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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Cylindrical Eye Power. Should I Go For Lasik Laser Surgery?

Hello,

I hope you can offer some advice...

I have been wearing glasses for about two years now. My prescription for glasses is:

SPH

Right:+1.25 Left:+0.75

CYL

Right:-3.25 Left:-0.25

AXIS

Right: 57 Left: 135

I am 33 years old and want your advice about lazer surgery.

I still struggle with glasses, I don't think I suit them, hassle with them slipping, Always dirty etc. I also clay pigeon shoot and the glasses always feel like they are in the way and limit my view.

I a considering lazer eye surgery and visited Optiax who have offered to carry out either LASIK or Lasek on my right eye. My left prescription doesn't justify surgery at the moment.

The optometrist i saw couldn't confirm which procedure (LASEK or LASIK). Is most suitable, they want to check with the surgeon and will get back to me in the next few days. I will, apparantly, definitely be suitable for LASEK, possibly LASIK. I would prefer LASIK due to the faster recovery time.

My question is... With the prescription above would you proceed? Without glasses I can see OK with both eyes open, I guess my left eye compensates for my right. If I close my left I cannot see much at all clearly. As far as shooting goes, without glasses I cannot hit a thing!

Would you go the laser route?

Many thanks
Thu, 26 Sep 2013
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Ophthalmologist 's  Response
Hi..
Thanks for the query..
The choice of procedure depends on your corneal thickness and curvature in addition to the power...
There is no cutoff point exactly but if the corneal thickness is >500 microns we proceed with LASIK (again depends on the power to be corrected) and if At the end both give comparable results..
Regarding the left eye the power is less and whether to go for procedure or not depends on your uncorrected visual acuity and your professional requirements of vision...
Consult an ophthalmologist who can give you the option by seeing your topo reports..
Hope this information helps you.. Take care..
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Ophthalmologist Dr. Dadapeer K's  Response
Hello,
As you are having refractive error in both the eyes with more refractive error in right eye than left eye, you need treatment in the form of refraction and correction either by spectacles, contact lenses or refractive surgeries like LASIK.
Since you are having problems with glasses I advice you to go for contact lenses or refractive surgeries.
Again contact lenses are cumbersome as they require daily wearing and removing and their maintenance. Hence Laser refractive surgery is preferred.

Usually LASIK is preferred surgery because of faster recovery and quick visual rehabilitation. LASEK is done in people with thin corneas in whom LASIK cannot be done before of risk of corneal thinning.

Before undergoing refractive surgery you are supposed to undergo few tests like measurement of corneal thickness, corneal topography, which will decide you whether you are fit for LASIK and other refractive surgeries like LASEK.

Do consult your ophthalmologist he will be able to guide you better depending on the examination results.

Thank you
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Have Cylindrical Eye Power. Should I Go For Lasik Laser Surgery?

Hi.. Thanks for the query.. The choice of procedure depends on your corneal thickness and curvature in addition to the power... There is no cutoff point exactly but if the corneal thickness is 500 microns we proceed with LASIK (again depends on the power to be corrected) and if At the end both give comparable results.. Regarding the left eye the power is less and whether to go for procedure or not depends on your uncorrected visual acuity and your professional requirements of vision... Consult an ophthalmologist who can give you the option by seeing your topo reports.. Hope this information helps you.. Take care..