Q: In the Southern California area (LA to San Diego), if you had to choose 3 facilities/sergeons to have LASIK performed on your eyes, which would they be reguardless of cost? Thanks. -Brandon A: It is not appropriate for me to comment on that. Andrew Caster, MD www.castervision.com

Q: Is there any procedure that does not involve the cut of the flap? Is there a precedure that involves the flap to stay on for the time of the corrective eye surgery? A: Advanced Surface Treatment, also known as PRK, Lasek, and Epi-Lasik, does not involve a flap. Andrew Caster, MD www.castervision.com

Q: Advanced Surface Treatment, also known as PRK, Lasek, and Epi-Lasik, does not involve a flap. Andrew Caster, MD www.castervision.com A: Intacs are available. Andrew Caster, MD www.castervision.com

Q: Are Intacs be the best choice for someone who had Radial Keratotomy 20 years ago? Thanks. A: No, I do not think that Intacs are the best choice, at least in most situations. Lasik or PRK is usually a better choice. Andrew Caster, MD www.castervision.com

Q: I had laser surgery in 2000 because I was nearsighted. Now I am 46 and am having a horrid time reading small print and have difficulty reading in dim light. Is a second procedure available so that I can avoid reading glasses? A: You can have a laser treatment, or have conductive keratoplasty (CK) to create monovision. Andrew Caster, MD www.castervision.com

Q:  i had a cataract surgery two years ago,and just this august,my eyesight started to become blurry.i just had a consultation @ laser eye center but i was denied due to the reason that i had undergone a surgery.what other options can i do in order for my eyesight to be like it was before A: It depends on what is causing the problem. You should obtain a thorough examination by an ophthalmologist. Andrew Caster, MD www.castervision.com

Q:  Hello, I want to get my wife either lasik or prk. A Dr. in Vegas, Dr. Wellish, quoted us 5200 dollars for both eyes in lasik. We are concerned because 20 years ago Ronald Jensen did RK on me and it was brand new to this country at a price of 3000 dollars. We want to touch mine up after that with their recommended PRK at again another 5200 dollars. We are going to call DR. Thomas Tooma, in Newport beach, on Monday for a second opinion. We are willing to pay for the best but are these normal fees? Also who is the best now that Dr. Jensen is not available? Mike Laskey A: These fees are very reasonable. Some doctor's fees are higher than this, some are lower. Andrew Caster, MD www.castervision.com

Q: Hi Dr Caster, I am a 49 yr old woman who is contmplating lasik for nearsightedness. I have been wearing bifocals and am frustrated cause i cannot adapt to bifocal contacts. i simply cannot see with them on. I have a rt eye of 1.745 and a left of .75 and i can read just fine most of the time without my glasses if i have to. My eye dr tried me on a contact to simulate monovision but i find it not easy to read very well like that and its very fuzzy. I can see distance ok but not as clearly as with my glasses on. Since I know that my presbyopia is going to worsen as i age should I just have both my eyes corrected for distance and just use readers or pursue some other avenue? I am not sure monovision is good for me since i am sure at some point in the future i will have to have my lt eye done as well. What do you think? Just how bad will my short vision be if i get both eyes done. Does it worsen draumatically? I am also curious which laser is better? The visx 4 or the allegretto? Thanks for taking the time. Dawn A:  Many people to not adapt well to bifocal contact lenses, and many people also do not like monovision. So there is no perfect answer for you. It is a question of which solution seems best to you. You must simulate how you will see after the surgery, using glasses or contact lenses beforehand, and decide which type of vision you prefer. Andrew Caster, MD www.castervision.com

Q: Who do you think is the best Lasik surgeon in Seattle? A: It is not appropriate for me to respond to this type of question. Andrew Caster, MD www.castervision.com

Q:  Hey.. I just started a job at Dominos and i work the Ovens alot and i have had problems with my eyes 4 times now and i don't know if the oven is causing it. But for at least 10 minutes my eyes gointo a blurr for a little while and it won't go away it kinda looks like when your in the desert and you see that blurr far away like water but its in my eyes a little can you tell me what i should do? i have never had problems with my eyes last time i checked i had perfect vision thank you A: If it happens after you are around the oven, then you may be burning your eyes, and you need to be much more careful. Otherwise, you should see an eye doctor. Andrew Caster, MD www.castervision.com