LASIK & Refractive Surgery Co-Management

LASIK – Laser-Assisted In Situ Keratomileusis – is the most common refractive eye surgery today. Millions of LASIK procedures have been performed worldwide.

LASIK, often referred to as laser eye surgery or laser vision correction, is a type of refractive surgery for the correction of myopia, hyperopia, and astigmatism. LASIK surgery is performed by an ophthalmologist who uses a laser or microkeratome to reshape the eye’s cornea in order to improve visual acuity. For most patients, LASIK provides a permanent alternative to eyeglasses or contact lenses. It is quick, almost painless and there is little discomfort after the procedure. Vision recovery is rapid – some patients report seeing 20/20 within 24 hours.

LASIK is most similar to another surgical corrective procedure, photorefractive keratectomy (PRK), and both represent advances over radial keratotomy in the surgical treatment of refractive errors of vision. For patients with moderate to high myopia or thin corneas which cannot be treated with LASIK and PRK, the phakic intraocular lens is an alternative.

LASIK is the premier surgery for vision correction. It is quick, almost painless and there is little or no discomfort after the procedure. Vision recovery is rapid – patients report seeing 20/20 within 24 hours.

If you are considering refractive surgery, book an appointment with us and your optometrist will review your specific situation and make the appropriate recommendations and possible surgical referral.

Who is the Optimal Refractive Surgery Candidate?

The best candidate for LASIK or PRK is over 18 years of age and has healthy eyes with adequate corneal thickness. This is necessary because LASIK procedure removes tissue from the cornea to reshape the eye.

Chronic dry eye, corneal disease or other abnormalities may disqualify a candidate from LASIK or PRK surgery. In these cases, ICL or RLE may be possible. A comprehensive eye exam is required to be sure. For your convenience, we are happy to provide LASIK pre-operative exams and consultations at our office.

Note that refractive surgery is an elective procedure and proper consideration must be given to personal needs, potential gain and willingness to accept the risks involved. There are no guarantees that refractive surgery will absolutely live up to your expectations. The results are not always perfect vision. In some cases, your vision after refractive surgery may be permanently less clear than it was with glasses before refractive surgery. This outcome must be considered before deciding on refractive surgery.

In normal circumstances and conditions refractive surgery can reduce your dependence on glasses and almost always gives you the ability to function well without the need for glasses or contact lenses.

We are happy to provide post-operative care for you at our office through a co-management agreement with your surgeon. Ask us for further details.

After Refractive Surgery Eyewear

Even if your vision seems perfect after refractive surgery, you may still require or be more comfortable with eyewear.

Protecting your eyes from the sun’s strong and sometimes harmful rays is important. Use sunglasses that provide 100% UV protection. Anytime you work with power tools or do any activity where eye injury is possible, be sure to use safety glasses.

If you are over 40 (or close), it is likely you will need reading glasses after refractive surgery. Many refractive surgery patients benefit from prescription eyeglasses for night driving. Even a mild prescription will make your vision sharper for added safety and comfort at night.

After Refractive Surgery Eye Care

Remember to continue to schedule routine eye exams post-refractive surgery. Even with perfect vision you still need to have your eyes examined for glaucoma and other potential problems on a regular basis. Routine exams will help ensure that your vision remains stable after refractive surgery.