RISKS AND BENIFITS
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RISKS AND BENIFITS OF LASIK
Laser-Assisted In Situ Keratomileusis LASIK is a laser eye surgery intended to reduce a person’s dependency on his glasses or contact lenses. LASIK stands for Laser-Assisted In Situ Keratomileusis and is a procedure that permanently changes the shape of the cornea, at the front of the eye, using excimer laser. Basically, it involves lifting a superficial flap from the cornea, which is the transparent tissue in front of the colored iris and pupil.
Millions of people have undergone laser eye surgery in the past decade, and living happily and safely with it. When done properly by an experienced eye surgeon, and to the suitable case, The benefits are un-mistakabe; an excellent eye-sight with no glasses (mostly better than that obtained with glasses). Benefits are immense and appreciated very well.
There is no serious sight threatening complications, however, there are some risks which can occur, and you should be aware of their possibility. They can roughly be divided into: common side effects, infrequent side effects, and extremely rare ones. This monograph does not relate to complications caused by operating on the wrong cases (non-indicated cases for whom LASIK was not suitable in the first place)
RISKS AND BENIFITS OF LASIK
These are not (true side effects), but rather a cause of a trivial discomfort following LASIK. It is to be noted that these symptoms can occur in one eye more than the other with no particular significance:
- Dry sensation of the eyes is common in the first few months after LASIK. That is why we usually advise instilling artificial preservative-free eye drops during this period.
- Light sensitivity in the first day.
- Scratchiness in the first few days.
- Patches of red or pink in the white of the eye are common in the first days. They are caused by the microkeratome suction and disappear completely by fewdays-2 weeks.
INFREQUENT SIDE EFFECTS OF LASIK
- Over- or under-treatment of the condition may occur, and a minimal degree of under or over-correction is probably the commonest (side effect) which can occur. requiring additional surgery, contact lens, or glasses.
- As with all normal populations, reading glasses may still be needed after surgery for patients over 45. However, there is actually an added advantage here for LASIK as we can make some adjustments during the operation to delay, and sometimes negate the use of reading glasses.
- Problems with night driving or visual symptoms, such as glare and haloes. We used to warn our patients about haloes around lights during night driving in the first few months. Recently, however, with modifications in the technique and upgrades in the laser software, we rarely encounter this complaint, even with fair people in whom it was very common. If it does occur, it usually disappear within 6 months.
- Few patients, although they may see much better than before LASIK without glasses, will still need minor glasses for their best vision.
- Problems with a decrease in contrast sensitivity in the first 3 months, and even with 6/6 or 20/20 vision, objects may appear fuzzy or gray.
- Flap complications; flap wrinkles can occur if the patient rubs his eye vigorously in the first few days after LASIK. This is avoided by avoiding rubbing during this period. Dr Khalil will use plastic clear shields for anxious patients. If it does occur, again prompt management completely cures it.
- Rarely, some inflammatory deposits under the flap can occur, and they subside with the use of proper eye drops.
EXTREMELY RARE SIDE EFFECTS OF LASIK WHICH NEVER OCCURRED IN OUR CLINIC
- Corneal scarring, permanent warping of the cornea and an inability to wear contact lenses is recorded in some reports if flap complications arise and are managed incorrectly.
- Corneal infection is recorded to occur in some centers, however, if it does occur, prompt management with necessary eye drops resolves the problem. Most importantly actually is prevention by proper asepsis in the laser room.
As you make your decision whether to have refractive eye surgery, consider the benefits and the risks. Also consider the cost of surgery. Most importantly, discuss your decision and your concerns with Dr Khalil. He will be more than willing to help you decide if refractive surgery is right for you.
The success rates are astoundingly high. Patients are encouraged to have
a detailed consultation with Dr Khalil prior to the day of surgery.
a detailed consultation with Dr Khalil prior to the day of surgery.
For the best results of LASIK, at Dr Khalil Eye Clinic you will be well tested to ensure suitability
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Eye of Cairo Clinic Services
We offer a wide range of eye care procedures
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Comprehensive Eye Consultation
When you come to Dr Khalil Eye Clinic, you will have a full eye consultation, with comprehensive evaluation and discussion regarding your eye condition. Dr Ahmad Khalil will then give you advice on recommended investigations if needed and best course of management
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Modern Cataract Surgery
Modern cataract surgery is truly a miracle of modern medicine. Thanks to huge leaps in both technique and technology, it has reached a new pinnacle of success. If your vision has faded as a result of cataracts, your likelihood of recovering more youthful vision with an operation to remove the cataract
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Glaucoma and its Surgery
In recent years, the tools available for treating glaucoma, has undergone a phenomenal expansion, thanks to the development of new medicines, and new surgical techniques and devices. All has contributed immensely to the fight against this impeccable disease
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Congenital Glaucoma
Dr Khalil has been fighting congenital glaucoma since 1998. He successfully operated more than 1200 cases, one of the highest figures internationally for this rare disease....As he is pioneering a successful surgical technique for the management of the difficult glaucoma in the newborn and infants
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Laser Vision Correction
Today’s active lifestyle demands for visual performance that we can rely on, night and day, free of glassed and contact lenses. Some professions simply can not go well with glasses or contact lenses, like pilots, professional sportspeople and others. LASIK can offer glasses free excellent vision to most refractive vision errors
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ICL Implantation
For higher levels of short- or long-sightedness or if the cornea is not suitable for LASIK vision correction, phakic lens implantation become the procedure of choice. Though the costier, the ICL has been demonstrated to obtain better visual outcomes compared to Lasik for higher degrees of errors
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Keratoconus and Corneal Ectasia
Management of the conical cornea or keratoconus has made revolutionary leaps in past few years, mainly by the introduction of corneal cross linking (CXL), new surgical modalities like intra-corneal rings, and deep lamellar keratoplasty or corneal grafting.
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Keratoplasty, Corneal Transplantation
Cornea transplant, or Keratoplasty, is a highly refined surgery, replacing a diseased and opaque cornea with a clear donor cornea. Keratoplasty can restore vision, reduce pain and improve the appearance of a diseased cornea
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Laser Treatment of the retina
The laser is an instrument that produces a pure, high-intensity beam of light energy. The laser light can be precisely focused onto the retina (the light sensing tissue at the back of the eye), selectively treating the desired area while leaving the surrounding tissues untouched.
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Anti-VEGF Intravitreal Injections
An intravitreal injection is a procedure to place a medication directly into the space in the back of the eye called the vitreous cavity, near the retina. This is commonly used to treat retinal diseases such as diabetic retinopathy, macular degeneration, macular edema, and retinal vein occlusion
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Squint, strabismus
Though it happens more frequently among younger populations, it may also appear later in life. The misalignment may be permanent or it may be temporary, occurring occasionally, and can be in any direction: inward, outward, upward or downward. If the child is not treated at the appropriate time