Do I need a second procedure for my astigmatism to be treated?

No, astigmatism is also corrected during the course of the LASIK procedure. If the astigmatism is extremely high, you might need a procedure called astigmatic keratotomy (AK).

I'm over 40 years old and use bifocals. Will I need reading glasses after LASIK treatment?

As people add candles to their birthday cakes, at about the age of 40, the natural autofocusing lens of the eye begins to lose its autofocus capability. This is when reading glasses appear or nearsighted people start lifting their glasses in order to see up close. When LASIK operation removes a nearsighted person's nearsightedness, they will shortly if not immediately see better in the distance for the first time and will need help for seeing up close at some point after the age of 40, like the rest of normal vision people over forty. The only exception to this is "monovision," an unnatural condition where one eye is purposely left slightly nearsighted. Some people can "switch eyes" according to whether they are looking at distance or reading up close. Those who can accomplish this task enjoy monovision and carry a pair of compensating spectacles with them for times when they need both eyes working together. If you are over 40, to know if you are a monovision candidate, we recommend a contact lens trial of monovision to simulate the condition.

What is monovision, and why might I want it?

People over the age of forty may need two separate prescriptions to see clearly, one for the distance and a different one for reading. The only options for Laser Vision Correction are to either correct both eyes for good distance vision and wear reading glasses or to elect monovision correction. In monovision correction, your dominant eye is corrected for distance vision and your non dominant eye is corrected for reading or intermediate vision. Monovision does not work for everyone, and it is always best to try it with contact lenses before doing it surgically. If it does work, it usually allows that person to function at most times without glasses for most distances, although some patients will want "night driving" glasses, "sewing glasses", and many will eventually have to wear some reading glasses as they continue to age.

Can I have LASIK operation if I had a previous corneal transplant or radial keratotomy?

With a skilled surgeon, as our surgeons at EyeSTAR, the answer is yes. Most reports of LASIK after the corneal transplantation have been excellent. With previous RK, LASIK treatment can give good results. However the procedure may be complicated if the flap separates at the previous radial incisions.

I know that LASIK surgery will correct my refractive error. Will it also treat my lazy eye?

Unfortunately, there is no definitive treatment for a lazy eye after the age of 7-9 years. But to our experience, most of our patients with lazy eyes have noticed an improvement in their vision and we have detected gain of 2 or more lines at the visual acuity test.

Should I wait for refractive surgery to improve?

Refractive surgery is highly technologically driven. Just like in the computer industry, there are constant advancements. The important question is whether the technological advances translate into proportionate increases in patient satisfaction. Because the level of patient satisfaction with modern refractive surgery is already so high, there probably will not be dramatic advances in the satisfaction for most patients. In many cases, time spent waiting for the technological improvements also means less time to potentially benefit from the refractive surgery. However, a few patients should wait for more advanced technologies and we will advise you whether you fall into this category.

How important is the choice of a doctor?

Your choice of doctor is a crucial decision. Not all doctors will meet with you more than 5 minutes before the surgery and be willing to answer ALL of your questions. This time is necessary to communicate the visual goals of each patient and to establish trust and comfort. Since LASIK operation is a corneal procedure, a cornea specialist is a smart choice. Our surgeons are highly skilled and experienced cornea specialists.

Can both eyes be done at the same time?

In virtually all cases, both eyes are done at the same time. But you may elect to have one eye done at a time.

What kind of anesthesia is used during the treatment?

Numbing eye drops are used. Sometimes an oral medication is used to help with relaxation. No needles or intravenous drugs are used.

Can I see the treatment as it is being performed?

You will be "awake", but very relaxed. You will not be able to see any of the details of the treatment. You will see a number of lights, but the images will be blurred.

What if I move my eye during treatment? What if I don't keep looking at the red light?

In addition to surgeon control, an extremely advanced eye tracker on our laser monitors eye movements and compensates faster than the eye can move. This safety feature is not present on all lasers. With any large deviations, the surgeon or the eye tracker will simply stop the laser ablation and restart the process when the eye is perfectly aligned. The laser is designed to pick up where it left off. Although eye movement is a concern of many patients, those who have experienced the LASIK laser vision correction procedure rarely note a problem maintaining fixation throughout the short laser ablation.

What if I blink?

A small retaining device will be used to keep your lids open and prevent blinking. There is no way you will be able to blink and hurt yourself or your visual outcome.

Is the LASIK procedure painful?

No! Patients experience virtually no discomfort during the LASIK procedure. No needles are used, as eye drop anesthesia is instilled directly onto the eye prior to the procedure. EyeSTAR results indicate that, post-procedure, we have never had a patient request pain medication. Our patients tell us that they are so well prepared by our clinic's staff before the procedure that any fear, anxiety and concerns were gone! A mild sedative pill taken just before surgery soothes away any lingering concerns.

