What Happens After the Lasik Procedure?

After you are fully prepared, the Lasik procedure takes less than fifteen minutes to complete for both eyes. This will seem a remarkably short time to have a permanent change to your vision, and in this regard Lasik seems almost too good to be true. In addition, most Lasik patients notice improved vision immediately or within a few hours after the Lasik procedure has been performed.

This does not mean that you should expect to walk out of the Lasik clinic with perfect vision and without any need to treat your eyes carefully for the next several days. It also means that some Lasik patients will need more time to see the total results for the Lasik procedure, sometimes as much as six months for their vision to stabilize permanently. Anticipate good vision, and take the time and care for the operation to produce its best result.

Usually the Lasik physician will give the post-procedure patient a protective shield for their eyes. This should be worn as long as the physician specifies, and usually only at night for one or two nights. He may also recommend sunglasses during the day if you experience sensitivity to light after the Lasik procedure is done. Discuss these options in detail at the Lasik center before the operation, so you know how to best take care of your eyes.

Many patients at the Lasik centers often get eye drops to keep their eyes moist for some time after the Lasik procedure is done. Again, this varies by patient and by physician, so ask about your particular situation, especially if you are prone to eye dryness on an occasional basis even before the Lasik procedure. Also, it might be helpful to keep any ceiling fans or other air circulation devices off in the household for the first few days.

Most clients can return to work and normal daily activities the day after the Lasik procedure is done, and do not require any extra assistance from other friends or family members. There is usually little to no post-operative discomfort after Lasik has been performed. It is recommended that patients go to sleep as quickly as possible after the Lasik surgery in order to minimize any post-operative discomfort. Upon waking, improved vision from the Lasik corrections should already start to be visible.

This improved vision may not be the final product of the Lasik procedure. The improvement to nearsightedness after Lasik is usually quick and dramatic, though there may be some problems in reading easily for the first few days after the Lasik operation. This is perfectly normal, and should clear up before the week is out.
Patients that use Lasik to improve their farsightedness usually find a dramatic improvement the day after the Lasik surgery. It might be that there is a temporary blurring of objects in the distance, but this will resolve itself. If this condition remains for more than a few days, the Lasik physician can recommend and prescribe temporary glasses until vision is stabilized.

These are all typical post-operative recommends for a Lasik patient, in order to feel comfortable with what to expect after the Lasik procedure. As with any medical treatment, get all of your questions answered by the staff of your Lasik center for your individual case.

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Talking to Your Lasik Surgeon

For anyone considering a Lasik procedure to correct vision, it is crucial to find a physician that is reputable and caring. It is also very important that they are experienced and knowledgeable in the Lasik procedure, and that they have a track record of patients that are happy with the treatment they received and the results that they got.

This guide gives a number of basic questions that you should ask when deciding on which Lasik center and which doctor to select for your Lasik procedure. The comfort you have during the process, and even the results that you receive, may depend on getting good answers to these questions. It is important to realize that the answers to these questions will vary from physician to physician.

The first question to ask is “How many years have you been performing this type of Lasik surgery?” There are several variations of the Lasik procedure, and the doctor should have a track record of at least three years in doing Lasik procedures. This amount of time also allows the doctor to watch his patients and the long term success of their Lasik procedures.

Next, ask the physician for the number of Lasik procedures they have performed in the last two years. The physician should do the operation frequently enough that he is well versed in current procedures. Also, he should be successful enough that prospective Lasik patients feel comfortable in coming to the Lasik center. The physician should perform at least 500 Lasik surgeries in the last two years.

At this point, ask what percent of his clients that underwent Lasik surgery ended up with 20/40 vision or better. Notice that not all patients will achieve 20/20 vision, and that is acceptable. However, it is important that 90 percent of the patients get at least a 20/40 correction after the first Lasik procedure. Claims of much more than 90 percent might make him seem much better, but in this case ask for evidence that that number is true. There are some exceptional physicians out there, but also a few Lasik doctors that make unfounded claims. Asking the doctor what percentage of Lasik patients achieve 20/20 should run about 50 percent. Again, if the number is greatly higher, ask for evidence.

