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What about the risks and complications of LASIK?

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LASIK & Contact Lenses, Which Is Right For You?

What about the risks and complications of LASIK?

Doesn't LASIK raise an even greater list of safety concerns than contact lenses?
LASIK is surgery. Any and all types of surgery including LASIK, have risks, complications and may be contraindicated for some patients,

According to the United States Food and Drug Administration :

  • Some patients may actually lose vision. That is that after LASIK, some patients may not be able see lines on the chart that they were able to previously see with their best eyeglass or contact lens prescription. This loss of correctable lines of vision on the vision chart cannot be corrected with glasses, contact lenses, or surgery. While this is unusual, it can happen. The importance of the skill of the LASIK surgeon and careful examination and consultation to be sure that you are a good LASIK candidate cannot be over emphasized in helping you obtain the best possible results.
     

  • Some patients may develop debilitating visual symptoms. Some patients develop glare, halos, and/or double vision that can seriously affect nighttime vision. Even with good vision on the vision chart, some patients do not see as well in situations of low contrast, such as at night or in fog, after LASIK as compared to before LASIK. Fortunately, the use of scanning-tracking Excimer Lasers deliver large optical treatment zones and provide good coverage of the pupil. This, along with custom wavefront guided LASIK protocols, so that higher order optical aberrations that cause night vision, glare, halo and decreased contrast can readily be treated has significantly minimized the incidence of these symptoms.
     

  • You may be under corrected or over corrected. While a very large percentage of patients achieve 20/40 vision and are able to pass a driver's test without correction, a lesser percent of patients achieve 20/20 vision without glasses or contacts. If you have some specific goals that you would like to achieve without being dependent on eyeglasses and contact lenses, then chances are a mild degree of under correction or over correction is not likely to impact your chances of a successful treatment. If you absolutely MUST have 20/20 vision you may require additional treatment, but additional treatment may not be possible. You may still need glasses or contact lenses after surgery. While specialized monovision LASIK may help you achieve your reading vision goals, if you used reading glasses before surgery, you may still need reading glasses after LASIK surgery.
     

  • Some patients may develop severe dry eyes. As a result of LASIK Eye Surgery, your eye may temporarily not be able to produce enough tears to keep the eye moist and comfortable. Dry eye cannot only cause discomfort, but can actually reduce the quality of your vision due to instability of the tear film which acts as an optical surface. It is important that during your LASIK consultation, the LASIK surgeon carefully and thoroughly evaluate your tear film and if necessary prescribe lubricating eye drops, prescription eye drops called Restasis, to help you make more of you own natural tears, and /or insert punctual plugs to help you retain more of your natural tears. Rarely, dry eyes after LASIK may be permanent.
     

  • Results are generally not as good in patients with very large prescriptions of any type. Patients with very high prescriptions do not have as good predictability and may often require a second treatment procedure to obtain the best possible results. By discussing your lifestyle goals and setting realistic expectations with your LASIK surgeon, you can have the best chance of achieving everything that you wish.
     

  • Only somewhat limited long term data is available. Whereas soft contact lenses have been available since the early 70's, LASIK is a relatively new technology. LASIK Eye Surgery globally has been performed since 1995, but the first Excimer Laser was approved by the FDA for LASIK in 1998. Therefore, the long-term safety and effectiveness of LASIK beyond 15 years is not yet known as compared to long-term safety and effectiveness of contact lenses being available for 30 years.

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Lifestyle Enhancement ; Safety and Risk Factors
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Do I need to know anything special if I am a contact lens wearer, about to have LASIK Eye Surgery?

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