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Lasik Doctors

 

Regression

After Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, and CK.


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Regression may cause a loss of some of the effects of refractive surgery.

 

Moderate regression may occur after excimer laser assisted conventional or custom wavefront Lasik, All-Laser Lasik, PRK, LASEK, and Epi-Lasik. This occurs mostly in myopic patients who have more than 6.0 diopters of refractive error and virtually all hyperopic patients.

After excimer laser assisted refractive surgery the cornea tends to regress back toward the original refractive error. The epithelium and the deeper stroma can reshape and reform at different rates and can cause regression.

Most Lasik and All-Laser Lasik patients experience regression within the first few weeks after surgery, while the surface ablation techniques of PRK, LASEK, and Epi-Lasik may require additional time until regression has settled down. For myopic patients, regression usually occurs within the first one to three months after surgery. Hyperopic patients may experience regression for a longer period of time. In all cases, it is reasonable to expect regression stop within the normal six month healing period.

Regression that is severe or continues to progress may be a sign of ectasia.

NearVision CK is considered a temporary procedure because the effects regress at a rate of about 0.33 diopter per year until all effects have dissipated.

Regression is a natural component of the healing process and is considered in the planned correction. A patient may be deliberately overcorrect to accommodate expected levels of regression. See Lasik Overcorrection Information

Regression occurs more commonly with smaller ablation diameters and with abrupt transition zones at the edge of the treatment areas. Steroid medications can be used to regulate and control regression. Although regression seems to be more prevalent the higher the refractive error, regression can occur in anyone.

If you are ready to choose a doctor to be evaluated for conventional or custom wavefrontt Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, NearVision CK, RLE, or any refractive surgery procedure, we highly recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Laser Eye Surgery Doctor.

If this article did not fully answer your questions, use our free Ask Lasik Expert patient forum.


Current Regression Medical Journal News...

Influence of Visual Symptoms on Subjective Quality of Vision after LASIK and pIOL Implantation.

Related Articles

Influence of Visual Symptoms on Subjective Quality of Vision after LASIK and pIOL Implantation.

Klin Monbl Augenheilkd. 2010 May 21;

Authors: Bühren J, Kühne A, Kohnen T

OBJECTIVE: The aim of this study was to assess the influence of visual symptoms on subjective quality of vision (SQV) after laser in situ keratomileusis (LASIK) and implantation of an intraocular lens in the phakic eye (pIOL implantation). METHODS: Fifty-four myopic patients were included. Forty patients (67 eyes) had uneventful LASIK; in 14 patients (27 eyes) a pIOL was implanted. In the LASIK group the mean age was 37 +/- 7 years (pIOL: 36 +/- 8); the mean preoperative spherical equivalent was -5.64 +/- 1.10 D (pIOL: -7.17 +/- 1.39). One month postoperatively all patients completed a questionnaire that differentiated between right and left eye and between three lighting conditions (photopic, high-mesopic and low-mesopic). The intensity of the symptoms "glare", "haloes", "starbursts", "blurred vision", "ghosting" and the SQV were marked on a visual analogue scale (0 - 100). The influence of the symptoms on SQV was assessed using a multiple regression model. RESULTS: Under photopic conditions SQV was 22 +/- 19 (pIOL: 16 +/- 15), under high-mesopic conditions 21 +/- 19 (pIOL: 14 +/- 13) and under low-mesopic conditions 33 +/- 21 (pIOL: 32 +/- 19). The coefficients of determination for the three conditions were 0.74 (pIOL: 0.56), 0.68 (pIOL: 0.75) and 0.69 (pIOL: 0.42). After LASIK, the symptoms "glare" and "blurred vision" had the strongest impact on SQV. In the pIOL group, glare, ghosting, haloes and starbursts had a significant influence on SQV. CONCLUSIONS: The present study showed that two-thirds of the variance of SQV could be explained by the symptoms examined in the questionnaire. Blurred vision, ghosting and glare were the symptoms with the most significant influence.

PMID: 20496308 [PubMed - as supplied by publisher]

 

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Last updated Monday, April 12, 2010

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