How long will the LASIK procedure take?

LASIK operation takes about 4 to 5 minutes for an eye. The actual laser ablation time is in terms of seconds.

Will my eyes be patched?

No! Your eyes will not be patched after the LASIK operation. You will wear eye shields at bedtime for the first night after the procedure for protection.

Is there any pain after the LASIK procedure?

Most of our patients experience no pain or discomfort after the procedure. Some have a little watering of the eyes and mild burning sensation. One may have a mild to moderate foreign body sensation for a few hours following surgery, but after about 3-4 hours, the eye normally feels comfortable. Most people feel fine if they can take a nap soon after the treatment.

How soon after surgery will I see well?

Each patient is different. The eye drop medications cause some blurring, also there is extra water within the cornea after the LASIK treatment, but most patients notice a dramatic improvement even as they leave the office.

Will my eyes look different after LASIK operation?

No. Your eyes will look exactly the same.

What happens after the procedure ?

After your procedure, you will be encouraged to go home or to your hotel and take a nap. You will wear sunglasses home. Avoid reading and watching TV. If you rest for 1-2 hours at home after your LASIK laser vision correction procedure, you will notice an immediate change in your vision.
Following surgery, for the first night, you will be asked to wear a patch over your eyes at bedtime; so you don't inadvertently rub your eyes while sleeping. You will be asked to use prescription eye drops and artificial tears for several days, and will be encouraged to avoid rubbing your eyes. Women are instructed not to wear mascara for two days, ideally one week. LASIK patients should avoid water sports for two weeks following the procedure to permit healing. You will be asked to return for a check-up by your doctor the day after surgery. At that visit, your doctor will check your vision, and monitor how your eyes are healing.

Do I need to use eye drops after the procedure?

You will use medicated eye drops for 1 week after your treatment, and artificial tears are recommended up to 1 month.

What are the restrictions after Laser Vision Correction?

No swimming for at least 3 days, ideally 2 weeks and no knuckle-rubbing eye rub for two weeks. As always, avoid getting soap or water directly into your eyes. Obviously, after Laser Vision Correction you will be on an antibiotic and soothing drops for one week. Showering with water in the face, shampooing hair, eyes closed is fine. Eye make up in 2 days but, preferably, a week. Common sense things.
Otherwise, enjoy your new vision to the max!

When can I drive after the LASIK treatment?

You should not drive the day of the treatment. After that, you may drive when you feel confident that your visual acuity and eye comfort allow you to drive safely. Almost all of our patients are able to drive the next day. They achieve a vision equal or better than driving license requirements.

How soon can I use eye makeup?

You may resume wearing eye makeup starting 2 days, preferably a week after your treatment. We strongly recommend that you purchase new eye makeup, specifically mascara, to avoid potential infection following your treatment.

How soon after the treatment can I exercise?

Non-contact sports can be resumed as soon as you feel capable. Eye protection is recommended for racquet sports or rough sports where there is a risk of being hit in the eye.

How soon can I swim?

You should stay out of swimming pools for at least 3 days, ideally 2 weeks after your treatment, and rivers, lakes, hot tubs, sea and oceans for one month following your treatment.
 

When can I go back to work?

Most of our patients have good enough vision and are comfortable enough to return to work and drive the next day. An additional day or two is rarely required before returning to work. Healing can vary however from person to person so it is a good idea to maintain some flexibility in your work schedule immediately after your LASIK procedure. If you can, we recommend that you take it easy for a couple of days.

Will I need glasses or contact lenses after the LASIK operation?

The goal of refractive surgery is to reduce your dependence on glasses and/or contact lenses, but seldom LASIK patients may benefit from reading glasses or distance glasses when they desire perfect near or distance vision.

How long will it take before I can see well, and how long will it take before I have my best vision?

Fast visual recovery characterizes this operation. Most patients achieve good vision the day of surgery and find that their eyes feel fairly normal within a day. Right after the procedure you see as if looking behind water. In about 4 hours the vision will be clearer. While your eyes are healing, it is normal for your vision to go back and forth between clear and blurry phases for several weeks. However, vision can continue to improve, and best vision can still take two to three months to occur, particularly with higher prescriptions. If necessary, adjustments to the surgery called enhancements can be done. Patients who undergo hyperopic LASIK often need to wait longer to able to see clearly. Typically, they are unable to see with intense clarity for one or two weeks, with best vision coming in several months post-operatively.

Will I see 20/20 after my procedure?

Your corrected vision following LASIK operation depends on the strength of your prescription as well as other individual factors. As with any surgical procedure the results are not guaranteed. However, all of our patients without any preexisting eye disease such as lazy eye, retinal diseases etc. see 20/40 or better (enough to pass a driver's exam) without correction. More than 99% of our patients achieve 20/20 or 20/25 vision. Approximately 0.5% of our patients require an enhancement to achieve their goal.

