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Dr. Paul Cutarelli’s patients are delighted with the results of their LASIK eye surgery. However, like any other medical procedure, there are risks involved. That’s why Dr. Cutarelli feels it is important for you to understand the limitations and possible complications of LASIK eye surgery.

How to choose a LASIK surgeon in Colorado.

Dr. Paul Cutarelli explains that before undergoing any refractive procedure, you should carefully weigh the risks and benefits based on your own personal value system, and try to avoid being influenced by friends that have had the procedure or doctors encouraging you to do so.

Dr. Paul Cutarelli also suggests being cautious about “slick” advertising and/or deals that sound “too good to be true.” Remember, they usually are. There is a lot of competition resulting in a great deal of advertising and bidding for your business. Do your homework and find the best LASIK eye surgeon, one that is Board Certified, Fellowship Trained and has verifiable excellent results. We invite you to call Dr. Cutarelli’s office and schedule your free, no-obligation LASIK consultation. Find out if LASIK is right for you!

Cutarelli Vision – Denver LASIK
7887 East Belleview Avenue, Suite 180
Denver, Colorado 80111
303-486-2020
Visit Dr. Cutarelli’s website: LASIK in Denver, Colorado

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Dr. Paul Cutarelli supports his patients in choosing the best possible surgeon for LASIK or PRK. Dr. Cutarelli knows that a hastily made choice may literally affect the quality of your life. That’s why he feels it is so important to choose the best LASIK eye surgeon available. On this website, Dr. Cutarelli offers some guidelines for choosing your eye surgeon. Indicators of a quality eye surgeon can include experience, great credentials and willingness to work with a patient to resolve possible problems following a procedure.

Finding a Good LASIK Surgeon

Dr. Paul Cutarelli explains the most important factors to consider when you consider the qualifications and abilities of a LASIK eye surgeon. Because your vision is one of your most precious assets, Dr. Cutarelli feels you should not take making this decision lightly. Many people have wondered whether undergoing LASIK is the right decision for them, and whether they are even appropriate candidates for LASIK. Dr. Paul Cutarelli offers you a free, no-risk, no-obligation LASIK consultation in which you may learn more about the procedure and find out if it is right for you.

It’s important that you seek a well-trained, board-certified, highly experienced eye surgeon with a record for best possible outcomes, a surgeon that is qualified to meet your needs. Dr. Paul Cutarelli cautions that your choice of a LASIK eye doctor should not be based on the cost, the location of the eye doctor’s office, or the type of LASIK technology used. Dr. Cutarelli further suggests that you keep in mind that everyone’s vision is unique; the LASIK eye doctor that someone you know raves about may not have all of the qualifications that you need. Find the LASIK eye surgeon who is right for you, based on your own research and concerns.

If you would like to find out how your eyesight may be improved through LASIK, we invite you to contact our office for your free consultation.

Cutarelli Vision – Denver LASIK
7887 East Belleview Avenue, Suite 180
Denver, Colorado 80111
303-486-2020
Visit Dr. Cutarelli’s website: LASIK Denver

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Dr. Paul Cutarelli recognizes that you probably know people who’ve already had LASIK eye surgery. You may have heard the stories about their “amazing moment” – when they experienced a sudden, dramatic improvement in their vision right after the LASIK procedure. Of course, Dr. Cutarelli would love to see you have that amazing moment too, because he has seen it in thousands of happy patients, each one achieving dramatic improvement in vision through LASIK eye surgery.

Your Amazing LASIK Moment

One of the best LASIK surgeons in Fort Collins, Colorado – Dr. Paul Cutarelli offers information about his practice, Cutarelli Vision. Dr. Cutarelli has helped patients in the Fort Collins and Denver areas see without wearing glasses and contact lenses. Dr. Paul Cutarelli is one of the most experienced LASIK surgeons in the nation. Please feel free to schedule a consultation to see whether you are a candidate for LASIK or IntraLasik.

Dr. Paul Cutarelli of Cutarelli Vision in Denver Colorado offers LASIK and IntraLasik procedures for those who are looking to see without wearing glasses or contacts. Dr. Paul Cutarelli is one of the most experienced LASIK doctors in the world. He has been in business for many years and is one of the first doctors to have performed LASIK surgery in the Colorado area.

