Can Laser Surgery Help Myopia and Strabismus in Young Adults? - Ophthalmology

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Laser surgery, particularly procedures like LASIK (Laser-Assisted In Situ Keratomileusis) and PRK (Photorefractive Keratectomy), can be effective options for correcting myopia (nearsightedness) in young adults. Your friend, at 24 years old with a prescription of -8.50 and -9.00 diopters, is generally considered a suitable candidate for laser refractive surgery, provided that their corneal thickness is adequate and their eye health is otherwise normal.
The primary goal of these laser procedures is to reshape the cornea to allow light to focus more directly on the retina, thereby improving vision. Most patients experience a significant reduction in their dependence on glasses or contact lenses after surgery. However, it is important to note that while many patients achieve 20/25 vision or better, the results can vary, and some may still require corrective lenses for certain activities, especially as they age.

Regarding the concern about whether the degree of myopia will worsen after surgery, it is essential to understand that while laser surgery can correct existing refractive errors, it does not prevent future changes in vision. Factors such as age, lifestyle, and underlying eye conditions can influence the stability of vision post-surgery. Some patients may experience a regression of their vision over time, which could necessitate an enhancement procedure or the use of glasses again.

As for the risks associated with laser eye surgery, they are generally low, but they do exist. Common side effects include dry eyes, glare, halos around lights, and fluctuating vision, particularly in the early days following the procedure. Serious complications, such as infection or significant vision loss, are rare but can occur. It is crucial for your friend to have a thorough pre-operative evaluation with an ophthalmologist to discuss these risks and ensure they are a good candidate for the procedure.

Regarding strabismus, or misalignment of the eyes, which your friend has described as "mild" and possibly hereditary, laser surgery is not typically used to treat this condition. Strabismus often requires a different approach, such as vision therapy, prism glasses, or surgical intervention to realign the eyes. The specific treatment will depend on the type and severity of the strabismus. A consultation with an ophthalmologist specializing in strabismus would provide the best guidance on potential treatment options.

In summary, laser surgery can be a viable option for correcting myopia in young adults, but it is essential to have realistic expectations and understand the potential risks and benefits. For strabismus, a separate evaluation and treatment plan will be necessary. Your friend should consult with an experienced ophthalmologist to discuss their specific situation and determine the best course of action for both their myopia and strabismus.