What results can I expect from LASIK?

Numerous studies have been published about the subject. Even the most pessimistic studies state that at least 90% of all the LASIK patients achieve a vision equal or better than driving license requirements. All of our existing LASIK patients (without any preexisting eye disease such as lazy eye, retinal diseases etc.) see far better than these requirements.

Is the effect of LASIK treatment permanent?

Yes. Following an initial healing period of three to six months, the effect of the treatment is life-long. Rarely, a minimal regression might occur.

Will my vision be corrected forever?

People often ask how long the benefits of their procedure will last. The first nearsighted patient's eye ever treated with laser vision correction was in the United States in 1987. That patient achieved 20/20 vision following treatment and is still 20/20 more than a decade later. Today, most experts around the world are confident that they will discover no long-term problems with laser vision correction. Based on the excellent results seen to date, laser vision correction has become the most commonly performed refractive procedure in the world.

I hear that some nearsightedness comes back after awhile? Is that correct?

People with high prescriptions who had PRK, the older laser treatment method might experience regression after the procedure. With LASIK treatment, this does not happen after the eye stabilizes, i.e. after 6 months. EyeSTAR surgeons take this initial regression into consideration when they enter the data to the laser's computer so that our patients have an excellent outcome.

If I am still nearsighted after the procedure, can I be treated again?

It is possible to have an enhancement after the initial procedure if the doctor deems it necessary and beneficial to the patient. Should an enhancement be necessary, it will be performed at no charge to the patient after six months following the procedure. Sometimes for very high prescriptions our surgeons purposefully divide the treatment into two sessions. Our retreatment rate is extremely low, approximately 0.5% compared to other internationally famous centers which usually range from 3% to 33%.

Is there a guarantee that I will not have to wear glasses or contact lenses again?

There are no guarantees in any part of medicine. We can give outcome percentages, rather good or bad, but as a rule, people under 7 diopters of myopia who have LASIK will have a 99% chance of success and will have less than a 0.5% probability for enhancement.

What happens if I don't achieve my full correction?

Although the vast majority of our patients will achieve excellent vision without glasses or contacts, a few will have a small residual refractive error, leaving them still slightly nearsighted or farsighted. Most of these patients can see fine for most of their daily activities, and use a thin pair of glasses for such tasks as nighttime driving. If you would like this residual refractive error corrected, an enhancement laser procedure can be performed after six months. The enhancement rate in our practice is 0.5%. Our doctors will weigh the probable benefits, patient expectations, and potential risks when determining whether an enhancement is appropriate.
Typically, patients considered for an enhancement procedure should have at least 1.00 diopter of residual hyperopia, myopia or astigmatism or unaided vision of 20/40 or worse. Enhancement procedures should only be performed once adequate corneal healing and stability is achieved.

If I don't get full correction, can I be retreated?

Correction may be fine-tuned with retreatment, known as enhancement, and is generally performed after the first six months. With an enhancement, the flap is simply lifted back to allow the laser beam to remove a little more tissue. Then the flap is gently smoothed back into place again. Although retreatment may further improve your ability to see, perfect vision is still impossible to guarantee.

Will I pay for the retreatment?

At EyeSTAR LASIK Institute, any re-treatments necessary will be free for life.

If I have LASIK and my vision changes later in life, can it be redone?

Depending on the cause, retreatment may be a viable solution to vision changes later in life, and other treatment options exist. You would need to see your ophthalmologist to determine the cause of the change and to determine which option is best for you.

If necessary, can I wear contact lenses after LASIK?

These procedures do not modify the cornea in a way that would prevent contact lens wear. However, many patients elect to have refractive surgery because they were unable to wear contact lenses. In this case, you can expect to have problems after the surgery just like you did before it. If you didn't have problems with contact lenses before, you can wear contact lenses including cosmetic contacts if you wish to.

Can I have cataract surgery or any other eye surgeries in the future?

Yes, you can. If you had LASIK operation before, there are some differences in the calculation of intraocular lens power. Your surgeon should take that into consideration before your cataract operation, phacoemulsification surgery.

What outcome can I expect after surgery?

Although no results can be guaranteed, our goal is to correct you to between 20/10 (more than 20/20) and 20/40 (legal driving vision) without glasses or contacts. At EyeSTAR LASIK Institute, we are meticulous in tracking our outcomes and analyzing them statistically. This attention to detail allows us to create reproducible, excellent outcomes. Our patients are very happy. Because people heal differently, outcomes can vary so it is important that your expectations are reasonable, and this will be discussed with you during your consultation. If you are over 40 years old, you may need to wear reading glasses afterwards, as presbyopia naturally occurs in this age group or you may choose to have monovision.

