• Room 203, Cure Day Clinic Erasmuskloof, 506 Jochemus Street, Erasmuskloof Ext 3, Pretoria, 0153

Refractive Surgery

Refractive Surgery

Did you know that you can enjoy better vision without having to wear spectacles? Refractive eye surgery is a procedure done to improve the refractive state of your eye. It decreases and in some cases, it eliminates the need for, or dependency on glasses or contact lenses. The refractive surgeon at Kloof Eye are capable of performing procedures such as Lasik, PRK, or Phakic lens implants using Artiflex or IPCL intraocular lenses.

If a patient has a refractive error, it means that the light rays are not bending the way they should when passing through the lens of their eye. Our ophthalmologists specialise in vision correction procedures that adjust the focusing ability of our patients’ eyes.

These procedures are performed to permanently change the shape of the cornea. Refractive eye surgery improves your vision so that you will not need to rely on glasses or contact lenses.

Are you a candidate for refractive eye surgery?

Unfortunately, not everyone is an automatic candidate for laser treatment. A full eye examination will be done to determine if you are a candidate for any of the refractive surgeries that we offer at Kloof Eye. Our examinations are done to determine the optimal type of laser correction surgery that is best suited to your needs.Dr. de la Bat will inform you of the benefits and possible complications of the proposed procedure you will require. To qualify for a refractive laser treatment at Kloof Eye, you need to meet the following criteria:

  • Be near-sighted – Nearsightedness, or myopia is when you find it difficult to see things far away. Nearsighted patients have a steeper cornea. Our eye surgeon will perform surgeries such as Lasik or PRK. These are done to reduce the curvature of the cornea.
  • Be farsighted – Farsightedness or hyperopia is when you find it difficult to see things up close. Farsighted patients have corneas that are too flat. Our surgeons use refractive procedures to increase the curvature of your cornea.
  • Have astigmatism – Patients with astigmatism have irregularly curved corneas. This causes them to have distorted, blurry, or fuzzy vision. Our refractive surgery techniques are performed to reshape the cornea and make it symmetrical.
  • Have a cataracts – Patients with cataracts have a clouding of the lens of their eye. This blocks light to the retina making it difficult to see. Cataract surgery is performed to remove the clouded, damaged lens and replace it with an artificial one.

Our surgery procedures

  • Lasik – Laser in-situ keratomileusis is a type of surgery performed to correct the vision of patients with astigmatism, nearsightedness, or farsightedness
  • PRK – Photo refractive keratectomy is a procedure done to reshape the other layers of the cornea. It corrects any irregular curvature in your eye and is the preferred treatment option for patients whose corneas are too thin for Lasik surgery.
  • Phakic lens implants – Phakic means that your lens will be implanted into your eye without removing the eye’s natural lens. These intraocular lenses are made from plastic or silicone.

What tests can I expect?

Dr Riel de la Bat will perform a thorough pre-operative evaluation. You can expect a full series of diagnostic tests that may include some, or all of the following:

  • A comprehensive review of your overall eye health
  • A comprehensive review of your eye glasses and contact lens history
  • Measuring your corneal thickness. This also includes shape and corneal features or topography.
  • A dry eye test will be performed
  • Pupil measurement will be done in a dark room
  • An endothelial cell count. This is a corneal cell count to determine how many endothelial cells are present in the inner layer of your cornea.

Why choose Kloof Eye?

The team at Kloof eye are passionate about eye health. We have qualified ophthalmologists that strive to deliver the highest quality eye care to all our patients. We are equipped with latest state-of-the-art equipment from Zeiss that enhances your experience.

Kloof Eye is a progressive eye surgery practice. We provide optimal eye care, cost-effective solutions, and friendly service. If you or anyone you know is experiencing vision problems requiring refractive surgery, choose Kloof Eye. Schedule a consultation with Dr. de la Bat today. We look forward to helping you on your journey towards better eye health.

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Refractive Eye Surgery FAQ

  • While distance vision correction is usually permanent, most patients will still require reading glasses after age 40 due to presbyopia. Laser surgery corrects your current prescription, but it does not stop the natural aging of the eye’s internal lens; however, we can discuss “Monovision” options if you wish to reduce your dependence on readers later in life.

  • Modern refractive surgery is exceptionally safe, with complication rates typically sitting well below 1% for experienced surgeons. While temporary side effects like night-time “halos,” glare, or dry eyes are common during the first few weeks, serious long-term risks are rare when patients are screened correctly at a specialist facility like Kloof Eye Medical.

  • Most South African medical aids view refractive surgery as an elective “lifestyle” procedure and do not cover the full cost. However, some plans allow you to use your Medical Savings Account (MSA) for the theatre fees or pre-operative scans; we recommend checking with your provider (e.g., Discovery or Momentum) before your consultation.

  • The total cost for both eyes generally ranges from R18,000 for basic laser to R55,000 for advanced Phakic ICL procedures. At Kloof Eye, our pricing reflects the latest Schwind or Zeiss laser technology and the cost of premium imported implants, ensuring you receive world-class care right here in Pretoria.

  • You must strictly avoid rubbing your eyes and keep tap water, swimming pool water, and sweat out of your eyes for at least two weeks. Proper aftercare is vital to prevent infection; we provide specific protective shields and medicated drops at our Erasmuskloof rooms to ensure your eyes heal without complication.

