Wednesday, December 5, 2012

What do you think about lasik eye surgery?

Q. I want to get lasik surgery but I remember about 9 years ago when I was about 18 and I wanted to get the procedure done, someone I worked with told me that it was dangerous. She told me before lasik there was a different type of eye surgery. It produced the same result as the lasik but 20 years later there vision was worse than before and they were practically blind. That scared me. Is this true? Is lasik surgery safe?

A. LASIK eye surgery is a medical procedure that can correct your vision by altering the physical properties of your eye. Unlike traditional surgical procedures that depend upon the skills and steadiness of the surgeon's hand, advanced LASIK eye surgery is computer controlled.

The more progressive LASIK surgery centers perform in-depth analysis of your eyes as an evaluation procedure to determine if you're a good candidate for the LASIK procedure. The evaluation process, which is largely controlled by computer itself, maps the overall physical makeup of each eye. A traditional eye exam determines your visual abilities and then an exhaustive computer analysis determines if your eyes can be enhanced by the LASIK procedure.

In addition to determining whether or not you're a good candidate for LASIK, the procedure also records quite a bit of data that's specific to your eyes. If you choose to proceed with the LASIK surgery, this data is used to program the computer controlled LASIK equipment to insure that your eyes are modified exactly in the proper manner so as to provide maximum benefit.

LASIK eye surgery does carry some risks, such as loss of vision. In some extremely rare cases, the patient may lose vision due to equipment malfunction, scarring or healing related complications.

One common risk of LASIK eye surgery is that any dry eye condition that is experienced right after surgery may hamper the healing process. Signs of dryness are burning, redness and decreased vision. If this dry eye condition persists, you may have to medicate to improve tear duct function and use artificial tears to maintain the proper level of moisture. You must keep your eyes moist after LASIK surgery in order to promote healing.

LASIK eye surgery is relatively safe and it can free you from glasses and contacts. Before you commit to LASIK surgery, make sure that you consider all the advantages and disadvantages of having the procedure. Ask the doctor lots of questions so that you can make an informed decision about whether LASIK eye surgery is the right choice for you.


What is the average cost for an intermittent strabismus eye surgery? Is this considered an elective surgery?
Q. My left eye deviates inward when I'm trying to focus on anything small, or I'm trying to be accurate with something. It creates in focus double vision if I try and use both eyes at the same time.

So, I'm considering eye surgery to correct this problem. Has anyone had any personal experience with this procedure? and how much did the operation cost.

Thank you very much.
Oh, I do wear a corrective prism in my glasses, so I experience this problem mostly when wearing my soft contact lenses.

A. The cost of strabismus surgery depends on your insurance, the hospital you have the surgery at and their room fees, fees for anaesthesia, and fees from your ophthalmologist's office. Since you have prism in your glasses, you may also need to get a pair of glasses without prism,

Many insurance companies will cover strabismus surgery, as it is a restorative surgery and not just a cosmetic surgery. This link has a lot of information about strabismus surgery in adults:
http://www.aapos.org/displaycommon.cfm?an=5

You may want to see a pediatric ophthalmologist- they are medical doctors who specialize in strabismus in children and adults. This link will help you find a pediatric ophthalmologist:
http://aapos.affiniscape.com/associations/5371/aapos_search.cfm

Good luck!


Laser Eye Surgery - How long do you have to stop wearing contacts before a consultation?ontact lenses?
Q. I have hard contact lenses which I wear everyday, and have been doing so for the last 5/6 years, and I am considering gettting laser eye surgery. I know I would have to stop wearing my contacts for a few weeks before even going for a consultation but I can't remember the exact time can anyone tell me how many weeks it is?

Also is it possible to wear soft contact lenses for a certain amount of weeks and then my glasses and then get the consultation done?

