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  Common LASIK FAQ'S and their answers.
Includes queries asked by those travelling from abroad
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Q

Am I really a good candidate as my corneas are thin?

A

A good candidate for such cases specifically comes from our tests - once we confirm that cornea is regular on Pentacam and also knowing exact corneal thickness and your spectacle errors.

If you are from out of town you may send us your Topography maps (preferably Pentacam which also gives corneal thickness) and exact spectacle errors.

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Q

How predictable will my results be, percentage wise? (i.e. 90% chance of 20/20)

A

Greater than 99% of patients haven't required an enhancement. Less than 1% we do free of charge in the first year of treatment. None have lost any lines of vision, which means that if they were seeing 20/20 with glasses or lenses, then they are seeing 20/20 if not better today after LASIK.

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Q d) Prolonged irritation in the eye

e) Prolonged dryness

f) Blurred morning vision

A

The above again happens if you have dry eyes or are prone to dryness. The dry eye is checked by Dr Shroff using tests and if having dry eyes it is then graded as mild, moderate or severe. Severe needs to be treated before LASIK, so, you will be declared unfit, if this comes about. For mild to moderate we have Epi-LASIK as an option.

As a precaution, we also prescribe lubricating eye drops for three months after LASIK to cover all patients from the temporary dryness and irritation that one would feel on the surface of the eyes as a result of healing.

 
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Q

g) Blood clot in the eye (in the visible white area around the eyeball

A

This may or may not happen; again it is outside the treated area and will fade away in 15 days time.

 
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Q

a) My work involves working on the computer for 12-14 hours a day. I am planning for a surgery on a Wednesday, post which I will take rest till Sunday (i.e. 4 days). Are 4 days enough to return to work after the surgery? It may be possible to restrict computer usage to 8-10 hours but not less.

b) Or should I plan for a longer rest period?

c) Further, will the computer usage have any bad effect on eyes especially after the LASIK treatment?

A

Yes, most of our patients return to computers on Day 3 as a full days 8 hr work schedule. This is fine. In the first week you need to use lubricating eye drops along with antibiotics (so, you will carry these with you). Further, when you visit us, Dr Shroff will guide you in the correct way to use your eyes when on the PC and also prescribe a pair of computer glasses to you to negate any effects that the computers may have on long term vision.

 
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Q a) All the side effects mentioned in question 1 are short term in nature. Are there any chances of developing any long term symptoms? Let’s say, after a period of 1-2 years would I need to take any precaution in any activity because of the LASIK surgery

b) OR, I will be at par with any other person with healthy eyes?

c) Similarly, are there any specific disadvantages to a person who has undergone a LASIK surgery vis a vis one who hasn't in case of any future eye injury?

d) Since you are doing LASIK treatment from more than last 10 years, are their instances of patients coming back after 2-3 years or more with complaints of any sorts?

A

We have not seen any long term side effects of LASIK, which is a superficial treatment and if done on the right candidate in the correct manner, it is very safe and also its results are permanent. However, vision is not just deteriorated due to spectacle errors or powers. A lot goes into terming 'healthy eyes'. The laser does not enter inside the eyes, hence if any changes due to age, diabetes, high blood pressure etc were to creep into the eyes, it would have happened irrespective of LASIK and its line of treatment also does not change. However, when one undergoes a cataract surgery, in today’s cataract one can also get rid of their spectacle errors, but for this an accurate formula needs to be applied if you have undergone LASIK. Our surgeon, Dr Anand Shroff also performs cataract besides LASIK and hence is able to with his expertise achieve this in those patients who have had LASIK in the past. All it requires is for you to inform your doctor that a procedure was performed.

The only thing that we have seen with patients coming back is a small number creeping in due to their lifestyle on the PC and if they do not follow our instructions. This with our instructions is reduced to being less than 0.4% of the time. The choices are to either re treat or fine tune the initial procedure or use glasses for very fine visual work (the choice usually depends on their lifestyle and age). Besides this, other eye events have been independent of the LASIK procedure.


 
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