Enhancement Surgery For Lasik, PRK, LASEK, Epi-Lasik, CK, etc.

Each patient and refractive surgeon wants to achieve the ideal vision correction procedure with a refractive surgery. Unfortunately it is more difficult to accurately predict the results with a large refractive error with a slight change of refraction. Hyperopia (Farsighter, longsighted) is more difficult to correct myopia (nearsighted, shortsighted) and astigmatism adds to the challenge. In addition, we are talking about microsurgery in human tissue. Sometimes things just do not go as planned.

Before you do any other surgery, you should discuss with your doctor CLAPIKS. This is a technique that uses eye drops to make the cornea more malleable and rigid gas permeable (RGP) contact lenses to reshape the cornea to correct minor subcorrección and overcorrection.

Not too much of a hurry to have surgery improves. Fluctuations in the vision may take several months. You want to wait until your eyes have been established before having an improvement. It is common for the eye to a retreat back the original error of refraction. You do not want to have additional surgery until the regression has been resolved. Most improvements are made between three and six months after the first surgery, but it can be done before and much later. Talk with your doctor’s chances before proceeding.

If you need surgery for improving conventional or custom wavefront LasikAll-Laser Lasik, PRK, LASEK or Epi-Lasik, it is likely that most of the refractive error was corrected with the first surgery. Since the smaller changes tend to be easier to predict accurately, should be able to reasonably expect a good result, however there are exceptions.

Correction of myopia and hyperopia correction are significantly different with different techniques and different outcomes. As a general rule, hyperopia is more difficult to correct myopia that predictable (more). If originally were myopic and have been overcorrected in hyperopia, it is necessary to revisit the whole question as if he was having surgery for the first time. For the most part, you have surgery for the first time.

If his initial surgery was Lasik or laser All-Lasik, the doctor will probably lift the flap in place. Although the flap Lasik does heal (more), do not cure the same as a cut on his arm and Lasik flap can be lifted years after surgery. Well, “lifted” is probably not the right term. Indeed, such as separation of the cornea in the original location of the flap. All-Laser Lasik flaps tend to adhere more firmly to the underlying stroma, but they too can be handled normally and was lifted. It is rare that a new flap should be created for the improvement.

If the initial procedure was LASEK or PRK, the epithelium is manipulated an improvement during surgery as it did with the initial surgery.

If the initial procedure was Epi-Lasik, you can not have Epi-Lasik for improvement. The epikeratome used to create the flap requires epithelial layer Bowman for stability. During the initial surgery, the layer of Bowman is ablative away. LASEK or PRK would be the most likely methods of an Epi-Lasik improvement.

If his initial surgery was CK, it is necessary to be very careful with the technique used for an improvement. CK retracts over time. The ratio is about 1.00 diopter every 1-3 years. This means that CK is a temporary correction. Finally, the cornea will return to preoperative.

You do not want the permanent improvement of surgery to correct any problems induced only by CK. Due to the effects of CK are temporary, ultimately all intents and purposes CK dissipate and the eye back to its condition before surgery if you do absolutely nothing at all. What we do not want to do is to use a technical correction as permanent Lasik, PRK, LASEK or to correct problems induced by a temporary procedure. Additional improvements CK surgery may be appropriate, but in almost all cases increased CK with Lasik, PRK, LASEK, Epi-Lasik or any other media of refractive surgery is not appropriate.

If you are ready to choose a doctor to be evaluated by custom or conventional wavefront Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, CK, RLE, or any procedure of refractive surgery, we recommend you consider a doctor who has been evaluated and certified by the USAEyes charity. Locate a USAEyes evaluated and certified Lasik laser eye surgery doctor.

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