Lasik Surgery

Who Is a Good Candidate for LASIK Surgery?

To have LASIK surgery, you need to meet certain requirements. Here are some of them:

1. You should be 18 years or older (ideally, over 21 years old, when vision is more likely to have stopped changing).
2. Your eye prescription should not have changed much in the last year.
3. Your refractive error must be one that can be treated with LASIK.
4. Your corneas need to be thick enough and healthy, and your overall eye health must be generally good.
5. You need to have realistic expectations about what LASIK can and cannot do for you.

Some people are not candidates for LASIK. They include people with:

1. An unstable (changing) refractive error
2. Extreme levels of myopia, hyperopia or astigmatism
3. Severe dry eye
4. Corneas that are too thin
5. Corneal scars or disease
6. Keratoconus (cone-shaped cornea)
7. Advanced glaucoma
8. A cataract affecting vision
9. A history of having certain eye infections
10. Diabetes that is not controlled well
11. Also, women who are pregnant or breastfeeding should not have LASIK. This is due to vision changes that can happen during pregnancy.

Your ophthalmologist can talk with you about other conditions that may keep you from having LASIK.

What to Expect With LASIK at Saluja Eye Care Center:

Your ophthalmologist will thoroughly examine your eyes and make sure you are a candidate for LASIK. Which is discussed in the section below.

During LASIK at Saluja Eye Care Center:

Your eye surgeon uses a laser to reshape your cornea. Here is what to expect:

1. Your eye will be numbed with eye drops.
2. Your eye surgeon will place an eyelid holder on your eye to keep you from blinking.
3. They will also place a suction ring on your eye to keep it from moving. You will feel pressure like a finger pressing firmly on your eyelid. At this point, your vision will go dim or black.
4. Using a device called a microkeratome, your ophthalmologist makes a paper-thin flap in the cornea tissue. Then they lift and fold the flap back.
5. You will be asked to stare at a target light so that your eyes will not move.
6. The ophthalmologist then reshapes your cornea using a laser. The laser is a special instrument that has been programmed with measurements for your eye.
7. While your ophthalmologist is using the laser, you will hear a clicking sound. After reshaping the cornea, your eye surgeon folds the flap back down into position and smooths the edges. The flap attaches on its own in 2–3 minutes, where it will heal in place

After LASIK

1. The ophthalmologist may place a see-through shield over your eye or ask you to wear a shield while sleeping for a few days. This is to help protect your eye while it heals.
2. You should plan to go home and take a nap or just relax after the surgery.
3. For a few hours, your eyes may feel scratchy or feel like they are burning. You will be given special eye drops to reduce dryness and help your eye heal.

Vision after LASIK

1. About 9 out of 10 people (90%) who have LASIK end up with vision between 20/20 and 20/40—without glasses or contact lenses.
2. If you have not had your LASIK surgery for Presbyopia, It is important to know that after presbyopia sets in you will require Glasses.  This is the normal, age-related loss of close-up vision. With or without refractive surgery, almost everyone who has excellent distance vision will need reading glasses after around age 40.
3. To help with presbyopia, some people have LASIK to get monovision for Presbyopia LASIK. In Monovision LASIK one eye is left slightly nearsighted and the other eye is adjusted for distance vision. The brain learns to adapt so that the nearsighted eye is used for close work, while the other eye sees distant objects. Monovision is not for everyone. To see if you are able to adapt to this correction, you will probably want to try monovision with contact lenses first.
4. Presbyopia LASIK will provide you with useful functional vision, you should discuss with your ophthalmologist for details.

What Are the Risks of LASIK?

Like any surgery, LASIK carries risks of problems or complications you should consider.

1. Some people have side effects after LASIK that usually go away over time. However, in rare cases, they may not go away. For example, almost everyone who has LASIK will have dry eyes and change vision during the day. These symptoms usually fade within a month. For some people, though, they may take longer to disappear or they may remain.
2. Other side effects, either temporary or permanent, could include:
   • Eye pain or discomfort
   • Hazy, foggy or blurry vision
   • Scratchy eye
   • Glare
   • Halos (rings) or starbursts around lights
   • Being sensitive to light
   • Small pink or red patches of blood on the white of the eye that go away over time
3. Other rare risks include:
   • Eye infection
   • Worse vision than before LASIK, even with glasses or contacts (called loss of best-corrected vision)
   • Blindness
   • Also, with LASIK, your vision may end up being under-corrected or over-corrected. These problems often can be improved with glasses, contact lenses, or additional laser surgery.

Photorefractive keratectomy (PRK) is a type of LASER refractive surgery available in Saluja Eye Care Center.

