This is clickbait FUD. I got lasik last year, and I was very clearly warned about the possibility and likelyhood of every single side effect in this article, aside from the "seeing triple" one. (It worked great for me, incidentally.)
I've worn glasses for almost forty years now, and I'll probably wear them for the rest of my life. I actually like having something between my eyes and flying objects, in spite of the annoyance of always having to clean my glasses (or having to wear bifocals for that matter).
I never liked the idea of undergoing a very new surgical procedure on eyes that are otherwise healthy. Not to mention, I'm old enough now that cataracts may be in my future, though they may be years off.
For me, the flying objects are usually bugs, when I'm out cycling. More than once I've had yellow jackets bounce off my glasses. :O
Late last summer, I took a ride one evening when, in any wooded area, the air was absolutely thick with gnats. I wound up tying a extra bandana over my mouth (flying protein supplements do NOT taste good!) and adjusting the one around my forehead to close the gap over my glasses for good measure.
Same here. Unfortunately I can not read a thing on my phone anymore if I don't have my glasses on. That can be a serious hazard in some situations. But, since I've been wearing them so long I feel naked without them so, it's rare I'm glassesless.
Likewise, I'd have to carry safety glasses if I didn't wear regular glasses. And with bifocals, I never have to search for my reading glasses, because they're always on my nose.
I've worn glasses since I was 6. 3 times over the years, the glasses have prevented damage to my eyes from flying objects. They aren't true safety glasses (I have a separate pair for that) but I like the extra protection, as well as the protection from UV.
But at my age everyone needs glasses anyway, so there's little upside to lasik and even a small risk is too much for me to accept.
The glasses make for terrible eye-hand coordination, as they warp the trajectory of balls in unpredictable ways. I cannot hit nor catch baseballs worth spit. Fortunately, I couldn't care less about having an athletic career.
> I actually like having something between my eyes and flying objects
When I got contacts, walking through bushland suddenly terrified me. My eyes felt so exposed and vulnerable! Growing up with glasses I'd never realised how protected they made my eyes feel.
Wearing glasses also lets me safely ride with my visor open most of the time and I like the wind on my face. Well, there was that one time I ran into a bee so it's not 100% safe but my eyes were still fine...
I distinctly remember a high school gym class where they made all the kids without glasses wear safety goggles during some sport. My friend and I were the only ones who didn’t look ridiculous because we got to keep our glasses. ;) Luckily nothing happened then, but one time in university I was playing racquetball with a friend and the ball hit me right in the eye. I still worr glasses at the time and all it did was pop the lens out.
> Nearly half of all people who had healthy eyes before Lasik developed visual aberrations for the first time after the procedure, the trial found. Nearly one-third developed dry eyes, a complication that can cause serious discomfort, for the first time.
If that's actually the case across the full population of Lasik patients that's insane.
This, and other summaries of trials / research in here, do indeed imply dramatically more complications than I've ever heard. Gonna have to dive in deeper, I suppose, but the fuzziness around this kind of stuff has been part of the reason I haven't done it already :|
>A recent clinical trial by the F.D.A.[1] suggests that the complications experienced by Mr. Ramirez are not uncommon.
>Nearly half of all people who had healthy eyes before Lasik developed visual aberrations for the first time after the procedure, the trial found. Nearly one-third developed dry eyes, a complication that can cause serious discomfort, for the first time.
>even after [5] years, nearly half had dry eyes at least some of the time. Twenty percent had painful or sore eyes, 40 percent were sensitive to light, and one-third had difficulty driving at night or doing work that required seeing well up close.
Like... one third have difficulties after 5 years? That's potentially insane if representative.
I suspect a lot of people who have these procedures and don't like the results don't make a big fuss about it, because it's not like they can undo it. And they usually spent a bunch of money on it. You might as well try to be happy with the results.
For me, it never seemed worth it to deal with the permanent change leading to potential side effects for a temporary benefit. If my corrective lenses were big and heavy, I might reconsider.
It helps to understand the benefits of the procedure to understand why folks would undertake the risk... I had correction at -6 diopters, which is equivalent to about 20/500 vision. My near vision uncorrected was bad enough that the focal distance was closer than the distance needed to resolve 3D vision. This means that to read my phone without correction, I had to close one eye and hold it in front of my face. Further, I was developing an astigmatism, which results in double vision, even when optically corrected (glasses can fix this, contacts do so poorly).
I got PRK in Vancouver, BC for less than $2K USD. Recovery took about 5 days to functional vision, and maybe 1-2 months for complete recovery. It is a world of difference. I wake up and can see the world immediately. I can go hiking/camping without gear that requires a sanitary environment just to wake up and go to sleep. Cheap sunglasses work. I can participate in sport with no notice or prep. I can swim without eye protection. My day-to-day experience is dramatically improved.
If you don't perceive the benefits, LASIK/PRK may not be for you. For some people, though, life with glasses or contacts is a noticeable burden, and correction can provide measurable upside. In these cases, it can be well worth the perceived risk.
My night vision has been completely fine since the surgery, with no major haloing or aberrations. I do not know whether this is a function of PRK vs LASIK, a good doctor/procedure, or luck. (Maybe a bit of all 3?)
Did you get the TransPRK (SmartsurfACE) procedure? I ask because people from the US typically go to Canada to get it since its not available here. Seems like the much better bet for long term results vs Lasik.
Dry eyes? Check
Can’t see shit in low light? Check
Weird itchy feeling? Rare, but check
It’s still a huge improvement over glasses or contacts. I probably ha e 5-10 years left before I need glasses again due to old age but I’ll enjoy it until then.
Maybe it's because I've been wearing glasses for literally as long as I can remember, but wearing glasses sounds much better than dry eyes and loss of night vision.
I feel the same. Glasses are such a minor inconvenience that I don't think I'd risk even a 1% chance of complications.
What kind of glasses are people wearing that makes it worth the substantial risk that they'll end up with chronically dry eyes. Especially when you'll he wearing them again anyway in a decade or two.
The inconvenience of glasses are relative. Before I had LASEK/PRK done, I had a very strong astigmatism and mild case of nearsightedness. Combined, I basically couldn't make out much of anything more than ~6 inches from my face.
I didn't mind wearing glasses at all, or even contacts (although they caused dry eyes). What I minded the most about glasses was my dependency on them, and the fact that I'd be dead in the water if anything happened to them. Having a contingency plan was a part of everything I did; having a second pair on me, avoiding activities that risked my glasses if I didn't, dealing with them at the beach/pool/water activities, etc. I went through a lot of glasses growing up, and also had several ruined vacations and social situations due to something happening and becoming a lame duck reliant on other people to get me squared away. Although not consciously, I very definitively became more risk averse over time to avoid those situations.
The most profound impact of getting eye surgery was the complete and utter removal of that dependency, and the cognitive overhead that came along with it. Not that it seemed like a big deal at the time, as I spent decades accounting for it. But now I just don't think about my eye sight anymore. It's a small and subtle thing, but profoundly impactful on my quality of life in a way that I didn't even realize prior to surgery.
And when I have to start wearing glasses again, it'll be contextual need due to gradual degradation of my eyesight rather than an absolute dependency on them for every aspect of my waking hours.
I'm not sure I'd have made the same decision if eye surgery would have only been an incremental improvement in vision for me, but wanted to provide some insight into why some people would choose eye surgery, even with a high potential of side effects.
My vision is also bad enough that I basically can't function without glasses.
I always have a backup pair with me in the car, and I take 2 backup pairs on vacation, usually packed in 2 separate bags.
I also take spare shoes (even for day trips) because I can't buy another pair easily if something happens to mine--they don't sell shoes big enough in normal stores.
