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Caster
Eye Center Excellence in Laser Vision Correction of Nearsightedness · Farsightedness · Astigmatism |
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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. 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. 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. Email:
May 17, 2005 Q:
Dr. Caster, A:
All of this looks normal. These numbers all indicate that you are a good candidate. 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. Email:
May 18, 2005 Q:
Hi Doc. A:
I hope that he is getting excellent medical attention. I cannot say from the
information provided what his prognosis will be. Email:
May 19, 2005 Q:
Hello Dr. Caster, A:
It takes 3 months, sometimes longer, to get to your final vision. 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. A:
You must see a doctor to determine what the growth is. It may or may have an
effect. 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. 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. 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. 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. 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> A:
Pills are sometimes used, or laser or traditional surgery. 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. 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. 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. More
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