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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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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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!

Technorati Tags: Better Vision, Blurry Vision, Bright Lights, Current Vision, Dependence, Different World, Expectation, Guide Dog, Halos, Lasik Doctor, Lasik Patients, Lasik Procedure, Lasik Surgeons, Lasik Vision Correction, Old Hands, Online Forum, Perfect Vision, Realistic Expectations, Six Inches, Twinkle

Good Post-Op Lasik Care

One of the most marvelous advancements using modern technology is the Lasik vision correction procedure, where in the space of fifteen minutes many people can reduce or eliminate their reliance on glasses or contact lenses. There is very little preparation for the surgery on the Lasik patient’s side, and the Lasik procedure itself takes less than twenty minutes.

With current technology and an excellent Lasik physician, there is a very high success rate for nearly all Lasik surgeries. Though not all patients get or keep exactly 20/20 vision, there is a vast improvement in the Lasik client’s vision and dependence on corrective eyewear. The two most important factors under the patient’s control is the choice of the physician and good post-operative care.

After visiting a few physicians or clinics that perform Lasik procedures, the client should have a very good idea of how they will be treated as a patient of that doctor. It is important to find a Lasik physician whose staff is responsive to questions and worries, and who are willing to see a post-operative Lasik client who is having a problem with their care.

This is one of the more common complaints of those folks that undergo a Lasik procedure: insufficient information about post-operative Lasik side effects, or a staff that simply says “Lots of people experience that, no problem,” when the patient actually should be seen by a member of the staff. A visit where the prospective Lasik patient talks with both the physician and one or two members of the staff will get an idea of how well a patient is welcomed once the Lasik procedure is completed.

During this initial investigative visit, the client should ask the Lasik staff for a list of common, temporary side effects that can be experienced after a Lasik procedure. The staff member should describe any cases where the patient should make a point of contacting the Lasik center, rather than just enduring the side effect. Cases of pain, intense itching, or seriously blurred vision may indicate an infection or other serious problem, and should be seen promptly. It is truly very rare that any of these complications exist after a Lasik procedure, but make sure that the center is willing to see the patient if they think something is more than mildly wrong.

One of the more common side effects after a Lasik operation is some form of dry eye, which often occurs during the nighttime while asleep. Not only is this uncomfortable, but if the eyelid sticks even slightly to the eye itself, it may dislodge the surgical flap done in the Lasik procedure, and delay healing of the eye. If this occurs, the Lasik center has several different viscosities, or thicknesses, of eye drops to alleviate this problem. The staff should be promptly notified so this problem can be addressed immediately.

A good, responsive staff surrounding an excellent Lasik physician is the most important component in how to select a doctor. Interviewing the physician and staff about all aspects of the Lasik procedure, both the procedure itself and post-operative care, is the best way to make an excellent choice.

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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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My Day for Lasik Surgery

This story is for my family and friends who wonder what it is like to go through a Lasik vision correction procedure. I’ve shared my experiences with one or two colleagues at work that have also had Lasik done, and there are enough variations to give insight to those who are trying to choose between different Lasik physicians or different Lasik centers.

First, my Lasik procedure was scheduled for 4 PM in the afternoon, which was fine with me. One of the directions for patient that has just had a Lasik procedure was to go to sleep as soon as possible, in order for the healing process to begin as quickly as possible. And usually by the end of the afternoon I am too tired after working all day to be very nervous. Well, usually anyway.

I had only been there a few minutes when I was called into a room to prepare me for the Lasik procedure, and to get instructions (again!) on how to care for my eyes once the Lasik vision correction has been done. They offered me some Ativan, which is a mild sedative just to keep me calm during the Lasik process. The lasers themselves monitor any head or eye movement and turn themselves off when it occurs, so it isn’t that the sedative is for anything other than psychological reasons. I took it anyway. All of my colleagues at work also took it, though none of us really felt any different than we did before. Apparently it is a VERY mild sedative.

My eyes were prepared for the Lasik procedure by being dosed with eye numbing drops and some kind of medication. I cannot be sure of the other pre-operative steps, as I think I was trying very hard not to think about either Lasik or my eyes. Perhaps the sedative was a bit stronger than I imagined it was.

At this point I was escorted into another room for some time, where I sat back, listened to the piped-in music, and awaited my turn in the Lasik operating room. There were two other people waiting with me in this room, so apparently my doctor different setup for his Lasik patients than my colleagues. Both were alone in their pre-op rooms until they were escorted into the room where the Lasik procedure was actually performed.

As to the Lasik procedure itself, all of us have similar memories from this procedure. Each of us felt some pressure when the various Lasik implements were used on our eyes, though there wasn’t any real discomfort or pain. There was a blurring of vision for the eye being worked on, but the real sensation was mainly audio – the whirring and clicks of the machine. One of my colleagues also remembers a distinct smell, somewhat reminiscent of hair burning. There may have been a slight smell during my Lasik procedure, but it wasn’t significant enough for my attention to be focused on it.

After a short amount of time, my Lasik physician said he was done and that I had been a good patient. In all of our Lasik experiences, the operation itself was much easier than all of our worries about it beforehand. I hope this helps those of you considering having a Lasik procedure done.

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