Author name: Layla

Does laser cataract surgery prevent future complications?

Does laser cataract surgery prevent future complications?

Cataract surgery, which involves removing the hazy lens and replacing it with a clear one, has been done successfully for decades. Cataract surgery is one of the most popular surgeries done in the globe, with more than 3 million procedures conducted in the United States alone each year. Manual cataract operations have a high success rate in restoring a patient’s vision to pre-cataract levels. Laser cataract surgery, according to a new study published in the Journal of Refractive Surgery, may be even more advantageous in terms of enhancing vision and preventing surgical complications.

While manual cataract surgery has a 98 percent success record in terms of significant issues, up to 30% of patients have one minor consequence. PCO (posterior capsule opacity or opacification) is a frequent consequence after manual cataracts surgery. The proliferation of lens epithelial cells left behind following cataract surgery encroaches on the central portion of the lens capsule when this happens. The proliferation of leftover lens cells might cause a patient’s eyesight to deteriorate or worsen to pre-surgery levels.

A laser capsulotomy is often done as an outpatient treatment to remedy this problem. While this is a low-risk technique, it does raise the chance of retinal detachment from 1% to 2% in capsulotomy patients.

Does laser cataract surgery prevent future complications?

Another hazard of a laser capsulotomy is a displaced intraocular lens. Vision difficulties like as double vision or a visible lens edge might develop as a consequence of this. A second operation is necessary to rectify a lens dislocation. Infection, incision leaking, and injury to the lens’s suspensory fibers and underlying corneal cells are other potential surgical risks.

When compared to manual cataract surgery, each of these problems is less likely to occur with laser cataract surgery. When creating these microscopic incisions and lens fragmentation, the ophthalmologist may accomplish more precision and finer detail with laser technology than with normal surgical tools.

Ophthalmologists may now conduct cataract surgery in a safer and more accurate way thanks to new surgical methods and laser technology. When a cataract is removed, eyesight is usually better than it was before the cataract formed. The laser procedure’s accuracy reduces the likelihood of problems such PCO, lens dislocation, infection, and bleeding.

The rates of vertical lens tilt, horizontal and total decentration of intraocular lenses, and posterior capsular opacification are significantly lower with femtosecond laser cataract surgery than with standard cataract surgery, according to a recent study conducted by Dr. Kovács and published in the March issue of the Journal of Refractive Surgery. Furthermore, according to a recent research, 99.5 percent of those who had laser cataract surgery experienced no serious consequences. Eye Physicians of Long Beach was one of the first clinics in the world to use the Verion guided system with the ORA advantage to perform laser cataract surgery.

Does laser cataract surgery prevent future complications?

After my cataract surgery, I’m suffering from dry eyes.

Dry eye symptoms have been proven to be exacerbated after cataract surgery, as well as to be induced in individuals who did not have them previous to the treatment. While dry eyes might be bothersome, they usually only persist about a month after surgery and can be readily addressed with artificial tears (eyedrops).

As a consequence of my cataract operation, my eye is irritated.

Redness and swelling are frequent within two weeks following surgery. Inflammation is often treated with steroids or nonsteroidal anti-inflammatory medications. Your ophthalmologist will almost probably prescribe eyedrops if you develop inflammation after cataract surgery.

After my cataract surgery, floaters emerged.

Floaters are shadows produced on the retina of the eye by debris in the vitreous gel. While floaters are common in many eyes, they may become more obvious when the patient’s vision improves after cataract surgery. If the floaters remain, begin to impede your vision, or if the number of floaters increases, see your doctor. This might signal a more severe issue, such as a retinal detachment or rupture.

Does laser cataract surgery prevent future complications?

After my cataract surgery, my sensitivity to light has risen.

Light sensitivity is another typical side effect that usually lasts a few days. Cataracts, as previously indicated, cause blurriness by filtering light entering the eye. The whole world will look brighter once this haziness fades! Sunglasses will help to lessen the effect.

While these complications are conceivable after surgery, the most of them may be treated by eye doctors. Your ophthalmologist will schedule many follow-up appointments to ensure that everything is healing correctly and that your eyesight is improving. If you have any other problems, such as vision loss, extreme pain or discomfort, or damage to your eye, you should see an ophthalmologist very once.

Who Should Have Surgical Procedures Performed on Them?

It is not always essential to have cataract surgery if you have a cataract. It’s possible that you aren’t even aware that your vision has altered. If they wear prescription glasses, magnifying lenses, or use stronger lighting, some people with this condition can see normally.

When cataracts grow, though, they may cause additional symptoms. Your eyesight may be foggy or blurry. When gazing at items via the cataract-affected eye, you may experience double vision. These difficulties might make reading, using a computer, or doing other duties that need clear eyesight difficult.

You may have poor night vision, making driving in the dark more challenging. Headlight glare may be a problem for you. Patients with advanced cataracts may be unable to pass the visual section of the driver’s test.

Cataracts might make you more sensitive to glare from the sun. A halo may appear around bright lights. This may limit your ability to spend as much time outside as you would want. It also makes other sports more difficult to engage in, such as skiing or golf.

After Surgery

Following cataract surgery, your eye may itch or hurt for a few days. During this time, you may also suffer tearing and have trouble seeing well in bright light.

To prevent you from infection, your doctor will prescribe eyedrops. You’ll have to take some time off. It’s not safe to drive, and you shouldn’t bend down, pick up large things, or put any pressure on your eye.

Your doctor will almost probably advise you to sleep with an eye shield for the first week. This protects the surgical site and allows your eye to fully recover. If you have discomfort or suspect your eye is not healing correctly, see your doctor right away.

