Private advisory · Jake Steiner · 5 to 10 people at a time

After LASIK, the blur is coming back. Take charge of what happens next.

Twenty years of work on how eyes respond to the way we use them. 423 published case records. A small number of people a year work directly with me, by voice note and a weekly log, on their own schedule.

For people whose distance vision has drifted since laser surgery, and who would rather change how they use their eyes than plan another procedure.

Apply for a placeHow it works
423published case records, 2013–2026
20years of the method
≤10people at a time
1voice note from Jake each week

What the work is

Eyes adapt to the distance they are asked to look at.

Surgery changed your eyes once. Your days probably stayed the same: long hours close up, little real distance. Years later, many people find the numbers moving again.

My work changes the ask: how far you work, which lenses you use for which task if you are back in glasses, how much real distance your day holds, and how you measure at home so you see the trend before your next eye exam does. You do the measuring and the changing; I read the log and tell you what to adjust.

Week one

Your history and your numbers

The procedure and when, what you see now, any glasses since, a week of home distance measurements.

Each week

The log, my voice note

You send the week's numbers. I send back a short recorded directive: what to change, what to keep, what to watch.

Each quarter

The trend

Measured at home and checked against your next eye exam. The goal is a flat line, then a falling one, at about the pace eyes actually change.

Who this is for

For people whose distance vision has drifted since laser surgery, who will measure at home and change their daily habits, and who want one accountable person on their case. Eyes change at about one diopter a year at best, and the work runs alongside your regular eye exams.

Application

8 questionsRead within three days · a place is offered or it isn't
1
2
3
e.g. LASIK 2014, PRK 2018, SMILE 2021.
4
From your latest eye exam, e.g. R −1.00, L −0.75, or 'no glasses yet'.
5
6
Distance blur coming back, screens harder than they were, glasses again.
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8
The engagement is twelve months, by voice note and weekly log. The fee ranges from $8,000 to $15,000 and up depending on complexity. Are you ready for that if a place is offered?
Applying is free. Jake reads every application himself.