A Clear View

to Better Vision

The Manrique Difference

At Manrique Custom Vision, we understand that each individual has specific needs when it comes to their eyes. We also believe personalized service is the key to you gaining a clear view to better vision. Every patient benefits from a customized vision plan that we bring to life with state-of-the-art technology, a variety of options to help make your treatment an investment you can afford and the right people.

State-of-the-Art Technology

We only utilize the latest FDA approved technology. The WaveLight EX500 Excimer Laser system is the newest and fastest laser on the market. Manrique Custom Vision can use this laser system to address a wide treatment range including nearsightedness, farsightedness, and astigmatism as well as addressing glare and halo issues at night.


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Z-LASIK: More comfortable, less stressful for you!



  • 10 to 100x faster than any other femto laser
  • the fastest femto-LASIK procedure
  • the smoothest, most precise, easiest-to-lift flaps

Information provided from www.ziemergroup.com, June 2012.


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WaveLight® EX500

WaveLight® EX500 Excimer Laser

• only excimer laser to operate at 500 Hz • swivel bed to optimize procedure time • innovative engineering for patient safety & comfort • designed for accuracy and efficiency Information provided from www.myalcon.com, May 2014.

Payment Plans

The decision to have laser vision correction is an investment not only in the quality of your vision, but in the quality of your life. We provide monthly payment options to fit any budget so you can focus on the wonder of your new vision without worrying about how you can afford it.

Meet the Manrique Custom Vision Team

Our doctors and friendly staff are an elite group of specialists dedicated to providing you with the highest quality eye care and laser vision correction.

Carlos Manrique de Lara, MD, F.A.C.S., Medical Director


Dr. Manrique is a dedicated Rio Grande Valley eye doctor specializing in refractive surgery. Certified by the American Board of Ophthalmology, a Fellow of the American College of Surgeons and the American College of Eye Surgeons, he is the Medical Director of Manrique Custom Vision, a leading Texas Z-Lasik and eye surgery practice with locations in San Antonio, Harlingen and McAllen-Edinburg.

Dr. Manrique was a professor at the University of Texas and has been a professor at Texas A&M University and the Scott & White Clinic. He is a member of the American Academy of Ophthalmology, American Society of Cataract and Refractive Surgery and International Society Refractive Surgery. Dr. Manrique de Lara is a trainer and proctor for the IntraLase and WaveLight Laser systems. He is also a Medical Advisor for the Blade-Free Ziemer Laser (Z-Lasik).
Click here to view Dr. Manrique’s LinkedIn profile.

Sairah Malik, OD Clinical Director

docs2_sm Dr. Sairah Malik, a Texas licensed optometrist and certified glaucoma specialist, serves as Clinical Director for Manrique Custom Vision. She is also board-certified in the treatment and management of ocular disease. Originally from Canada, Dr. Malik completed her undergraduate coursework at The University of British Columbia. She received her doctorate at The University of Houston College of Optometry.

Dr. Malik has had extensive training in refractive surgery and cataract surgery while working at several LASIK centers in Canada and the United States prior to joining Manrique Custom Vision, bringing with her a wealth of knowledge in primary eye care and laser vision correction. She currently manages the optometrists for Manrique Custom Vision.

Click here to view Dr. Malik’s LinkedIn profile.

Idean Nikrooyan, MD

idean-nikrooyanBorn and raised in Texas, Dr. Nikrooyan received his medical degree from Texas Tech University in Lubbock graduating one of the top in his class. After medical school, Dr. Nikrooyan completed his transitional internship at John Peter Smith Hospital in Fort Worth gaining a wealth of knowledge . Following his intern year, he returned to Lubbock to complete his Ophthalmology residency at Texas Tech University where he was chosen to serve as Chief Resident. Dr. Nikrooyan completed a Fellowship in Cornea, External disease, and Refractive surgery at The New York Eye and Ear Infirmary in Manhattan, New York.

His varied medical experience ranges from treating veterans and rural West Texans in a level-one trauma center to performing refractive surgery for clientele on Fifth Avenue in Manhattan. A well versed surgeon with empathy for all of his potential and existing patients.

Dr. Nikrooyan has joined the Manrique Custom Vision Team with the vision of improving the quality of life for his patients in our community through one of the many refractive procedures he has been trained to do.

Dr. Ashely McClure


Dr. Ashley McClure is a Texas licensed optometrist that focuses on LASIK evaluations and post-surgery care. Dr. McClure received her Bachelor of Science from the University of Texas at San Antonio. She then continued her education to receive her Doctor of Optometry degree from the University of Houston College of Optometry.

Jane Kosin, OD

jane-koshinDr. Jane Kosin received her Bachelor of Fine Arts from the University of Texas at San Antonio.  She then pursued her Doctor of Optometry degree from Northeastern State University College of Optometry and graduated Cum Laude.  During this time, she completed her clinical rotations at the Cherokee Nation Hospital and Muskogee VA Hospital, where she received training in primary care and ocular pathology.  Dr. Kosin is currently a Texas licensed optometrist and certified glaucoma specialist that focuses on the management of pre and post-procedural care at Manrique Custom Vision. She is also a member of the Bexar County District Optometric Society.

Heriberto Manrique, Administrator

docs5_h-manriqueHeriberto Manrique de Lara attended St. Mary’s University in San Antonio, Texas where he received his Bachelor in Biology and Chemistry. He also attended Yale School of Management in Summer of 2006 – Ophthalmic Administrator program. He joined Manrique Custom Vision as Assistant Administrator in 2003. In early 2005 he became Administrator for the practice. He has been part of the successful growth of the practice and has overseen the development and opening of offices in Harlingen, The Woodlands, and San Antonio.

“Beto” Manrique is a member of the Association of Ophthalmic Administrators (ASOA), and has served on the Board for the Better Business Bureau for Houston and Rio Grande Valley, and the McAllen Hispanic Chamber of Commerce as Vice Chair of International Trade. He is a former member of the Kiwanis Club and was founder of the Mexican Student Association in St. Mary’s University.

Click here to view Beto’s LinkedIn profile.

Currently serves as Board Member for Friends for Hope benefiting Vannie Cook’s Children Cancer Clinic and Board member for McAllen Boys and Girls Club

Richard Doinoff, Director of Operations

docs6_richard-headshot Richard is Director of Operations for Manrique Custom Vision. He started out at The Woodlands location 7 years ago. After helping build the clinic he was transferred to the newest location in San Antonio where he oversees marketing and patient satisfaction. Extensively trained in all aspects of the eye, Richard has consulted thousands of patients on LASIK, PRK, and ReSTOR lens for cataracts.

Prior to his role at Manrique Custom Vision, Richard started his career in refractive surgery in Dallas, TX where he was Marketing Manager for a busy practice. He also spent 12 years serving his country in the US Navy, with several tours overseas and ended his career in recruiting duty. Richard then spent time as Director of Admissions at several schools. Richard has 3 children who are the center of his attention when he is not at work.

Click here to view Richard’s LinkedIn profile.

Manrique Custom Vision Center

Manrique Custom Vision is considered a leading San Antonio, Texas Z-Lasik practice, specializing in Z-Lasik vision correction, cataract surgery and Intacs Corneal Implants. Board-certified ophthalmologist Dr. Carlos Manrique de Lara is considered as a leading San Antonio Z-Lasik eye surgeon.

© 2017 Manrique Custom Vision. DISCLAIMER: The medical content provided on the Manrique Custom Vision website is for informational purposes only about the practice and is not intended to replace appropriate medical consultation with a qualified physician or healthcare provider. For verification of site content, contact our corporate office at 956.661.9000.