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Risks and complications of laser eye surgery. How safe is laser eye surgery?

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Risks & Complications
Before undertaking any medical procedure it is important to understand the associated risks and limitations so you can make an informed decision. We understand the concerns you have for your eyes’ health and hold your safety in the highest priority. Please feel free to talk with any of our specialised laser surgery staff about any of your concerns. T he chance of having a serious vision-threatening complication is less than 1% at Laser Sight, due to our experience and the sophisticated equipment we use. Many concerns relate to the eyes’ natural adjustment and either self correct over time, or can be fixed with further enhancement procedures. If this is necessary, you will be covered in our 'Vision for Life' and 'Clear Vision Commitment' programs.

Undercorrection And Overcorrection
Initial overcorrection is usually expected and regresses as the cornea stabilises. Both under and overcorrection can be rectified with an enhancement. Incidence of significant overcorrection: 1-3%. Incidence of significant undercorrection: 2-3%.

Regression is an individual healing characteristic and refers to the tendency of your eye to move towards its original refraction following LASIK procedure. If regression does occur, an enhancement may be necessary. With LASIK the regression experienced is minimal and is accounted for when planning your procedure.

Decrease In Best Corrected Visual Acuity
A small number of patients experience a slight loss of visual sharpness following LASIK refractive surgery. In most cases the sharpness returns over 6 months. Incidence for myopia: 1% or less. Incidence for hyperopia: 2% or less. In cases where visual sharpness is a concern, CustomEyes™ may increase visual quality.

Flap Complications
Serious flap complications are rare. Incidence: 1 in 800.


Incidence: 1 in 50 experiences a scratchy sensation or mild discomfort. LASIK surgery can exacerbate this for the first three months after surgery. 1 in 500 experiences severe discomfort or even pain for the first 4-6 hours after surgery. sensitivity to glare. watering and dry eyes. INFECTION Antibiotic eye drops are used during the procedure and for the week following the procedure. Almost everyone develops trace degrees of haze. How safe is laser eye surgery? Glare Sensitivity to glare may be a concern with LASIK.000 procedures. FAQs Am I eligible for lasik or customeyes™ ? How long will the procedure take? Will I be able to throw away my glasses? Click here Locations Laser Sight takes pride in providing easy access for patients in the convenient locations. make an appointment with your nearest Incidence: Varies with age being more problematic in older females. Infection is extremely rare. usually during the first few weeks and it rarely affects vision. Laser Sight has had only one infection in over 55. Incidence of infection: T he worldwide statistic is 1 in 5000. Click here Affordability Laser eye surgery with Laser sight offers a lifetime of safe and affordable vision correction.6 months. T hese symptoms are usually short term. Dry Eye If there is a pre-existing dry eye problem. Incidence of significant glare: 1 in 1000. Post-Operative Corneal Haze Healing haze is the term for the collagen protein that develops on the surface of the eye following refractive surgery. Some people need to use lubricating eye drops for the first 3 . Find out our cost comparison calculator.9/18/13 Risks and complications of laser eye surgery.aspx 2/3 Post-Operative Discomfort Discomfort is rare but may include mild irritation. Night glare is more common and may last up to 3 months. Click here www. to find the surgery closest to you. Click here Find Consultant Optometrist For an independent eye assessment. Incidence of serious haze: less than 1 in 2000.