This kind of surgery uses a laser to treat vision problems caused by refractive errors. You have a refractive error when your eye does not refract (bend) light properly.

With PRK, your ophthalmologist uses a laser to change the shape of your cornea. This improves the way light rays are focused on the retina.

PRK is used to treat:

1. Myopia (nearsightedness),
2. Hyperopia (farsightedness) and
3. Astigmatism.

The goal of photorefractive keratectomy is to correct your refractive error to improve your vision. PRK may reduce your need for eyeglasses or contact lenses. In some cases, it may even allow you to do without them completely.

Should I Get PRK?

If you have dry eyes or thin corneas and want to have refractive surgery, PRK may be a good choice for you. This is because some other types of refractive surgery, such as LASIK, are not recommended if you have these conditions.

Also, if you have a very active lifestyle or job, PRK may be a better option for you than LASIK or similar procedures. This is because PRK does not involve cutting a flap in your cornea like LASIK and similar surgeries do. If you are highly active, you could accidentally dislodge a corneal flap, causing problems.

Some people who have certain lenses put in their eyes during cataract surgery may have PRK to fine-tune their vision.

To have PRK, you need to meet certain requirements:

1. You should be 18 years or older (ideally, over 21 years old, when vision is more likely to have stopped changing).
2. Your eye prescription should not have changed in the last year.
3. Your refractive error must be one that can be treated with PRK.
4. Your corneas need to be healthy, and your overall eye health must be generally good.
5. You need to have realistic expectations about what PRK can and cannot do for you.

Some people are not candidates for PRK. They include people with:

1. An unstable (changing) refractive error
2. Skin or other disease that can affect healing
3. A history of a lot of scarring
4. Corneal scars or disease
5. Advanced glaucoma
6. A cataract affecting vision
7. Uncontrolled diabetes
8. Pregnant or nursing women
9. History of certain eye infections

Your ophthalmologist can talk with you about other conditions that may keep you from having PRK.

The overall health of your eyes will be checked. Measurements of your cornea will be taken. Your pupil size will be checked. Your refractive error will be measured. In some cases, your ophthalmologist will measure the quality and the amount of tears that your eyes make. This is to check if you have dry eye, and if so, how severe it is.

1. Refraction.
2. Corneal Topography.
3. Corneal Pachymetry.
4. Aberrometry
5. Keratometry.
6. Slit-lamp Examination.
7. Dry Eye Evaluation
8. Tonometry.
9. Retinal checkup.

Outcomes :

Six month after surgery, the vast majority of patients treated by us achieved the following:

• LASIK
• Extreme improvement in the quality of their vision.
• Vision is better than 20/20 without glasses.
• Vision without glasses after surgery is as good as, or even better than with glasses before surgery.
• No increase in unwanted glare, halos, or night driving difficulty.

Presbyopia LASIK :

• No need to carry glasses everywhere or deal with special contact lenses.
• Able to read menus, magazines or price tags while shopping.
• I Feel younger and freer.

LASER Surgery in Indore

Any surgical procedure that you elect can occur only after a careful evaluation of your eye and the type of refractive error that presently obscures your vision. The exact price is determined after a thorough examination of both the eyes and understanding your health history.

With more than 15 years of experience in ophthalmology and expertise as an outstanding physician , Dr. Praveen Saluja is one of the experienced eye surgeons in Indore. His reputation as a leading eye surgeon places him at the forefront of pioneering efforts in innovative eye care.

Learn More >> www.drpraveensaluja.com

LASIK in Indore – Choose the Right Procedure for Laser Eye Surgery

When glasses or contact lenses become a trouble in your life, LASIK surgery offers an alternative that can give you a clear vision again. The innovative technology treats the most common types of refractive errors that you may know as nearsightedness (myopia), farsightedness (hyperopia) and astigmatism. Changes in the structure of your eye that alter your vision may relate to age or to coping with the challenges that result from the way that you use your eyes. LASIK surgery offers a highly successful approach to permanently improving your vision without ever having to use glasses or contact lenses ever again.

Wavefront adds an automatic measurement of more subtle distortions (called higher order aberrations) than just nearsightedness, farsightedness, and astigmatism corrected by conventional LASIK. However, these “higher order aberrations” account for only a small amount (probably no more than 10%) of the total refractive error of the average person’s eye. Conventional LASIK increases higher order aberrations. Although wavefront-guided treatments attempt to eliminate higher order aberrations, results from the clinical studies have shown that the average aberrations still increase, but less than they do after conventional LASIK. In a few studies comparing wavefront-guided LASIK to conventional LASIK, a slightly larger percentage of subjects treated with wavefront LASIK achieved 20/20 vision without glasses or contact lenses compared to subjects treated with conventional LASIK.