Laser Surgery for Myopia: Risks, Options, and Costs - Ophthalmology

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Laser surgery, particularly LASIK (Laser-Assisted In Situ Keratomileusis), is a popular option for correcting myopia (nearsightedness) and other refractive errors. However, it is essential to understand the risks, options, and costs associated with this procedure, especially for someone with a high degree of myopia, such as 1100 degrees.


Risks and Complications
While LASIK is generally considered safe, it is not without risks. Common complications include:
1. Dry Eyes: Many patients experience dry eyes post-surgery, which can last from a few months to a year. This is due to temporary nerve damage during the procedure that affects tear production.

2. Visual Disturbances: Some patients report issues such as glare, halos, or double vision, particularly at night. These symptoms often improve over time but can be bothersome initially.

3. Undercorrection or Overcorrection: In some cases, the surgery may not fully correct the vision, necessitating a second procedure (enhancement) or the continued use of glasses or contact lenses.

4. Corneal Ectasia: This is a rare but serious condition where the cornea becomes weak and bulges outward, leading to distorted vision.

5. Retinal Issues: For patients with high myopia, there is a slightly increased risk of retinal detachment, which can lead to severe vision loss.


Age and Future Treatments
Regarding your concern about future treatments, it is true that LASIK is typically performed once in a lifetime. However, if you develop conditions like cataracts or glaucoma as you age, other surgical options may still be available. For instance, cataract surgery can often correct refractive errors, and there are various techniques to manage glaucoma. It is crucial to have regular eye examinations to monitor your eye health as you age.


Costs
The cost of LASIK surgery can vary significantly based on the technology used and the surgeon's experience. In Taiwan, the price typically ranges from NT$30,000 to NT$50,000 (approximately USD 1,000 to USD 1,700) per eye. Advanced technologies, such as wavefront-guided LASIK or femtosecond laser LASIK, may cost more but can offer better outcomes and fewer complications.


Finding a Qualified Surgeon
In Taichung, several reputable clinics and hospitals offer advanced LASIK procedures. It is advisable to look for facilities that use the latest technology and have experienced surgeons. You can check reviews, ask for recommendations, and schedule consultations to discuss your specific case and the options available to you.


Conclusion
Before proceeding with LASIK, it is essential to have a thorough consultation with an ophthalmologist who can evaluate your eye health, discuss your specific risks, and help you understand the potential outcomes. Given your high degree of myopia, it is crucial to ensure that you are a suitable candidate for the procedure. Additionally, consider discussing your concerns about future eye health and treatment options as you age. This proactive approach will help you make an informed decision about your vision correction journey.