{"id":873,"date":"2020-08-21T16:11:06","date_gmt":"2020-08-21T08:11:06","guid":{"rendered":"http:\/\/mataasia.com\/blog\/?p=873"},"modified":"2020-08-21T16:11:06","modified_gmt":"2020-08-21T08:11:06","slug":"top-ten-reasons-not-to-have-lasik-surgery","status":"publish","type":"post","link":"https:\/\/mataasia.com\/blog\/2020\/08\/21\/top-ten-reasons-not-to-have-lasik-surgery\/","title":{"rendered":"TOP TEN REASONS NOT TO HAVE LASIK SURGERY"},"content":{"rendered":"<p class=\"style8\">1.\u00a0<strong>LASIK causes dry eye<\/strong><br \/>\n<a href=\"https:\/\/lasikcomplications.com\/dryeye.htm\" target=\"_blank\" rel=\"noopener noreferrer\">Dry eye<\/a>\u00a0is the most common complication of LASIK. Corneal nerves that are responsible for tear production are severed when the flap is cut. Medical studies have shown that these nerves never return to normal densities and patterns. Symptoms of dry eye include pain, burning, foreign body sensation, scratchiness, soreness and eyelid sticking to the eyeball. The\u00a0<a href=\"http:\/\/www.fda.gov\/MedicalDevices\/ProductsandMedicalProcedures\/SurgeryandLifeSupport\/LASIK\/ucm061354.htm\" target=\"_blank\" rel=\"noopener noreferrer\">FDA website<\/a>\u00a0warns that LASIK-induced dry eye may be permanent. Approximately 20% of patients in FDA clinical trials experienced &#8220;worse&#8221; or &#8220;significantly worse&#8221; dry eyes at six months after LASIK.(1) In 2014, an\u00a0<a href=\"http:\/\/www.fda.gov\/MedicalDevices\/ProductsandMedicalProcedures\/SurgeryandLifeSupport\/LASIK\/ucm190291.htm\" target=\"_blank\" rel=\"noopener noreferrer\">FDA study<\/a>\u00a0found that up to 28% of patients with no symptoms of dry eyes before LASIK reported dry eye symptoms at three months after LASIK. Moreover, corneal nerve damage during LASIK may lead to a chronic pain syndrome known as\u00a0<a href=\"https:\/\/lasikcomplications.com\/corneal_neuropathy.htm\" target=\"_blank\" rel=\"noopener noreferrer\">corneal neuralgia<\/a>.<\/p>\n<p>2.\u00a0<strong>LASIK results in loss of visual quality<\/strong><br \/>\nLASIK patients have more difficulty seeing detail in dim light (loss of contrast sensitivity) and experience an increase in\u00a0<a href=\"https:\/\/lasikcomplications.com\/simulations.htm\" target=\"_blank\" rel=\"noopener noreferrer\">visual symptoms<\/a>\u00a0at night (halos, starbursts, glare, double vision\/ghosting, ). A published review of\u00a0data for FDA-approved\u00a0lasers found that six months after LASIK, 17.5 percent of patients report\u00a0<a href=\"https:\/\/lasikcomplications.com\/halos.htm\" target=\"_blank\" rel=\"noopener noreferrer\">halos<\/a>, 19.7 percent report glare (<a href=\"https:\/\/lasikcomplications.com\/starbursting.htm\" target=\"_blank\" rel=\"noopener noreferrer\">starbursts<\/a>), 19.3 percent report\u00a0<a href=\"https:\/\/lasikcomplications.com\/nightvision.htm\" target=\"_blank\" rel=\"noopener noreferrer\">night-driving problems<\/a>\u00a0and 21 percent complain of eye\u00a0<a href=\"https:\/\/lasikcomplications.com\/dryeye.htm\" target=\"_blank\" rel=\"noopener noreferrer\">dryness<\/a>.(1)\u00a0 The\u00a0<a href=\"http:\/\/www.fda.gov\/MedicalDevices\/ProductsandMedicalProcedures\/SurgeryandLifeSupport\/LASIK\/ucm061366.htm\" target=\"_blank\" rel=\"noopener noreferrer\">FDA website<\/a>\u00a0warns that patients with\u00a0<a href=\"https:\/\/lasikcomplications.com\/largepupils.htm\" target=\"_blank\" rel=\"noopener noreferrer\">large pupils<\/a>\u00a0may suffer from debilitating visual symptoms at night. In 2014, an\u00a0<a href=\"http:\/\/www.fda.gov\/MedicalDevices\/ProductsandMedicalProcedures\/SurgeryandLifeSupport\/LASIK\/ucm190291.htm\" target=\"_blank\" rel=\"noopener noreferrer\">FDA study<\/a>\u00a0found that up to 46% of patients who had no visual symptoms before surgery, reported at least one visual symptom at three months after surgery.