LASIK Eye Surgery Questions and Answers Archive

Feb
2002

Q&A: Is it normal and for how long will I have blurry vision and current vision of 20/25 and 20/40 after having LASIK eye surgery a week ago?

Question:

I had LASIK surgery a week ago. At the one week follow-up, my vision is 20/25 (was 20/800) in my right eye and 20/40 (was 20/600) in my left. Everything still seems a bit blurry especially inside. The doctor didn't seem to be concerned about this when I told her. Is this normal and how long can I expect it to last?

- Tom

Answer:

 Ernest W. Kornmehl, MD - LocateADoc.com

You may be undercorrected. Also, ask your doctor to verify that you don not have stria.

-- Ernest W. Kornmehl, MD
Brookline, Massachusetts



Feb
2002

Q&A: Could I be a candidate for LASIK eye surgery if I am myopic, have severe astigmatism and have congenital cataracts?

Question:

I am 50 yrs old, have been wearing eyeglasses since I was 7 yrs. old for myopia. I now also have bifocals. I've also been told I have severe astigmatism and also congenital cataracts. Could I possilby be a candidate for lasik surgery?

- Julie

Answer:

Andrew Caster, MD, FACS - LocateADoc.com

You may be a candidate. You need to see a Lasik surgeon for a consultation. Andrew Caster, MD

--Andrew Caster, MD, FACS
Beverly Hills, California



Mar
2002

Q&A: What is the price for LASIK eye surgery if I am nearsighted and have astigmatism in both eyes?

Question:

I have been looking into Lasik/Lasek surgery for awhile now. I am at a point where I wish to price the surgery that I will require. I know I need to go to a few local dr's and get a free consultation to see if I am even a candidate, but I would like to have an opinion as to whether I am wasting my time: I have astigmatism in both eyes, one far worse than the other, and am near-sighted. I have been putting $$ in my savings account and would like a price range for Lasik/Lasek on such a patient with my type problems. Is this possible? Just a range...I want to know how far away I am. This is something I have been wanting for years!

- Sheryl

Answer:

David B. Cano, M.D. - LocateADoc.com

The average price is about $1600 per eye for this procedure. Most offer a free consultation with the surgeon - that is what consultation means. You would need to be evaluated before one can tell you if you are a good candidate. www.canovision.com

--David B. Cano, M.D.
West Palm Beach, Florida



Jan
2002

Q&A: Can I expect my LASIK Eye Surgery to put my eyes at 20/20 and can I take vitamins or certain foods to help?

Question:

Dear Mr. Lomas thatnk you for your reply. So Lasik eye surgery and Laser eye surgery are the same thing? Does LASIK eye surgery put your eyes at 20/20 or does it just get them close to 20/20, or is it diffrent in every patient. Would you recoomend any vitamins or certain foods to eat that would improve my vivion or are is that not practical? Do most reputable eye clinics back your surgery up with a warrenty? How long does it take to heal and see 20/20 after your surgery? Thanks again for your time

- Russ

Answer:

Richard W Lomas, M.D. - LocateADoc.com

Dear Russ, LASIK is done with an excimer laser, so it is a form of laser eye surgery, and often referred to as "Laser Vision Correction". Laser eye surgery is not always LASIK however. There are several types of lasers and many other kinds of laser eye surgery used for different treatments. Depending on your age, health and acuity prior to LASIK there is a good chance that you will achieve 20/20, but this is a surgery, every patient responds somewhat differently, and there are no guarantees. It is wise to view LASIK as a way to become less dependent on lenses, knowing there is a small chance you may still need them for some activities. Realistic expectations make for happy outcomes. A healthy diet is good for your eyes, as well as the rest of your body, and being active improves circulation...always good for the body. But there is no magic pill, herb, or vitamin that will impart good vision. In our clinic most patients see very well by the day after LASIK, though complete healing will take several weeks. Sincerely, Dr. R.W. Lomas

--Richard W Lomas, M.D.
Renton, Washington



Mar
2002

Q&A: Is a cornea thickness of 475 to 495 adequate for LASIK eye surgery?

Question:

Is a corneal thickness of 475 to 495 ok for LASIK - my vision is 20-400

- Mike

Answer:

David B. Cano, M.D. - LocateADoc.com

Dear Mike, Your cornea is probably to thin for LASIK, but may still be safe for PRK or LASEK. As you are in my area, please feel free to contact my office for a free consultation to see whether or not you are a candidate for this other procedure. A Orbscan topography map will need to be done to better assess your cornea. You can obtain more information by visiting our website at www.canovision.com or calling (561) 684-4773. Sincerely, David Cano, M.D. Vice-president, Florida Society of Ophthalmology

--David B. Cano, M.D.
West Palm Beach, Florida



Jan
2002

Q&A: Should I get a second opinion if my vision keeps changing between blurry and clear after LASIK eye surgery and then enhancement?

Question:

I had lasik in March 2001 with an enhancement in July 2001. For several months my vision seems to be changing constantly with blury vision then clear. My doctor is talking about a second enhancement but I am getting so scared that he has messed up my eyes I am afraid to have him do another. I have been using Econopred 4 drops per day since Nov. How long can I use this safely? I called my regular eye doctor who recommended the lasik surgeon but he will not even see me. Says the lasik surgeon must dismiss me first. Am I getting a "run a round" & should I get a second opinion? I am really concerned.

