Regarding vision after myopia laser surgery?
Hello, doctor.
Before my laser surgery for myopia, my left eye had a prescription of -500 degrees and my right eye -250 degrees.
After the surgery, my left eye's vision is 0.9 and my right eye's vision is 1.2.
Is this difference within the normal range? Additionally, for eyes with higher degrees of myopia, is more corneal tissue removed during the surgery or is the laser exposure time longer?
ARON Wen, 20~29 year old female. Ask Date: 2013/02/02
Dr. Gao Pilin reply Ophthalmology
Hello: Postoperative vision and refractive error are not necessarily inversely proportional.
It does not mean that a lower refractive error guarantees better vision.
After surgery, a visual acuity of 0.9 in the left eye and 1.2 in the right eye falls within the normal range of variation.
During laser vision correction for myopia, the laser vaporizes the cornea to alter its thickness and shape to correct the refractive error.
For higher degrees of myopia, more corneal tissue is vaporized, which means the laser treatment duration is longer.
Thank you for your message.
Reply Date: 2013/02/02
More Info
After undergoing LASIK surgery, it is common for patients to experience a range of vision changes, and understanding what to expect can help alleviate concerns. In your case, with a pre-operative prescription of -5.00 diopters in the left eye and -2.50 diopters in the right eye, achieving post-operative vision of 0.9 in the left eye and 1.2 in the right eye falls within a typical range of outcomes. The difference in visual acuity between the two eyes is not unusual, especially considering the initial disparity in refractive error.
Understanding Visual Outcomes
1. Normal Variation: It is important to recognize that each eye may respond differently to LASIK surgery. Factors such as the thickness of the cornea, the degree of refractive error, and individual healing responses can all influence the final visual outcome. A difference in visual acuity, as you have described, can be attributed to these factors and is generally considered acceptable.
2. Post-Operative Expectations: After LASIK, some patients may experience fluctuations in vision as their eyes heal. This can include temporary blurriness, dryness, or halos around lights, especially at night. These symptoms often improve over time as the cornea stabilizes and the eyes adapt to their new refractive state.
LASIK Procedure Insights
Regarding your question about the surgical technique, LASIK involves creating a thin flap in the cornea, which is then lifted to allow the laser to reshape the underlying corneal tissue. The amount of corneal tissue removed during the procedure depends on the degree of refractive error being corrected:
1. Amount of Tissue Removed: For higher degrees of myopia (nearsightedness), such as -5.00 diopters, more corneal tissue is typically removed compared to lower degrees of myopia. However, the laser's energy and duration of application also play a role. The laser is programmed to deliver a specific amount of energy based on the individual’s prescription, which determines how long the laser is applied.
2. Laser Technology: Modern LASIK procedures utilize advanced laser technologies, such as wavefront-guided or topography-guided systems, which can provide a more customized treatment. These systems take into account the unique characteristics of your cornea, potentially leading to better visual outcomes and fewer side effects.
Post-Surgery Care and Follow-Up
After LASIK, it is crucial to follow your surgeon's post-operative care instructions, which may include:
- Using prescribed eye drops: These may include artificial tears to alleviate dryness and antibiotic drops to prevent infection.
- Avoiding eye strain: Limit screen time and ensure you take regular breaks to reduce eye fatigue.
- Regular follow-ups: Attend all scheduled follow-up appointments to monitor your healing process and address any concerns.
Conclusion
In summary, the visual outcomes you are experiencing post-LASIK surgery are within a normal range, and the difference in acuity between your eyes is not uncommon. The amount of corneal tissue removed during surgery correlates with the degree of myopia, and the laser's application time is tailored to each individual's needs. If you have ongoing concerns about your vision or experience significant changes, it is essential to consult your eye care professional for a thorough evaluation and guidance. They can provide personalized recommendations based on your specific situation and help ensure the best possible visual outcome.
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