Dr. Paul Cutarelli provides information regarding the most advanced technology in laser eye correction industry that is available. Dr. Cutarelli makes sure that he is on the cutting-edge of LASIK developments by updating his equipment and having the most advanced lasers available.

Top Colorado LASIK Surgeon, Dr. Paul Cutarelli offers various laser vision correction procedures to help patients see without having to wearing glasses or contact lenses. Cutarelli Vision offers information about all latest technologically advanced lasers and equipment that are available in our Fort Collins, Colorado practice. Dr. Paul Cutarelli is one of the most recognized LASIK surgeons in the western part of the United States.

Top LASIK Surgeon Colorado, Dr. Paul Cutarelli, director of Cutarelli Vision offers laser vision correction surgery for a wide range of vision problems. Whether you are a candidate or LASIK or IntraLasik, Dr. Paul Cutarelli offers the latest technology and equipment for your vision correction. If you are in the Fort Collins, Colorado area and want to know if you are a candidate for LASIK or Intralasik, feel free to set up a free consultation with Dr. Paul Cutarelli.

Cutarelli Vision – Denver LASIK
7887 East Belleview Avenue, Suite 180
Denver, Colorado 80111
303-486-2020

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If you are interested in learning how Dr. Paul Cutarelli can help you see without wearing contact lenses or glasses, visit our website Dr. Paul Cutarelli to learn more. We offer information about our top LASIK surgeon in Denver Colorado who has been practicing laser vision correction for many years and is one of the most experienced in the world.

Dr. Paul Cutarelli has helped many people see clearly without wearing glasses and contacts. Dr. Paul Cutarelli websites contains testimonials of actual patients who are satisfied with their procedures and are grateful that they’ve met Dr. Paul Cutarelli in his Denver, Colorado office.

Dr. Paul Cutarelli is a pioneer in the LASIK industry in the Colorado area. Being one of the first LASIK surgeons to purchase the new technology that revolutionized LASIK is one of the greatest achievements of Dr. Paul Cutarelli who has help corrected the vision of over 100,000 patients and change their lives

Dr. Paul Cutarelli provides reviews written by actual LASIK patients. Dr. Paul Cutarelli performs LASIK in his practice located in Denver, Colorado and is one of the world’s most experienced surgeon. We have many satisfied patients who wrote reviews and testimonials to Dr. Paul Cutarelli to express their gratitude. Please click here to read more about Dr. Paul Cutarelli.

If you are interested in learning how Dr. Paul Cutarelli can help you see without wearing contact lenses or glasses, visit our website Dr. Paul Cutarelli to learn more. We offer information about our top LASIK surgeon in Denver Colorado who has been practicing laser vision correction for many years and is one of the most experienced in the world.

One of the best LASIK surgeons in Colorado offers information about his practice, Dr. Paul Cutarelli. Cutarelli Vision has helped patients in the Denver, Colorado area see without wearing glasses and contact lenses. Dr. Paul Cutarelli is one of the most experienced LASIK surgeons in the nation. Please feel free to schedule a consultation to see whether you are a candidate for LASIK or IntraLASIK.

We recommend Dr. Paul Cutarelli for those who are looking to see without wearing glasses or contacts. Dr. Paul Cutarelli is one of the most experienced LASIK doctors in the world. He has been in business for many years and is one of the first doctors to have performed LASIK surgery in the Colorado area.

Dr. Paul Cutarelli provides information regarding the most advanced technology in laser eye correction industry that is available. Dr. Paul Cutarelli makes sure that he is ahead of the LASIK industry by updating his equipment and having the most advanced lasers available.

Top Colorado LASIK Surgeon Dr. Paul Cutarelli offers different procedures to help patients see without having to wearing glasses or contact lenses. Dr. Paul Cutarelli offers information about all the different lasers and equipment that are available in our Denver, Colorado practice.

Top LASIK Surgeon Colorado Dr. Paul Cutarelli offers laser eye correction surgery for almost all problems. Whether you are a candidate or LASIK or IntraLASIK, Dr. Paul Cutarelli always has the latest technology and equipment when he comes to vision correction.

One of the best LASIK surgeons in Colorado offers information about his practice, Dr. Paul Cutarelli. Cutarelli Vision has helped patients in the Denver, Colorado area see without wearing glasses and contact lenses. Dr. Paul Cutarelli is one of the most experienced lasik surgeons in the nation. Please feel free to schedule a consultation to see whether you are a candidate for LASIK or IntraLASIK.

