LASIK Eye Surgery Questions and Answers Archive

Jun
2001

Q&A: What is the optimum time to wait after LASIK eye surgery to have an enhancement done if your vision regressed?

Question:

Had LASIK performed 4 months ago. Initially 20/20 in both eyes, have now settled to 20/40 in both eyes. What is the optimum time to wait prior to an enhancement? And should I have one done are accept the 20/40 result? Thanks for your help! Bob

Answer:

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

The decision to have an enhancement is an individual one. Your surgeon should take the time to discuss why you have shifted and what your options are. Hopefully you had your surgery by a physician who is available to discuus your next step.

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



Jun
2001

Q&A: Can I be a candidate for LASIK eye surgery if I am 54 years old and take medications for hypertension, cholesterol, and Reiter's syndrome?

Question:

Iam a 54 year old male considering lasik correction. Currently Iam taking unaretic for hypertension(under control) and lipitor for high LDL count, as well as Enbrel 25mg twice weekly for control of limited Reiters syndrome(psoriatic arthritis). Need I have any concerns taking into account my medical history regarding the lasik surgery? Pleas advise.

- fred

Answer:

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

Dear Mr. Smith, LASIK may not be a problem for your medical conditions in general. Some conditions, such as Reiter's syndrome can have ocular manifestations. These include conjunctivitis, iritis and keratitis. If your ocular symptoms are chronic or recurring then I would avoid LASIK to be safe. David B. Cano, M.D. W. Palm Beach, Boca Raton, Ft. Laud. www.canovis

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



Jun
2001

Q&A: Is my doctor correct in saying I cannot have surgery to remove cataracts because I had LASIK eye surgery a year ago?

Question:

I had Lasik surgery a year ago. I now have 20/20 vision but need reading glasses. Recently I went to my original Ophamoligist(sp) for a glaucoma test because it runs in my family. Pressures were fine but he said I have cataracts in both eyes and because I had laser surgury, I would not be able to have surgury to fix the cataracts. Is this the case? Why can't I find any information regarding this very serious problem? Needless to say I am very worried. My Doctor said I have five years before my vision will be impaired enough to require surgery. Any information you can give me would be greatly appreciated. Thank you. Debra

Answer:

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

Dear Debra, LASIK surgery does not preclude you from having cataaract surgery at all. Calculation need to be based on the treatment that you had and the original corneal curvature before your LASIK, so you may want to get those numbers. These are need for the implant that you will have after cataract surgery. Also, your intraoculaar pressures may be falsely low because of your surgery and its affect on your cornea curvature, so bewaare of this also. Daavid Cano, M.D. West Palm Beach, FL www.can

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



Jun
2001

Q&A: With me having to take Coumadin am I safe to have the Laser Vision Correction?

Question:

With me having to take Coumadin am I safe to have the Laser Vision Correction. This is something I'm interested in but don't know when I'll be able to. JL Stroud

- jennifer

Answer:

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

Because Coumadin is a blood thinner it may increase the potential for a reported serious LASIK complication, a subretinal/submacular hemorhage. People on bloodthinners should consider other means of refractive surgery if they are suitable candidates.(PRK/LASEK) Another option would be to come off the bloodthinners if you get the blessing of the doctor that prescribed them. Do not stop your blood thinners without consulting your primary medical doctor.

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



May
2001

Q&A: Does it matter which eye I choose for LASIK eye surgery to create monovision?

Question:

I am nearsighted and over forty. I am going to have LASIK surgery on one eye only to preserve my ability to read without glasses. I have worn a contact occasionally, but always put it in the right eye. Today I was told that my left eye is dominant. Should it be the one operated on for nearsightedness, or should I stick with the right eye?

