LASIK: A Journey to Clearer Vision

In the world of eye care, LASIK (Laser-Assisted In Situ Keratomileusis) stands out as one of the most revolutionary procedures for correcting vision. For those tired of wearing glasses or contact lenses, LASIK offers a promising solution that can transform your life. Let’s dive into what LASIK is, how it works, and whether it might be the right choice for you.

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Photo by Andrea Piacquadio

What Is LASIK?

LASIK is a type of refractive eye surgery designed to correct common vision problems such as nearsightedness, farsightedness, and astigmatism. The procedure uses a specialized laser to reshape the cornea, the clear front part of the eye, to improve how light is focused onto the retina, the light-sensitive tissue at the back of the eye. This reshaping can significantly enhance visual clarity, reducing or even eliminating the need for corrective lenses.

What Happens During LASIK Surgery?

The LASIK procedure typically involves three key steps.

  • Creating a Corneal Flap: The surgeon begins by creating a thin flap in the outer layer of the cornea. This is usually done with a femtosecond laser, and the flap is carefully lifted to expose the underlying corneal tissue.
  • Reshaping the Cornea: With the flap lifted, the surgeon uses an excimer laser to precisely remove microscopic amounts of corneal tissue. The laser reshapes the cornea to correct the specific refractive error.
  • Repositioning the Corneal Flap: Once the cornea has been reshaped, the flap is carefully placed back into its original position. It adheres naturally without the need for stitches. This step allows the cornea to heal quickly and properly, restoring vision.

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Photo by Matthias Cooper

Potential Side Effects

  • Dry Eyes: One of the most common temporary side effects after LASIK is dry eyes. The procedure can disrupt the nerves in the cornea that are responsible for tear production. While this usually improves within a few weeks or months, some patients may experience prolonged dryness that requires ongoing management with artificial tears or other treatments.
  • Visual Disturbances: Some patients may notice visual disturbances such as glare, halos, or double vision, particularly in low-light conditions. These effects are often temporary and improve as the eyes heal, but in some cases, they can persist and affect night vision.
  • Overcorrection or Undercorrection: Although LASIK aims to achieve precise vision correction, there is a possibility of overcorrection (where the correction is too much) or undercorrection (where it is too little). This can result in residual refractive errors and might require additional treatments or the continued use of glasses.

Long-Term Considerations

  • Vision Changes with Age: While LASIK can provide long-term vision correction, it doesn’t prevent age-related changes such as presbyopia (the need for reading glasses). As you age, you might still require reading glasses for close-up tasks, even if your LASIK results were initially excellent.
  • Potential for Regression: In some cases, the cornea may gradually shift back toward its original shape, leading to a partial regression of the vision correction. This is more common in individuals with very high prescriptions. Regular follow-ups with your eye doctor can help monitor and manage any changes.

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Photo by Andrea Piacquadio

Are You a Candidate for LASIK?

Not everyone is a suitable candidate for LASIK. Ideal candidates are typically over 18 years old, have stable vision prescriptions for at least a year, and have healthy corneas. Certain conditions, such as severe dry eyes, high levels of astigmatism, or certain medical conditions, might affect your eligibility. If you’re considering LASIK, consult with an ophthalmologist to explore your options and see if you are a candidate.

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Photograph of Ivan Yong

Ivan Yong

Dr. Ivan Yong is an optometrist with over a decade of experience in the optical industry. He earned his doctorate from the Southern California College of Optometry and has practiced in multiple settings, including private practice, community health, and ophthalmology. Dr. Yong aims to expand access to affordable eyewear and improve eye health worldwide.