A. I had Laser eye surgery done after wearing glasses for 16 years. It has been perfect for me. I have had no changes. Of course, as I age, I expect changes. I also co-manage refractive surgery and have seen hundreds of successful patients. It doesn't hurt, generally. There is a bit of pressure, but no real pain if you have Laser eye surgery. The PRK version (where no flap is cut) is a little more uncomfortable for the first few days following the procedure. I've seen several people who said they were in some pain, but healed just fine. I used to wear both glasses and contact lenses. I had Laser eye surgery done and it's the best decision I've ever made. I can see clearly, no squinting, no driving with glasses anymore. I can read road signs, see the individual leaves in the trees (they're not just a blurry mess anymore). It's also nice to be able to see what time it is when I wake up. The procedure is painless (although a bit uncomfortable) but takes less than 15 minutes. Highly recommended.

If you need help finding a reputed surgeon in India u can check out the ink below:
http://www.indianhealthguru.com
You can schedule a free appointment there and they'll answer all your questions and see if you qualify as a good candidate or not


What are the long terms side effects of laser eye surgery?
Q. I am interested in having laser eye surgery to correct short sight but I am concerned about the longer term side effects as I get older. I can't find much information about this subject on the web so I would be really interested to find out.

A. The risks outlined below apply to both PRK and LASIK procedures. The chances of having a serious vision-threatening complication are minimal, and there have been no reported cases of blindness following either PRK or LASIK, says James Salz, M.D., clinical professor of ophthalmology. However, FDA is aware of a few instances of severe eye injury requiring corneal transplant.
Infection and delayed healing: There is about a 0.1 percent chance of the cornea becoming infected after PRK, and a somewhat smaller chance after LASIK. Generally, this means added discomfort and a delay in healing, with no long-term effects within a period of four years.

Undercorrection/Overcorrection: It is not possible to predict perfectly how your eye will respond to laser surgery. As a result, you may still need corrective lenses after the procedure to obtain good vision. In some cases, a second procedure can be done to improve the result.

Decrease in Best-Corrected Vision: After refractive surgery, some patients find that their best obtainable vision with corrective lenses is worse than it was before the surgery. This can occur as a result of irregular tissue removal or the development of corneal haze.

Excessive Corneal Haze: Corneal haze occurs as part of the normal healing process after PRK. In most cases, it has little or no effect on the final vision and can only be seen by an eye doctor with a microscope. However, there are some cases of excessive haze that interferes with vision. As with undercorrections, this can often be dealt with by means of an additional laser treatment. The risk of significant haze is much less with LASIK than with PRK.

Regression: In some patients the effect of refractive surgery is gradually lost over several months. This is like an undercorrection, and a re-treatment is often feasible.

Halo Effect: The halo effect is an optical effect that is noticed in dim light. As the pupil enlarges, a second faded image is produced by the untreated peripheral cornea. For some patients who have undergone PRK or LASIK, this effect can interfere with night driving.

Flap Damage or Loss (LASIK only): Instead of creating a hinged flap of tissue on the central cornea, the entire flap could come off. If this were to occur it could be replaced after the laser treatment. However, there is a risk that the flap could be damaged or lost.

Distorted Flap (LASIK only): Irregular healing of the corneal flap could create a distorted corneal shape, resulting in a decrease of best-corrected vision.

Incomplete Procedure: Equipment malfunction may require the procedure to be stopped before completion. This is a more significant factor in LASIK, with its higher degree of complexity, than in PRK.

Problems with a Perfect Procedure: Even when everything goes perfectly, there are effects that might cause some dissatisfaction. Older patients should be aware that they can't have both good distance vision and good near vision in the same eye without corrective lenses. Some myopic patients rely on their myopia (by taking off their glasses, or by wearing a weaker prescription) to allow them to read. Such a patient may need reading glasses after the myopia is surgically corrected. Another consideration is the delay between eye treatments. If one eye is being done at a time, then the eyes may not work well together during the time between treatments. If a contact lens is not tolerated on the unoperated eye, work and driving may be awkward or impossible until the second eye has been treated.





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