Trust
Mark R. Mandel, MD

Mark R. Mandel, MD has been selected by hundreds of eye doctors and other physicians to perform LASIK, corneal transplant, and cataract surgery on themselves, their families, and their office staff.

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Experience
Mark R. Mandel, MD

As a sub-specialist Dr. Mandel has performed over 60,000 LASIK procedures and 20,000 cataract/IOL procedures. He has been serving Bay Area patients since 1983.

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Innovation
Mark R. Mandel, MD

We are proud to offer state of the art technology for measuring the eye and performing the latest in advanced surgical techniques. Striving to achieve the best possible outcomes.

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Recognition
Mark R. Mandel, MD

Graduate of Oxford University, UCLA School of Medicine, Fellowship trained cornea transplant and refractive specialist. Chosen by more surgeons to perform surgery on themselves and their families.

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877-210-2020



Laser Vision Correction

Traditionally, glasses or contact lenses provided the source of correction for imperfect vision. Glasses are relatively trouble-free and many people regard them as a fashion accessory to enhance their appearance. With the advent of newer technology, and people’s intense desire to be free of glasses or contact lenses, ophthalmic surgeons and engineers developed surgical alternatives for refractive correction.

Today, procedures such as LASIK, PRK, LASEK, and EPI-LASIK are the procedures of choice for laser vision correction using the excimer laser. We only use state-of-the-art FDA approved VISX Star S4 and Autonomous LADAR lasers equipped with the most recent software upgrades, active eye trackers, iris registration, and large pupil capability. Most importantly, our lasers feature “custom cornea” wavefront technology to achieve the most personalized vision correction. We are also one of the few centers to offer the all-laser approach to refractive surgery employing the IntraLase laser and the Ziemer Femtosecond laser to create the flap and the excimer laser to reshape the cornea.

What is laser vision correction?

Laser vision correction encompasses several procedures (LASIK, Custom LASIK, PRK, LASEK, and EPI-LASIK), which utilize the excimer laser to correct nearsightedness, farsightedness, and astigmatism. During the treatment, the laser’s cool ultraviolet light removes a small amount of corneal tissue to reshape the corneal surface in order to allow light to be more sharply focused onto the retina, thereby improving vision.

Patients considering laser vision correction should have a stable refraction for at least one year. There is no upper age limit. After the procedure, eyeglass correction for distance vision will not generally be required, although some patients may desire them for certain activities, such as driving at night. If you are in the age range where bifocals or “readers” are normally required for close vision (40+ years of age), you will need reading glasses following the procedure. This condition is known as presbyopia and is part of the natural aging process. Presbyopia currently cannot be corrected with laser vision correction, unless one eye is adjusted for near vision. This is called “monovision.”

LASIK

Laser Assisted In-Situ Keratomileusis (LASIK), combines the precision of the excimer laser delivery system with the benefits of a sophisticated surgical instrument known as a microkeratome or the femtosecond laser. First, by utilizing either a microkeratome or the femtosecond laser, a thin layer of cornea, or corneal flap, is created and lifted up. Then, ultraviolet light energy pulses from the excimer laser to reshape the exposed cornea with accuracy up to 0.25 microns. By adjusting the pattern of the laser beam, it is possible to treat nearsightedness, farsightedness, and astigmatism. After the cornea has been reshaped by the laser, the flap is replaced in its original position.

Because of the cornea’s extraordinary natural bonding qualities, sutures are not required. The entire procedure takes less than 15 minutes for both eyes. LASIK is an FDA approved procedure.

Advanced Surface Procedures – PRK / LASEK / EPI-LASIK

Photorefractive Keratectomy (PRK), LASEK, and EPI-LASIK are methods of surgically reshaping your cornea using the excimer laser. They are called “advanced surface procedures.” They are very similar to LASIK, but no corneal flap is created.
Surface procedures are generally performed for patients who are not good candidates for LASIK because of a thin or mildly irregularly shaped cornea. The side effects, risks and complication rate are about the same for LASIK and the surface procedures. Fortunately, all of the procedures are safe and effective. However, every surgery carries some inherent risk.

In PRK, after removing the surface cells (epithelium) of the cornea, the excimer laser is applied to the surface of the cornea making the central zone flatter in the case of nearsightedness, and steeper in the case of farsightedness. The modified corneal contour is then able to focus light more precisely onto the retina, thereby reducing nearsightedness, farsightedness, and astigmatism.

