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


     

Email: June 01, 2005

Q: sir,
i'm physically fit for lasik surgery.
but i need financial help.where can i approach.

A: I do not know of any sources.
Andrew Caster, MD

 

Email: June 01, 2005

Q: How does one request a second opinion? Should I ask my current doctor or select someone and let my current doctor know that I am seeking a second opinion?

A: Either way is acceptable. Whatever you feel more comfortable with. It is common for people to get second opinions, so you and your doctor should not feel uncomfortable about it.
Andrew Caster, MD
www.castervision.com

 

Email: June 01, 2005

Q: I had RK 20 years ago in San Diego. Now I have fluctuating vistion in near, far and reading.
When driving sometimes my reading glasses help. When reading, sometimes my reading glasses do not sharpen my vision enough to read. I know I need help I just am very afraid
that I won't get the best surgery
for my situation.


Please help
Sherri

A: Lasik or PRK may help your situation.

Andrew Caster, MD
www.castervision.com

 

Email: June 02, 2005

Q: Dr, Castor,

I chose your name since I live in Southern California when not on assignment as I presently am in KC, Mo.

My questions,
1. I have a lot of astigmatism with +5.75 cylinder in the right eye & +4.25 in the lefteye, sphere is -2.5 R & 3.25 L. I see 20/20 with glasses. Can I expect to have the majority of my astigmatism removed with one surgery or is it likely I will need an enhancement procedure done?
2. If enhancement is needed, would the enhancement surgery be more or less risky than the first?
3. Given the above parameters, would I be a good candidate for wavefront lasik?
4. If enhancement is needed, how long between surgeries is required? Would I or should I wear glasses between the initial surgery & the enhancement?
5. Is there a limit to the number of enhancements that can safely be made?

Please advise,

Thanks,

Jay Rackley
jay.rackley@siemens.com

A: It is necessary to exam you to determine more factors before a definite answer can be given, but it does appear that you are a candidate for Lasik. Wavefront is not currently available for your prescription, and even if available, may not be the best choice for that prescription. Most likely, you will not need an enhancement, though it is possible. Most people waiting for an enhancement do not use glasses in the meantime. Usually, it is best to wait 3-6 months before getting an enhancement. Enhancements involve less risk that primary surgeries, and the number is based on the thickness of the cornea.

Andrew Caster, MD
Caster Eye Center
www.castervision.com

 

Email: June 02, 2005

Q: 51 yr. male with previous RK who is now experiencing farsightedness. Can LASIK be used to correct vision in this case.

A: Yes. Lasik will help the hyperopia type of farsightedness, but not the presbyopia type. Monovision Lasik is a possibility.

Andrew Caster, MD
www.castervision.com

 

Email: June 02, 2005

Q: Thank you for helping out. My sister is coming to the US, and wants to get LASIK done there a month before she comes here. I believe that she needs a 3-month checkup. How much will this cost, roughly, at your center?

A: I t would be best if you would give us a call at 800-444-5241.

Andrew Caster, MD
Caster Eye Center
www.castervision.com

 

Email: June 03, 2005

Q: I just went to the Doctor's office and they told me that since my eyes are at 490 and 486 respectivly I would only need to do PRK and not lasiK. He said lasic if basically for people with 530 or better. Is that correct?

A: There is disagreement regarding this. For some doctors 500 or 530 may be the lower limit. For others, 450 or 480 is the lower limit. It also depends on the amount of correction that you require. Thre is no accepted answer regarding this.
Andrew Caster, MD
www.castervision.com

 

Email: June 04, 2005

Q: as me doctor has said my eyes are:
od = 1.25 - 0.75 / 165
os = 1.5 - 1.75 / 175
I want to know whether to undergo LASIK or LASEK??

A: Either would be a possibility.
Andrew Caster, MD
www.castervision.com

 

Email: June 05, 2005

Q: At what age do you have to be to get the Custom LASIK?

A: You can have the Custom Lasik at the same age that you can have the conventional Lasik. We like to wait until your eyes stop changing, which is usually after 18 years of age.
Andrew Caster, MD
www.castervision.com

 

Email: June 07, 2005

Q: it is better that you email me but my name is justing barton and i am thinking about getting prk done and i was just wondering how soon after the surgery should i be able to drive and my prescription in both eyes are -2.50 if you can give me a probable answer i would apprecitate it

A: For PRK, probably around 7-10days.
Andrew Caster, MD
www.castervision.com

 

Email: June 07, 2005

Q: I am 30Yrs. old and would like to have lasik Vision Surgery.I don't know which one to choice between "Bausch&Lomb 217Z - Zyoptix"and "Schwind-Corwave / ORK-Cam Lasik". please advise me if there is any other better alternative for the above. Thank you. Khalid Al Zubaidi.

