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First of all, LASIK (Laser Assisted in-Situ Keratomileusis) corrective eye surgery is a very well known procedure having been performed by many eye surgeons around the world. The actual method behind LASIK surgery is this:

1. A central portion of the outer eye is cut out into a flap

2. A laser is fired into the eye

3. The surgeon replaces the flap back to its original location

Prior to the LASIK corrective eye surgery, the eye surgeon would apply a retainer like tool to hold your eyelids open. Then, the surgeon would instil some eye drops into your eye in order to numb eyes, to prevent your eyes from getting dry and to act as an antibiotic. Once this preparation is complete, the eye surgeon would then proceed to cut open the flap using a microkeratome. You should feel no pain during this step as the numbing drops should have already taken effect. At the very worst, you will feel a pressure being placed onto your eye. After this, the surgeon carefully opens up the flap and at this point, your vision will become very blurry. The eye surgeon or the assistant will turn on the laser, which will reshape the outer surface of your eye. At this point, you will see flashing lights, or blurs, and you will hear a snapping sound. This is very fast and takes less than 1 minute to do. Once the laser eye surgery is complete, the surgeon will rewet, smoothen the eye and also replace the flap back onto the eye.

Throughout the LASIK corrective eye surgery, the eye surgeon will regularly add drops into your eye so that you will not be uncomfortable. As a matter of fact, you should feel any physical discomfort throughout the surgery. Once that is all done, the surgeon will give you a plastic bandage to cover the operated eyes so that it is protected from infection, being rubbed by you and also to allow your eyes to heal.

You should not engage in any physical activity for at least 4 weeks after LASIK corrective eye surgery. You should not expose your eyes to water, like in hot tubs, swimming in pools, the beach, the spa and so on for 1 to 2 months after surgery. You should also not apply any kind of lotions or creams near your eyes for about 2 weeks after the surgery. All in all, you should continue to use medications given to you by doctor after the surgery and to regularly consult with your doctor to monitor the progress of your eyes and your vision. If the worse comes to worst, as in recurring symptoms of dry eyes, visual disturbances such as glare and sensitivity to light, or infections, you should go to your surgeon immediately to see if you can get an enhancement surgery or antibiotics to treat the infection.

The most commonly reported side effect of LASIK eye surgery is dry eyes. Your symptoms can be that of painful, itchy, gritty eyes as well as a sensation of something in your eyes. The best remedy is to simply use the eye drops that you were given after the surgery, which should help lubricate your eyes and treat your dry eyes. If you still experience dry eyes 6 months after the initial surgery, then the odds are that it is permanent and there really isn’t anything you can do about it. Remember, eye surgery is a risk, and it is a risk that you have to be willing to take. Thankfully, the getting dry eyes for that long is quite rare as many precautions are taken by the surgeon to ensure that you are a suitable candidate for LASIK surgery and that you are producing a sufficient tear film.

The second most commonly reported LASIK eye surgery complication is the loss of night vision. This doesn’t mean being blind at night but experiencing visual disturbances, such as haloes, starbursts and glare, which are accentuated at night that can impair your vision, especially when you’re driving. You may also experience ghosting or double vision, which can be worsened at night as well. These symptoms should naturally heal by themselves and practically gone over the course of a few months. Once again, if it is unusually persistent you should go back to your surgeon to get an enhancement surgery to address these symptoms.

A loss of contrast sensitivity can also be a worrying LASIK eye surgery complication as it can make it harder to discriminate differences in shades and colors. This, in turn, can make it more difficult to read, watch TV or the movies clearly without having the mental irritation of knowing that something isn’t quite right with your vision.

Despite extensive research and testing, eye surgeons themselves are human and prone to mistakes which can lead to under or over correction of your eyes. Most of the times that it is over corrected, the eye surgeon has deliberately done this in order to factor in possible sight regression. However, when it is under corrected, this is almost always a mistake because sight regression can make surgery a complete waste of money because you’ll be back to where you started. This kind of mistake is not common and this is why you should regularly visit the doctor to monitor the progress of your vision.

