Why You Should Avoid LASIK Surgery: The Potential Lasik Complications and Scleral Lenses

Table of Contents

Introduction

LASIK surgery, while often touted as a quick and effective solution to vision problems, is not without its potential risks and complications. In fact, a significant number of patients experience post-LASIK complications that can severely impact their quality of life. One such alternative that has proven effective in managing these complications is the use of scleral lenses. In this article, we will delve into the potential risks of LASIK surgery, explore the benefits of scleral lenses, and explain why they could be a better option for vision correction. For more information about our mission and services, visit Eye Freedom.

What are the Potential Risks and Complications of LASIK Surgery

LASIK, or Laser-Assisted In Situ Keratomileusis, is a popular form of refractive eye surgery that can correct common vision problems such as myopia, hyperopia, and astigmatism. However, like any surgical procedure, it comes with its own set of potential risks and complications.

The LASIK procedure involves creating a thin flap in the cornea, reshaping the underlying corneal tissue with a laser, and then repositioning the flap. While this procedure is generally safe and effective, complications can occur during any of these stages.

One of the most common complications is dry eyes, which can be severe and long-lasting in some patients. This condition can cause discomfort and blurred vision. Other complications include undercorrections, overcorrections, or astigmatism, which occur if the laser removes too little or too much tissue from the eye. These complications may require additional surgical procedures or the use of glasses or contact lenses for clear vision.

In some cases, patients may experience a loss of vision that cannot be corrected with glasses or contact lenses. This could be due to irregular tissue removal or the growth of excess tissue. Some patients may also develop an eye infection or experience inflammation.

More serious complications, although rare, include ectasia, a condition where the cornea bulges outward, causing distorted vision. This condition is more common in patients with thin corneas, high levels of myopia, or those who received a deep ablation during surgery.

It’s also important to note that not all patients are satisfied with their LASIK results. Some may still need to wear glasses or contact lenses after surgery. Others may experience visual disturbances, especially in low light conditions, such as glare, halos, and double vision.

For more detailed information about LASIK complications, you can visit our page on LASIK Complications.

What are Some Alternative Options to LASIK Surgery for Vision Correction

While LASIK surgery has been a popular choice for vision correction, it’s not the only option available. For those who are not suitable candidates for LASIK or those who are concerned about potential complications, there are several alternative options to consider.

One such alternative is PRK (Photorefractive Keratectomy). Like LASIK, PRK is a type of refractive surgery that corrects vision problems by reshaping the cornea. However, instead of creating a corneal flap like in LASIK, PRK removes the outer layer of the cornea entirely. This method eliminates the risk of flap-related complications but may result in a longer recovery period.

Another option is LASEK (Laser-Assisted Sub-Epithelial Keratectomy). LASEK is a combination of PRK and LASIK. In this procedure, a thin flap is created on the surface of the cornea, preserving more corneal tissue. This method may be suitable for patients with thin corneas who are not ideal candidates for LASIK.

For those with severe myopia or thin corneas, implantable collamer lenses (ICLs) might be an option. ICLs are implantable lenses that are placed behind the iris and in front of the natural lens. They offer permanent vision correction but can be removed or replaced if necessary.

Lastly, there’s an option that doesn’t involve surgery at all – Orthokeratology (Ortho-K) or Corneal Refractive Therapy. This involves wearing specially designed rigid gas permeable contact lenses overnight that temporarily reshape the cornea to correct vision. This is a reversible process and can be an option for those not ready for permanent surgical correction.

One of the most promising alternatives to LASIK, especially for those suffering from post-LASIK complications, is the use of scleral lenses. We will delve deeper into this topic in the following sections. For more information about Corneal Refractive Therapy, you can visit our page on Corneal Refractive Therapy with Paragon CRT.

How Effective are Scleral Lenses in Managing LASIK Complications

One of the many LASIK induced complications that patients’ may experience is “corneal ectasia”.This is a thinning and protrusion of the cornea. Eyeglasses and conventional contact lenses are not able to provide this patient population with clear, comfortable vision. We fit this patient with a unique scleral lens known as a “Latitude” scleral lens that is allowing this patient to see clearly (20/20) and comfortably once again.

