Side Effects of LASIK

Side effects of Lasik eye surgery have prevented many a person from undergoing this sight improving procedure. Take for example a 37year old talent agent from Hollywood. He said he hated glasses and could not tolerate contact lenses. He even had the money to do the procedure. The only reason stopping him was his uncle had the procedure 20 years ago and had lot of side effects. This was food for thought. This was also a segway into how modern technology has decreased the incidence of side effects and how can a consumer prevent them.

I like to keep things simple and hence I have classified the side effects. The origin of side effects of Lasik eye surgery stem from causes before surgery, during the procedure and after the intervention. I explained to him once we understand the etiology; elimination becomes a matter of will and dedication.

Before Lasik Surgery is performed

Age of patient: The best age for Lasik eye surgery is from 21 years to 45 years. Younger patients can undergo laser vision correction but serial maps and number checks have to determine stability. Otherwise the effect of surgery will wear off.

Refractive Stability:It is very important that prescription of eyes have stabilized. It is very difficult to hit a moving target. That is the setting for poor outcomes. Minor variations are to be expected and is even allowed by FDA.

Ruling out Comorbidity: Diabetes, autoimmune diseases like thyroiditis may lead to increased side effects like delayed healing of surface layer.

The shape of Cornea: Shape, as studied with corneal topography, should be within normal ranges.

Thickness and Thinness map of Cornea: Thin and abnormal cornea can lead to bulging of the cornea if Lasik eye surgery is performed on them.

Dry Eye: This is present in a lot of individuals especially those living in warm dry climates like southern California. Older individuals, postmenopausal women and those on multiple medicines are also predisposed to lack or poor quality of tears. Dry eyes must be resolved before Lasik is done.

During the Lasik procedure

Automated vs. manual data entry: Incorrect manual data entry was found to be the commonest source of error in one study. This has been eliminated with the newer automated wavescan systems.

Calibration and accuracy of laser:Choosing a doctor one can trust is paramount for it is difficult to analyze behind the scene actions. The best centers keep the laser well calibrated and under maintenance contract with the manufacturing company.

Sterility of equipment: This is a no brainer but neglected at greedy centers.

After Lasik has been performed

Immediate assessment of flap: Within an hour the surgeon needs to check the flap placement. Adjustments should be done to prevent long-term sequelae.

Checkupwith in 24 to 48 hours for fall slip, inflammation, infection: This should not get neglected. It often gets omitted when the operating doctor is different from the one doing the postoperative check ups

Why Should We Avoid Glare?

Glare and fatigue are interrelated.Did you know that glare can be more tiring than actually running a 100 m dash? Yet doctors ignore this important symptom. The reason ophthalmologists don’t like talking about it is because it cannot be measured or quantified. Till now there was no treatment for glare.

What is glare?

Glare is a visual feeling brought on by extreme and also unrestrained illumination. It can be disabling or simply unpleasant. It is subjective, and also level of sensitivity to glare can differ commonly. Currently science has not been able to come up with an instrument to grade the glare.Older people are generally a lot more sensitive to glow due to the aging qualities of the eye. This may be in part due to the ageing lens and the drying up of cornea. We can classify glare into two types.Impairment glare is the reduction in exposure caused by extreme source of lights in the field of view, while discomfort glare is the experience of inconvenience or perhaps discomfort generated by excessively intense sources.

When there is an excessive contrast between the dark locations and also bright locations in the direction of watching, after that glare would certainly result. In other words, when there is way too much light, it will certainly create glare.

The reflected light from screens, shiny objects, LED lights in malls are most often noticed. Another constant complaint is while night driving glare from oncoming headlights of cars makes driving very difficult. Skiers know that ice and water may also induce glare.

Usually the amount of exposure is not much or constant.

COMPUTER VISION SYNDROME OR CVS

A new and common nuisance is the constant glare from the computer screens. It explains a bunch of eye and vision-related troubles that arise from prolonged computer, tablet computer, e-reader and also cellular phone usage. Numerous individuals experience eye pain as well as vision troubles when seeing digital screens for extensive durations. The degree of pain shows up to enhance with the quantity of digital display use.