A: Pick the best doctor and then go with his or her advice. The doctor uses the machine and is the most important factor.
Andrew Caster, MD
www.castervision.com

 

Email: June 08, 2005

Q: My sister had RK surgery on her left eye that didn't heal properly in 1995 or there abouts. A week ago she had cataract surgery in that same eye and the Dr. stitched the cornea stretching it to try and improve the vision she see's double with lines streaking down with distortion. He wants to do another surgery doing the same procedure in another direction. Her map photo's are looking worse than before the surgery. My question is: Is there another procedure that is more compatible with her condition. It seems like he is experimenting and i don't have a good feeling about it and neither does she.

A: I would suggest that you get a second opinion from an experienced RK and Lasik surgeon.
Andrew Caster, MD
www.castervision.com

 

Email: June 08, 2005

Q: Hi, sorry for the length of q. but I recently had my LASIK eligibility exam, and was told that I am a borderline patient. I'm 31y.o and -4.00 in both eyes. The "red flag" in my case was due to symmetrical problems in my left eye, with the topographical irregularities in the bottom half of the cornea being much greater than the top. Though I hadn¿t worn contact lenses for 2 and a half weeks, initially she thought that it may be due to lens wear and asked me to come back in another 3 lens-free weeks, which I did, but the symmetry hadn¿t changed, (-42 vs. ¿32, I think). The surgeon believed that this shape of my eye would lead to a condition know as ¿aktasia¿ / ¿ektesia¿ (spelling?), and that within 2 years of LASIK, my vision would deteriorate, as if the structure of the eye could not support LASIK. Otherwise, I fell within normal parameters (corneal thickness, pupil size, etc). She also said that if the situation had of being reversed, i.e. top being greater than the bottom, than it wouldn¿t be a problem. Does any of this make sense to you, and does the deterioration of vision mentioned include a loss of Best Corrected Vision? Any advice, or suggestions of other procedures that might be apt in my case? Thanks, Robert.

A: I agree with your surgeon. Lasik may not be best for you. Some people with this situation are having PRK, but the long term risks have not been determined.
Andrew Caster, MD
www.castervision.com

 

Email: June 09, 2005

Q: I had lasik May 27, 2005. I was very nearsighted -10. The Alegretto Wave was used. The surgeon said the goal was 20/15. After the surgery, on Day 2 my vison was perfect. It has been bad since. I had the surgery out of town, so my follow ups are with a doctor near me in Florence AL. 6 days after surgery he said he thinks I have DLK (but that it isn't like the DLK he has seen before) he increased the steroid drops to every 3 hours. At 10 days after the surgery, (last Monday) he said my eyes look better but it isn't gone, he decreased the the drops to 4 times a day. He said I was 20/20 with both eyes. I told him that everything is very blurry and he told me to forget about how I saw before. That does not sound good. I am so sad. My vision has gotten even worse since Monday. The Dr. who did the surgery hasn't looked at the information about me that was faxed to him yet and I have called twice. My vision is VERY VERY blurry, & hazy. I would like your opinion. My question is do you know of any cases similar to mine where a person's vision has gotten alot better with no blurriness? If so, do you know how long it took for that to happen? PLEASE TELL ME SOMETHING. Is there any chance this will resolve or can be fixed? I deeply regret that I have done this.At this point, I'd do anything if I could put those glasses back on. Thank you so much, Marcia

A: I would not panic, but I would go to an experienced Lasik surgeon to obtain a second opinion about your current care. What is done now can be very imnportant to how your vision turns out. If you have to travel to get the opinion, then that is what you have to do.
Andrew Caster, MD
www.castervision.com

 

Email: June 11, 2005

Q: I am 77 and although I have good eyes generally and only a minor vision correction in my bifocals, the fact remains that my near or reading vision simply isn't good enough in my reading prescription. I am a PhD and need to do a lot of reading - but I simply can't get a good enough focus for periods of extended reading by way of my bifocals..
Dr. Henry

A: You need to get a throurough eye examination, and possibly a better pair of glasses. Whatever is holding up your vision needs to be addressed.
Andrew Caster, MD

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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.