Hi! Today I found out that I am not a candidate for Lasik because my cornea is too thin. However I was told that I can consider P-IOL or PRK, the doc recommended P-IOL eventhough her facility do perform PRK. She says PRK can develop haze, which cannot be reversed/treated with today's technology. After further inquiry, she did mention that PRK with Mitomycin and Vitamin C could produce good results, yet I could see that she was hesitant in recommending PRK because she said PRK was more suitable for < 6.0 D. Here's my prescription:
L: -7.25 -1.00 164 (490+ micron)
R: -7.5 -1.00 167 (500+ micron)
Age: 33
After some further reading about PRK and ICL, I am leaning towards P-IOL. Eventhough P-IOL is quite costly, the important thing is risk reward ratio. Though ICL is a surgery, however we have one very qualified surgeon (IMO), that have performed tens of thousands of complex eye surgeries including cataract extractions, corneal transplants and intraocular lens implants, and he has performed LASIK since 1996. I believe I'll be in good hands, don't you agree? From what I have find out, he can do Verisyse IOL and Staar ICL.
Here is my question. I have skimped through the Verisyse and Staar study from the FDA page, and what I gather is that Staar ICL's study seems to have better results, is that right? More importantly, seems like Staar Toric ICL is the only implantable lens that is approved by the FDA for myopia and astigmatism, right? Since I have astigmatism, looks like Staar TICL is the best option for me. Plus, I don't quite like the idea of Verisyse procedure where the lens is "clipped" to the iris. However if I don't qualify for Visian, I will definitely consider Verisyse.
I almost forgot. Does pupil size matter in P-IOL? I may have mistaken, is P-IOL has the 6.0mm limit? Five years back, I get to know that my pupil size is 7.5mm and 7.8mm fully dilated. With aging, I conservatively estimate my pupil size decreased by 0.3mm, now to be around 7.2mm and 7.5mm. Today, the doc didn't dilate my eyes.
Could you please give me any advise, options that I may have left out, or correct any wrong assumptions or unrealistic expectations that I have made above? I will try to talk to two surgeons qualified for this procedure hopefully soon before my Flex contribution deadline. I truly appreciate any help that you provide, thanks so much!