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As you know, your corneas are extremely thin. Patients with thin corneas present an increased risk for the postoperative complication known as ectasia, or destabilization of the structure of the cornea. Your prescription is mild, and does not require much corneal tissue to be removed (which works in your favor). If you were to have laser vision correction, I would strongly advise against LASIK, even using IntraLase; rather, I would consider a surface ablation treatment such as LASEK (also known as PRK or epi-LASIK). By not making a flap, the surgeon is not working as deep within the cornea and the risk of ectasia is less. However, there is little to no data out there regarding LASEK on exceptionally thin corneas, and the risk of ectasia. I have done cases such as yours with surface ablation and have never had a case of ectasia in any of them; we are talking dozens of cases though, not thousands (a small sample size).
Hi gymnastboi17, There are no uniform consensus among refractive surgeons as to the exact cut off of corneal pahymetry (measurement of corneal thickness) below which one should not create an intralase flap. The more conservative ophthalmologists may consider 500 Micron as the cut off point, while a more aggressive ophthalmologist would consider 480 micron as a cut off. But, in my opinion, a value of 445 is even below what would be considered by the most majority of ophthalmologists as too thin to do lasik on. My recommendation, assuming the topography is completely normal, consider doing a custom PRK if you are determined to be a good candidate for that procedure.
The FDA has approved all excimer lasers used for LASIK to be OK for patients 21 and over (some, even 18). More importantly, it is essential to look at each individual person and how stable their vision is going into surgery. If your prescription has not changed much, you are perfectly fine to...
By the title of your question, I assume that your HOAs post-LASIK are increased compared to what they were pre-LASIK. Did you have standard or wavefront LASIK? Although possible, it is very uncommon for wavefront LASIK to cause an increase in HOAs. You don’t mention what your current p...
If your dog scratched the white part of your eye, you likely had a conjunctival abrasion at the site of the injury. The conjunctiva is the clear membrane covering the white of the eye. Typically this heals without any problem. However, it is not uncommon to have dryness of the eye occur...