In general, how are the LASIK results?

It changes from center to center. In general, 95% of LASIK patients achieve 20/40 vision or better and 85% achieve 20/20 or 20/25 vision.

How are your LASIK results?

Our results are far better than this. EyeSTAR's results are significantly better than the industry average: more than 99% of EyeSTAR's patients achieve 20/20 or 20/25 vision. In the US, the industry average is that 95% of LASIK patients achieve 20/40 vision or better. EyeSTAR's outcomes are exceptional because of our dedication, experience and attention to detail. EyeSTAR LASIK Institute Istanbul is dedicated to the perfection of laser vision correction.

Can I go blind?

Nobody has ever gone blind from this procedure to our knowledge.

How safe is laser treatment?

The safety of LASIK operation is one of the main reasons it has become so popular. Severe complications are extremely rare. The complication rate and the infection rate from LASIK are much less than those with contact lens wear. The laser has been in widespread use for the treatment of myopia (nearsightedness) and astigmatism over 15 years. Millions of successful procedures have been performed around the world. When performed by the proper surgeon, LASIK treatments are extremely safe. Although no procedure is without risks, these risks are minimal. The complication rate is much lower when the treatment is performed by corneal specialists who are very experienced in LASIK, as our surgeons are. Here is what the TIME magazine (November 1,1999) has stated: "Estimates of post-LASIK complication rates range from less than 1% of patients of corneal specialists to as high as 5% of patients of less experienced ophthalmologists".

When you are interviewing doctors and you ask about their complication rates and you hear the answer "none", walk away. Quoting Dr. Machat: "If doctors say they have never had a complication, they either don't do surgery or they are lying."
In order to decrease the risk of complication, we at the EyeSTAR LASIK Institute, Istanbul, Turkey take many steps that go far beyond the minimum standards of most laser centers. Our laser is calibrated before every single procedure to ensure the most accurate results, whereas many laser centers only calibrate the laser every six patients, or even just once per day. We monitor and control the temperature and humidity in our laser room strictly, which improves the accuracy of our results. Reputable centers like ours use one microkeratome blade per patient to avoid infection and potential flap complications from a damaged or progressively dulled blade. The risk of both problems increases significantly the more times the blade is used. Some excimer laser patients will experience optical aberrations during the initial healing phases, including glare, halos at night, or ghost images. This will disappear within several weeks. Careful attention to detail in centration and calibration of the laser, as well as measurement of pupil size, substantially lessens the incidence of optical aberrations.

What are the most common side effects?

The most common side effects of LASIK operation are: fluctuating vision (which only lasts for the first few weeks), night glare (which typically lasts for the first few weeks), and dry eye (which only lasts for the first few weeks).
 

What are the risks involved with LASIK?

The risks include ablation and flap problems. Ablation problems are usually correctable with the newer laser nomograms. Flap problems have traditionally been the most common type of problems experienced with LASIK surgery. The latest generation of microkeratomes has reduced this risk significantly. The Hansatome which we use, developed by Chiron Vision and the Moria M2 have been shown in recent studies to be the safest available microkeratomes. Serious complications, though rare, include induced astigmatism, scarring, and infection. Most complications can be corrected through eye drops or a repeat procedure.

What is the most feared risk associated with LASIK?

The most feared risk following LASIK treatment is infection which we prevent using antibiotic eye drops for a few days. The risk of infection with contact lenses is 20 times more than that of LASIK. None of our patients have had any infections.

Are there any long term risks?
No! Over the first 15 years that this laser has been performed, there have been no progressive or long term changes that would lead one to believe that there would be any changes in the next 10 or 20 years.

Will I become nearsighted again?

The treatment changes the corneal shape. If your prescription is stable before the laser, it should remain so after the treatment. There may be some regression within the first 6 months after LASIK. This is taken into consideration when we enter your data to the laser's computer. If there is a small residual refractive error and if you would like this residual refractive error corrected, an enhancement laser procedure can be performed after six months. The enhancement rate in our practice is 0.5%. Our surgeons will weigh the probable benefits, patient expectations, and potential risks when determining whether an enhancement is appropriate.

Would an eye surgeon ever have this performed?

In fact many already have! For example, Dr. Stephen Brint, who was the first to perform LASIK in the United States had LASIK treatment himself in 1997. Studies show that the more doctors, especially eye doctors, know about laser vision correction, the more likely they are to have it performed on themselves. More than half of the high-volume refractive surgeons who once depended on corrective lenses have had vision correction surgery after seeing the great results they achieved for their patients day in and day out.
LASIK is also a procedure that most would recommend to their spouses or friends. This is the best indication of what eye specialists feel about the procedure. Our surgeons have performed the procedure on family and other doctor friends.