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Analysis and Problem Solving

 

 

 

High Astigmatism, Keratoconus, Pellucid and Other Corneal Pathology

Analysis and Rationale in Patient Selection for Laser Vision Correction

 

Laser vision correction surgery can be a significant life-changing event.  On the positive side, it can help someone who previously was dependent upon eyeglasses and/or contact lenses to achieve excellent unaided vision.  This is why in less than 6 years LASIK has become the most popular elective surgical procedure in the world. 

We have all seen the "infomercial fairytale" promoting LASIK, which goes something like this:  Someone chooses to have LASIK; seeks a consultation from caring and capable provider; has a  few minutes of painless surgery; achieves overnight recovery of extremely clear vision; and lives happily ever after.

On the negative side, we do not hear much about are the stories of those that have problems and complications as a result of laser vision care.  Some patients achieve clear vision ("20/20" on the eye chart) but observe annoying glare, halo, and difficulty with night vision after LASIK.  Some patients fail to achieve optimum vision in both eyes and find that their depth perception, driving comfort and other factors are impaired.  If surgery is performed in certain situations where corneal anatomy and shape are abnormal, or if significant surgical complications are encountered, it can lead to severe vision impairment,  need for rehabilitative surgery including corneal transplantation, severe psychological stress, depression, loss of work, and diminution of quality of life.  Neither positive or negative effects of this care should be underestimated.