You obviously evaluated the risks differently, but to me not needing to pack an extra pair of glasses isn't worth the substantial, potentially life altering risk of severe dry eyes (not to mention blindness).
I actually like my glasses! I like wearing them, and only rarely do I dislike having them. Maybe it is because my vision is not that bad without them. I can imagine that if it was worse I might hate them more.
A few weeks ago I had an eye exam, and was starting to consider getting some kind of corrective eye surgery done, but this article gave me pause. What's really so bad about wearing glasses? I've worn either glasses or rigid contact lenses all of my adult life and most of my childhood so I'm used to it. I've adapted to whatever inconveniences and difficulties come from needing vision correction.
I know some people who've had the surgery, and who are happy with it, but it's not for me. I find disturbing the casualness that patients and medical practices have approached this kind of eye surgery. The rapidity of the procedure and the short recovery times, makes it easy to forget that this is major elective surgery on a vital organ. There's just too much that can go wrong. Glasses are a bit annoying, but that's the limit of it. I don't want to be reminded everyday how good I had it back when I wore glasses, as I put in eye drops every 15 minutes for the rest of my life, or have to have someone drive me around at night, or whatever else could go wrong. Medical procedures become more refined, safer and less invasive all the time. I'll wait until surgery is a necessity and enjoy the benefits of years of medical advancements between now and when that time comes.
I had ICL done about 4 or 5 years ago. Wasn't a good candidate for either LASIK or PRK due to severe astigmatism. ICL is a lot like cataract surgery, but instead of replacing the lens, they implant what amounts to a permanent contact lens behind the iris and in front of the natural lens.
Ive had really good results from it. 20/15 after 5+ years. I still have effects from the astigmatism, but less than I was wearing glasses/contacts, really only a problem when fatigued. I'll need reading glasses as I get older, but for now, its beautiful.
They did mine in 2 stages, one eye at a time over 4 weeks. Normally recovery is pretty quick, but I had a lot of swelling in my first eye done (anesthesia wore off in the middle of the procedure), I was blind for 3 weeks in that eye as the swelling came downm. Second eye I had nearly perfect vision straight out of the OR. The preop work is pretty painful as they use a laser to zap blood vessels in the iris to allow it to dialate enough to insert the implant.
There are side benefits, too, such as full UV A & B protection for the retina.
It's expensive, like $4500 per eye, but still probably the best money I've ever spent on myself.
I’m curious, what’s better compared to contacts? I idly considered surgery for a long time, but then I tried contacts and they’ve been great. I realize they’re not great for everyone, is it just that?
I've been mildly curious about this question as well. I appreciate that not all people can or are comfortable wearing contacts. And glasses are a pain for a lot of active pursuits, at least for me.
But I've been wearing contacts for decades and they're still improving. (The type I was wearing for ages stopped being manufactured a couple years back and I switched to new highly permeable lens. What I had been wearing was fine but the new ones were even more comfortable.)
The only downside for me is that I now need reading glasses when I'm wearing contacts--which I don't when I'm not wearing them. May look into multi-focals next time I'm getting checked.
I'd like to see some more statistics backing this article, as well as real evidence. Who are the doctors that these people are seeing? Is the survey only finding the population of dissatisfied people?
I got PRK a year ago and have zero issues, and I've also never been sent a survey from NYT asking if I have problems. I know 11 people who got LASIK/PRK and no one has reported issues yet.
There's no way a procedure that causes issues in 50% of cases would be legal in the States.
My eye doctor basically told me that I should never do lasik and should do PRK instead. The risk of complications is WAY lower, even if the recovery is a pain.
Caveat emptor Mr. Ramirez. Of course you shouldn't trust the seller of the product to tell you all about the product's downside with all the proper emphasis. The information in this article isn't "coming into sharper focus" just now. Stories like yours were already easy to find on the internet more than ten years ago when I investigated this for myself. I visited several gung-ho eye surgeons. Then read enough online to know that there are serious risks of not very uncommon results, especially for those who particularly value their fine vision. Then I spoke to the surgeons about these risks and they were quite open about them and not at all dismissive. I decided not to have Lasik. My brother went ahead with it and regrets it not at all.
No matter how much trustworthiness and gravitas your doctor exudes, and how much they dismiss pecuniary details, they see the evidence of risk through their own strong incentives. You have a duty to yourself to use their advice as just one part of the puzzle.
FWIW, I got PRK laser eye surgery and had 20/15 vision for maybe 6 months. Dry eyes took a few years to go away. Back to wearing glasses again in ~8 years. Stars and lights are now permanently fuzzy at night because my pupils dilation is larger than the surface area of the PRK. YMMV but for me, it wasn't worth it.
PRK is a different procedure. The main advantage is that there is no incision and less chances of error which is why pilots opt for it. The main disadvantage of PRK over lasik is the much longer recovery time which is a decent trade off for less risk. That said, I still suffer from dry eye years after the procedure though it’s improved compared to before
It's the same thing with a different marketing name. PRK / LASEK is much more painful (1 week of pain over 36 hours), but has fewer complications, especially for martial artists.
In PRK, the outer layer ("epithelium") of the cornea is removed chemically, and the laser ablates the surface of the eye. Over a few days the layer grows back.
For LASEK, the outer layer of the cornea is peeled away. The laser ablates the surface of the eye, and the skin is pushed back into place.
For both of these, there is no flap. The cornea retains its original structural integrity. PRK and LASEK are quite similar in process and outcome. PRK is a faster procedure and gives the patient less discomfort. LASEK has a slightly lower risk of corneal haze.
Having experienced both... I'd never choose LASEK again.
I had LASEK in one eye. It was so painful that it took years to do the other one - I picked PRK the second time. LASEK was easily the most pain I ever experienced. But it worked very well.
I had completely shit vision. I couldn't swim safely for long distances because of how bad it was. Got Lasik in Lithuania (same complication rate; 1/6th the price of Toronto) and it was completely, totally worth it.
That beings said, my eyes are itchy sometimes. Just because there is a complication doesn't mean that the tradeoff wasn't worth it. I was under no illusions that I wasn't risking permanent damage, but the way I looked at it was that I was also risking permanent damage by relying on always having access to my glasses.
Wow, looks like I could fly to Lithuania and have Lasik done, while spending less money than getting Lasik done at home. How does that work with follow up appointments? Did you just stick around for a few weeks?
I did my LASIK in Poland. You can do a 3 week vacation with the surgery and three doctor followups for the price of just the surgery in the US. This is on state-of-the-art equipment in a top-rated clinic in Warsaw, not a budget option at a second-grade clinic.
If you want to contact me privately by email I'll send you detailed instructions, including who I hired to communicate / bring me back to the Airbnb. Because I work remotely I just rented a beautiful place in Vilnius for a month and worked from there.
My pupils are very large. I held off on LASIK for a long time because it seemed like it wasn't well understood. Then I considered getting it about 10 years ago and there was ample evidence that large pupils were associated with negative results (halos, stars, night blindness, etc -- all the stuff mentioned in this article and elsewhere). I'm very glad I didn't get it. It still surprises me that they wouldn't simply increase the area of the operation, but perhaps there are technical reasons why this isn't possible.
Many years ago when I was thinking of getting it done I was told by the sales rep/doctor (I forget) the machines are limited in range. Women tend to have larger pupils than men apparently this wasn't thought of during the design phase. Kind of weird to go through all that trouble of designing and building a machine that needed just a few more millimeters of range. I passed on the procedure.
Tangentially - there was something I heard on the radio recently that drug testing was restricted by the FDA about 30 years ago to men only due to unforseen side effects possible in pregnant women, and medical companies took the shortcut of just limiting testing to men wherever possible and lifting that thought process is still an ongoing effort. It even impacts animal testing where they might test something mostly in male mice.