Don’t risk doing these things immediately after a cataract surgery

Don’t risk doing these things immediately after a cataract surgery

Cataract surgery is a standard procedure that most surgeons do. Cataracts are routinely removed since they affect such a huge number of people.

Cataract surgery is, in fact, one of the most common surgical procedures in the United States! It has been shown to be a safe and effective procedure.

However, it is vital to use care throughout your rehabilitation following surgery. You put your health at risk if you don’t let your eyes heal. Following cataract surgery, there are seven things you should avoid doing:

Drive

Following cataract surgery, you should not drive for at least 24 hours. You may want to wait even longer since many people have light sensitivity for many days after surgery. Take cautious and don’t drive until you’re sure you can see the road well enough!

Don’t risk doing these things immediately after a cataract surgery

Makeup

Makeup is contaminated with germs! It’s entirely safe as long as you don’t share cosmetics, but during the healing process, your eyes are more vulnerable to infection.

Withhold cosmetics until your surgeon’s follow-up visit, and then ask when it’s okay to begin using them.

If you want to wear makeup after cataract surgery, you’ll need to get new cosmetics. This is particularly true when it comes to eye makeup like mascara, eye shadow, and eyeliners. If you’re wearing old makeup, microorganisms may easily get into your eyes.

Carry out any activity that requires a lot of time.

Limit yourself to mild activity unless your surgeon says differently. Heavy lifting, exercise, and other intense activities should all be avoided.

Exercise may aggravate problems that arise during the healing process after cataract surgery. If you engage in any physically demanding activity, you are more likely to be involved in an accident. As a result, take a rest for a while!

Pay a visit to a dusty location.

It’s not the right moment to dust! You should avoid activities and places where there is a lot of dust or dirt in the air for a time.

If you can’t completely avoid dust, use safety glasses while you’re around it. Goggles are preferred over glasses because they keep foreign items out of the space between the lenses.

Don’t risk doing these things immediately after a cataract surgery

Swim

You should avoid getting water in your eyes at all costs, therefore avoid directing the shower head directly at your face while bathing. Additionally, following cataract surgery, you should avoid going to the pool or hot tub for two weeks.

Chlorine may hurt your eyes even if you are not recuperating from cataract surgery. Even if your head is above water, avoid entering a pool or hot tub!

Don’t Forget to Wear Sunglasses When You’re Outside

Sunglasses should be worn outdoors at all times, but they are particularly important after cataract surgery. Avoid going out without a beautiful pair of sunglasses to protect your eyes from UV radiation!

Don’t Rub Your Eye

Never, ever, ever, ever rub your eyes! Touching it, even if it seems unpleasant or inflamed, will worsen it. Rubbing your eyes might have serious repercussions.

The bulk of the initial discomfort goes away within a day or two following the procedure. If your pain persists, you may use drugs or eye drops to relieve it. If your discomfort continues after a few days, see your doctor.

Your cataract surgery should not cause you any anxiety. Cataract surgery is a simple and painless procedure. With the cataract experts at Eye Consultants of Pennsylvania, you’re in good hands, and there are a few things you can do on your own to speed up your recovery. Let’s have a look at what to do and what not to do after cataract surgery.

Cataract surgery takes around 10 minutes to perform on average. Because we only operate on one eye at a time, the procedure is rather quick. We provide a recovery room where you may unwind for around 30 minutes after surgery, or even longer if you are still groggy from the anesthetic. You’re going to need a ride home.

Time some people report having clear vision immediately after cataract surgery, your vision may be blurry for a while while your eye adapts to the new lens implant we put in to replace your clouded natural lens.

Due to ruptured blood vessels, the white component of your eye may seem red; this is totally normal and usually resolves within a few days. You may also have bruising behind your eye that looks like a black eye; this is normal and will go away in a few days.

Don’t risk doing these things immediately after a cataract surgery

What Should You Do and What Shouldn’t You Do

A dry eye feeling is one of the most common adverse effects following cataract surgery. Although the eye may seem itchy, as if it wants to be scratched, resist the urge to rub it. Rubbing the new lens may cause it to get dislodged. As your eye heals, the itchiness diminishes day by day. If you already have dry eye, it is possible that the condition could worsen after surgery.

Remember to take the medications we suggest. We’ll give you antibiotic and anti-inflammatory eye drops to take home. For the first week after surgery, you’ll need to give the drops many times a day. Make sure you never miss a dose and follow the directions to the letter.

It’s Time to Get Better

Overdoing it and attempting to do too much too soon is one of our most severe challenges. While you may feel great after surgery, you must gradually resume your normal daily activities.

Avoid bending forward shortly after cataract surgery to avoid putting further strain on your eye. Sneezing should also be avoided for the same reasons. The day following surgery, avoid driving. We don’t want you to undertake any strenuous activities or heavy lifting for the first several weeks after surgery.

You should avoid swimming pools and hot tubs for at least the first week while your eye heals. Additionally, stay away from dusty and pollen-filled areas for a few weeks to prevent irritants in your eyes.

While the list above includes some dos and don’ts, there are a few things you may do in the hours after surgery, such as take a shower or bath, do some light computer work, or watch a little TV.

Other Resources:
LASIK Risks and Complications
LASEK (PRK) Haze and MMC
Best 5 Reasons LASIK Is the Best Eye Surgery Option for Athletes

Best 5 Reasons LASIK Is the Best Eye Surgery Option for Athletes

Best 5 Reasons LASIK Is the Best Eye Surgery Option for Athletes

Whether you are an athlete or a sports enthusiast, you will understand the importance of being fit on the track. have you seen some athletes performing as if they are aliens from another planet? Yes. Those are the ones that have done everything they could to ensure their vision is perfect.

