Effectiveness and Considerations of Laser Eye Surgery for Severe Myopia - Ophthalmology

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Hello, I would like to inquire about the effectiveness of laser eye surgery for treating severe myopia (around -8.00 diopters).
What should be taken into consideration? What is the approximate cost? Thank you for your response.

Yang, 20~29 year old female. Ask Date: 2002/11/21

Dr. Chen Anping reply Ophthalmology


Hello Mr.
Jinfu: The surgical cost is approximately 50,000 to 60,000 NTD.
For more details, please refer to http://www.hch.gov.tw/news/no10.html.

Reply Date: 2002/11/21

More Info


Laser eye surgery, particularly procedures like LASIK or PRK, can be effective options for treating severe myopia (nearsightedness), including cases around 800 degrees. However, there are several important considerations to keep in mind before proceeding with such surgeries.


Effectiveness of Laser Eye Surgery
1. Visual Outcomes: Studies show that a significant percentage of patients achieve 20/25 vision or better after laser eye surgery. For individuals with severe myopia, the results can be quite favorable, with many patients experiencing a substantial reduction in their dependence on glasses or contact lenses.

2. Long-Term Stability: While many patients enjoy stable vision post-surgery, some may experience regression, especially if they have high degrees of myopia. Regular follow-ups with your eye care provider are essential to monitor your vision over time.

3. Age Considerations: At 27 years old, you are within the ideal age range for laser eye surgery, as your vision is likely stable. However, it’s important to note that if you have any underlying conditions like dry eye syndrome or corneal irregularities, these could affect the outcomes.


Risks and Considerations
1. Dry Eyes: One of the most common side effects of laser eye surgery is dry eye syndrome. This can be particularly concerning for individuals who already have dry eyes. Pre-existing conditions should be evaluated thoroughly before surgery.

2. Corneal Thickness: Patients with severe myopia often have thinner corneas, which can limit the options for laser surgery. A thorough evaluation, including corneal mapping, will help determine if you are a suitable candidate.

3. Potential Complications: While rare, complications such as infection, corneal scarring, or visual disturbances (like halos or glare) can occur. Discuss these risks with your ophthalmologist to understand how they may apply to your specific case.

4. Post-Operative Care: Following surgery, you will need to adhere to a strict post-operative care regimen, which may include using prescribed eye drops, avoiding certain activities, and attending follow-up appointments.


Financial Considerations
The cost of laser eye surgery can vary significantly based on the technology used, the surgeon’s experience, and the geographic location of the clinic. In the United States, the average cost for LASIK can range from $2,000 to $3,000 per eye. PRK may be slightly less expensive but can also vary. It's essential to check if your insurance covers any part of the procedure or if financing options are available.


Conclusion
In summary, laser eye surgery can be an effective treatment for severe myopia, but it is crucial to have a comprehensive evaluation by a qualified ophthalmologist. They will assess your eye health, discuss potential risks, and help you understand the expected outcomes. Make sure to ask about the specific technology used, the surgeon's experience, and any post-operative care you will need. With the right information and preparation, you can make an informed decision about whether laser eye surgery is the right choice for you.

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