LASIK Eye Surgery Questions and Answers Archive

Feb
2000

Q&A: Do doctors in Canada have to have the same qualifications as ones in the US and are there statistics on safety and effectiveness?

Question:

My wife is considering traveling from Seattle to Vancouver, BC for lasik surgery. Do you know of any specific resources where I can find statistics on the safety and effectiveness of the procedure in Canada versus the US? Do doctors in Canada have to have the same qualifications as doctors in the US?

- James

Answer:

 Calvin Sprik, M.D. - LocateADoc.com

You have entered an area where it will be hard to compare apples to apples so to speak. Inportant things to ask about are experience ( more than 300 cases done), size of the optical zone of treatment( I have seen 5.5 mm patients from Canada. We use 6.5 in the USA...smaller is likely to produce more haloes at night.). In the USA, the FDA dictates what type of eyes we can operate on. There is nothing regulated in Canada, so many patients who are pushing the limit would be operated there, while here in the USA, they would not be considered good candidates. Some doctors in Canada have done LASIK for years, as have some in the USA. Others there and here have just started, and have limited experience. That is why you need to ask those questions. One more point for your wife: you will have no legal recourse as a USA citizen in Canada if the issue of Malpractice arises. My advise for my patients is to consider this, and the fact that they will have to return to Canada for enhancements, complication management, at possibly followup care. What do those trips cost in terms of time off of work, mileage, hotels, etc. Go to www.isrg.org for a site with good information. Thanks

-- Calvin Sprik, M.D.
Stevens Point, Wisconsin



Feb
2000

Q&A: What is a reasonable amount of time after LASIK eye surgery for your vision to stabilize and then consider if enhancement is needed?

Question:

What is a reasonable amount of time for vision to come in extremely clearly after a LASIK procedure? When does a patient need to consider having an enhancement procedure done on an already-operated on eye? Thanks

- Wendy

Answer:

Andrew Caster, MD, FACS - LocateADoc.com

It takes about 3 months to reach your final vision after LASIK. If the vision is not clear at that time, then you should consider an enhancement. Andrew Caster, MD

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



Jan
2000

Q&A: Am I a candidate for LASIK eye surgery if I am nearsighted (od -125-25x180 and os -100 sph)?

Question:

I have a prescription of od -125-25x180 and os -100 sph. Am I a good candidate for Lasik to correct my nearsightedness?

- Randy

Answer:

Byron Stratas, M.D., F.A.C.S. - LocateADoc.com

You might be a candidate for LASIK or Intacs. The only way to know for sure is to have a consultation.

--Byron Stratas, M.D., F.A.C.S.
Wilmington, North Carolina



Jan
2000

Q&A: What is the total price for LASIK eye surgery for eyes with -4.25 / -5.25 plus minor astigmatism?

Question:

What is the price for the treatment of 2 eyes, LASIK. -4.25 and -5.25 plus a minor astigmas ?? eyes in good condition all ready checkt in hospital. Coming from Netherlands, and I hate waitinglist ! Thanks, ton veen, holland

Answer:

Andrew Caster, MD, FACS - LocateADoc.com

The total fee, including all medications, etc. is $4800. I know that you will be very happy with your result. Andrew Caster, MD

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



Jan
2000

Q&A: What is the success rate of LASIK? What is an average cost of this procedure?

Question:

What is the success rate of LASIK? What is an average cost of this procedure?

- Antonyette

Answer:

Byron Stratas, M.D., F.A.C.S. - LocateADoc.com

The success rate may vary from surgeon to surgeon. Also, statistics are good for general information but cannot be applied to a particular individual. There can be no guarantee. Having said that: over 98% of our patients see 20/20 or better after surgery.

--Byron Stratas, M.D., F.A.C.S.
Wilmington, North Carolina



Jan
2000

Q&A: Why do the prices fluctuate so much in PRK and Lasik? Why is it so much cheaper in Canada? Are they less qualified?

Question:

Why do the prices fluctuate so much in PRK and Lasik? Why is it so much cheaper in Canada? Are they less qualified? I heard people pay as little as $1,000 and are satisfied. Do you know how I could find a good Dr. at the lowest price?