If there is anything that LeBron James, Tony Aikman, and Tiger Woods all have in common, it is the fact that they have all undergone eye surgery LASIK to perfect their vision. Of course, that is apart from the fact that they are all professional athletes.

If you carefully examine those athletes mentioned above, you will discover that they are among the greatest of all time in sports history. That is how much a simple LASIK eye surgery can positively impact your career.

No matter the sport you engage in, you cannot peak your performance if you have eye infections. The eye is the light of the body. If anything goes wrong in that, everything goes wrong in the body.

Meanwhile, LASIK has been one of the best vision correction solutions available (if not the best). It is the most popular laser eye surgery because it is safe, fast, effective, and provides perfect vision within the shortest time possible.

So, what do you stand to benefit from LASIK eye surgery as an athlete? Here are the best five.

1. LASIK eye surgery can improve your athletic performance

Any sporAny sport’s first and golden rule That means your eyes play a very vital role in whatever you do on the pitch. But the honest question is: how would you focus on the course when your eyes are not good enough? It is going to be very hard.

Imagine a team of players with poor sight – it’s already a loss. It doesn’t matter the level of skills and experience of the individual players. There is no way they would manage to over their opponent. Are you wondering why I am so particular about that? It is because opponents are there to look for your weak points and capitalize on them. So, if your team is struggling with poor sight, you have already given your opponents an advantage. Click here to learn more about choosing Lasik eye surgery center.

LASIK eye surgery can help improve your performance on the field; whether you are a football player, swimmer, boxer, runner, or whatever sport you choose to participate in, you need to invest in your eyes to ensure you have a perfect vision. That is one of the secrets of the top performers.

2. It helps you play with less interruption

Have you ever seen a boxer with eyeglasses while fighting in the ring? Or you can imagine a sprinter with eyeglasses? You will hardly find an athlete with eyeglasses or contact lenses, even in any other sport. Why? Eyeglasses and contact lenses make athletes uncomfortable.

Suppose you wear eyeglasses or contact lenses when participating in sport and think you are comfortable; in that case,

Besides, suppose you are participating in a kind of sport that requires you to wear helmets and other protective accessories; in that case,

Why would you allow irritating contact lenses and eyeglasses to deprive you of your well-deserved win when you can actually go without all that and still perform at your peak? LASIK eye surgery is your best if you want to play without interruption.

3. It prevents athletes from the risk of getting eye-related injuries

As an athlete, protecting your eyes from injuries and ensuring that you keep a perfect vision till the end of your career is essential. If you are correcting your sight by wearing eyeglasses and contact lenses, it can only pose more damage to your eyes in the long run.

Take, for instance; your eyeglasses get broken while you are performing on the pitch; the broken parts of the eyeglasses can get in contact with your eyes, thereby causing a very severe facial injury. In the case of contact lenses, it can become harmful to your eyes if you don’t remove them for updates on time.

You can avoid the risk of getting facial injuries by simply going for LASIK eye surgery. With LASIK, you wouldn’t have to worry about your eyes once you have undergone the LASIK procedure.

One important thing you need to note about LASIK is that it is done once in a lifetime. The reason is that it provides a long-lasting corrected vision that can last for several years without any complaint.

4. LASIK can boost your confidence on the pitch

Nothing feels better than knowing that your eyes are perfectly fixed. Most athletes who have once undergone LASIK revealed that they have ever been more confident on the pitch due to their feelings about their sight.

LASIK is indeed a game-changer. Based on experience, when athletes come back from a LASIK eye surgery center, their confidence soars higher to a hundred percent. Many of them come back to become more relevant, creating more ground-breaking records because they can see and do better. LASIK takes away the pains and responsibilities involved in wearing eyeglasses and contact lenses. Hence, it’s natural to gain more confidence when you no longer depend on eyewear.

5. LASIK heals faster and better

LASIK takes a short time to heal an athlete’s vision is a great advantage. As an athlete, I believe you know what it means to heal faster and return to the pitch. From experience, no athlete wants to stay off the pitch for a long time. It is a subtle way of declining from high performance.

LASIK eye surgery will correct your vision and give you a clearer sight in the shortest time possible. On a norm, LASIK will perfect your vision within the first 24 hours. That means you can go for LASIK eye surgery and get back to the pitch in a few days after.

Final Words

LASIK is among the best vision correction solutions for athletes for many reasons; you don’t have to choose any other vision correction procedure that will hinder your performance on the field. LASIK eye surgery will hasten your recovery process and make you a better athlete afterward.

Everything You Need to Know About LASIK Recovery Process

Everything You Need to Know About LASIK Recovery Process

Honestly, LASIK doesn’t take long to heal impaired vision. However, you need to be sure how long you need to wait or what to blame if the healing process takes longer than necessary.

If you are have just undergone LASIK eye surgery, you need to know what to expect after you leave the surgery center. Having a complete understanding of how long it takes to have the perfect vision you have ever wanted will help you play safe in the recovery period. Some patients, who know this fact, end up applying too many medications to hasten the recovery process, which results in more harm.

So, what does the healing process look like? That’s what you are about to unfold in this article. In this write-up, you will learn the different stages of the LASIK recovery process and what you are expected to do in each step to aid quick recovery.

The LASIK recovery process involves three stages. Though many patients have their timetable for recovery, it is more reasonable to expect more changes to occur in the first 10-14 days. Complete healing takes more time to appear. You may have to wait for months before you get the perfect sight you have been expecting.

Meanwhile, you need to adhere strictly to your surgeon’s instructions and explanations after the LASIK procedure. That is the best way to ensure a safer, quicker healing process without complications.

Now, let me walk you through the three stages of the LASIK recovery process.