Finally, ask about post-Lasik complications. The percentage of patients that experience complications after 6 months is complete should be 3 percent or less. If the physician claims that complications are so rare that he doesn’t keep records, you should be very suspicious and ask for evidence, if any. No doctor is perfect. Similarly, when asked the percentage of patients that require an additional operation to achieve clear vision, the number should be less than 10 percent.

To wrap up the interview, ask the physician what types of Lasik procedures he recommends and practices, and under what circumstances he denied a Lasik procedure to a patient. Not all vision challenged people are good candidates for a Lasik operation, and the doctor should at least have a few examples of people he dissuaded from the operation.

Finally, ask about the cost of the operation and if financing plans are available through the Lasik center. A physician that is willing to sit down and discuss these questions is often a physician that will address any other medical issues that come up, and is a good prospect to perform your Lasik procedure.

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Should I have Lasik or ICL?

A number of people who are considering the Lasik procedure to correct their nearsightedness or farsightedness have of some potential problems of Lasik, and are wondering if there are other options. Though more than 95 percent of the Lasik patients have a very successful procedure without any major side effects, there are choices for people who wish to improve their vision. Let’s compare two, and discuss these choices with a reputable ophthalmologist.

Traditional Lasik surgery uses a scalpel to create a small flap in the eye, and then a laser reshapes the eye in order to focus accurately. There are two more recent forms of Lasik, one that entirely uses a laser and does away with the scalpel. Another variation uses a three dimension waveform for people with unusual eye shapes, and both of these are worth discussing with your ophthalmologist.

Those people with very thin corneas or other issues that make Lasik not a good candidate for their particular case can consider implantable contact lens surgery. This is known as ICL in the eye surgeon’s lingo, and is a good alternative to Lasik to permanently correct vision. These lenses function in exactly the same way as removable lenses, except that they remain permanently in the eye. Like Lasik, they reshape the eye in order for it to focus accurately. The patient will not feel the lens once the operation has been performed.

Lasik and ICL are similar in several ways. Lasik can improve vision affected by nearsightedness and astigmatism, and ICL can improve these vision deficiencies also. Both Lasik and ICL also have some of the same risks, one of these being that the correction is not accurate after the first operation is done. Lasik is a much more frequently performed procedure, and less than 3 percent (according to the FDA) of these patients need to undergo additional surgery to further correct vision after the first Lasik procedure is done.

Like any operation, there is a chance of infection in either a Lasik procedure or an ICL operation. Good post-operative care by the patient will minimize this and regular checkups at the Lasik or eye care center will nearly always clear this up without further complication. In a small percentage of the cases, either Lasik or ICL patients may not achieve perfect vision and may need to continue to wear corrective eyewear, though usually not at the same strength as the original eyewear.

One advantage of ICL over Lasik is that ICL is a reversible procedure, where the implanted lens can be removed later if that becomes necessary. Lasik involves the reshaping of the cornea to bring objects accurately into focus, and is permanent. However, for a typical, healthy patient either Lasik or ICL will generally bring about the desired improvement in vision.

Lasik is generally a less invasive procedure, and this is reflected in the current cost of the operation. The current price for a Lasik procedure is between $500 and $2500 per eye, depending on the type of procedure and the presiding physician. A typical price for ICL is between $1500 and $3000 per eye. Do some investigation into the options offered, and select the eye procedure that is best for your personal case.

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Pros and Cons for Lasik with IntraLase

Those who have had a Lasik technique done, and those who are investigating having a Lasik vision correction procedure, know that the first step of that procedure is to create a small flap in order for the Lasik physician to reshape the cornea. This flap is created by the surgeon, and can be done using a small blade or using a laser. Using the laser is generally called a bladeless Lasik procedure, or IntraLasik, or IntraLase.

For those that are considering a Lasik procedure, this review should be helpful in order to determine the pros and cons of the Lasik procedure using IntraLase. One comment to be made is that the risks and complications possible using the small blade are well known and documented, since that procedure has been done for years and has a database of millions of patients.

