Patient Journey

Extremely professional, friendly staff, clear explanations and not at all pushy. First class treatment using the latest equipment and techniques. Internationally renowned surgeons… one of the best clinics worldwide.
Matt Nicholas

patient journey

When it comes to every patient’s journey, it is AVC’s mission to ensure that this often difficult decision becomes an easy one by providing an informative and comfortable experience as possible. We are dedicated to providing outstanding care and with the use of our advanced technology in the hands of our expert eye surgeons, the results obtained for each patient is second to none.

Prior to your consultation

Your first point of contact will be with AVC’s highly trained and knowledgeable patient coordinators. They will access your suitability over the phone and inform you of all the possible treatments you may be suitable for.

At AVC, we have partnered with the UK’s leading health insurance providers. If you want to use health insurance as a form of payment, you will need to contact your provider prior to your consultation as a pre-authorisation from them and your policy numbers are required for booking.

Once a consultation is booked, we will send out a confirmation letter with a medical questionnaire. This form should be filled in prior to the initial assessment – it can either be emailed or brought to the consultation.

To provide the most accurate results at your consultation, any contact lens wearers need to ensure their corneas return to their natural shapes by removing any contact lenses in preparation for treatment:

  • Soft contact lenses (including Kerasoft lenses) – 24 hour removal.
  • Toric / Astigmatic contact lenses – 1 week removal.
  • Rigid, Hard and Gas Permeable lenses – 4 week removal.
  • Everyday wear lenses (sleep-in lenses at night) – Not to sleep in them for 4 weeks and full removal is dependent on whether they are replaced with soft or toric contact lenses.
  • Lenses that are used at night only to reshape the cornea – 4 week removal.

For individuals that wear rigid, hard and gas permeable lenses it can often be a struggle to take out contact lenses for four weeks in preparation for your consultation, which is why AVC offer a specialist pre-consultation. This involves taking optical and contact lens measurements. With these results, we order soft lenses to fit your needs that you can use in the interim period until your consultation.

We recommend that you bring at least two previous prescriptions and any glasses or contact lenses you may have, even if they are old. If your medical questionnaire is not sent by email, we will need you to bring it to your consultation accompanied by any relevant medical records. Dilating drops will be used at your consultation and we recommend that you bring non-prescription sunglasses as they can cause light sensitivity.

close up perfect eye

Your Consultation

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. Our consultations will take between 2 to 3 hours and every patient will undergo a series of comprehensive tests conducted by our experienced refractive optometrists and technicians. Once testing is complete, every patient will meet AVC’s Medical Director and lead surgeon Dr Pillai to discuss suitability and to design a truly bespoke treatment plan to fit your personal needs needs.

On the day of your consultation, dilating drops are used and we recommend that you do not bring a car as you will not be able to drive afterwards. However, someone can accompany you throughout your consultation or pick you up. The drops will last approximately three hours and affects your ability to focus causing distance vision to be unaffected but reading will be blurry.

What will happen at your consultation?

You will be met by the expert and friendly team at AVC. We will make this difficult decision feel like a comfortable experience. We will take the time to get to know you and take care of you whilst assessing your visual and lifestyle requirements to ensure that our treatment plan that is uniquely designed to perfectly meet all your needs.

laser eye surgery consultationOur resident optometrist will perform a refraction check and a minimum vision test for distance and reading vision. We will identify uour dominant eye which is used to determine the eye that is treated first or which eye to treat if you are considering Monovision laser surgery.

The health of your eyes will be tested, including the intraocular pressure, examination of the tear film and eye lids to determine the presence of any diseases or dryness. Drops are applied to dilate your eyes, allowing for a thorough examination of the interior. These drops also relax the eyes ability to focus and helps determine the most accurate refractive error. The size of the pupil is measured before and after drops to determine any possible complications.

Bausch and Lomb Orbscan IIZ TopographerThe Bausch and Lomb Orbscan IIZ Topographer is used to analyse the shape of the cornea and any irregularities that may exist on the front and back surfaces, producing a 3-D map of the contours of the individual corneas. The information gathered is displayed in the form of colour coded maps of the anterior and posterior corneal surface elevation, corneal thickness and the corneal curvature power.

