Yes. Myopia can be treated to approximately -12, whilst hypermetropia can be treated to +6. Up to 6 dioptres of astigmatism can be treated by LASIK. Patients unsuitable for excimer laser treatment may be offered an alternative treatment option to correct their vision.
To determine your suitability for laser surgery you need an assessment consultation at site for eyes. At this consultation we will look at the general health of your eye, discuss the treatment options, possible complications and results you can expect after surgery.
Laser retreatments within the first two years are carried out free of charge, on a like for like basis. Thereafter a small facility fee will be charged. There may be a small facility fee payable for any other surgical procedures preformed.
The majority of refractive surgical procedures are carried out under a local anaesthetic and pain or discomfit at the time of surgery is uncommon. It is very unusual for there to be pain following LASIK or intraocular lens procedures. Occasionally a patient will complain of gritty, uncomfortable eyes after LASIK. Discomfort is more common after surface laser ablation for two to three days as the surface of the eye heals.
This will depend upon the procedure being preformed. In most cases the actual surgery only takes 10-20 minutes, but you will be with us for approximately 2-3 hours.
The success rate depends on you ocular health and refractive error. This is better discussed at the initial consultation with the surgeon
The flap is settled immediately after surgery. It is possible for it to move on the first night after surgery. The surgeon can lift the flap if necessary for retreatments, but you are very unlikely to move it after the first week unless you rub it vigorously.
Laser surgery does not cause presbyopia. If you have refractive lens exchange and an intraocular implant this will result in a loss of ability to focus (unless an accommodating or multifocal implant can be used) and reading glasses may be required.
Excimer laser surgery does permanently alter the shape of your cornea. This does not mean that your refractive error will not change. If you are going to naturally become more short or long sighted then this will still occur. With lens replacement surgery once your own lens has been removed the effect of this is permanent.
Presbyopia is a natural aging condition which affects most people in their mid forties to fifties. It is due to the lens in the eye becoming less elastic with age, and therefore not working as effectively for close work. This means that most people in this age group start to need reading glasses, or bifocals. With or without refractive surgery you are likely to need reading glasses at some stage. It is also possible that people may need to wear a small prescription for certain other activities after surgery.
It is possible that laser surgery may be able to help you. Monovision is a possible alternative to reading glasses. Refractive lens surgery with multifocal implants may help.
This will depend upon the procedure being carried out. It is possible to perform the surgery on both eyes on the same day if you are having laser surgery. You would need to discuss the risks with your surgeon. However the final decision is yours.
The eye is healed structurally at approximately one month, and optically at approximately three months after surgery.
Most patients will have adequate vision to resume normal activities the day after the procedure except in the case of surface laser where this may take up to one week.
How long do my contact lenses need to be left out prior to the consultation?
Soft contact lenses need to be left out for at least three days prior to the consultation. Hard or gas permeable contact lenses need to be left out for at least three weeks.
Why do contact lenses have to be left out prior to the consultation?
Contact lenses need to be left out prior to the consultation and any subsequent assessment, as they may affect the natural curvature of the cornea. For the accuracy of results we need to know the curvature of the cornea before surgery, therefore it is essential that you leave them out for the recommended period.
If I need to will I be able to wear contact lenses after the surgery?
If you do need to wear contact lenses then they can be fitted three months after surgery.
Can I wear eye makeup prior to surgery?
We ask that you do not wear any eye makeup for a minimum of 3 days prior to and on the day of surgery.
Do I need to remove my nail varnish prior to lens surgery?
Yes, we recommend you remove all nail varnish prior to refractive lens surgery
How long until I can wear makeup?
We advise that you do not wear makeup for a minimum of two weeks post surgery.
How long until I can have my eye lashes tinted?
We advise that you do not get your eye lashes tinted for at least one month post surgery.
How long until I can fly?
We recommend at least one week as long as you have had your first follow up appointment.
How long until I can play sports?
One week for non contact sports
One month for contact sport e.g. football, rugby, boxing and martial arts.
How long until I can swim, use the sauna or the steam room?
We advise that you don’t do any of the above for a minimum of two weeks after surgery.
How long before I can go back to work?
You will need to see the surgeon on the day after LASIK surgery and the second and fifth day after surface laser. For most procedures it is recommended that you take approximately 1-2 days off work. With surface laser 5 days is recommended and following refractive lens surgery 2-3 days is recommended. Certain manual workers may require a little longer in all cases.
When will I be able to drive?
Usually you are able to drive within a few days of surgery as long as you meet legal driving standards. We suggest that you wait until you are used to both your night and day vision.