Laser Eye Surgery

Paper Summary:

This paper explains that Laser-Assisted in Situ Keratomileusis (LASIK) and recent variations thereof are the preferred methods for suitable candidates, while Laser Epithelial Keratomileusis (LASEK) is the option for patients whose corneal thickness is insufficient for LASIK procedures. The author points out that the ideal prospective patients are older than eighteen years of age, since their eyes are no longer growing and changing in shape, and the problems for which they seek treatment fall within the category of pathology for which LASIK procedures are most appropriate, such as myopia, hyperopia, and astigmatism. The paper cautions that laser eye surgery is a lucrative business, and the development of the technology has resulted in a virtual explosion of discount laser eye surgery centers throughout the country.

Table of Contents
Introduction
Candidate Criteria
Ideal Prospective Patients for Laser Surgery
Less Than Ideal Candidates
Inappropriate Candidates
Post-Surgical Complications and Associated Risks
Over/Under Correction
Regression
Diffuse Lamellar Keratitis (DLK)
Dry Eyes
Reduced Night Vision, Glare and Halos
Decentered Ablation
Central Islands
Keratectasia
Unscrupulous Practitioners

From the Paper:

"Ideal candidates do not suffer from eye disease or from any other disease or autoimmune disorders that might delay or retard surgical healing or resistance from infection. Similarly, ideal candidates for laser surgery are not taking any medications that increase bleeding or edema. Finally, it is highly desirable that prospective patients fully understand the nature of their eye problems and the degree to which those issues are reversible through laser surgery, as well as the likelihood and nature of post-operative recuperative delays and residual vision problems and limitations."

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