My Questions about the Lasik Procedure

Many people that wear glasses or contact lenses have listened to the claims of how Lasik can give them perfect vision. They have also heard great Lasik success stories, as well as stories from people that were not sure they had given the decision enough thought. This guide lists the most common questions asked by people who are considering Lasik vision correction, and answers given by reputable physicians.

The first and most important question asked about Lasik is, not surprisingly, “Is Lasik safe?” The answer is that it is normally quite a safe procedure, with success rates above 95 percent for good, experienced Lasik surgeons, and 90 percent average over all physicians that perform the Lasik procedure. This statistic about Lasik success assumes that the patient is a good candidate for Lasik surgery. The requirements have some specific details and should be gone over with the physician that will perform the Lasik procedure.

It is a very good idea to ask the Lasik physician which patients he has declined to perform the Lasik procedure on, to make sure that the particular physician has and operates with good standards. Any Lasik practitioner that tries to imply that everyone that comes in to his office is a good candidate for Lasik vision correction should be viewed with some skepticism. In any case, it is wise to interview several different physicians that perform the Lasik procedure before deciding on one.

A second frequently asked question about Lasik is “What are the possible complications from Lasik surgery?” Common side effects are starbursts or halos when looking at a light, sensitivity to light and difficulty with glare and night vision, and some sensation that a foreign body is in the eye. Most of these effects will pass within a few days after the Lasik procedure. Between 1 and 3 percent of patients will have a lasting side effect such as halos or some vision fluctuation.

It is a very good idea to discuss your particular situation with the Lasik physician to determine if you might be prone to any complications. There are also variants of the standard Lasik procedure, one of which uses additional waveforms to map out an individual eye, or techniques that only use lasers rather than a scalpel and a laser.

One question we all hesitate to ask is “Will the Lasik procedure be painful?” Since our eyes are one of the most sensitive parts of our bodies, it is comforting to know that having Lasik vision correction is usually nearly painless. There is often some mild discomfort after the procedure, but this is effectively controlled with medication.

“Will I have 20/20 vision once the Lasik correction is done?” Though many patients do get nearly perfect vision, not all patients have their vision totally corrected. You can definitely expect to have improved vision and minimized dependency on any glasses or contacts.

“What is the cost and how do I pay?” A typical Lasik surgeon charges between $500 and $2500 per eye, depending on the patient and the surgeon. However, a Lasik physician should be selected on experience level and track record, not on the lowest price. Insurance rarely covers the cost of Lasik, but many Lasik centers have a type of financing program offered to their clients.

Find several Lasik physicians in your area using the Internet feature DocShop and make a point to interview several on your list. Consider Lasik as one way to significantly improve the quality of your life.

My Lasik Vision Story

I am putting this story on the web to encourage those who are interested in a Lasik vision procedure, but have read so many horror stories that they are getting ever more reluctant. I had to get off of the Internet to get enough courage to even go down to a nearby Lasik center to have them talk about my individual case. I am glad I went, and the people were very kind, professional, and encouraging.

Let me begin with why I was even interested in Lasik. I have worn glasses for thirty years, ever since I was a very little girl. I have very weak eyes, and needed to wear my glasses from the moment I woke up until I went to bed. I have a special spot where they are kept, and a number of backup pairs of glasses so that I never have to go without them. I also have had some dry eye problems for the last few years, which is often a reason that Lasik doctors do not recommend the Lasik procedure for some people.

When I got to talk to the Lasik physician, he was encouraging but realistic. He stated that one of my eyes would be a good candidate for total vision correction, but the other eye would likely see only some (though possibly major) improvement. He stated that about one of his Lasik procedures per month are with clients with the same level of poor vision of my worst eye.

I would also like to encourage those people with some problems to go ahead and visit their local Lasik center to talk to the professionals there. As I mentioned earlier, I have had some occasional problems with dry eyes. I also have pupils that dilate easily. Both of these can be reasons to be dissuaded from Lasik, but in neither case were my problems significant enough for the doctor to consider me not a good Lasik client. Do go and discuss your individual case.

