Thoughts From an Experienced Lasik Patient

I have noticed that more people I work with are talking about, or undergoing, the Lasik vision correction procedure. I don’t know really know why Lasik has suddenly become more popular in my company, but I do know that there are a number of rumors about Lasik that I am not sure are true. Let me just talk about my long term experience with Lasik.

It has been more than eight years since I had the Lasik procedure, so I was one of the early and brave pioneers! Perhaps I wasn’t that brave when considering Lasik, for my vision in each eye was worse than -9. Even now, Lasik physicians consider that a very strong case and do caution prospective clients that the Lasik process will likely improve their vision, but may not eliminate the total need for glasses.

The Lasik operation itself had mild pressure and some unusual feelings, but no real discomfort or pain. This is still true in modern Lasik procedures, and hopefully they are even better at keeping the client comfortable. I do notice that now Lasik physicians also give a mild sedative mainly for psychological reasons, which I think I would have appreciated back then.

Two or three days after the Lasik operation I was astounded to find I had VERY clear vision in each eye, at least 20/20. Considering my previous prescription, you can imagine how fervently I thanked my Lasik physician. However, I did also have temporary symptoms of considerable dryness in each eye (which was helped by eye drops), and also halos around lights at night.

A few months after the Lasik procedure I noticed my vision changing a bit, though very slightly. The best way I can describe it is that the crisp edges no longer looked exceedingly crisp, but each object still seemed to be in focus. At my one year Lasik correction anniversary my physician said that one eye was still at 20/20, but the other had changed slightly to 20/40. However, I was still a great statistic for the Lasik correction procedure, and we were both still happy with the results.

In the years between the original Lasik procedure and now, my vision is still 20/20 in one eye and 20/40 in the other. I do have a pair of glasses and one contact lens for that eye, but rarely bother with them unless I am doing something like watching a movie. My long track record after the Lasik procedure has given hope to a number of other people in my office. I do want to say though that I was over 35 when I had the operation, and my Lasik physician said that the stability of my eyes and my age were good indicators that the Lasik results would be long term.

I hope this encourages people with bad vision to talk to a local Lasik physician about scheduling a Lasik procedure. Find a physician that has a good track record, and one that you trust, and I hope that your long term Lasik results will be as good as mine!

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Tales From the Lasik Waiting Room

As an experienced Lasik patient I thought I might give a glimpse into the worst part of the Lasik procedure… the waiting room. I have had a Lasik procedure twice, the second being a follow up since one of my eyes needed additional work after the healing procedure was complete. I was distinctly less nervous about the second procedure, and observed and talked to a number of the other Lasik clients that were waiting with me.

One was a young woman in her early twenties who talked incessantly trying to keep her mind off of any of the Lasik brochures and information on the table. She had been thoroughly oriented to both the Lasik operation and post-op procedures, but had brought along a few stuffed animals to keep her company during the operation. Most Lasik physicians recommend a minimum age of 18 due to sufficient maturity of the eye, but maybe waiting for some emotional maturity might be another factor. On the other hand, I wondered what I looked and sounded like waiting for my first Lasik operation.

Talking to a few of the other Lasik clients, I realized I was not the only one in for a second Lasik procedure. Two others were like me in that they did not get sufficient improvement in their vision to satisfy themselves or the Lasik surgeon. In all of our cases, our first Lasik procedure of several months earlier went well, and none of us were particularly nervous.

It did surprise me, considering that it was 6:30 AM, of the variety of clothing styles of the Lasik clients. Most of us, considering the hour and the rather frigid temperature of the Lasik operating room and the waiting room, were dressed in snug and warm sweat suits or other comfortable wear. One Lasik patient was dressed in formal business attire with full makeup.

This puzzled me for at least two reasons: any makeup, lotions, or other things that could get into the eye are forbidden for at least 24 hours before the surgery, and it is highly recommended to go home and sleep as quickly as possible after the Lasik procedure. The only thing I could figure out was that she wasn’t actually getting a Lasik procedure, but no one else is there at 6:30 AM. Her dominating and withering look made me decide that any pre-Lasik conversation with her was better left unsaid.

I was probably the fourth person escorted into a waiting room for a final discussion on Lasik post-op procedures, but I could not tell how long I had been waiting. I think they avoid clocks for a very good reason. The lady two seats down from me was calm enough about her Lasik procedure to go back to sleep while waiting, which seemed like an eminently sensible idea.

Each patient is offered a mild sedative before the Lasik procedure starts. It is mainly for psychological purposes, as my first Lasik experience was not painful at all. I did take it for my first experience, but my own Lasik history and the others I have heard in the waiting room make me think that I don’t need it. But I take it anyway, just in case.

I hope that this window into a Lasik waiting room helps give the attitude that for most people it is not a dreaded procedure, and for those of us that have had Lasik done, a rather uneventful one.