Scleral lenses have emerged as a highly effective solution for managing a variety of corneal conditions, including complications arising from LASIK surgery. Unlike regular contact lenses, scleral lenses are larger and vault over the entire corneal surface, resting on the white part of the eye, known as the sclera. This design allows scleral lenses to create a smooth optical surface, correcting vision problems caused by corneal irregularities, a common issue after LASIK surgery.

One of the key benefits of scleral lenses is their ability to provide a reservoir of fluid that bathes the cornea, which can be particularly beneficial for those suffering from severe dry eye, a common post-LASIK complication. This fluid reservoir can help to keep the eye surface moist and comfortable, alleviating dry eye symptoms and promoting healing.

Moreover, scleral lenses are custom-fit to each individual’s eye using advanced technology, ensuring a comfortable fit and clear vision. They are made from a highly oxygen-permeable material, allowing the eye to breathe during wear. This makes them a suitable option even for those with sensitive or irregularly shaped eyes.

Numerous studies and clinical experiences have shown that scleral lenses can significantly improve visual acuity and comfort in patients with LASIK complications. Many patients report a dramatic improvement in their quality of life after starting scleral lens therapy.

For more detailed information about the effectiveness of scleral lenses in managing LASIK complications, you can visit our page on Scleral Lenses.

What are the Benefits of Using Scleral Lenses for LASIK Complications

This patient developed corneal ectasia 9 years after undergoing LASIK surgery. For many months this patient was unable to work. We recently fit both of his eyes with computer designed scleral lenses which are providing him with clear, comfortable vision once again.

Scleral lenses offer a multitude of benefits for patients suffering from LASIK complications. Here are some of the key advantages:

1. Improved Visual Acuity: Scleral lenses create a smooth optical surface over the irregular cornea, which can significantly improve visual acuity. This is particularly beneficial for patients with LASIK complications that have resulted in an irregular corneal shape.

2. Comfort: Because scleral lenses vault over the cornea and rest on the sclera, they do not touch the sensitive corneal tissue. This reduces lens awareness and increases comfort, making scleral lenses a good option for patients who cannot tolerate other types of lenses.

3. Dry Eye Management: Scleral lenses provide a reservoir of fluid that bathes the cornea, which can help alleviate symptoms of dry eye, a common post-LASIK complication.

4. Stability: Due to their size and design, scleral lenses are more stable on the eye than traditional contact lenses. They are less likely to dislodge during physical activity, making them a good option for active individuals.

5. Protection: Scleral lenses can protect the cornea from exposure to the environment and from the mechanical effects of blinking, which can be beneficial for patients with sensitive or damaged corneas.

Testimonials from patients who have used scleral lenses to manage their LASIK complications can provide a first-hand account of these benefits. You can find some of these testimonials on our page about Eye Print Pro.

How do Scleral Lenses Compare to Other Treatment Options for LASIK Complications

When it comes to managing LASIK complications, there are several treatment options available. However, scleral lenses often stand out for their unique benefits. Here’s how they compare to other treatment options:

1. Eyeglasses and Traditional Contact Lenses: While eyeglasses and traditional contact lenses can correct refractive errors, they may not be sufficient for managing LASIK complications that result in an irregular corneal shape. Scleral lenses, on the other hand, can correct these irregularities by creating a smooth optical surface, providing superior visual acuity.

2. Additional Surgical Procedures: In some cases, additional surgical procedures may be recommended to manage LASIK complications. However, these procedures come with their own risks and potential complications. Scleral lenses offer a non-surgical alternative that can effectively manage LASIK complications.

3. Dry Eye Treatments: Dry eye is a common complication after LASIK surgery. While there are various treatments available for dry eye, such as artificial tears, medicated eye drops, and punctal plugs, they may not provide sufficient relief for severe dry eye symptoms. Scleral lenses, with their ability to provide a constant reservoir of fluid to the cornea, can offer superior relief from dry eye symptoms.

4. Corneal Transplant: In severe cases of corneal ectasia, a corneal transplant may be necessary. However, this is a major surgical procedure with significant risks and a long recovery period. Scleral lenses can often delay or even prevent the need for a corneal transplant by providing a way to correct vision and protect the cornea.

For more information about how scleral lenses compare to other treatment options, you can visit our page about Specular Microscopy.

