Email: October 06, 2005 Q: I just had an assessment done and was told I had thin corneas (516) and a high prescription (-6.5) and was recommended to get Custom Lasik. This place doesn't use Intralase but uses the blade to cut the eye. Is it true that Intralase IS really better than the micro keratome blade? I've read mixed reviews and don't know if I should get a second opinion? Do you have a definite opinion with regards to which type of eye cutting instrument is better? A: I don't think that either is better -- I think that they are basically equivalent. Andrew Caster, MD

Email: October 06, 2005 Q: I have had GPC for over a year now and cannot seem to get it under control. Would it have to be completely cleared up for me to be a candidate for LASIK? I am 24 but had a slight prescription change within the past year. Does this also hinder my candidacy for lasik? I would appreciate a response.. thanks Catherine A: GPC does not have to be cleared up prior to Lasik. I prefer for it to be under mild control, which usually can be accomplished by stopping the soft lenses for a few weeks and taking the approriate drops. Andrew Caster, MD

Email: October 06, 2005 Q: I am 50 years old. I am very nearsighted (-13). I have been wearing Rigid Gas contacts for 25 years. I went to see 2 surgeons here in Orange County. I wasn't given an option for Lasik or Lasek or CustomLasik surgery. One suggested I do a PHAKIC IOL procedure (he said my cornea is healthy and thick enough) and the other suggested Intacs+ASA (my cornea is not thick enough). I am confused. I heard Lasek or CustomLasik can fix high degree of nearsightedness too. Is that true? To what degree can Lasik, Lasek or Customlasik correct? Thank you for your time. A: Your degree of nearsightedness is higher than is currently recommended for Lasik, Lasek, or CustomLasik. Phakic IOL is the procedure of choice. There is currently one model available (the Verisyze) and another (the Visian) should be available soon. Andrew Caster, MD

Email: October 07, 2005 Q: I have a son who is 12 yrs old and has been wearing glasses for 2 1/2 yrs. Is there a age limit to perform Lasik surgery? A: You must wait until the eyes stop changing for distance, which usually occurs between the ages of 18 and 24. Andrew Caster, MD

Email: October 12, 2005 Q: I had exam for custom lasik and I was told that I am a candidate for the procedure. But I am still concerned about my large pupils(8.30mm, 8.25mm) combined with high prescription(-9.5D, -9.75D). Should I take the surgery or not? A: People with large pupils and high prescription are more at risk for glare or halos after the procedure. Most people with this combination do not get significant glare or halos, but it is a possibility, so you need to think about that. Andrew Caster, MD

Email: October 14, 2005 Q: My son is myopic,and the power of his glasses is-18 D.Is he eligible for Lasik/PRK .Kindly give an answer. A: No, his prescription is too high. I would recommend that you look into the phakic IOLs, such as Visian or Verisyze. Andrew Caster, MD

Email: October 17, 2005 Q: How long will I feel dry eyes after lasik surgery? It's been 3 weeks now since I received treatment and still buying drops. A: It will often last up to three months --- someitimes more, sometimes less. Try flaxssed oil 3 grams orally per day, which works great. Andrew Caster, MD

Email: October 17, 2005 Q: I have dry eye condition and pterygium. Should I get the pterygium removed prior to having Wavefront Lasik done? Please advise. A: It depends on how severe the pterygium is. That will have to be evaluated by the surgeon. Andrew Caster, MD

Email: October 19, 2005 Q: Is it common to still have blurred vision after 13 days post op of the Lasik surgery? A: Blurry vision can last for up to three months. If it persists after that, then an enhancement may be needed. Andrew Caster, MD

Email: October 19, 2005 Q: I'm 50 and have been told I have what may cause macular degeneration. Is it worth my while to get Lasik surgery done if my eyes are going bad? A: Macular degeneration can be very mild, or unfortunately severe. If you have mild macular degeneration then Lasik might be a good idea, but if it is severe then I would not recommend the procedure. Andrew Caster, MD

Email: October 19, 2005 Q: i am interested in LASIK but i am at risk for retinal detatchment. i am 21. would i be a good candidate? thanks A: If you are at risk for retinal detachment, then you should have regular retinal exams. Lasik does not increase or decrease your risk for retinal detachment. Andrew Caster, MD

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