Granted, 90% or more of all Lasik patients have no serious side effects or even minor lasting side effects, but it is true that a large part of the complications from Lasik procedures stem from the flap made with the microkeratome blade. Over the years additional techniques have been developed to further minimize such problems from the standard Lasik procedure.

The introduction of the laser to create the flap is a new frontier in the Lasik procedure. The laser is used in combination with state of the art software to create a flap of a pre-programmed size at a specific depth and position. During this process, a soft suction ring holds the eye in place, but this causes no discomfort to the Lasik client. Generally the only effect noticed by most Lasik patients is a dimming of vision in the eye being worked on for the duration of the treatment of that eye.

The use of the laser creates very small bubbles of water and carbon dioxide that serve as a good buffer between the flap and the cornea itself, and so this Lasik procedure conserves the eye very carefully. The whole process of creating a flap for one eye takes approximately one minute.

The advantages of using a laser to make the flap for the Lasik vision correction procedure is that there is no way that the cornea can be abraded, nor any chance of the wrong size or depth of flap, since it is all pre-programmed with Lasik software. The exact vertical edges of the flap produced using this Lasik procedure help healing, and also decrease the possibility that the flap might slip or wrinkle if the eye is accidentally bumped or rubbed during the healing process.

There are very few cons to using a laser to create the flap during a Lasik procedure. One is that the process takes a bit longer, up to a minute. A second reason is that the low level suction during this phase of the Lasik operation does result in eye redness for about 5% of the patients, but this goes away within a few days. The last reason is that there is still a difference in cost between this and the traditional Lasik procedure, but hopefully that will decrease as the years progress.

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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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I Remember My Lasik Procedure

I guess I am one of the “old hands” in any Lasik online forum, in that I had my procedure more than three years ago now. I have noticed that most of the posting are from people whose Lasik vision correction was recent and did not go according to plan. I thought I might give my perspective on my Lasik adventure.

First, let me start with my current vision situation, and then work backwards to the point before Lasik where I couldn’t get around without a guide dog (no, just kidding, but it seems like such a different world from where I am now). Three years after Lasik, I have better than 20/20 vision in one eye, and 20/40 in the other eye. For those of you not familiar with Lasik, the procedure does not guarantee that everyone will end up with perfect vision.

Most competent Lasik surgeons will take time to explain what realistic expectations for the surgery are, in that vision is noticeably improved but not guaranteed to remove any dependence on glasses or contacts. My Lasik doctor was very clear on this, but I thought it would be sufficient to be able to look around my kitchen and recognize the pot that I had left on the other side of the room. My doctor said that that expectation was something he could almost guarantee, and much better than that.

Three years after the Lasik procedure, I only have one permanent side effect that I did not have before my Lasik vision correction (in addition to astoundingly better vision, I guess I should add). I do see halos around bright lights at night, but they are not really bothersome, and I have started to consider them rather pretty – kind of like the artificial twinkle TV shows can put in people’s eyes. I am glad that I am one of the more than 90% of Lasik patients who had a very successful procedure and outcome.

For several weeks after the Lasik procedure I had blurry vision when trying to focus on items very close to me (anything closer than maybe six inches, though I don’t remember precisely). I have asked my husband if he remembered me talking about any other post-op problems, such as fluctuating vision or sensitivity to light. Neither he nor I remember many problems after the Lasik procedure, though I did sleep a LOT and used the eye drops exactly as requested.

Sleep is supposed to aid healing, and my Lasik physician recommended me to sleep quite soon after the operation to get a good start on the healing process. I think I took that to an extreme, but I wanted to rest my eyes as much as possible after the Lasik procedure.
I do remember my vision getting a bit blurry after a long day (for a few months after Lasik vision correction) which may have been another reason I though sleep was a great idea.

I have been a poster child for Lasik to my friends and family, and the great results have convinced several others to schedule their own Lasik procedures. As this is the story of my Lasik process, I will let others tell their own stories. I can only say from my perspective that there were few bumps in the road, and I would recommend the Lasik process to anyone interested in improving their vision. One additional comment: choose the best surgeon in your general area, you will be glad you did!

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