Sunday, May 20, 2012

LASIK with Connective Tissue Disease

Question: I would like to know if I am eligible for LASIK if I am ANA positive and have what the Rheumatologist calls undifferentiated Mixed Connective Tissue Disease.

Answer: Although there are probably LASIK Surgeons who would consider treating you, the conservative approach would be to avoid having LASIK or any type of Laser Eye Surgery for vision correction and instead consider whether you might be a better candidate for some type of Lens Replacement Surgery. The risk/benefit ratio is simply not sufficient to warrant taking the chance of an untoward event that could create a loss of vision.

Important Note: The information presented on the See With LASIK Blog or provided in response to a request for information in the Ask LASIK Surgeons section on seewithlasik.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to LASIK. In particular a response to an inquiry made on the Ask LASIK Surgeons section of seewithlasik.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and LASIK surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Monday, April 23, 2012

LASIK & Rigid Contact Lenses

Question: How long before having LASIK do you have to stop wearing  rigid gas permeable contact lenses?

Answer: While LASIK for Rigid Gas Permeable Contact Lens wearers can be an excellent option for vision correction, patients do need to understand that the long term wear of contact lenses-especially rigid contact lenses-does cause changes to occur within the Cornea, its shape and curvature, its thickness and the actually eye surface with regard to the tear film. If at all possible your LASIK Surgeon will want to have all of those changes, if any, revert back to a more normal and stable condition prior to having LASIK Surgery. The length of time it takes for these changes to reverse is really a function of how long you have been wearing the contacts overall, how much and what type-regular or irregular-change in BOTH curvature and shape have occurred in the Cornea and to what extent there are changes to the tear film stability and integrity-all of which can vary widely based on the contact lens fitting characteristics. Further, all of these changes vary from individual based on how rigid-ocular rigidity-the eye itself is. So it is very complex. Some LASIK Surgeons apply a simple rule of thumb as a guideline for patient education that states patients must have their rigid contact lenses out one week for each year that they have been wearing contacts. THIS IS A GUIDELINE. Most of the time it is possible for the LASIK Surgeon to be able to measure stability and consistency of the curvature and shape after some 6 weeks or so-but this does vary. The best results with LASIK are achieved when the quality and consistency of the measurements is VERY stable. Your LASIK Surgeon will ask you to come in for multiple repeated visits to determine when that stability has been achieved and then once achieved you should be able to have LASIK almost immediately thereafter.


Important Note: The information presented on the See With LASIK Blog or provided in response to a request for information in the Ask LASIK Surgeons section on www.seewithlasik.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to LASIK. In particular a response to an inquiry made on the Ask LASIK Surgeons section of www.seewithlasik.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and LASIK surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Monday, April 16, 2012

Blurry Vision after Cataract Surgery

Question: I had cataract surgery and a lens implant about 2 weeks ago and my vision is blurry and has not cleared. It is like the cataract is still in my eye. The cataract surgeon doesn't seem to be concerned. What should I do and why did this happen?


Answer: It is impossible to tell you why your visual recovery from Cataract Surgery is not quicker as you do not know whether there may have been some complication during Cataract removal or what the overall health of your eye is, including the Cornea and the Retina. However, what we can tell you is that you should carefully follow the instructions given by your Cataract Surgeon. Some blurry vision 2 weeks after Cataract Surgery is possible is there is Corneal swelling, inflammation, certain reactions of the Retina and other situations that can sometimes occur after Cataract Surgery. If you are uncomfortable with the information your Cataract Surgeon is sharing, then it is never inappropriate to find the best Cataract Surgeons near your home and schedule an appointment for a second opinion.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Monovision LASIK after Regular LASIK?

Question: Can you have Monovision LASIK after traditional LASIK to correct Presbyopia?

Answer: It may be possible to have Monovision LASIK after you have had traditional LASIK whereby both eyes were corrected for seeing at distance under certain circumstances and conditions.

First, if there is some degree of residual nearsightedness this would be helpful. Depending on the degree of near vision correction that is necessary to correct the Presbyopia, it may possible to perform a hyperopic LASIK in the non dominant eye to render it "nearsighted". This will depend on the shape and thickness of the cornea, the amount of correction required and the presence of an adequate and healthy tear film as well as your overall health. Upon examination and careful measurements by a LASIK Surgeon it would be possible to review the likelihood of achieving the desired result and ascertain the risks of either needing to create another "flap" or lift the current flap in order to perform the treatment.

Your next step is to schedule an appointment with the best LASIK Surgeon you can find and have a consultation.

Important Note: The information presented on the See With LASIK Blog or provided in response to a request for information in the Ask LASIK Surgeons section on seewithlasik.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to LASIK. In particular a response to an inquiry made on the Ask LASIK Surgeons section of seewithlasik.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and LASIK surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Thursday, April 12, 2012

Hidden Costs of LASIK

Beware of low LASIK prices with hidden costs you don’t know about. LASIK costs are affordable for almost anyone who wishes to minimize their dependence on or even eliminate the need for eyeglasses and contact lenses to see at distance. BUT-there are many patients who shop for the best price for LASIK and end up getting an unpleasant surprise. “Reputable and trusted LASIK surgeons tend to quote fees for LASIK that are comprehensive fees-that is they include everything you need to have LASIK and its associated evaluations and follow up care-regardless of your prescription,” commented Baltimore LASIK Surgeon and Corneal Specialist at Baltimore Washington Eye Center.

Discount LASIK centers that offer the lure of the best price for LASIK often quote a price for LASIK that is right on the edge of being deceptive in that it uses the lowest price to draw you in for an evaluation and get you excited about the possibility of having LASIK but then presenting you with hidden costs and fees. These hidden costs and fees can include an additional fee for your prescription that was not within the advertised range, it can include an extra hidden cost of LASIK for astigmatism, it can include an additional hidden cost for follow up care, it may include an extra hidden cost for custom wavefront LASIK or an add on hidden cost for enhancements-and on and on. Hidden costs and fees for LASIK are somewhat typical of the sales and marketing practices of certain discount centers. LASIK is surgery. You should choose a LASIK surgeon based on their reputation as recommended by friends and relatives and NOT based on the best price. Choosing a LASIK surgeon based on the best price alone could set you up for a number of hidden costs you can’t even understand and end up costing you more in the long run.