Am I Suitable for LASIK or LASEK?

Am I suitable for LASIK or LASEK treatment?

The only way to establish whether laser eye surgery is appropriate for you is at consultation, where we perform a series of comprehensive eye tests to assess suitability for treatment; we also ensure your eyes are healthy, and advise you fully on the benefits and risks of the laser eye procedures and your options.

What happens at consultation?

You should allow a full two hours for your consultation, since it entails the following:

• Comprehensive eye test (known as refraction).

• Detailed scanning of the eye, using state-of-the-art equipment specifically designed to capture precise measurements that will be used to programme the laser with data that’s unique to you.

• Full ophthalmic assessment, including an eye pressure check and examination of the back of the eye (the retina).

Mr Maurino’s team members carry out the above diagnostic tests, but you always will be seen by Mr Maurino, who will explain the results of the eye tests and discuss which of our range of treatments may be most appropriate to you. Note that all procedures are carried out by Mr Maurino himself and no one else.

Do I need to prepare for a consultation?

Yes. If you are a contact lens wearer, leave your contact lenses out prior to consultation for:

o Gas permeable/hard lenses – minimum 2 weeks

o Soft lenses – minimum 3 days

Continuous contact lens wear can lead to temporary changes in the shape of your cornea. It is important to leave contact lenses out prior to the consultation, as specified above, to ensure that the eye tests we perform are accurate.

• Bring a record of your spectacle prescriptions over the last 2 years if possible. Laser eye surgery is normally postponed until the spectacle prescription is stable. Small variations in your prescription are normal, but if there were a change of more than 0.75D over the last 2 years, we would normally wait 12 months before proceeding with surgery to ensure that there is no progressive change. Refractive surgery is normally postponed until the spectacle prescription is stable. Small variations in your spectacle prescription are normal.

• Prescriptions typically do not stabilise until the late teens or early twenties. To be suitable for laser eye surgery of any sort, you should be over 21 years of age with no change in your spectacle or contact lens prescription over the previous 2 years. The first step towards laser eye surgery is obtaining an up-to-date spectacle prescription and records of any previous prescriptions over the last 2 years from your optician.

• Laser eye surgery is safest and most accurate in treating a defined range of refractive errors:

• Short sight (myopia) (-1.00 to -10.00D)

• Long sight (hypermetropia) (+1.00 to +4.00D)

• Astigmatism (up to ±5.00D)

For prescriptions outside this range, the most appropriate procedures are based on implanting a new artificial lens, either as an add-on lens (ICL – intraocular contact lens) in young patients, or in older patients (above the age of 50) an operation identical to modern cataract surgery but called refractive lens exchange (RLE) can be performed. If you fall in any of the above categories it will be explained to you why laser surgery is not recommended and you will be given oral and written explanations on the procedure you are most suitable for.

 

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