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Refractive and laser surgery

Refractive eye surgery can permanently correct short sight (myopia), long sight (hyperopia) and astigmatism (uneven focussing power). Laser eye surgery is generally non-essential surgery and therefore not usually available on the NHS. The procedure can carried out privately various eye clinics , and all the consultants who carry out refractive surgeryhave to be qualified.
There are several types of surgery ranging from LASIK, LASEK, PRK and more recently Wavefront. It is best to go to a clinic with an open mind and not thinking of a certain type of Laser Eye surgery - leave this to the Eye consultant who will advise you on the BEST FOR YOU.

 

How does refractive Eye surgery work?
The focussing power of the eye can be corrected by changing the shape of the cornea using the EXCIMER laser or, where relatively large corrections are required, by implanting an artificial lens. The aim is to allow you to see clearly in the distance without glasses or contact lenses

You will have to be seen by a consultants and have your eyes examined before it can be established for certain whether you are a suitable candidate for refractive surgery. However, if you fit all the following criteria you may well be suitable for corrective surgery:

  • You must be over 21
  • In general good health
  • Have had stable prescription for at least 12 months
  • Both eyes must have good vision
  • You should have a prescription within the recommended safe range for the procedure. For LASIK this is -1.00 to -10.00 (short sight) or +1.00 to +6.00 (long sight) including any astigmatism. Higher refractive errors can be corrected by lens implantation. Ask your optometrist if you are not sure how to interpret your prescription

You may not be suitable if:

  • You are pregnant
  • You have had a previous Herpes viral infection of the cornea
  • You are taking any drugs which interfere with the healing response such as chemotherapy
  • One or both eyes has a significant ocular abnormality or keratoconus (conical cornea)
  • You have severe dry eye disease
  • You have worn contact lenses within 2 weeks (soft lenses), 4 weeks (gas permeable hard lenses), or 6 weeks (conventional hard lenses) of the pre-operative assessment - contact lens wear can cause temporary changes in your corneal shape making accurate assessment difficult
  • You have certain medical conditions, such as diabetes mellitus, SLE, rheumatoid arthritis, connective tissue disorder or other auto-immune disease

 


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