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LASIK Surgery Risks: A Patient’s Guide

LASIK (laser-assisted in situ keratomileusis) is a widely sought-after vision correction procedure that utilizes a laser to reshape the cornea, the clear dome at the front of your eye. While LASIK offers the potential freedom from glasses or contact lenses, it’s crucial to understand the inherent risks involved before undergoing this surgery. This guide delves […]

Post author, Dr. Candace Seagraves, O.D.
Written by Dr. Candace Seagraves, O.D.
LASIK eye surgery

LASIK (laser-assisted in situ keratomileusis) is a widely sought-after vision correction procedure that utilizes a laser to reshape the cornea, the clear dome at the front of your eye. While LASIK offers the potential freedom from glasses or contact lenses, it’s crucial to understand the inherent risks involved before undergoing this surgery.

This guide delves into the potential complications associated with LASIK surgery, empowering you to make informed decisions about your vision correction journey.

Common Side Effects of LASIK Surgery

LASIK surgery, while generally safe, can cause temporary side effects that typically subside within weeks or months. These may include:

  • Dry Eyes: LASIK temporarily disrupts tear production, leading to dry and irritated eyes. Eye drops are often prescribed to manage this discomfort until eyes have healed.
  • Glare, Halos, and Double Vision: Light sensitivity can increase after surgery, causing you to perceive halos or glare around lights, or experience double vision. These effects usually diminish over time.
  • Blurry Vision: Immediately following surgery, your vision will likely be blurry. It can take up to three months for your vision to fully stabilize.
LASIK risks

Potential Complications of LASIK Surgery

While uncommon, certain complications can arise after LASIK surgery. These require prompt medical attention and may impact your vision:

  • Undercorrection or Overcorrection: The laser might remove too little or too much corneal tissue, leading to residual refractive errors. Additional procedures may be necessary for correction.
  • Flap Complications: Issues with the corneal flap created during LASIK, such as folding or displacement, can occur. This necessitates immediate medical intervention.
  • Corneal Ectasia: A weakening of the cornea can lead to bulging, causing vision distortion. Early detection and treatment are crucial.
  • Vision Loss: In rare instances, LASIK surgery can result in permanent vision loss.

Who Might Not Be a Good Candidate for LASIK?

LASIK is not suitable for everyone. Certain factors can increase the risks or make the outcome less predictable. If you have any of the following conditions, consult your ophthalmologist (eye doctor) to discuss alternative vision correction options:

  • Autoimmune diseases: Conditions like rheumatoid arthritis can affect healing and increase infection risk.
  • Weakened Immune System: Immunosuppression due to medications or illnesses can hinder healing.
  • Chronically Dry Eyes: Severe dry eye can make LASIK uncomfortable and potentially compromise results.
  • Unstable Vision: Vision fluctuations due to pregnancy, medications, or other factors can lead to unpredictable outcomes.
  • Eye Diseases or Injuries: Existing eye conditions like cataracts, glaucoma, or corneal irregularities can increase risks.
  • Certain Corneal Conditions: Disorders like keratoconus, where the cornea thins and weakens, make LASIK unsuitable.
  • Age-Related Vision Changes: LASIK may not effectively address presbyopia (age-related near vision loss).
  • Active Lifestyle: Participation in contact sports or activities with a high risk of eye injury may not be compatible with LASIK.

LASIK surgery can be a life-changing procedure for many individuals seeking freedom from glasses or contact lenses. However, it’s vital to weigh the potential benefits against the inherent risks. By educating yourself about the possible side effects and complications, you can approach LASIK surgery with informed consent and realistic expectations. Discuss all your concerns with your ophthalmologist to determine if LASIK is the right choice for your unique needs and eye health.


Source:
LASIK eye surgery – Mayo Clinic. (2023, August 2). https://www.mayoclinic.org/tests-procedures/lasik-eye-surgery/about/pac-20384774

Facts About LASIK Complications. (2023, February 22). American Academy of Ophthalmology. https://www.aao.org/eye-health/treatments/facts-about-lasik-complications

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