Can I Undergo Laser Surgery with My Eye Condition?

Can surgery still be performed under these circumstances?

Hello Dr.
Ke, I would like to undergo laser surgery.
My myopia is approximately -1200 diopters.
Previously, during high school, I had retinal detachment in my right eye and underwent surgery.
Although my vision is currently stable, I still experience slight distortion in my right eye (which affects the artificial vision test), as well as mild floaters and dry eye syndrome.
I am wondering if I am a candidate for laser surgery and what the risks might be.
I really want to get rid of my glasses; could I also hear opinions from other doctors?

Hao Jun, 20~29 year old female. Ask Date: 2007/01/15

Dr. Hu Yusheng reply Ophthalmology

Dear Mr.
Hao-Jun,
You have a history of retinal detachment surgery in your right eye.
Currently, LASIK/PRK procedures are considered contraindications due to the risk of inducing retinal detachment during the surgical process.
For the safety of vision correction, wearing safe prescription glasses is still the best option.
Wishing you health and safety.
Sincerely,
Dr.
Hu Yu-Sheng, Ophthalmology

Reply Date: 2007/01/15

More Info

When considering laser eye surgery, particularly for someone with a history of retinal detachment and current conditions such as high myopia (1200 degrees), mild distortion in vision, floaters, and dry eye syndrome, it is essential to approach the situation with caution and thorough understanding.

Firstly, your high degree of myopia presents a significant challenge. Most laser procedures, including LASIK and SMILE, have specific criteria regarding the degree of myopia they can safely correct. While some clinics may offer treatments for higher degrees of myopia, the risks associated with such procedures increase significantly. High myopia is often associated with a thinner cornea, which can complicate the surgery and increase the risk of complications such as corneal ectasia, where the cornea becomes progressively thinner and bulges outward.

Your history of retinal detachment is particularly concerning. Patients with a history of retinal issues may be at a higher risk for further complications post-surgery. The distortion you experience in your right eye could indicate underlying retinal or corneal issues that may not be suitable for laser correction. Additionally, the presence of floaters and dry eye syndrome can complicate the healing process and overall satisfaction with the surgery.

Regarding the risks, laser eye surgery can lead to complications such as dry eyes, glare, halos, and even vision loss in rare cases. Given your existing conditions, these risks may be exacerbated. For instance, if you already have dry eyes, the surgery could worsen this condition, leading to discomfort and potential vision issues.

It is also crucial to consider that the outcome of laser surgery is not solely determined at the time of the procedure. The healing process and how your eyes respond post-surgery play a significant role in the final visual acuity. In your case, with the existing distortion and other symptoms, the likelihood of achieving optimal vision post-surgery may be lower.

Before making any decisions, it is advisable to seek a comprehensive evaluation from a qualified ophthalmologist who specializes in refractive surgery. They can assess your specific eye condition, including corneal thickness, retinal health, and overall eye structure, to determine if you are a suitable candidate for laser surgery. They may also discuss alternative options, such as lens replacement surgery, which might be more appropriate given your eye history and current conditions.

In conclusion, while the desire to eliminate glasses or contact lenses is understandable, your eye health and safety must come first. The potential risks associated with laser surgery in your case are significant, and it is essential to weigh these against the benefits. Consulting with multiple eye care professionals can provide you with a broader perspective and help you make an informed decision regarding your eye care options.

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