I cannot say that the information I was given made me totally relaxed about the whole procedure. I did talk myself into and out of the Lasik procedure several times during the weeks before it was done. The only thing I was a little bit surprised about was that I did not lose sleep over it, and that I actually showed up at the Lasik center to get the procedure done!

I was given a mild sedative (as well as numbing eye drops) and the Lasik procedure went without a hitch. Though I did feel a mild pressure during the time on my eyeball, my hands were the things that hurt after the Lasik operation was over (I must have had them clenched the whole time!). I was so grateful to my physician who said things like “I’m using the laser for 20 seconds, 5 seconds to go, procedure done for this eye. Very successful.” In this way I was reassured that the Lasik operation was going quickly and according to plan.

I followed all my Lasik physician’s instructions to the letter after the procedure, and I am so happy with the results! I could see much better even directly after the operation was over, and things have continued to improve. I personally do not have any of the problems that are often mentioned as effects, such as halos around lights, etc. I would strongly encourage anyone to be brave enough to go down to your Lasik center and at least talk about the Lasik procedure with a knowledgeable professional.

My Intralasik Experience

I wanted to investigate Lasik vision correction for myself, and found that there were several options. After talking it over with a great Lasik physician, I decided on using bladeless Lasik, or Intralasik, or Intralase. I cannot say that I decided that for any great technical reasons, mine were mainly psychological.

The advantage of Intralasik over a traditional Lasik procedure is that a laser is used to make a flap in the eye. Every Lasik procedure needs to make a flap in order for the excimer laser to be able to reshape the corner. In traditional Lasik, the flap is made with a microkeratome, which is “a very small blade, not a scalpel”. Well, maybe to you. Somehow, even though both the laser and the blade made the same flap, the idea of someone taking a sharp object to….. well, you get the picture.

In addition (though there is a lot of argument and debate over this) using a laser to make the flap might (let me emphasize might to be fair to everyone) make the Lasik procedure have less chance of getting other cells underneath the flap. I don’t really understand all of the Lasik arguments with regard to this, but I think you should discuss the various Lasik options with the physician. They do vary in cost also.

Before I talk about the procedure itself, let me give a bird’s eye view of myself as a Lasik candidate. In short, spectacular! Seriously, all of the items for a good Lasik candidate could describe me: a healthy guy in my mid-thirties, with moderate nearsightedness and slight astigmatism, with good results on all eye exam tests (thick cornea, no eye scarring or infections, etc.).

I did visit two different Lasik surgeons to get their independent opinions of me as a candidate, and also their description of their services. One of the Lasik surgeons is on the staff at the medical college in a nearby major metropolitan center, so I was pretty assured that their opinions were valid.

On the day of the Lasik surgery I came in, paid my first payment for the procedure, and had my eye prescription rechecked. I was given post-procedure instructions on eye drops, no exercising (yeah!), and to go to sleep after the Lasik procedure. I was given a relaxant, and the Lasik physician and I went to the surgery suite.

The chair has padded pillows to rest and restrict head movement, and a teddy bear to hold if I wanted it. There was a clamp to hold my eyes open, and a suction ring, and then my vision in that eye went a bit dim. The first Lasik laser made the flap, and I focused on a small light while the other laser made the cornea changes. This took less than thirty seconds, or so I was told.

Mainly I was aware of clicking noises and some pressure, but no pain or real discomfort. After the eye flaps were put back in place, I rested in a recliner for about 20 minutes. I could see more clearly immediately after the Lasik operation was over, but was told not to try and test my eyes for a number of days, and rather concentrate on getting them healthy and healed.

I am surprised and immensely pleased it went so easily, well, and pain free. I would recommend this type of Lasik procedure to anyone.

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.