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NM ,4. ttif f0t.191449 :Zji; NNW* Our commitment to quality, value, prompt, courteous service and our hassle-free return policy, insures your complete satisfaction. rs Diamonds and Fine Jewelry ORCHARD MALL 6337 Orchard Lake Road at Maple Road West Bloomfield, Michigan 48322 (810) 932-7700 Outstate (800) 337-GIFT T hree Farmington Hi lls tents, including some of his fam- businessmen, including an ily members who've undergone ophthalmologist, are pla n- the procedure, are "thrilled" with ning to open 22 clinics n a- the results. tionwide to offer U.S. residen is PRK is effective in correcting what they say is a highly eff ec- astigmatisms, but the FDA has tive, new procedure for corre ct- not approved it for that use. ing nearsightedness. Vision Sculpting Inc. is the Other opthalmologists a re first Michigan company to own more reserved about excim er and operate the PRK clinics in laser surgery, also known as ph o- Canada, said Dr. Segel, but he to radial keratotomy (PRK), c all- isn't sure if other companies in ing it promising but expensiv e. the United States are planning Following the recent reco m- clinics here. mendation for FDA approval of Dr. Raymond Margherio, the the VISX laser, Farmingto n medical director of the Beaumont Hills-based Vision Sculpting In c. Eye Institute in Royal Oak, said began the process of securing $ 20 he's heard rumors that a dozen million to finance the clinics fro m excimer laser surgery clinics are a Toronto-based investme nt planned in the metropolitan area banking firm with which it h as — too many, in his view. a memorandum of agreement When RK came on the scene Over 500,000 excimer las er in the 1980s, it was touted as surgeries have been performe d something of a miracle, but the worldwide since 1988, but in th e number of procedures performed United States, the procedure can has dropped off, he said. only be used to treat corneal di 5- However, according to the ease, said Dr. David Segel, a fo r- American Society of Cataract mer podiatrist who serves a s and Refractive Surgery, last year, Vision Sculpting's chairman. 450,000 RK surgeries were per- Vision Sculpting has been op - formed in the United States, erating two clinics in Ontario an d compared to 50,000 in 1990. one in Vancouver, serving man y "We're not sure how big the U.S. residents who have crosse d bubble is going to be with the ex- the border for the excimer lase r timer because we're so close to surgery. the excimer centers in Windsor With FDA go-ahead, Dr. Sege 1, that have been functioning for partner Robert Mackey and oph - years," Dr. Margherio said. "It thalmologist Alan Spigelma n would seem that, realistically, plan to open locations in th e this area could support three or Farmington Hills and Sterlin g four (centers). Rumors have it Heights areas early next year - there could be as many as 12 or Other clinics are planned in Al - 14. It'll probably be overkill." buquerque, Beverly Hills, Chica - He noted that the excimer go, New York, Dallas and othe ✓ lasers are quite expensive, they cities. require high maintenance and Unlike radial keratotomy (RK) are rather large. Plus, clinics are surgery, which is widely per - required to send an ongoing li- formed in the U.S. to correc t tensing fee to the manufactur- nearsightedness, excimer lase ✓ er of VISX. Beaumont Eye surgery is safer and more pre - Institute has already purchased cise, Dr. Segel said. excimer equipment in anticipa- "It's generally controlled by a tion of opening its own center, he computer, so it takes just the said. right amount of cornea needed • Dr. Margherio said PRK leaves In RK, you make spoke-like in - the eye stronger, but the recov- cisions and cut through 90 per - ery time is longer than for RK. cent of the cornea. The integrity Dr. Robert Beitman, an oph- of the eye seems to be much safer thalmologist with offices in West with the excimer surgery. Five Bloomfield and Brighton, per- to 15 percent of the cornea is re- forms between 700 and 1,000 RK moved with this new surgery," surgeries each year. he said. He said he's looking into buy- For RK surgery, the cost per ing a VISX, although he is on staff eye is between $1,200 and at Sinai and Beaumont hospitals, $1,500. Excimer surgery is slight- both of which are planning to per- ly more expensive, at about form excimer laser surgery. $2,000 to $3,000 per eye. Most "We're real happy that lasers insurance carriers don't cover the have come aboard in the United cost of the surgeries. States. We've been waiting five, Dr. Segel said there are no de- six, seven years for (FDA) ap- finitive studies on the long-term proval, but north of the border ... effectiveness of PRK, but pa- they've been doing excimer laser