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Statistics for Lasik Surgery Patients

The Lasik operation can be a wonderful, life-changing option for many people whose vision is less than perfect. There are several different types of Lasik operations now available, from the original and well documented procedure to Lasik procedures done with three dimensional wavefronts, or done entirely with lasers. Each of these variations of the Lasik procedure should be discussed with the physician that is to perform the operation.
Like any surgery, Lasik does have the potential for side effects.

Sometimes reading the horror stories of the outcomes of a Lasik procedure can deter people from seriously considering such a choice. It is also true that the vast numbers of people who have a successful, trouble-free Lasik surgery tend not to report a long and detailed story of their experience, unlike those that have experienced trouble afterward.

However, it is good to know what the possible side effects of the Lasik procedure are, and also the likelihood that one of these side effects will occur for a particular patient. Just like any medicine we take, each has a possible number of side effects, but we generally assume that the likelihood of a serious side effect is small, and we take the medicine anyway. This article will hopefully put concerns of the prospective Lasik patient into perspective so that they can calmly and thoughtfully ponder having a Lasik procedure done in the future.

More than one million Lasik procedures are done in the US every year, according to the FDA. This arm of the national government has accumulated the following statistics for the most common side effects of the Lasik procedure. These statistics will also vary by the physician performing the surgery, so make sure to get as much information on the prospective Lasik physician as possible.

After Lasik surgery, 1.7 percent of patients experience some glare or sensitivity to light after the operation. This varies by patient, but this sensitivity is especially noticeable when looking at a bright light, such as a streetlight when walking at night, or other strong light and dark contrast. Another light related side effect is a halo around a light, and this occurs in 3.5 percent of Lasik patients.

The new, corrected vision can be noticed quickly by some Lasik patients, in as little as a few hours after surgery. Most patients that have undergone the Lasik procedure find the change is permanent within a few days. In 2.6 percent of clients that have had a Lasik procedure done, there is persistent visual fluctuation within at least a part of their sphere of vision.

Finally, some patients do not get a fully corrected sphere of vision after their Lasik procedure. This happens with a small number of clients, and the FDA statistics are that only 3 percent of patients have this effect. In all or nearly all cases, the physician in charge will perform an additional Lasik procedure to improve this.

This detailing of the major permanent side effects of the Lasik procedure should put any personal horror stories into perspective. Notice that none of the percentages are above 3 percent, and this should bring comfort to most prospective Lasik clients. However, it should also motivate them to look carefully at the Lasik physician’s personal record.

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Solving a Lasik Post Op Problem

I had Lasik vision correction surgery two years ago, and am quite glad I did. I think that my Lasik story might be helpful to some that consider that they might not be a perfect Lasik client, and are concerned about side effects after the Lasik procedure. I did have a significant side effect after my Lasik operation, but have weathered it well, and still recommend the operation highly.

My operation went exactly as described, with no pain or real discomfort at all. My Lasik physician was clear, stating each step that he completed so that I would know the Lasik procedure was proceeding as expected, and more quickly than I had imagined. I know that all of the discussion I had earlier with the Lasik professionals stated the operation generally took less than twenty minutes, but I was still surprised.

At the end of the operation, my Lasik doctor replaced the flap to its correct position in my eye and covered it with some kind of clear goop. Even at that time I could notice a distinct improvement in my vision. I was instructed to wear goggles over my eyes for five nights in order to prevent me rubbing my eyes while I was sleeping. I guess they assumed that any good Lasik patient would not do that when awake.

In addition, I followed all post-op Lasik procedure instruction to the letter. I slept immediately after the Lasik procedure was done (after I made it home, of course), used the eye drops religiously, and did not try to strain my eyes by reading everything that I could. I was amazed the immediate improvement in vision that Lasik makes, just as if there was a set of weightless contact lenses. Very impressive.

My biggest problem in Lasik procedure recovery was a result of epithelial erosion. The flap that is made in the eye during the Lasik procedure is made from epithelial cells. Once the flap is replaced at the end of the Lasik procedure, these cells start to regenerate in order to fill in the line where the flap has been cut. All of this is normal post-op Lasik healing. However, in my case the cells would grow fine, but at night my eyes tended to dry out when I was asleep. So, when I woke up, my eyelid would pull up some of the new cells from their place where they belonged, where if my eye was sufficiently moist they would have stayed in place.

I told this to my Lasik physician, who said this side effect just makes healing a little longer and it was not a serious side effect. When I went for a checkup to the Lasik center (which I highly recommend any time a Lasik client has any post-op worries or questions) they decided that I needed a thicker, more jelly like version of the eye drops to use at night. This worked well, and the rest of my post-Lasik recovery went well.
I am a strong advocate of the Lasik vision correction procedure. I also strongly suggest interviewing a number of positions, and do not put low cost as the highest priority. Your eyes are very important, and a highly competent Lasik physician is the most important factor.

