Laser Treatment for Myopia: Success Rates and Risks - Ophthalmology

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Laser treatment for myopia?


Hello, doctor: I would like to ask about the success rate of laser treatment for myopia.
If the surgery fails, what happens? Will it lead to blindness, or will the original vision be maintained?

Ye, 20~29 year old female. Ask Date: 2001/07/18

Dr. Huang Bozhen reply Ophthalmology


Explanation: For reference, regarding myopia of -600 degrees, 95% of patients achieve unaided vision of 0.5 or better after a single surgery, and 60% achieve unaided vision of 1.0.
As for complications, issues such as decreased night vision, glare, and in rare cases, retinal detachment, corneal ectasia, or infection can occur, with an extremely small chance of complete blindness, which is truly contrary to expectations.
Currently, due to the admission requirements for military academy students, which stipulate that myopia must be within -600 degrees, an increasing number of young individuals are opting for surgery.
However, it remains to be seen whether the thinning of the cornea due to the intense physical training required for military academy students will lead to complications.

Reply Date: 2001/07/18

More Info


Laser treatment for myopia, commonly known as LASIK (Laser-Assisted In Situ Keratomileusis), has become a popular option for individuals seeking to reduce their dependence on glasses or contact lenses. Understanding the success rates, potential risks, and outcomes of this procedure is crucial for anyone considering it.


Success Rates
The success rate of LASIK surgery is generally high. Studies indicate that approximately 90% of patients achieve 20/25 vision or better after the procedure, which is sufficient for most daily activities without corrective lenses. Many patients report satisfaction with their visual outcomes, and the procedure has been refined over the years to improve precision and safety.


Risks and Complications
While LASIK is considered safe, it is not without risks. Common side effects include:
1. Dry Eyes: Many patients experience dry eyes post-surgery, which can be temporary or, in some cases, long-lasting. This is particularly concerning for individuals with pre-existing dry eye syndrome.

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

3. Under-correction or Over-correction: In some cases, the laser may not remove enough tissue (under-correction) or may remove too much (over-correction), leading to the need for additional procedures or continued use of glasses or contact lenses.

4. Flap Complications: LASIK involves creating a flap in the cornea. Complications related to the flap, such as dislocation or infection, can occur, although they are rare.

5. Regression: Some patients may experience a regression of their vision over time, necessitating further treatment.


What Happens if the Surgery Fails?
In the event of a less-than-desirable outcome, several scenarios can occur:
- Maintaining Original Vision: If the surgery does not improve vision, many patients find that they retain their original prescription. This means that while they may not achieve the desired visual acuity, they do not lose their existing vision.

- Need for Additional Procedures: If the initial LASIK procedure does not yield satisfactory results, a follow-up procedure, known as an enhancement, may be performed to correct the vision further.

- Severe Complications: While extremely rare, severe complications could lead to significant vision impairment. However, complete blindness due to LASIK is virtually unheard of, as the procedure is designed to preserve the integrity of the eye.


Conclusion
In summary, LASIK surgery for myopia has a high success rate and can significantly improve quality of life for many individuals. However, it is essential to weigh the potential risks against the benefits. Consulting with a qualified ophthalmologist who can assess your specific situation, including any pre-existing conditions like dry eye syndrome, is crucial. They can provide personalized advice and help you make an informed decision about whether LASIK is the right choice for you.
If you have concerns about your vision or the risks associated with LASIK, discussing these with your eye care professional will help clarify your options and ensure that you choose the best path for your visual health.

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