I feel like I’ve heard similar statistics before and they completely dissuaded me from ever desiring lasik. Minor eye issues would definitely cause me great stress - I developed a somewhat prominent vitreous floater three years ago and it still sometimes bothers me intensely.
I had LASEK 13 years ago and it still goes smoothly. I'm now 52 so I have presbyopia but, beside that, I still have almost perfect vision. The only drawback is that, as other also said, the pain in the immediate after surgery was horrible.
I had Lasik done at a university teaching hospital by a surgeon who had done thousands of surgeries. This was in 2003. Every follow-up was by a resident and then the full surgeon. I had significant dry eyes and blepharitis (probably from the dry eyes) for about 12-18 months.
15 years later, I can still see 20/20 in one eye and 20/25-30 in the other. I still occasionally have dry eyes and blepharitis. I wear glasses at night while driving to feel comfortable and I do get halos at night. My left eye, when it is dry, I get slight double vision.
Ultimately, I'm OK with having had it done and don't really regret it. However, folks who ask me about it, I tell them if they can still wear contacts, not to have it done.
I could only wear rigid gas permeable contacts. Being a computer programmer who doesn't blink often looking at the computer (like everyone), I wore ulcers on my eye. So, could only wear glasses. I was legally blind without them, so I feel like I'm in a much better situation now, albeit with some downsides.
With how bad my eyesight was, I will definitely need reading glasses. I'm in my early 40s now, and am starting to show signs of it.
I had mine done when I was in my late 20s. I'm now in my late 40s. I need reading glasses for any small print but otherwise I'm fine. The doctor who did my lasik told me it would happen in my 40s and he was right.
I never had dry eye issues - just starbursts and halos at night. I have always been thrilled with the whole outcome. Though I think soon I may need to look at wearing glasses again - but the 20 years without them was worth it.
Ditto for me. I had it done in 2006 and have had 20/20 vision ever since. It took about a year before the halos became unnoticeable but I've never had any other issues. My wife, either. It was absolutely life changing for me and I'd do it again even if I had worse side effects.
>>However, folks who ask me about it, I tell them if they can still wear contacts, not to have it done.
Contacts carry their own risks. Even if you have excellent hygiene habits, they can cause eye infections. And if you accidentally fall asleep in them...
Just want to stress this point. An infection sounds benign but the eyes are naturally immunosuppressed. An infection can spread rapidly and lead to permanent damage to your eyesight within days.
I use daily-wear contact lenses (you throw them out in the evening), but usually wear glasses unless there is a specific reason to wear them (usually a sports-related activity).
I also purchased a 2nd pair of prescription sunglasses, so that has also helped.
FWIW I'm 58 and still have 20/15 vision with corrective lenses (yes I typically eat bushels of veggies and carrots too), but the fear of only having 20/20 vision or worse is why I never opted for LASIK.
I consider my night vision poor--but I thought that even when I was in my teens. My eyes have always been a bit light sensitive... IDK if the two are related.
Contact lenses? Nope. All the wetting solutions I tried blurred my vision, sure it was only for 15 or 20 minutes but that doesn't work with my lifestyle.
I always was corrected to 20/15 when I wore glasses and could actually be corrected in the office setting to 20/5 (fairly rare). I was very particular about my vision, similar to you. I haven't had issues with it being 20/20 now, but I do wear glasses for driving because I like the clarity.
Has anyone tried refractive lensectomy for astigmatism and/or myopia? Think cataract surgery, but for improving near/far sightedness, etc. So you end up with artificial intraocular lenses.
It costs about double what LASIK does, but doesn't seem to have the side effects.
My father had it done due to cataracts, and was satisfied with the artificial lenses and resulting vision.
I had PRK done instead of LASIK (the top layer of the cornea is discarded [it regenerates] instead of being cut and lifted prior to abalation; recovery time is longer, but corneal integrity is preserved) 8 years ago. The recovery time was a few weeks, but I had no LASIK side effects. I highly recommend it versus LASIK.
Did the same. I really think it’s a pay now or pay later affair. PRK was a more painful recovery for sure, but I’ve had no issues and no restrictions.
I healed very quickly. I did a review of medical research and did a few things to make PRK better for me:
1. Vitamin C supplements leading up to and after treatment. Reduces risk of corneal haze (though risk is very low with modern PRK which uses Mitomycin off-label for prevention)
2. Extra omega 3 supplements before and during recovery. Keeps the tear coatingon your eye from evaporating / breaking up as quickly which supposedly shortens re-epithelialization time (the epithelium is what is removed on the surface of your cornea).
3. Wetting drops way more frequently than the minimum that the doctor prescribes. You basically can’t use these fast enough for the first few days. The wetter the surface of your eye, the faster the regrowth of your epithelium (fun fact: this is the fastest growing tissue in the body—at least according to the surgeon who did my eyes).
Also, pick a surgeon with the latest and greatest laser. I believe the latest ablation tech had some benefits from an optics / recovery perspective.
My mother had it done. Side effects are mostly limited to eyes so dry she needed her ducts plugged to retain fluid and no/ limited night driving due to halos.
With all of that said, compared to the coke bottle glasses she had before, I don't think she would have done anything differently.
Me, I can still comfortably wear contacts (astigmatism is mild enough) so she suggested that I not get it.
I had cataract surgery done. For cataracts. At age 42.
The doctor was able to correct out something like -12D myopia in both eyes with a precision that was mainly limited by the fact that lens implants only come in 0.5D increments. She was also able to use a laser to ablate the cornea in a way that corrected out astigmatism. In the span of two relatively brief surgeries, I went from >35 years of needing to use glasses to now, where I'm typing this post without any external correction at all. It's an amazing result, particularly considering the risks involved with such a high degree of myopia.
That said, I'd never do it just for the purpose of correcting nearsightedness. The implants work, but you mostly lose the ability to focus. There are ways around this, but the technology is still relatively new, and carries with it risks of visual artifacts. There are also the literally 500 eye drops you have to take and risks of various complications during surgery. (One noteworthy risk is that if the lens's bag ruptures during the phacoemulsification, the lens drops into the posterior chamber of the eye and requires a vitrectomy to retrieve.)
It's an amazing procedure, I'm thankful to have had the option to have it done, but I wouldn't recommend it unless and until you absolutely need it.
I'm considering eye surgery. I'm mildly farsighted and have strong astigmatism, so I'm not suitable for LASIK and have been recommended Implantable Collamer Lenses (ICLs, sometimes known as contact lens implants).
I'm very interested to hear from people that have had positive LASIK experiences or even an ICL procedure done. So far on this thread it's mostly negative.
But I got LASIK done just over a year ago. I'd worn glasses since I was a kid and don't remember a time without them.
Things I love after having done LASIK:
- Being in the rain
- Boxing
- Not fumbling for my glasses after a shower, waking up
- Being able to just rub my eyes
- Wearing 3D glasses
Things I don't like after having done LASIK
- night vision is really quite bad. Low lit streets, driveways can be hazardous.
- light sensitivity. Not sure if this is a byproduct of LASIK but I feel disoriented in rooms with low fluorescent lighting.
- dry eyes aren't as common as in the first 6 months but I do take more screen breaks to moisten my eyes
- blurred vision. Doesn't happen often and I can't say this is purely related to LASIK as I often get this after a long day of coding.
I got my LASIK done at the Eye Institute in Auckland and they sat me down for close to an hour to talk through it. Will I need glasses in the future? yep, they mentioned that. Dry eyes and blurred vision? Yep. For the first 6 months after the operation I had regular checkups.
