Charles asks…
Should I have LASIK eye surgery?
My eyes are pretty bad. I have about the limit as far as an astigmatism correction with LASIK goes. I have a LASIK consultation this coming Thursday. Still, I am really scared about having the procedure after reading a few articles, but my eyes are bad enough to prevent me from getting some jobs *with* correction.
Should I go through with it? Are those gloom and doom articles exaggerating?
Example of a gloom and doom article/site:
http://lasikdisaster.com/
Yes, this site is likely biased.
admin answers:
I'm sure it's worth it, to be able to see well again.
But the feeling in your eye'll be..ugh.
Try staring (not really) into a Wii-mote, and imagine the after effect about...10 times worse for awhile.
Lisa asks…
Toric lenses not enough for right-eye astigmatism?
I have been a contact lenses user for 15 years now and I have been using toric lenses for the past couple of years. In the past few months my right-eye astigmatism has gotten worse and the toric lenses correction is not really enough. I work on the computer all day and it makes some difference in terms of vision comfort. I can't focus very well and by the end of the day my head feels heavy (sometimes headache included), specially above my eyes. I'm not sure what to do. Keep on using lenses and hope the astigmatism will recede (and deal with the discomfort), get lenses for myopia and glasses for astigmatism, do LASIK and use glasses for astigmatism?... I'd appreciate your input on this situation. Thanks.
Yes the astigmatism has changed and the opticion has adjusted it, but it's not enough and she has said this is as much as toric lenses can correct astigmatism.
I wouldn't mind using glasses to work and read, but wouldn't want to have to have use my normal glasses (myopia + astigmatism) all the time. I'm not sure about it, but the new updated lenses are correcting 1.25, so I'm guessing it should 1.50 or more.
admin answers:
That's got to be a lot of astigmatism.
I've fitted soft contact lenses with up to 5.00DC
Yes, the monthly disposables don't go up to that sort of degree, but they're not the *only* option for soft contact lenses. But even so...
More than one monthly toric goes to -2.25 DC,
Focus monthlies go to -2.50DC
Soflens 66 monthly torics go to -2.75 DC
Frequency 55 Xcel Toric XR goes to -3.75 DC
They may not be suitable for other reasons, but they may represent untried options.
After that, there's possibly the synergeyes lens option before considering surgery just due to running out of other choices.
Steven asks…
I am farsighted, and apparently have astigmatism, whatever that is? But what explains my left eye ...?
It goes crosseyed w/o any contacts or glasses...my right eye is perfectly fine..its just my left eye that will wander without any type of correction..Is that what astigmatism does..or is it something completely different? Would lasik help me left eye?
admin answers:
Astigmatism (it's one word - good job!) is when the powers in different meridians of your eye differ. Astigmatism is the most common refractive error there is.
Your eye that goes "crosseyed" is called an eye turn or esotropia (if it turns in) or exotropia (if it turns out). Some people mistakenly call this a lazy eye - which is really one eye not being able to see as clearly as the other, even with correction.
It means that the natural position of your eye is not straight ahead but off to the side - so it takes a lot of work for your eye muscles to try to hold it straight ahead. It is not uncommon.
John asks…
Lasik Eye Surgery recommended?
What's the deal with Lasik...
is it recommended?
Does it usually result in correcting your eyesight but then years later your eyes will get worse on their own and need further correction somehow through glasses anyway? Besides most adults when they reach a certain age will need bifocals after years of wearing glasses? is that true?
Right now I only need glasses to see far (distance) but i also have astigmatism in one eye. I am in my late 20's
Is Lasik recommended?
Thank you
admin answers:
I doubt I'll ever go as far as to recommend it, but thousands and thousands have found it a good decision. My reserved position is because there *is* a casualty rate, even though it's low. 1-5% for the more common side-effects or less than perfect outcomes, less than1% for more severe problems.
But the latter are a complete disaster if they happen to you.
It's got to be a coolly-weighed personal decision.
It's exactly the opposite of a big lottery. There the odds are terrible, but you're only betting a dollar or a pound. With laser surgery, the odds are very good, but you're betting a fair chunk of your eyesight.
Yes, the treatment only resets your Rx to zero or near-zero. It doesn't stop any further natural drift that might occur over time. That's why it's important to know the Rx is currently stable before undergoing surgery.
Yes, beyond the age of 45, people develop a different Rx for distance than they need for near (though one or other can remain at zero, hence the people who only need to add-in simple reading glasses for closework).
Lasik, Lasek etc. May be for you, if you've carefully weighed the risks/benefits. An unconditional recommendation? Not from me.
The FDA says...
"You are probably NOT a good candidate for refractive surgery if:
You are not a risk taker. "
William asks…
Contact lenses for people with astigmatism and squint!?
I have worn special contact lenses for people with astigmatism before (hard lenses with correction for cornea and shortsightedness), but they did not work. I still had problems with blurring and had to squint alot to keep them in place as they seemed to move all the time.
I was wondering if this occurrs because my astigmatism is more severe than the lenses can cope with, or if it is due to the fact that I have an alernating squint (Strabismus). Would this effect my contact lense wearing abilities?
If so, should I just bite the bullet and save for LASIK? Or are there (cheaper) er...other ways of fixing my vision apart from glasses? :)
Thanks!
I meant 'alternating' squint. Me need to learn spell, yes?
admin answers:
A new exam and glasses or contacts may solve your situation.
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