Laser Eye Surgery: Safety, Costs, and Risks Explained - Ophthalmology

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Laser surgery


Hello Doctor: I have myopia of about 600 degrees and astigmatism of over 100 degrees.
I usually wear contact lenses.
I am considering laser surgery, but I am afraid of the possibility of failure and losing my vision.
I would like to know if my eyes will be drier after the surgery or if there are other potential side effects.
What is the approximate cost, and how safe is the procedure? Thank you! I appreciate your hard work!

JOJO, 30~39 year old female. Ask Date: 2006/05/31

Dr. Ke Meilan reply Ophthalmology


Hello: After surgery, the eyes may be dry for about 3 to 6 months, and there may be side effects such as glare, but these can gradually improve.
The cost ranges from 30,000 to 50,000.
If you are very afraid, it is best not to force yourself to try.
Sincerely, Dr.
Mei-Lan Ke, Ophthalmology Department.

Reply Date: 2006/05/31

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) and astigmatism. If you are considering this procedure, it is essential to understand its safety, potential risks, costs, and the likelihood of complications.

Safety of LASIK Surgery:
LASIK is generally considered a safe and effective procedure for correcting vision. According to various studies, the majority of patients achieve 20/25 vision or better after surgery, which is sufficient for most daily activities. However, like any surgical procedure, LASIK does carry some risks. The most common side effects include dry eyes, glare, halos around lights, and fluctuating vision. These symptoms often improve over time, but some patients may experience them for several months post-surgery.

Potential Complications:
While serious complications are rare, they can occur. Some of the more severe risks include:
- Corneal Ectasia: A condition where the cornea becomes progressively thinner and bulges forward, leading to vision distortion.

- Infection: As with any surgical procedure, there is a risk of infection, which can lead to serious complications if not treated promptly.

- Vision Loss: Although extremely rare, some patients may experience a decrease in vision that cannot be corrected with glasses or contact lenses.

Post-Surgery Effects:
After LASIK, many patients report experiencing dry eyes, which can last from a few weeks to several months. This is due to the temporary disruption of the corneal nerves that help regulate tear production. Most patients find that their symptoms improve with the use of artificial tears or other prescribed medications. It is crucial to follow your surgeon's post-operative care instructions to minimize risks and promote healing.

Costs of LASIK Surgery:
The cost of LASIK can vary widely depending on the technology used, the surgeon's experience, and the geographic location of the surgery. In the United States, the price typically ranges from $2,000 to $3,000 per eye. Some clinics offer financing options or payment plans to help manage the costs. It's essential to consider not only the price but also the surgeon's qualifications and the technology used, as these factors can significantly impact the outcome.

Considerations for Patients with Dry Eyes:
If you have a history of dry eyes, it is crucial to discuss this with your ophthalmologist before considering LASIK. Patients with pre-existing dry eye conditions may be at a higher risk for post-operative dryness, which could exacerbate their symptoms. In some cases, alternative procedures, such as PRK (Photorefractive Keratectomy), may be recommended instead of LASIK.

Conclusion:
In summary, LASIK surgery is a widely performed and generally safe procedure for correcting myopia and astigmatism. While the risks are relatively low, it is essential to have a thorough pre-operative evaluation and discuss any concerns with your eye care professional. Understanding the potential side effects, costs, and your specific eye health will help you make an informed decision. If you have any lingering fears about the procedure, it may be beneficial to seek a second opinion or explore other vision correction options. Always prioritize your eye health and comfort when considering surgical interventions.

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