<\/p>\n<p>3.\u00a0<strong>The cornea is incapable of complete healing after LASIK<\/strong><br \/>\nThe flap never heals. Researchers found that the tensile strength of the LASIK flap is only 2.4% of normal cornea.(2) LASIK flaps can be surgically lifted or\u00a0<a href=\"https:\/\/lasikcomplications.com\/flapdislocation.htm\" target=\"_blank\" rel=\"noopener noreferrer\">accidentally dislodged<\/a>\u00a0for the remainder of a patient\u2019s life. The\u00a0<a href=\"http:\/\/www.fda.gov\/MedicalDevices\/ProductsandMedicalProcedures\/SurgeryandLifeSupport\/LASIK\/ucm061366.htm\" target=\"_blank\" rel=\"noopener noreferrer\">FDA website<\/a>\u00a0warns that patients who participate in contact sports are not good candidates for LASIK.<\/p>\n<p>LASIK permanently weakens the cornea. Collagen bands of the cornea provide its form and strength. LASIK severs these collagen bands and thins the cornea.(3) The thinner, weaker post-LASIK cornea is more susceptible to forward bulging due to normal intraocular pressure, which may progress to a condition known as\u00a0<a href=\"https:\/\/lasikcomplications.com\/ectasia.htm\" target=\"_blank\" rel=\"noopener noreferrer\">keratectasia<\/a>\u00a0and corneal failure, requiring\u00a0<a href=\"https:\/\/lasikcomplications.com\/corneal-transplant.htm\" target=\"_blank\" rel=\"noopener noreferrer\">corneal transplant<\/a>.<\/p>\n<p>4.\u00a0<strong>There are\u00a0<a href=\"https:\/\/lasikcomplications.com\/long_term_issues.html\" target=\"_blank\" rel=\"noopener noreferrer\">long-term consequences<\/a>\u00a0of LASIK<\/strong><br \/>\n\u2022 \u00a0LASIK affects the accuracy of intraocular pressure measurements,(4) exposing patients to risk of vision loss from undiagnosed glaucoma.<\/p>\n<p>\u2022 Like the general population, LASIK patients will develop\u00a0<a href=\"https:\/\/lasikcomplications.com\/inducedcataract.htm\" target=\"_blank\" rel=\"noopener noreferrer\">cataracts<\/a>. Calculation of intraocular lens power for cataract surgery is inaccurate after LASIK.(5) This may result in poor vision following cataract surgery and exposes patients to increased risk of repeat surgeries. Ironically, steroid drops routinely prescribed after LASIK may hasten the onset of cataracts. In 2015,\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25661126\" target=\"_blank\" rel=\"noopener noreferrer\">researchers reported<\/a>\u00a0that people who&#8217;ve had Lasik are having cataract surgery approximately 10 years earlier, on average, than people with the same axial lengths of the eye who have not had Lasik, and about 15 years earlier, on average, than the general population. Another\u00a0<a href=\"https:\/\/ascrs.confex.com\/ascrs\/15am\/webprogram\/Paper15404.html\" target=\"_blank\" rel=\"noopener noreferrer\">study presented in 2015<\/a>\u00a0found that people who have undergone LASIK have cataract surgery six years sooner than people who have not had LASIK.<\/p>\n<p>\u2022 Research demonstrates persistent decrease in corneal keratocyte density after LASIK.(6) These cells are vital to the function of the cornea.\u00a0 Ophthalmologists have speculated that this loss might lead to delayed post-LASIK\u00a0<a href=\"https:\/\/lasikcomplications.com\/ectasia.htm\" target=\"_blank\" rel=\"noopener noreferrer\">ectasia<\/a>.<\/p>\n<p>5.