My night vision is also significantly deteriorated. I can drive fine at night, as I can see lights and reflective surfaces just fine, but walking around at night is definitely more difficult, and sometimes concerning.
I'd had issues with dry eyes for most of my adult life. When I was still wearing contacts, I had a doctor tell me it was likely that I wasn't blinking enough. It seemed silly to me at first, but then I paid more attention (I did tend to stare at screens for 18-20 hours at a time back then), and realized the doctor was spot on.
I learned to blink more while working and it's made an enormous difference. On occasion, I'll still find myself completely submerged into whatever I'm doing, eyes wide open, dry as dust, and I'll sit back, squeeze my eyes shut a few times until they water again, and then take a break.
Did you use any tricks to make yourselfs blink more? I'm going through the same, getting used to contacts, but I can't think of a way to learn myself this without setting a timer every 2 minutes or so - which is obviously not really an option.
Unfortunately, I've no tricks to share. I've just been trying to stay more mindful of my blinking in general, and when I notice my eyes are completely dried out, I take a break.
Good luck with that. That’s really quite hard to do, ask your surgeon how hard it is to find the original cut when they’re looking for it to do a touch-up.
This is what worries me the most about taking the plunge, not the videos I've seen of it being done, not the potential side effects, just the fact that I could seriously screw my eyes up by rubbing them after the fact.
I also had LASIK surgery and feel that my light sensitivity has increased, especially to sunlight. I used to never wear sunglasses before, and now I feel I need to in some situations.
Someone pointed out an interesting perspective. Perhaps it was that my glasses and contact lenses had a UV filter on them that sunlight did not bother me. Maybe it is not the brightness, but the amount of UV light hitting the eye that is responsible for some of the light sensitivity. It could be UV sensitivity, and not light sensitivity.
I have not taken the time to try to test this hypothesis out in any meaningful way, but it is an interesting thought.
Could it also be the case that the sharper focus due to LASIK itself causes increased sensitivity? Is there a general inverse correlation between bad eyesight and light sensitivity?
Boxing? As in punches thrown at your head? Can't imagine that's safe for someone who had LASIK since the chance of corneal flap damage would be quite high.
It's not safe, and the FDA actually warns people against participating in combat sports or other activities potentially involving eye trauma after the particular LASIK that opens your flaps because of what you said.
Though PRK, which does not open the flap, is fine, and is the procedure athletes typically go through.
I remember reading about a procedure where you surgically insert a lens into the eye to correct the vision, and one huge benefit was the process is completely reversible compared to Lasik.
I think this is a unique view, but I've come to appreciate nearsightedness. Partially because I like having the ability to soften the external world by removing my glasses (like wrapping myself in a warm fuzzy blanket), but even more so because it grants me the ability to see things near me in sharper focus than someone with 20/20 vision.
I can put on contacts or glasses to see something at a distance just as clearly as someone with naturally perfect vision, but someone with 20/20 vision would strain to view something as close to their nose as I comfortably can. (Great for reading!)
I fully admit that this perspective is borne out of my attempt to find the good in a conventionally undesirable situation. But having found it, would I trade it? I don't think I would...
This is the _one_ thing I miss about getting my eyesight fixed. Within a month of getting laser surgery, it was so natural that I'd essentially forgotten the experience of glasses and contacts, as though I'd never experienced the previous 20 years with them.
One of my very favorite things to do before then was sit in Central Park, or at the Diversey Rocks in Chicago, or anywhere with lots of color, remove my glasses, and just enjoy the blur of it all. It was very calming. An escape from all the details around me, which immediately translated to an inner calm.
I still prefer my perfect vision, and I paid a lot more than I could afford when I had it done to make sure it was done well. But I do very much miss that old shortcut to a quick and simple calm.
As a glasses-wearer who understands the parent commenter: the all-encompassing vision granted by taking off the glasses (which cover ~60% of our regular view) is what makes for the wholesome, nice feeling OP is talking about.
You could force your eyes to blur and achieve the same effect.
It's easier to do if you are tired, if you've never done it before. Crossing your eyes slightly also helps (then hold the blurry focus and uncross them).
You can train your eye muscles to focus at whatever distance without needing something to fixate on. This allows you to blur your vision at will simply by focusing close.
I do the same when I feel disillusioned with superficial beauty. Really pretentious, I know. Either way, it feels good to reduce people to blobs every once and a while. I sometimes get too distracted by looks, so being able to turn that off is nice.
As a person who recently wore contacts every day until dry eyes and an injury forced me to switch back to glasses, I have almost entirely the opposite experience. It bothers me to wear glasses again. My prescription is quite strong, so it creates a pretty significant distortion, stronger towards the edges of the lenses. It's hard to do sports, as I now have a background fear about losing/breaking them, and the distortion messes with my hand/eye coordination. I had an episode skiing where I actually got nauseous from disorientation. As a result I do far less sports and that leads to other things. Ultimately, it has kind of screwed up my sense of scale of things, too, because the glasses make everything appear a bit smaller.
When I take off my glasses the distortion goes away, of course, but I can't read street signs, see people's expressions, watch movies, and other things. Watching an incredible sunset or mountain scene with my own eyes...it's like looking at a 200x100 pixel image Gaussian blurred to fill the whole field of view.
I might agree with you if my prescription is less, but TBH I wish I could get rid of these damn spectacles.
On the other hand, it did teach me a bit about philosophy. E.g. now I realize that to see the world "clearly" I require lenses, I just never noticed before. All of my perception is actually through lenses, not just my eyes. Touch, taste, smell, feeling, all distorted by my senses. And it feeds into my mind, the biggest, most distorted lens of all :)
No, given that my eyes are already so dry, and this plus contacts led to me injuring my corneas on more than one occasion, one of which meant I spent ~2 weeks in a dark room, essentially blind. So doctors recommend I do not do Lasik. :(
I am not going to risk it at this point. Both involve cutting through the epithilium to get at the cornea underneath, and in my case some of the cells that pump moisture through the epithilium were damaged or destroyed, so it's even more of a risk than for most people.
ah bummer. yeah i had noticable dryness after mine, which went away only after a few months.
contacts are really dangerous, and i feel like this is not emphasized nearly enough. i didn't even realize that as a contacts-wearer until i started to research lasik (i learned that wearing contacts was more likely to end up causing me vision problems than lasik, which is what convinced me to get it).
If you don't mind can you share how your contacts damaged your eyes? I wear daily disposables almost everyday and sometimes forget to remove them at night... is that how you damaged your eyes?
In my case my eyes just kept getting drier and drier, and that eventually caused conjuctivitis (inflammation of the eyelid and the covering of the eye). It was mistaken for an eye infection originally. Conjuctivitis + contacts led to an injury of the epithilium, either caused by the contacts literally bonding to and ripping off the epithilium, or by debris being caught and scratching, unable to be washed away due to lack of moisture. The symptoms were cloudy, blurry vision, itchiness, sensitivity to light, and pain. Cloudy vision and pain are f'in scary.
In my case I ended up with lesions that had to be treated with antibiotics, lubricating gel, and a kind of "bandage" contact lens, since the inflammation of the eyelids can cause further damage of the eye.
Please do be careful with your eyes. Don't sleep in your contacts, use lubricating drops, and if you feel debris or other discomfort, take them out!
I was lucky thanks to antibiotics warding off any potential infection. An infection coupled with an injury can threaten your sight. The prognosis is generally pretty good for minor epithilium and corneal damage, usually. For me, it was mind-alteringly painful, but after healing my vision is pretty much perfect with the glasses I had before. Despite being annoyed by my glasses, I am truly thankful that I can see! It is hard to communicate what 2 weeks in a dark room with the question of blindness stirring in your head can make you face.
