What options do I have to correct my myopia if I am at risk for post-LASIK ectasia?

Doctor's Answer

Its difficult to be more precise in my answer, in the absence of more specific examination findings. However, in general for patients in your situation, there are definitely options available to you!

First and foremost, this would include an implantable collamer lens which will fully correct your myopia and astigmatism. This is an intraocular procedure to place a collamer lens within the posterior chamber of the eye immediately in front of the natural lens.

It provides excellent visual rehabilitation with a minimum of side-effects (that plague laser refractive procedures). As the cornea is not operated on, the risk of developing corneal ectasia remains the same as if you had not performed surgery.

Some patients in your situation are also suitable for laser refractive procedures including epilasik, femto-assisted Lasik and even Smile / ReLEX. These procedures are usually supplemented by a collagen cross-linking procedure using riboflavin-Ultraviolet-A. This is a process called Epilasik-Xtra, Lasik-Xtra and Smile-Xtra respectively.

This additional procedure stiffens the anterior stromal fibers of the cornea which replicates the de novo state of the cornea, reducing the risk of developing post-Lasik corneal ectasia. You should speak to your ophthalmologist for a more detailed discussion with all your medical records and findings in order to get a detailed understanding of your specific requirements.

Good luck and I'm sure that you will find a solution that is most suited for you!

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