Friday, January 11, 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!


What helps eyesight get better without glasses and contacts or laser surgery?
Q. What can i use to help my eyesight get better? I have bad eye vision and i want my vision to get better without having to wear glasses or contacts!!!!

A. If your visual problems can be corrected by glasses, then your only other options are contact lenses (which change the shape of your eye lenses while you have them in) or surgery (which corrects the shape of your eye lenses permanently).

A natural effect of aging called presbyopia can lessen the effects of nearsightedness. This happens to people age 40 and older. Usually it means that people who never needed glasses before will need reading glasses, and people with myopia (nearsightedness) will need weaker prescriptions.

Ignore anyone who says you can improve your vision with eye exercises. It's complete rubbish.


How is Lasikplus lifetime warranty?
Q. I eye surgery about 10 years ago and need to get it done again. Does anyone know the caches of the lifetime warranty, or if its more of a gimmick? Any hidden costs to get it redo or things it wouldn't cover?

A. Hello, I am a representative from LasikPlus hoping to provide you an answer to your question. If you had your procedure performed at a LasikPlus center and have our lifetime satisfaction plan please call us so that we may make an appointment to see you for an enhancement evaluation, which would be free. If you had your procedure performed elsewhere please know that we do not normally treat other doctors' patients. The exceptions to this would be if the doctor/clinic where your procedure was performed is no longer in practice, or if you live more than 200 miles from where your procedure was performed in which case we would need a letter from them indicating that they have released you from their care. If one or both of those stipulations are met we would be glad to see you for an appointment. To get back to the heart of your question, patients who have had RK or ALK or other refractive surgery prior to having laser vision correction with us are not eligible for our lifetime satisfaction plan.

Our lifetime satisfaction plan includes free enhancements for life at any LasikPlus center, plus free unlimited post-op check-ups for one year. We do not provide annual eye
exams, but recommend that you visit your independent eye care professional for an annual eye exam as part of good eye health practices. If at any time during the duration of the LasikPlus lifetime satisfaction plan, a patient�s vision drops below 20/40, or a comparable deterioration for patients who were not correctable to 20/20 at the time of treatment, that patient will be retreated at no additional cost, as long as the patient has met the requirements of the LasikPlus lifetime satisfaction plan. Any changes in vision must be documented by the patient�s personal eye doctor prior to returning to LasikPlus for evaluation. The patient will be asked to provide a copy of this evaluation to the center at the time of their visit. Retreatment must be related to myopic, hyperopic or astigmatic regression or refractive error caused by natural physiological changes. Reductions in visual acuity due to disease, accident or other unrelated permanent or temporary conditions are not eligible. Patients with a complicated surgical course also may be prevented from having further surgery. Upgrades to more expensive laser platforms, as well as presbyopia, the common condition requiring corrective reading glasses as one ages, are not covered by the LasikPlus lifetime satisfaction plan. The decision of retreatment will be made between the treating LasikPlus doctor and the patient. The doctor will only perform enhancements that are medically appropriate.

Here is how eligibility is determined?
The patient must have been corrected to 20/40 or better unaided vision or to within three lines of targeted correction as a result of the initial procedure, including any enhancements, within the usual and customary course of treatment. The patient must have followed a complete course of post-operative treatment as prescribed by the LasikPlus doctor. The patient must have attended and completed all the post-operative follow-up visits as directed by their doctor. LasikPlus does not provide annual eye exams, but recommends that you visit your independent eye care professional for an annual eye exam as part of good eye health practices.

What patients are excluded?
�Patients who fail to comply with the above rules and regulations.
�Patients whose loss of vision is a result of an accident involving trauma to the eye.
�Patients with diseases such as uncontrollable diabetes, active auto-immune and collagen vascular disorders.
�Patients whose cornea is too thin as a result of previous surgery.
�Patients whose vision is reduced due to irregular astigmatism.
�Patients who had RK


What are the negatives of Lasic eye surgery?
Q. Sounds almost to good to be true, anyone have any bad experences? Anything I should know before going ahead with this.

A. I had it four years ago & I love it, had no complications... but I know someone who had the same procedure & she has problems with "halos" at night. This is one of the more common complications, but most people can live with it, although it might affect your night driving ability. Also, anytime you make an incision, you risk infection during the healing period, which could cause blindness... or if you accidentally dislodge the cornea before it's completely healed, it could also cause permanent blindness. Both of these complications are rare, but you should be aware of it. Your eye doctor should discuss all the potential risks & complications with you so you can make an informed decision to go ahead or not. Good luck!

Edit to say: Actually, Tom... no, it doesn't wear off over time. The lasik procedure permanently reshapes the cornea. I had lasik to correct myopia/astigmatism and my vision is still 20/20, as it was when the surgery was finished. It's possible that I could develop presbyopia (age-related farsightedness) as I grow older, which isn't related to the lasik procedure. If it comes to that, I'll have to wear reading glasses, but I can deal with that.





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