" Source: www. LASIK complications (Not a complete list) A few of the possible complications of LASIK surgery are listed on the left menu bar.7% report glare (starbursts).26(3):246-54.3% have night-driving problems and 21% complain of eye dryness. MD: "With LASIK. LASIK surgeons don't consider dry eyes and night vision problems as "complications". reveals that six months after LASIK.and in about half of these...109(1):175-87.not for the squeamish www. night time starbursts. LASIK surgeons are well aware that complications after LASIK are common. Outcomes of LASIK f or my opia with FDA-approv ed lasers . Optic Nerve Damage Regression Long Term Issues Bladeless LASIK Complications PRK Complications Photos of Damage . Complications. If you suffer from dry eyes. Zadnik K. efficacy and safety. and reduced contrast sensitivity occur relatively frequently. Click here to file a MedWatch report. 19.RefractiveEyecare. the symptoms were severe.91(8):1031-7. night vision problems. FDA clinical trials demonstrate alarming numbers of patients experience complications such as dry eyes and night vision problems after LASIK. A published review of data from twelve FDA clinical trials for LASIK. Source: Bailey MD.9/18/13 LASIK risks LASIK side effects LASIK problems and complications Home Letters News Forum Complications Images FDA Legal Pupil Size Dry Eye Marketing Contact Archives Links LASIK Risks. or other complications of LASIK. talking up the supposed benefits of LASIK while downplaying or concealing complications. Villa et al: "Patients undergoing LASIK procedures display an increase of halo phenomena around lights in night vision conditions. Side Effects. Typical 20/20 vision after LASIK Click below for detail Night Vision Problems Dry Eyes Depression and Suicide Eye Pain.his site has more on lasik complications. side effects such as dry eyes.: "Night vision and dryness symptoms still occur in a significant proportion of patients. Read a sample of LASIK MedWatch reports already on file with the FDA. 2007 Aug." Source: Br J Ophthalmol. even when the results of the surgery are considered entirely satisfactory according to current international standards of predictability. Corneal Neuropathy Ectasia ("keratoconus") Late Flap Dislocation Flap Complications Floaters and Vitreoretinal Damage Infection Herpes Simplex Keratitis Epithelial Ingrowth Interface fluid Higher Order Aberrations Debris under the flap Central Islands DLK / Inflammation Cataract after LASIK Glaucoma. December 2005 Sugar et al: "Serious adverse complications leading to significant permanent visual loss such as infections and corneal ectasia probably occur rarely in LASIK procedures.5% of patients report halos. 2002 Jan. Edward Boshnick -. Photos below courtesy of Dr. Cornea 2007 Apr. however. even though they may be debilitating and permanent. Problems Patients place their trust in LASIK surgeons to disclose risks and potential problems of the surgery." Source: Ophthalmology.26(3):246-54." Source: Cornea 2007 Apr. but what defines a "complication"? Read: The Problem with LASIK Complication Rates. LASIK surgeons behave more like used car salesmen than physicians. LASIK surgeons quote complication rates of 1% or less.htm 1/5 .com. 17. including newer technology. roughly half of my patients had dry eye complaints after surgery . it is very important that you file a MedWatch report with the FDA so that your complications will be counted. And no one is tracking long-term consequences and lateonset complications. Bailey MD. Outcomes of LASIK for myopia with FDA-approved lasers Marguerite McDonald. Zadnik K.lasikcomplications.

com/risks. Click on the photograph to enlarge.lasikcomplications. This case also demonstrates the domino effect of unnecessary eye surgery. Of note is the abnormal blood vessel growth into the cornea. The image below is a post-LASIK eye with neovascularization wearing a scleral lens. www. The blood vessel growth is very pronounced at the 6:00 position on the cornea. The patient is wearing a large (scleral) therapeutic rigid contact lens.9/18/13 LASIK risks LASIK side effects LASIK problems and complications The image directly below shows the eye of a patient who developed ectasia after RK and LASIK. You can see the edge of the lens on the white of the eye.htm 2/5 . which covers the entire cornea. This sight-threatening condition is known as corneal neovascularization.

you can see the flap margin without dye under normal light.lasikcomplications.LASIK surgeons seem to think that more surgery can fix problems created by previous surgeries. In the photo on the right. the cornea was illuminated with a blue light after placing a dye into the eye.9/18/13 LASIK risks LASIK side effects LASIK problems and complications The eye below has undergone LASIK and PRK and conductive keratoplasty (CK). The ring just outside the CK scars is the LASIK flap scar. Medical studies have found that the cornea is incapable of complete healing after LASIK (learn more). but many times it just makes matters worse. The pattern of small scars around the periphery of the cornea (resembling a clock) are scars from CK surgery. This condition may lead to permanent scarring and blindness. In the photo on the left. The dye has settled into the margin of the LASIK flap. as surgical trauma may trigger www. This is another case which illustrates the domino effect of unnecessary eye surgery -.htm 3/5 . History of herpes keratitis is a contraindication for LASIK surgery. The permanent LASIK flap places patients at risk of future eye problems. But a picture is worth a thousand words. This next image is a photograph of a herpes keratitis lesion following LASIK surgery. The two photos below are of the same

