A great question, but one that requires a bit of consideration not just with regards to the characteristics of each option but also the specific goals of the individual patient. Ortho K is a non-surgical option that can be useful for patients who are looking for an alternative to be spectacles independent.
Patients have to wear the hard lens overnight to maintain the changes to the corneal shape needed to temporarily correct the patient’s refractive error. The main advantages of this method are that it is non-surgical and reversible.
However, the patient still has to invest time and effort in maintaining the hygiene of the lens which can be bothersome for those who travel frequently. Similarly, as with all contact users, patients are at risk of developing corneal infections and contact lens intolerance. LASIK is a surgical & non-reversible method of correcting one’s refractive error.
The main advantage of LASIK is that patients are freed from use of ANY visual aids whether it be contact lens or spectacles. Hence, there should be cost savings in the long term as well as increased convenience of not having to maintain contact lens hygiene. LASIK as with all surgeries are not without risks.
Fortunately, the incidence of serious complications from LASIK is rare. To be sure, not everyone is suitable for LASIK surgery. Hence, my patients are often subjected to a detailed eye assessment to manage the patient’s risk well and to maximise stable long term results. Finally, LASIK is an option best suited for patients whose refraction has stabilised. Hence, this option is not suited for children or teenagers below 18 years of age.
As with all things relating to treatment choices, there isn’t such a thing as “best treatment”. Do not be drawn by advice that only proposes one type of laser technique or contact lens product. Your healthcare provider must discuss the various options available and propose the choice that best suits your own eyes and goals. I hope this will guide you towards achieving your goals of spectacles independence.
Dr David Chan
