Caster Eye Center
Excellence in Laser Vision Correction of
Nearsightedness · Farsightedness · Astigmatism
ALLEGRETTO WAVE®
Overview
Vision-Accuracy, Total Control
Taking human sight beyond 20/20 is possible. The ALLEGRETTO WAVE®
customizes every treatment to the patient's individual prescription and
cornea while aiming to improve what nature originally designed. The Wavefront Optimized™ treatment considers the unique curvature and
biomechanics of the eye, preserving quality of vision and addressing the
spherical distortions that can induce glare and night vision reduction.
Wavefront Optimized™ Technology One of the most innovative features of the ALLEGRETTO WAVE® is the
way it uses Wavefront Optimized™ technology to automatically compensate
for the curvature of the cornea. In earlier laser correction systems, the
"optical zone," or area of correction, was centered on the front of the
cornea; the result was a flattened circular area that ended with an abrupt
edge, causing unwanted side effects like poor night vision, glare, and
halos.
The ALLEGRETTO WAVE® changes all that. The ALLEGRETTO WAVE®
sends extra pulses to the peripheral corneal area in order to compensate
for the angle of the laser beam. In this manner, the aspherical shape of
the cornea is preserved to a degree that older lasers simply could not
achieve. This compensation, combined with the incredibly small, 1mm size
of the laser, produces a smooth, effective optical zone that results in
what can only be described as high performance vision.
Imagine a glass ball. If you took a flashlight and aimed it directly at
the top of the ball, the light would form a circular shape on the surface
of the ball. If you now aimed the flashlight towards the side of the ball,
the light would form an elliptical shape and not seem as bright anymore.
This is because the same amount of light is suddenly distributed over a
larger area, and some of the light is reflected away due to the angled
surface of the glass ball.
High Performance Vision
Large Optical Zones The ALLEGRETTO WAVE® is capable of producing some of the largest
available optical zones. The optical zone refers to the portion of the
cornea that has been corrected by the laser. A larger optical zone is
especially important for night vision and for patients with very large
pupils. If a patient's pupil is larger than the optical zone, they may
experience poor peripheral vision, poor night vision, and a higher than
normal incidence of "halos" and glare. In the past, this has been one of
the biggest drawbacks to conventional laser correction surgery. Wavefront
Optimized™ technology built into the ALLEGRETTO WAVE® addresses this
limitation.
Better Night Vision and Glare Control At night and in dark conditions, the pupil becomes larger to permit the
maximum amount of light to enter the eye. Laser eye correction needs to
take this fact into account. If the optical zone is smaller than the size
of the pupil at its largest, there is a good chance that the patient will
experience poor night vision or problems with glare and halos around
bright objects such as oncoming headlights. ALLEGRETTO WAVE® is able
to produce a larger optical zone, virtually eliminating glare and night
vision problems associated with older generation lasers.
Clinical Results When it was approved in 2003 as the first new laser in five years, the
FDA granted the ALLEGRETTO WAVE® the widest approval range ever initially
given to a new laser for both myopic and hyperopic vision correction.
Since then, the results have been astoundingly positive.
At one year after treatment, more than 93% of patients said they saw at
least as well as or better than they had with glasses or contacts before
treatment.
More than 98% of patients achieved 20/40 vision one year after
treatment; 20/40 is the level of visual acuity required to pass most
driving tests.
Nearly 60% of near-sighted patients achieved 20/16 vision after one year
of treatment.
Both near- and far-sighted patients reported an improvement in their
reaction to bright lights and night driving glare after ALLEGRETTO WAVE® treatments. In addition, near-sighted patients reported an
improvement in sensitivity to light.
Predictable results are the norm for the ALLEGRETTO WAVE® . More
than 90% of patients achieve refraction within 1 diopter of their target
correction.
A great source for information about LASIK and questions to ask your
physician is the FDA website and the website of the American Society of
Cataract and Refractive Surgery.
Is ALLEGRETTO WAVE® Right for Me?
The ALLEGRETTO WAVE® expands the boundaries of candidacy for LASIK.
However, there are certain people who are less than ideal candidates for
LASIK and ALLEGRETTO WAVE® treatment. You are encouraged to speak
with your doctor to find the best vision correction alternative if:
You are under 21. In this case, your growth phase has
not been fully completed, meaning that your eyes can still change. In that
case, LASIK is not a good option.
You are pregnant or nursing. Pregnancy causes changes
to your hormonal system. This can also cause your vision to change. It is
therefore better to wait until your child is born and you have finished
nursing.
You have glaucoma or high blood pressure.
You have keratoconus, a corneal irregularity.
You have inflammation of the eye (uveitis,
blepharitis or iritis)
Your eyes have been infected by herpes simplex.
You have suffered previous severe injuries on the
eye.
You have corneal scars or infections.
You are taking certain medications.
You suffer from other diseases of the eye such as
AMD, diabetic retinopathy, cataract, or others
LASIK is also not recommended for patients with:
Very large pupils
Thin corneas
Dry eye
Unstable refractive errors
During the consultation with your doctor, please be sure to mention all
medications you are taking and any medical conditions you have that might
affect the success of laser correction.
For information regarding the risks and benefits associated with the
ALLEGRETTO WAVE® treatment, please visit
www.allegrettowave.com or
www.fda.gov.
The Caster Eye Center in Beverly Hills, Los Angeles, California
specializes exclusively in Lasik-Laser-vision correction and other
procedures to correct nearsightedness, farsightedness, and astigmatism,
including the latest wavefront technology. Dr. Caster was selected by
Los Angeles Magazine as the Best Lasik Laser Eye Surgeon in Los Angeles.