WHAT MADE YOU WANT TO BECOME AN EYE SURGEON?

Ophthalmology is one of the very few fields of medicine where as a doctor, you can significantly improve a patient’s quality of life on a frequent basis. To many individuals, sight is one of their most precious senses. Having the capacity to return vision to a patient who has lost it…is life changing.
During my fellowship, I performed a Keratoprosthesis (artificial cornea) operation on a patient who had been legally blind for 15 years due to scarring on his eyes. The procedure was very new, and the patient had heard that our center offered it. He came with low expectations but high hopes. One week after the surgery, this patient went from blind to 20/20 in the operated eye. He arrived for his post op appointment in tears, because he was able to see his 10 year old granddaughter for the first time in his life. LASIK surgery can free a person from the restrictions of glasses and contact lenses. Cataract surgery can often offer significant improvements in vision, many times patients with cataracts never realized how poor their vision had become until after we improved it with surgery. These are the sort of moments that make ophthalmology such a rewarding field.

TELL US A LITTLE ABOUT YOUR EDUCATION AND EXPERIENCE.

I completed my undergraduate degree at Louisiana State University (LSU) in Baton Rouge, LA, with a major in Microbiology and a minor in Chemistry. I scored in the top 10 percent of applicants nationwide on the medical school admissions test (MCAT) and was subsequently hired by the Princeton Review test preparation institution to teach as a course instructor to assist other students who were preparing for this test. I attended medical school and obtained my medical doctorate degree in New Orleans, Louisiana. All of my clinical years occurred during the days of the Hurricane Katrina disaster. Following graduating medical school, I spent an additional year in New Orleans in an effort to help the citizens of the city rebuild and to complete an internship in Internal Medicine. During that time, I was selected as “Intern of the Year” by popular vote of the doctors in the Internal Medicine department at the LSU Medical Center Charity Hospital System in New Orleans. In order to specialize in ophthalmology, I completed a three year residency at the University of Louisville before being accepted as a medical cornea and refractive surgical fellow at the Wang Vision Institute in Nashville, TN. After completion, I joined the Tylock Eye Care & Laser center in Irving, Texas in 2012 and have gained significant experience and expertise working in private practice. During that time, I became Board Certified by the American Board of Opthalmology.

WHY DID YOU CHOOSE TO JOIN TYLOCK EYE CARE?

My training has allowed me to witness the positive side of medicine. I saw these patients in the aftermath of Hurricane Katrina who direly needed treatment and could not afford it. Doctors and nurses cared for patients tirelessly and without expectation of compensation out of compassion and kindness. Unfortunately, I have also seen patients who medicine failed, in many various ways and capacities, and those who did not have a happy ending. I have seen and understood the fear of the unknown that patients feel, which accompanies prospective medical care and procedures. I chose to join Tylock Eye Care because following my interview with Dr. Gary Tylock, and my visitation to his facility, I felt confident and assured that his practice represented one where medical care was driven by compassion rather than by greed.  I saw an office where patients came first, employees came second, and every decision was made with careful consideration as to what was felt to be the right thing to do. This was the sort of practice I admired and wanted to be a part of.

Dr. Tylock has forged a legacy in the Dallas-Fort Worth area. Every doctor finds some way to lay a claim to fame in their own way.  For Dr. Tylock, he did not strive to have the largest LASIK practice in the metroplex. He may not have boasted to have done the most LASIK surgeries in the world. But he had no reservations about admitting, with a smile, that he always spent the extra money to purchase the most cutting edge technology for his patients—to ensure they got the best possible outcomes—even when it at times hurt his bottom line. Dr. Tylock has a personal life policy to “do your best to do what is right”, which I found to be impressive and compassionate, and hope to emulate this and carry his tradition as closely as I can.

WHAT PROCEDURES DO YOU SPECIALIZE IN?

I specialize in Wavefront Optimized LASIK surgery as well as LASIK surgery using Contoura Vision—the newest FDA approved LASIK technology, currently only available at a select few locations in the entire nation. I also specialize in cataract surgery and have had extensive training in advanced technology lenses and post LASIK intraocular lens calculations, and have assisted with cataract topography consultations for other laser centers around the country. I perform complex cataract and lens replacement procedures. My training in medical cornea has given me significant experience in full thickness corneal transplants, corneal endothelial transplants, Boston Keratoprosthesis (artificial cornea) implantation, Intacs implants, pterygium surgeries, among many others.

CAN LASIK BE CONSIDERED SAFER THAN CONTACTS?

Yes!  LASIK can be considered safer than contacts, when you compare a one time LASIK surgery to a lifetime of contact lens wear. Contact lenses have a higher cost and a higher risk over the course of a person’s life than LASIK surgery does, while LASIK surgery has a higher up front cost.

WHAT WOULD YOU SAY TO A PATIENT WHO IS VERY SCARED BEFORE THEIR EYE SURGERY?

I usually like to first confirm that their fear is understandable—any surgery can be frightening, nevermind surgery on your eyes! But if the surgery is truly necessary or desired, the most important thing you can do is feel confident in the planned treatment. Learn about the best way available to do the procedure, and go with a center and surgeon that has experience in it and performs it regularly. Find a doctor who identifies with you, as a potential patient, and cares about your outcome. Recognize the importance of reviews from others. Armed with this knowledge, you as a patient can feel confident knowing your chances of having a successful outcome are high!

