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Caster
Eye Center Excellence in Laser Vision Correction of Nearsightedness · Farsightedness · Astigmatism |
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Caster
Eye Center Excellence in Laser Vision Correction of Nearsightedness · Farsightedness · Astigmatism |
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Email:
April 11, 2005
Q:
My optomoterist told me he saw that I had corneal guttata. Would I still be
a candidate for lasik surgery? He told me he didn't know. A:
I would recommend a conreal endothelial cell count. If it is fine, then Lasik
is okay. Email:
April 11, 2005 Q:
I had Interwave surgery in November of 2004. Everything seems to have went well
except for one thing. It seems that around mid afternoon my eyes want to close
on their own. They physically start to draw shut and I can not control them.
Is this due to the surgery? I've never experienced this before. I did have to
have punctal occluders put in the bottom. Is there a chance of nerves being
damaged because i also now experience my right eye twitching constantly. It
hasn't stopped since Nov. Thank you,Angelique Herrington A:
Your eyes may be dry. Otherwise, there is no connection. Email:
April 11, 2005 Q:
I have astigmatism and I was told that having Lasik surgery would possibly make
the situation worse. I was also told that astigmatism is where the cornea is
being stretched out and eventualy the cells with pop. Can you please set me
staight so that I will know if I could get corrective surgery for my eyes? Thank
you for your time. A:
Get a second opinion. Email:
April 12, 2005 Q:
I am thinking about having PRK but wanted to know if I will be required to wear
a contact lens after the surgery or can a patch be used instead. I have a phobia
to contacts and have never worn them. Thanks
A:
Contacts are much better; a patch won't work well. Email:
April 13, 2005 Q:
My daughter does not need contacts, but she wants them to look pretty? Can this
effect her vision? A:
Only if she develops an infection. Email:
April 15, 2005 Q:
would i be able to get the surgery done if i am 16 years old? A:
You must wait until your eyes stop changing, which may be in the late teens
or early twenties. Email:
April 15, 2005 Q:
I am going to have lasik surgery next week. I have qualified for custom lasik
and am try to decide rather to have custom or contemporary. I understand that
custom fixes sharpness issues like halos around lights and seeing specific details
in faces and such. I have no problem with this issue now so would it be ponitless
to have the custom lasik, or is this a problem that can develop after conventional
lasik. A:
It is a problem that can develop after Lasik, with conventional or custom treatment,
but it is less common after custom treatment. Email:
April 16, 2005 Q:
I have been examined and told that I qualify for PRK and Lasik. I am in the
military so it is covered finanically. I have done my research and understand
both procedures. I am still uncertain which to choose. I want to do what is
best in the long run for my eyes. Any input is appreciated. Thank you! A:
They are equal in the long run. Lasik definitely heals up faster. However, PRK
may be safer for some people in high risk situations where trauma may occur
to the eyes, such as in combat. In this case, Lasik may be a better choice. Email:
April 19, 2005 Q:
Dear Dr. Caster, A:
Usually, dry eyes will return to the normal level after about 3 months. In rare
cases, it can last longer. Punctal plugs are small pieces of plastic or collagen
that are slid into the tear outflow channel in your eyelid. Typically, you do
not feel them. Email:
April 19, 2005 Q:
Does having Genital Herpes (HSV), or taking Valtrex for such a condition, have
any bearing on candidacy or outcome of LASIK surgery? A:
No. But if there is a history of HSV in the eye, then great caution is needed. Email:
April 20, 2005 Q:
It has been a week after my LASIK surgery and my right eye is not as clear as
my left eye. My doctor did say this would be normal but i have also noticed
that my right eye feels either strained or pressure. Is this normal? I thought
it might be because it is trying to keep up with the left eyes vision. Is there
something i can do to help not have this feeling? Thank you. A:
It is common for the two eyes to heal differently. I would be patient. Email:
April 22, 2005 Q:
Hi, I'm considering LASIK and understand that better results are obtained with
the Ladar over the Visx machine. If this is true, why would you still be using
the Visx. Are there special situations where the Visx would be a better choice? A:
I prefer the Ladarvision for most procedures, and use the Visx only in special
situations. For patients who have had cataract surgery, or other unusual situations,
the Visx is preferable. Email:
April 25, 2005 Q:
Why do some doctor push the intralase (laser flap opening) and some are so against
it and prefer the blade opening? I have a +5.50 and a lot of stigmatism. I also
have horrible night vision with halos and starbursts. Does the flap realy make
any difference? A:
I personally don't think that there is much difference at all between the Intralase
and the keratome. I generally prefer the keratome, but will use the IntraLase
in certain specific stiuations. Email:
April 26, 2005 Q:
I have been told that after having lasik surgery sometimes you may need another
surgery to see 20/20; does the risk go up on the 2nd surgery? A:
No, the risk is actually smaller for each additional surgery. There are still
some risks; however, they are small. Email:
April 27, 2005 Q:
I'm interested in getting eye surgery but have multiple family members who feel
the process may have worsened or accelerated their presbyopia. I know the condition
is unavoidable at a certain age, but if it is possibly worsened or accelerated,
could it be a problem for someone 21 years old? In other words, could my close-up
vision get worse to correct my far-sightedness? Thanks, Kara A:
Lasik does not speed up or slow down presbyopia, which is the reading glass
problem that begins in your 40s. Of course, a person who is nearsighted has,
by definition, better near vision than far vision without glasses, and Lasik
changes your eye so that it is similar to wearing glasses. More
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