Eye Laser Procedures

Visiomed represents the ‘cutting edge’ in eye laser procedures.

Our latest LASIK procedure is the Z-LASIK method, which uses the FEMTO LDV laser from Ziemer Ophthalmology.

Find out more about Z-LASIK HD here.

Since January 2014, a state of the art Excimer refractive surgery laser has been in service at Visiomed, allowing advanced refractive surgeons to further improve the surgery process.

One of the fastest lasers in the world, the Wavelight® Ex500 laser with PerfectPulse technology is the first treatment module that allows customization of corneal asphericity. What this means is that Visiomed ophthalmologists can optimize your vision in all ambient lighting conditions, especially low light conditions such as night driving.

The Wavelight® Ex500 has a tracking device that follows the movement of your eye during the laser procedure. This enables the laser to perform accurate refractive changes on your cornea and thereby ensuring accuracy and safety.

Read more about our Technology.

What is LasikHD surgery?

What is LasikHD surgery?

The LasikHD surgery procedure involves the use of cool pulses of light to prepare the cornea for treatment. Immediately following corneal preparation, the cornea will be reshaped using a cool ultra-violet laser to evaporate a small amount of corneal tissue, which is thinner than that of a human hair.

Our highly qualified ophthalmologists at Visiomed Eye and Laser Clinic have unprecedented training and experience enabling them to professionally correct your vision using 100% bladeless laser technology.

Why choose LasikHD at Visiomed Eye and Laser Clinic?

The wait for better quality vision is finally over for millions of South Africans. Visiomed Eye and Laser Clinic has pioneered a new era in laser vision correction giving patients in South Africa the opportunity to free themselves from glasses and contact lenses. Many patients were once told that they do not meet the criteria to be a candidate; Visiomed Eye and Laser Clinic offers technological advances in laser vision correction making the procedure applicable for just about anyone.

  • No reading glasses or contact lenses
    Most patients adjust quickly to this procedure, thus eliminating their need for glasses or contacts.
  • Painless procedure
    Both eyes will be completely numbed using anaesthetic drops, so you will experience minimal to no discomfort.
  • Leading surgeons
    Leading eye surgeons at Visiomed Eye and Laser Clinic, together with world-class technology ensures personal, complete client satisfaction with numerous vision correction procedures.
  • Technology
    World leading laser technology will fine-tune the way light is interpreted or refracted by the eye by gently adjusting and reshaping the cornea. Visiomed Eye and Laser Clinic is one of the first facilities to offer industry’s most recent advancements, the WaveLight EX500 Excimer laser technology. This technology yields better outcomes for vision correction surgery.
  • Addressing unique eye problems
    Until quite recently, eye laser refractive surgery was based on the assumption that all eyes with the same amount of short or long sight and astigmatism required exactly the same laser treatment. This assumption is incorrect. While two eyes may have the same degree of short sight and astigmatism, there are other optical errors present in both eyes that will not be the same.In the human eye, these differences are called optical errors and are known as “Higher Order (HO) aberrations”. If these HO aberrations are not corrected when doing refractive surgery, the eye may not reach its full visual potential.Visiomed Eye and Laser Clinic has recently acquired the latest laser technology to measure these Higher Order aberrations in the human eye. It is now possible to download your specific correction of HO aberrations electronically into the WaveLight® EX500 Excimer laser platform. This makes it possible for ophthalmologists to maximise the visual potential of your eyes, and to reduce the chances of less than optimal outcomes after surgery.
  • Advanced diagnostics
    During your personal consultation at Visiomed Eye and Laser Clinic, your ophthalmologist will use advanced diagnostics allowing them to fully map your eye. The surgeon plans patient specific surgical algorithms in precise locations and adjusts your treatment based on small changes or aberrations on your eye. This is what allows Visiomed Eye and Laser Clinic to revolutionise your vision.

LasikHD at Visiomed Eye and Laser Clinic successfully achieves high-quality vision correction for patients by personalising treatment to their individual refractive errors.

