After surgery, you may wear a patch or contact lens on the eye and get a prescription for pain medicine. Someone must drive you home and then back to the surgeon's office the next day. During this second visit, the surgeon will examine your eye and prescribe eyedrops to prevent infection and reduce inflammation. More follow-up visits are required, usually the next week and then throughout the first year after surgery.
Unstable vision is common in the first 3 months after surgery and may last for up to 1 year. So you may still need to wear glasses or contact lenses after the surgery. Your vision may vary slightly over the course of a day although not to the point that you would need two pairs of glasses. These are all elective, cosmetic procedures that correct nearsightedness in otherwise healthy eyes. Also, PRK may not be appropriate if you have keloids.
The procedure may not be done during pregnancy or breastfeeding. You also may not be eligible for the surgery if you have an uncontrolled autoimmune or connective tissue disease.
Overall, the results of these surgeries are stable over the long term. The results have improved as techniques and lasers have evolved and changed. Almost everyone notices improvements in their vision after one of these surgeries.
Results in people who are more nearsighted are harder to predict. The problem most commonly associated is clouded vision sometimes also referred to as haze. Some people's eyes have some clouding of the cornea as a result of healing. This clouding may occur within a year after surgery and then clear up. It has been linked with spending a lot of time in the sun.
Clouding appears to be more common in people who are very nearsighted. Some doctors may recommend avoiding direct sunlight for a while after your surgery, taking vitamin C, and wearing sunglasses. Retreatment may be desired if you have residual nearsightedness that results from undercorrection or regression. If you are considering having surgery to improve nearsightedness, you may have a number of options.
Talk with your doctor about all the options, including their benefits and risks. Talk with your doctor about the risks and benefits of correcting both eyes on the same day compared with doing one eye at a time on separate days.
There is no agreement about whether surface ablation surgeries are superior to LASIK, or vice versa, for people with mild to moderate nearsightedness.
The cost of refractive surgery varies in different locations, but this surgery can be very costly. Most insurance companies do not cover the cost of refractive surgery, because it is a cosmetic procedure.
Author: Healthwise Staff. This information does not replace the advice of a doctor. Unfortunately, many researchers, including me, found that replacing this sheet actually caused more inflammation and slower healing than simply removing it. The other approach in this study was the use of the Amoils automated rotating brush for epithelial removal. This brush looks similar to a miniature rotating car polishing brush. Because it is soft, it will not harm the underlying cornea once it reaches it.
In this study, conducted through the U. Results showed that the flap-off epi-LASIK group had significantly less discomfort in recovery than the automated brush removal eyes. However, as with LASIK you must be over the age of 21 to be eligible for surface ablation procedures. You also must have realistic expectations of the outcome, and you need to understand and accept that there are risks associated with these procedures. As a general rule, it takes longer to recover from surface ablation procedures than it does from LASIK.
However, it can take three to six months for you to reach your best vision, during which time your vision may fluctuate a bit. Surface ablation procedures share some of the same risks and potential complications of LASIK , namely dry eye , under-correction, over-correction and night vision problems such as glare and halos around lights.
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