Wichita Vision Institute features the Nd:YAG laser, one of the most impressive lasers used for ophthalmologic purposes. Dr. Patel uses the Nd:YAG laser for two primary applications: angle-closure glaucoma and after cataract surgery. The benefits to housing this laser in our offices are two-fold: first, our patients are spared from having to commute to a second location to have their laser procedure completed, and second, they do not have to pay a separate facility fee.
Posterior Capsulotomy
Cataract surgery is a common and successful procedure in most cases. However, in the first five years after cataract surgery, up to 50 percent of cataract surgery patients experience a phenomenon called posterior capsular opacification or what has been commonly referred to as a secondary cataract. During cataract surgery Dr. Patel removes the clouded lens and replaces it with an artificial intraocular lens, but the membrane surrounding the lens, called the lens capsule, is left largely intact during surgery. Weeks to years after cataract surgery, the posterior aspect of the lens capsule can become cloudy or wrinkled and cause blurred vision.
To clear up the cloudiness of the lens capsule, Dr. Patel performs a posterior capsulotomy using the Nd:YAG laser. The eye is dilated prior to the procedure. Anesthetic eye drops are placed in the eye immediately before the laser is applied. Dr. Patel then aims the laser at the posterior capsule, without making any incisions in the eye. After she’s finished, she may recommend anti-inflammatory eye drops. The entire experience is quick and painless, with minimal recovery time. Vision should improve within a day or two. As with any procedure, complications can occur. YAG capsulotomy complications are rare and include increased intraocular pressure, inflammation, dislocation of the intraocular lens, and/or retinal detachment.

Laser Peripheral Iridotomy
Glaucoma treatment is designed to either decrease the production of intraocular fluid (called aqueous humor) or increase the drainage of this fluid. Lowering intraocular pressure decreases damage to the optic nerve. Angle-closure glaucoma is treated by performing a laser peripheral iridotomy.
This procedure involves the use of the Nd:YAG laser to create a small hole in the iris which allows the iris to return to its normal position and allows fluid to circulate freely in the eye.
First, numbing eye drops and glaucoma eye drops are administered and then the laser is directed into the eye to create the small hole in the peripheral iris. This procedure only takes a few minutes. The intraocular pressure is then checked periodically after the treatment. Dr. Patel may recommend the use of eye drops for several days after surgery. Vision should improve within a day or two.
If you would like more information about the Nd:YAG laser and how it can be used to treat glaucoma or a secondary cataract, please contact Wichita Vision Institute by phone or email. If you are having symptoms of either disease, we recommend you seek treatment with us as soon as possible.
I Can See Clearly Now
by Don Burrows
Category: cataract surgeryDr. Patel saved my wife’s vision and mine too. I now live 770 miles from her office and would still make the trip, even if it required a cross-country trip.
I highly recommend Dr. Patel
by Jim Guhl
Category: cataract surgeryDr. Patel is a physician whose sincere goal is to improve the quality of life for her patients. When I first became a patient under Dr. Patel’s care, I was diagnosed with cataracts in both of my eyes; dry eye syndrome; and astigmatism. Previous records from my Lasik surgery, which occurred 17 years ago, were no longer available. The Lasik surgery documentation was important in determining the exact corrections that now needed to be made to properly correct my astigmatism. Dr. Patel wisely recommended I postpone the cataract removal and astigmatism correction procedure, until she received newly developed diagnostic equipment. This newly developed technology would provide her with the most accurate metrics possible. New specialized lens implants were also becoming available, which would correct my astigmatism. Dr. Patel explained my chances for a successful outcome would be significantly increased if I would be patient and wait a little longer. Dr. Patel is truly a physician with high integrity and would never perform surgery until she knew it was the right time. She truly cares about providing her patients with the best care she can. Dr. Patel successfully treated my dry eye symptoms with a regiment of eye drops, cleansing techniques and vitamins, which prevented me from requiring more extensive - and more expensive treatment. Prior to the surgery on my right eye, she provided me with sample eye drops from her office and coupons for the eye drops I would need to purchase after my surgery. She did all she could to reduce my expenses. During preparations for right eye surgery, Dr. Patel spent quality time with me explaining the results of my pre-surgery testing and asking questions to determine my vision goals. One of my desires was to once again see the front sight on a pistol. I thoroughly enjoyed going to the firing range, but due to the cataract in my right eye I could no longer see the sights, on my pistol. Although the cataract in my left eye was not as bad yet – I was also experiencing difficulty seeing and firing left handed. Using a blue gun (authentic plastic replica of a Sig P229 pistol), Dr. Patel took additional measurements which she used in determining the correct lens to implant, during my surgery. My right eye surgery took place on November 1, 2017. Two days after the surgery, I happened to glance at my mobile phone and for the first time in 10 years or more, I could read the information on the screen without glasses. I pulled the Sig out of its case and – wow! – The sight picture was there clear as a bell. So the right eye cataract is gone along with the rainbow halos around cars at night and the astigmatism has been corrected better than I dreamed possible. Quality of life restored! The process included the latest diagnostic equipment; the newest technology in an intraocular lens implant; and the use of a laser surgery technique performed by Dr. Patel. Sadly, insurance does not cover much of the cost for the process that produces the optimal results. When it comes to the long term correction of your vision and significant increase in the quality of life it is well worth the investment. Dr. Patel is a very accomplished and highly competent physician and surgeon. I will be forever grateful to her for restoring my vision. I highly recommend Dr. Patel. Jim Guhl Wichita, KS November 13, 2017
In Good Hands
by Luke F.
Category: lasik surgeryTalk about a life changing surgery!!! From the consultation to the surgery I knew I was in good hands. I would recommend WVI to anyone who is considering LASIK. Thanks WVI!
Life Changing!
by Ashley J.
Category: lasik surgeryI love Dr. Patel! After having my dreams crushed at another place when they told me I wasn't a candidate, I went to Dr Patel for a lasik consultation. She is very thorough and gave me information about my eyes that no doctor in almost 20 years has told me. A week ago I had Lasik and it has been life changing! I couldn't be happier and I'm so glad I chose Dr Patel. She truly cares about her patients and her passion shows. The wait time can be very long, but if you are prepared for that ahead of time, you won't be disappointed once you see the doctor. I'm recommending WVI to everyone I know. She is now the only doctor I trust for my eyes.
Impressed with Dr. Patel and Staff
by William D.
Category: cataract surgeryI first saw Dr. Patel about 6 years ago when my left eye wandered to the left side and stayed there. She sent me to the Dean McGee Eye Institute in Oklahoma City for further evaluation. No reason was ever found as to why it did that but it corrected itself after about two months. Since then I have been seeing Dr. Patel regularly. I damaged the left eye in an accident and had to have a vitrectomy performed. She referred me to another specialist Dr. Paul Weishaar and that outcome was also great. The eye did develop a cataract and she performed that surgery a few months ago and suggested a plan for treating dry eyes. It was outstanding and since wearing glasses for over 50 years, I now just wear sunglasses. Simply amazing. Dr. Patel and her staff are the greatest and they know other great professionals if the need arises. They also do charity work and they are all a total blessing to me. I would not even consider going anywhere else. Just gotta love them.
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