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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:
February 14, 2006
Q: Dear Dr. Caster, I had LASIK on 1/20/06. After two days of absolutely amazing vision, I developed double-vision in my left eye. When I asked my LASIK doctor about it, he told me he'd never encountered that problem before and even implied that I was making it up. He said my corneal flap was healing perfectly and that, whatever the problem was, he was certain this would go away. What else could possibly cause this problem if the corneal flap is healing "perfectly"? My opthamologist says this double-vision is normal. I'm confused and scared. If you were me, what would you do? Thank you, Maria A: I would recommend that you get a second opinion in person from a Lasik specialist. Andrew Caster, MD Email: February 15, 2006 Q:Does having LASIK mean you will have a detached retina? A: No, detached retina is a serious problem in which the retina, which is the "film" in the back of the eye that measures the light, is no longer attached to the back of the eye. It requires immediate surgery. Andrew Caster, MD Email:February 15, 2006 Q: After the lasik surgery, how many years will you be able to see without glasses A: For most people, the results are permanent. A small number, we estimate around 5%, will have changes in their distance vision over time and will require a touch-up at some point in the future. And of course, unless you get monovision, you will need reading glass "cheaters" when you get over 45-50. Andrew Caster, MD Email: February 15, 2006 Q:Does having LASIK mean you will have a detached retina? A: No, detached retina is a serious problem in which the retina, which is the "film" in the back of the eye that measures the light, is no longer attached to the back of the eye. It requires immediate surgery. Andrew Caster, MD Email: February 18, 2006 Q:Hi, I'm 25 years old for left eyes sphere -13.00 for right eyes sphere -7.00 As you see my left eye is much more worse than my right eye. My doctor once recommend me to do lasik. A: You are nearsighted and have astigmatism. The left eye is beyond the range that is typically treated, so you might get a partial but not complete correction. The left eye is within the range that we typically treat, but other factors must be appropriate. You should consider the phakic implant for the left eye. Andrew Caster, MD Email: February 19, 2006 Q:Dr. Caster, I am a Bomb Disposal Technician for the Marine Corps. What are the benefits/drawbacks for lasik and PRK pertaining to blast overpressure from a detonation. In addition, if a piece of debris hits me in the eye, is there any complications due to the surgeries mentioned above. A: In the event of a blast injury or large piece of debris, PRK would be the safer procedure. Andrew Caster, MD Email: February 19, 2006 Q:What treatment is recommended for post operative (cataract) for emergence of Fuch corneal endothelial dystrophy, thanks from Australia John B. aged 67. A: In the beginning, if there are symptoms, (dehydrating and possibly pressure lowering) drops are used. If that is not adequate, surgery is often the only option. Andrew Caster, MD Email: February 23, 2006 Q:My right eye has the corneal thickness in the center of 522um. The thinest location is 517um. There is one spot near the "circle" (on the orbscan) with the elevation of +15um. What are the possible risk factors here? My doctor told me on the day of the opeartion that he has to double check again because of this +15um spot. The next day, he told me I'm safe to perform custom LASIK. I'm a little worried now after that fact. I have color copies of my right and left eyes's orbscan. It would be great if I can send those images to you so you can answer my question better. Thank you in advance. A: I cannot provide an opinion on for this type of question on this forum. Andrew Caster, MD Email: March 01, 2006 Q:I got an eye exam and the doctor said that I needed glasses but I hate glasses and I told my parents I will never wear glasses and I won't. Is there anyway I can get contacts without wearing glasses first? A: Contact lens wearers should always have glasses as a backup. Also, you need to be old enough and have a certain level of maturity to handle contacts, because if not handled properly, serious (vision threatening) infections can occur. Andrew Caster, MD Email: March 03, 2006 Q:Several years ago I had cataract surgery on my right eye. However, with my astigmatism, I still need glasses for reading, driving, computer. I used to wear mono contact lenses. My left eye was my reading eye. I need to have my left eye cataract removed now. My doctor suggested I get lasik in the right eye to correct my vision there and get the bifocal intraocular lense in the left eye. If I do this, which should I get done first? I love to read, and don't want to be unable to do this between the surgeries. There would also be the problem/expense of new glasses between the surgeries. Currently, I still wear my old near sighted contact lense in my left eye and wear progressive lenses, with both the right and left eye corrections as the left correction in the contact alone is not enough power any more. Do you know of any websites or internet bulletin boards where I could talk to people who have had the surgery (ies) so as to hear of their recommendations and experiences? Thank you A: You could treat either eye first. I usually follow the rule of treating the worse eye first, which sounds like your cataract eye. Andrew Caster, MD More Lasik Email Questions Pages |
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