LASIKLASIK LASERMyopiaRefractive errorRefractive surgeryUncategorized

14 must know facts before having Lasik laser procedure ( refractive surgery) for myopia.

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People often opt to have the Lasik laser procedure without knowing what exactly it is and why should they to have it. These are 14 important facts , you must know before having Lasik laser procedure for myopia .

 

 

ONE What exactly is LASIK LASER procedure?

It’s a surgical procedure involving eye which is done to enable a person to see without glasses if he/she can see with the help of glasses before the procedure. It’s often done for myopia. Its neither the cure for myopia nor it prevent progression of myopia. Details of the procedure are shown in video below.

CREDIT: Monkeysee.com

 

TWO: What is the usual outcome of the Lasik laser procedure?

  • Ability to see clearly without requiring thick spectacles. Scientific studies have proven that majority of patients (91-98%) have satisfactory improvement in vision without glasses, quality of vision and overall quality of life. after Lasik laser procedure.

“Ability to see clearly without requiring thick spectacles “does NOT mean the following

  • Absolutely no requirement of spectacles after procedure
    1. Small amount of refractive error may be left behind which may require spectacles of small power.
    2. After forty years of, person will need glasses for near.
  • Absolutely trouble free post-operative period.
    1. Few patient may have glares or halos after surgery, which may persist for longer time.
    2. Dryness in eyes
  • Zero complications
    1. Sight threatening complications are rare not impossible.

 

THREE  Does glasses really affect the looks :

Researchers are really divided on the fact whether glass really affect the self esteem of the person. Most of the studies done in west show that it actually gives an intelligent and gentle looks to a person. Adolescent are more sensitive to the looks may have some issues with self-esteem, but then glasses removal surgery is not done in adolescent patients. Glasses removal surgery is done after progression of myopia has stopped which is often after 21 and sometimes unto 26. By this age, presence or absence of glasses hardly make any difference to the self-esteem or global self-worth or the person.

 

FOUR. Why do people opt for this surgery?

  1. Uncomfortable with glasses of contact lens use. (4/5)
  2. Cosmetically concerned (1/5)

In conservative society like our glasses are generally associated with physical weakness and often seen as negative attribute for matrimonial prospects. This can explained with the larger frequency of girls getting closure to marriageable age, opting for these kind of Surgeries.

ALSO READ : Myopia: what can we learn from the experience of developed world ?

FIVE Are you really aware of the actual cost of the surgery?

Most of the patient opting for these procedures do not have the details of procedure and the possibility of the complications to actually take an informed decision. The scientific data available on internet to actually frame an opinion regarding the procedure safety is scientifically too complex for a lay man. Plus it is extremely difficult for the patient to get an the details of machine, technology and its safety record.

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Credit : Pixabay

 

SIX :Is Lasik laser covered under health insurance? NO

Lasik laser and refractive surgeries are considered cosmetic and are not covered by insurance anywhere in the world. Myopia is not considered as risk if it is less than 6 D. In India, some insurance companies provide cover in patients with myopia of more than -6 TO -7 D. The cover is for treatment of complications resulting from myopia like cataract, retinal detachment etc. Lasik surgery in not treatment of myopia. It is considered as cosmetic surgery as it simply removes the need of glasses to used by patients. So whether companies provide cover for Lasik laser for cases more than -7 D is to be confirmed by the insurance company only.

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Credit : Pixabay

SEVEN : Are you a suitable candidate for Lasik laser surgery?

It is not advisable before 18 years of age. That does not mean, you can have it, if you are more than 18 years. All the conditions given below should also be met.

  • Progression of myopia (glasses number increase) should have stopped. It is not increasing for at least one year. If not so, some glass number will come after the surgery.
  • Central corneal thickness is more than 500 micron. Procedure involve some thinning of the central cornea. If the cornea is already thin, further thinning will cause weakening of cornea, and associated long term complications.
  • Your glasses number is within the appropriate range
    1. Myopia -1 to – 8 D ( depending on technology/machine)
    2. Hypermetropia +1 to 6 D
    3. Astigmatism +1 to 6 D
  • You are free from associated eye or systemic diseases

Dry eyes, corneal disorder, Keratoconus, Amblyopia, autoimmune disease etc.

