Services

TLC Charlottesville, Rockville and Tysons Corner are proud to offer a variety of services for your patients.  Dr. Andrew Holzman performs all corneal procedures.


LASIK/PRK

LASIK and PRK are offered at all three surgical centers.  

LASIK will use FS200 as femtosecond laser for flap creation.

LASIK and PRK will use EX500 as excimer laser for corneal reshaping.  We offer these two advanced laser profiles: wavefront optimized and topography-guided laser profiles.  Not all patients can meet the strict requirements for topography-guided treatment.  The decision to perform WFO vs TG treatment is made during the treatment planning stage after consultation and pre-op evaluations are completed.


CXL

CXL procedures are performed at TLC Rockville.  All surgical centers can perform post-operative care for your keratoconus patients, as your patients will need frequent Pentacam corneal topography scans to monitor progress.  Affiliates can do pre-operative management for CXL (similar to that of LASIK/PRK) and also contact lens fitting (usually at about 3-months post-op).

There is potential to do topography-guided PRK in conjunction with CXL.  Not all KCN patients are candidates for TG-PRK.  TG-PRK attempts to regularize the irregular KCN cornea.  It is not meant for elimination of refractive error.


CK

CK is sometimes used as an enhancement method for treatment of low hyperopia.  As an enhancement method, results are more stable than CK as a primary procedure.


ICL

ICL is performed by Dr. Jonathan Solomon in his Bowie, MD, surgical center.  There is an option for same-day bilateral PI and ICL.  

Affiliates can do pre-operative care (similar to that of LASIK/PRK).  Surgical centers will do one-day and one-week post-op visits and then return to Affiliate for balance of post-operative care.  Remember to dilate patients at 3-6 months, just as you would do for post-op cataract surgery patients.


Corneal Topography 

We can perform corneal topography for your patients to help you rule out corneal pathology.  If you desire this, please contact the center directly to schedule this.  You'll have to tell us how you want the information sent to you and also if you want your patient to have scans only or also be seen by a TLC OD to review results of the scans.


RLE and Cataract Surgery

TLC does not offer RLE or cataract surgery at this time.


KAMRA

Note that we no longer offer KAMRA inlay (or any corneal inlay) procedure for patients.  

Presbyopic options are:  spectacles for intermediate/near work; myopic monovision.

We do not offer hyperopic monovision or multifocal laser treatment.

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