Execs and Cons of Lasik: Are the Dangers Definitely worth the Price?

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By Kevin Pleasure

Sufferers search LASIK surgical procedure for a lot of causes.

One is close to common: “to wake up in the morning and not reach for your glasses or spend two minutes putting in contact lenses,” mentioned Christopher Hood, M.D., a scientific affiliate professor of ophthalmology and visible sciences on the College of Michigan Kellogg Eye Middle and medical director of the Cornea, Cataract and Refractive Surgical procedure Clinic.

Most wish to take pleasure in work and leisure with clear imaginative and prescient, too.

However the concept of eye surgical procedure — and being awake throughout it — may be scary. Neither is the process, which entails slicing a small flap within the cornea floor cells in an effort to reshape the cornea beneath it, proper for everybody.

Others might balk on the worth: The typical price per eye, in keeping with Hood, is about $2,200.

As a result of LASIK isn’t sometimes coated by insurance coverage, some folks would possibly select to avoid wasting and pay for it by way of a versatile spending account. U-M’s credit score union additionally affords financing plans.

Irrespective of the priority, “we help (patients) weigh the risks and benefits,” Hood mentioned. “For some people, it’s a no-brainer.”

Right here, he explains a number of professionals and cons of LASIK:

Professional: LASIK eye surgical procedure is fast and secure

Carried out as an outpatient process, LASIK would possibly take about 20 minutes — “and most of that time is spent getting set up for surgery,” Hood famous.

Recipients, who stay awake, could also be given a Valium to calm their nerves. For defense and peace of thoughts, the laser is designed to close off if a affected person’s eye makes any sudden actions that might immediate error or damage.

Con: Not everyone seems to be eligible

These deemed unsuitable usually are 40 and older, though being over 40 isn’t an exclusion standards.

That’s as a result of they could have presbyopia, the place the lens of the attention turns into stiff and hinders close-up imaginative and prescient (LASIK alters the cornea, not the lens.)

The implications of being over 40 can be mentioned at a screening examination, together with the potential want for studying glasses to see issues up shut.

One other related surgical procedure often called photorefractive keratectomy, or PRK, may be higher for folks with excessive prescriptions or very skinny corneas, Hood notes, as a result of they lack “enough residual cornea to be structurally sound” for the flap-making that LASIK entails.

Professional: Outcomes come rapidly

It doesn’t take lengthy to achieve clear sight.

LASIK sufferers will discover a distinction in a number of hours. “You’re seeing really, really well by the next day,” Hood mentioned.

Most conventional actions can resume inside 48 hours.

Those that obtain PRK, nonetheless, can anticipate an extended restoration — a few month — and a few ache because of the corneal floor removing.

Con: Some LASIK dangers are attainable

Though LASIK might trigger dry eyes for as much as three months (and may be managed with synthetic tears), the chances of it changing into a everlasting situation are uncommon. One other unusual aspect impact: nighttime glare or halos.

Nonetheless, mentioned Hood, “the risk is much lower than it used to be and the technology is much better. The treatment zone is much larger now, covering the entire cornea.”

Professional: You’ll be able to reside life with out glasses or contacts

Whether or not they select LASIK or PRK, many sufferers view the prospect as life-changing — and a method to take pleasure in even primary actions that after had been hindered by poor imaginative and prescient.

“For most people, something changes or prompts them to come in for surgery,” Hood mentioned. “They realize they’re sick of contacts because of dry dyes or want to ride their bicycle without glasses.”

Con: The flaps may be injured

Flaps created throughout LASIK aren’t secured, so sufferers mustn’t rub their eyes whereas they heal. Any trauma to a flap (resembling getting poked by a tree department or fingernail) might dislodge it — even years after surgical procedure, Hood says. Go to your eye physician instantly if such contact happens.

As a result of no flaps are created by way of PRK, these sufferers don’t have that threat. Athletes and lively people would possibly pursue that choice to carry out at their greatest.

Professional: Your imaginative and prescient shall be tremendously improved

LASIK recipients can regain 20/20 imaginative and prescient. Simply don’t anticipate superhuman sight: “At best, we’re going to achieve what we can get with glasses or contact lenses,” Hood mentioned.

For these with increased prescriptions, that prospect might range: “The chances of us getting a 20/20 would be less than for a lower prescription,” he mentioned, “but we still have a very good chance of you functioning without glasses.”

Con: There’s a slight likelihood you’ll want LASIK once more

Once more, these with a better prescription previous to surgical procedure usually tend to see a minor lower in imaginative and prescient high quality over time — a situation often called myopic regression.

“There can be a tendency for it to drift back, but never to the same degree,” Hood mentioned. Which may require a doctor-patient dialogue, he notes, as a second LASIK surgical procedure has elevated and totally different dangers.

Images by Leisa Thompson

For extra details about LASIK or PRK surgical procedure, name the Kellogg Eye Middle at 734-615-5274 or e mail [email protected].

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Beforehand Printed on michiganmedicine.org with Inventive Commons License

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