LASIK is basically obsolete and as soon as the equipment "ages out", surgeons will stop performing it. And even if decide to get LASIK now, should the lack of transparency from my doctor be a red flag for me doing the procedure at that clinic? The sub-500 microns means Lasik is generally a no (which is what my few consultations have stated). Press question mark to learn the rest of the keyboard shortcuts. Wondering if anyone had similar experiences? Close. Unlike LASIK surgery where a laser reshapes the cornea, intraocular lenses (IOL) are clear, implantable lenses that can be placed behind the iris or between the cornea and the iris to help correct nearsightedness and astigmatism. The doctors told me I’m a good candidate for LASIK (~4.5 in both eyes and good corneal thickness), and I don’t mind paying more for ICL since the results last a lifetime. 2. r/optometry. Press J to jump to the feed. Posted by. Press J to jump to the feed. I highly recommend but under two circumstances. I’ve read differing opinions—some say it’s less invasive since it can be reversed (lens can be removed), others say it’s more invasive due to where and how they operate, SBK: newer version of LASIK with thinner flap to reduce dry-eye complications. Or should I wait until ICL improves and we have more data on the long-term results, or wait until the next new procedure emerges? Thanks so much! I'll be scheduling an appointment to go over the best for my situation but I'd like to be fully informed. If it did rotate, is there chance of it rotating again after prk? User account menu. I’m still deciding between lasik and PRK after reading dry eye symptoms are typically the same after a year. Doctor suggested prk / lasik can be done in two weeks. Update: got Lasek since I was a good candidate and am quite happy with my vision. Would you still recommend PRK if it isn't this specific technique (Schwind)? -4.5D myopes are easily and safely treated through PRK with only about 60-70um of tissue loss which is negligible in a typical cornea. PRK vs ICL vs LASIK. 2.) ICL appears to be the most “conservative” option, but I don’t want to get it unless I can travel internationally to get the EVO Visian (and it doesn’t look like borders are opening up any time soon). 2/5 have very firmly ruled Lasik out, and another 2/5 have ruled PRK out but with less clear rationale. Stats: 31 years old. Press J to jump to the feed. But the recovery is quick and easy. 1.) I likely will only consider PRK as I have slightly dry eyes. Every place acknowledges my thin corneas — some are hopeful that they will gain more microns after stopping hard contact lens wear, but now I’m nervous that they’re trying to sell. If your ICL is rotated, a realignment may be appropriate prior to considering PRK. My basic understanding of the other procedures compared to LASIK is: PRK: worse short-term recovery but minimal long-term complications, ICL: newest procedure: best vision results but most expensive. Thanks! 5. Only 11 out of 700 patients who underwent SmartSurfACE PRK at a clinic in Canada required pain medication stronger than simple OTC APAP and Ibuprofen, and take-home topical anesthesia is not even offered. Visian ICL can treat a wide range of prescriptions from -3.00 to -15.00 D. and can correct up to -6.00 astigmatism with the Toric lens. LASIK vs. ICL. Probably best to get more consultations as it appears to be inconclusive. Im waiting for ICL long term effects to come out because im ineligible for the rest. PRK is the better surgery for the long term since there is no risk down the road of the LASIK flap re-opening or creating complications. I'd be very cautious of one who doesn't have many surgeries under their belt. Recovery time is a concern as I have limited vacation. Help! Help! Although I'm mainly worried because I feel Lasik is easier to succeed with vs PRK which requires more skill from the doctor. I didn’t know about SmartSurfACE PRK, that sounds like the best option for me to pursue. Thanks for the answers! I'm considering getting corrective eye surgery and I'm trying to weigh the benefits and cons of the various surgery options. I went to a high rated doctor and paid ~10k for this procedure, so I definitely didn't try to penny pinch, but I feel I've lost faith in the doctor from my experience. u/shotgunlewis. log in sign up. I’m not saying all that was the cause but just giving you my anecdotal evidence. For prescriptions from -15.00 to -23.00, PRK may be used to remove any residual prescription in combination with the implantable contact lens. Press question mark to learn the rest of the keyboard shortcuts . Your left cornea is way too thin to even think about LASIK, ectasia is a risk factor. I plan to wait another month at least before additional surgery, as my eyes still don’t feel 100% (if I rub them they’d hurt compared to pre-surgery). PRK vs ICL vs LASIK. -6.5 R, -1.25 sphere 015 axis, 486 microns. ICL maybe. u/IncendiaryGames. even though I asked them specifically. r/optometry: A sub-reddit for all things eye related! Canadian clinic (sent in my reports): ICL and PRK yes. Is "regular" PRK still suitable? Upon further research, I was surprised to learn that the doctors hadn’t mentioned any of the other procedures available to me, and also failed to mention most of the complications associated with LASIK (long-term dry eyes, permanent blurriness if your eye gets hits while playing sports, infection, etc.) LASIK