Contributing factors

  1. Dry Eyes
  2. Astigmatism
  3. Scratched spectacles
  4. Dirty Contacts
  5. Bright LED lights
  6. Lights in front of face

Is your fatigue induced by glare?

A simple way would be to eliminate the glare for a day or two and see if you feel better.

Glare and fatigue can affect productivity

Many patients have had to abandon their jobs as the glare affected their mood and health. DO not take this lightly.

Preventing glare fatigue

  1. Follow 20/20/20 rule. Every 20 minutes take a break for 20 seconds and look 20 feet away
  2. Dark and polarized glasses cut off the glare and make vision better.
  3. Install antiglare screen or better still switch to LCD monitors. Unlike Cathode ray tube (CRT) monitors, the radiation and glare is less. Therefore they are easy on the eye.
  4. Wear sunglasses outside especially when skiing.

Is Your Eyesight Getting Worse With Your Glasses?

You may be a fan of wearing glasses due to the fact that you like the convenience associated with seeing clearly instantly as you put them on. Another convenience that you appreciate is associated with the fact that your glasses, unlike contact lenses, require minimal maintenance. However, you dislike the inconveniences associated with getting a stronger prescription as your eyes get weaker and weaker as you continue to rely on them heavily to see clearly. Have you ever wondered whether or not your eyesight with glasses is consistently clear? Therefore, if you are interested in this subject here is some interesting information that you are going to consider useful about this topic.

Your Glasses Don’t Improve Your Vision Naturally: Your glasses are a band-aid solution to your vision problems. From this point of view, they don’t address the main causes of your poor eyesight. When you wear your glasses your visual system is not functioning in an efficient manner. This is due to the fact that the glasses are a crutch that cause you to develop a relationship that relies on an artificial means by which you are improving your eyesight. This is due to the fact that eye strain is the main cause of poor eyesight and it is ironic that glasses help you to see clearly instantly however your glasses are making your eyesight clear by increasing the amount of stress on your visual system which is one of the main causes of bad eyesight.

Your Vision Is Not Consistently Clear With Glasses: Even though your glasses appear to provide clear instant vision natural vision improvement practitioners have made scientific findings that have determined that your vision even when you are wearing your glasses is not consistently clear throughout the course of the day. They have concluded in research studies that your vision fluctuates at different periods of time. This is due to the fact that your glasses are not improving your eyesight via the process of accommodation. Accommodation is defined as the ability of the eye muscles to create the ideal shape that is necessary for the eyes to see both near and distant objects clearly.

Your glasses are a convenient vision correction method that enables you to see clearly instantly. While this is a convenience that you appreciate it facilitates this function as a popular vision improvement method in an artificial way. This is due to the fact that your glasses are causing you to develop a relationship of dependence that leads to weaker eyes and stronger prescriptions. Ironically, even though they make you see clearly instantly they help you to accomplish this goal by being the source of the actual factor that is a main contributing cause of poor eyesight; stress and tension in the visual system.

Your glasses are a vision improvement method that you appreciate due to the fact that they enable you to see clearly when you wear them. However, even in spite of the fact that this is a convenience that you consider beneficial they facilitate this function in an artificial way. Therefore, your vision weakens as you require a stronger prescription. Therefore, due to the fact that this popular vision improvement method helps you to see clearly in an artificial way your vision is not consistently clear however it fluctuates. Your glasses are not the be all and end all of your vision problems however they are ultimately a band aid solution to your vision problems.

Vision Insurance For Laser Eye Surgery

In 2018 everybody realizes Lasik has come to stay. We have learned how to overcome the side effects and get a great visual outcome utilizing the latest technology. What hasn’t changed is the ability to afford it. There’s a lot of confusion about coverage of Lasik eye surgery through vision insurance and medical insurance. So we are going to take a look to see how we can analyze the different insurances and rebates to make Laser Eye Surgery affordable in the year 2018

Let us start by stating vision insurance is actually a misnomer. It’s very unclear why vision and dental were cut out of medical insurance to be created as a separate unit. Vision insurance actually would be better called Spectacle and contact lens insurance. That’s what they mainly pay for. We all know eyes are part of the human body. Doctors also know that nearsightedness or farsightedness are a pathology of the eye. It is insurance driven concept that Lasik eye surgery is cosmetic. We tend to disagree with that concept. We believe cosmetic is the way world sees us whereas visual is the way we see the world. Therefore ideally Laser Vision correction should be fully covered. It is not. Let’s make the best of the rules laid out.

