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Lasik Risk

Risks of Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, CK, RLE, and P-IOL.


Lasik Risk
Eyes are as unique as fingerprints. Every individual's Lasik risk is equally unique.

 

Anyone considering custom wavefront Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, NearVision CK, RLE, or any refractive surgery needs to come to grips to a very simple fact: This is microsurgery on your eyes. There is risk with Lasik. It may be relatively small, but there is no perfect surgery. There are no perfect doctors. There are no perfect techniques or technologies. And don't forget that there is no perfect surgery candidate. In medicine, "safe" is a relative term.

There are no guarantees, however Lasik has passed extensive scrutiny from public health agencies, medical professionals, and in the case of surgical devices, the FDA. Procedures that have been available for some time have the added advantage of extensive data and improved techniques. A 10-year study found Lasik to be stable, safe, and effective by medical standards with relatively small risk.

There are absolute and profound risks. This is surgery. Each technique has its own advantages and disadvantages, but here are some of the general risks. Ready to be scared?

  • You can die. To date, no deaths have been reported as a direct consequence from the most common refractive surgery techniques, but you could be the first.
  • Loose visual acuity to the point of function blindness.
  • Inability to drive at night due to blinding halos and/or starbursts emanating from light sources.
  • Visual acuity worse than before surgery.
  • Continuous fluctuation of visual acuity.
  • Inability to correct visual acuity even with glasses.
  • Overcorrection, undercorrection.
  • The inability to wear contacts.
  • Ocular infection and subsequent damage.

These are some of the possibilities of what can go wrong. You need to also look at the probability of something actually going wrong. There are a gazillion things that can kill you every day, but the probability is much different than the possibility. The probability of serious long-term complications is less than 0.5% (Lasik complication details), but they do exist. Do not take your decision to have refractive surgery lightly, but also consider the reasonable likelihood of any of these problems occurring.

Most important; read your informed consent completely, understand it fully, and do not diminish the importance of your eyesight.

If you are ready to choose a doctor to be evaluated for conventional or custom wavefront 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 Lasik Risk Medical Journal News...

Blepharoplasty in the post-laser in situ keratomileusis patient: preoperative considerations to avoid dry eye syndrome.

Related Articles

Blepharoplasty in the post-laser in situ keratomileusis patient: preoperative considerations to avoid dry eye syndrome.

Plast Reconstr Surg. 2007 Jun;119(7):2232-9

Authors: Korn BS, Kikkawa DO, Schanzlin DJ

BACKGROUND: The authors used a retrospective case series to describe the increased frequency of dry eye syndrome in patients who have undergone both laser in situ keratomileusis and blepharoplasty. METHODS: The authors reviewed records from six patients who required surgical correction for exposure keratopathy previously treated by both laser in situ keratomileusis and blepharoplasty. RESULTS: All six patients developed significant exposure keratopathy postoperatively requiring surgical intervention. Four patients had blepharoplasty followed by laser in situ keratomileusis, and two patients had laser in situ keratomileusis followed by blepharoplasty. Symptomatic dry eye symptoms followed the second procedure 1 week to 4 months later. Surgical correction of eyelid malposition and lagophthalmos markedly improved symptoms. CONCLUSIONS: Patients with a history of laser in situ keratomileusis contemplating blepharoplasty are at higher risk of developing postoperative dry eye syndrome. Surgeons performing these procedures should perform thorough preoperative evaluation and surgical planning to minimize this potential complication.

PMID: 17519726 [PubMed - indexed for MEDLINE]

 

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Last updated Tuesday, May 06, 2008

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