\u00a0<strong><a href=\"https:\/\/lasikcomplications.com\/BilateralLasik.htm\" target=\"_blank\" rel=\"noopener noreferrer\">Bilateral simultaneous LASIK<\/a>\u00a0is not in patients\u2019 best interest<\/strong><br \/>\nIn a 2003 survey of American Society of Cataract and Refractive Surgery (ASCRS) members,(7) 91% of surgeons who responded did not offer patients the choice of having one eye done at a time. Performing LASIK on both eyes in the same day places patients at risk of vision loss in both eyes, and denies patients informed consent for the second eye. The\u00a0<a href=\"http:\/\/www.fda.gov\/MedicalDevices\/ProductsandMedicalProcedures\/SurgeryandLifeSupport\/LASIK\/ucm061354.htm\" target=\"_blank\" rel=\"noopener noreferrer\">FDA website<\/a>\u00a0warns that having LASIK on both eyes at the same time is riskier than having two separate surgeries.<\/p>\n<p>6.\u00a0<strong>Serious complications of LASIK may emerge later<\/strong><br \/>\nThe medical literature contains numerous reports of late-onset LASIK complications such as loss of the cornea due to\u00a0<a href=\"https:\/\/lasikcomplications.com\/ectasia.htm\" target=\"_blank\" rel=\"noopener noreferrer\">biomechanical instability<\/a>,\u00a0<a href=\"https:\/\/lasikcomplications.com\/dlk.htm\">inflammation<\/a>\u00a0resulting in corneal haze,\u00a0<a href=\"https:\/\/lasikcomplications.com\/flapdislocation.htm\" target=\"_blank\" rel=\"noopener noreferrer\">flap dislocation<\/a>,\u00a0<a href=\"https:\/\/lasikcomplications.com\/Epithelial_ingrowth.html\">epithelial ingrowth<\/a>, and\u00a0<a href=\"https:\/\/lasikcomplications.com\/vitreoretinal_damage.htm\" target=\"_blank\" rel=\"noopener noreferrer\">retinal detachment<\/a>.(8) The LASIK flap creates a permanent portal in the cornea for microorganisms to penetrate, exposing patients to lifelong increased risk of sight-threatening corneal\u00a0<a href=\"https:\/\/lasikcomplications.com\/infection.htm\">infection<\/a>.(9) Complications may emerge weeks, months, or years after seemingly successful LASIK.<\/p>\n<p>7.\u00a0<strong>LASIK does not eliminate the need for glasses<\/strong><br \/>\nSince LASIK does not eliminate the need for reading glasses after the age of 40 and studies show that visual outcomes of LASIK decline over time,(10) LASIK patients will likely end up back in glasses \u2013 sometimes sooner rather than later.<\/p>\n<p class=\"style8\">Imagine putting on an old, outdated pair of glasses. That&#8217;s what LASIK vision is like years after surgery &#8212; your old prescription is permanently lasered onto your corneas. It&#8217;s like being stuck with an old pair of glasses of the wrong power.<\/p>\n<p>8.\u00a0<strong>The true rate of LASIK complications is unknown<\/strong><br \/>\nThere is no clearinghouse for reporting of LASIK complications. Moreover, there is no consensus among LASIK surgeons on the definition of a complication. The FDA allowed laser manufacturers to hide complications reported by LASIK patients in clinical trials by classifying\u00a0<a href=\"https:\/\/lasikcomplications.com\/dryeye.htm\" target=\"_blank\" rel=\"noopener noreferrer\">dry eyes<\/a>\u00a0and\u00a0<a href=\"https:\/\/lasikcomplications.com\/nightvision.htm\" target=\"_blank\" rel=\"noopener noreferrer\">night vision impairment<\/a>\u00a0as &#8220;symptoms&#8221; instead of complications.(1)<\/p>\n<p>9.\u00a0<strong>Rehabilitation options after LASIK are limited<\/strong><br \/>\nLASIK is irreversible, and treatment options for complications are extremely limited. Hard contact lenses may provide visual improvement if the patient can obtain a good fit and tolerate lenses. The post-LASIK contact lens fitting process can be time consuming, costly and ultimately unsuccessful. Many patients eventually give up on hard contacts and struggle to function with impaired vision. In extreme cases, a\u00a0<a href=\"https:\/\/lasikcomplications.com\/corneal-transplant.htm\" target=\"_blank\" rel=\"noopener noreferrer\">corneal transplant<\/a>\u00a0is the last resort and does not always result in improved vision.<\/p>\n<p>10.