- Margie

Answer 1:

Andrew Caster, MD, FACS - LocateADoc.com

It doesn't hurt to get an second opinion. Andrew Caster, MD

--Andrew Caster, MD, FACS
Beverly Hills, California

Answer 2:

Ernest W. Kornmehl, MD - LocateADoc.com

Get a second opinion, I am certain your surgeon would not mind.

--Ernest W. Kornmehl, MD
Brookline, Massachusetts



Jan
2002

Q&A: Regarding LASIK eye suregery and Laser eye surgery, what is the difference, why is the cost rising, what are the risks, and are there age requirements?

Question:

Dear Mr.Lomas thank you for your reply. I was wondering why the cost of LASIK eye surgery is rising in Washington state? And is Laser eye surgery the same thing as LASIK eye surgery? Also what are the side affects of Laser eye surgery,has there been any long term study on the affects? In 20 years is everybody who had this surgery going to go blind? What is the youngest age a person should get Laser eye surgery? I've heard reports of people having trouble seeing at night time with Laser eye surgery, is this an isolated case? I was also wondering about the use of contacts are you familar with this area or should I direct my contact related questions to another doctor? Thanx

- Russ

Answer:

Richard W Lomas, M.D. - LocateADoc.com

LASIK laser vision correction is the best choice for nearly all myopes seeking surgical correction. The cost of surgery is rising because there is less competition. Over the past year many clinics that were performing LASIK have quit doing the procedure, or gone out of business entirely. The price in the Pacific Northwest has been lower than the rest of the country from the beginning, but the influx of discounters had depressed pricing further. Now they are gone, and the price is drifting back up toward a more realistic range...remember, the doctor needs to make a little profit to stay in business! LASIK is laser vision correction. This is only one of many types of Laser eye surgery though, a variety of lasers are used to treat many different eye conditions and diseases. When LASIK is done correctly, problems are rare, but it is surgery, and has inherent risks just like any surgery. LASIK has been performed in South America since 1987, and the results appear to be very stable. We are not psychics and can't say what will happen in 20 or 30 years, but eye doctors are confident enough in the safety of LASIK that many have had the procedure themselves. Night glare is normal during the healing process. In a small number of patients it can become a long term problem. If you have glare with contacts, you probably will with LASIK. There is no reason you could not wear contact lenses after LASIK, though in this practice it is very rare for a patient to want or need to, our results are outstanding.

--Richard W Lomas, M.D.
Renton, Washington



Jan
2002

Q&A: Which should come first ... LASIK surgery or eyelid lift surgery and how much time between the surgeries?

Question:

Sorry - I have one more question - I am also considering having eyelid lift surgery and lasik vision correction surgery - which should be performed first - and how much time should elapse between the two? Thanks.

- J.L.

Answer:

Ernest W. Kornmehl, MD - LocateADoc.com

Have your lid lift first, then wait at least 6 months. Make sure you no complications and and do not have a dry eye condition prior to going forward with LASIK.

--Ernest W. Kornmehl, MD
Brookline, Massachusetts



Jan
2002

Q&A: Would you recommend Laser eye surgery, RK or PRK to correct myopia. And which is more cost effective(cheap).

Question:

What would you recommend Laser eye surgrey, RK or PRK to correct myopia. And which is more cost effective(cheap). Thanx

- Russ

Answer:

Richard W Lomas, M.D. - LocateADoc.com

Dear Russ, PRK is generally considered an outdated procedure, and seldom performed except when certain medical conditions warrant it. LASIK is quicker healing, less painful, more predictable, and does not require the use of strong steroids, making it the procedure of choice. I urge you to make your choice of surgeon based on experience and reputation, rather than cost! There were a lot of discount LASIK centers in our state, and B.C. until last year. Most of them suddenly went out of business amid a flurry of lawsuits and bankruptcies. In many cases people who paid in advance got no surgery, but lost their money. Worse, many others, including a significant number who had complications, were left without the follow-up care and enhancements they were promised. They had to scramble to find other doctors willing to care for them...and pay hefty fees for the service! There are only a few discounters left, and I expect they are likely to go the way of their predecessors. The problem is, when you cut prices so drastically, you have to cut corners. These are your eyes. LASIK is NOT like a haircut; if it is done badly, it won't grow back! You get only one chance to do it right; a low price is no bargain if you have to live with a bad result. In Washington State the average price of LASIK is currently around $1400 per eye (and rising), the price at most reputable clinics falls within about $200 of that mark. A clinic that charges a great deal less than this may be compromising on the quality of care, equipment, and staff-putting you at greater risk than necessary. Better to save up a little longer, or use financing options, and choose a well established clinic has a reputation for excellence. For more detailed LASIK information, you may wish to view our website.

--Richard W Lomas, M.D.
Renton, Washington



Jan
2002

Q&A: Can I have LASIK after having RK?

Question:

i have a corneal transplant on my right eye as a result of a botched radial keritonomy, i had 20 cuts in each eye as the result of RK in 1993 i am having trouble with the fit of a gas permeable contact which rides nasal. my dr has suggested he could do lasik but it could result in the scars rupturing during surgery. he also said he could do prk instead of lasik. is this a successful surgery for my eye due to the transplant and is there any thing else to correct my vision. thank you audrey

Answer:

Ernest W. Kornmehl, MD - LocateADoc.com

Absolutely no PRK. It may be possible to due LASIK if there are no epithelial inclusions.

--Ernest W. Kornmehl, MD
Brookline, Massachusetts