I have the same situation. When I take my glasses off and move stuff close to my eyes (really close, like around ~4cm) it's like looking through a microscope.
I wrote a huge comment in reply to someone else, but I had this "superpower", too, and wasn't told that I'd lose it after having my vision corrected. I miss it.
Personal anecdote...depends on your age. I'm near sighted (blind as a bat since my teens) and up until I was ~45'ish still had perfect 20/20 near sight vision. Up close I could read the tiniest of print and perform tasks and repairs on very small assemblies (I'm talking sub-millimetre PCB work and modelling). As I've gotten older this has gotten harder and these sorts of tasks now demand the use of a magnifying glass. This could probably be corrected with the use of varifocal lenses but for now I get on fine with a magnifier.
Apropos the Lasik treatment, in my early 20's vanity got the better of me and I wore contact lenses for a time. There were also practicality reasons because I'm a biker and ruined several pairs of glasses trying to stuff the legs into my helmet. Anyway, I contracted an eye infection which over the period of a month affected both eyes and could have resulted in loss of sight in one eye. The doc reckoned I'd picked this up from the lenses despite me being totally anal about keeping them clean. I never wore contacts again. Despite the annoyance sometimes of having to wear eyeglasses, my eyesight even with its less than perfect capabilities, is too valuable a sense to lose. Despite all the Lasik success stories it bothered me enough that I might just be that unlucky sod it doesn't work on and could end up worse just for the sake of convenience and vanity.
It depends on the cause but if the only thing wrong is your eyes are focused to closely, then you will have better vision up close because you have better magnification from the shorter focused lens.
Many times my glasses have prevented debris from hitting me in the eye. I wear them for the safety aspect alone!
Lasik always seemed risky to me--it's not reversible and if better technology comes along I would be out of luck. I also don't mind being nearsighted that much. It's a handicap at times, but not that big of a deal.
Heh, I do this too. It’s great after I’ve been staring at a screen for hours, although I also take my glasses off when using a computer because I really only need them
For distance. I definitely feel like it helps my eyes relax a bit more to have my glasses off.
Bah, my eye Rx is -8.5 diopters. Taking off my glasses/contacts doesn't "soften" the external world - it makes me unable to function. If I forget where I put my glasses after taking out my contacts at night before going to bed, I have to call my wife to find them for me. If I try moving around too much, I'm liable to hurt myself.
I was at that point when I had it done. The only problem with having that bad of an eyesight, they have to use the laser for longer. It helped I had extra thick corneas, but the surgeon I went to said some folks can't have the surgery with eyes that bad.
Of course, that was 15 years ago, so maybe different guidelines now.
Anyone here wear the contact lenses that reshape your eyes at night and then during the day you have corrected vision and no lenses? Mostly I don't mind glasses and contacts, but there are some activities I'd rather not have to rely on them.
I wore them for about 10 years, from 11 to 23. They were great and stopped my eyes from getting any worse, but I ended up getting PRK ~5 years ago which has been worth it overall (exacerbated my dry eye and led to an one eye ulcer from reading too much).
The main issue is the paranoia of sleeping with them on and knowing that if you rub your eyes, it's possible for them to break and cause serious damage. I'm not sure how likely it is, but was a recurring worry and source of nightmares.
It's also something you have to do every day, otherwise it takes a few weeks for your eyes to return to the normal shape.
I tried corneal shaping (contact prescription was about -6.0 for both eyes), and stopped it after roughly six months and three different prescribed lenses. I wore the rigid lenses at night while I slept, and took them out in the morning when getting ready for work (6:30-7am).
I experienced some undesirable effects daily: vision sharpness was perfect in the morning, but would noticeably regress starting around 3pm; I saw halos at night; and the combination of progressively more blurry vision and halos made my night vision really suck. I wasn't comfortable driving at night, and seeing stars in the sky was impossible (maybe sounds silly, but I found that to be a quality-of-life issue). Also, I think the area that could be treated was narrower than my field of vision, similar to how glasses treat a narrower field than regular contact lenses.
Turns out my pupils naturally dilate far more than the average person's (so the halos were partially treatable with brimonidine daily), and my cornea either isn't thick enough or reshapes itself too quickly -- or both, can't remember exactly. Whatever it was, I remember my doctor saying that I would probably experience similar undesirable side effects were I to get Lasik.
As a subscriber I love the New York Times, but like many articles in the Wellness section this is low quality.
The article starts off with:
>A recent clinical trial by the F.D.A. suggests that the complications experienced by Mr. Ramirez are not uncommon. Nearly half of all people who had healthy eyes before Lasik developed visual aberrations for the first time after the procedure, the trial found.
And then five minutes of reading later leads to this valuable insight:
>But many of the trial’s 574 participants reported having visual aberrations and dry eyes before surgery, and the study concluded that Lasik slightly reduced the prevalence of these problems.
Why... didn't they put that in the same paragraph? The title of the article leads me to believe this obfuscation was on purpose.
Then, a few minutes later into the article, they state:
>The study’s lead author ... said the researchers had concluded that the multimillion dollar trial was too small to produce meaningful results, and that the purpose of the study had shifted from determining how many patients have problems functioning to developing a questionnaire that might be used in future research.
Ugh. I just spent 10 minutes reading an article formed around a flawed study that contradicts the title. Filled with circumstantial evidence and discussion about clearly biased people (like the guy with seemingly no credentials who runs lasikcomplications.com).
I scan through HN's list of articles, and click "hide" on all NYT articles, before even reading titles. Same for many other newspapers and a few "usual suspect" websites. (This article was an exception, as I've had LASIK in the past 20 years, and it caught my eye.)
My RSS reader filters them out. I also built a browser plugin for myself to remove links to domains I never want to go to, NYT is 1 of them, mostly because of the paywall. Haven't made the plugin work for mobile FF yet though, thats how I got here.
For anyone who hasn't read the article, the parent is very misleading. The article presents at least half a dozen studies, interviews at least 20 people, and their list of credentials is exceptional.[0]
In this case at least, it's not the Times' research that is 'low quality'.
[0] I copied and pasted the credentialed people quoted in the article below; I only made it 80% of the way through and then realized it had become absurd:
Diana Zuckerman, president of the nonprofit National Center for Health Research in Washington
Dr. Eric Donnenfeld, who was Mr. Puglisi’s surgeon and a past president of the American Society of Cataract and Refractive Surgery
global medical director for a large laser eye-surgery provider
Researchers at Ohio State University
one surgeon’s 2017 analysis of more recent data
Morris Waxler, a retired senior F.D.A. official ... [and] former chief of the diagnostic and surgical devices branch in the F.D.A.’s division of ophthalmic devices
Dr. Cynthia MacKay [ophthalmologist]
Dr. John Vukich, chair of the American Society for Cataract and Refractive Surgery’s refractive clinical surgery committee
Dr. Malvina Eydelman, director of the division of ophthalmic and ear, nose and throat devices at the F.D.A.’s Center for Devices and Radiological Health
Dr. Anat Galor, an associate professor of clinical ophthalmology at the Bascom Palmer Eye Institute at the University of Miami.
Dr. Pedram Hamrah, director of research at the New England Eye Center at Tufts Medical Center
I'd say we're both right: the article is based around a flawed study that hilariously contradicts the title and is full of circumstantial evidence. You are right that they cite plenty of other studies and quote qualified people. But I'd claim that the faults I cite instantly disqualify it from being a quality objective piece, and that there are likely better places to get a well argued viewpoint.
The article is based around at least 6 studies and a long list of interviews with experts. And the article's subtitle says, studies show (note the plural). So it's false to say the article is based on one study.