  • Light exercise like jogging is usually safe within 3 days, but contact sports must be avoided for up to 6 months after LASIK. Because a LASIK flap remains delicate, patients in the Constantia Park and Waterkloof areas are advised to choose PRK if they participate in high-impact sports like rugby or martial arts.

  • Most LASIK and Phakic IOL patients meet the South African legal driving standard within 24 to 48 hours post-op. For PRK patients, the healing of the surface layer can cause temporary blurring, so we advise waiting until your follow-up appointment at Kloof Eye before getting back behind the wheel.

  • LASIK and Phakic lens patients often return to work within 48 hours, while PRK recovery typically takes 1 to 2 weeks. While the initial “functional” vision returns quickly for most patients at our Pretoria East practice, the final visual stability—especially with PRK—can continue to improve over several months.

  • LASIK and PRK use lasers to permanently reshape the cornea, whereas Phakic surgery involves placing a removable lens inside the eye. LASIK is known for rapid recovery, PRK for its flapless safety on thin corneas, and Phakic ICLs for treating very high prescriptions that lasers cannot safely reach.

  • Chronic dry eye can make LASIK unsuitable, but surface-based PRK or Phakic ICLs are often successful alternatives. Since LASIK involves creating a corneal flap that can temporarily worsen dryness, our specialists in Erasmuskloof often recommend Phakic IOLs for patients with pre-existing dry eye, as this procedure leaves the corneal nerves largely untouched.

  • Yes, while thin corneas may disqualify you from LASIK, you may still be an excellent candidate for PRK or Phakic Lens Implants. Because PRK is a surface-level treatment and Phakic lenses are implanted behind the iris, they do not require a corneal flap, making them safer alternatives for patients in Gauteng with thinner corneal tissue.

  • Ideal candidates are generally aged 20 to 45 with a stable prescription for at least 12 months and healthy corneas. At Kloof Eye in Pretoria, we perform a comprehensive screening to ensure your eye anatomy is suited for laser correction, as factors like pupil size and corneal mapping determine your safety profile.

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Refractive Eye Surgery FAQ

  • While distance vision correction is usually permanent, most patients will still require reading glasses after age 40 due to presbyopia. Laser surgery corrects your current prescription, but it does not stop the natural aging of the eye’s internal lens; however, we can discuss “Monovision” options if you wish to reduce your dependence on readers later in life.

  • Modern refractive surgery is exceptionally safe, with complication rates typically sitting well below 1% for experienced surgeons. While temporary side effects like night-time “halos,” glare, or dry eyes are common during the first few weeks, serious long-term risks are rare when patients are screened correctly at a specialist facility like Kloof Eye Medical.

  • Most South African medical aids view refractive surgery as an elective “lifestyle” procedure and do not cover the full cost. However, some plans allow you to use your Medical Savings Account (MSA) for the theatre fees or pre-operative scans; we recommend checking with your provider (e.g., Discovery or Momentum) before your consultation.

  • The total cost for both eyes generally ranges from R18,000 for basic laser to R55,000 for advanced Phakic ICL procedures. At Kloof Eye, our pricing reflects the latest Schwind or Zeiss laser technology and the cost of premium imported implants, ensuring you receive world-class care right here in Pretoria.

  • You must strictly avoid rubbing your eyes and keep tap water, swimming pool water, and sweat out of your eyes for at least two weeks. Proper aftercare is vital to prevent infection; we provide specific protective shields and medicated drops at our Erasmuskloof rooms to ensure your eyes heal without complication.

  • Light exercise like jogging is usually safe within 3 days, but contact sports must be avoided for up to 6 months after LASIK. Because a LASIK flap remains delicate, patients in the Constantia Park and Waterkloof areas are advised to choose PRK if they participate in high-impact sports like rugby or martial arts.

  • Most LASIK and Phakic IOL patients meet the South African legal driving standard within 24 to 48 hours post-op. For PRK patients, the healing of the surface layer can cause temporary blurring, so we advise waiting until your follow-up appointment at Kloof Eye before getting back behind the wheel.

  • LASIK and Phakic lens patients often return to work within 48 hours, while PRK recovery typically takes 1 to 2 weeks. While the initial “functional” vision returns quickly for most patients at our Pretoria East practice, the final visual stability—especially with PRK—can continue to improve over several months.

  • LASIK and PRK use lasers to permanently reshape the cornea, whereas Phakic surgery involves placing a removable lens inside the eye. LASIK is known for rapid recovery, PRK for its flapless safety on thin corneas, and Phakic ICLs for treating very high prescriptions that lasers cannot safely reach.

  • Chronic dry eye can make LASIK unsuitable, but surface-based PRK or Phakic ICLs are often successful alternatives. Since LASIK involves creating a corneal flap that can temporarily worsen dryness, our specialists in Erasmuskloof often recommend Phakic IOLs for patients with pre-existing dry eye, as this procedure leaves the corneal nerves largely untouched.

  • Yes, while thin corneas may disqualify you from LASIK, you may still be an excellent candidate for PRK or Phakic Lens Implants. Because PRK is a surface-level treatment and Phakic lenses are implanted behind the iris, they do not require a corneal flap, making them safer alternatives for patients in Gauteng with thinner corneal tissue.

  • Ideal candidates are generally aged 20 to 45 with a stable prescription for at least 12 months and healthy corneas. At Kloof Eye in Pretoria, we perform a comprehensive screening to ensure your eye anatomy is suited for laser correction, as factors like pupil size and corneal mapping determine your safety profile.