lasik risk and complications

LASIK RISK AND COMPLICATIONS

LASIK procedure is helpful in living a life independent of glasses and contact lenses.

Most of the risk can be avoided by proper selection of individual for Lasik.

It’s extremely rare to get complication with significant visual loss after Lasik. The advancement in technology has reduced rate of complications drastically. This includes Bladeless  ReLex SMILE,  Femto Laser (Bladeless Lasik) technology and new age Microkeratomes (Blade Lasik).

Risk and complications of Lasik can be treated successfully by medical treatment or minor touch up procedures in most of the cases.

Treatment of Lasik Risks and Lasik complications

  1. Dry Eyes after Lasik: drink enough water (weight X 40= water in ml e.g. 60 kg X 40 = 2400 ml / 2.4 lit). Use lubricating eye drops or immune modulator eye drops like Cyclosporin
  2. Haze or blurry vision: may remain for few days in some individuals and goes with natural healing, lubricating eye drops and Omega 3 Fatty Acid rich food or Tablets
  3. Enhancement: for remaining number (under correction or over correction)
  4. Lasik Flap folds or wrinkles: repositioning flap with mild Lasik Flap Ironing and contact lens for 1-2 days
  5. Lasik Flap displacement: repositioning of flap with contact lens for 1-2 days
  6. Epithelial Ingrowth: cleaning surface with medicated solution
  7. Infection: Use of 4th generation antibiotics for infection control
  8. Diffuse Lamellar Keratitis (DLK) or “Sands of Sahara”: use of anti-inflammatory medications and in advanced cases cleaning flap
  9. Keratectasia or Keratoconus: Avoid eye rubbing, scleral contact lens, C3R & Intacs
  10. Decentred Ablation: not seen these days due to use of active eye tracking and Iris registration by New generation Lasers used all over world. It was occurring in few cases when passive eye tracking method was used.

By understanding few simple yet significant points you will be able to decide whether the Lasik surgery is ideal for you

  1. Just like every figure print is unique similarly every human eye is unique. Fact is even an individual’s 2 eyes are dissimilar. Your right eye and Left eye is also not exactly the same.
  2. Before undergoing any of the eye surgery or Lasik Treatment it is must and utmost important that people understand how their eyes work and what is best for their eyes.
  3. Lasik, the number corrective surgery is done only after detailed and thorough checking of your eyes. Pre-Lasik testing includes following:-
    • Age above 18 years and if cylindrical number more than 3 above 21 years
    • Eye power
    • Eye pressure (intra ocular pressure IOP)
    • Corneal aberrations (abnormalities )
    • Corneal curvature (shape of cornea , topography, pentacam)
    • Thickness of cornea or Pachymetry
    • Retina examination

Once all these tests results are favourable and positive one can go to next level i.e. surgery.

  1. An experienced lasik surgeon will guide you only on the basis of the testing which are done prior. Because it is very important for your eyes to undergo personalized treatment which has best results and no side effect after the procedure.

LIMITATIONS OF LASIK PROCEDURE:-

  • Very thin cornea (Implantable contact lens Can be a option)
  • If you are pregnant or lactating female.
  • Severely dry eyes.
  • Certain problems / degeneration in retina or other parts of the eye.
  • Very unstable spectacle power.

LASIK procedure is widely used procedure across the globe to provide correction of number and it is acceptable by the WHO and other governments like USA FDA.

It is successful hence it is so popular among all the age groups.

Taking expert’s guidance and choosing the best doctor will make your DREAM to see without specs even more exciting and memorable.

laser correction surgery

How to choose LASIK surgery for your eyes

LASIK treatment is widely known to make you independent from spectacle and helps you to do your work day in and day our without worrying about your specs or contact lenses.

Means after LASIK you can go for any kind of sport including wrestling, swimming etc and you really don’t need glasses or contact lens to stop you.

LASIK or Laser Correction is so popular as it has and is still benefitting huge population across the globe and is very easy way to get spectacle independence.

Before deciding for LASIK surgery it is important to understand that LASIK has various types and among all the available option which is best for your eyes.

