How to Decide on Laser Eye Surgery

Pros and Cons of Lasik Corrective Procedures for Eyes

Laser Eye Surgery can Make Vision Blurry - LikeAutumn
Laser Eye Surgery can Make Vision Blurry - LikeAutumn
The prospect of perfect vision is a dream for many short-sighted people, which Lasik corrective eye surgery has made possible. However, there are side-effects to consider

For those who have to fiddle with contact lenses or fumble around looking for their glasses throughout the day, it is an appealing prospect to think of waking up each morning to perfect vision.

How Does Lasik Eye Surgery Work?

Lasik eye surgery (Laser In-situ Keratomileusis) is a procedure whereby an ophthalmologist carefully peels back the cornea surface to operate underneath and then returns the cornea to its original place. Laser eye surgery works by realigning the cornea with the retina.

The cornea is the clear part of the eye that refracts and focuses light. The retina is the tissue lining the inside of the eye that absorbs images and transmits them through the optic nerve.

During the surgery the procedure is as follows:

  • The patient is positioned in a reclining chair and anesthetic drops placed in the eye to numb the area,
  • A lid speculum is put over the eyes to keep the eyelids open,
  • A ring is placed right on the eyeball and suction is then applied around the cornea,
  • The surgeon uses a microkeratome (surgical knife) to create a thin, circular flap in the cornea equal to about ¼ its depth,
  • The microkeratome and ring are removed and the patient is asked to stare at a light to keep the eye focused on a fixed object,
  • The pre-programmed laser then cuts corneal tissue, thereby reshaping it. After the cornea has been re-shaped, the flap is replaced where it quickly conforms to the newly shaped cornea,
  • The flap will heal over the next few days and vision should clear.

Post operative care includes not driving, avoiding contact sports or anything else that could damage the eyes during the healing phase.

Pros of Lasik Laser Eye Surgery

For those who suffer no side-effects, laser surgery is a positive and life-enhancing experience. Eye sight improves immediately for those with low to moderate degrees of myopia (short-sightedness), low to moderate degrees of hyperopia (farsightedness) and astigmatism associated with myopia.

The recovery time of Lasik eye surgery is fast and results are immediate.

Cons of Lasik Laser Eye Surgery

The procedure remains expensive, expect to pay around $2,100 for all laser-based vision correction procedure (per eye).

No surgery is risk free. According to the “Review of Optometry” journal, up to one in six people who undergo laser surgery end up with complications that affect their eyesight, such as distorted vision.

Dry Eye Syndrome - Patients who suffer from dry eye usually have the symptoms for around two months following surgery. However, for some people, the condition does not improve and they need to take artificial tears for the rest of their lives.

There is a chance that the cornea may become infected, delaying the healing process.

There is a risk of under-correction or over-correction, in some cases a second procedure is necessary.

If the patient's eye condition is incorrectly diagnosed, he or she might develop permanent debilitating visual symptoms such as glare, halos, or double vision after the operation.

Who Should Not Consider Laser Eye Surgery?

The Lasik procedure is not recommended for people who:

  • are under 18,
  • pregnant,
  • have a history of eye disease including optic nerve damage, cataracts or problems with the cornea or anyone with extremely large pupils (bigger than 7mm can cause problems with Lasik),
  • have very thin corneas,
  • have diabetes, autoimmune disorders or glaucoma.

An ophthalmologist will complete a full check up to ensure that the patient's eye health is in good condition before undergoing laser eye surgery.

Sources:

1. "How Does Laser Eye Surgery Work?" Tim Gorman, Ezine, 2 September 2009

2. "Cost of Lasik and Other Corrective Eye Surgery",Liz Segre, www.AllAboutVision, 2 September 2009

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Fleur Hupston, Fleur Hupston

Fleur Hupston - Fleur Hupston is a professional freelance writer based in Botswana, Southern Africa. From this unique perspective, she writes travel ...

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Comments

May 7, 2010 7:21 PM
Guest :
Why is it not a good idea to get it if under 18?
May 11, 2010 6:11 PM
Guest :
i think it's because if u fail u will have bad vision for the rest of ur life
Jun 7, 2010 10:43 AM
Guest :
I might add, people who flinch at even the thought of having anything near (never mind put or held near the eye) might think twice about this procedure. Unless I was 'out' I'd probably squirm - if not downright jump off the table. Not exactly good. And no, valium wouldn't be a solution.
Jul 20, 2010 7:53 AM
Guest :
I think the main reasons over age is that if you're not 18 then from a legal standpoint it is very difficult if anything does go wrong. Also, as you're still maturing your eyes are still changing. By waiting a few more years there is less chance that your prescription will change dramatically.
Jun 3, 2011 8:23 AM
Guest :
You should wait until at least 20 years old as changes in your eyesight slow right down until your 40's. There's no point in going for it if you have surgery for myopia at 18 then you have a -1.5 change in your prescription at 21 which means you'll need glasses again for driving and watching TV. Also, I've recently decided against eye surgery, (I'm 29 and have an -4.5 myopic and moderate astigamatism) because it means not being able to do martial arts and boxing because your cornea is weakend and may detach if you get a impact to the head. For others this includes rugby, football goalies and even military style circuit training. I'm trying to research if 'Wavefront' eye surgery still requires a flapped open cornea which may be an option if it leaves the eye strong, apparently pilots are allowed this wavefront surgery only, so there maybe hope but it's expensive.
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