Friday, January 17, 2014

LASIK with Cataract & Dry Eye

Question: I would like to have LASIK but I have the beginning of a cataract in right eye-would that be a problem? Will I have night vision problems? Is there excessive dry eyes? I have dry eyes already is this going to make unbearable?

Answer: You do not state your age or how long you have had the cataract and whether it is stable or progressive. All of these factors may be important to determine whether you are suitable to have LASIK. In general if you have ANY form of a progressive cataract you are NOT a god LASIK candidate. Further, if you have symptomatic dry eye it would most likely be necessary to treat this prior to LASIK as LASIK might further increase your dry eye symptoms. From what you describe you are better off considering Lens Replacement Surgery which would correct your vision, remove your crystalline lenses and thus eliminate the cataract concern and pose much lesser risk to the dry eye exacerbation. 

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. 

Friday, January 10, 2014

LASIK & Progressive Bifocals

Question: I interested in LASIK eye surgery but I wear progressive bifocals and wasn't sure if that is a possibility. I am also wondering if the fact that I have Rheumatoid Arthritis would affect my eligibility.

Answer: LASIK is mainly used to correct nearsightedness, farsightedness and astigmatism for seeing clearly at distance. Progressive addition bifocals give you a full range of vision and not just distance vision correction. A technique called monovision LASIK can often be used to provide a certain limited range of arm’s length and near vision-but it really depends on your near and intermediate vision correction demands and needs. Your best next step is to find a top LASIK surgeon and schedule a consultation. Be prepared to provide the exact distances that you need to see clearly for and how you use your vision for varying distance tasks. Now, Rheumatoid Arthritis could be a relative contraindication for LASIK depending on whether it is medically controlled. The LASIK surgeon will need to discuss this with your Rheumatologist.


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. 

Near Vision Correction & Farsightedness

Question: I am farsighted. I would like to be able to read without glasses. What are my options and what is your recommendation?


Answer: You do not state either your age or how farsighted you actually are so it is difficult to really accurate information. However, let’s try. Most LASIK surgeons suggest that LASIK is appropriate for only lower degrees of farsighted correction as there can be considerable regression over time. Further, even if you were modestly farsighted you would still need to have LASIK monovision which corrects one eye for distance and one eye for near. LASIK monovision success depends on the degree of correction as well, and your tolerance to some residual blur-so this is highly specific to your individual situation. Probably the option that is most likely to give you good vision at distance and near is Lens Replacement Surgery with multifocal or accommodating lens implants. This option again depends on your age, but not really your correction. Thus, your best next step is to find a cataract surgeon who is also a refractive surgeon and have a thorough examination and consultation. From this information e or she will be able to make a sound recommendation for you.

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.