Monday, May 20, 2013

LASIK Vision Correction for Astigmatism


Question: Ten years ago I went for a consultation for LASIK vision correction, but I was told I wasn't a good candidate due to my astigmatism. At the time I was 18 years old. Due you think now with technology and my age I might qualify?

Answer: If your cornea is healthy and normal in terms of shape and thickness-and if the astigmatism is regular and anatomical rather than due to thinning or a disease process, there are pretty good chances that your astigmatism is correctable with LASIK vision correction. This of course will depend on you overall correction requirements, the stability of your prescription and the general health of your eyes and tear film. You should find a top LASIK surgeon in your area and schedule a consultation to have the necessary measurements taken and a thorough evaluation performed.

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.

Blurry Vision, Dry Eye & LASIK


Question: I had LASIK 5 weeks ago and at my 1 week visit had 20/15 in both eyes. Now, I have slightly blurry vision in my right eye and the LASIK surgeon says it is dry eye. Why isn’t it in both eyes if it is dry eyes?

Answer: Your eyes are anatomically different and heal at different rates. Dry eye after LASIK is the most common BUT TRANSIENT side effect with LASIK surgery. Depending on the distribution of nerves in the cornea and how they are temporarily interrupted by the LASIK and healing process it is entirely possible for the tear film to sustain greater instability in one eye or the other. You should not judge your vision with LASIK until about three months time at which time the healing should be complete. Follow the instructions and recommendations of your LASIK surgeon and keep the eye and tear healthy an intact with whatever drops or treatment options they recommend.

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.

Peripheral Vision with Multifocal Lens Implants


Question: Does the Tecnis® Multifocal Lens Implant provide good peripheral vision or is it restricted as in trifocal glasses?  Is the glare and halo going to impair my night time driving?

Answer: In general lens implants do not restrict your peripheral vision-even multifocal lens implants. As you indicate they can create glare and halo and night driving problems for some patients. For the vast majority of patients there is a time period after which the optical effects that create the glare, halo and possible night driving problems are no longer noticed and you “learn” to see with them and simply adapt and no longer find these effects annoying.

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.

Tuesday, May 7, 2013

Too Severe Prescription for LASIK


Question: I was rejected for LASIK surgery about five years ago because my prescription was too severe.  My eyes are getting worse.  My right eye is -14.00-1.25 x165 and my left eye is -13.25-.75 x145.  Is there any kind of vision correction surgery that could help now?

Answer: There is not enough information to really know whether your eyes are healthy enough for other types of vision correction surgery with such a severe nearsighted prescription. Some things to consider include what your best corrected spectacle visual acuity is in each eye as this would be important to know. In addition, whether your cornea is fairly normal in terms of thickness and shape as well as the health and integrity of your tears. Next, you state that your eyes are getting worse. If in fact if your prescription is increasing and is unstable this too could impact your suitability for any type of vision correction surgery. If these factors as well as the overall health of your eyes and lens and retina are normal then it is possible for you to consider a Phakic lens implant Visian ICL™ Implantable Collamer Lens which is similar to an implantable contact lens and is often useful in very highly myopic people such as you. Your best next step is to find a refractive surgeon who offers both LASIK and lens implants and schedule a consultation to see what you might be a candidate for. 

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.

Wednesday, May 1, 2013

Laser Eye Surgery after RK


Question: I had RK just before laser eye surgery treatments were available. At 65 my vision is getting poor due to astigmatism. Is there any hope for clear vision with LASIK or other laser eye surgery in my case? 

Answer: Without knowing the exact nature of the RK-how many incisions, how they were placed, whether the astigmatism is regular or irregular-it is impossible to know whether laser eye surgery might be helpful. There are many instances where PRK can be applied and the vision corrected but this is really determined on a case by case basis. You need to find an experienced Refractive Surgeon in your area and schedule a consultation to see what is possible.

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.

LASIK after Heart Surgery


Question: My vision is not so good and I'm lost without my glasses and would love to have LASIK surgery. I had open heart surgery 2 years ago for a valve replacement and everything is going well but I take multiple medications including the blood thinner Coumadin. Does this affect my chances of getting LASIK surgery?

Answer: If your health is stable and your eyes are healthy then you will need to meet the same basic requirements as others to be a good LASIK candidate. You will need to have healthy corneas that are thick enough and properly shaped along with a sufficient quantity of healthy tears. Your prescription should be stable and you should have realistic goals of what you would like to accomplish in terms of lifestyle by having LASIK. Without knowing the list of medications it is impossible to say if any of them will preclude you from having LASIK but it is not terribly likely. Your best next step is to schedule a LASIK consultation with the best LASIK surgeon you can find in your area and they will be able to examine you and determine whether there are any contraindications to having LASIK.

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.