Englewood LASIK doctors
|
Jon Dishler, MD
Denver Ophthalmologist
8400 East Prentice Avenue 1200, Englewood |
57 answers |
Recent Answers
I had lasik 2 weeks ago today and my night vision still hasnt seem to return. When I get in dim light things kinda get fuzzy. What could be the cause of this? Or does my eyes need more time to heal and adjust since my RX was high?
Two weeks is not a long time after LASIK and your vision may not be fully corrected at night during the healing period. Although many patients see well day and night within days of LASIK, some people take longer. This may be because you have large pupils, you may have "nightime myopia" where your vision is not fully corrected at night, or it may be from other causes. You should be patient for 3 months but be sure to check with your doctor and have them be sure that nothing is wrong.
I have a corneal scar on my right eye due to a pseudomonas ulcer I had a month ago. I've told it is deep but is not close to the center of cornea and so it did not affect my vision. I've been not examined by lasik surgeons yet but the other doctors said lasik in the future will be too risky and no one will like to touch my eye because the scar will be always deep. Dose my deep scar ( even if it is not close to the centre) disqualify me from the operation? ...Thanks so much
LASIK requires making a corneal flap and although it can be performed in small superficial scars, and long standing scars, the type you describe may make it a better option to consider PRK or surface treatment even if the scar is not directly over your pupil. Of course, this depends on the size, depth, healing, and other factors that can only be made by your LASIK surgeon. Pseudomonas is a very virulent infections and can create significant damage, which is why I am leaning in this direction. You may also get some extra reactivation and need to have longer steroids post operatively.
My research of laser eye surgery has found that most doctors appear to strongly prefer Lasek over Lasik becs with LASEK you don't have to relift the flap, laser the flap. Also I saw that LASEK won't induce astigmatism or striae, wrinkles, scarring. My question is, what are the benefits of LASIK over LASEK, since I can't find this information?! What are the Pros and Cons?
There are only two ways to laser the cornea to restore vison, either it is done on the surface with removing the epithelial cover (PRK) or that layer is preserved and covers the eye after the treatment (LASEK) but in fact the layer does not survive and essentially LASEK is PRK. So to answer your question compare PRK to LASIK. There are potential issues with LASIK and the flap, but modern all laser methods have reduced these risks. PRK requires a longer, more painful healing process and many times the off label use of medications to control healing such as Mitomycin-C.
Most laser centers perform both procedures and choose the procedure that is best for an individual patient. You should explore both options with your doctor. Currently LASIK is much more frequently performed than PRK.

