LASIK , which stands for laser in-situ keratomileusis, is generally a safe and effective procedure for many common vision problems. However, not everyone with a vision disorder is a good candidate for this procedure. The Eye Surgery Education Council (ESEC) has developed guidelines to determine who is a good candidate and to explain what you can expect if you have the surgery.
LASIK is performed by an ophthalmologist, a medical doctor specializing in the eye. It is a quick and relatively painless procedure in which a laser is used to permanently change the shape of the cornea. The cornea is the clear covering over the front of the eye. After surgery, most people have improved vision and no longer need glasses or contact lenses. However, this procedure is not for everyone, and it is important to have realistic expectations of the outcome.
The ESEC outlines specific criteria that put people into one of three categories:
Characteristics of the ideal LASIK candidate include:
There are factors that preclude someone from being an ideal candidate. However, if you discuss the risks and benefits extensively with your doctor and set realistic expectations, you could still have the surgery. Factors that make someone a "less than ideal" candidate include:
There are also temporary factors that keep someone from being an ideal candidate. Once these factors change, surgery may be possible. These include:
If you are considering LASIK, schedule an appointment with an eye care professional. You will need a thorough eye exam, as well as a consultation with a doctor. The results of the exam can help the doctor determine if you are a candidate for the surgery and what type of success you can expect.
For the majority of people, LASIK improves vision and reduces the need for glasses or contact lenses. However, there are some risks to be aware of. These include:
RESOURCES:
LASIK Eye Surgery
Food and Drug Administration
http://www.fda.gov/cdrh/lasik/
LASIK Institute
http://www.lasikinstitute.org/
CANADIAN RESOURCES:
Eyesite.ca
http://www.eyesite.ca/
Health Canada
http://www.hc-sc.gc.ca/index_e.html/
References:
Ask the eye surgeon Q & A. All About Vision website. Available at: http://www.allaboutvision.com/visionsurgery/asksurgeon.htm . Accessed September 4, 2008.
LASIK patient screening guidelines. Eye Surgery Education Council website. Available at: http://www.eyesurgeryeducation.com/LASIK_Patient_Screening_Guidelines.html . Accessed September 4, 2008.
Last reviewed June 2008 by Eric L. Berman, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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