The first stage of the LASIK recovery process

The first stage of the LASIK recovery process happens in the first 24 hours. Within the first hour after the procedure, the anesthesia would wear off, which might make you experience discomfort in your eyes and your entire body for more couple of hours. During this time, your eyes may become red or water which can affect your vision.

While you experience this discomfort, it is possible that you feel itches in your eyes. Mind you; you need to be very careful not to rub your eyes while it itches to avoid damaging the flap that the surgeon cut to access the inner layers of your eyes. Usually, your surgeon would provide you with protective eye shields to prevent your eyes from being damaged at this period.

The initial recovery process is related to your eye resealing the tiny flap. Although the flap starts to heal immediately after the procedure, it will reseal fully after a week.

Within the first 24 hours, you will experience notable improvement in your vision. However, that is not the end of the recovery process. Your vision will still have to get better after some time. The higher the starting medication, the longer it takes to clear your sight. Although, it shouldn’t take you more than 10-14 days at most for better improvement.

How quickly your eyes will heal largely depends on the overall shape of your cornea, and that is what LASIK targets. LASIK reshapes you’re your cornea to give you a perfect vision, but you can still expect some imperfections from the vision correction procedure that will take a few days to heal and restore.

The main symptom that you will have to battle within the first stage of LASIK recovery is dry eye. A dry eye can cause your vision to be blurry. Depending on the intensity of the care you give to it, LASIK eye dryness can take up to 6 months to heal.

The second stage of the LASIK recovery process

The second stage of the LASIK recovery process happens within the first two weeks. This stage is considered the most critical stage in the LASIK recovery process. in the first 14 days after LASIK, you need to do your best to ensure you lubricate your eyes properly and protect them from some physical trauma as dust and chemicals.

At this stage, you will need to apply eye drops as prescribed by your doctor and ensure your ear eye shields. You need to adhere to this instruction strictly to aid quick recovery, even if they make you feel uncomfortable.

You will have to go without your makeover within these two weeks if you are a woman. For men and women, you will need to avoid activities like a campfire, gardening, barbecues, and any other activity that may involve smoke. You may also need to stop smoking or vaporizing for the next 14 days.

Now is not a good time to soak your face in your hot tub, and you will have to avoid swimming and other activities that involve water. While all these are ideal for lasting for 14 days, your surgeon may ask you to avoid those for longer than two weeks, depending on your healing process.

During this second stage of the LASIK recovery process, you will need to give your eyes enough rest. Hence, you may have to take breaks from work. While resting, avoid looking at the screen of your television, computer, and mobile devices. After the first five days, you can start engaging in a simple exercise that will not bring much sweat from your body. It is advisable to keep a handy towel close to you to prevent sweat from dripping into your eyes.

The last stage of the LASIK recovery process

The final stage of the LASIK recovery process happens within the first year after the procedure. During this stage, all symptoms of eye imperfection might have subsided. But it is still possible that you experience some weakness in your vision, including night glare, halos, or having difficulty driving at night for a month or longer. If you have larger pupils, you might have to experience all those symptoms for a longer period.

The recovery process in this stage largely depends on the structures in your eyes and how it adapts to your cornea’s new shape. In the last stage of your recovery process, your surgeon can give you a more accurate date of your complete recovery. The prescription will be based on pupil size, corneal depth, and more.

Finally

Having a vast understanding of the LASIK recovery process will help you stay true to your medications in each stage and give you peace of mind amidst symptoms of vision imperfection. Though it is hard for surgeons to predict the precise date of your complete recovery, you will know what to do and what to avoid in each stage. On average, most patients recover fully from the LASIK procedure within the first 3-6 months.

 

 

 

 

 

Best 5 Questions to Ask Before Choosing LASIK Surgery

Best 5 Questions to Ask Before Choosing LASIK Surgery

LASIK eye surgery is gaining popularity in the medical world as day breaks. And, there are so many success stories surrounding the surging acceptability of the vision correction procedure. Considering its efficiency, cost-effectiveness, and many other testimonies, everybody with impaired vision wants to undergo the LASIK procedure to restore their sight.

While it is true that LASIK Eye can give you a perfect vision that will last you for a lifetime, it is also a good idea to first know what it requires before you decide to go through the procedure. There are many things that you need to know about LASIK surgery. Some patients only learn they are not even qualified for LASIK surgery after spending so much effort to enroll.

Some declined when they heard the cost of the procedure. Others discovered they were not fit for the procedure health-wise. Some are too young or too old. Some don’t even need to go for the LASIK procedure before getting a better sight.

To better understand what LASIK is all about, you will need to ask serious questions that touch every aspect of the LASIK procedure. Here are the best six questions you need to ask before choosing the LASIK procedure.

1. How do I know I am qualified for LASIK eye surgery?

If you are an adult, you can rest assured that you are a qualified candidate for LASIK surgery. LASIK eye surgery works for only 18 years or above patients. So, if you are 18 years of age or more, you are in part qualified for the LASIK procedure.

Meanwhile, being qualified for LASIK is not only about age. There are many other factors you need to consider.

As a LASIK surgery patient, your prescription must be within a certain level. Based on the current FAD-approved parameters to undergo LASIK surgery, a patient must have the following:

  • Up to +6.00D of farsightedness, also called known as myopia
  • Up to -12.00 of nearsightedness, also called hyperopia
  • Up to 6D of astigmatism

Learn more about these FDA-approved parameters by clicking here

Before you can be enrolled for the LASIK procedure, you need to have visited your ophthalmologist to have a detailed eye evaluation. Your ophthalmologist will check if your eye is healthy enough to go for LASIK during this examination period. If you don’t know, patients with dry eyes and other severe eye infections are not eligible for the LASIK procedure. So, you would have to be sure your eyes and every other part of your body are perfectly healthy. learn more about the laser eye surgery recovery process at http://lasikscandal.com/everything-you-need-to-know-about-lasik-recovery-process/

If you are a woman, you must not be pregnant or breastfeeding when going for LASIK surgery. Also, your cornea must be thick enough before you can undergo LASIK surgery.

