Email: December 30, 2004 Q: I am myopic with a power of -3.0/-3.25. I also suffer from problem of retinal holes and have had cryo and laser treatment done 4 times in the past. would you recommend LASIK for me to get rid of my specs/ lenses ? A: I would recommend a thorough evaluation by a reintal specialist. As long as there are no other retinal spots that need treatment, then Lasik is fine for you. Andrew Caster, MD

Email: December 30, 2004 Q: I am nearsighted. I currently use monovision contact lens correction. When I do not wear any contacts or glasses, my close vision (for reading) is 20-20. Will the correction of my nearsightedness (about 20-175 I think) make me have to wear reading glasses? A: Yes. If you have monovision Lasik, it will be similar to wearing the contact lenses. Andrew Caster, MD

Email: January 01, 2005 Q: My wife had the lasik proceedure costom vue/mono (one eye) 3 days ago her vision continues to be double vision. the doctor says this is normal and will improve with time. is this normal? I'm a bit concerned. A: It is normal. Andrew Caster, MD

Email: January 01, 2005 Q: What are the chances of LASIK Eye Surgery creating 20/40 vision percentage or better on both eyes, for a patient over the age of 35 with a Myopic or Hyperopic disease? A: Over 90, up to 99, depending on multiple details. Andrew Caster, MD

Email: January 02, 2005 Q: I had lasik on my right eye on Jan 2002 and it was over corrected. It was enhanced on July 2002 resulted between -.5 to -.75. I plan to do a second enhancement. What are the side effects of multiple enhancements if there are any? What are the possibilities of the risks with my situation? Both times it was done with ladarvision. What technology would be used in my case. Custom Cornea ? Wavefront? Nidek? My left eye was also undercorrected. Thank you for your time! A: Any of the lasers can be used. The risks are the same each time you have an enhancement. Andrew Caster, MD

Email: January 02, 2005 Q: I have seen one doctor so far about the surgery and he told me I was a perfect canidate for it except that my age is too young for him. I will be 21 next month. I read up on the age factor and all I found was that 18 and older are sufficant enough. I really would like to have my vision corrected as soon as possible but I want to make sure it's done right the first time. Do you think I should wait until I'm thirty such as was suggested by him or can I get the surgery now? Sincerely Tiffany A: You should wait until your eyes have stopped changing, which could be 18, but sometimes not until the early 20s. Andrew Caster, MD

Email: January 02, 2005 Q: Hi Dr. Caster I went for my eye examination and was told that I am not a suitable candidate for lasik because my corneal is too thin. (between 300 to 400 micron) What other alternatives do i have other than lasik? A: With corneas that thin, I would use contacts or glasses. Andrew Caster, MD

Email: January 03, 2005 Q: I had Lasik surgery about 5 years ago and have had night vision problems and low light problems ever since, especially playing sports in low light. Is this problem correctible with the new technologies? A: Yes, in many cases. Andrew Caster, MD

Email: January 03, 2005 Q: Have you hear of The Lasik Vision Institute? I am thinking of having lasik surgery there.. I live in San Diego. A: Do your homework. Look for bad reports. Andrew Caster, MD

Email: January 03, 2005 Q: I am a periodontist and obviously depend on my vision for work. I have been approved for lasik surgery and the custom vue was not rec. due to the correction differences between the two analyses. I would be corrected from -4.37 with custom vue and -5.05 with the other evaluation. My corrected vision is 20/15 at the -5.05. Which is best? Also, I do develop keloids with some abrasions. Is this a big risk for me? A: Keloids are not a problem for Lasik. I would not do the custom vue due to the divergence in measurements. Andrew Caster, MD

Email: January 04, 2005 Q: I have decided to have a lasik as my vision is v.high ie -10.Is is safe to go for surgery? what is epilasik? which is beter. I have used glasses for 11years, hard lens for 8 years and soft lens for 8years.Is it painful?and how many days rest is required b'coz iam a teacher. A: Lasik can be performed on patients who are -10. Andrew Caster, MD

Email: January 04, 2005 Q: I've been told that my corneal tissue is very thin. Would this rule me out as a candidate? I was told that the new laser procedures would not work on me but that PRK might be the only option for me. I am nearsighted as well as have significant astimagtism. Will PRK really do me any good? What is the estimated percentage that I might have better vision? A: PRK produces results that are almost as accurate as Lasik. Andrew Caster, MD

Email: January 04, 2005 Q: I am looking for either CRT or Ortho K doctor in south California Irvine, laguna hills, Aliso Viejo, Mission Veijo, Newport Beach A: I do not have anyone to recommend. Andrew Caster, MD

Email: January 05, 2005 Q: The Dr. that may do my Lasik uuses the nidek ec5000 and a Visek lasers. Im told I have plenty of "meat" to use. I have a slight astigmutism and prescription is about 2.25 diopters. Which of these 2 lasers would recommend? They say Im to use the Nidek ec5000. What would be, in your opinion, the reason they have special of $750 an eye. My biggest cocern is I do a lot of night driving for my company. Im trying to "get rid" of the glasses, period. I do understand that reading glasses will be a fact of life sooner or later. Are there any machines that are not recommended? Thanks for your help, Mike A: It is cheaper for them to use the Nidek. I would be more concerned about the result than the price. Andrew Caster, MD

Email: January 05, 2005 Q: When you mention that steeper corneas present a higher risk of flap complications. At what level/measurment do you consider someone to have a steep cornea? A: Some doctors experience difficulties for K readings over 45. Personally, I have not experienced this problem. Andrew Caster, MD

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