Refractive surgery is the altering of tissues to change the way the eye sees. Having been in refractive surgery since the early 1990’s, Dr. Till has performed Radial Keratometry (RK), Arcuate Keratometry (AK), Automated Lamellar Keratoplasty (ALK), Lasik, and now Implantable Contact Lens (ICL). In order to achieve the desired final result, we now find that more than one of these tools may be needed. Dr. Till is the only physician in the area to have offered ALK and now ICL. Now, even cataract surgery incorporates some degree of refractive surgery to eliminate astigmatism or other visual distortions. With the new premium lens implants many patients are selecting, final touches to perfect the vision and the focus have to be made using various refractive procedures.