“Wavefront Optimized” and “Wavefront Guided” treatments allow for complete customisation for the patient’s individual eye.

The high definition diagnostic capabilities of the WaveLight® Topolyzer™ VARIO™ has been optimized to further enhance the patients’ refractive range and customized laser vision correction on the WaveLight® EX500 Excimer Laser’s platform.

The advanced design and built-in flexibility of the WaveLight® EX500 Excimer Laser allows surgeons at Visiomed Eye and Laser Clinic to expand their treatment capabilities by customising for all types of vision disorders (myopia, hyperopia, and astigmatism).

This will result in better quality vision in demanding situations such as poor lighting.

As part of the WaveLight® Refractive Suite at Visiomed Eye and Laser Clinic, the WaveLight® EX500 Excimer Laser has been ergonomically optimised to combine with the Ziemer® Z6 Femto second Laser and other WaveLight® diagnostic devices. By utilising the WaveNet™ Computer Network, surgeons can accurately transfer all patient data, treatment and diagnostic information directly to the lasers. The result is improved data flow throughout the procedure and enhanced patient experiences with a simplified surgical procedure. As the data is automatically transferred through the WaveNet it prevents manual uploading of patient data that reduces the possible chances of human error.

Bladeless technology
The first step in the LasikHD procedure involves the creation of a small flap in the eye’s outer corneal tissue. While traditional procedures use a blade for flap creation, Visiomed Eye and Laser Clinic is one of the first facilities in Johannesburg to adopt femtosecond laser technology. The Ziemer Z6 laser is the most advanced and accurate way to create the corneal flap before the Lasik procedure. The laser flap is more precise than traditional hand-made blade flaps and allows the eye to heal more quickly. The Z6 has many advantages:

  • Comfort for the patient due to a shorter procedure.
  • Faster visual recovery due to a smoother flap and 500 Hz operation.
  • Reduced dry eye due to less laser energy use.
  • Less inflammation and light sensitivity.
  • Innovative engineering that reduces flap shrinkage and stromal dehydration of the cornea.
  • Wavefront Optimized and Wavefront-Guided treatments for complete customisation for each patient.
  • 1050 Hz-type multi-dimensional eye tracking for optimal precision and safety.
  • Reduces the potential for nighttime glare.

Which eye problems does LasikHD surgery address?

The Visiomed Eye and Laser Clinic’s LasikHD surgery procedure will address nearsightedness, farsightedness and astigmatism.

Who are ideal LasikHD surgery candidates?

  • You are at least 18 years of age.
  • You are in good general health.
  • You have had a stable vision prescription for at least one year.
  • You are not currently pregnant and have not been nursing in the past six months.

Initial eye exam at Visiomed Eye and Laser Clinic

A 90 minute consultation will determine whether you are a candidate for laser vision correction. Your Visiomed Eye and Laser Clinic ophthalmologist will perform various tests similar to a normal eye examination as well as a scan of the eyes to determine certain Lasik related information.

During your consultation your ophthalmologist will:

  • Test your visual acuity and visual field (peripheral vision).
  • Measure your corneal thickness and topography (shape of the eye).
  • Read your previous eye prescription using your glasses’ lenses.
  • Examine your pupils for reactivity.
  • Evaluate the muscle function and dominance of your eyes.
  • Assess the health of your eye using a pupil dilatation slit-lamp test.
  • Check for Glaucoma, assessing your eyes pressure.
  • Inspect the health of your peripheral retina.
  • Assess your overall medical health.
  • Discuss your hobbies and occupation.

All of these factors will assist your ophthalmologist to determine whether you are a candidate for laser vision corrective surgery and which procedure is best suited for you. Once completed, this assessment will determine your unique treatment at Visiomed Eye and Laser Clinic.

Determining whether you are a LasikHD candidate.

Results from the initial eye examination will enable your doctor to suggest a treatment which is customised to your prescription, eye anatomy and personal needs.

Visiomed Eye and Laser Clinic surgeons understand the importance of tailor making treatment plans for its patients and take into consideration numerous complex factors to ensure you receive the treatment that is best suited for you.

