Complications are unlikely after LASIK

Jon Dishler, MD answers: Common complications after Lasik?

what are the most common complications following lasik surgery? how often do complications occur?


Jon Dishler, MD
2 months ago

LASIK is one of the most frequently performed surgeries in the world today, and fortunately, complications are relatively uncommorn.  This somewhat depends on how one defines complication.  If it includes getting a result that is less than a perfect correction, then one might say that the rate is higher.  Most consider complications to be something that was unanticipated or unwanted.  Most complications had to do with the first step in LASIK, making the corneal flap.  By having the procedure peformed with the blade free, Intralase, or other femtosecond laser methods, the risks of these problems are greatly reduced.  Other complications can occur with healing such as wrinkled flaps, light sensitivity, or decreased best corrected vision.  Most of these problems are transient or can be repaired if caught early. 

There are also what is known as side effects in LASIK surgery such as dry eyes, halos at night, or difficulty with low constrast conditions.  These are again usually temporary or mild but with the older laser technology especially, can be moderate or severe.

Serious sight threatening complications are rare such as infection, but need to be watched for nonetheless.

Overall, it is important to understand that LASIK is extremely safe and some studies have shown it to be safer than wearing contact lenses for an extended period of time.  It is a process of not only having the procedure, but one that starts before the procedure with proper screening and continues into the post operative period for several months and sometimes longer.  Be sure you have a doctor who you are confident in not only to do the LASIK but to manage and coordinate any care you may need however unlikely problems may be.

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