SBK LASIK2018-08-20T11:10:15-06:00

LASIK in St. Louis

LASIK eye surgery St. Louis

LASIK, an acronym for laser in situ keratomileusis, is now one of the most successful surgical treatments of any kind in the world today. SBK is the most modern form of this life-changing laser eye surgery, and we are pleased to offer SBK laser eye surgery in St. Louis at Brinton Vision.

Sub-Bowman keratomileusis (SBK) is sometimes referred to as “bladeless LASIK” and is used to treat farsightedness (hyperopia), nearsightedness (myopia), presbyopia, and astigmatism. Combined with wavefront technology used to map the surface and interior of the entire eye, it is more precise than ever. Many patients who were told they were too young, too old, or have astigmatism can now have LASIK eye surgery.

SBK Technology

Just a few short years ago, LASIK utilized a mechanically controlled metal blade called a microkeratome. It was a good procedure; it was safe and it helped a lot of people, but it was not quite as precise as many ophthalmologists would have liked.

Then along came SBK. SBK utilizes what’s called a femtosecond laser. Not only do many patients have even better vision afterward, but their results are more predictable.  What’s more, many patients who were once excluded from LASIK eye surgery have now been able to enjoy the visual freedom that SBK LASIK can provide.

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Mapping the Eye with Wavefront Technology

The latest technology in LASIK includes wavefront-optimized, wavefront-guided, and topography-guided LASIK procedures. Collectively, these are referred to as “custom” treatments. Brinton Vision’s expertise includes the use of a variety of custom and conventional approaches accomplished with four state-of-the-art treatment lasers — more than any other St. Louis LASIK eye surgeon.

With wavefront-guided LASIK, Dr. Brinton uses detailed maps of your cornea, almost like topography maps in geography, to provide an enhanced view into the tiniest complexities of your eye. Wavefront-optimized treatments preserve the natural shape of your cornea in ways never before possible. The wavefront-optimized laser system Dr. Brinton uses was the first to be certified by the FDA to improve nighttime halo and glare, commonly experienced by glasses and contacts wearers but also among the common side effects of traditional LASIK procedures.

What happens during the LASIK surgery process?

First, Dr. Brinton uses one of our two femtosecond lasers to create a carefully calculated flap in the cornea. Then he uses one of our two excimer lasers to reshape the cornea underneath the flap. Within seconds, the laser procedure is completed and the protective corneal flap is laid back into place.

The results of LASIK are so predictable and the procedure so safe that Dr. Brinton has performed this eye surgery on thousands of patients, including photographers, professional athletes, artists, surgeons, and other eye doctors.

What to Expect on the Day of Your LASIK Procedure

On the day of your procedure, plan to be at Brinton Vision for about two hours, though the procedure itself only lasts about 15 minutes for both eyes. You will need a driver to take you home after your procedure.

Just as if you were going to an eye examination, you don’t need to wear special clothes or change your attire while you’re here. The only thing we’ll add to your outfit is a small, blue cap which you’ll wear during the procedure.

Some of the tests conducted during your Brinton Vision Ocular Analysis may be repeated to ensure each aspect is checked and double checked prior to your LASIK eye surgery.

When you are ready for the procedure, eye drops will be used to numb your eye, then a small, gentle eyelid holder will be put into place so that you do not need to worry about blinking.

Once the laser vision correction procedure begins, the laser portion typically lasts less than 20 seconds for each eye.

What to Expect After LASIK

Following your LASIK, our surgical technicians will provide you with instructions as well as eye shields to wear for the first two nights while you sleep.

LASIK laser eye surgery patients typically experience little if any discomfort during or after the procedure. Your vision may be blurry for two or three hours after you return home, but within a very short time, you should be seeing details of the faces and places around you that you probably had no idea you were missing!

Most patients are able to resume regular activities, including returning to work, the day after surgery. A follow-up visit will be scheduled for the next morning, where Dr. Brinton will personally evaluate your progress. At that visit, you will be given the final okay to return to your routine while seeing the world much more clearly — without glasses!


Dr. Brinton is one of the best in the country. It was important to me to be able to go to the best. … My vision now is amazing!

Jordan B.

Don’t take our word for it. Here’s what our patients have to say.


Do insurance companies cover the cost of LASIK?2018-12-07T11:22:39-06:00

No, insurance companies do not cover the cost of LASIK or any of its six modern variations. However, there can be tax benefits for getting LASIK, and financing plans with zero down and zero interest can make it affordable.