vs PRK, ICL, SBK. Posted by. The surgeon didn’t acknowledge anything about rotation but before doing any touch up I plan to have them check. Lasik no. ICL is only indicated for cases of thin corneas and high myopia. Press question mark to learn the rest of the keyboard shortcuts. Myopic with astigmatism and thin corneas: -5.5 L, -1 sphere 008 axis, 496 microns. ICL - PRK touchup. I don't even notice them. Disclosure: I'm getting Lasik soon and trying to freak myself out by reading all the reviews, the threads, and watching horror stories on Youtube. Popular local clinic: Lasik maybe, PRK no (due to bad outcomes they have seen w/ high prescription). Not so much the kind of info you’re lookin for but this is what I have. :) at least in my experience. level 1 I started an anti-inflammatory diet, fish oil / DHAs, 1,000mg of Vitamin C, and carrot turmeric smoothies 2 weeks prior to my surgery. Expensive local clinic: Lasik and PRK no. It will depend on various factors, some tests need to be taken. Wondering if anyone had similar experiences? LASIK/PRK/SMILE is usually performed for lower prescriptions and ICL for higher prescriptions. ICL yes (as assessed by ophthalmologist). That's a very easy recovery. Expensive local clinic: Lasik and PRK no. I had this done for free but by an military ophthalmologist who has literally performed the most ICL surgeries in the world. Which of these procedures would you recommend? Subreddit dedicated to LASIK, PRK, SMILE, ICL, and all other forms of vision correction procedures. 2/5 have very firmly ruled Lasik out, and another 2/5 have ruled PRK out but with less clear rationale. Start prepping now for PRK for an easier recovery. I'm 29 years old. There's a day or two of blurriness a couple days later, but other than that, the 'recovery' is just a matter of lots of drops. 2 years ago. I’m only 24 so I don’t mind waiting a few more years. They are well-reputed nationally. Press question mark to learn the rest of the keyboard shortcuts. Going with PRK is also pushing the boundaries of safety. The latest enhancement to PRK, Schwind's SmartSurfACE transPRK, significantly reduces the recovery time and pretty much eliminates most of the short-term pain traditionally associated with PRK. I’ve already started fish oil, will look improving my diet. Close. Also, other things are taken into consideration like age, astigmatism, cornea size. ICL yes (as assessed by ophthalmologist). Cookies help us deliver our Services. LASIK is good but there is the potential to dislodge the flap if you get hit in the eye down the road. Is it only less superior in the sense of recovery, or does the Schwind offer better results in other ways? I wore hard/rigid gas permeable contact lenses for 20 years and have been out of them and in my glasses for a while. The natural lens stays in the eye. I would find somewhere that is very specialized in ICL and talk to them about that. I had visian toric icls implanted three weeks ago and still have about -2 astigmatism in both eyes, which is slightly worse than my astigmatism prior. I asked the optometrist to check if it rotated, but my eyes weren’t dilated. Subreddit dedicated to LASIK, PRK, SMILE, ICL, and all other forms of vision correction procedures. By using our Services or clicking I agree, you agree to our use of cookies. Rule LASIK out totally, I would rule PRK out since 2 local clinics even said they wouldn’t do it...it seems ICL is the most likely thing to correct your vision, but frankly with these answers from 5 places....I would just stay with glasses or contacts. I had my free LASIK consultation yesterday, and was so enthused that I signed up to get the procedure next week. 3 years ago. Disclaimer: Haven't posted much on Reddit, but have lurked quite a bit. The safest option for your eyes will be ICL. Any chance your toric ICL has rotated? New comments cannot be posted and votes cannot be cast, Press J to jump to the feed. Doctor suggested prk / lasik can be done in two weeks. PRK would be a maybe, but generally a no as well. So you had toric ICLs implanted and now are left with worse astigmatism than before surgery? LASIK vs PRK, ICL, SBK. Visual recovery can actually be faster than LASIK, and if not for the sedative administered, most patients would be legal to drive away from their procedure. However the short term recovery is much worse than LASIK - that is probably why it is less popular. New comments cannot be posted and votes cannot be cast. You're aware these are relatively new so who knows what the future truly holds. SmartSurfACE isn't available in the United States (and may never be), but is becoming increasingly available around the rest of the world. Archived. I have gone to several offices for consultations, and each have recommended different treatments. For the first few months I had some halo effects but they went away pretty fast. I've had ICL for two years now. Archived . Lasik no. I likely will only consider PRK as I have slightly dry eyes. Measurements above are 4 weeks out. Hi, I had visian toric icls implanted three weeks ago and still have about -2 astigmatism in both eyes, which is slightly worse than my astigmatism prior. 2. A 30 degree rotation of the lens will pretty much negate the effects of the astigmatism correction. Canadian clinic (sent in my reports): ICL and PRK yes. I had discomfort for less than 24 hours.
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