What is the Success Rate of Scleral Lenses in Managing LASIK Complications

Clear pain free vision after LASIK surgery that was done 30 years ago.

The success rate of scleral lenses in managing LASIK complications is quite high. Many patients report significant improvements in their visual acuity and comfort after starting scleral lens therapy.

Scleral lenses have been shown to be particularly effective in managing complications such as irregular astigmatism, a condition where the cornea is not perfectly round, causing blurred or distorted vision. They have also been successful in managing severe dry eye symptoms, a common post-LASIK complication.

In a study published in the Eye & Contact Lens journal, 97% of patients with post-LASIK complications reported improved visual acuity with scleral lenses. Moreover, 88% of patients reported a reduction in eye pain, and 92% reported improved comfort compared to their previous correction method.

It’s important to note that the success of scleral lenses, like any other treatment, depends on proper fitting by an experienced eye care professional and compliance with lens care and wearing schedule by the patient.

For more statistics on the success rate of scleral lenses, you can visit our page about Wavefront Aberrometer.

How Long Does it Take to See Improvement in LASIK Complications with Scleral Lenses

Six years after undergoing LASIK surgery, this patient woke up one morning with painfully dry eyes that have lasted daily for the past 9 years. Unable to find medical help for her condition in her own country, she traveled to Miami to visit us. We fit both of her eyes with EyePrint Pro scleral lenses which for the first time in 9 years have given her relief. These life changing lenses will allow the ocular surface of her eyes to heal. I feel over time when she is without her scleral lenses that comfort level will improve.

The timeline for seeing improvement with scleral lenses can vary depending on the severity of the LASIK complications and the individual patient’s response to treatment. However, many patients report noticeable improvements within a few weeks of starting scleral lens therapy.

In the initial stages of scleral lens wear, patients may experience a period of adaptation as they get used to inserting, removing, and caring for their lenses. During this period, regular follow-up visits with the eye care professional are crucial to monitor the patient’s progress and make any necessary adjustments to the fit of the lenses.

Once a proper fit is achieved, patients can start to experience the benefits of scleral lenses. Improvements in visual acuity can often be noticed immediately after the lenses are inserted. Relief from dry eye symptoms may take a bit longer, but many patients report significant improvements within the first few weeks of lens wear.

It’s important to note that while scleral lenses can provide immediate visual improvement, they are not a cure for LASIK complications. They are a management tool that provides symptomatic relief and improved vision as long as they are worn.

For more information about the timeline for seeing improvement with scleral lenses, you can visit our page about Wavefront Scleral Lenses.

How do Scleral Lenses Work to Manage LASIK Complications

Scleral lenses work in a unique way to manage LASIK complications. Unlike traditional contact lenses that rest on the cornea, scleral lenses vault over the cornea and rest on the sclera, the white part of the eye. This design allows scleral lenses to create a smooth optical surface over the irregular cornea, correcting vision problems caused by LASIK surgery.

The space between the back surface of the scleral lens and the front surface of the cornea is filled with a saline solution. This fluid reservoir provides a constant bath of saline to the cornea, which can help alleviate dry eye symptoms, a common complication after LASIK surgery.

Moreover, because scleral lenses do not touch the cornea, they can be more comfortable than traditional contact lenses, especially for patients with sensitive or irregularly shaped corneas. They are also more stable on the eye, making them less likely to dislodge during physical activity.

Scleral lenses are custom-fit to each individual’s eye using advanced technology. This ensures a comfortable fit and clear vision, regardless of the shape or condition of the cornea.

For more detailed information about how scleral lenses work, you can visit our About Us page.

How are Scleral Lenses Different from Other Types of Contact Lenses

Scleral lenses are significantly different from other types of contact lenses in several ways:

1. Size and Design: Scleral lenses are larger than most other types of contact lenses. They cover the entire cornea and rest on the sclera, the white part of the eye. This design allows them to vault over the cornea, creating a smooth optical surface that can correct vision problems caused by corneal irregularities.

2. Comfort: Because scleral lenses do not touch the cornea, they can be more comfortable than traditional contact lenses, especially for patients with sensitive or irregularly shaped corneas.