Summarily put, if you want to know whether you are qualified for the procedure or not, here are the significant standards you need to tick:

  • You must be at least 18 years old
  • You must not be pregnant or breastfeeding
  • You must not have autoimmune diseases
  • Your eyes and every part of your body must be in a good, perfectly healthy state.

2. Is the LASIK procedure painful?

Unlike what some people think about LASIK surgery, the procedure is painful. Patients would be very much active when the surgery is ongoing.

Before the procedure starts, your surgeon would apply numbing eye drops to your eyes. He might also give you some other medications to help you stay calm throughout the entire procedure

Although it is possible for you to feel somewhat nervous during the procedure but you can be sure you won’t feel any pain. After the surgery, you might start to feel a slight burning or itching sensation in your eyes. Don’t fret; it will leave very soon.

3. What does the LASIK procedure involve?

The main objective of the LASIK procedure is to reshape your cornea to make it focus images to your retina, which makes you see more clearly. Learn more about corona reshaping therapy by clicking here.

These are things you need to expect on the day of your LASIK procedure:

  • Your surgeon will examine your eyes to ensure your eyes are healthy enough for the procedure.
  • He would apply numbing eye drops to your eyes and give you some sedatives.
  • Your surgeon will create a thin circular flap in your cornea using a femtosecond laser. When the corneal flap-fold back, it will allow your surgeon to have easy access to the stroma.
  • The surgeon will use ultraviolet beans to remove small amounts of corneal tissue and reshape it. That will make your eyes focus more accurately on light on the retina, which results in improved vision.
  • Your surgeon will lay back the corneal flap in place to cover the area where he removes the corneal tissue.
  • You will need some time for your cornea to heal automatically.

4. How long does it take to heal from LASIK?

How long it will take to recover from the LASIK procedure depends on you. Generally, you should expect a corrected vision within the first 24 hours after the LASIK procedure. However, it might take up to three to six months to get the perfect vision you desire.

When you return from a LASIK procedure, your next responsibility is to be deliberate about giving yourself an on-time aftercare treatment. How much effort you put in your aftercare treatment determines how quickly you recover.

After LASIK surgery, you will have to avoid engaging in eye-destroying activities such as driving, running, swimming, walking around on a sunny day and more.

5. Is there any side effect attached with the LASIK procedure?

The risks involved in the LASIK procedure vary from one patient to another. Your health profile will determine what you would expect after the surgery. Immediately you return from the LASIK surgery center, you may experience the following issues:

  • Dry eyes
  • Inflammation
  • Infection
  • Under or overcorrection
  • Impaired night vision
  • Complications with flap and more

Final Words

You will have a smooth and comfortable LASIK procedure if you already know how it works. That is why you need answers to the above-listed questions. Feel free to ask your ophthalmologist any other questions that may be bothering your mind.

 

 

 

 

LASEK (PRK) Haze and MMC

Haze

Surface ablation such as PRK and LASEK are associated with the risk of visually significant haze formation. Enhancement of the previous LASIK with PRK (PRK on top of a LASIK flap) carries an increased risk of haze. This has led many surgeons to incorporate prophylactic use of Mitomycin C (MMC) during surface ablation to prevent haze.

MMC was originally used as a systemic chemotherapeutic agent. It is now commonly used topically in several fields of ophthalmic surgery.

MMC has potential long-term consequences on the ocular surface and intraocular structures because it blocks DNA-RNA replication and protein synthesis.

Potential side effects of MMC following corneal application include long-term loss of corneal keratocytes, biomechanical instability, iatrogenic ectasia, corneal melting, scleral melting, corneal edema, a decrease of endothelial cells leading to vision loss and need for corneal transplant, dry eye, and long-term presence in aqueous humor with unknown consequences.

“I encourage you to use the same technology to look at patients who are having mitomycin prophylactic treatment for prevention of haze; probably 90 percent of refractive surgeons are using mitomycin without any long-term data as to the effect. It is clear the reason mitomycin works so well is that it eliminates 100 percent of all corneal cells in about 20 percent of the anterior cornea. Similar to your concerns, I think they are even magnified in those patients because data after six months in the animal model shows that none of those cells have returned. What happens in the future since we have limited experience with these types of patients? In 10 to 20 years, are we going to see anterior corneal necrosis or other problems? Your type of study could give us more data about that in humans.”

– Dr. Steven E. Wilson

Source

Source: Erie JC, McLaren JW, Hodge DO, Bourne WM. Long-term corneal keratocyte deficits after photorefractive keratectomy and laser in situ keratomileuses. Trans Am Ophthalmol Soc. 2005;103:56-66; discussion 67-8. Accessed 4/1/2013 at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1447559/

LASIK Risks and Complications

LASIK Risks and Complications

Morris Waxler PhD.

FDA’s chief scientist in charge of the clinical trials research for laser eye surgery, popularly known as LASIK.

Long term effects reported

  • Chronic Dry Eye*
  • Unrelenting Eye Pain
  • Visual Distortions*
  • Depression & Anxiety
  • Ectasia (loss of corneal structural integrity, resulting in a bulging cornea with associated vision loss which is not correctable with eyeglasses or soft contact lenses.)

