• A photo of how PRK is performed

Alternative Options If You Are Not A Lasik Candidate

If you found out that you are not a Lasik can­di­date and you no longer wish to wear glass­es or con­tact lens­es, there are a vari­ety of dif­fer­ent pro­ce­dures that one can look into to improve your vision. Here are two prospec­tive options that are high­ly rec­om­mend­ed depend­ing on your indi­vid­ual needs.

Pho­tore­frac­tive Ker­a­te­c­to­my (PRK)

Over the past 20 years, PRK’s results have stood the test of time for long term sta­bil­i­ty. You keep more corneal tis­sue than with LASIK, ensur­ing the integri­ty of your eyes over time. With more corneal tis­sue, you are also bet­ter able to have a “touch up” pro­ce­dure if nec­es­sary. In most cas­es, PRK is rec­om­mend­ed for patients who have thin­ner corneas, slight­ly irreg­u­lar corneas, or are at risk for dry eyes or oth­er con­di­tions. Your doc­tor will be able to make a rec­om­men­da­tion for you based on exten­sive test­ing.

In oth­er cas­es, patients who are can­di­dates for LASIK chose to have PRK instead, because they pre­fer a flap­less or blade­less pro­ce­dure. PRK is a spe­cial­ty pro­ce­dure, meant to address the needs of peo­ple with unusu­al eye mea­sure­ments. This pro­ce­dure still uses a laser to help with vision cor­rec­tion, but instead of going under the sur­face of the eye like LASIK, this pro­ce­dure is per­formed direct­ly on the sur­face of the eye. PRK, is a very quick and effi­cient alter­na­tive to LASIK tak­ing about five min­utes per eye and is per­formed using a top­i­cal anes­the­sia. A brush or alco­hol and mit­o­mycin C (MMC) is used to prep the treat­ment area. MMC has been shown to reduce the risk of corneal haze/scarring in many stud­ies while hav­ing a good track record of min­i­mal adverse effects.

Unlike LASIK, you run min­i­mal risk of flap-relat­ed com­pli­ca­tions and dry eyes, because there is no dis­rup­tion in the nerves that tell your eyes to pro­duce tears. Recov­ery time after a PRK pro­ce­dure takes about 2 – 3 days in order to allow for your eyes to ful­ly cor­rect. Once the eye is cor­rect­ed, the sur­geon will place a soft con­tact lens to pro­tect your eye while the heal­ing takes place. Dur­ing the heal­ing time – 5 to 7 days – it is nor­mal to expe­ri­ence blur­ry or fluc­tu­at­ing vision, light sen­si­tiv­i­ty and/or dry­ness. It is com­mon for one eye to heal faster than the oth­er. You will be giv­en oral pain med­ica­tion if nec­es­sary, along with top­i­cal eye drops. You may find that you do not feel con­fi­dent dri­ving while the pro­tec­tive lens­es are in.

Your soft con­tact lens­es will be removed after your one week fol­low-up vis­it and you will notice your vision will slow­ly improve. Drops will be giv­en to use for sev­er­al weeks, which will aid in heal­ing and pre­ven­tion of inflam­ma­tion. Although it can take a few weeks to a few months for patients to ful­ly reach their opti­mal vision, your visu­al out­come will be the same as if you had LASIK. How­ev­er, the long-term safe­ty and sta­bil­i­ty of your eyes will be high­er than if you had the LASIK pro­ce­dure. A few days or weeks of patience will be reward­ed by a life­time of bet­ter vision.

Implantable Con­tact Lens (ICL)

For Years, the only method of per­ma­nent vision cor­rec­tion that didn’t involve con­tact lens­es, glass­es, or the removal of a cataract was cor­rec­tive laser eye surgery. Now near-sided patients who might not have been a can­di­date for LASIK have a viable alter­na­tive to glass­es and con­tacts. You can enjoy vision that is clear­er and more vivid in a sim­ple out­pa­tient pro­ce­dure that doesn’t remove any corneal tis­sue. This lens is flex­i­ble with built-in pro­tec­tion against harm­ful UV light rays. Can­di­dates for the ICL are between 21 and 45 years of age, suf­fer from myopia (near­sight­ed­ness), and want to expe­ri­ence supe­ri­or vision cor­rec­tion.

The ide­al ICL can­di­date has not under­gone any oph­thalmic surgery and does not have a his­to­ry of eye dis­ease such as iri­tis, glau­co­ma, or dia­bet­ic retinopa­thy. A sur­geon will insert the ICL through a small micro-open­ing, plac­ing it inside the eye just behind the iris in front of the eye’s nat­ur­al lens. The ICL is designed to stay in posi­tion with no spe­cial care. It is designed to be com­plete­ly unob­tru­sive after it is put in place. It stays in posi­tion by itself and does not inter­act with any of the eye’s struc­tures. After the sim­ple 15-minute out­pa­tient pro­ce­dure, patients expe­ri­ence an imme­di­ate improve­ment in vision qual­i­ty and are “Wowed” by the results.

There is a small risk of increased intra-ocu­lar pres­sure for which patients will be close­ly mon­i­tored dur­ing the first 24 hours after the pro­ce­dure. The risk of an exten­sive course of inflam­ma­tion is very low. Eye rub­bing or hav­ing ICL lens posi­tioned too close one’s native lens may increase the risk of cataract for­ma­tion long term.

For any eye pro­ce­dure is it sug­gest­ed that you see a rec­om­mend­ed eye care provider like the team at Dia­mond Vision. They will eval­u­ate and rec­om­mend the best pro­ce­dure for you while assist­ing with any post care needs. Dia­mond Vision in NYC is focused on keep­ing clients informed in all areas of eye health while pro­vid­ing a vari­ety of vision cor­rec­tive pro­ce­dures.

Source: www.DiamondVision.com

December 2nd, 2015|Comments Off on Alternative Options If You Are Not A Lasik Candidate

About the Author:

Born in Connecticut and raised in Upstate New York , Dr. Stetson graduated Cum Laude from Colgate University in New York, and then earned an MD degree with honors at the University of Vermont College of Medicine. He distinguished himself again in residency at the Albany Medical Center, where he obtained the highest percentile in the Ophthalmology Knowledge Assessment Examinations. Dr. Stetson has performed more than 50,000 refractive surgeries and has been on staff at Diamond Vision since 2004, before becoming Medical Director in 2006.


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