Hi there, again.
First of all, thanks LasikExpert for the quick answer. I delayed my answer until today because I went to an appointment with another doctor, in order to get a second opinion.
And this doctor said "I wouldn't touch your eyes with laser!" when he saw my minimum cornea thickness:
Left Eye: 428um
Right Eye: 442um
He said I have extremely thin corneas and therefore I do not apply to ANY laser surgery (Lasic/PRK/Lasec). He doesn't recommend laser surgeries in corneas below 500um.
He said however I am a perfect candidate for P-IOL.
According to him, I should put a IOL in the anterior chamber (in front of the iris), because it's an easier procedure and the lens put behind the iris (Visian ICL) may cause cataracts. My ACDs (anterior chamber depths) are more than sufficient for this kind of procedure:
Left Eye: 3.37mm
Right Eye: 3.41mm
This doctor did not recommend the Artisan lenses, but instead the newer Artiflex lenses (http://www.ophtec.com
). Apparently these new lenses only correct myopia (not astigmatism) but they are foldable, and due to that they only need a small incision in the eye, and no stitches, resulting in a faster recovery. I believe this is very recent technology, I had never heard about it before.
He said Artiflex is the P-IOL method he prefers (and the one he does more), and that he only does Artisan if astigmatism correction is needed. He also does cataract surgery, but very rarely does P-IOL in the posterior chamber, as he doesn't like this method. He operates one eye at a time (with an interval of two weeks/one month), and with general anaesthesia!
He also warned me that being an invasive surgery, the risks are a bit higher than the risks of Laser surgery... However, when I asked how many people he had to re-operate due to lens movement, or because complications happened so the lens had to be removed, or how many cases he had of eye infection that could not be solved, he said ... "none"! And he does eye surgery for 20 years! However (quoting him), "It can happen. It's all in the books."
Also, apparently I do not need to do any more exams before the surgery (?!?!). Since I have already done a Tomographic Map of my eyes, a blood analysis is all that is needed, for the anaesthetist.
So, the only solution this doctor presented is the same as my previous doctor's, but putting Artiflex instead of Artisan.
I'm a little concerned because since I do not have such high myopia (-6.5, -7) it scares me a bit doing such a invasive surgery. I currently wear glasses most of the time, and despite the fact they are inaesthetic the lenses depth and aberrations they cause really annoy me. Unfortunately my eyes can't stand wearing contact lenses all day long, specially because I work staring at a computer 8 hours a day.
So, I need to make a decision in my near future:
- a new pair of glasses + many soft daily contact lenses?
1 - Which are the concerns I should have and the complications that may result from this operation? Any long-term effects?
2 - I'm concerned about eye infection or needing to take the lenses out of my eyes due to loss of endothelial cells. Do these symptoms occur often?
3 - I also know that if the correction isn't 100% accurate, I may have to do a posterior Laser surgery to obtain perfect vision (apparently my corneas can handle a small correction laser surgery). Is this likely to happen? Having 2 different surgeries in both my eyes is something that I really don't like thinking about...
4 - Do you think the statistics my doctor presented to me are liable? And to the fact that no further exams being needed? I just have to set the date whenever I make up my mind!
5 - What about sports? Will I be able to practice contact sports / sparring sports immediately after / a long time after surgery?
Any information will be precious to me, and important to my decision. I want to be perfectly aware of the complications/secondary effects that may happen, and the likeliness of their occurrence.
Thanks a lot!