Petition to stop LASIK

The following outline summarizes LASIK risks that must be conveyed to the public

  • Safety problems (risks)
    • Adverse event percentages
      • Persistent adverse events, including dry eyes and night vision difficulties: >20%
      • Other problems: >1%
      • Sight threatening thinning and bulging of the cornea (keratectasia): at least 0.66%
    • Permanent pathology in cornea
      • LASIK flap
        • Never heals
        • May be accidentally dislodged for the rest of a patient’s lifetime
      • Mechanical strength of post-LASIK cornea only ~2% strength of normal cornea (this is specifically the flap interface)
      • Progressive loss of corneal cells for years after LASIK
      • Corneal nerve damage never fully recovers
    • Types of adverse events to expect
      • Glare, halos, dry eye and compromised night driving
      • Permanent loss of contrast sensitivity
      • Unstable vision
      • Permanent corneal haze
      • Permanent dry eye
      • Night time vision permanently impaired
      • Vision improvements from LASIK will likely decline with age
      • May require corneal transplant, expensive special hard contact lenses, or cross-linking treatment due to thinning and bulging of the cornea
      • Extreme light sensitivity
      • Potential future eye problems
        • Undiagnosed glaucoma
        • Poor outcome from cataract surgery
  • Benefits (effectiveness) – about 43% of LASIK cases may have temporary freedom from wearing spectacles or contact lenses
LASIK Conflicts Of Interest

LASIK Conflicts Of Interest

LASIK & the Department of Defense

LASIK patient advocates have expressed strong concern of bias on the part of military LASIK surgeons, particularly Navy LASIK surgeons, who have close ties with organized ophthalmology. For example, Steve Schallhorn, MD, Capt, US Navy (Retired) is a paid medical malpractice defense expert witness and an industry consultant who has made public statements and published literature denying the connection between a poor LASIK outcome and diminished quality of life has financial interests in companies that manufacture LASIK devices and is currently the medical director of one of the largest corporate providers of LASIK in the world. Furthermore, LASIK patient advocates have questioned a defense contract awarded around the time of Schallhorn’s retirement from the Navy.

In December 2006, IntraLase announced that the Dept. of Defense had awarded the company a $45 million, 5-year contract to supply its flap-cutting lasers to the U.S. Army, Navy, Air Force, Marine Corps, and federal civilian agencies. Shortly thereafter, it was reported that Schallhorn was a consultant for and had financial interests in Advanced Medical Optics, the company that acquired IntraLase. Further evidence of bias can be found in an article in the December 2009 edition of JAMA, which reported that Schallhorn is “confident that once the quality-of-life issues are studied, LASIK will be shown to be even more safe and effective”.

Former Navy LASIK surgeon, David Tanzer, MD, is a member of ASCRS and AAO and co-authored several papers favorable to LASIK with Schallhorn. Tanzer is the past Director of Refractive Surgery at Naval Medical Center San Diego having retired in 2011 and currently practices refractive surgery in San Diego. Tanzer, wearing Navy dress blues, testified in favor of LASIK at the 2008 FDA hearing, characterizing LASIK as “overwhelmingly successful”, “extremely low risk”, and having “incredibly high” satisfaction rates.

Dr. Jennifer Morse, former Navy Program Director for Psychiatry in San Diego and paid ASCRS consultant, also presented testimony in favor of LASIK at the FDA hearing. Morse talked about the benefits of LASIK in military and civilian populations and asserted that there is no scientific evidence of any direct link between LASIK and depression or suicide. Several months later at a meeting of the American Academy of Ophthalmology, Morse spoke about dissatisfied LASIK patients, saying there must be some neurologic disconnect between what their eyes are seeing and what their brain is processing. ASCRS paid Morse’s travel expenses to attend the hearing.

Related story: http://lasikscandal.com/everything-you-need-to-know-about-lasik-recovery-process/

LASIK and Pupil Size

LASIK and Pupil Size

Behind the cornea is the colored part of the eye called the iris. The iris muscle controls the size of the pupil, regulating the amount of light entering the eye. In dim light, the pupil opens to gather more light. The dark-adapted pupil diameter varies widely among individuals. In 2004, researchers found the pupil size of patients seeking refractive surgery ranged from 4.3 to 8.9 millimeters with an average of 6.5 millimeters.

Laser refractive surgery alters the center – not the entire diameter — of the cornea. The area of the cornea that is fully treated is called the optical zone. In addition to the optical zone, modern laser technologies employ a blend zone, also known as the transition zone. The entire area treated with the laser — optical zone plus blend zone — is called the ablation zone. A common laser optical zone currently is ~6.5 millimeters and varies based on laser capability, surgeon preference, and patient parameters. You can ask your doctor these questions before going for surgery http://lasikscandal.com/best-5-questions-to-ask-before-choosing-lasik-surgery/

If the laser optical zone is smaller than the patient’s dark-adapted pupil diameter, the light will pass through the treated area (optical zone), partially treated area (blend zone), and possibly untreated area of the cornea, resulting in loss of contrast sensitivity and visual aberrations — starbursts, halos, and double vision. The greater the disparity between the optical zone and pupil size, the more severe the visual disturbances.

A patient should never consent to surgery where the fully treated area (optical zone) is smaller than his or her dark-adapted pupil diameter.

In reality, the optical zone may not be as large as intended due to healing responses (corneal remodeling and epithelial hyperplasia) after surgery and laser light reflection (loss of energy). The true optical zone after healing is called the “effective optical zone” or “functional optical zone”.

The risk for night-time visual disturbances is further increased for patients with high myopia due to smaller effective optical zones associated with deeper ablations. If the ablation zone of the laser treatment is decentered, even an adequate effective optical zone for the pupil size may not cover the entire pupil diameter.

