Tuesday, January 15, 2013

Does LASIK laser eye surgery work if you have presbiopia?

Q. I am 49 years old and I have noticed that I cant focus reading a book. I belive it is called presbiopia. Am I eligible for LASIK laser eye surgery?
I found this answer from Google, "Laser Eye Facts". "The most common form of laser correction, LASIK surgery, is not effective in curing presbyopia because it deals with the eye�s cornea, whereas presbyopia affects the eye�s lens."

A. Presbyopia is an age related eye condition that happens to everyone to some degree in their lifetime typically after the age of 40. If you have a diagnosis of presbyopia from your eye doctor, LASIK may not be your best option to correct it.

The best surgical correction for this issue would be Accommodative Intraocular Lens (IOL) implantation. It is different from LASIK because it involves replacing the natural lens of the eye, rather than reshaping the cornea. Types of IOL implants are Crystalens, ReSTOR, and ReZOOM. Another surgical option is CK (Conductive Keratoplasty.)

You also have the choice of different types of eyeglasses and contacts to help your vision. As always, a doctor will help you know for sure. I hope this helps!


If I get lasic surgery for my poor vision, could I still fly helicopters in the military?
Q. I don't know if any or all branches of the military will allow someone to fly helicopters if they get lasic surgery. I would preferably like to fly helicopters for the Army.

A. Depending on many factors it could keep you out completely.

(2) History of refractive surgery including, but not limited to: Lamellar (P11.7) and/or penetrating keratoplasty
(P11.6). Radial Keratotomy and Astigmatic Keratotomy is disqualifying. Refractive surgery performed with an Excimer
L a s e r , i n c l u d i n g b u t n o t l i m i t e d t o , P h o t o r e f r a c t i v e K e r a t e c t o m y ( c o m m o n l y k n o w n a s P R K ) , L a s e r E p i t h e l i a l
Keratomileusis (commonly known as LASEK), and Laser-Assisted in situ Keratomileusis (commonly known as
LASIK) (P11.7) is disqualifying if any of the following conditions are met:
(a) Pre-surgical refractive error in either eye exceeds + 8.00 to - 8.00 diopters.
(b) At least 6 months recovery period has not occurred between last refractive surgery or augmenting procedure and
accession medical examination.
(c) There have been complications, and/or medications or ophthalmic solutions are required.
(d) Post-surgical refraction in each eye is not stable as demonstrated by�
1. At least two separate refractions at least one month apart, the most recent of which demonstrates more than +/-
0.50 diopters difference for spherical vision and/or more than +/- 0.25 diopters for cylinder vision; and
2. At least 3 months recovery has not occurred between the last refractive surgery or augmenting procedure and one
of the comparison refractions.
(e) Pre-surgical and post-surgical refractive error does not meet the standards for the Military Service to which the
candidate is applying.

Do a search for AR 40-501. You can download it as a PDF and go thru the Flight Status section. What I pasted is from Initial Entry Standards.

SSG US Army 73-82


How does lasik eye surgery work in the Army?
Q. I'm going in with an 11x Airborne. What do I do to get put on the list? When could I possibly get it?
What happens afterwards?

A. This is what is said about initial entry and such things:

(2) History of refractive surgery including, but not limited to: Lamellar (P11.7) and/or penetrating keratoplasty
(P11.6). Radial Keratotomy and Astigmatic Keratotomy is disqualifying. Refractive surgery performed with an Excimer
L a s e r , i n c l u d i n g b u t n o t l i m i t e d t o , P h o t o r e f r a c t i v e K e r a t e c t o m y ( c o m m o n l y k n o w n a s P R K ) , L a s e r E p i t h e l i a l
Keratomileusis (commonly known as LASEK), and Laser-Assisted in situ Keratomileusis (commonly known as
LASIK) (P11.7) is disqualifying if any of the following conditions are met:
(a) Pre-surgical refractive error in either eye exceeds + 8.00 to - 8.00 diopters.
(b) At least 6 months recovery period has not occurred between last refractive surgery or augmenting procedure and
accession medical examination.
(c) There have been complications, and/or medications or ophthalmic solutions are required.
(d) Post-surgical refraction in each eye is not stable as demonstrated by�
1. At least two separate refractions at least one month apart, the most recent of which demonstrates more than +/-
0.50 diopters difference for spherical vision and/or more than +/- 0.25 diopters for cylinder vision; and
2. At least 3 months recovery has not occurred between the last refractive surgery or augmenting procedure and one
of the comparison refractions.
(e) Pre-surgical and post-surgical refractive error does not meet the standards for the Military Service to which the
candidate is applying.
(3) Current keratitis (370), acute or chronic, including, but not limited to recurrent corneal ulcers (370.0), erosions
(abrasions), or herpetic ulcers (054.42) is disqualifying.
(4) Current corneal vascularization (370.6) or corneal opacification (371) from any cause that is progressive or
reduces vision below the standards prescribed in paragraph 2�13 is disqualifying.