What percentage of your patients are candidates for LASIK?2018-08-20T12:17:49-06:00

LASIK is a great procedure for many people, but it is not the best fit for everyone. About 50 percent of the people who come through our door are good candidates for SBK LASIK; the majority of the remaining people are either candidates for another procedure better suited for their unique eyes, or are not candidates based on their individual medical situation. For context, many LASIK providers have candidacy rates above 90 percent. Brinton Vision is different. We will never offer you a solution that isn’t the optimal choice for your vision goals. Instead, we offer seven of the most state-of-the art solutions and the most comprehensive diagnostics available anywhere in the world to arm you with the information you need to decide for yourself how you want to see the world for the rest of your life.

Will I experience halos and/or glare after my procedure?2018-08-21T08:22:22-06:00

Early after a vision correction procedure it is common to see halos and glare, particularly around lights at night. Our patients say that this is prominent at first, then dissipates over time to the point where it either completely goes away or is less noticeable. Glasses and contacts often have this same effect, as does applying artificial tears before driving at night.

Who is a candidate for LASIK eye surgery?2017-10-13T12:41:15-06:00

LASIK may be an excellent solution for you if you:

  • are at least 18 years old.
  • have nearsightedness, farsightedness, presbyopia, or astigmatism.
  • have had a stable glasses or contact lens prescription for the last year.
  • are in good health.

If you have astigmatism, learn more here.

Am I too old or too young for LASIK or any other procedure?2017-08-17T14:34:07-06:00

Brinton Vision is a unique practice in that we specialize in LASIK plus all of its modern forms. With that range of tools, we can correct vision in patients ages 18 to 108 years old. We are also different in that we provide a tailored solution for your vision correction needs, rather than just offering one or two blanket treatments to everyone who comes in the door. During your Brinton Vision Ocular Analysis, you will learn what the best option is for you and your individual vision goals.

What if I’m not a good candidate for LASIK?2019-03-19T11:05:45-06:00

Brinton Vision offers LASIK plus all six of its modern variations — Advanced Surface Ablation (ASA), Refractive Lens Exchange (RLE), ReLEX SMILE, Implantable Collamer Lenses (Visian ICL), ASA, and Kamra Inlay. Because of the technology, education, and dedication required to provide these treatments, we are one of only a handful of specialty refractive practices in the United States to do so.

We are also one of just a few practices to use seven different in-house, state-of-the-art refractive diagnostic technologies to ensure we have the most accurate analysis possible of your unique eyes. Because of this, we are able to tailor a solution just for you.

Still, there are certain times when laser vision correction is not ideal. Often there are treatments available for conditions that, when addressed, can make you a good candidate for laser eye surgery. In other cases, because of the technology we use, we have been able to diagnose problems that were previously missed, and to help patients establish a course of treatment that ultimately saved their remaining vision. A Brinton Vision Ocular Analysis provides the comprehensive information we need to decide which surgery, if any, is the right option for your unique eyes.

Does LASIK eye surgery hurt?2019-03-19T11:08:15-06:00

At Brinton Vision, your surgical technician will administer numbing eye drops to ensure you remain comfortable during the procedure. After LASIK, ICL, ASA, KAMRA, RLE, or SMILE, most patients experience little or no discomfort. Your eyes may feel scratchy, gritty, or watery for a couple of hours. These are temporary symptoms and are not a problem for most patients. The exception to this is Advanced Surface Ablation (ASA), which is an effective procedure for some patients who are not good candidates for LASIK or other LASIK alternatives. If ASA is the best choice for you, Dr. Brinton will discuss what to expect and answer any questions you may have.

Will I have to repeat LASIK surgery years later?2017-08-09T13:38:30-06:00

You should not have to repeat LASIK later in life. Your vision correction will be stable about three months after your procedure, and the correction made in your cornea is permanent after that. It is important to note, however, that the lens of your eye is not accessed during LASIK. It is the loss of flexibility in the lens that causes “over 40” vision, and that later leads to cataracts. Vision reduction or loss due to the normal aging process of the lens can still occur. Also, certain eye diseases such as macular degeneration and glaucoma are not prevented by refractive procedures. We test for these prior to surgery, but should you develop them later, your vision will likely be affected.

For more LASIK FAQS click here to read more.