Laser Vision Correction

LASIK is the most common procedure used to treat nearsightedness (myopia), farsightedness (hyperopia), and astigmatism. iLASIK is the most advanced laser vision correction that combines the wavefront guided laser vision correction technology of Customvue with the safety and precision of the Intralase FS flap creation laser. iLASIK is an all-laser LASIK procedure, involving no blades and is fully customized, greatly reducing the risk for human error. Wavefront guided laser vision correction can provide sharper vision because it can address higher order optical aberrations in your eye unlike traditional LASIK.

Bruening Eye Specialists, located in the Sioux City Metro region, offers a free consultation to determine if you are a candidate for laser vision correction and to see which procedure is right for you.

Prior to LASIK surgery we will evaluate your eyes thoroughly using corneal topography and state-of-the-art medical equipment that maps the corneal surface of your eye. This equipment is important for eye disease and LASIK evaluations. 


Open All


Close All

Is LASIK right for me?

Answer: LASIK has helped many people eliminate or decrease their dependence on glasses. LASIK can treat nearsightedness (myopia), farsightedness (hyperopia), and astigmatism and can eliminate or decrease your dependence on contact lenses and glasses.

However, LASIK is not for everyone. Dr. Bruening will analyze your eyes to see if you are a LASIK candidate. When you come in for your free LASIK consultation, Dr. Bruening will evaluate your cornea’s thickness, the shape of your cornea and the level of correction you have in your eyes. She will take an in depth history of your eyes and consider family conditions or medical conditions to make sure that LASIK is safe for you. Every person has unique eyes and we will tailor our recommendations to each person considering LASIK surgery.

What steps are involved in LASIK surgery?

Answer: Lasik corrects your vision by reshaping your cornea. Lasik is a two-step procedure. First a flap is created and is lifted back. Next, the VISX laser is used to reshape your cornea which eliminates the refractive error in your eye. Once the treatment is done the flap heals in place without any stiches.

What's the difference between LASIK and IntraLASIK surgery?

Answer: The difference between LASIK and IntraLASIK is in the creation of the corneal flap. The most important things to consider when having a laser vision correction are safety, predictability, and precision. The first step of Lasik involves the creation of a flap. There are two ways to make a flap. One is with a mechanical blade (microkeratome) and the second is the all laser method using the Intralase laser. When creating a flap with a microkeratome, there are risks involved. These risks rarely occur but when they do they can make the procedure much more challenging.

Although the risks are low with Traditional (bladed) LASIK, here are some of the risk involved:

  • Damaged Flaps
  • Torn or wrinkled Flaps
  • Buttonhole flaps
  • Decentered flaps
  • Epithelial loosening or defect
  • Poorly adherent flap

Several studies have shown that the all laser method (Intralase) can decrease the risks of flap creation. They have also shown that all laser LASIK (Intralase) results in better vision, greater safety, and a higher degree of precision.

In addition, the Intralase allows Dr. Bruening to make a thinner, more precise flap. This will help preserve more of your corneal tissue which decreases the risk of weakening your cornea that can lead to keratoconus.

One of the major reasons Lasik surgeons do not endorse or use the Intralase is because of costs. Dr. Bruening believes that every patient deserves the best technology and treatment.

Is IntraLASIK safe?

Answer: Millions of people have had Lasik surgery. It is one of the safest surgery procedures in medicine today, however every surgery has some risk. Major complications are extremely rare. Minor complications do occur but are usually treatable. Often, they will reduce or disappear within months of surgery. We would be happy to discuss all of the risks with you at your consultation for surgery.

Does LASIK hurt?

Answer: There is usually no pain associated with the procedure. We give valium to help relax you during your procedure and “numbing eye drops” are also used. Some patients may experience mild pressure and discomfort but this is usually last a short time. After the procedure, you may have a little bit of irritation. We do everything possible to ensure your comfort throughout the LASIK procedure.

What is CustomVue LASIK?

Answer: Everyone’s eyes are unique. No two eyes are exactly alike. When Dr. Bruening performs “Custom” or “Wavefront” LASIK, she uses a device that maps out the cornea and give her a “fingerprint” of your eyes. This process is 25 times more accurate than standard measurements for LASIK. Dr. Bruening believes by using the custom procedure patients get the best surgery and results possible.