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

Question

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 :)

Martin L. Fox, MD · Answer

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.

Mazin Yaldo, MD · Answer

*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.

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

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