LASEK and EPI-LASIK are similar to PRK (but not similar to LASIK). In these advanced surface procedures, the superficial corneal cells (epithelium) are peeled back in a thin sheet. The excimer laser is applied to the cornea and the epithelial cell sheet is traditionally laid back down over the treated area. Dr. Mandel has found that the eye heals faster if this sheet is not laid down but removed. Therefore, we do not lay the sheet back but allow the cornea to heal, similar to PRK.

The visual results of LASIK and the various surface procedures are the same. However, because the surface cells must become smooth, it takes about a month for the vision to become clear after a surface procedure.

The Benefits of Wavefront-Guided Custom LASIK

Conventional LASIK attempts to replicate the vision obtainable with the best glasses and contact lenses by correcting “lower order aberrations” (nearsightedness, farsightedness and astigmatism). The results with conventional LASIK are excellent. However, we know that the eye is not perfectly regular and that ideally, each spot on the eye actually requires its “own” particular prescription. This is clearly impossible with glasses, contact lenses, or conventional LASIK. However, with Wavefront Guided Custom LASIK hundreds of individual locations are measured, and each microscopic area of the cornea is specifically treated with the laser in order to attempt to optimize vision.

Higher order aberrations such as spherical aberration, coma, and trefoil may pre-exist in the eye or be induced by laser treatment. Conventional LASIK, PRK, LASEK, and EPI-LASIK – even if perfectly performed – can induce higher order aberrations from the treatment itself. The advantages of Wavefront Guided Custom LASIK is that it induces fewer higher order aberrations, thereby allowing patients to achieve sharper vision and fewer side effects such as glare, halo, starburst, and poor contrast vision.

However, it is important to realize that results will vary from patient to patient depending upon how each individual eye heals. Although the FDA studies and our extensive clinical experience have shown that many patients achieve superior quality of vision following Wavefront Guided Custom LASIK compared to glasses, contact lenses, or conventional LASIK, it is impossible to predict which patients will benefit even if pre-existing higher order aberrations are present. There can be no guarantee that Wavefront Guided Custom LASIK will be any better than conventional laser treatments for any given individual. However, Wavefront Guided Custom LASIK offers the very latest in technology and the greatest chance to achieve the best possible vision.

Will I have perfect 20/20 vision?

If you would not be dissatisfied with anything less than perfect vision, then a refractive procedure may not be in your best interest. The goal of refractive surgery is to restore natural vision. However, even for those who do not wear corrective lenses, vision can fluctuate during the day due to lighting conditions, pupil size, and fatigue. Following refractive surgery, patients may need to wear glasses to sharpen their vision, especially for certain tasks such as night driving. Again, if you are over 40 years of age, you will require glasses for near and some intermediate distance (6-10 feet) tasks.

Schedule a Consultation Today

If you are interested in learning more about the laser vision correction procedures available at OPTIMA, we encourage you to contact us at one of our four convenient locations in Hayward, Santa Clara, Castro Valley and Concord, CA. Call us today at 877-210-2020.

Physicians and patients have traveled from all over the world to Mark R. Mandel, MD

If you would like to meet with Dr. Mandel to discuss your personal vision needs, please contact our office today to schedule a consultation.


Laser Refractive Surgeries

Laser refractive surgery corrects focusing errors of the eye (e.g., nearsightedness, farsightedness, astigmatism) in order to improve visual sharpness and clarity. Procedures include LASIK, laser cataract surgery and refractive lens exchange.

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Premium Cataract Surgery

At Optima Eye we offer premium cataract surgery. Patients can opt for laser cataract surgery and / or premium intraocular lens implants, with several options to fit your unique lifestyle.

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Complete Eye Care

Dr. Mandel and his team of professionals offer a complete continuum of general eye care services to accommodate every patient’s needs — whether those needs are as simple as a routine eye exam, or as complex as laser vision correction.

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Dry Eye Treatment

Dry eye syndrome, which affects more than 100 million people worldwide, can be painful and debilitating. Dr. Mandel uses several approaches to treat dry eye, ranging from medication to punctal plugs to LipiFlow thermal pulsation.

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Hayward Location

1237 B Street
Hayward, CA 94541

 

Santa Clara Location

3945 Freedom Circle, Suite 130
Santa Clara, CA 95054

Castro Valley Location

20400 Lake Chabot Road, Suite 302
Castro Valley, CA 94546

Concord Location

1401 Willow Pass Rd., Suite 100
Concord, CA 94520

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