 

bausch lomb zywave aberrometerThe Bausch & Lomb Zywave Aberrometer is used to measure the way a wavefront of light passes through the cornea and the crystalline lens. Distortions that occur as light travels through the eye are called aberrations and they represent specific vision errors. These aberrations are classified as either higher order (complex vision errors) or lower order (common vision errors like short sightedness, long sightedness and astigmatisms). This is used to create an Advanced Wavefront map for laser treatments.

oculus pentacamThe Oculus Pentacam performs complete measurements of the anterior eye segment of the eye, from the front surface of the cornea to the back surface of the lens. It collects an immense number of measurements that provide the basis for a 3-D model of the complete anterior eye. Allowing for analysis of the entire cornea, anterior chamber and crystalline lens, it can even determine the presence and density of a cataract.

 

Zeiss IOL MasterThe Zeiss IOL Master is used to for non-laser patients and determines the power of the intraocular lens implant for Cataract or Clear Lens Exchange treatments and takes the measurements required for Implantable Contact Lenses. This information helps determine the best lens suited to a patient’s visual needs.

 

 

 

 

 

 

verion image guided systemThe VERION Image Guided System has a reference unit that takes key diagnostic measurements for non-laser patients and captures a high resolution image of the eye to create an individual map. It is used in the creation of a personalised treatment plan and predetermines the position of the incision and the lens.

 

 

zyoptic diagnostic systemThe Bausch & Lomb Zyoptic Diagnostic System scans and maps the entire iris. Like fingerprints, no two irises are the same and a unique digital Zy-ID is generated for each eye. This map is used by the multi-dimensional eye tracker to identify which eye will be treated. It tracks and mirrors the eye throughout laser eye surgery.

Once our comprehensive testing is complete, you will meet AVC’s Medical Director and lead surgeon who will determine suitability, answer your questions in detail and give advice on any concerns. All risks will be discussed in detail using video animation and an Information booklet will be provided allowing you to make an informed decision.

Treatment

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. On the day of treatment you will be met by members of our clinical team and we will guide you through the process. Drops will be given for use after the procedure and any concerns or questions will be discussed. Once you are prepared for treatment, our specialist nurse will anaesthetise your eye using drops and escort you to the theatre where your treatment will take place.

To achieve the incredible results that our patients acquire, our expert surgeons exclusively use the safest and most advanced technology. Our laser and non-laser theatres comprise of the most advanced and ethically sound technology available. We do not believe in using experimental procedures and only provide treatments that have undergone extensive clinical trials.

Laser Theatre

Our laser theatre is unique, not only is it the only transparent theatre in Europe but it also houses the most advanced laser equipment available. Our laser theatre is used for the purposes of teaching and also allows our patients’ loved ones to be there for them throughout the entire journey. All our laser procedures use Advanced Wavefront technology and all Lasik treatments are performed using Intralase blade free technology, providing the best results and improve recovery time.

Our highly advanced laser theatre comprises of:

advanced wavefrontAdvanced Wavefront
The Bausch & Lomb Zywave Aberrometer measures the prescription and imperfections (aberrations) of the eye. The Zywave Aberrometer uses the Zernike algorithm to mathematically reconstruct the wavefront. This data combined with other tests is used to create your personalised treatment plan.

 

 

advanced eye control tracking systemAdvanced Control Eye (ACE) Tracking System
Using the Zyoptic system scans and maps taken at your consultation, a unique Zy-ID is created for each eye. This map is used by the Advanced Control Eye-tracking (ACE) to identify the eye being treated with your personalised treatment plan. This 3 dimensional eye tracker will guide the laser during your procedure by tracking and mirroring the movement of your eye: if there is too much movement the laser will shut down.

 

Intralase FS LaserIntralase FS Laser
This is used for all patients that are suitable for Lasik treatment. Intralase is a femtosecond laser that creates a bladeless corneal flap in less than 20 seconds. Its precision creates thinner and stronger corneal flaps, consequently boosting recovery time.