> a flawed study that hilariously contradicts the title
The title is, Lasik's Risks Are Coming Into Sharper Focus. Which study contradicts those words? Certainly not the one discussed in the GGP, which supports the claim that there is growing information about the amount of risk from Lasik. Again, the line quoted above is false.
> circumstantial evidence
I'm not sure what the parent refers to with that term, but as I pointed out, there is a large amount of evidence and experts analysis in the article. Circumstantial evidence is not a bad thing; it's evidence and is admissible in court, for example (AFAIK). It's just generally not considered sufficient by itself; in this article, it certainly has plenty of company.
> disqualify it from being a quality objective piece
They quote people and research on all sides of the issue, extensively.
> hilariously ... instantly
For me, hyperbole disqualifies comments from being taken seriously. It conveys a desire to rant and be dramatic, not a desire to reason about the facts. In fact, the former is often used as a substitute when the latter is lacking.
You also cut the article to fit your point. E.g. full text regarding 574 participants:
=================================== quote
But many of the trial’s 574 participants reported having visual aberrations and dry eyes before surgery, and the study concluded that Lasik slightly reduced the prevalence of these problems.
Three months after surgery, however, glare, halos and double vision were common, affecting 50 to 60 percent of all patients, with up to 5 percent characterizing them as “very” or “extremely” bothersome.
Even after six months, some 41 percent of patients reported visual aberrations, with nearly 2 percent — or one in 50 — saying the symptoms presented “a lot of difficulty” or “so much difficulty that I can no longer do some of my usual activities.” And one-quarter of the patients followed six months had mild to severe dry eyes.
=================================== end quote
Note that wording here is unclear, because "many" is not quantified and we don't have percentage change over time here. Did it increase or not and by how much. But due to this it is possible to interpret this part however your want - that lasik made things worse or that it didn't.
I don't agree with your logic or conclusions (even ignoring the factual inaccuracies pointed out by others). Those two "observations" you linked are in no way mutually exclusive and it may very well make it the same/better for some people and irreparably worse for others.
Side note: Anecdotally, my late father had the exact same issues as what is presented early in the article. Needed eye drops every 30 minutes to an hour and his quality of life dropped dramatically as a result of lasik.
238 comments
[ 2.5 ms ] story [ 247 ms ] threadI never liked the idea of undergoing a very new surgical procedure on eyes that are otherwise healthy. Not to mention, I'm old enough now that cataracts may be in my future, though they may be years off.
Late last summer, I took a ride one evening when, in any wooded area, the air was absolutely thick with gnats. I wound up tying a extra bandana over my mouth (flying protein supplements do NOT taste good!) and adjusting the one around my forehead to close the gap over my glasses for good measure.
But at my age everyone needs glasses anyway, so there's little upside to lasik and even a small risk is too much for me to accept.
The glasses make for terrible eye-hand coordination, as they warp the trajectory of balls in unpredictable ways. I cannot hit nor catch baseballs worth spit. Fortunately, I couldn't care less about having an athletic career.
When I got contacts, walking through bushland suddenly terrified me. My eyes felt so exposed and vulnerable! Growing up with glasses I'd never realised how protected they made my eyes feel.
Wearing glasses also lets me safely ride with my visor open most of the time and I like the wind on my face. Well, there was that one time I ran into a bee so it's not 100% safe but my eyes were still fine...
If that's actually the case across the full population of Lasik patients that's insane.
>A recent clinical trial by the F.D.A.[1] suggests that the complications experienced by Mr. Ramirez are not uncommon.
>Nearly half of all people who had healthy eyes before Lasik developed visual aberrations for the first time after the procedure, the trial found. Nearly one-third developed dry eyes, a complication that can cause serious discomfort, for the first time.
[1]: https://jamanetwork.com/journals/jamaophthalmology/fullartic...
Or this one:
>even after [5] years, nearly half had dry eyes at least some of the time. Twenty percent had painful or sore eyes, 40 percent were sensitive to light, and one-third had difficulty driving at night or doing work that required seeing well up close.
Like... one third have difficulties after 5 years? That's potentially insane if representative.
For me, it never seemed worth it to deal with the permanent change leading to potential side effects for a temporary benefit. If my corrective lenses were big and heavy, I might reconsider.
I got PRK in Vancouver, BC for less than $2K USD. Recovery took about 5 days to functional vision, and maybe 1-2 months for complete recovery. It is a world of difference. I wake up and can see the world immediately. I can go hiking/camping without gear that requires a sanitary environment just to wake up and go to sleep. Cheap sunglasses work. I can participate in sport with no notice or prep. I can swim without eye protection. My day-to-day experience is dramatically improved.
If you don't perceive the benefits, LASIK/PRK may not be for you. For some people, though, life with glasses or contacts is a noticeable burden, and correction can provide measurable upside. In these cases, it can be well worth the perceived risk.
Dry eyes? Check Can’t see shit in low light? Check Weird itchy feeling? Rare, but check
It’s still a huge improvement over glasses or contacts. I probably ha e 5-10 years left before I need glasses again due to old age but I’ll enjoy it until then.
What kind of glasses are people wearing that makes it worth the substantial risk that they'll end up with chronically dry eyes. Especially when you'll he wearing them again anyway in a decade or two.
I didn't mind wearing glasses at all, or even contacts (although they caused dry eyes). What I minded the most about glasses was my dependency on them, and the fact that I'd be dead in the water if anything happened to them. Having a contingency plan was a part of everything I did; having a second pair on me, avoiding activities that risked my glasses if I didn't, dealing with them at the beach/pool/water activities, etc. I went through a lot of glasses growing up, and also had several ruined vacations and social situations due to something happening and becoming a lame duck reliant on other people to get me squared away. Although not consciously, I very definitively became more risk averse over time to avoid those situations.
The most profound impact of getting eye surgery was the complete and utter removal of that dependency, and the cognitive overhead that came along with it. Not that it seemed like a big deal at the time, as I spent decades accounting for it. But now I just don't think about my eye sight anymore. It's a small and subtle thing, but profoundly impactful on my quality of life in a way that I didn't even realize prior to surgery.
And when I have to start wearing glasses again, it'll be contextual need due to gradual degradation of my eyesight rather than an absolute dependency on them for every aspect of my waking hours.
I'm not sure I'd have made the same decision if eye surgery would have only been an incremental improvement in vision for me, but wanted to provide some insight into why some people would choose eye surgery, even with a high potential of side effects.
I always have a backup pair with me in the car, and I take 2 backup pairs on vacation, usually packed in 2 separate bags.
I also take spare shoes (even for day trips) because I can't buy another pair easily if something happens to mine--they don't sell shoes big enough in normal stores.
You obviously evaluated the risks differently, but to me not needing to pack an extra pair of glasses isn't worth the substantial, potentially life altering risk of severe dry eyes (not to mention blindness).
You don't have to buy them. Regular disposables are very cheap, but toric lenses are not cheap.
In most other ways, my vision is good, and I don't have night artifacts. Would take a lot for those to be worth it.
After using them for a while, I agree.
I know some people who've had the surgery, and who are happy with it, but it's not for me. I find disturbing the casualness that patients and medical practices have approached this kind of eye surgery. The rapidity of the procedure and the short recovery times, makes it easy to forget that this is major elective surgery on a vital organ. There's just too much that can go wrong. Glasses are a bit annoying, but that's the limit of it. I don't want to be reminded everyday how good I had it back when I wore glasses, as I put in eye drops every 15 minutes for the rest of my life, or have to have someone drive me around at night, or whatever else could go wrong. Medical procedures become more refined, safer and less invasive all the time. I'll wait until surgery is a necessity and enjoy the benefits of years of medical advancements between now and when that time comes.