Not all LASER correction option is suitable to every eye. You need to undergo certain corneal testing which ophthalmologist uses to guide you about the surgery which he thinks best for your eyes with the desired result.

For further understanding in opting LASIK following detail will help you to understand what are the various options available with their advantages and limitations.

 

Treatment type Advantages Limitations
ReLEx SMILE BLADELESS and FLAPLESS

2 mm incision surgery hence least post operative care

Inadvertent eye rubbing is allowed

Very fast recovery time

Patient having Less corneal thickness can also be treated

Not suitable

Plus number (Hyperopia) at present (May 2016)

Bladeless Femto Customvue Lasik Very precise, bladeless flap hence recovery is fast. Treats astigmatism/ high cylindrical power and plus number

(Hyperopia) accurately

Flap precautions are to be taken care like no rubbing till flap is stable.
Customvue Blade Lasik Gives personalized treatment to eye by treating highest degree of corneal abnormality (abbrations).

Very precise as it has IRIS REGISTRATION technology which register your eye and notice even a micro movement hence laser firing is on target area always.

Not recommended when corneal thickness is less

Flap precautions are to be taken care like no rubbing till flap is stable.

Photo refractive keratotomy

(PRK)

When the shape of cornea is not normal. No flap. Variants – LASEK, Epi-Lasik, ASA Work resume after 15 days. return of some spectacle number is possible. Eye drops used for longer duration
Implantable Contact Lens (ICL) When the eye power is extremely high and none of the procedure can be done

When thickness of cornea is less

Increase quality as well as quantity of vision

More Invasive than Relex Smile or Lasik

 

dry eyes

Dry Eyes

Many people faces problem of dryness in eyes. It can be temporary or chronic and progressive.

The problem of dry eyes is specific depending upon the cause and severity of condition. It is easy to deal and manage the dry eyes problem just by understanding the cause behind it.

Based on this the treatment for dry eyes is given. Mainly artificial tears or lubricating drops are widely used for treating mild type of dryness like continuous work on computer,reading etc.

Natural ways  to avoid dry eyes problem are:

  • Drink ample amount of water daily. Ideally your weight multiply by 4 ( 60 kg * 4 = 2.4 litres) should be your daily water intake.
  • While using electronic screen gadgets like PC laptop follow rule of 20-20-20. Means after every 20 minutes take 20 sec break and see 20 feet far from your chair distance.
  • Make-UP should be removed gently and thoroughly especially kajal, Liner and later cleaning of eye lids and lashed diligently before bedtime to remove bacteria
  • You can do gently scrub eyelids with mild cleanser like diluted baby shampoo, also pre-moistened eye lids wipes are also available
  • Use UV protection goggles to protect eyes from harmful UV rays.
Glaucoma Treatment Pune

Glaucoma

What is eye pressure and its significance

Increase pressure of eye is known as Glaucoma.

Just like blood pressure there exists eye pressure which is due to fluid inside the eyes called as aqueous which is produced inside the eyes to provide nutrition to eye.

There is a constant rate of production and the drainage of fluid from the eyes, which is maintained in the normal eyes.

But if the production rate is high and the drainage is less then there occurs accumulation of aqueous fluid inside the eyes leading to increased eye pressure or Intra Ocular Pressure.

How does Increased eye pressure harmful

The increased pressure creates pressure on optic nerves. The optic nerve is responsible for vision, sending brain the signals and receiving the image. The increased pressure damages optic nerve slowly thereby leaving them permanently damaged.

How to detect the problem ?

Unfortunately glaucoma is detected when 70% of vision loss has already happened reason being the nerve damage start from the peripheral vision field of the eyes and till the time it reaches central part it’s too late.

After knowing and understanding the risk associated with glaucoma it is must that one should undergo periodic eye check up by experienced ophthalmologist in order to check the eye pressure and the optic nerve of the eye.

If you already have glaucoma then do follow-up with doctor as advised and follow the treatment and medication as prescribed without fail.

Who all are at risk of Glaucoma

  • When eye pressure is high
  • Someone with family history of glaucoma
  • Person having Diabetes
  • Someone who gets eye injury