Question:

What kind of surgery can I get for my eyes?

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I wear a -6.5 in contacts - that's really bad. So I'm going to get corrective surgery at some point in the next couple of years. But I want to know - can I get lasik laser vision correction or do I have to get contact lens implants? If I have to get the implants, can you tell me something about them? I don't have astigmatism but I do have a couple of scars on my eyes.

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  1. The implants are a fairly new way to correct refractive errors. The procedure itself is very, very simple and in the hands of an experienced surgeon, it only takes a few minutes to do. The implant is placed just in front of the regular lens, just behind the iris. When one of these lenses is in the eye, most professionals would not notice they were there unless they looked very carefully.  They are almost invisible even under the usual slitlamp exam.

    The complications of that procedure included cataracts. This is when the normal lens itself becomes slightly damaged and the lens cells/fibers become less than transparent, or foggy.  The treatment is to remove the implanted lens and do the cataract surgery and then replace both of the lenses that have just been removed with a new implant.

    This is permanent. There will be no further refractive changes once that cataract surgery has been done. But as long as the regular lens is inside the eye, it grows. We can actually look at a lens and tell if there was some sort of physiological insult at a determined period of that person's life, including pre birth. People that have congenital rubella, for instance, will have cellular remains within the lens nucleus. Congenital Syphilis also causes signs similar to that of rubella.

    The laser surgery will reshape the cornea, the front clear surface. You'll see better almost immediately and this will stabilize within a week or two. That will be an amazing experience..... for awhile. But seeing up close will become a bit harder as you'll have to 'work' to accommodate. And as the lens grow, you'll become slightly more and more myopic again, but probably no where near what you are now. By the time you are 50 or so, you'll need readers just like the rest of us.

    Determining the type of surgery depends on the eye and the surgeon, and you somewhat. If you go to a purely laser refractive clinic they'll want to do laser. If you go to a 'regular' ophthalmologist, you may have the options of the lens implant OR the laser.

    If it were me, I'd go for the implant. The reason is that messing with the cornea, a 1mm thick membrane that is in contact with the environment, allergens, dust, dirt, dander,... stuff... requires a competent organ. The cornea is quite good at it's job and once it's injured, it'll be a problem the rest of your life. So think long and hard before you make that decision. Most will say..Na, not really a problem. But I see those problems every day. EVERY DAY!


  2. i think laser is better

  3. you can get laser treatment but you will have to pay for it and it can be exspensive.

  4. When you are ready to look into it seriously, you will have to go for an evaluation at a laser clinic by the Opthalmologist there.

    They will do some tests and examinations to determine what would be best for you at that time.

    No one here could have a clue if you are a suitable candidate for laser correction. That's why the evaluations are done first.

  5. it depends on what is wrong with your eyes

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