LASIK Eye Surgery Questions and Answers Archive

Mar
2001

Q&A: What should I consider in choosing to have LASIK eye surgery for myopia done in Canada rather than New York?

Question:

I am considering having bi-lateral Lasik surgery (for myopia)done in Canada versus here in New York. Is there any considerations besides cost that I should know about? Thanks.

- Elizabeth

Answer:

 Andrew Caster, MD, FACS - LocateADoc.com

Personally, for something as important as your eyesight, I think cost should not be a consideration at all, at least within broad limits. There are very large differences in the quality of the results obtained by different centers, and this relates to the quality of the laser, the doctor, and the staff that maintains and calibrates the equipment. It is difficult for a consumer to assess these things. Andrew Caster, MD

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



Mar
2001

Q&A: Should I consider an enhancement if my LASIK eye surgery was perfect for 2.5 months and now my vision has degraded?

Question:

I had LASIK eye surgery in May 2000 and my vision was perfect for about 2.5 months. Toady 2/8/01 my vision is 20/25 with my left eye being 20/70 with a slight stigmatism. Would you advise an enhancement at this time or not?

- SHARON

Answer:

Andrew Caster, MD, FACS - LocateADoc.com

I would recommend that you discuss it with your doctor. If he or she says that it is fine, then I would proceed. Andrew Caster, MD

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



Mar
2001

Q&A: Three weeks after LASIK surgery and my eyes are strained and tired at the end of the day and I see black cobwebs in my line of sight. Is this normal?

Question:

I had Lasik 3 weeks ago and my eyes are still pretty strained and tired by the end of the day. Is that part of the healing process? Also, I've been seeing black cobwebs in my line of sight somewhat frequently. I'm a little nervous.

- Laura

Answer:

Andrew Caster, MD, FACS - LocateADoc.com

You should probably call your doctor about the cobwebs, but it is perfectly normal to have eyestrain during the healing process. Andrew Caster, MD Beverly Hills, CA

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



Mar
2001

Q&A: What is currently the best laser to use for LASIK eye surgery for my eyes?

Question:

Iam a 54 year old male. Currently I wear acuvue 2 soft lens BC8.3, DIA14.0, -7.00. Iam considering lasik surgery and have recieved a few recomendations. One says the surgery could be done with the Visx star 2 laser, while another recommends the new Bosch & Lomb laser. Iam confused and question which laser will give me the best results taking into consideration my current eye sight. Please advise.

- Fred

Answer:

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

We have researched this. Our findings are based on clinical outcomes. We chose the VISX S3.

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



Jan
2001

Q&A: Should I be concerned if I am being asked about keloiding as it related to my upcoming LASIK eye surgery?

Question:

I have booked a lasik surgery date of 1-25-01, but am concerned about a question posed to me by the Dr. - do I have a problem with keloiding after surgery? I have had some problem in the abdominal area, but not in other surgical areas. I've given him that information and he doesn't seem concerned, but if it's an issue, why did he ask in the first place. I don't want to be blind because I don't like wearing glasses. Any further info?

- Kay

Answer:

Andrew Caster, MD, FACS - LocateADoc.com

Keloiding is a problem for patients who are having PRK, but does not seem to be a problem for people having LASIK. Andrew Caster, MD

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



Jan
2001

Q&A: Can I wear contact lenses if I had LASIK eye surgery a months ago and until I get further correction in 3 months?

Question:

I had Lasik surgery one month ago. I now have 20/50 in one eye and 20/80 in the other. It will be 3 months before I can have an enhancement. Can I wear contact lens until then? Thank you for your advice.

- Jeannie

Answer:

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

I would not recommend it.

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



Jan
2001

Q&A: I've never worn glasses but think I may need them or possibly LASIK surgery. Who do you recommend I see?

Question:

I am 34 years old and have never worn prescription glasses. (Although I think I needed them.) I had a complete eye exam 10 years ago and had like 20/40 vision at the time. I was still able to pass my drivers test without corrective lenses. My vision (nearsightedness)seems even worse lately with all the computer work I do. I am considering the Lasik procedure, but am wondering if there will be any issues since I don't have any history with prescriptions and vison stability. I would say both of my eyes see about about equally well and there has been no dramatic vision changes in the past 10 years. Anyone you can recommend in the Saint Paul, MN or Western Wisconsin area?

- Steve

Answer:

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

You should have a LASIK consult. Then, repeat it again next year to see if you have a stable prescription. I recommend Dr. Ralph Chu.

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



Dec
2000

Q&A: What are the risks of LASIK eye surgery and can I expect permanent 6/6 vision if I start with 4/4?

Question:

Hi! I am 22 years old ,have a -4 vision on both eyes and wish to perform a lasik eye surgery.What are the chances that problems may occur after the surgery? will i have a permanent 6/6 vision?

- Igor

Answer:

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

Major problems are rare. Minor ones occur but are usually managed without longterm problems. Some problems can be permanent.

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



Dec
2000

Q&A: What is a scuff as a result of LASIK eye surgery?

Question:

I have a friend that has recently had lasik surgery. One of her eyes had a scuff. What exactly is a scuff and was it the Surgeon's fault?

- Beverly

Answer:

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

I'd need to know more. Itmay be an epithelial defect. That should heal in time.

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



Nov
2000

Q&A: After having LASIK three years ago, my far vision is not as good as it was before the surgery. Should I be concerned?

Question:

I had lasik eye surgery 3 yrs ago and for some time now my far vision does not seem as good as it was when I first got it done. Am I imagining things or is it possible that my eyes may need more surgery. I had an eye exam and it said I was 20/20 but I am having trouble with my far vision. Please let me know what you think. I hope I have explained myself well enough so you understand. Thank you

- janice

Answer:

Andrew Caster, MD, FACS - LocateADoc.com

The eyes can certainly change over time, and it is possible that more surgery would help. However, with 20/20 vision it may not be worth the risk to have any further work done, because your vision is really quite good. Andrew Caster, MD

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



Nov
2000

Q&A: Can I get LASIK eye surgery to correct regression of my eye sight after RK performed years ago?

Question:

I had RK in 1985. My eyes regressed back to the original condition. Is it possible for me to have LASIK correction?

- Paul

Answer:

Andrew Caster, MD, FACS - LocateADoc.com

Yes, it is certainly possible to have LASIK after RK. Andrew Caster, MD

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