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My Grandfather and Lasik

When I came home from college for the Thanksgiving holidays, I was very surprised to hear that he had undergone a Lasik operation for his vision. It came to my attention immediately, as he was wearing sunglasses on a rainy Maryland afternoon. Apparently one of the possible temporary side effects of the Lasik procedure is a sensitivity to light. After talking with him privately, he hadn’t actually had any of the side effects that his Lasik physician had described, but was having a wonderful time making the family think that he did. What a character.

Granddad is one that always enjoys new gadgets, people’s sympathy, and the chance to tell another story to anyone willing to listen. It almost seems that the Lasik procedure was tailor made for him, especially since his Lasik operation was essentially trouble free. In addition to the sunglasses, the doctor that performed his Lasik surgery gave Granddad a pair of goggles to wear at night so that he would not rub his eyes in his sleep. Granddad also wore them at breakfast and for most meals, saying that a possible squirt in the eye from a grapefruit or wine glass was not allowed in the Lasik manual. I should mention that we don’t usually drink wine, and that he was not given a Lasik manual.

Two of the more common temporary side effects after Lasik surgery are sensitivity to light or to glare, especially at night, and some possibility of fluctuating vision for several days after the Lasik procedure. I have never seen a man milk so much out of a combination of one or both of these symptoms, though he never had either one.

He couldn’t clear dishes from the table because his fluctuating vision may have him drop the plates, and he couldn’t drive to the convenience store at night because… well, you get the idea. I do wonder why I was told the real story of his Lasik procedure, but I guess a secret partner makes the stories all the sweeter.

As it turns out, the only real post Lasik symptom that he actually had was dry eyes, and he had eye drops for that. As it turned out, he needed to get a second type of eye drops from his Lasik physician since he needed a thicker prescription to get through the night comfortably. Granddad was surprised that he seemed to be a model Lasik patient at his age, though his doctor said he had done a number of very successful Lasik surgeries for clients into their seventies, and even a few in their eighties.

I am surprised that Granddad bothered to look into a Lasik operation, for I never noticed that he had a problem with his glasses. He says it was because Lasik would reveal the handsome man he is more clearly to the ladies, though he has been a widower for twelve years and seemed fine with that.

He did say though that the clarity of vision that the Lasik procedure gave him is better than any he has had in over thirty years. Perhaps that is true, for my post Lasik grandfather is more interested in things and more active than I have seen him in the last few years. Perhaps Lasik is a part of that.

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Meet a Lasik Pioneer!

One of the first publicized physicians that perform the Lasik eye corrective operation was Dr. Boothe, of Dallas Texas. He has performed the Lasik operation for a number of different clients, including members of the NFL Dallas Cowboys football team. There are countless testimonials of how satisfied his Lasik clients were with the surgery, even a number of years later.

One of the important considerations for any doctor is kindness, and Dr Boothe’s Lasik patients comment on this trait after their procedures. They all agree that Dr. Boothe made them feel very relaxed about the procedure, and took time to answer any and all questions that they might have. This is especially important with the Lasik process, as eye health is crucially important, and confidence in the doctor makes considering the Lasik option much more feasible.

Dr. Boothe became a specialist of the eye, and especially the cornea, in 1987.

He has performed more than 80,000 Lasik laser vision corrections in that time. He has also contributed to the field of expanding Lasik practice, with the new VISX three dimensional wavefront procedures. These procedures are especially useful for those people with unusual configurations of their eyes.

One of the other newer Lasik procedures uses only the laser, instead of the usual Lasik operation using both scalpel and laser. He is the leader in the performance of this field, and has done more than 45,000 of these operations. This type of Lasik procedure holds new promise for the field, and should be investigated by anyone considering any type of Lasik procedure.

Looking at some of Dr. Boothe’s background will help prospective Lasik clients to look for a physician of similar quality in their area. Dr. Boothe’s center itself is located in the Dallas metropolitan area, but there are many fine doctors that practice Lasik procedures in all parts of the country. He has taught a number of other surgeons in the technique, and so one question that should be asked is where the physician received his training in the Lasik procedure, and which doctors taught the technique.

A most critical part of traditional Lasik surgery is using the microkeratome to make and lift a flap in the eye. Dr. Boothe’s love of medicine and absorption in furthering the techniques used in Lasik make him a pioneer in the field of ophthalmology. He is board certified by the American Board of Ophthalmology, and emphasizes that any patient should check the board certification for any physician they are considering for performing the Lasik procedure in addition to standard medical certifications, such as the American Medical Association.

One reason that Dr. Boothe entered the field of Lasik surgery was because a good eye surgeon can dramatically improve the quality of life for his patients, as is attested by his many thousands of satisfied patients. The doctor that a patient selects for the Lasik procedure should have high standards for safety, accuracy, and precision. This should be reflected in the results and opinions of the patients that the doctor has. Lasik can be a life improving procedure, and careful selection of a physician in the same mold as Dr. Boothe can make it much more certain.