Vision insurance like VSP or Vision Service Plan, Eyemed, Davis, Spectera and the like don’t cover Lasik eye surgery. They benefit in one of two ways. They negotiate discounts with the Refractive eye surgeon on their plan. Usually it is a discount of fifteen percent from the best available rates. VSP also negotiates directly with laser eye centers. This allows patients to avail a fixed flat fee for this sight improving surgery that is below the market rate. The exact price would depend o the technology used. So Vision insurance discounts are still better than paying the full price but they don’t cover the surgery entirely.

Coming to medical insurance; they may cover some aspects of the care needed before during or after Lasik eye surgery. We are referencing to full eye exams, management of dry eye, insertion of punctual plugs and medically necessary interventions. We are making it explicitly clear that medical insurance is not going to cover Lasik eye surgery. There are certain insurances like in Los Angeles the LA city fire fighters have their union fund which pays $1500 towards each eye for Laser Eye Surgery. All over the country there might be such opportunities.

There are certain mediators who negotiate with Lasik eye centers and surgeons to take a discounted rate for certain insurances like Blue Cross Blue Shield. They advertise directly to the members of the insurance groups. They are able to save on marketing costs and pass those discounts to the consumers.

We have saved the best for the last. How about having Uncle Sam to pay for your surgery? With Flex spending plans and Health Savings Accounts or HSA that is possible. These accounts have pre-tax money put in them which could be used for Laser Eye Surgery. For example if you were to pay $4000 from your HSA account it would allow you to save $2000. Because if you made $6000 approximately $2000 would have gone in taxes and you would’ve got only $4000 in hand.

Symptoms of Keratoconus Eye Disorder

You may be surprised to know this disorder is very prevalent in societies across the world. Recent estimates place the incidence as one in five hundred. It is very important to be aware about Keratoconus or bulging eye disease. This is a condition of the cornea which inflicts teenagers. The cornea becomes weak and unable to retain its shape. The internal pressure of the eye displaces the corneal fibers resulting in a conical shape. This can manifest in different ways.

The Symptoms of Keratoconus Eye Disorder

  1. Rubbing of eyes: This is the most important hallmark of the malady. In fact some researchers feel rubbing causes Keratoconus. We may not go that far, but we know rubbing of the eyes is very common. People think it is induced by allergies.
  2. Frequent change of eye glasses: The vision changes often requiring newer prescription for spectacles.
  3. High astigmatism: The cornea changes from being shaped like a basketball to a football shape. The vertical and horizontal curvatures of the cornea are not similar.
  4. Inadequate eyesight in-spite of wearing eyeglasses and contact lenses: This fact irritates the patient and many a times confuses the doctor prescribing the eyewear.
  5. Poor grades at school: The teenager is not able to see well enough. This impacts what brain visualizes. Learning and memory can be impaired.
  6. Glare around lights: The lights appear flared and irritate the eyes.
  7. Difficulty at nighttime driving: This can be a life changer. Patients may have to give up driving and may therefore be at risk of losing their livelihood.
  8. Intolerance to contact lenses: The contact lens is not able to sit on the egg-shaped cornea. It may keep falling off or cause scratching of the corneal surface. The cornea becomes prone to infections and scarring. This can further decrease the vision.

If you or your kids are experiencing those symptoms the first thing to do is to get in touch with an eye expert. You should especially request that your cornea be analyzed for its shape and depth. Corneal shape can be analyzed by a color corneal topography machine. The thickness or depth of the cornea can be mapped by OCT Pachymetry analyzer. The results should be reviewed by a Keratoconus expert. An expert in Keratoconus is an eye surgeon who specializes in the management of Kertoconus eye disease.

The good news is that if the manifestations are recognized early, the progress of the disorder can be arrested.