All-laser Lasik is known to diminish the risk of nightime issues. I had a surgery using older methods (blade flap and laser without wavefront) and have glares and starbursts. Is there a way to fix that?
August 25, 2018
Answer: Glare and starburst after LASIK vs LASEK
i have this myself, since i had the same, older, cutting LASIK procedure myself 13 years ago
like you, i had non-wavefront, because wavefront didn't exist back then, and a metal blade
however, it is not true that these symptoms are decreased by wavefront and using a laser to cut a flap, it is decreased by wavefront, the method by which you cut the flap really doesn't matter in terms of night glare, because it's cutting a flap and having a 2-piece cornea that is sandwiched together that contributes to night glare.
when light enters your cornea at night, it hits the flap interface, which never fully heals, and reflects and refracts across this interface, causing night glare
the noncutting LASEK and epiLASEK techniques don't cut a flap, so you don't have a 2-piece sandwiched cornea afterwards, so less night glare
i fix people like you every day at my center. what you need is a PreVue lens to show you how you would see after your WaveFront enhancement. i would do a noncutting LASEK on top of your old LASIK, as this is way safer than cutting a new flap or digging the old one up. your enhancement MUST be wavefront, btw, or it really won't help your symptoms much
hope this helps!
Helpful
August 25, 2018
Answer: Glare and starburst after LASIK vs LASEK
i have this myself, since i had the same, older, cutting LASIK procedure myself 13 years ago
like you, i had non-wavefront, because wavefront didn't exist back then, and a metal blade
however, it is not true that these symptoms are decreased by wavefront and using a laser to cut a flap, it is decreased by wavefront, the method by which you cut the flap really doesn't matter in terms of night glare, because it's cutting a flap and having a 2-piece cornea that is sandwiched together that contributes to night glare.
when light enters your cornea at night, it hits the flap interface, which never fully heals, and reflects and refracts across this interface, causing night glare
the noncutting LASEK and epiLASEK techniques don't cut a flap, so you don't have a 2-piece sandwiched cornea afterwards, so less night glare
i fix people like you every day at my center. what you need is a PreVue lens to show you how you would see after your WaveFront enhancement. i would do a noncutting LASEK on top of your old LASIK, as this is way safer than cutting a new flap or digging the old one up. your enhancement MUST be wavefront, btw, or it really won't help your symptoms much
hope this helps!
Helpful
Answer: Glare and Starbursts from Lasik Performed Long Ago
There is no question that excimer lasers in 2012 are of a higher quality than lasers in 1994(when I had my nearsightedness corrected). It was very common, in those days, to have glare and starbursts as an ongoing side effect, simply because the lasers could not get the cornea as smooth as they can today. So, to answer your question, you can certainly come back in for a laser enchancement that would smooth out your cornea in an attempt to reduce or eliminate your glare. There are a few caveats to this: your cornea needs to be measured in order to make sure you have enough corneal thickness to do this correction, and your eye health would have to be assessed to be sure there is no other reason(like a cataract) for your glare. All in all, though, it sounds like your symptoms could be made better with modern technology.
Helpful
Answer: Glare and Starbursts from Lasik Performed Long Ago
There is no question that excimer lasers in 2012 are of a higher quality than lasers in 1994(when I had my nearsightedness corrected). It was very common, in those days, to have glare and starbursts as an ongoing side effect, simply because the lasers could not get the cornea as smooth as they can today. So, to answer your question, you can certainly come back in for a laser enchancement that would smooth out your cornea in an attempt to reduce or eliminate your glare. There are a few caveats to this: your cornea needs to be measured in order to make sure you have enough corneal thickness to do this correction, and your eye health would have to be assessed to be sure there is no other reason(like a cataract) for your glare. All in all, though, it sounds like your symptoms could be made better with modern technology.
Helpful