The final LASIK eye surgery complication that I’d like to mention is sight regression. As previously mentioned, this can be due to under correction of the eye but sometimes, it could be due to the fact that your eyes heal more quickly than other people. In this specific case, you will want to wait until your vision has stabilised before undertaking further LASIK surgery in order to correct this regression in vision. This may be several months to a year, but once again, this is highly dependent on your eyes.

Plastic frames are good for people that are sensitive to some of the metals used to make spectacle frames, such as nickel and steel. They can be light and made of different colours. These colours are part of the frame and can’t flake off like painted metal frames can. Plastic frames hold the lenses in well so if the lenses are fitted correctly they wont fall out unless you drop them or push them out. They can be very comfortable on the nose if they fit nicely across the bridge. They are however more difficult to adjust if they don’t fit well straight away.

Metal frames can be made thinner than plastic frames so can produce different shapes and styles. Plastic frames have to have an amount of thickness to make them strong enough. Metal frames can also be painted, giving rise to many patterns that can but put on them. Large chunky metal frames tend to be heavy but metal frames can be made thin and light.

Titanium is a common material to make frames from as it is light and strong. It also has the advantage of being hypoallergenic. Its down side is that it is more expensive. It is also harder to adjust due to its strength.

Supra frames are those specs that have a rim on the top and a thin nylon cord at the bottom. These reduce weight and also make the glasses look more minimalistic; if that’s what you’re after. They do tend to hold the lenses very well also.

Rimless frames are very popular but also tend to be expensive. This is because of the labour involved in drilling the holes that the sides attach to. Rimless eyeglasses are very light and look very smart. They are more delicate and the lenses should be made from the tougher 1.6 material. They can work themselves loose if not handled correctly so you must look after them well. They usually have one of two types of fitting, either two prongs and plastic plugs or a nut and bolt design. I favour the plastic plugs as they can be more easily refitted when loose.

Laser eye surgery itself has branched out into many techniques, one of them being LASIK surgery. The problems associated with laser eye surgery can be due to the eye surgeons’ faults or the patients’ eyes. The most characteristic complication of LASIK surgery is a flap complication, caused by the surgeon misplacing the flap back on the cornea. This can cause irregularities in vision, such as ghosting and double vision. The surgeon may have also cut the flap too deeply or burnt off too much stromal tissue during the actual procedure which can lead to keraectasia or bulging of the eye. This complication can only be treated with rigid gas permeable contact lenses or corneal implants designed to hold the cornea in place.

Another flap complication that could arise is diffuse lamellar keratitis (DLK). This is very rare as the eye surgeon is continually adding antibiotics into the operated eye during the procedure but can still happen due to the instruments not being properly disinfected. DLK usually occurs under the flap and causes severe inflammation and vision loss if left uncontrolled. If you experience any kind of inflammation around the center of your eyes, then you should go back to the surgeon so that they can open up the flap to clean off any inflammatory cells, which will prevent further tissue damage.

Some other problems with laser eye surgery is sight regression or under correction. This is more applicable to those laser eye surgery candidates who have very high prescriptions. However, this problem can still occur when the surgeon hasn’t ablated the cornea deep enough. I know of a PRK surgery case where a man with a fairly high script continued to complain of contrast vision problems, such as glare, halos and starburst and also had sensitivity to light. This meant that it was actually painful for him to look at the computer or TV screen, because of this increased sensitivity and also due to the fact that his eyes were still healing. However, the main complaint was that he didn’t notice any improvement in vision and said that his vision was still very blurry after the surgery, like as if he wasn’t wearing his contact lenses. This was very likely due to the surgeon not ablating the cornea deep enough and as such, he has experienced what surgeons call a myopic creep. This condition can be easily fixed with a follow up visit to the surgeon, which I am sure he did.

All in all, most of the common problems with laser eye surgery are self-limiting and with time, the eye will successfully heal itself. For some other patients, this may not be the case and regular contact with the doctor or surgeon can help monitor the progress of your eyes and whether or not any action needs to be taken to resolve certain complications.