Ive had really good results from it. 20/15 after 5+ years. I still have effects from the astigmatism, but less than I was wearing glasses/contacts, really only a problem when fatigued. I'll need reading glasses as I get older, but for now, its beautiful.
They did mine in 2 stages, one eye at a time over 4 weeks. Normally recovery is pretty quick, but I had a lot of swelling in my first eye done (anesthesia wore off in the middle of the procedure), I was blind for 3 weeks in that eye as the swelling came downm. Second eye I had nearly perfect vision straight out of the OR. The preop work is pretty painful as they use a laser to zap blood vessels in the iris to allow it to dialate enough to insert the implant.
There are side benefits, too, such as full UV A & B protection for the retina.
It's expensive, like $4500 per eye, but still probably the best money I've ever spent on myself.
But I've been wearing contacts for decades and they're still improving. (The type I was wearing for ages stopped being manufactured a couple years back and I switched to new highly permeable lens. What I had been wearing was fine but the new ones were even more comfortable.)
The only downside for me is that I now need reading glasses when I'm wearing contacts--which I don't when I'm not wearing them. May look into multi-focals next time I'm getting checked.
I got PRK a year ago and have zero issues, and I've also never been sent a survey from NYT asking if I have problems. I know 11 people who got LASIK/PRK and no one has reported issues yet.
There's no way a procedure that causes issues in 50% of cases would be legal in the States.
No matter how much trustworthiness and gravitas your doctor exudes, and how much they dismiss pecuniary details, they see the evidence of risk through their own strong incentives. You have a duty to yourself to use their advice as just one part of the puzzle.
Dry eyes? Yes, rarely
Sensitive to light? Yes, constantly
Totally worth it
My nyc surgeon is the best. If you’d like an intro, email me. A@175g.com
In PRK, the outer layer ("epithelium") of the cornea is removed chemically, and the laser ablates the surface of the eye. Over a few days the layer grows back.
For LASEK, the outer layer of the cornea is peeled away. The laser ablates the surface of the eye, and the skin is pushed back into place.
For both of these, there is no flap. The cornea retains its original structural integrity. PRK and LASEK are quite similar in process and outcome. PRK is a faster procedure and gives the patient less discomfort. LASEK has a slightly lower risk of corneal haze.
Having experienced both... I'd never choose LASEK again.
“LASEK is ASA or Advanced Surface Ablation. PRK is the old painful kind of surface ablation prone to scarring.”
That beings said, my eyes are itchy sometimes. Just because there is a complication doesn't mean that the tradeoff wasn't worth it. I was under no illusions that I wasn't risking permanent damage, but the way I looked at it was that I was also risking permanent damage by relying on always having access to my glasses.
I don't mean that as a suggestion, I'm wondering what your experience with them might have been.
My eyes feel dry occasionally and for the first year or so I had night halos, but things have mostly settled down now.
I think most of the light distortions came from the iridotomy procedure rather than insertion of the lens itself.
It was made clear that I will likely return to glasses as I age, but I’ll hopefully make it another 20 years.
Ok, so let us know how it goes in 20 years.
15 years later, I can still see 20/20 in one eye and 20/25-30 in the other. I still occasionally have dry eyes and blepharitis. I wear glasses at night while driving to feel comfortable and I do get halos at night. My left eye, when it is dry, I get slight double vision.
Ultimately, I'm OK with having had it done and don't really regret it. However, folks who ask me about it, I tell them if they can still wear contacts, not to have it done.
I could only wear rigid gas permeable contacts. Being a computer programmer who doesn't blink often looking at the computer (like everyone), I wore ulcers on my eye. So, could only wear glasses. I was legally blind without them, so I feel like I'm in a much better situation now, albeit with some downsides.
With how bad my eyesight was, I will definitely need reading glasses. I'm in my early 40s now, and am starting to show signs of it.
I never had dry eye issues - just starbursts and halos at night. I have always been thrilled with the whole outcome. Though I think soon I may need to look at wearing glasses again - but the 20 years without them was worth it.
Contacts carry their own risks. Even if you have excellent hygiene habits, they can cause eye infections. And if you accidentally fall asleep in them...
I also purchased a 2nd pair of prescription sunglasses, so that has also helped.
I consider my night vision poor--but I thought that even when I was in my teens. My eyes have always been a bit light sensitive... IDK if the two are related.
Contact lenses? Nope. All the wetting solutions I tried blurred my vision, sure it was only for 15 or 20 minutes but that doesn't work with my lifestyle.
For me the risk was never worth it.
It costs about double what LASIK does, but doesn't seem to have the side effects.
I had PRK done instead of LASIK (the top layer of the cornea is discarded [it regenerates] instead of being cut and lifted prior to abalation; recovery time is longer, but corneal integrity is preserved) 8 years ago. The recovery time was a few weeks, but I had no LASIK side effects. I highly recommend it versus LASIK.
I healed very quickly. I did a review of medical research and did a few things to make PRK better for me:
1. Vitamin C supplements leading up to and after treatment. Reduces risk of corneal haze (though risk is very low with modern PRK which uses Mitomycin off-label for prevention)
2. Extra omega 3 supplements before and during recovery. Keeps the tear coatingon your eye from evaporating / breaking up as quickly which supposedly shortens re-epithelialization time (the epithelium is what is removed on the surface of your cornea).
3. Wetting drops way more frequently than the minimum that the doctor prescribes. You basically can’t use these fast enough for the first few days. The wetter the surface of your eye, the faster the regrowth of your epithelium (fun fact: this is the fastest growing tissue in the body—at least according to the surgeon who did my eyes).
Also, pick a surgeon with the latest and greatest laser. I believe the latest ablation tech had some benefits from an optics / recovery perspective.
With all of that said, compared to the coke bottle glasses she had before, I don't think she would have done anything differently.
Me, I can still comfortably wear contacts (astigmatism is mild enough) so she suggested that I not get it.
YMMV
The doctor was able to correct out something like -12D myopia in both eyes with a precision that was mainly limited by the fact that lens implants only come in 0.5D increments. She was also able to use a laser to ablate the cornea in a way that corrected out astigmatism. In the span of two relatively brief surgeries, I went from >35 years of needing to use glasses to now, where I'm typing this post without any external correction at all. It's an amazing result, particularly considering the risks involved with such a high degree of myopia.
That said, I'd never do it just for the purpose of correcting nearsightedness. The implants work, but you mostly lose the ability to focus. There are ways around this, but the technology is still relatively new, and carries with it risks of visual artifacts. There are also the literally 500 eye drops you have to take and risks of various complications during surgery. (One noteworthy risk is that if the lens's bag ruptures during the phacoemulsification, the lens drops into the posterior chamber of the eye and requires a vitrectomy to retrieve.)
It's an amazing procedure, I'm thankful to have had the option to have it done, but I wouldn't recommend it unless and until you absolutely need it.
I'm very interested to hear from people that have had positive LASIK experiences or even an ICL procedure done. So far on this thread it's mostly negative.
But I got LASIK done just over a year ago. I'd worn glasses since I was a kid and don't remember a time without them. Things I love after having done LASIK: - Being in the rain - Boxing - Not fumbling for my glasses after a shower, waking up - Being able to just rub my eyes - Wearing 3D glasses
Things I don't like after having done LASIK - night vision is really quite bad. Low lit streets, driveways can be hazardous. - light sensitivity. Not sure if this is a byproduct of LASIK but I feel disoriented in rooms with low fluorescent lighting. - dry eyes aren't as common as in the first 6 months but I do take more screen breaks to moisten my eyes - blurred vision. Doesn't happen often and I can't say this is purely related to LASIK as I often get this after a long day of coding.