dry eyes. some ophthalmologists speculate that permanent destruction of the Bowman's membrane during PRK may lead to late-onset complications. Bowman's membrane is a protective barrier between the environment and the corneal stroma.htm 4/5 . YouTube: LASIK Flap Disintegrates Upon Lifting for Enhancement What about PRK? Note from the Editor: Frequently I get emails from people who want to know if PRK is safer than LASIK. Click here Moreover. Note: The faint ring around the cornea in this photo is the margin of the LASIK flap. I am opposed to all forms of unnecessary eye surgery. I have interacted with countless PRK patients who had a poor outcome. Regression is also common after PRK. and night vision problems are the most common complaints after PRK. Keep your glasses! A 2009 Consumer Reports Health survey finds 53% of laser eye surgery patients experience at least one side effect and 22% still have problems six months after surgery. Link www. Here's a link to a collection of research articles on MMC. PRK carries many of the same risks as LASIK except for flap complications. Read article Large collection of peer-reviewed journal abstracts that demonstrate that LASIK is a harmful LASIK risks LASIK side effects LASIK problems and complications reactivation. MMC has been reported to have long-term adverse effects. Bottom line. Haze. so I can only offer my personal opinion. Many surgeons now use a toxic substance called mitomycin-C (MMC) when performing PRK to prevent haze. I am not a doctor.

Accident rates for pilots with refractive surgery higher than non-refractive pilots Nakagawara. which was actually a 6 to 8-inch deep pool of water. leading surgeons are voicing serious concerns about LASIK and some have already abandoned the procedure completely. who report seeing well in normal room lighting conditions. If concerns regarding laser refractive procedures prove prophetic.S. and oncoming headlights. The Aviation Accident Experience of Civilian Airmen With Refractive Surgery. operated or supported by LASIK surgeons.. June 2002. PubMed.. or sites that refer patients to LASIK surgeons...J. Subjective complaints following refractive surgery include reduced contrast sensitivity.B.) The third accident occurred as the pilot attempted to land on a section of beach that he thought was wet sand. A second accident was a midair collision in which both pilots reportedly failed to “see-and-avoid” one another. One report described the aircraft striking an unattended baggage cart while taxiing at night on a poorly-lit parking ramp..9/18/13 LASIK risks LASIK side effects LASIK problems and complications Behind the scenes. traffic lights. halos.. increased glare sensitivity.lasikcomplications. Just remember. and ghost images) from street lights.. R. V.. Read article If you want to do your own LASIK research. Do not rely on information found on Internet sites owned.W. it can have a severe impact on the visual performance of pilots and aviation safety in the future. K. a good place to start is on the government site. Read more. Some patients. Link to report Disclaimer: The information contained on this web site is presented for the purpose of warning people about LASIK complications prior to surgery.htm 5/5 . have found night driving to be difficult or impossible due to aberrations (i. One hundred twenty six concerned citizens ask the FDA to issue a public health advisory regarding the high incidence of adverse events and long-term consequences associated with LASIK surgery.. Department of Transportation Excerpts: The accident rates for airmen with refractive surgery were higher than those of non-refractive surgery airmen within each class of medical certification and as a total group.. Sponsored by Federal Aviation Administration and U. Read medical studies that reveal problems inherent to LASIK surgery: Medical Studies Researchers report that LASIK eyes have a 48% reduction in corneal biomechanical strength. Conclusions written by biased LASIK surgeons can be misleading and self-serving.e. www. LASIK Risks Serious complications such as delayed ectasia occuring years after LASIK have caused many in the industry to question the safety of the procedure. (Note: The other pilot involved in this accident did not have refractive surgery. LASIK patients experiencing problems should seek the advice of a physician. starbursts. and Wood. sometimes you must read between the lines or obtain the full-text of an article. and the loss of best-corrected visual acuity.The report narratives revealed only three references to visual difficulties.