The most commonly reported laser eye surgery problem is dry eyes. Those who already experience from this syndrome are often not suitable candidates for this type of surgery and are usually turned down. However, if the patient is persistent in wanting to get their eyes zapped, then the eye surgeon can prescribe them certain medications to ensure that the patient is producing a sufficient tear film in order to handle the laser’s side effects. Otherwise, alternatives to eye surgery would be recommended, such as orthokeratology lenses.

However, dry eyes can still be a significant side effect for suitable laser eye surgery candidates. In most cases, these irritating symptoms, such as burning, itching and a sensation of the eye sticking to the eyelid are self-resolving and using eye drops regularly after the surgery can alleviate such symptoms. If the dry eye syndrome lasts for an unusually long time, say for more than 6 months, then it is likely to be a permanent side effect. This is a rare occurrence and to prevent such side effects from becoming permanent, it is highly recommended that one should stay in regular consultation with their doctor or eye surgeon, for as long as 6 months to a year after the initial surgery.

One of the many other laser eye surgery problems that a patient can experience is eye infection. This is much more common in LASIK surgery, rather than LASEK or PRK surgery where there is less physical intervention by the eye surgeon. Regardless of the actual technique, a patient should still be wary of potential eye infections that can occur, as the eye is undergoing the healing process. Precautions such as, not applying lotions or creams, not allow chemicals near your eyes, not exposing you eyes to water and definitely not rubbing your eyes will help prevent dangerous infections to your eyes.

Another complication that you can expect is a loss of vision over time. This may seem contradictory to the whole point of eye surgery, but this is due to the nature of the eye itself and how it heals. Since there was an act of physical change in the eye, which artificially affected its shape, your body will attempt to recover it back to its original shape. In the same way when you get a cut or a bruise, your body will attempt to recover that original tissue or skin. However, sometimes, your body heals too much and this ends up under correcting the effects of laser eye surgery, which lead to a loss of vision over time.

These are just some of the laser eye surgery problems that you can expect after laser surgery. As with all surgeries, it is a risk that you must be willing to take. Otherwise you will have to accept wearing glasses or contact lenses for the rest of your life.

Among the most well known eye test which investigates the most suitable lenses prescription for a patient is named the refraction examination. This is usually employed via a resource known as a phoropter. This replaces the eyeglasses and lenses normally worn and allows for the eye specialists to manipulate the strength of refraction delivered by the lenses. This action combined with a reading diagram delivers any appropriate reading when it comes to a lenses prescription for those that are either Nearsighted or Farsighted, however may not always give the answers to the cause of the problem. This check is usually the easiest and is completed consistently to measure necessary adjustments in the potency of the vision problem.

Another familiar exam that eye specialists work with involves eye drops which widen the pupil. The pupil inside an eye functions to control the quantity of the light of which goes in, avoiding problems for the remaining portion of the eyeball. As pupils dilate Optometrists are enabled to observe straight into the eye and extra assessments are then held. An excellent demonstration of one particular test used is the slit lamp test that is made up of a bright light shone into the open pupil. This kind of test is often used for a more physical eye problem instead of a refractive error. For instance, cataracts, macular degeneration and presbyopia, are all serious conditions able to be detected by this kind of test.

A more unconventional eye scanning method that’s growing at present with the escalating attractiveness of contact lenses is retinal topography. This technique fundamentally maps the eye’s exterior and looks at eye contour and any scarring on the surface. Optometrists will be able to commonly complete this test for the purpose of persons interested in getting contact lenses, or are experiencing inflammation with the application of contacts, the damage on the eyeball a formidable eye health condition. This is the highly unique exam which uses technological innovation of which saves considerable time for doctors.

Having conventional vision examinations are undoubtedly a strong important a section of protecting good vision as well as preserving vision care, in particular as people mature. With new technologies the overall performance and spread of eye assessments are undoubtedly growing constantly. With this information you can now start to understand some of the basic things that doctors takes care of, as well as why they decide on certain tests.