No, LASIK or PRK does not improve the level of your vision. It may be said it improves your vision in the sense that you may no longer need to wear corrective lenses to see. But it does not cure or improve vision problems such as macular degeneration, diabetic retinopathy, lazy eye, etc.
Very few people need full time correction after the surgery. When under correction occurs it is usually to such a slight degree "part time" wear of glasses for special circumstances is usually adequate. In the rare case, yes contact lenses can be fit.
No web page nor even a one on one discussion with your doctor could ever cover every possible risk. But some of the possible ones are:
(Many of the above symptoms are similar to problems with contact lenses.)
Recent studies have indicated contact lenses may pose a greater risk than LASIK surgery
There are a LOT of factors that need to be evaluated to determine if a patient is a candidate. Some guidelines are:
For CustomVue the range is smaller:
More personal criteria are also measured to make the final determination if you a are a candidate.
The procedure is designed to last for the rest of your life. The current information indicates the cornea when modified will remain stable once the healing is done and it will stay modified permanently. There have been cases of regression (the nearsightedness or farsightedness returning), but they have been rare and have been retreatable.
Both PRK and LASIK are designed to be painless. Anesthetic drops will be used just before the surgery begins to ensure you feel no pain. Pressure sensations, vibrations and touch are all expected but do not cause discomfort.
Your vision and refraction will be measured in several ways with and without drops. The drops used during this evaluation are stronger that the typical eye drops used in a "routine examination", and your vision will be blurry up close and your eyes sensitive to light for about 12 hours. The front surface of your eye will be examined with a microscope and computer to ensure you are a candidate for the procedure. A examination of the eye will also be performed to ensure there are no other ocular conditions that would interfere with the procedure. An in depth "informed consent" will be given to ensure you understand the procedure and the possible complications.
Dr. Ahdieh is a board-certified ophthalmologist (American Board of Ophthalmology) specializing in cataracts, glaucoma, LASIK Laser vision correction, and corneal specialty care. He is also an expert in the medical and surgical treatment of glaucoma. He has staff privileges at Lehigh Valley Hospital, St. Luke’s Hospital, Fairgrounds Surgical Center and the Surgery Center of Allentown. Dr. Ahdieh has been performing refractive surgery in Allentown, PA since 1995.
Dr. Moran is a board-certified ophthalmologist and Fellow of the American Osteopathic College of Ophthalmology, specializing in LASIK laser vision correction, cataracts, and routine eye examinations. Dr. Moran has been performing refractive surgery in the Lehigh Valley since 1993 and has corrected the vision of over 10,000 patients. He was the first surgeon in the area to do PRK. He was selected as one of the Top 100 surgeons in the country by Sightpath Medical five years in a row. Dr. Moran has been practicing in Allentown, PA since 1990.
Your eye is anesthetized with drops to ensure you do not feel the procedure. Two small marks which disappear in a few hours are placed on your cornea. A suction ring is placed on the eye to secure the eye and maintain pressure while a corneal flap is created. A Microkeratome is used to create a thin corneal flap. The corneal flap is inspected by the surgeon. If any abnormality is noted the procedure could be aborted and reattempted. The corneal flap is laid back to expose the treatment area. The prescribed laser treatment is applied. The treatment area is cleaned and the corneal flap is closed. A short period of a minute or two is observed to ensure the flap is sealed.
No. No honest surgeon can guarantee you 20/20 vision after the surgery. In our experience we have had results of better than 20/20 vision (20/15), and most with vision 20/20 to 20/40 (20/40 vision will pass a driver's test in Pennsylvania.)
No. There are some pre-operative procedures that must be completed beforehand. If you are over 40 it is important that you understand that to date PRK OR LASIK cannot correct the need to wear glasses for reading (presbyopia). The tests that must be completed before your refractive surgery procedure are:
PRK and LASIK are both effective surgical procedures for correcting nearsightedness, astigmatism, and farsightedness. The top layer of cells are removed using PRK exposing the treatment area, while LASIK involves making a flap from these cells to expose the area. The end results are very similar, it's just a matter of how and when they are achieved.
There are a lot of factors which determine if you're a good candidate. You must be 21 years or older. Your prescription must be within range of treatment. Your eyes should be in good health. A discussion with your eye doctor will be a much better way to determine if you're a good candidate.
There are very few, if any, insurance companies that currently cover the surgery. Most consider LASER vision correction to be cosmetic or part of normal vision care (which usually isn't covered). "To allow you to pay for your procedure over time, we offer financing options with approved credit."