CustomVue LASIK

CustomVue Wavefront

VISX® Wavefront-Guided LASIK for Correction of Myopic Astigmatism
(CustomVue™ LASIK Laser Treatment)

Woman with diagram of circles over her eye representing technology

Wavefront Technology

Available at our Laser Vision Correction Centers in Stockton, Tracy and Lodi, “Custom LASIK” or “Wavefront-Driven LASIK” is a laser vision technology that allows a surgeon to personalize a LASIK procedure to potentially improve the already excellent results obtained with traditional laser vision correction.  This procedure uses wavefront technology, which provides previously unattainable diagnostic information.


Wavefront technology was first developed in 1978 by Josef Bille, Ph.D., director of the Institute for Applied Physics at the University of Heidelberg, to measure wavefront distortions that occurred when light traveling through the atmosphere entered a telescopic lens. This technology removed any visual distortion or aberrations from the atmosphere allowing astrophysicists to more accurately view images of the stars and planets.

Ophthalmologists now utilize this technology to record detailed information about the visual characteristics of the eye. Unlike standard measuring devices such as corneal topography, which measure the cornea, or front surface of the eye, the wavefront scans the way the entire optical system processes light.

“Fingerprint” of the Eye

Wavefront analysis works by measuring the distortion or irregularities of the eye, known as higher-order aberrations. When a ray of light first enters the eye, it passes through the cornea to the lens and vitreous, ultimately reaching the retina. As light bounces off the retina and returns back through the cornea, the wavefront analysis detects and documents these distortions, which are unique to each individual. Because each patient has a unique visual optical system, the wavefront data has been likened to a fingerprint.

Custom LASIK

Once the wavefront data has been documented for an individual patient, the next step is to use this information to utilize the excimer laser to correct the higher-order visual aberrations. The surgeon can then determine what adjustments must be made to the corneal surface to produce a clear, crisp image for the unique individual needs of each patient. The use of wavefront technology to provide a more precise laser vision correction is known as “Custom LASIK” or “Wavefront-Driven LASIK.” Data suggests that the 5-10 percent of patients who demonstrate higher-order aberrations are the patients that will significantly benefit from Custom LASIK treatments. Other patients may benefit from Custom LASIK to a smaller degree.

The Complete System

Every major laser manufacturer is actively working to bring this technology to the market. The VISX® laser utilizes The VISX® WavePrint™ System including the WavePrint Map, 3D ActiveTrak™ Eyetracker and Variable Spot Scanning (VSS™).

The WavePrint™ Map is the diagnostic tool that documents the precise analysis of the unique visual system. The 3D ActiveTrak™ follows the tiny motions of the eye instantaneously and automatically in all three dimensions, repositioning the laser as the eye moves slightly to ensure accuracy. The VSS™ is an exclusive VISX® laser technology that allows for a larger treatment area than previously available. This offers the physician greater flexibility in developing a more personalized laser vision procedure, when pupil size may be a consideration.

Statements regarding the potential benefits of wavefront-guided LASIK (CustomVue) are based upon the results of a clinical trial. These results are indicative of not only the CustomVue treatment but also the care of the clinical physicians, the control of the surgical environment by those physicians, the clinical trial’s treatment parameters and the clinical trial’s patient inclusion and exclusion criteria. Although many clinical trial patients after the CustomVue procedure saw 20/20 or better and/or had or reported having better vision during the day and at night, compared to their vision with glasses or contact lenses before the procedure, your results may vary.

Only an eye care professional trained in laser vision correction can determine whether you are a suitable candidate for the CustomVue procedure. As with any surgical procedure, there are risks associated with the CustomVue treatment. Before deciding whether to have the CustomVue procedure, you should ask your doctor for and carefully review a Patient Information Booklet. It is important to discuss the risks associated with the procedure and any questions you may have about the procedure with your doctor.

To learn more about CustomVue LASIK, contact our Laser Vision Correction Center at any of our locations (Stockton, Tracy, Lodi). 

Related Pages

LASIK Self-Test Cataract Self-Test Schedule Appointment

What our Patients Say

‍A few years ago, I decided to have laser eye surgery to correct my lifelong problem with nearsightedness.  Before that I always wore glasses or contacts.  I remember having frequent problems with contacts which would lead to problems with sunglasses or diving masks and the like.  when I chose to have eye surgery, I decided to go with Dr. Narvaez.  As a surgeon myself, I knew of his reputation and we had some patients in common and I was always impressed by his work.  Therefore, the choice was clear to me even though I knew many other Doctors who could do the procedure. After the procedure, I had excellent vision.  I love my new vision and enjoy being glasses and contacts free.  Dr. Narvaez is an excellent surgeon and I highly recommend him.

John Y. Kim, M.D.

Head and Neck Surgeon

What our Patients Say

I endorse my ophthalmologist, Julio Narvaez, MD.I have known him since moving to Loma Linda University in 2010.I was referred to him by a trusted friend and Ophthalmologist and was his patient; he is caring, bright and understood the problem and how I needed to be treated. He explained my options and allowed me to feel I had chosen my treatment while gently steering me the right direction. He was flexible when I asked to have my choice of anesthesia, which was local without sedation. He was not bothered by my continuous alertness during the surgery.

He is a bright and flexible surgeon, who makes excellent personal decisions and keeps perspective in his work and life.I would happily return to him for more care when needed.I endorse him without reservation and am glad to consider him a friend and colleague. Sincerely,

Dean A Hadley, MD Loma Linda University

Associate Professor of Urology, President of the Western Section of the American Urological Society

What our Patients Say

It’s amazing to have new technology nowadays. Previously, I had worn eyeglasses for over 35 years. After having Symfony lenses implanted into both eyes, it’s a wonderful feeling to be able to read almost everything without glasses. All the worries and fears prior to the surgery were for nothing. It’s awesome; my vision is clearer and better!  I’m so grateful to have a very good, knowledgeable, and hardworking team. My experiences with you will forever be in my heart. God is so good. He will always guide me all the way.