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LASIK Surgery
Questions & Answers
Beverly Hills Lasik surgeon Dr. Andrew Caster
answers email questions about Lasik surgery.
From Ask A Lasik Doc at www.allaboutvision.com


     

Email: May 14, 2005

Q: I had lasik a week ago all is going well so far. But I've been told that there is DKL going on in my right eye. I have another follow up this Tuesday to be rechecked. My pre-op doctor just said it's unusual swelling and that's it. I've tried to look it up but not much on the web about it. I found a research site and there it says complications. Could you explain to me what DKL is. Thank you in advance, Marlene

A: DLK (diffuse lamellar keratitis) is an inflammation after Lasik under the flap. It can be due to many things. It is treated with steroid drops, and usually resoves without further effect.
Andrew Caster, MD
Caster Eye Center
Beverly Hills, California
www.castervision.com

 

Email: May 15, 2005

Q: I m considering of LASIK surgery, however, I m applying for a post in an airline company and it prefer candidates not having LASIK. I would like to know is there any eye examination that can confirm whether I have received LASIK surgery e.g. any scar, features, etc. during the examination ?

A: Yes, a topography test wil reveal that a person has had refractive surgery of any type.
Andrew Caster, MD
www.castervision.com

 

Email: May 16, 2005

Q: My daughter had RK in the mid 90's and Lasik in 1999. She is having focusing problems now. Her doctor told her there was nothing to be done but try hard contacts. Will this progress to blindness? She is having great difficulty now and probably won't pass her next drivers license exam. Margaret H.

A: No, this probably will go on to blindness. It just may be that there is no further surgery to help, and hard contacts may give the best vision.
Andrew Caster, MD

 

Email: May 17, 2005

Q: Dr. Caster,

I am myopic with -7D in my right & -7.5D in my left eye. My left eye also has -0.5 Cyl & 5 Ax. I am 31, and have been wearing soft/disposable contact lenses for the past 12 years.

I went for pre-Lasik consultation and the report is as follows:

Left Eye
K1: 44D, K2: 44.5D
Pachy. 556Abl.: 156(128)
Pupil dia: 6mm
Cor. Dia: 10.5mm
IOP: 17mmHg

Right Eye
K1: 44.5D, K2: 44D
Pachy. 558Abl.: 158(129)
Pupil dia: 5.5mm
Cor. Dia: 11mm
IOP: 15mmHg

Ant. Segment & Fundus were normal for both eyes. Can you explain what these readings mean, and whether I will be a good candidate for LASIK? Any special considerations/instructions?

Thanks!

Anand.

A: All of this looks normal. These numbers all indicate that you are a good candidate.
Andrew Caster, MD
www.castervision.com

 

Email: May 17, 2005

Q: I have decided to have the LASIK surgery. I am leaning toward having the flap created with IntraLase Laser instead of the mechanical Keratome. I have small sensitive/light sensitive eyes with thick corneas (measured 630). Tried to wear contacts but to difficult putting them in and had too much eye discomfort. Cornea specialist said I should not have any problem with having the surgery. He advised both procedures work well. I have been told that there is more pressure exerted on the eye for a shorter time with the mechanical keratome where as there is less pressure but a longer amount of time with the laser. I am under the impression that the laser consistently makes a smoother more uniform flap than the mechanical keratome. I am also under the impression that the laser is safer, has a higher success rate, and has better vision soon after surgery. I am looking for comfort and reliability. Which one do you suggest?

A: There is much debate about this, which means that there really is very little difference. Personally, I find that the mechanical keratome is easier on the patient, and in my hands produces slightly more accurate results. This is the opinion of the majority of the lasik surgeons, but you should do fine either way. I would pick the doctor that you like the best and use whichever method he or she prefers.
Andrew Caster, MD
www.castervision.com

 

Email: May 18, 2005

Q: Hi Doc.
My name is Pamela and i have a very complicated question for you. I have a friend who recently got shot in the eye. He has already lost that particular eye and also cannot see with the other eye. It has been about four months now and still no sight. I am worried about him seeing again in future. Do you think there is any hope?

