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Which is better: ICL or PRK, based on the cornea thickness?

manchitJul 7, 2016
i'm 23..i consulted 2 doctors for LASIK. One doctorsaid that i have the cornea thickness as 490 and proposed PRK treatment,and the amount is less. other doctor said my eyes are only suitable for ICL, i have cornea thickness as 470 & the amount is high.i don't know why this cornea thickness is different with different doctors.what should i do now. Should i proceed with PRK or ICL.will there be any further issues with my eyes? can i proceed with any of these 2 treatments? Please help me to decide.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Emil William Chynn, MD, FACS, MBA
Board Certified Ophthalmologist
Answered on Jul 18, 2016
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William Wiley, MD

I use a two week guideline for my patients. It's reasonable.  If you leave them out longer, it's ok.  I wouldn't leave them out for a shorter window though.  Two weeks is pretty typical for most surgeries- assuming that it's some variety of soft lens.

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Emil William Chynn, MD, FACS, MBA

It would be 100% crazy to get an ICL for -7 if you had a normal topography, so since you said many MDs said to get ICL, i am concluding you have irregular astigmatism so they think you might have FF KC, which one of them probably should have told you, so you don't have to hear that from me;)so...

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Hugo Higa, MD

According to your refraction, the amount of astigmatism is -1.25 Right and -0.75 Left.  However, your keratometry (measures shape of cornea) readings show a -3.75 Right and -4.00 Left astigmatism.  You actually have less refractive astigmatism now than before.  The ICL went almost...

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