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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...

Factors Related to the Correction of Astigmatism by LASIK After Penetrating Keratoplasty.

Related Articles

Factors Related to the Correction of Astigmatism by LASIK After Penetrating Keratoplasty.

J Refract Surg. 2010 Feb 25;:1-6

Authors: Lee HS, Kim MS

PURPOSE:To analyze the preoperative factors related to successful correction of astigmatism by LASIK after penetrating keratoplasty (PKP). METHODS:This retrospective chart review included 71 patients (75 eyes) undergoing LASIK after PKP. The full refractive cylindrical (thus near-spherical) errors were treated by laser ablation. Postoperative follow-up examinations included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest autorefraction, slit-lamp examination, topography, specular microscopy, and simple questionnaire regarding satisfaction with LASIK at 1 day, 1 week, and 1, 6, and 12 months. RESULTS:Before surgery, no eye had UDVA of 20/60 or better and 42 (56%) eyes had CDVA of 20/40 or better. At 1 year, 45 (60%) eyes had UDVA of 20/60 or better and 57 (76%) eyes had CDVA of 20/40 or better. The mean astigmatism was 6.80+/-2.10 diopters (D) preoperatively. The mean reduction of astigmatism was 3.80+/-2.30 D (53.9+/-28.7%) at 12 months after LASIK and was relatively stable between 6 and 12 months. Although mean achieved correction showed a tendency toward undercorrection, CDVA and contact lens/spectacle tolerance were significantly increased. The younger the patient, the lesser magnitude of refractive cylinder, and greater endothelial cell density showed better astigmatism reduction in the multiple regression analysis. CONCLUSIONS:LASIK is a safe and effective procedure with stability for reducing astigmatism following PKP and increasing spectacle or contact lens tolerance. For optimal predictability and visual outcomes after LASIK, we recommend the full identification of astigmatism after PKP and preoperative analysis of the endothelial cell density.

PMID: 20166623 [PubMed - as supplied by publisher]

 

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Last updated Thursday, February 25, 2010

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