Underwater vision after ICL? ICL after LASIK? LASIK twice?

In 2006, at 23, I had LASIK to correct extreme nearsightedness. At first, night vision was awful--"starburst" effect. General vision slightly deteriorated. Underwater vision unchanged. *Would 2nd advanced LASIK cause starbursts at night again? *Is ICL an option for someone who's had LASIK done? Would it improve underwater vision as well? *For someone without surgeries, would ICL be equally effective in correcting their vision when underwater as it would for general vision? Thanks in advance :)

Doctor Answers 2

Underwater vision and ICL

*Would 2nd advanced LASIK cause starbursts at night again?-->If by advanced LASIK you mean wavefront, yes, it is possible that more LASIK, even wavefront, can cause starbursts again. It can’t be predicted. If you have large pupils, or are having a large correction, the chances of night side effects increase.
*Is ICL an option for someone who's had LASIK done?--> LASIK will not change your candidacy for ICL. Generally speaking, if you were a candidate for ICL pre-LASIK, you will likely be a candidate for ICL now (assuming there is “enough” myopia to treat with an ICL... the minimum is 3D).
*Would it improve underwater vision as well?--> In my experience, underwater vision (with a mask) will improve commensurate with vision on land following these surgeries. Without a mask, it is unpredictable what your vision will be like underwater.

San Diego Ophthalmologist

Underwater vision

It is not unusual for treatment of high prescriptions to result in quality of vision issues such as you describe. For this reason ICL surgery is a better option to start as it would create a better visual outcome for distance vision under all sitations. The existing issues would be best addressed at this time with a custom surface laser treatment to attempt to address issues of corneal irregularity after the original LASIK procedure. In our experience such treatments can substantially improve your situation.

Martin L. Fox, MD
New York Ophthalmologist
5.0 out of 5 stars 1 review

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