The LasikHD procedure at Visiomed Eye and Laser Clinic

On the day you are required to be at the Visiomed Eye and Laser Clinic rooms for 2 to 3 hours. This will allow enough time for registration, preparation, treatment and final eye testing. The LasikHD procedure is very short and takes roughly 15 minutes per eye.

Post-operative care

After the LasikHD procedure it is normal to experience slight discomfort and irritation similar to having something stuck in your eye. This sensation will gradually disappear after the first day.

Post procedure, you will immediately have better quality vision. We do advise that you keep your eyes closed for the drive home. Over the next couple of days and weeks, your vision will continue to improve.

After 24 hours, you may continue reading, watching TV and using your computer. Your Visiomed Eye and Laser Clinic ophthalmologist will guide you through detailed post-op care at this stage. Your ophthalmologist will prescribe eye drops and antibiotics as well as give you a pair of protective glasses to wear at night.

Your Visiomed Eye and Laser Clinic doctor will schedule a few routine post-op visits to ensure your treatment is a success and you are 100% satisfied.

Life after LasikHD surgery

At Visiomed Eye and Laser Clinic, your post-op care is very important to us. We therefore periodically schedule visits with your ophthalmologists after your LasikHD treatment.

The first 24 hours after LasikHD surgery:

  • The ophthalmologist will perform a post-Lasik check-up and you will be given a pair of protective glasses that you will need to wear for several hours after the surgery.
  • Ensure you organise a driver home.
  • The artificial tears provided by your doctor will help ease any irritation you may experience after the LasikHD surgery.
  • If you experience any irritation it is important not to rub, poke or touch your eyes.
  • Follow your doctor’s instructions on using your steroid and antibiotic eye drops.
  • Use this time to rest and relax.
  • Do not strain your eyes through reading, computer work or watching TV.
  • Wear your protective glasses to bed for one week to avoid accidentally touching your eyes in your sleep.

One day after LasikHD surgery:

  • After surgery, your doctor will schedule a follow up consultation at Visiomed Eye and Laser Clinic for the next day.
  • Most patients are able to drive to their follow-up appointment, however if you do not feel comfortable please ask someone to drive you to your appointment.
  • Remember to keep your eyes well lubricated while using the computer and watching TV and rest them if they feel strained.
  • Continue following your Visiomed Eye and Laser Clinic doctor’s recommendations regarding eye drops, and be sure to keep water, soap and shampoo out of your eyes when showering.
  • Approved activities include reading, computer/tablet usage, watching television, returning to work and light exercise.
  • Avoid face lotions/creams, eye makeup, strenuous exercise, contact sports, swimming, Jacuzzi’s, strenuous activities or any activity where dust or debris could get into your eyes such as gardening or yard work.

One Week after LasikHD surgery:

  • A 1-week post-op consultation with your Visiomed Eye and Laser Clinic doctors is required to monitor your healing.
  • You may now sleep without wearing your protective glasses and can resume the use of lotions and creams.
  • Approved activities include exercise at normal rate and the use of eye makeup.
  • Avoid strenuous exercise, contact sports, swimming and Jacuzzis.

Two Weeks after LasikHD surgery:

  • You are now able to resume all the activities you enjoyed prior to LasikHD surgery with the benefit of clearer vision.

One Month after LasikHD surgery:

  • For most patients, one last Visiomed Eye and Laser Clinic post-op consultation with their ophthalmologist is required at this stage.
  • All normal activities may be resumed.
  • In some cases, your doctor may request a 90-day post-operative check. Be sure to check with your doctor at Visiomed Eye and Laser Clinic for specific instructions.

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What to Expect

In order to determine your visual status and health, various scans and tests will be done before any laser eye surgery is performed on you. Our staff is all trained to perform these tests and does so under the close supervision of the ophthalmologist.

Test results provide the detail of your unique eyes so that your ophthalmologist can plan the correct treatment and surgical procedure for you. This includes what to expect, and what you need to do to prepare for the procedure.

