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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:
June 13, 2005
Q:
I had Lasik performed about 5 years ago to correct nearsightedness in both eyes.
A few months after the procedure, I had a revision performed on my right eye.
The eye was over-corrected which led to both farsightedness and nearsightedness.
In addition, I had epithelial cell growth so the doctor had the re-lift the
flap to remove the excess cells. I am now 35 and the vision in my right eye
seems to be getting worse. Both my close and distance vision are getting blurrier
especially in dim light. I was originally told that four re-lifts was a maximum
that should be done due to the possibility of wrinkling of the flap and other
possible complications. Keeping in mind that I also had excess epithelial cell
growth, what would you recommend I do to "fix' the vision in my right eye? A:
There is no absolute limit on re-lifts. I would suggest that you see an experienced
Lasik surgeon who can examine your eyes and then give an opinion. Email:
June 14, 2005 Q:
I have a lazy eye. Is lasik surgery possible on people with lazy eye? A:
It depends on the degreee of laziness. YOu will need to be examined by a Lasik
specialist. Email:
June 16, 2005 Q:
Hi, A:
It is estimated that 1.4 million procedures were performed in the United States
in 2004. The number is growing. Email:
June 16, 2005 Q:
My pupil size is 7.28mm in one and 7.78 in the other eye. My no is -2.5 D sphere
with - 0.25 cylinder. Corneal thickness is 596 microns. Is my pupil size a relative
contraindication to Lasik (wavefront)
A:
It is a relative contraindication, but a minor one. The more problematic combination
is large pupil and large nearsightedness, which you do not have. We treate people
like you commonly, with the undrstanding that you are more at risk of having
greater halos than a person with smaller pupils. Of course, you probably have
greater halos now because of your larger pupils. Email:
June 17, 2005 Q:
Is Intralase Lasik surgery the only one that does not use a blade? I've been
researching and trying to find a good doctor that doesn't charge more than $3,000,
but the charge for the intralase surgery by one doctor is $4,590 for both eyes.
Am I looking at the wrong method for the price I can afford or at the wrong
doctor in terms of affordable prices? Another doctor charges $3000 for both
eyes using the LADARvision excimer Laser System. Does the LADARvision use a
microkeratome blade to cut a flap or is that one also done by laser? Thank you
for your time. A:
You can have PRK (or its cousin LASEK) which does not use a flap, but takes
much longer to heal and generally costs about the same as Lasik. The flap is
made either with a keratome or with the IntraLase -- there is really very little
difference. Email:
June 17, 2005 Q:
I asked you a question recently about how many estimated people had the LASIK
surgery in 2004 and I just wanted to know where you receive that information? A:
There are several analysts who follow this industry and publish estimates. Email:
June 21, 2005 Q:
dear sir i have thinning corneas i believe from wearing hard lens for 35 years
will the new acc laser surgery help me i tried to get it done before but was
turned down thanks lloyd A:
ACC is not new; it is simply one doctor's name for the PRK procedure. It is
effective for people with thinner corneas. Email:
June 25, 2005 Q:
Dr. When I turned about 43, I am now 53, I started needing reading glasses.
I do understand that this is normal at this age. I can get by without them but
I do have a little trouble with fine print. Some times my arms just dont seem
long enough. My vision used to be great even at close range but alass no longer.
I feel that the use of reading glasses makes me look and feel older than I really
feel. Is there any way to correct this problem either with surgery or with eye
exercises? A:
You have presbyopia, which everyone gets in theri mid-40s. Eye exercises do
not help. Monovision with contact lenses or surgery (Lasik or CK) is the solution
for many people. Email:
June 27, 2005
Q:
I had cutom cornea eye surgery done on June $, 2005. Right after the procedure
my eyesight was significantly worse at any distance, I was placed on Acular
drops and tears. Contacts were given for two weeks with a slight correction
in them. They allowed me to function for distance and mid range, I was using
reading glasses for up close. On Friday me contacts were removed. My vision
is terrible and I'm having a tough time managing at any distance. Everything
is blurry at any distance. The surgeon assured me my vision will improve, if
not a minor touch up should take care of the problem. How soon is a touch up
ususally recommended and should I be worried this may not resolve? The surgeon
seems genuine and has a good reputation. I'd appreciate your input and advice.
A:
I would not be worried. It certainly can take time for the vision to sharpen.
If you are concerned, you can obtain a second opinion. Email:
June 29, 2005
Q:
I'm thinking about Lasik. If I do it and need more than one procedure (my contact
rx is -5.25 and -5.75) which I understand is possible, how long do I have to
wait between procedures? A:
Most doctors recommend wainint at least 3 months before an enhancement. Email:
June 30, 2005
Q:
I'm 19 years old and I have been wearing contact lenses since I was 11. Right
now my LEFT eye is 5.25 and RIGHT eye is 5.75. I would really like to get laser
eye surgery, but would you recommend I wait a few more years because my eye
sight might still be changing? Any infomation is helpful. Thank you. Ryo
A:
Your eyes may or may not be changing. If your prescription has been changing
then I would wait. If it has been constant for 2 years then you have probably
stopped changing. Email:
June 30, 2005 Q:
Can LASIK surgery lead to glaucoma? I am now 52 years old. I had lasik surgery
in August 2003 and a follow-up surgery in March 2004. My left eye was corrected
for distance and my right eye for reading. on 6/27/05 I was diagnosed with open
angle glaucoma. My left eye is very bad. My right eye shows evidence of gluacoma
but not to the extreme of the left. Could a complication from the lasik surgery
have lead to glaucoma-like symptoms? A:
No, Lasik cannot cause glaucoma. Email:
July 01, 2005 Q:
My husband has Lasik a month ago and from week 2 thru today he can't see out
of his right eye. We saw the doctor today and he said cells growing under flap
and he needs to lift flap and clean. Then he said he would put a contact lens
on that eye for 24-48 hours. What is that for? I can't find anything on the
web that explain that. I saw on a website that topical steriods and antibiotics
are sometimes given as well. What are those and should we insist they prescribe
those for him this time? Is there anything my husband can do to keep this from
happening again? A:
Your hustand has a condition called epithelial ingrowth, which is a rare complication
following Lasik. It consists of cells from the outermost layer of the cornea
growing under the flap. Fortunately, it is easy to treat, by lifting the flap
and simply wiping away the offending cells. The contact lens is used to help
prevent the cells from growing again under the flap. Email:
July 01, 2005 Q:
I am a 47 year old male, nearsighted (about 20/200). With my gas permeable contacts
I am corrected to 20/20. I do not need reading glasses to read. If I have Lasik,
will I then need reading. glasses? Also, will having Lasik affect my participation
in skydiving and scuba diving? A:
Your near vision should be the same after Lasik as it is with your contacts.
Lasik will not affect your participation in skydiving or scuba diving. Email:
July 02, 2005 Q:
i had lasik operation in my both eyes.but there was still number in my eye.so
my doctor did two more operation to remove number but he couldnt.Now my both
eye have waves in cornia.so i have to wear semisoft lens. Sir can u just tell
me how these waves come in my eye..? and how can i remove it..? A:
I would recommend that you obtain a second opinion. More
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