and laser spot separation can provide the surgeon and patient with a highly efficient and successful operation.  Continuous Plane Photodisruption is the surgical technique developed by Dr. Will that provides the surgeon with the ideal combination of excellent post-operative visual acuities, few intraoperative complications and smooth stromal surfaces for easy tracking and iris registration.