A: I hope that he is getting excellent medical attention. I cannot say from the information provided what his prognosis will be.
Andrew Caster, MD

 

Email: May 19, 2005

Q: Hello Dr. Caster,

I had LASEK done on May 9th on both my eyes at once. So it has been 10 days from my surgery and almost all discomfort is gone. However, my vision is still only 20/30 - 20/40. My doctor told me that it may get better in the next 3 weeks. What do you consider to be the appropriate period of time after LASEK to judge a patient's final vision?

Thank you,
Mike Fernandes

A: It takes 3 months, sometimes longer, to get to your final vision.
Andrew Caster, MD
www.castervision.com

 

Email: May 19, 2005

Q: I had this growth on the white of the bottom of my right eye just where the sclera meets the cornea for years (at least 5). It is not easy to see it with a naked eye unless I lean really close to the mirror. Will this affect my suitability for Lasik as it involves the cutting of the cornea? I am really concerned as I really would like to consider Lasik for my myopia. I really would appreciate your speedy reply. Thank you Dr Caster.

Jimmy

A: You must see a doctor to determine what the growth is. It may or may have an effect.
Andrew Caster, MD
www.castervision.com

 

Email: May 24, 2005

Q: I suffered a traumatic injury to one eye when I was 7 (now 45), resulting in blindness in that eye.

Am myopic with a slight degree of astigmatsim in the other eye; correction is with a gas-permeable contact lens.

Your self evaluation indicates that I could be a candidate for LASIK or LASIK-type procedure.

Understandably, only having one eye to play with, I am very interested in risk.

What do you think?

A: I do not recommend Lasik or other elective surgery for anyone with only one ggod eye. Even though the risk of serious problems are exceedingly low, in my opinion it is best not to perform laser vision correction.
Andrew Caster, MD
Beverly Hills, CA
www.castervision.com

 

Email: May 25, 2005

Q: I have conjunctival cysts on both of my eyes. I have had them for almost a year. My conjunctiva is sometimes inflamed and red when I wake up in the morning. I think that it is caused by allergies. Do you think that I would be considered a good candidate for lasik surgery?

A: It would be nice to get better control of your allergies, but this condition should not prevent you from having Lasik.
Andrew Caster, MD
www.castervision.com

 

Email: May 28, 2005

Q: What's better CustomVue or Allegretto Wave for lasik eye surgery?

A: There is a great deal of controversy regarding different laser systems, and since progress is always resulting in improvements, things will change over time. Currently I prefer the CustomVue over the Allegretto.
Andrew Caster, MD
www.castervision.com

 

Email: May 28, 2005

Q: my mother who lives in sinaloa mexico, has glaucoma for about 6 years, i told her that if she is not responding to the eye drops anymore, 3 or 4 kind i guess. the only next step is laser surgery, what do you think>

Sincerely,

Dr. Manuel Sillas (internal medicine physician).
She is not longer responding to the beta-bloquers,

A: Pills are sometimes used, or laser or traditional surgery.
Andrew Caster, MD
www.castervision.com

 

Email: May 28, 2005

Q: What if you want to correct your eyes if your are 16 and want to start flying?

A: It is best ot wear glasses and contact lenses until you are a little older and your eyes are more likely to have stopped changing.
Andrew Caster, MD
www.castervision.com

 

Email: May 30, 2005

Q: do insurace (medical) pay any of the cost? i have blue cross of az. federal insurance.

A: No, this is elective treatment.
Andrew Caster, MD
www.castervision.com

 

Email: May 30, 2005

Q: I had lasik performed on May 26th. I understand it has only been a couple of days, but my vision is very hazy. Today I am getting worried because I cannot see from a distance as clearly as I did yesterday. Should I be concerned?

A: I owuld not be concerned, as fluctuation in vision is very common after Lasik. If you are worried, simply return to your doctor for an evaluation.
Andrew Caster, MD
www.castervision.com

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Caster Eye Center - Lasik Eye Surgery for Beverly Hills and Los Angeles  California Caster Eye Center
9100 Wilshire Blvd. Ste. 265E · Beverly Hills, CA 90212
Tel: (310) 274-1221 · Fax (310) 274-0244 · info@castervision.com

The Caster Eye Center in Beverly Hills, California specializes exclusively in Lasik vision correction and other procedures to correct nearsightedness, farsightedness, and astigmatism, including the latest wavefront technology. Dr. Caster was selected by Los Angeles Magazine as the Best Laser Eye Surgeon in Los Angeles.