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

Can patients wear contacts after having lasik or in my case, will my corneas be too flat?

A

Corneas will become regular after LASIK, so soft contact lenses can be worn if required. Coloured lenses usually after 1 month of the procedure.

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Q Is there a laser that is best suited in treating someone like me with such high astigmatism and thin corneas? Such as your Allegretto, Concerto laser? Also, what is this 90 micron treatment I read about on your site? Will that benefit me? I want to leave behind as much of my corneal tissue as possible.
A

You are right when you ask this technical query. There is no better combination than using the 90 micron kit which saves 90 microns of your cornea along with doing LASIK on the Concerto which also has some corneal savings. So for patients like you, this combination is most suited and effective besides being the safest option.

 
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Q

Have you treated someone with a high cylindrical error as mine?

A

We have treated upto -6D cylinders with great result!

 
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Q

Can you honestly tell me if this is something I should pursue because I've been miserable with my eyes for years now and I just want to be free from all the eyestrain, the contacts, the glasses. I just don't want to pursue this without some certainty that it has some predictability and will most likely have a positive outcome. Ultimately, I just want an honest, professional answer on whether or not this is for me.

A

If after our detailed check up we find that you are a good candidate for the procedure, you will do very well. However, with just numbers being sent to us to decide via e mail is difficult as you will aprreciate that it will be general responses until the time that we have examined you ourselves. We do not take any chances and do not recommend the procedure to anyone whom we are doubtful of results..

 
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Q What are the chances of developing any of the following side effects (and for how long) post LASIK treatment :-

(I have gone through your website which says there would be no side effects, still I keep meeting people who complain of some form of side effect at the least)

a) Halo effect/ blurred lights (bulbs / direct sunlight / car headlights / faded bright colors)

b) Poor night vision

c) Night glare (especially while driving - from the headlights of the oncoming vehicles)

A

The above exist with the kind of technology used. In the night the pupil expands to let in more light, so if your treatment zone is smaller than the pupil dilation, this issue will exist. Some lasers do not have the capability to treat a large optical zone (which in the Concerto Laser that we use is the largest possible), hence we do not face this issue. You may feel some temporary glare when the layers of the eyes are healing and this will not extend to over 3 months. But the kind you read about on the net is permanent night vision issues which we do not face. For this we also check your pupil diameter in dim light condition.

 
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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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