We recommend Dr. Paul Cutarelli for those who are looking to see without wearing glasses or contacts. Dr. Paul Cutarelli is one of the most experienced LASIK doctors in the world. He has been in business for many years and is one of the first doctors to have performed LASIK surgery in the Colorado area.

Dr. Paul Cutarelli provides information regarding the most advanced technology in laser eye correction industry that is available. Dr. Paul Cutarelli makes sure that he is ahead of the LASIK industry by updating his equipment and having the most advanced lasers available.

Top Colorado LASIK Surgeon Dr. Paul Cutarelli offers different procedures to help patients see without having to wearing glasses or contact lenses. Dr. Paul Cutarelli offers information about all the different lasers and equipment that are available in our Denver, Colorado practice.

Top LASIK Surgeon Colorado Dr. Paul Cutarelli offers laser eye correction surgery for almost all problems. Whether you are a candidate or LASIK or IntraLASIK, Dr. Paul Cutarelli always has the latest technology and equipment when he comes to vision correction.

Dr. Paul Cutarelli has helped many people see clearly without wearing glasses and contacts. Dr. Paul Cutarelli websites contains testimonials of actual patients who are satisfied with their procedures and are grateful that they’ve met Dr. Paul Cutarelli in his Denver, Colorado office.

Dr. Paul Cutarelli is a pioneer in the LASIK industry in the Colorado area. Being one of the first LASIK surgeons to purchase the new technology that revolutionized LASIK is one of the greatest achievements of Dr. Paul Cutarelli who has help corrected the vision of over 100,000 patients and change their lives

Dr. Paul Cutarelli provides reviews written by actual LASIK patients. Dr. Paul Cutarelli performs LASIK in his practice located in Denver, Colorado and is one of the world’s most experienced surgeon. We have many satisfied patients who wrote reviews and testimonials to Dr. Paul Cutarelli to express their gratitude. Please click here to read more about Dr. Paul Cutarelli.

If you are interested in learning how Dr. Paul Cutarelli can help you see without wearing contact lenses or glasses, visit our website Dr. Paul Cutarelli to learn more. We offer information about our top LASIK surgeon in Denver Colorado who has been practicing laser vision correction for many years and is one of the most experienced in the world.

One of the best LASIK surgeons in Colorado offers information about his practice, Dr. Paul Cutarelli. Cutarelli Vision has helped patients in the Denver, Colorado area see without wearing glasses and contact lenses. Dr. Paul Cutarelli is one of the most experienced LASIK surgeons in the nation. Please feel free to schedule a consultation to see whether you are a candidate for LASIK or IntraLASIK.

We recommend Dr. Paul Cutarelli for those who are looking to see without wearing glasses or contacts. Dr. Paul Cutarelli is one of the most experienced LASIK doctors in the world. He has been in business for many years and is one of the first doctors to have performed LASIK surgery in the Colorado area.

Dr. Paul Cutarelli provides information regarding the most advanced technology in laser eye correction industry that is available. Dr. Paul Cutarelli makes sure that he is ahead of the LASIK industry by updating his equipment and having the most advanced lasers available.

Top Colorado LASIK Surgeon Dr. Paul Cutarelli offers different procedures to help patients see without having to wearing glasses or contact lenses. Dr. Paul Cutarelli offers information about all the different lasers and equipment that are available in our Denver, Colorado practice.

Top LASIK Surgeon Colorado Dr. Paul Cutarelli offers laser eye correction surgery for almost all problems. Whether you are a candidate or LASIK or IntraLASIK, Dr. Paul Cutarelli always has the latest technology and equipment when he comes to vision correction.

Dr. Paul Cutarelli has helped many people see clearly without wearing glasses and contacts. Dr. Paul Cutarelli websites contains testimonials of actual patients who are satisfied with their procedures and are grateful that they’ve met Dr. Paul Cutarelli in his Denver, Colorado office.

Cutarelli Vision – Denver LASIK
7887 East Belleview Avenue, Suite 180
Denver, Colorado 80111

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Cutarelli Vision of Fort Collins LASIK Center

Meet premier LASIK eye doctors in Fort Collins, serving all of the Fort Collins, Colorado areas.

