Should I get a second opinion?

Question

I have myopia -10, my corneas are normal thickness(not thin). I saw a retinal specialist today, that said everything looked good and I would be fine to go ahead with LASIK, but my Dr. won't do LASIK b/c of my high myopia of -10. I have read where other people have had success with more severe myopia than me.

Ahad Mahootchi, MD · Answer

At minus 10 you might get away with LASIK but the quality of vision is probably better with a well done ICL. For big corrections there are quality of vision ( you can be 20/20 but 20/unhappy) concerns for higher prescriptions that aren't as concerning for lower level treatments with the excimer laser.

David Malitz, MD · Answer

You can get multiple opinions.  The only issue that matters is your final outcome.  You CAN have LASIK or PRK with a prescription of -10.0 but at a higher risk of a poor outcome or even vision loss than someone with a lower prescription, like -2.00.   A better choice may be  an implantable contact lens (ICL).  If you are over 45, a clear lens exchange may be an option...  Glasses and contacts are options as well...,

Jacqueline Griffiths, MD · Answer

Your candidacy for laser vision correction depends on a lot of factors including but not limited to your age, level of correction, corneal thickness, corneal mapping, stability of prescription, steepness/flatness of the cornea.  Therefore, there is no easy answer here.  Laser vision correction can be done on prescriptions like yours but some doctors prefer surface treatments without a flap rather than LASIK with a flap in these cases to conserve altered tissue.  Alternative surgical options would include intraocular contact lenses or refractive lens exchange depending on your age.

Should I get a second opinion?

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