LASIK: Q&A
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PRK or LASIK? I'm a Minus 8 with Dry Eye.
I went to 3 different places for consultation. First suggested LASIK... second (Bascom Palmer) said I was a candidate for either LASIK or PRK... third Rand Eye suggested LASEK, but I believe that is all they do now. When I went to the 2nd consult I didn't understand that their was a difference between PRK and LASEK. Why as a surgeon would you prefer one over the other (not taking LASIK into account). Thanks.
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4 Doctor Answers |
Asked by
msflpant
+2
LASIK vs. LASEK vs. PRK
LASEK vs. PRK is very controversial because the two procedures are so similar. However, LASIK vs. PRK or LASEK is different and just like any other specialty, each surgeon is going to have a different opinion.
Some surgeons are convinced that LASEK gives faster healing than PRK, but the research is still unclear. Other surgeons have had exactly the opposite experience. Both procedures produce excellent results and any differences in healing time are obviously...
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+2
PRK for minus 8
We don’t recommend that you have LASIK done but rather consider PRK with mitomycin C.
Here are the concepts which you need to keep in mind:
By having having LASIK at your prescription level requires a lot of corneal tissue removal which increases your chances of possible corneal ectasia problems in the future.
Also LASIK will increase your chances of having dry eye problems in the future although most of the dry eye symptoms are temporary...
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Los Angeles Ophthalmologist
+1
PRK is advanced if you use proper and advanced techniques!
To read some of the answers to your question by physicians, it makes my blood boil. LASEK is very similar to PRK and it is very controversial at best which procedure gives better outcomes and better patient experiences. In fact, you can find many, likely hundreds, of studies comparing them, and most of them will show almost no difference, although the majority will likely show better comfort and recovery with PRK. In fact, many doctors used to do LASEK and then finally...
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Mc Lean Ophthalmologist
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LASIK vs LASEK vs PRK for high prescriptions
Once your Rx is -8 or higher, the laser would have to take off a lot of tissue to correct that Rx, it takes off a certain amt of tissue to correct each diopter of Rx, so then your cornea would be too thin and not that strong
so for high Rxs like yours, a surface ablation is preferred, as by not cutting a flap in LASIK, you save 100 microns of tissue, which is the least amount of tissue you can waste by cutting a flap, even with a laser, which is called IntraLase
since a surface...
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