How can I minimise the chance of regression after LASIK if I have high myopia?

Doctor's Answers 2

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Dr E-Shawn Goh

Ophthalmologist

Looking at your question in totality, it appears that you have high myopia and want to achieve perfect eyesight with low risk of regression after refractive surgery.

There are many great options available today, and if spectacles / contact lenses are not your thing, and you are considering surgery then any laser option with the combination of collagen cross-linking procedure (epilasik-extra, lasik-extra, smile-extra) or implantable collamer lens all offer the opportunity for excellent spectacle-free vision with low risk of regression.

Do speak to your ophthalmologist for which options are most suitable for you and why. Best of luck with your surgery!

There are many options you can consider to achieve good vision without glasses and contact lenses.

Indeed, studies have shown that there is a higher risk of post-LASIK regression in individuals with high myopia. But nowadays, patients have the option to include collagen cross-linking on top of the laser vision correction procedure. Collagen cross-linking aims to strengthen the cornea by activating the collagen fibres on the eye to cross-link, thereby strengthening the eye by 5 times post-surgery. This may have the potential to reduce the possibility of the cornea going back to its original shape (and thus, causes the regression).

Another type of refractive surgery to consider for high myopia will be Implantable contact Lens. These lenses are implanted into the eye and the power of the lens is customized to suit the individual visual requirements. They have the potential to correct up to -18.00 of myopia.

You may consider going for an eye evaluation with an eye surgeon to ascertain your suitability for the various refractive surgery options.

Similar Questions

Is Epi-LASIK or LASIK better if I have a history of corneal abrasion due to contact lens wear?

This is an excellent question. It seems like you may be suffering from a known complication following trauma to the eye, specifically the window of the eye known as the cornea. Occasionally, the surface of the cornea may become fragile and prone to spontaneous abrasion or the medical term used is recurrent corneal erosion. In this particular situation, advanced surface ablation may help to stabilise the cornea to prevent further spontaneous abrasion. Strictly speaking, the term used for treatment in this situation is called photo-therapeutic keratectomy (PTK).

Does corneal collagen cross linking with LASIK or ReLEx® SMILE® have benefits?

Corneal collagen crosslinking with LASIK or SMILE is relatively new, and the true beneficial effects, if any, may not be quantifiable or known for some years yet. In essence, after the cornea has been reshaped (through LASIK or SMILE), vitamin B2(riboflavin) is applied to soak the cornea, and then ultraviolet light is shone on the soaked cornea. The entire crosslinking process adds about 3 minutes to the entire refractive procedure. We do know that after crosslinking, the cornea becomes stiffer (stronger in a way). There is no other extra effect known to be caused by the crosslinking.

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