PRK Performed Twice? Doctor Answers, Tips
LASIK: Q&A
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PRK Performed Twice?

I have had 2 LASIK procedures already (original and one enhancement). Several years since my LASIK enhancement surgery. My right eye has 0.75 of astigmatism. The doctor said he doesn't recommend I do PRK but would do it if I requested. However, he told me PRK is a one time procedure and if I'm not satisfied with the result, I wouldn't be able to do it again. Is this true? If I get PRK now (I'm in my mid 30's), can I do it again (a 2nd time) when I'm in my 50's to treat presbyopia?

3 Doctor Answers | Asked by dushen
+2

PRK enhancement and presbyopia

There is not a limit to how many times you can have an enhancement. However, we are limited by the amount of corneal tissue. You can only take away a certain amount before you interfere with the structural strength of the cornea. In addition, We don't usually do more than one enhancement as there should be few reasons to ever have to do a third enhancement. PRK/Lasik do not currently treat presbyopia.
+1

Recommendation

Best way to treat presbyopia is with Refractive Lens Exchange. Going back once more to treat astigmatism with PRK will increase your chances of having a weak cornea, which you already seem to have with two Lasik enhancements.
+1

PRK over LASIK as a method of enhancement

Typically in my office, I feel comfortable picking up LASIK flaps for the first year or two. For someone who needs an enhancement to their LASIK result past this time, is from another surgeon, or where there is concerned about adequate corneal thickness I suggest PRK as an enhancement. The nice thing about PRK is that it is safer than LASIK, but it does take longer to heal. As long as the cornea is healthy and there is enough corneal thickness remaining, multiple PRK... more

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Comments (1)

Advanced Eye Hospital 13 Mar 2013
Hi. Greetings from Advanced Eye Hospital! Presbyopia is far sightedness caused by loss of elasticity of the lens due to aging. As regards Lasik / PRK when you are in your 50's, refractive surgery can correct the error that has hitherto occurred, but the process would continue as part of the normal aging process and it would not make sense to keep having enhancement surgeries every now and then. Who knows if new technology advances to allow the treatment for Presbyopia in the future! As for the present, ask yourself if the astigmatism of 0.75 is really disrupting your lifestyle too much and if you can do without any enhancement procedure. Warm regards, www.advancedeyehospital.com

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