Laser Vision Eye Surgery in Fort Collins

Eye surgeon Dr. Paul Cutarelli, M.D. heads the Cutarelli Vision of Fort Collins Laser Vision centers, offering the uppermost rule of excellence in laser eye surgery procedures. With extensive laser expertise in LASIK surgery procedures and a huge background in laser eye surgery, laser eye surgeons at Cutarelli Vision of Fort Collins are uniquely capable to carry on the tradition of Fort Collins’s Finest Custom LASIK. LASIK laser eye surgeon. Dr. Paul Cutarelli, M.D. concentrates on offering the finest laser vision correction and corneal transplantation, plus state of the art cataract surgery in all of Fort Collins.

Dr. Paul Cutarelli, M.D. of Fort Collins attends to each patient individually to explain LASIK surgery care goals and desires and work in close conjunction with the further members of the surgical team at Cutarelli Vision of Fort Collins Laser Vision Centers to offer unsurpassed eye care to laser LASIK needs in the Fort Collins offices. Whether you need LASIK office in Fort Collins, contact Dr. Paul Cutarelli, M.D. at the Cutarelli Vision of Fort Collins Laser Vision Centers for a laser eye correction. Our LASIK physician Dr. Paul Cutarelli, M.D. has been a key player in the testing and approval of the excimer laser technology for laser eye correction. Dr. Cutarelli is one of the leading laser eye surgeons in the country, performing thousands of LASIK procedures.

Cutarelli Vision of Fort Collins conducted many of the earliest LASIK surgeries, more than other Laser eye correction facilities in the United States. Dr. Paul Cutarelli, M.D. is also an innovator and an example to other LASIK Doctors in Fort Collins. Cutarelli Vision of Fort Collins has the experience with the excimer laser and LASIK have been used to instruct hundreds of LASIK eye doctors in Fort Collins at the Cutarelli Vision of Fort Collins Laser Vision Centers center, together with national and international seminars. LASIK – When you are seeking the best LASIK in Fort Collins, the corneal specialists at Cutarelli Vision are the ideal type of doctors to select. Each of our eye surgeons is specifically trained in treating conditions of the cornea, which is where the LASIK procedure takes place. Our surgeons utilize the most advanced, safest technology and techniques for LASIK all-laser vision correction. We are the first and only LASIK center in Fort Collins to offer iFS All-Laser LASIK. When choosing LASIK eye surgery with Cutarelli Vision of Fort Collins, you can rest assured of getting the quality of eye surgeon that you desire with the corneal experience you can trust. We are your best choice for LASIK in Fort Collins, serving all of the Fort Collins, Colorado areas!

Cutarelli Vision – Denver LASIK
7887 East Belleview Avenue, Suite 180
Denver, Colorado 80111

LASIK Fort Collins
LASIK Denver

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The following article is by Dr. Stephen Slade:

Why a Customized, Sub Bowman’s Flap may be the Best Approach in LASIK

Stephen G. Slade, MD Houston, Texas

Which is better – flap or no flap? Does a thinner flap offer definite benefits over thicker LASIK flaps? The debate over the optimum thickness of a LASIK flap or whether an epi-LASIK/PRK approach really is best seems to go on and on. I think this is about to change. Why? There is a growing body of evidence that suggests that the best option for our refractive surgery patients is creation of a customized, sub Bowman’s flap, and, the most consistent and safest method for making this flap is with a femtosecond laser. (John Marshall, ESCRS)

The debate over the appropriate thickness of a LASIK flap has much to do with the growing fear over corneal ectasia. Increasingly, we’re all becoming aware that there is a limit to how much corneal tissue can be removed without the risk of a negative response. This fear has a lot to do with the move back to PRK or epi-LASIK. If you take a 550- micron cornea, remove 50 microns when you remove the epithelium, then another 100 microns with the laser ablation, the patient is still left with 400 microns of cornea. With a traditional LASIK flap of 150 microns and the same 100-micron ablation, the remaining cornea drops down to 300 microns. Now if we had a 70-micron flap, the bed is 380 microns that is only a 5% difference in residual stroma compared to the PRK eye. And the thin flap LASIK has some strength from the flap edge as well as the reduced wound healing advantages of LASIK. Indeed, except in cases of extreme thick flaps most ectasia patients appear to be keratoconus patients that were not diagnosable at the time of surgery.