The importance of pupil size in refractive surgery is well-established. There are a small number of published studies that fail to find a correlation between night vision problems and large pupils; however, upon close inspection, it becomes clear they are poorly designed and therefore flawed.

This article challenges the studies that fail to find a correlation between pupil size and night vision disturbances of the Lasik eye. You can also read Screening for LASIK, which will give you an idea of what screening should take place.

You will also find real accounts from people with nigh vision issues, in our FDA Adverse Events section under visual quality. Also, a number of patients with large pupils, have created websites due to the severity of their visual impairment.

LASIK-related anxiety

LASIK-related anxiety, depression, and suicide

Refractive surgery advertisements depict only happy patients, free of their glasses, engaging in sports and recreation—enjoying life to the fullest! There is never a mention of the “unhappy patient”.

The unhappy patient is often misunderstood because most people believe a bad outcome can be corrected with another surgery, or that the patient can simply go back to wearing glasses. In fact, refractive surgery can result in lasting dry eyes, pain, and visual disability which surgery and glasses cannot correct.

There is a huge disconnect between refractive surgeons and their patients regarding what constitutes a complication. A patient’s complaint is often dismissed as an expected “side effect” by the surgeon. Even a patient who achieves ‘20/20 vision and is considered a ‘success’ may face devastating complications. Injured patients routinely report despair and hopelessness triggered by surgeons’ denial that there is anything wrong with their eyes.

Joe Tye, discussing the psychological impact of a bad outcome.

When you go in for an assessment of whether or not you are a good candidate for refractive eye surgery, you will be given a form to sign describing the medical complications that might arise. But they will probably not talk about one of the most serious complications – one that afflicts almost everyone who has a bad outcome – which is the devastating emotional impact that anger and depression have on most refractive surgery disaster victims.

The petition that Joe Tye referred to in the video can be found at this link.

In 2007, reports of LASIK-related suicides began circulating in the mass media.(1) These reports were vigorously disputed by refractive surgeons and refractive industry consultants who openly denied any connection between a bad outcome from refractive surgery and diminished quality of life, depression, and suicide.(2)

In February 2008, preliminary findings of an Emory Eye Center study of suicides among organ donors were reported in the media.(3) These findings suggested a four-fold increased suicide rate among cornea donors who had had LASIK compared to cornea donors who had not had LASIK.

FDA hearing 2008 on quality of life issues after LASIK

In April 2008, the U.S. Food and Drug Administration (FDA) held a public hearing to address concerns with LASIK. At the hearing, injured LASIK patients and family members testified to the devastating psychological impact of post-LASIK dry eyes and night vision disturbances, including depression, suicidal thoughts, and actual suicides.

Gerry Dorrian presents at the FDA Ophthalmic Devices Panel hearing held in Gaithersburg, Maryland on April 25th, 2008. The hearing focused on LASIK quality of life, depression

Amanda Campbell’s presentation is read aloud at the FDA Ophthalmic Devices Panel hearing held in Gaithersburg, Maryland on April 25th, 2008. The hearing focused on LASIK quality of life, depression, and suicide.

Beth Kotsovolos presents at the FDA Ophthalmic Devices Panel hearing held in Gaithersburg, Maryland on April 25th, 2008. The hearing focused on LASIK quality of life, depression, and suicide.

Edward Boshnick, OD (optometrist) presents at the FDA Ophthalmic Devices Panel hearing held in Gaithersburg, Maryland on April 25th, 2008. The hearing focused on LASIK quality of life, depression, and suicide.

CORS Study

“Complications of Refractive Surgery study” or Cors was a study to show the effects of LASIK on the population.”

Dr. Roger Davis, Research Director for Surgical Eyes – the non-profit organisation set up to help refractive surgery victims states

We were writing up the data for publication, with the intent to submit the article to the Journal of Refractive Surgery. The findings of the article were damning. Approximately 80% of patients who are depressed and/or suicidal were told they were a success by their surgeon. The journal declined to published the study, as I knew they would. Had the study been published, the whole industry would have imploded. Yet, if you read the text of the study, note that we did not draw extreme conclusions. Instead, we kept close to our data, and simply asked that further research be conducted.

According to Morris Waxler, PhD, head of the FDA’s clinical trials on Lasik, the industry had deceived the FDA. Higher Order Aberrations and Dry Eye Syndrome were indeed classified as side-effects, not complications. As a result, Lasik was made to appear much safer to the FDA than it really was.

Waxler was horrified that to have been involved in such deception, even indirectly. He filed a petition with the FDA to withdraw the approval of Lasik, and documented the industry’s deception. The FDA is now actively ignoring Dr. Waxler, and has not replied to the petition, despite being legally obligated to do so under federal law. Dr. Waxler now has a website called www.HelpStopLasik.com, where he has much to say about the Lasik industry.

A number of patients have committed suicide since the CORS study was completed. To my knowledge, all reported dry eye and higher order aberrations. The FDA is not obligated to investigate side effects which, by definition, are temporary. But medical ethics requires that the distinction between side-effect and complication be supported by research. With Lasik, there was none. Despite the fact that many subjects reported their dry eye to be much worse after Lasik, subjects were not followed beyond six months.

How, then, could the FDA maintain that dry eye was a side-effect, and that Lasik was safe? The inescapable conclusion—Morris Waxler’s conclusion—is that the FDA ignored its own data. The FDA ignored its own data and people died. Is that a side-effect?