\u00a0<strong>Safer alternatives to LASIK exist<\/strong><br \/>\nIt is important to remember that LASIK is elective surgery. There is no sound medical reason to risk vision loss from unnecessary surgery. Glasses and contact lenses are the safest alternatives.<\/p>\n<p class=\"style8\">\nReferences:<\/p>\n<p class=\"style5\"><span class=\"style8\">1. Bailey MD, Zadnik K. Outcomes of LASIK for myopia with FDA-approved lasers. Cornea. 2007 Apr;26(3):246-54.<\/span><\/p>\n<p class=\"style5\"><span class=\"style8\">2. Schmack I, Dawson DG, McCarey BE, Waring GO 3rd, Grossniklaus HE, Edelhauser HF. Cohesive tensile strength of human LASIK wounds with histologic, ultrastructural, and clinical correlations. J Refract Surg. 2005 Sep-Oct;21(5):433-45.<\/span><\/p>\n<p class=\"style8\">3. Jaycock PD, Lobo L, Ibrahim J, Tyrer J, Marshall J. Interferometric technique to measure biomechanical changes in the cornea induced by refractive surgery. J Cataract Refract Surg. 2005 Jan;31(1):175-84.<\/p>\n<p class=\"style8\">4. Cheng AC, Fan D, Tang E, Lam DS. Effect of Corneal Curvature and Corneal Thickness on the Assessment of Intraocular Pressure Using Noncontact Tonometry in Patients After Myopic LASIK Surgery. Cornea. 2006 Jan;25(1):26-28.<\/p>\n<p class=\"style8\">5. Wang L, Booth MA, Koch DD. Comparison of intraocular lens power calculation methods in eyes that have undergone laser-assisted in-situ keratomileusis. Trans Am Ophthalmol Soc. 2004;102:189-96.<\/p>\n<p class=\"style8\">6. Erie JC, Patel SV, McLaren JW, Hodge DO, Bourne WM. Corneal keratocyte deficits after photorefractive keratectomy and laser in situ keratomileusis. Am J Ophthalmol. 2006 May;141(5):799-809.<\/p>\n<p class=\"style8\">7. Leaming DV. Practice styles and preferences of ASCRS members&#8211;2003 survey. J Cataract Refract Surg. 2004 Apr;30(4):892-900.<\/p>\n<p class=\"style8\">8. MEDLINE database of citations and abstracts of biomedical research articles.\u00a0<a href=\"http:\/\/pubmed.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed<\/a><\/p>\n<p class=\"style8\">9. Vieira AC, Pereira T, de Freitas D. Late-onset infections after LASIK. J Refract Surg. 2008 Apr;24(4):411-3.<\/p>\n<p class=\"style8\">10. Zalentein WN, Tervo TM, Holopainen JM. Seven-year follow-up of LASIK for myopia. J Refract Surg. 2009 Mar;25(3):312-8.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>1.\u00a0LASIK causes dry eye Dry eye\u00a0is the most common complication of LASIK. Corneal nerves that are responsible for tear production are severed when the flap is cut. Medical studies have shown that these nerves never return to normal densities and patterns. Symptoms of dry eye include pain, burning, foreign body sensation, scratchiness, soreness and eyelid [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[1],"tags":[126,179,180,178,175,3,6,153,7],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>TOP TEN REASONS NOT TO HAVE LASIK SURGERY - Mata Clinic &amp; Optometrist Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/mataasia.com\/blog\/2020\/08\/21\/top-ten-reasons-not-to-have-lasik-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"TOP TEN REASONS NOT TO HAVE LASIK SURGERY - Mata Clinic &amp; Optometrist Blog\" \/>\n<meta property=\"og:description\" content=\"1.\u00a0LASIK causes dry eye Dry eye\u00a0is the most common complication of LASIK. Corneal nerves that are responsible for tear production are severed when the flap is cut. Medical studies have shown that these nerves never return to normal densities and patterns. 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Corneal nerves that are responsible for tear production are severed when the flap is cut. Medical studies have shown that these nerves never return to normal densities and patterns. 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