Visiomed has some of the best laser eye surgeons in the country. You are in good hands.

Sentiments of a Good Candidate


Dislike his/her dependence on corrective lenses in order to have clear vision.


Poor compliance in wearing contact lens.


Participation in activities is restricted due to wearing of corrective lenses.


Able to adjust well to change.


Fairly relaxed person.


Frequently Asked Questions

Am I a suitable patient for Eye Laser Surgery?

Because each person’s eyes are different, your eye surgeon will select and advise you on the best eye laser treatment for you – choosing from LASIK, PRK or EPI LASIK to give you the ultimate vision correction.

How Experienced Is Visiomed with eye surgery?

Over 25 000 eye laser surgeries have been performed at Visiomed since 1996.

Will my eyes deteriorate faster after LASIK surgery?

No, LASIK has no influence on the normal refractive changes of the eye.

If I need other eye surgery, is it still possible after LASIK?

Yes. All operations are possible after LASIK eye surgery. Always tell your eye specialist that you have had LASIK eye surgery.

What are the risks involved in LASIK surgery?

The risks involved in LASIK eye surgery are minimal if the procedure is performed in a systemised and careful manner as practiced at Visiomed.

What if my vision changes?

LASIK can be performed more than once. This is called LASIK enhancement. You can also wear cosmetic coloured contact lenses after your LASIK procedure, or reading glasses, when you can no longer read small print at a comfortable distance. LASIK does not treat presbyopia or eliminate the need for reading glasses due to age.

Day Of Your Laser Eye Surgery

The Surgeon’s assistant will schedule a time on the day of your Laser Eye Surgery. You will be given a mild sedative so please arrange for someone that will fetch you from Visiomed.

Laser Eye Surgery TeamYou will be given a mild sedative so please arrange for someone that will fetch you from Visiomed. Prepare to spend 2 to 4 hours with us. While the Visiomed ward staff help you get ready, every step will be taken to ensure you have the best experience possible.

At Visiomed we cater for both your physical and psychological needs. In order to give you optimal visual care we use innovative technology, yet we do all this within a caring and friendly environment. This ensures that your experience on the day of your Laser Eye Surgery will be positive and enlightening.

Your friends or relatives can relax in our comfortable reception area while waiting for you as we attend to your needs and surgery.

An operating theatre is often associated with being a cold and impersonal environment; a place you do not want to be and where you are treated as a number and not as an individual. You will experience the contrary at Visiomed, where the friendly theatre staff will welcome you with warm heartedness and take extra care of your wellbeing while you receive your surgery.

We are focused on you

Post Op Care

Visiomed Post Operation Care

After surgery, you will return to your recliner chair where your vital signs will be checked and you will receive a well-deserved cup of

coffee or tea and sandwiches. The sedation 

given to you in theatre could cause drowsiness and therefore you need to remain in the postoperative care for an hour before being discharged.

Within 24 hours of your surgery, your vision will be examined by your Surgeon.

If you had LASIK surgery, you will return home immediately afterwards.

Our Surgeons normally advise patients to close their eyes for 4-5 hours. This helps the healing process get a good start.

Your second examination is within seven to ten days.

General Guidelines

  • A candidate must be 18 years old and above. If you are still studying or planning to spend some time with studies, it might be conducive to extend this period to after your studies, as vision can fluctuate much during this period.
  • Ascertain that the eye has properly developed and matured.
  • Vision has been stable for at least a year prior to surgery.
  • There is no evident infection or injury within the past year.
  • Candidates must not exhibit autoimmune disorders such as Lupus or Sjogren’s Syndrome, Rheumatoid Arthritis, etc.
  • Patient must have no history of herpes infections affecting the eye since LASIK may cause its recurrence.
  • No scars are present on the cornea or signs of Keratoconus.
  • Patient’s pupil must not exhibit a dry eye syndrome.
  • The use of certain medicines may cause visual side effects – ask your surgeon.
  • Candidate must not be pregnant or nursing.

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