3. Dry Eye Management: The space between the scleral lens and the cornea is filled with a saline solution, creating a fluid reservoir that keeps the cornea moist. This can provide significant relief for patients with dry eye, a common complication after LASIK surgery.

4. Stability: Due to their size and design, scleral lenses are more stable on the eye than traditional contact lenses. They are less likely to dislodge during physical activity, making them a good option for active individuals.

5. Custom Fit: Scleral lenses are custom-fit to each individual’s eye using advanced technology. This ensures a comfortable fit and clear vision, regardless of the shape or condition of the cornea.

For more information about how scleral lenses are different from other types of contact lenses, you can visit our Eye Freedom page.

What is the Process for Getting Fitted for Scleral Lenses After LASIK Surgery

This technology measures the front surface of the eye so that every feature of the ocular surface is replicated onto the back surface of a scleral lens.

The process for getting fitted for scleral lenses after LASIK surgery involves several steps:

1. Initial Consultation: The first step is an initial consultation with an eye care professional experienced in fitting scleral lenses. During this consultation, the doctor will evaluate your eye health and vision needs, discuss the benefits and responsibilities of scleral lens wear, and determine if you are a good candidate for scleral lenses.

2. Corneal Mapping: If you are a good candidate for scleral lenses, the next step is corneal mapping. This involves using advanced imaging technology to create a detailed map of the surface of your eye. This map is used to design your custom-fit scleral lenses.

3. Lens Fitting: Once your scleral lenses have been designed and manufactured, you will return to the clinic for a lens fitting. The doctor will place the lenses on your eyes and evaluate the fit and your vision. Adjustments may be made to the lens design if necessary.

4. Training: After a satisfactory fit has been achieved, you will be trained on how to insert, remove, and care for your scleral lenses. This is a crucial part of the process, as proper lens care is essential for maintaining eye health and ensuring the longevity of the lenses.

5. Follow-up Visits: Regular follow-up visits are necessary to monitor your eye health, assess your vision, and ensure the lenses continue to fit well and meet your vision needs.

It’s important to note that while the process may seem lengthy, the end result of clear, comfortable vision can be well worth the time and effort.

For more information about the process for getting fitted for scleral lenses, you can visit our Scleral Lenses page.

Conclusion

LASIK surgery, while effective for many, can sometimes lead to complications that result in discomfort and vision problems. However, there are solutions available, and one of the most promising is the use of scleral lenses.

Scleral lenses offer a unique approach to managing LASIK complications. Their design allows them to create a smooth optical surface, correcting vision problems caused by corneal irregularities. They also provide a reservoir of fluid that keeps the cornea moist, offering significant relief for dry eye symptoms.

Moreover, scleral lenses are custom-fit to each individual’s eye, ensuring a comfortable fit and clear vision. Many patients report significant improvements in their visual acuity and comfort after starting scleral lens therapy.

While the process of getting fitted for scleral lenses may seem lengthy, the end result of clear, comfortable vision can be well worth the time and effort.

For more information about scleral lenses and how they can help manage LASIK complications, don’t hesitate to visit our website.

Frequently Asked Questions

1. Can LASIK complications be reversed?

While some LASIK complications can be managed or improved, they cannot typically be completely reversed. Treatments like scleral lenses can help manage symptoms and improve vision, but they do not reverse the changes made to the cornea during LASIK surgery.

2. How long do scleral lenses last?

With proper care, scleral lenses can last one to two years before they need to be replaced. Regular follow-up visits with your eye care professional are important to ensure the lenses continue to fit well and meet your vision needs.

3. Can I sleep with my scleral lenses in?

No, scleral lenses should not be worn while sleeping. They should be removed, cleaned, and disinfected every night.

4. Are scleral lenses comfortable?

Yes, most patients find scleral lenses to be very comfortable. Because they vault over the cornea and rest on the sclera, they do not touch the sensitive corneal tissue, reducing lens awareness and increasing comfort.

5. Can scleral lenses help with dry eye symptoms?

Yes, the fluid reservoir between the scleral lens and the cornea keeps the cornea moist, which can help alleviate dry eye symptoms. This can be particularly beneficial for patients with severe dry eye, a common post-LASIK complication.

For more information about LASIK complications and scleral lenses, don’t hesitate to visit our website.