Question: I had LASIK surgery 9 years ago and required an enhancement in my left eye a year later. I now need glasses to see distance and night driving. I find it better to wear my glasses all the time because the eye strain from not wearing them causes me headaches. I had LASIK originally so I wouldn't have to wear glasses and my eyes are too sensitive to wear contacts. I am 40 years old and my reading vision is great. Are there increased risks of having a second enhancement in the same eye? Should I just live with it? It seems unusual, from what I have read, for my eyesight to go this bad after LASIK-should I see a different LASIK surgeon?
Answer: You are making the assumption that a LASIK enhancement is the appropriate solution to your vision problem. However, you do not state whether you indeed have some degree of uncorrected refractive error such as nearsightedness or perhaps whether other problems-related or unrelated to LASIK are the cause of your problem. While it sounds like you have residual nearsightedness based on being able to read but need to wear glasses for distance and night driving, there are a host of reasons this might be the case. Before you decide to have a second enhancement, the best next step is to schedule a consultation with the best LASIK surgeon you can find in your area and determine the cause of your complaints. Having multiple enhancements is NOT typical unless there is an underlying problem or unless there was initially an extreme degree of nearsightedness corrected especially in a previous contact lens wearer who did not discontinue for an adequate period of time. Many potential questions must be answered as to the cause of the instability of your vision BEFORE an enhancement ids offered.
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