- Donna

Answer 1:

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

Donna, Recent studies have determined that eye dominance is not as big of a factor for choosing an eye for monovision. My gut instinct would lead me to suggest that you should choose your right eye as this is the eye you have used for distance in the past, but you may want to try a contact on the otherr eye to see if you prefer it the other way. David Cano, M.D. Jupiter, W. Palm Beach, Boca Raton, FL

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

Answer 2:

Andrew Caster, MD, FACS - LocateADoc.com

Although monovision is most commonly performed with the dominant eye for distance, many people actually prefer it the other way. You should test it both ways with your contact lenses before making a choice, and then choose whichever feels more visually comfortable to you. Andrew Caster, MD Caster Eye Center Beverly Hills, CA www.castervision.com

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



May
2001

Q&A: Will scratches on my eyes (corneas) prevent me from having LASIK eye surgery?

Question:

On a recent eye exam, my eye doctor commented that my eyes looked like they had "chicken scratch" on them. He said that there were many scratches on my eye lens. What causes this? I wear contact lenses. Will these "scratches" interfere with me having lasik surgery? Thank You! t.g

- tammy

Answer 1:

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

Dear Tammy, You probably need to get new contacts or out of them A.S.A.P. These "scratches" are a sign of an unhappy corneal surface. When healed in a few days, they should not interfere with your surgery. David Cano, M.D. www.canovision.com

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

Answer 2:

Andrew Caster, MD, FACS - LocateADoc.com

Dirty contact lenses can cause tiny scratches on the corneas. This will not interfere with LASIK. Andrew Caster, MD www.castervision.com

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



May
2001

Q&A: Will the tear duct surgery I had interfere with me being a candidate for LASIK eye surgery?

Question:

Hello- My eyes were Very bothered by any kind of light. My eyes would overtear terribly even on a cloudy day. I had a permanant tear duct replacement surgery in 1992. Will these duct replacements interfere with being a lasik canidate? Light still bothers me only occasinaly now. Thanks! Tammy

Answer:

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

Dear Tammy, As long as you do not have a dry eye problem as a result of this surgery, I do not believe that it will interfere with this surgery. You will need a complete evaluation first before having your surgery. David Cano, M.D. West Palm Beach, FL

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



May
2001

Q&A: Is it always the case that LASIK eye surgery is more expensive for farsighted correction than for nearsighted correction?

Question:

I had an evaluation on my eyes for lasik surgery and because I'm far sighted the cost is very high comparred to the price my husband paid for his near sighted correction surgery. Is this always the case?

- Tara

Answer 1:

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

Dear Tara, Unfortunately some of the pricing is unfair because it really should not cost much more for any kind of LASIK procedure unless it is being done on a different machine or with a "double card" treatment on some of the lasers that can't treat mixed astigmatism. There are high volume laser centers that will treat only very low degrees of myopia without astigmatism at a low price, but will double and even triple the cost to the patient even if they find a little astigmatism or a slightly higher correction out of this narrow range (Basically no one gets the advertised price!). It is the old "bait and switch" deal with you sitting in a chair while the go off to talk to their "manager" (i.e. they go off for a cup of coffee - just like in some car dealerships!) Buyer beware! David Cano, M.D.

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

Answer 2:

Andrew Caster, MD, FACS - LocateADoc.com

Some of the very highly discounted centers do not perform farsighted surgery, which they consider more difficult. I believe that most doctors charge the same fee for nearsighted and farsighted LASIK. Andrew Caster, MD www.castervision.com

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



May
2001

Q&A: I've decided on having my eyes corrected but I am currently pregnant. Do I have to wait until I have the baby or can I have the surgery while I'm pregnant?

Question:

I've decided on having my eyes corrected, I am also pregnant. Do I have to wait until I have the baby or can I have the surgery when I'm pregnant?

- Cristin

Answer:

Andrew Caster, MD, FACS - LocateADoc.com

You should wait until after you have had the baby and have stopped nursing for several months before you have LASIK. the hormones involved with pregnancy and nursing can change your vision slightly. Andrew Caster, MD www.castervision.com

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