At InSight LASIK & Refractive Group, patient education is as much a part of our commitment to excellence as delivering the highest-quality vision care. Knowing that many people have questions about the LASIK laser vision correction procedures offered at our surgery center near Pittsburgh in Western Pennsylvania, we have tried to answer some of those questions here.
Laser vision correction is an advanced form of eye surgery in which the ablating energy of an excimer laser is used to alter the shape of a patient's cornea, thereby correcting refractive error. Currently, the most popular form of laser vision correction is LASIK surgery. However, PRK, the forerunner of LASIK, can be used as an alternative method of laser vision correction for many individuals who are not ideal candidates for the LASIK procedure.
The best candidates for LASIK laser vision correction are over 18 years old, since the eye does not reach full development until approximately that age. They should also have adequately thick corneas to reduce the risk of complications arising from the creation of the corneal flap, as well as a prescription that has been stable for at least a year.
Women who are pregnant or nursing or anticipate becoming pregnant should delay undergoing laser vision correction because hormonal changes that occur naturally during pregnancy can affect the results of the procedure.
In addition, it is important that LASIK candidates understand that, as with any surgery, there are risks associated with the procedure, and that no absolute guarantees can be made. LASIK is usually quite successful in reducing an individual's dependence on corrective lenses; although it won't necessarily eliminate the need altogether, it frequently does this as well.
In a perfectly shaped eye, light is refracted (or bent) as it passes through the cornea and crystalline lens and arrives at a focal point on the retina, creating a crisp, precise image. However, when light passes through an abnormally shaped eye, improper refraction may result, producing blurred or otherwise inaccurate vision. Lower-order refractive errors such as nearsightedness, farsightedness, and astigmatism can be addressed with laser vision correction. Custom wavefront LASIK allows our refractive surgeon to correct the more difficult higher-order aberrations that often cause starburst patterns, halos, and persistent glare.
Nearsightedness (also referred to as myopia) is a refractive error that is caused by an elongated eye; the eye is slightly longer than average from front to back. This irregular shape causes light to be focused at a point before the retina, where all images are produced, thereby resulting in blurred distance vision while near objects retain their clarity. Nearsightedness is a lower-order aberration that can be improved with laser vision correction at our surgery center in Western Pennsylvania.
Farsightedness (or hyperopia) is the opposite of nearsightedness. It is a refractive error caused by an eye that is shorter than normal from front to back. Light is focused at a point behind the retina, causing near objects to appear blurred while distance vision remains clear. Laser vision correction at our surgery center near Pittsburgh is an effective means of improving farsightedness.
Astigmatism is a refractive error that occurs when the cornea or the lens is irregularly curved. Instead of having a uniform curvature, some areas may be flatter or steeper than others. This distortion results in multiple focal points, which produce blurred vision at all distances. Astigmatism is generally present from birth, and the condition remains relatively constant over time. Like farsightedness and nearsightedness, astigmatism is treatable with laser vision correction. Limbal relaxing incisions have also proved effective in correcting this common refractive error.
Presbyopia is an age-related condition that affects many people as they reach their 40s. Individuals with presbyopia experience a gradual decline in near vision. Symptoms include:
Presbyopia occurs when the proteins within the eye's crystalline lens begin to change, causing the lens to harden. A healthy lens is able to change shape to adjust for changing focus. When the lens begins to lose its flexibility, it can no longer adjust its shape to provide proper refraction for close objects, and near vision becomes blurred.
Because presbyopia is not caused by irregularities in the shape of the eye, clear lens extraction is the most effective treatment for the condition, aside from corrective lenses. Laser vision correction, which involves reshaping the structure of the eye, is not yet able to improve the condition, though it may become a useful method in the future.
LASIK is an outpatient procedure performed in our ambulatory surgery center. Though the actual surgery is completed in a matter of seconds, depending on the degree of correction required, the entire procedure may take several minutes. In addition, there is a certain amount of preparation that goes into every LASIK procedure, and the surgeon may want to observe the patient following surgery to ensure that there are no immediate complications.
Both PRK and LASIK are painless. The surgeon uses anesthetic drops to numb the eyes before surgery. After surgery, some patients may experience varying degrees of discomfort, particularly with PRK, but eyedrops and/or oral medications can alleviate much of this discomfort.
Many patients notice immediate results following their LASIK procedure and are able to resume their normal daily activities. However, protective eyewear is recommended for certain activities. PRK and other types of laser vision correction require more time before patients notice any appreciable improvement in their vision. Some may also experience slight discomfort during the healing process, typically lasting from three to five days.
Some complications of laser vision correction include:
Though such complications are possible, studies have shown that the actual risk of these complications occurring is minimal.
If you have additional questions about the methods of laser vision correction performed at our Pittsburgh-area surgery center in Western Pennsylvania, please don't hesitate to contact InSightSM LASIK & Refractive Group.
Contact InSightSM LASIK & Refractive Group if you would like to schedule a consultation, or if you have additional questions regarding laser vision correction at our Pittsburgh-area practice in Western Pennsylvania.
InSightSM LASIK & Refractive Group
105 Brandt Dr.
Cranberry Township, PA 16066
T: 724-772-9600
F: 724-772-5468