TELL US A ABOUT CONTOURA VISION?

Contoura vision is a highly advanced LASIK platform that is designed to optimize the corneal surface of the eye, which can ultimately lead to even better quality results from LASIK surgery.  It is a new form of LASIK that not only treats your glasses prescription, it also identifies and corrects subtle imperfections in the optics of the cornea. By treating these surface aberrations, at the end of the FDA multicenter clinical trial, the results showed not only 20/20 vision in treated patients, but vision that was 20/16 (better than 20/20) in 68% of patients, and vision that was 20/12.5 (much better than 20/20) in 31.6% of eyes.  Contrast sensitivity was also measured, and the results showed improvements in both light and in dark conditions across all spatial frequencies.  Many patients benefited with improvements of existing visual and/or ocular symptoms, such as light sensitivity, difficulty driving at night, glare, halos, and starbursts. Contoura Vision currently represents the most sophisticated LASIK technology in the world.

WHAT IS A CATARACT AND HOW IS IT TREATED?

When each of us is born, there is typically a clear lens in our eyes that helps us to focus to see both distance and near. Every year that we are alive, this lens slowly becomes more cloudy. These changes are very mild and unnoticeable typically until the age of 40 or so, when many people begin to need to wear reading glasses to see up close. The clouding of the lenses in our eyes becomes much more noticeable around the age of 60 to 80, when it is so severe that it blurs our vision, causes glare or halos around lights at night, and makes it to where we need more light to read! This is when we call the lens a cataract. A cataract is a cloudy lens, and the only way to restore sight in an eye with a cataract is to remove the cloudy lens (the cataract) and replace it with a new one. We replace cataracts with clear lenses made of high quality medical grade plastic. This plastic is very soft and when implanted correctly, poses no significant threat to a patient’s eye, and can improve vision—either distance, or near, or both. We also can incorporate your glasses or contact lens prescription into your new lens, so that after cataract surgery you may not need glasses, even if you needed them for your entire life before the surgery!

WHAT IS THE BEST LENS OPTION FOR PATIENTS DOING CATARACT SURGERY?

Actually, there is no single “best lens” for everyone who is a candidate for cataract surgery! No lens is perfect, and all of them have both benefits and drawbacks. The standard lens that Medicare or insurance companies pay for has the ability to deliver great distance vision when the appropriate power is selected by an experienced cataract surgeon. This standard lens does not correct astigmatism. Typically, a patient with a standard lens would require reading glasses be worn in order to see up close.  This lens choice may be the best lens if a patient does not have astigmatism, is cost conscious, and does not mind using readers.  Other patients may need a lens that corrects astigmatism, or may prefer a premium lens that gives both distance and reading. Even among premium lenses, some give better near power than others, but at the cost of mild glare and halos around lights at night, or needing more light to read. Certain patients are not candidates for certain lenses as well, due to pre-existing conditions in their eyes.  The only way to determine which lens is best for you is to be evaluated by a surgeon with sufficient knowledge of every lens type and their indications, and have an honest discussion about your desires, expectations, and the benefits and drawbacks of each option.

WHAT ARE SOME OF THE MOST COMMON QUESTIONS OR CONCERNS YOUR PATIENTS HAVE?

LASIK patients are often concerned over what the chances are that something will go wrong with the procedure. They worry that they might blink at the wrong time or look in the wrong place when the procedure is done! While older LASIK machines do have risks with improper placement of treatment if a patient is not looking at the fixation light, newer machines such as ours use computerized tracking of your eye movements, which ensures the laser spots are only placed exactly where they are meant to go, and only when your eye is visible to the tracker. Our machine tracks your eye movements over 1,000 times every one second!

ARE THERE OPTIONS FOR PATIENTS WHO ARE NOT CANDIDATES FOR LASIK?

Yes, options do exist to correct the vision of non-candidates for LASIK! Sadly, some patients may never realize these options even exist if they go to a LASIK screening at an ophthalmology practice that does not offer a large compliment of services. Some patients with prescriptions that are too high to be corrected with LASIK are candidates for implantable collamer lenses which can yield very similar if not identical results to LASIK, however not all surgeons have had training in this procedure and do not offer it. Other patients may be better candidates for clear lens exchange or cataract surgery, depending on their age.

Additionally, older lasers and older technologies are sometimes not capable of correcting certain prescriptions, while centers such as ours which invest in the newest equipment and software possess the most up to date FDA approved technologies. LASIK machines are sophisticated computers, and newer ones are by design going to out-perform those that were made 10 years ago in many complex and visually significant ways. One example is the newest FDA approved LASIK procedure called Contoura LASIK (recently FDA approved at the end of 2015), which has shown the ability to improve the vision in the majority of patients to better than 20/20, and the ability to improve vision to better than many patients had ever be corrected to in the past with either their glasses or contact lenses.

DR. GEORGE IS THE OFFICIAL LASIK PROVIDER FOR THE TEXAS RANGERS!

TYLOCK-GEORGE EYE CARE

3100 N. MACARTHUR,
IRVING TX 75062

972.258.6400
www.tylock.com

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