  • You are not pregnant.
  • You have realistic expectation. Its a surgical procedures, and the outcome is not always predictable. Under correction and over correction is possible in of the some patients. Complications, however few, are associated with every procedure, including Lasik laser.

The video below shows how to decide the best candidate for Lasik surgery.

credit: Monkeysee.com

 

EIGHT : What are complications after complications of Lasik laser ?

  • dry eyes
  • Inadequate correction of refractive error. Glasses number is not completely removed and patient might need glasses of a smaller number.
  • GLARE, HALOS, difficulty in night driving.

 

NINE : Are complications common after complications of Lasik laser?

No, except for dry eyes, which is often temporary.

 

TEN. What is the Long term safety record of patients having Lasik laser ?

  1. Long term studies demonstrate excellent safety, efficacy, and stability of these procedures with long term refractive stability for far-sighted (hyperopic) patients less certain than for myopic patients.
  2. There are lower risk of eye infections ( keratitis) in people having Lasik laser as compare to the those using contact lens.
  3. Dry eyes is a known long term complication associated with the Lasik laser procedure.
  4. Cost of the surgery. often the rates of the procedure are comparable among the different center, larger center have slightly higher price. Price should never be the deciding factor in this procedure.

Credit: Monkeysee.com

ELEVEN : Is LASIK (laser eye surgery) a repeatable operation?

It can be under certain conditions but like any other surgery, it’s the surgeon’s decision to advise its indication and appropriateness. Usually it’s not.

TWELVE : How to find the best LASIK surgeons/hospital in India

  • Qualifications and experience: There is no separate degree for this surgery. Surgeons are MS in ophthalmology. There are fellowships / certificate courses in lasik and refractive surgery. Years and total patients experience in lasik laser are important to be skilled in this technique.
  • Referral: Reputation, capabilities and surgical results of a surgeon are often known among the fraternity members. High volume surgeons practicing in a group are usually better skilled. You should consult your local ophthalmologist to actually inquire about who is doing good in your area. This is probably the best way to select an Lasik laser surgeon.
  • Surgeons associated as a group with specialized Lasik laser centres usually give better results. These seen with larger centres with multiple surgeons with different specializations.
  • Cost of the surgery. Often the rates of the procedure are comparable among the different centre, larger centre have slightly higher price ( 40-60K). Price should never be the deciding factor in this procedure.

 

THIRTEEN : Which is the best technology for Lasik laser?

All the available machines/technologies have FDA approval. Recent scientific studies have failed to establish superiority on one technology on others in terms of overall outcome and patient safety after different type of Lasik procedures. Quite like mobile phones, newer technologies and machines keep coming in the market and are often promoted as most advanced or the best. All new machines have some advantages over the previous ones and have different set of complications associated with them. Femto-Lasik , Z-Lasik, wave front Lasik, Custom LASIK, Epi-LASIK , Contoura Vision, are few of the technologies/machine currently available.

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Credit : Pixabay

FOURTEEN : is Lasix laser a safe procedure for sports personals?

There are high risk of complications in the patients engaging in contact sports like boxing , wrestling,  karate etc. If possible the Lasik procedure should be avoided.

CONCLUSION:

  1. LASIK LASER is a surgical procedure done on eye (cornea) to remove the requirement of  the spectacles to see clearly. It neither cures myopia nor reduces its progression.
  2. It is very safe procedure, Suitable candidate as patient and in the hands of a experienced surgeon.
  3. Cost varies from 40 K TO 100 K ( for both eyes) , and should not be deciding factor.
  4. Local ophthalmologist is best person to ask for the right Lasik laser surgeon in your city.
  5. INSURANCE COVER : NO
  6. Long term complications are few but not Zero.
    1. Sight threatening complications are rare but possible.
  7. Expectations should be realistic as it’s a surgical procedure

 

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