Is Laser Eye Surgery Safe? Risks, Recovery, and Suitability Explained - Ophthalmology

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Hello, doctor: Is laser treatment safe? If it is not successful, are there any side effects? What should I pay attention to after the laser treatment or in the future? With my prescription (R-775-125, L-575-125), which type of laser would be suitable, and will it eliminate my astigmatism as well? Thank you.

Xiao Xiao, 20~29 year old female. Ask Date: 2002/11/30

Dr. Chen Anping reply Ophthalmology


Hello, Xiao Xiao: You can refer to the information on this webpage: http://www.hch.gov.tw/news/no10.html.
I believe it will be helpful to you.

Reply Date: 2002/11/30

More Info


Laser eye surgery, particularly LASIK (Laser-Assisted In Situ Keratomileusis), has gained popularity as a method to correct refractive errors such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. The safety and effectiveness of this procedure have been extensively studied, and while it is generally considered safe, there are several factors to consider regarding its risks, recovery, and suitability.


Safety and Risks
LASIK is regarded as a safe procedure for most patients. The majority of individuals experience significant improvements in their vision, often achieving 20/25 vision or better. However, like any surgical procedure, LASIK is not without risks. Common side effects include:
1. Dry Eyes: Many patients experience dry eyes post-surgery, which can be temporary or, in rare cases, long-lasting. This is particularly concerning for individuals who already suffer from dry eye syndrome, as LASIK can exacerbate this condition.

2. Visual Disturbances: Some patients report issues such as glare, halos, or starbursts around lights, especially at night. These symptoms can be bothersome but often diminish over time.

3. Under-correction or Over-correction: In some cases, the laser may not remove enough tissue (under-correction) or may remove too much (over-correction), leading to the need for additional corrective procedures.

4. Flap Complications: During LASIK, a flap is created on the cornea. Complications can arise from this flap, including dislocation or infection.

5. Retinal Issues: Although rare, there is a risk of retinal detachment, particularly in individuals with high myopia.


Recovery
The recovery process after LASIK is relatively quick. Most patients notice improvements in their vision within a few hours after the procedure, but complete stabilization of vision can take several weeks. During the recovery period, patients should avoid:
- Rubbing their eyes
- Swimming or submerging their eyes in water
- Wearing eye makeup for a short period
- Engaging in strenuous activities that could lead to eye injury
Follow-up appointments with the eye surgeon are crucial to monitor healing and address any concerns.


Suitability
Regarding your specific prescription (R-775-125, L-575-125), LASIK can be suitable for correcting both myopia and astigmatism. The presence of astigmatism (indicated by the -125) can also be addressed during the procedure. However, the suitability for LASIK depends on several factors, including:
- Corneal Thickness: Adequate corneal thickness is essential to ensure that enough tissue can be safely removed without compromising the integrity of the eye.

- Overall Eye Health: Conditions such as dry eye syndrome, glaucoma, or cataracts may disqualify a patient from undergoing LASIK.

- Age: While LASIK can be performed on individuals over 18, those nearing their 40s may begin to experience presbyopia (difficulty focusing on close objects), which LASIK does not correct.


Conclusion
In summary, laser eye surgery is generally safe and effective for correcting refractive errors, but it is essential to weigh the potential risks and benefits. If you have concerns about your specific situation, including your degree of myopia and astigmatism, it is crucial to consult with a qualified ophthalmologist. They can provide a comprehensive evaluation and determine the most appropriate surgical option for your needs. Always ensure that you are well-informed about the procedure, recovery expectations, and any potential complications before proceeding.

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