Is LASIK or Epi-LASIK recommended for high myopia?

With high myopia, we must first ascertain if you have sufficient corneal thickness for you to safely undergo laser vision correction. The higher the myopia, the more corneal tissue needs to be removed. Hence, having sufficiently thick corneas is an important consideration. A comprehensive pre-laser evaluation would be able to give your surgeon details about your eyes including the shape of your eyes, the stability of your refraction, etc. From there, your surgeon will be able to recommend the most appropriate procedure for your eyes. In my practice, I generally do not recommend epi-LASIK should your myopia exceed -8.00 as there is a higher possibility of seeing haze and regression after surgery.