Surgeons Mocking Depressed Refractive Surgery Patients

At the April 2009 meeting of the American Society of Cataract and Refractive Surgery (ASCRS), LASIK surgeons performed comedy skits mocking injured and suicidal LASIK patients.https://web.archive.org/web/20160207124332if_/http://www.youtube.com/embed/b_HojcQsdNk?feature=player_detailpage&rel=0

LASIK surgeon Paraj Majmudar, M.D. playing Dr. I. M. Suicidal, mocking LASIK patients who are depressed or suicidal after a bad outcome from LASIK. Dr. I. M. Suicidal signs of “pushing the boundaries of ethics” to the thunderous applause of prominent LASIK surgeons at a convention of the American Society of Cataract and Refractive Surgery (ASCRS).https://web.archive.org/web/20160207124332if_/http://www.youtube.com/embed/CPbc_yjhRig?feature=player_detailpage&rel=0

LASIK surgeons perform comedy skits mocking patients who are depressed and suicidal after a bad outcome from LASIK. This skit was performed at a convention of the American Society of Cataract and Refractive Surgery (ASCRS). LASIK surgeon, Paraj Majmudar, M.D. plays Dr. I. M. Suicial.

At the 2007 annual meeting of the American Society of Cataract and Refractive Surgery (ASCRS), Richard Lindstrom, M.D., then-President of ASCRS, played the part of the Cowardly Lion in a comedy skit, mocking patients with poor night vision after LASIK.

“The Cowardly Lion, played convincingly by Richard L. Lindstrom, MD, lamented that he could not catch his food because his cheap LASIK gave him bad night vision and halos.”

Self Submitted Reports

LASIK injuries self-reported to the FDA show a pattern of anxiety, depression, loss of enjoyment of life, and suicidal thoughts.

  • “There seems to be no solution. No one seems to understand the impact that this loss of vision has had on my life. My eye doctor talks as if I should be grateful because using the eye chart I can see around -. 05 in both eyes with a slight astigmatism. However, the crazy images I see have led me to be depressed to the point of considering suicide at times. I have not received a good explanation for why my vision is deteriorating.”Read report
  • “Due to my declining visual ability and debilitating depression, I am on [redacted], wherein I receive a monthly stipend of [redacted]. I have attempted suicide more than 5 times since my LASIK.”Read report
  • “Had LASIK eye surgery on [redacted], 2010. Now cannot see to do any of my daily tasks. Near and mid-vision are gone. I only see far away. Was only told I would need readers for the computer. Local doctor can’t believe how farsighted they made me. I am preparing to commit suicide after I get me affairs in order for my children. Only those who have gone through this nightmare understand the guilt and shame. You spend thousands of dollars and have no recourse whatsoever when the outcome is bad. It is a great scam for the LASIK centers. Where on earth could you buy a product and then not have any recourse if it does not work??? Please put a stop to this before others die or ruin their lives!!! Please listen to us!!!”Read report
  • “It has been 21 months since the surgery and my vision is still poor in the both eyes… I tried to get help from Lasik Plus, but all they could say to me was , we are sorry… If it were not for my strong relationship with Jesus Christ and many Christian brothers and sisters praying for me daily, would have most likely taken my life.”Read report
  • “I have not had one happy moment since I started having complications. I am in a severe depression.”Read report
  • “It ruined my vision, and gave me permanent eye pain and dryness… It affects my work, my hobbies, every aspect of my life is pain and difficulty… I never knew depression until lasik.”Read report
  • “My vision has progressed to the point where my left eye is legally blind… This surgery has destroyed my life.”Read report
  • “The immediate effect of my lasik and dry eye was severe depression that endured for three years post-surgery… My mental state required me to make several treatment attempts including medication and therapy. I had no prior history of depression.”Read report

In light of the facts presented here, it seems clear that the LASIK industry is engaged in a medical cover-up, and that the FDA is complicit in LASIK-related suicides.

References

1. Puglionesi, L (2007, July 6). “Haverford man found dead at the old hospital site.” Accessed 5/21/2009 from Delaware County Daily Times online at http://www.delcotimes.com/articles/2007/07/06/past%20stories/19986762.txt; “Suicide Series Part 1: Mid-Life Suicides” (2008, March). Accessed 5/22/2009 from WXOW ABC 19 online at http://www.wxow.com/Global/story.asp?s=8571827 ; “Brentwood Officer Found Dead In Apparent Suicide”. (2008, March 17). Accessed 5/22/2009 from NewsChannel5.com online at http://www.newschannel5.com/Global/story.asp?S=8029702 (LASIK blamed in suicide note presented at April 25, 2008, FDA panel meeting located at http://www.fda.gov/ohrms/dockets/ac/08/slides/2008-4353oph1-07%20TODD%20KROUNER.pdf slides 6 – 8)

2. Lindstrom, Richard. (2008, March 12) Letter to the News & Observer: http://www.newsobserver.com/opinion/letters/story/996053.html Morse M.D., Jennifer (2008, April 25) FDA Special Hearing on Post-LASIK Quality of Life: http://www.fda.gov/ohrms/dockets/ac/08/transcripts/2008-4353t1-02.pdf Schallhorn, Steven C. (2008, February 3) Some link depression, failed LASIK: http://www.newsobserver.com/150/story/920341.html

3. Vollmer, S. (2008, February 3) Some link depression, failed LASIK. Retrieved 5/21/2009 from http://www.newsobserver.com/150/story/920341.html

4. See 4/25/2008 testimony of Beth Kotsovolos, Gerard Dorrian, Dr. Michael Mullery, Dr. Roger Davis, Dr. Edward Boshnick, and Todd Krouner on the FDA website at http://www.fda.gov/ohrms/dockets/ac/08/transcripts/2008-4353t1-01.pdf and http://www.fda.gov/ohrms/dockets/ac/08/transcripts/2008-4353t1-02.pdf