Steven Dell, MD

The best thing to do is return to your surgeon for a full evaluation. It can be anything from a simple issue to something more involved, but in any case routine eye care is necessary to ensure that your vision is performing at optimal levels.

Regards, 

The first thing to do is talk with your surgeon about your problems. Ask if you have had a custom wavefront guided procedure. Occasionally if the first procedure is not a custom wavefront guided procedure, this type of laser can help night driving issues.

If your initial procedure was with a custom wavefront guided laser, then you may have to work with your eye doctor on other solutions.

For legal and physical reasons, them minimum age is usually 18 years old.  This is when the prescription is usually stable for prescriptions like yours.  

This is an excellent question.  Dry eye is something we watch closely for before LASIK surgery and if found we will treat it aggressively until we feel it is stable enough for LASIK.  Uncontrolled dry eye is usually a contra-indication to eye surgery.  Anyone with pre-existing dry eye should also be treated for an extended period of time after LASIK.  The use of a LASER to create the corneal flap should also lessen the risk of post operative dry eye compared to use of a blade. 


If both of your eyes are corrected for distance, you should have excellent vision but require reading glasses up close because of your age. 
 

Cataract surgery is safer and more effective than ever before. The success rate is extremely high. The equipment used to remove cataracts has steadily improved over the years. In fact, I had the opportunity to be the second surgeon in the US to remove cataracts using a femtosecond laser. I'm not prepared to say that this new technology is superior as of yet, but we are gathering data and if it truly is safer and more effective than the excellent methods we have currently, laser assisted cataract removal will become prevalent.

Steven J. Dell M.D.