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Eye Care After a Lasik Procedure

A person that is considering a Lasik procedure to improve their vision has two major responsibilities: selecting the best surgeon possible for their budget, and understanding and keeping up with eye care after the Lasik operation is done. Most Lasik procedures go very smoothly, and more than 90% of the patients are happy with their improved vision and have no permanent side effects. Part of this success is due to good care at home once the Lasik procedure is complete.

The first step in having the best care after a Lasik procedure is to understand exactly what is directed by the Lasik physician. The prospective Lasik patient should be given a good understanding of the entire process when they first visit a Lasik center to interview the physician and the staff. On the day of the procedure, a member of the staff should very carefully go over exactly what steps should be done to encourage optimal eye health and healing after the Lasik operation.

One thing that the patient should ask is what side effects are to be expected directly after the Lasik procedure, how long they should last, and which symptoms should be promptly told to the Lasik physician or member of the staff. A number of symptoms, such as fluctuating vision or halos around lights, are to be expected and are not a cause of worry. Ask the staff about any postoperative symptoms that are unclear, to make sure that they are thoroughly understood.

Each Lasik physician has their own recommended procedures for their patients, but here is a list of typical suggestions that most Lasik centers recommend. First, get some sleep as soon as possible after the Lasik procedure is done. This gives a great boost to the healing process. Second, avoid any contact, bumping, or rubbing of the eyes for at least five days after the Lasik procedure. Most Lasik centers have some kind of eye guards to wear at night to prevent patients from rubbing their eyes in their sleep.

Third, try to avoid eyestrain for some days after the Lasik procedure. It is tempting to try to read all of the signs and words that were previously blurry, but avoid this temptation at least for the large part. If any light sensitivity or glare is noticed, wear dark sunglasses for several days until this problem resolves itself. Some common Lasik side effects are temporary halos around lights, especially when viewed at night, but this is not a problem to be concerned with.

It is very important to keep the eyes well lubricated in the days following a Lasik operation. Every Lasik physician will give eye drops to help this, and patient should be especially aware of this before going to sleep. A Lasik procedure may increase eye dryness temporarily, and during sleep this may make the eyelid stick slightly to the eye. When the patient wakes up, opening the eyelid is equivalent to rubbing the eye. The physician should be notified if this happens, for there are other varieties of eye drops that will solve this problem.

Taking these simple steps will give nearly all Lasik patients an easy postoperative experience without any problems.

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Am I a Good Candidate for Lasik?

So many people are interested in the Lasik vision correction procedure, and want to know the benefits, the risks, and how the Lasik procedure works. One of the first things to consider is what requirements a person should meet in order to have a successful Lasik procedure. Though each individual case should be discussed with a qualified Lasik physician, here are some guidelines to see if you are a good candidate for Lasik vision correction.

First, the eye should be properly matured. This means that anyone under the age of 18 really needs to wait before a Lasik procedure is done, for it is likely that the shape of their eye will continue to change for several years. If the eye shape changes after the Lasik operation is done, the clarity of vision will be affected. Some Lasik physicians recommend waiting until age 25 in some cases.

In addition to an age cutoff, the vision prescription for the Lasik candidate should be stable for at least one year, and preferably for longer than that. This is for the same reason as above, that the Lasik procedure will only continue to be effective if the eye shape remains constant after surgery.

One comment about age cutoffs should be made with regard to Lasik surgery. There is no maximum age, as many patients in their fifties to their eighties have had a very successful Lasik procedure. The main consideration in these cases is enough tear production for successful healing and lubrication after the Lasik vision correction.

The eyes of the Lasik candidate should be healthy. This means that any person undergoing a Lasik procedure should have had no eye infection or injury for at least a year, and must have no scarring on the cornea of the eye. In addition, they must not have any recurring eye problem, such as a history of herpes infection in the eyes.

The medical history of a prospective Lasik client also plays an important part. Some chronic conditions, such as autoimmune disorders like Lupus, will prevent some people from being able to schedule a Lasik procedure. You should be very clear about any and all medical conditions that are current, or even completed ones in the past. Also, women who are pregnant or nursing should wait to have a Lasik procedure scheduled.

A good Lasik physician will also not schedule people with dry eye syndrome for Lasik vision correction. Having sufficient tear production is important, though for minor problems this may be aided by medication during the healing process. In addition, those people with eyes that dilate very widely are not good candidates for Lasik.

These are most of the most common reasons that a person should look at some other eye improvement choice other than Lasik. Most generally healthy people with standard vision problems benefit greatly from a Lasik procedure done by a trained, professional Lasik physician. Look for a good Lasik center in your area and discuss your individual case in detail.

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