Prof. John Marshall and his group at King’s College in London have compared the relative strength of the cornea following PRK, epi-LASIK and thin flap LASIK or SBK, Sub Bowman’s keratomileusis and have concluded that with a femtosecond LASIK flap of 80 or 90 microns, the biomechanics of the SBK cornea are indistinguishable from the surface ablation cornea. Thus SBK might offer the patient the best of laser vision correction, the comfort and recovery of LASIK with optimum safety.

SBK does require a very consistent flap thickness across the entire flap to avoid button holes or perforations. In our current practice, all flaps are designed to be 90 microns across the entire flap diameter. With the femtosecond laser we are able to achieve consistent flaps with very small flap thickness standard deviations. (Figure 1)

This point about consistent thickness is an important one to consider, not only because of the relative strength of the flap, but also because of visual outcomes. Because of the way mechanical microkeratomes work, the resulting flap is thicker in the periphery and thinner in the center. With the femtosecond laser, the cornea is applanated during the flap-creation process, creating a flap that has relatively the same thickness across the diameter. A small study presented at the Wavefront Congress earlier this year by Ronald Krueger, MD, of the Cleveland Eye Clinic showed that there is enough of a difference in how the flaps are created to impact the refractive outcomes.

One final point to consider about flap-thickness consistency is this – it is relatively difficult, if not impossible to create consistently thin (± 100 microns) with mechanical microkeratomes because the standard deviation, even with the latest generation of mechanical microkeratomes is still too high.

There are a number of other advantages in using SBK flaps and controlling diameter as well:

• Fewer nerves are cut;
• A trend toward improved visual outcomes, particularly with customized LASIK; (Durrie, Slade ESCRS 2006)
• Thinner, smaller diameter flaps take less time to create;
• There is a reduced occurrence of post-LASIK dry eye, and;
• There is less risk of loss of suction with smaller diameter flaps.
• Fewer corneal fibers are cut leaving strength in the cornea.

Customized Flap

My goal is to create a flap that averages 80 microns, with a diameter that is between 1 to 1.5 mm outside of the ablation zone. I have three excimer lasers in the operating rooms – an Alcon Ladarvision 4000 (Alcon, Ft Worth, TX), an Alcon Ladarvision 6000 (Alcon, Ft. Worth, TX) and a Bausch & Lomb Technolas 217 Laser (Bausch & Lomb, Rochester, NY). If I’m using the Alcon laser, the maximum ablation zone is 6 mm, so the flap diameter is set for 7.5 mm. With the B&L Laser, the flap size will be between 7.5 and 8 mm for a 6 mm ablation. I do not believe that the flap needs to be any wider than that and my patients have not experienced any glare or halos since I adopted this approach.

The great advantage of the femtosecond laser is that you can program the laser to customize the flap according to the diameter, flap thickness and even the pre-existing astigmatism to create a flap that matches the pattern. You can also program the laser to create a flap edge that has notches or is beveled in order to create even more surface area at the edge helping to improve wound strength.

We are currently involved in a clinical study with Dan Durrie, MD, in Overland Park, Kansas, to compare the clinical results and visual outcomes of these thinner flaps versus PRK. The study is contralateral and involves 50 patients who will undergo PRK in one eye and all laser LASIK with the 60 kHz femtosecond laser (IntraLase FS Laser, IntraLase Corp., Irvine CA) in the contralateral eye. Our early results at one and three months show the SBK eyes to be ahead of  the PRK eyes in all metrics, biomechanics and wavefront.

Another point we hope to answer in this study is exactly what is the optimum thickness for the flap. If thick flaps present a risk, so do flaps that are too thin. We will be doing subtraction pachymetry in order to really look at this and attempt to get it quantified.

The current work that is being done into optimum flap thickness and customized sub Bowman’s flaps with the femtosecond laser provide us with a unique opportunity to redefine LASIK. I agree with John Marshall; SBK may well be the best way to do corneal surgery. Today, we have significantly better options to provide our refractive surgery patients with ever improving results.

Dr. Slade is medical director of Slade & Baker Vision Center in Houston.

NJ Cataract Surgeon, Laser Vision Correction Denver