 

 

Technolas Z100 Laser by Bausch and LombTechnolas Z100 Laser by Bausch and Lomb
All of our laser treatments are performed using the Technolas Z100 and it is the best excimer laser available. Your Advanced Wavefront map and your personalised treatment plan are used by the laser to treat each eye individually. The tiny flat top beam produces smooth blending profiles that remove the irregularities (aberrations) on the surface of the cornea that form a prescription, and reduces the chance of regression and night vision problems.

 


  • AVC have the only transparent laser theatre in Europe.
  • Truly bespoke individual treatment plans designed to fit every patients’ visual and lifestyle needs.
  • Only use the most advanced technology; every treatment uses Advanced Wavefront technology.
  • Our laser and non-laser theatres are conveniently under one roof in the AVC clinic on Harley Street.
  • AVC’s Alcon refractive Suite is the most advanced non-laser theatre in the UK.
  • Our Alcon Refractive Suite is used to treat Cataracts, Clear Lens Exchange and Implantable Contact Lenses.
  • We use Intralase blade free technology in all our Lasik procedures.
  • AVC’s three man surgical team have over 75 years of combined experience and they are all trainers in their fields.

Non-Laser Theatre

This is used for Implantable Contact Lens (ICL), Cataract and Clear Lens Exchange (CLE) treatments.

We are the only clinic in the UK to have the complete Alcon Refractive Suite, which has been heralded as an innovation in Cataract and CLE treatments. It has also made ICL procedures more precise and reduced recovery times for all non-laser treatments.

AVC are the first clinic in the UK to introduce the new Centurion Vision System along with the Lux-OR LX3 Microscope and the Verion Image Guided System. The combination of this technology means that we are the first and only clinic in the UK to have the safest and most advanced technology available in the world. The design adds greater accuracy and efficiency during surgical planning and throughout the procedure, increasing customisation and precision.

The Alcon Refractive Suite comprises of:

verion image guided systemThe VERION Image Guided System
This is used in your consultation to capture a digital reference image of your eye and creates your personalised surgical plan. It is also used throughout your procedure, allowing your surgeon to see all incisions and alignments in real time, improving accuracy and minimising errors.

 

 

centurion vision systemThe Centurion Vision System
This is exclusively used for Cataract and CLE procedures. AVC are one of the first clinics in the UK to have the newest phacoemulsification system in the country. It is used to break up and remove the natural lens, and is able to optimise every phase of the lens removal. This device also controls the intraocular pressure throughout the procedure and enhances the control of the surgeon, consequently improving results and accelerating the recovery process.

The Lux-OR LX3 with Q-VUE Ophthalmic MicroscopeThe Lux-OR LX3 with Q-VUE Ophthalmic Microscope
This is designed to provide superior visualisation to the surgeon throughout the procedure. It is able to expand the visual field with a highly stable greater red reflex zone, providing excellent visual detail with superior visualisation of the retina. This improvement in visualisation leads to more accuracy, minimising errors and reducing recovery time.

Patient Aftercare

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. Your first post-operative check is usually conducted within the first two days of treatment but can vary dependent on the procedure. At your first check-up, your eyes will be examined by AVC’s senior refractive optometrist or our lead surgeon. Your rate of healing will be assessed and you will be advised about when you can start driving.

At AVC we pride ourselves on our outstanding patient care, which is why all our patients have access to our incredible aftercare programme, where post-operative checks are conducted at regular intervals throughout the year to keep track of your visual improvement. These can be conducted at our clinic on Harley Street or locally at one of our partners from our independent optometrist network.

AVC’s has the largest independent optometrist network in the country, conveniently enabling our patients from around the country to have world class treatment without the inconvenience of having to travel to Harley Street for check-ups.

AVC’s comprehensive aftercare programme includes:

  • Drops – Antibiotic, anti-inflammatory and hydrating drops
  • Regular post-operative checks for a year.
  • Extra post-operative checks are not charged.
  • Access to the largest independent optometrist network in the country.
  • Free retreatment for the first year.
  • Lifetime care and commitment.