If you have had it at all you cannot go SF or dive if EOD.

My guess is they will not do it.

I can assure you 100% that they will issue you BCG/RPG once your prescription is determined during reception.


what is the connection of Diabetes mellitus in keratoplasty?
Q. we have a case study, the patient has a diagnosis of Diabetes mellitus, and it says there that he undergo keratoplasty.. is there a connection between the two?

A. Diabetes can effect the eyes and can lead to many eye complications
for more on eye diseases due to diabetes vsit mt free website http://www.reddiabetes.com

Automated lamellar keratoplasty eye surgery, or ALK, is a surgical procedure used to correct vision in people with severe nearsightedness and mild degrees of farsightedness.

What Happens During Keratoplasty Eye Surgery?
Keratoplasty eye surgery, performed under local anesthesia, usually takes less than an hour to complete. A cutting device is used to make a small incomplete flap across the cornea. While still attached at one side, the corneal flap is folded back to reveal the layer of tissue below. Another, very precise cut is made on the sub layer of tissue based on the person's glasses' prescription. After this cut, the corneal flap is placed back over the eye where it reattaches.

What Are the Advantages of Keratoplasty Eye Surgery?
Compared to other vision repair surgeries:

The healing process for keratoplasty eye surgery is relatively quick
It takes less time for stable vision to return
Recovery period is more comfortable

What Are the Disadvantages of Keratoplasty Eye Surgery?
While keratoplasty eye surgery is a safe and effective surgery, it does have its disadvantages. They include:

For people with mild to moderate nearsightedness, keratoplasty eye surgery is not as accurate as other eye procedures, meaning that its outcome is more difficult to predict.
Keratoplasty eye surgery slightly increases a person's risk of developing an irregular astigmatism.

What Are the Potential Side Effects of Keratoplasty Eye Surgery?
Aside from the above-mentioned disadvantages, side effects, though rare, do occur. These may include:

Glare
Inability to wear contacts, sometimes permanently
Infection
Corneal scarring

How Should I Prepare for Keratoplasty Eye Surgery?
Before your keratoplasty eye surgery you will have met with a coordinator who will discuss with you what you should expect during and after the surgery. During this session your medical history will be evaluated and your eyes will be tested. Likely tests will include measuring corneal thickness, refraction, and pupil dilation. Once you have gone through your evaluation, you will meet the surgeon, who will answer any further questions you may have. Afterwards, you can schedule an appointment for the keratoplasty eye surgery.

If you wear rigid gas permeable contact lenses, you should not wear them during the three weeks before keratoplasty eye surgery. Other types of contact lenses shouldn't be worn for at least three days prior to keratoplasty eye surgery. Be sure to bring your glasses to the surgery so your prescription can be reviewed.

On the day of your keratoplasty eye surgery, eat a light meal before going to the doctor and take all of your prescribed medications. Do not wear eye makeup or have any bulky accessories in your hair that will interfere with positioning your head under the laser. If you do not feel well that morning, call the doctor's office to determine whether the keratoplasty eye surgery needs to be postponed.

What Should I Expect After Keratoplasty Eye Surgery?
The healing time from keratoplasty eye surgery is very rapid. It usually takes only about 24 hours to mend. But it may take a few weeks for your vision to finally stabilize.

Your doctor will give you eye drops to control inflammation, discomfort, and prevent infection.





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Title Post: Does LASIK laser eye surgery work if you have presbiopia?
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