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


     

Email: August 06, 2005

Q: Good morning ,
I have - 1.50 in both eyes and on the left eye segmatism - 0.50 .
I have glass from two years only .
.Doctor told me to use it only at walking or looking for long distance. I can writ and read very will without the glass .
I am dealing with computer for long hours during the day and for seven days a week . I am 44 years old ..
My question is : If I have Lasik operation for my eyes what is the possibilities for geting weak in the eye sight again ?
And if it possible to happen again (weaking in eye sight ) is it going to be more worth than what I have right now or not ??
Or it is not possible that I will have weak in the eye sight again for the rest of my life after Lasik operation ??
Waiting for your advice ..
God bless you ..

A: Lasik will not stop the eyes from changing. At your age, you are also about to start developing some difficulty with close up vision, due to "presbyopia".

Andrew Caster, MD

 

Email: August 07, 2005

Q: I have had x2 consultation's and one Doctor told me that my cornea is thin and would recommend PRK. The other Doctor told me that that I am a candidate for the CustomVue Laser surgery. Which form what I have read I believe it would be a better choice. The only thing is that now I am a bit nervous and scared to have the CustomVue Laser Surgery. I was told at my 2nd consultation that my right eye is 526 and left is 530. I am not sure if there is suppose to be a point after the 5 or not. I don't know if these numbers tell you anything, because I do not understand how they works, but I was hoping that they would help in answering my question or maybe explaining to me what the ranges are and how they work in order to be able to choose between the PRK and CustomVue Lasik.
Thank you
Christine Gordin

A: You can have PRK and CustomVue. These are really two different things. PRK or Lasik refers to no flap (PRK) or having a flap (Lasik). CustomVue refers to using the software to run the laser based on the wavefront measurements, which can be used with PRK or Lasik.

Andrew Caster, MD

 

Email: August 07, 2005

Q: How many times can Lasik be performed on the same eye?

A: There is no definite limit.

Andrew Caster, MD

 

Email: August 07, 2005

Q: A few months ago, I knew about a new surgery procedure, similar to lasik just just with the difference that the computer follows the eyes movements, making the risk smaller. I just like to know the name of this procedure and how is this exactly made.

Thank you very much.

A: Most lasers used to perform lasik nowadays have trackers, which follow the eye as it moves. There is also wavefront software, which treats the eye is many different locations with slightly different prescriptions.

Andrew Caster, MD

 

Email: August 10, 2005

Q: I am currently 31 years old and underwent LASIK surgery in November of 1999 to correct my ¿4.25 vision. My vision for the past five years has been great. However, over the past year I have noticed that the nearsightedness is returning. I now have to wear glasses for driving at night. I am seriously considering having the procedure performed again. Are there any consequences with undergoing another LASIK procedure?

A: If there is adequate corneal thickness and the other parameters are normal, enhancements are a safe and effective treatment.

Andrew Caster, MD

 

Email: August 13, 2005

Q: Dear Dr. Caster,
I just want to know if there is any cases of people getting AIDS
from custom lasik surgery?

A: No, I have never heard of that.

Andrew Caster, MD

 

Email: August 14, 2005

Q: I am 41 and wear contact lenses and glasses. I can read with my glasses on with no problem. I have heard that after the surgery there is a good chance I will need to wear reading glasses is this true. please explain!

A: No, your vision after the procedure should be like it is with the glasses on at both distance and near. When you get older, with or without the surgery, you will develop presbyopia.

Andrew Caster, MD

 

Email: August 14, 2005

Q: I had lasik surgery 24 days ago and my left eye especially is still very blurry. I am starting to get concerned that this is the vision I will be left with as there has been very little improvement in the past three weeks. My vision is no where close to being what it was previously with corrective lenses. I am currently testing at -1.5 and -.5. This is a dramatic improvement from -7.5 and -7 but the blurriness seems almost separate from my perscription, if you understand what I mean. Should I start to reconcile myself to the fact that I may still need to where corrective lenses or is there still hope this blurriness will recede? Thank you.
Karen Friesen

A: I hope and would expect that it was carefully explained to you that enhancement procedures are sometimes necessary, and this may apply to you. It is very easy to perform an enhancement procedure.

Andrew Caster, MD

 

Email: August 14, 2005

Q: I plan to have basic surgery via the Nidek 5000 laser (Myopia -4.75 both eyes and slight astigmatism). How has this machine performed? How long will it take the flap to heal? I am also considering whether to pay extra for a year's worth of enchancement (if necessary), what are the chances that my vision will change or need to be corrected within a year? I heard that changes mostly happen in the year. Thanks.

A: The Nidek machine produces very good results for that range of nearsightedness and astigmatism. Most enhancements are performed within the first year.

Andrew Caster, MD

 

Email: August 15, 2005

Q: I recently decided to look into LASIK vision correction. One of the places I went performed a series of eye tests to determine my suitablity for LASIK. After testing I was ushered in to see the "Dr." and he checked my eyes. While doing so he made a series of comments, to himself, like "yeah I think i see it . . ." Then he tells me I have thinning corneas. Just one year ago I had an complete eye exam and was not infomed of the thinning corneas. What should I do from this point?

A: Corneas do not progressively thin, so you had the thin corneas a year ago, but this test is not commonly performed and is not important unless you are comtemplating surgery. I would get a second opinion regarding your suitability for laser vision correction.

Andrew Caster, MD

 

Email: August 17, 2005

Q: Dear Dr. Caster,
I had lasik surgery about 3 years ago. My vision is around 20/25, slight myopic. I just want to know should I have another lasik surgery? Do you think the PRK
surgery is the best option? I want to have the Custom lasik , but I heard there were complication with the flap. Wth the custom lasik, will they open the old flap?
Can I tell the doctor that I want better than 20/20?

A: With Lasik as an enhancement, with custom or conventional software, it is best if possible to lay back the old flap. PRK will be better in some cases; you would need a consultation to determine which is best. Flap complications can happen but are very rare and usually easily treatable.

Andrew Caster, MD

 

Email: August 18, 2005

Q: I am a 59 year old female who has worn rigid contacts for 40 years. I have toric lenses and was told i could not wear soft lenses becaus of astigmatism. could lasik surgery be an option for me?

A: Yes, absolutely.

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.