Is Laser Eye Surgery Suitable for My Myopia Condition? - Ophthalmology

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Is laser surgery suitable for myopia?


Hello Doctor, I currently have myopia of approximately -4.00 and -3.50 diopters.
I have previously consulted multiple ophthalmology clinics, and one clinic, which was more stringent, indicated that my cornea is steeper and deemed me unsuitable for laser refractive surgery (likely due to concerns about keratoconus).
However, other clinics stated that I could undergo the procedure (two clinics said yes, one said no).
Since the laser vision correction clinics tend to be more commercialized, I am unsure which opinion is correct.
I would like to ask the doctor if I am a suitable candidate for laser refractive surgery in this situation.
Thank you.

Kang, 20~29 year old female. Ask Date: 2022/06/01

Dr. Chen Anping reply Ophthalmology


Hello, based on your description, your condition is not suitable for laser surgery for myopia.
Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2022/06/01

More Info


When considering laser eye surgery for myopia, particularly in your case with a prescription of approximately -4.00 and -3.50, there are several important factors to evaluate. It’s commendable that you have sought multiple opinions, as this is crucial in making an informed decision regarding your eye health.

Firstly, the suitability of laser eye surgery, such as LASIK or PRK, largely depends on the thickness and shape of your cornea. If one of the clinics expressed concern about the steepness of your cornea, they might be wary of the potential risk of developing keratoconus, a condition where the cornea becomes thin and bulges outward. This concern is valid, as laser procedures can exacerbate pre-existing corneal irregularities. Therefore, it is essential to have a thorough corneal evaluation, including corneal topography, to assess its shape and thickness accurately.

The other clinics that deemed you suitable for surgery may have different criteria or may not have conducted as comprehensive an assessment. It’s crucial to ensure that the clinic you choose has a strong reputation and employs advanced diagnostic tools. You should also inquire about the experience of the surgeon and the technology used in the procedure.
In addition to corneal health, other factors such as your age, overall eye health, and lifestyle should be considered. For instance, if you have any underlying conditions like dry eye syndrome, which you mentioned in previous queries, this could affect your candidacy for laser surgery. Dry eyes can be exacerbated by laser procedures, leading to discomfort and visual disturbances post-surgery.
Moreover, it’s essential to discuss the potential outcomes and risks associated with the surgery. While many patients achieve excellent results, there are risks of complications such as undercorrection, overcorrection, or even vision loss in rare cases. Understanding these risks will help you weigh the benefits against the potential downsides.

If you are still uncertain after gathering all the information, seeking a consultation with a corneal specialist or a refractive surgeon who has extensive experience with various corneal conditions may provide further clarity. They can offer a more tailored assessment based on your specific corneal measurements and overall eye health.

Lastly, if laser surgery is deemed unsuitable, there are alternative options for vision correction, such as contact lenses or glasses, which can be customized to your needs. Additionally, some patients explore other surgical options like implantable contact lenses (ICL) if they are not candidates for laser surgery.

In conclusion, while laser eye surgery can be a suitable option for many individuals with myopia, your specific corneal characteristics and overall eye health must be thoroughly evaluated. It’s essential to choose a reputable clinic and surgeon, and to have open discussions about the risks and benefits involved. If surgery is not an option, there are still effective ways to manage your vision correction needs.

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