How Safe Is Laser Eye Surgery Anyway
Laser eye surgery's safety has been attempted and assessed by government and military organisations like the US Navy, the Australian Army, and NASA. Their investigations show that blade-free LASIK (ie. developing a corneal flap having a femtosecond laser) is protected and approved for the SAS, Top Gun pilots and NASA astronauts.
Professional sportspeople also have used laser eye surgery to make sure their finest performance on the field. Including sportspeople such as Padraig harrington and David Beckham, whose vision correction procedures undoubtedly allows them to perform at their peak.
Even with this kind of exceptional safety profile however, lasek is still surgery, and therefore will invariably have the possibility for complications. Such complications are generally rare and try to manageable though, that we will discuss below.
Enhancement:
LASIK surgery is performed on the eye, a natural tissue. Although the procedure is very accurate, there is an average 3-4% risk the correction will be decent although not absolutely optimal. In these cases, It's my job to wait around A few months to guarantee the stability of the residual glasses prescription, then lift the same corneal flap created earlier to "fine tune" the procedure's outcome. These enhancements are minor corrections, and are therefore better. An excellent benefit of lasek is the fact that, although highly stable in the long run, should anyone experience any refraction shift in their vision, enhancements like these can be at just about any time in the near future.
Chance of infection:
As i've already explained, the rate of infection due to laser eye surgery procedures is very low, much less than infections caused by contact lenses. Corneal scarring caused by infection occurs less than this, for a price of less than One in 20,000. Of course this occurs, it's correctible with a corneal transplant. Like a corneal subspecialist, I've performed a lot of corneal transplants, but have never had to do one for this reason.
Corneal flap issues:
Blade LASIK introduced the chance of creating an abnormal flap (such as a buttonhole flap). However, blade-free (femtosecond laser) LASIK eliminates this risk altogether, and for this reason enhanced safety, it is the only type of lasek I perform.
With blade-free lasek, inflammation under the flap can occasionally occur (this is called diffuse lamellar keratitis), and may be managed by an increase in anti-inflammatory eye drops. If cells on the cornea grow (epithelium - a very rare occurence), they'll generally absorb and disappear. When they ever proliferate, the flap could be lifted and the offending cells removed.
Dry Eye:
Temporary dry eye phenomenon is created once the nerves from the cornea are cut, which occurs during lasek. It can take about 3 months of these nerves to regenerate. During this time I'd advise replenishing the tear film with lubricating drops.
Ectasia:
Ectasia is fortunately a very rare occurrence in which laser vision correction causes the cornea being too pliable, and therefore bulges forward over time. Extreme cases of ectasia have been corrected by corneal transplantation, however fortunately pre-operative screening of patients has increased in accuracy, meaning candidates unsuitable for lasek are nearly always identified prior to the procedure. Recent advances in the manner of collagen cross-linking also permits us to stop this rare complication from progressing further, and lets the individual maintain their vision while avoiding a cornea transplant. I am one of few eye surgeons around australia who is experienced within this and may perform it during my surgery, however have never required to perform it on my own patients.
Glaring and Halos:
Following the procedure, patients sometimes see starbursts or halos around lights in the night. This really is usually due to the corneal flap dehydrating and stabilising, which is rare to determine this phenomenon persist longer than in regards to a week.
Quality of vision:
The majority of patients believe their vision after lasek is better than their vision with glasses or contacts prior to the operation. There is always a really small minority who experience visual quality less crisp than their pre-operative vision, but this situation is generally rectified by laser enhancement.
Laser eye surgery's proven and maintained history of safety, accuracy and efficiency make it the clear strategy to becoming independent from glasses or contact lenses. Recent advances in blade-free femtosecond LASIK takes this to new levels, and surely represents the height of eye surgery and vision correction.