Is it true that your colleagues in ophthalmology mostly wear contacts and glasses and not opt for Lasik?

Doctor's Answers 1

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Dr Natasha Lim

Ophthalmologist

There are still eye specialists wearing glasses. There are many specialists that we have done LASIK for but there are still many specialists that are wearing glasses. So I really think it's really a freedom whether you want that lifestyle choice. It is a cosmetic procedure like some people have done their double eyelids.

So I think, when LASIK started back in the 1990s, doctors did not have the scanning equipment to determine which corneas were the safest. I think these days the ectasia (cornea decompensation rate) is low because our scanning and assessment tools are so good and doctors have many procedures such as LASEK, Transepithelial PRK, or implantable contact lens to offer patients whose corneas might not be suitable for LASIK. We won't push everyone for LASIK as there are some people who are not suited for it and we might get in trouble. So really, in my hands and Dr Goh's hands, we have not seen a single case of decompensation yet.

Similar Questions

How does an optometrist determine that the degree of the patient is stable for LASIK if it is the first time that the optometrist has seen him?

To find out if the degree has been stable, the optometrist would obtain the history of the eye degree from the patient. If the patient's prescription has remained similar over at least 12 months, the vision is considered to be stable. However, minor fluctuations of 0. 25 to 0. 50 diopters would usually be accepted, as these may be contributed by eye fatigue or errors during subjective refraction.

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Answered By

Dr Tony Ho

Ophthalmologist

If I go for LASIK enhancement 1 year later, will the corneal flap adherence weaken as it has to be opened again?

With LASIK enhancement, the flap is opened and the underlying stromal bed is treated again to remove residual spectacle power. The effect on flap adherence is the same as after LASIK for the first time, ie that initially it will be weak and then eventually as the cornea heals, the adherence will go back to the way it was before the LASIK enhancement was performed.

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