What is the minimum age for treatment?

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.

For Cataract Surgery and Clear Lens Exchange treatments you must at least be 45 years old, have presbyopia and a stable reading prescription.

Sufferers of Keratoconus must be over the age of 16 and the disease has been diagnosed as progressive.

Could you be suitable for Laser treatment?

Lasik treats prescription up to -9D, +5D with an astigmatism of up to -5D.

Lasek is able to treat prescriptions up to -9D, +2D with an astigmatism of up to -5D.

Unfortunately not everyone is suitable for treatment, which can also be due to the health of the eye and the thickness of the cornea. Suitability is determined at your consultation by our surgeon after comprehensive testing. However, if you are found unsuitable there are alternative treatments that could be offered.

What are the advantages of using an Intralase laser?

Our Intralase laser creates a blade free corneal flap, instead of the surgeon doing this manually with a blade. This laser creates a personalised corneal flap with precision and is a safer method, producing improved visual outcomes and recovery times.

What is Monovision/Blended Vision?

This is where one eye is corrected for short sight and the other is corrected for long sight. To be able to have this form of treatment patients must undergo a contact lens trial to ensure they can adjust to this type of vision. Half of the individuals that undergo a trial cannot get used to Monovision and can suffer from imbalance and headaches.

What is Implantable Contact Lens treatment?

This procedure is ideal for patients unsuitable for laser treatment as it does not involve modification of the cornea and can treat high prescriptions.

ICL is often elected over laser treatment as it is the only vision correction treatment that is reversible. It has a proven safety record, it 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) and it is this positioning that means it cannot be seen.

What is Cataract / Clear Lens Exchange treatment?

These treatments are identical – the only difference is whether a clear or a cloudy lens 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.

Can you have treatment if pregnant or breast feeding?

During and after pregnancy hormones cause fluctuations in vision. To be able to undertake any form of vision correction surgery you must wait at least 3 months after finishing breast feeding.

Can you have treatment if epileptic?

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.

Can you have treatment if you have diabetes or glaucoma?

Vision correction treatment will not treat or affect diabetes or glaucoma but, as long as it is under control, vision correction is possible.

Can you have treatment if you have blepharitis?

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 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.

Can you have treatment if you have amblyopia (lazy eye)?

Suitability will be determined at your consultation as it depends on the degree of amblyopia. Vision correction treatment will not correct amblyopia; instead the prescription is corrected, achieving the same vision as obtained with glasses and contact lenses.

Can you have treatment if you have strabismus?

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.

Can you have treatment if you have macular degeneration?

This is age related and can affect one or both eyes. Damage to the macula 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 as the visual deterioration will gradually continue. It is recommended to see a specialist to determine the best form of treatment.

Can you have treatment if you have floaters?

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.

Why choose Advanced Vision Care?

  • UK’s leading independent vision correction clinic, established for over 12 years.
  • We are an independent surgeon-led clinic that provides patients with the unrivalled results and outstanding care, constantly surpassing expectations.
  • Every treatment is bespoke and customised to each individual’s specific visual requirements, ensuring optimum visual quality.
  • We provide complete vision correction for all ages, offering laser and non-laser treatments.
  • The UK and Ireland’s leaders in ICLs and Multifocal IOLs.
  • Industry’s most experienced and respected surgeons in their fields with a combined experience of over 75 years. They are pioneers in the industry and trainers.
  • We are the only clinic in the UK to have the revolutionary Alcon Refractive Suite, the most advanced non-laser theatre in the country.
  • We have the only transparent laser theatre in Europe, allowing our patients’ families and friends to watch treatment.

Private Insurance

Now more people than ever can have world class treatment with Advanced Vision Care on Harley Street. Our pricing is not only transparent but we have ensured that there are several ways to fund treatment so that no one has to compromise in quality of care, standards or technology.

At AVC, we offer interest free finance plans to help spread the cost and we have partnered with the UK’s leading health insurance providers to make Harley Street quality available for more people. We have also been approved by the National Health Service meaning patients will be able to receive treatment with us through the new e-referral system at no extra cost.

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