- Joe

Answer:

Andrew Caster, MD, FACS - LocateADoc.com

Prices vary in this surgery, just like they vary for everything else in life. And, in general, when you get the lowest price, you generally don't get the best quality. There are lots of quality decisions that each doctor and laser center must make -- do we buy the expensive drops, or the cheap ones? the expensive drapes, or the cheap ones? Since it is impossible to undo the surgery if you are not happy, I would suggest shopping for quality, not price.

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



Jan
2000

Q&A: Do I wait or need to take action if I had LASIK, experienced double vision, had obliteration correction and now have triple vision?

Question:

I had the LASIK procedure performed in November. After 2 weeks, I had double vision in my left eye and was told I had an obliteration that needed to be corrected. I had a second surgery on the left eye. My dr. tells me the obliteration is corrected and my vision is 20/40 in the left eye, but I have triple vision. He told me that this was due to the amount of reconstructive work which was performed and that the surface of the cornea is irregular, but will heal itself with time -- usually 3-6 months. Does this sound accurate?

- Linda

Answer:

John D. Zdral, M.D. - LocateADoc.com

It may be, but is dependent upon topography. This is clearly an irregular result, but all you can do is wait for the present.

--John D. Zdral, M.D.
Fullerton, California



Jan
2000

Q&A: Can LASIK eye surgery eliminate the need for reading glasses if I am over 40 years old?

Question:

Is the over 40 need reading glasses problem. can it be corrected by this laser surgery??

- CURTIS

Answer:

Alexandra Christine Chebil, MD, FRCSC - LocateADoc.com

Dear Curtis, The reading problem can sometimes be corrected with Lasik. You would need to have an eye exam (usually free) with the surgeon of your choice before it can be decided for sure if you could be treated. Sincerely, Alexandra Chebil M.D. The Lasik Center, Irvine CA (800)841-3717

--Alexandra Christine Chebil, MD, FRCSC
Irvine, California



Dec
1999

Q&A: What is the worst case scenario that can happen in LASIK eye surgery?

Question:

What is the worst case scenario that can happen in lasik surgery? and are there cases where you need a corneal transplant, and if so what are the statistics of that happening?

- Marcela

Answer:

Alexandra Christine Chebil, MD, FRCSC - LocateADoc.com

Dear Marcela, The worse case wuld be a corneal infection, resulting in scarring with blurred vision. A corneal transplant would probably be necessary- chances are probably less than .01%. Sincerely, Dr. Alexandra Chebil M.D. The Lasik Center (800) 841-3717

--Alexandra Christine Chebil, MD, FRCSC
Irvine, California



Dec
1999

Q&A: Who has the best reputation for LAISIK eye correction and what is the best equipment?

Question:

1)Which place in the world got the best reputation for Laser Cor', 2) And what is the best instrument using for Lasik Cor' Thanks, Dror

Answer:

Alexandra Christine Chebil, MD, FRCSC - LocateADoc.com

Dear Dror, I am not aware of any center with the best reputation, although there are many excellent doctors (including myself) who obtain very good results. I personally use the"VISX" laser system, although Nidek is also very good. Every surgeon will swear by his/her own technique. Sincerely, Dr. Alexandra Chebil M.D. The Lasik Center

--Alexandra Christine Chebil, MD, FRCSC
Irvine, California



Dec
1999

Q&A: I saw an article about a LASIK technology that tracked the laser using reference points prior to each laser pulse. Can you tell me more about it?

Question:

I'd recently seen on the news (in NYC) about an advance in LASIK technology whereby the laser is "tracked" using reference points prior to each laser pulse to attain greater accuracy. Do you know what this is called and do you know anything about this? Thanks in advance.

- John

Answer:

John D. Zdral, M.D. - LocateADoc.com

The technology you refer to is an eye tracking device incorporated into the laser system within the past year. This laser is called the Autonomous Laser, which I have access to, should you desire treatment. To schedule a consultation, please call Pam at 1-800-824-1073.

--John D. Zdral, M.D.
Fullerton, California