Question: As someone who has had the RK surgery in the early 90's should LASIK be an option for me today or is the risk too high at age 52? Second, I wish to know if it is good practice to correct one eye for nearsightedness and one eye for farsightedness. I am unsure if one can adjust to one eye doing all the work for both near/farsightedness. How will this affect people long term? How long will the correction last before another surgery is required?
Answer: Whether or not to have LASIK or any type of corneal Laser Eye Surgery after RK really depends on what you are trying to achieve. If you are attempting to obtain a monovision correction and no further distance correction really may make for a difficult result if the RK is not stable-which it tends not to be. So, stability and residual refractive error are some things that need to be considered. Further, depending on the location and the depth of the incisions used for the RK, it may only be possible to perform a surface ablation procedure such as PRK, rather than a lamellar procedure such as LASIK. In addition, the kind of work and activities that you perform and the degree and precision of near vision correction also weigh into the decision of whether corneal laser eye surgery with monovision or perhaps even a multifocal lens implant procedure might provide the best results. Your situation requires a consultation with an eye surgeon who is a specialist in corneal, laser, cataract and refractive surgery in order to deal with the various complexities and goals that you have. You should find a LASIK Surgeon who is preferably a Corneal Specialist and is also an experienced Refractive Cataract Surgeon in order to fully explore all of the possibilities.
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