Email: July 26, 2005 Q: I recently was reviewed for LASIK surgery and was told I'm a good candidate. The problem is that when the tested my preseciption it was fine (left at -2.50, right at -3.00) but when tested after dialating my eyes (left at -2.00, right at -1.50) I was told I would have to wait until they corrected to within .25. They told me it was from wearing contacts and would correct but am wondering how long it might take to correct. I realize it's only a guess and could you also tell what this condition is called? I had not used contacts for 2 weeks prior to my appt. and am still wearing the glasses but would like to know what I can expect. Thank You A: I would wait two more weeks and then return. Andrew Caster, MD

Email: July 26, 2005 Q: Hello, I have keractoconus and was informed that my shortsightedness cannot be corrected by Lasik. Is there any other procedures I can do to correct my eyesight? Regards, Robbie. A: Intacs is useful in some cases of keratoconus, and there are investigational techniques involving ultraviolet treatments. But the standard today is gas-permeable contacts or glasses. Andrew Caster, MD

Email: July 27, 2005 Q: after the surgery , how long do you have to wait to do athletic activies..ie..ride bike, hike, kayak thank you A: For most activities, one week is sufficient. Andrew Caster, MD

Email: July 27, 2005 Q: My mother is thinking about having lasik done. She has had the exam and is ready to have this done. But I was wondering what is the of patients who have to have enhancements? How long after the first one? She is 62. Please let me know, thanks.Her eye Dr. said she is an excellent candidate for this surgery she is far sighted. A: Overall, around 10% of patients have enhancements, though the percentage is a little higher for farsighted patients. Andrew Caster, MD

Email: July 29, 2005 Q: I have had iritis in one eye. It was over a year ago when I got it, as a result my pupil while not move. I had one doctor say I couldn't have lasik in that eye and then another doctor said I could. What is your opinion? A: You can have lasik. However, if the iritis reccurs and is severe, it could cause futher problems with the eye. Andrew Caster, MD

Email: July 30, 2005 Q: Hell I had Lasik done 3 years ago my eyes at times dry out really bad where i can hardly keep them open it is horrible I have used eye drops to wet them and it still doesnt work it relieves it in about 10 to 15 minutes can u tell me if i need to go back and have a touch up or what?? Thank You Ronda Duckworth A: Try flaxseed oil orally, 3 grams per day. It works wonders at making the tears thicker. There are also other remedies, such as Restasis drops or punctal plugs. Andrew Caster, MD

Email: July 30, 2005 Q: Is it correct that I should prevent pregnancy within 6 months after getting LASIK done? I heard something about changes in hormones will affect the results? A: Some women will have a slight change in their nearsightedness during pregnancy. When it occurs, it usually is during the first pregnancy. I do not advise women to wait on getting pregnant, or to delay lasik until after their childbearing years, because the effect is not terribly common, is often temporary, and can be corrected. I do advise against having surgery while you are pregnant. Andrew Caster, MD

Email: July 31, 2005 Q: My step mother fell and injuried her eye (the muscles around the eue were detacted and had to be surgically re-attac)t. She developed sever scare tissue and now she is unable to move her eye. Are there any treatment for her to help her move her eye again. She lives in Az. but will to go anywhere in the USA if able to help her. Can you give me any info that i can give her. I live in ohio. thank you, Robert Carlson COTA/L A: I would recommend a consultation with a strabismus specialist. Virtually every large city has one or more of these specialists. Andrew Caster, MD

Email: July 31, 2005 Q: I am near-sighted. After lasik surgery will I retain my good close vision that I have now? A: Your vision after Lasik will be like it is with your contacts or distance glasses on, for both near and far. Andrew Caster, MD

Email: August 01, 2005 Q: Any bad reports on Lazer Eye Center? A: Do a google search, or contact the Medical Board of California. Also search the individual doctors. Andrew Caster, MD

Email: August 01, 2005 Q: I got high myopia -6 in the right eye and -7.5 in the left eye and the cornea thickness is 530(right eye) and 515(left eye) the Dr. said I'm good candidate for lasik but what should I expect about the results? A: Those parameters are appropriate for lasik. Of course, there are many other factors. Andrew Caster, MD

Email: August 03, 2005 Q: I have been researching Laser correction for some time and feel closer to making a decision to undergo the procedure; however, I have recently heard that there is an option to do a cut or no-cut procedure. I have been told that I am a candidate for custom surgery, but not sure what I should consider when trying to determine whether I should select a cut or no-cut procedure. Can you help? A: The no-cut procedure is called PRK, and has a significantly slower healing pattern. You can also make the cut with a laser made by Intralase; this is known as IntraLasik. Some doctors prefer the Intralase, others do not. Andrew Caster, MD

Email: August 03, 2005 Q: At the present time, i'm a high school student, seventeen years of age. I spend about 23 hours of the day staring at my computer screen. About a week and a half ago, I began to develop vision problems that seem to align with the symptoms of an astigmatism. I haven't been to an eye care professional as of yet, but I intend to visit one shortly. As it is, i'm unable to afford laser surgery, however I would consider it in future, at the moment though, i'll likely just get a pair of eyeglasses. Most of my family believes that the cause of my poor vision is my staring into the computer screen day in and day out. I play a great deal of FPS type games, though, which some say can actually improve vision. (I couldn't find you a quote from anyone reputable, this is just what i've been told.) I don't plan to stop staring into the computer screen, eyeglasses or not, since i'll likely be making my living on it as well as my compulsive gaming. My questions are as follows: If I were to wait a while, say until I was 20ish, continuing my current lifestyle, and then get the surgery at that point, would it be too much to hope for to have 20/20 uncorrected? Are my eyes doomed to deteriorate until eventual blindness or would a laser procedure at some point in the future prevent such a thing? And on a less surgery related note, will my eyes continue to deteriorate as a result of so much computer use, to the point of going blind at a later time? A: You will not go blind from this. However, you may require glasses or contacts. And when your vision stabilizes, then laser vision correction is an option. Andrew Caster, MD

Email: August 05, 2005 Q: I have been told by a doctor I have fetal cataracts. I was also told they do not impair my vision. Is it still possible to get Lasik or any kind of corrective surgery, or will this disqualify me as a good patient for this procedure? A: They should not prevent you from having lasik. Andrew Caster, MD

Email: August 05, 2005 Q: I am under going traetment for a cornea tear. The doctor thinks that I may have uveitis. I am going to see a specialist but wonder if this means that I will not be able to have the LASIK surgurey next year as I had planned? I understand that LASIK can correct some eye conditions, would this be one of them? A: Lasik cannot correct these conditions. If the uveitis is a result of the tear, then you should be able to have lasik next year if it all heals well. Andrew Caster, MD

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