I got my LASIK done at the Eye Institute in Auckland and they sat me down for close to an hour to talk through it. Will I need glasses in the future? yep, they mentioned that. Dry eyes and blurred vision? Yep. For the first 6 months after the operation I had regular checkups.
It's been a freeing experience overall.
I'd had issues with dry eyes for most of my adult life. When I was still wearing contacts, I had a doctor tell me it was likely that I wasn't blinking enough. It seemed silly to me at first, but then I paid more attention (I did tend to stare at screens for 18-20 hours at a time back then), and realized the doctor was spot on.
I learned to blink more while working and it's made an enormous difference. On occasion, I'll still find myself completely submerged into whatever I'm doing, eyes wide open, dry as dust, and I'll sit back, squeeze my eyes shut a few times until they water again, and then take a break.
Nevertheless, I do worry about this a lot.
Someone pointed out an interesting perspective. Perhaps it was that my glasses and contact lenses had a UV filter on them that sunlight did not bother me. Maybe it is not the brightness, but the amount of UV light hitting the eye that is responsible for some of the light sensitivity. It could be UV sensitivity, and not light sensitivity.
I have not taken the time to try to test this hypothesis out in any meaningful way, but it is an interesting thought.
Though PRK, which does not open the flap, is fine, and is the procedure athletes typically go through.
Seems like a much better option?
I can put on contacts or glasses to see something at a distance just as clearly as someone with naturally perfect vision, but someone with 20/20 vision would strain to view something as close to their nose as I comfortably can. (Great for reading!)
I fully admit that this perspective is borne out of my attempt to find the good in a conventionally undesirable situation. But having found it, would I trade it? I don't think I would...
One of my very favorite things to do before then was sit in Central Park, or at the Diversey Rocks in Chicago, or anywhere with lots of color, remove my glasses, and just enjoy the blur of it all. It was very calming. An escape from all the details around me, which immediately translated to an inner calm.
I still prefer my perfect vision, and I paid a lot more than I could afford when I had it done to make sure it was done well. But I do very much miss that old shortcut to a quick and simple calm.
It's easier to do if you are tired, if you've never done it before. Crossing your eyes slightly also helps (then hold the blurry focus and uncross them).
When I take off my glasses the distortion goes away, of course, but I can't read street signs, see people's expressions, watch movies, and other things. Watching an incredible sunset or mountain scene with my own eyes...it's like looking at a 200x100 pixel image Gaussian blurred to fill the whole field of view.
I might agree with you if my prescription is less, but TBH I wish I could get rid of these damn spectacles.
On the other hand, it did teach me a bit about philosophy. E.g. now I realize that to see the world "clearly" I require lenses, I just never noticed before. All of my perception is actually through lenses, not just my eyes. Touch, taste, smell, feeling, all distorted by my senses. And it feeds into my mind, the biggest, most distorted lens of all :)
contacts are really dangerous, and i feel like this is not emphasized nearly enough. i didn't even realize that as a contacts-wearer until i started to research lasik (i learned that wearing contacts was more likely to end up causing me vision problems than lasik, which is what convinced me to get it).
In my case I ended up with lesions that had to be treated with antibiotics, lubricating gel, and a kind of "bandage" contact lens, since the inflammation of the eyelids can cause further damage of the eye.
Please do be careful with your eyes. Don't sleep in your contacts, use lubricating drops, and if you feel debris or other discomfort, take them out!
I was lucky thanks to antibiotics warding off any potential infection. An infection coupled with an injury can threaten your sight. The prognosis is generally pretty good for minor epithilium and corneal damage, usually. For me, it was mind-alteringly painful, but after healing my vision is pretty much perfect with the glasses I had before. Despite being annoyed by my glasses, I am truly thankful that I can see! It is hard to communicate what 2 weeks in a dark room with the question of blindness stirring in your head can make you face.
Apropos the Lasik treatment, in my early 20's vanity got the better of me and I wore contact lenses for a time. There were also practicality reasons because I'm a biker and ruined several pairs of glasses trying to stuff the legs into my helmet. Anyway, I contracted an eye infection which over the period of a month affected both eyes and could have resulted in loss of sight in one eye. The doc reckoned I'd picked this up from the lenses despite me being totally anal about keeping them clean. I never wore contacts again. Despite the annoyance sometimes of having to wear eyeglasses, my eyesight even with its less than perfect capabilities, is too valuable a sense to lose. Despite all the Lasik success stories it bothered me enough that I might just be that unlucky sod it doesn't work on and could end up worse just for the sake of convenience and vanity.
Lasik always seemed risky to me--it's not reversible and if better technology comes along I would be out of luck. I also don't mind being nearsighted that much. It's a handicap at times, but not that big of a deal.
I'll probably want to get LASIK at some point :)
But, yes, sometimes I need help finding my glasses, too.
I use special always-on contacts since 5 years ago or so, change them once a month. This reduces the hassle a lot.
Of course, that was 15 years ago, so maybe different guidelines now.
The main issue is the paranoia of sleeping with them on and knowing that if you rub your eyes, it's possible for them to break and cause serious damage. I'm not sure how likely it is, but was a recurring worry and source of nightmares.
It's also something you have to do every day, otherwise it takes a few weeks for your eyes to return to the normal shape.
Most people here would probably be better off with ortho-k than with LASIK, so long as their myopia isn't severe.
I experienced some undesirable effects daily: vision sharpness was perfect in the morning, but would noticeably regress starting around 3pm; I saw halos at night; and the combination of progressively more blurry vision and halos made my night vision really suck. I wasn't comfortable driving at night, and seeing stars in the sky was impossible (maybe sounds silly, but I found that to be a quality-of-life issue). Also, I think the area that could be treated was narrower than my field of vision, similar to how glasses treat a narrower field than regular contact lenses.
Turns out my pupils naturally dilate far more than the average person's (so the halos were partially treatable with brimonidine daily), and my cornea either isn't thick enough or reshapes itself too quickly -- or both, can't remember exactly. Whatever it was, I remember my doctor saying that I would probably experience similar undesirable side effects were I to get Lasik.
The article starts off with:
>A recent clinical trial by the F.D.A. suggests that the complications experienced by Mr. Ramirez are not uncommon. Nearly half of all people who had healthy eyes before Lasik developed visual aberrations for the first time after the procedure, the trial found.
And then five minutes of reading later leads to this valuable insight:
>But many of the trial’s 574 participants reported having visual aberrations and dry eyes before surgery, and the study concluded that Lasik slightly reduced the prevalence of these problems.
Why... didn't they put that in the same paragraph? The title of the article leads me to believe this obfuscation was on purpose.
Then, a few minutes later into the article, they state:
>The study’s lead author ... said the researchers had concluded that the multimillion dollar trial was too small to produce meaningful results, and that the purpose of the study had shifted from determining how many patients have problems functioning to developing a questionnaire that might be used in future research.
Ugh. I just spent 10 minutes reading an article formed around a flawed study that contradicts the title. Filled with circumstantial evidence and discussion about clearly biased people (like the guy with seemingly no credentials who runs lasikcomplications.com).
Wink wink.
https://news.ycombinator.com/item?id=17290745
In this case at least, it's not the Times' research that is 'low quality'.
[0] I copied and pasted the credentialed people quoted in the article below; I only made it 80% of the way through and then realized it had become absurd:
Diana Zuckerman, president of the nonprofit National Center for Health Research in Washington
Dr. Eric Donnenfeld, who was Mr. Puglisi’s surgeon and a past president of the American Society of Cataract and Refractive Surgery
global medical director for a large laser eye-surgery provider
Researchers at Ohio State University
one surgeon’s 2017 analysis of more recent data
Morris Waxler, a retired senior F.D.A. official ... [and] former chief of the diagnostic and surgical devices branch in the F.D.A.’s division of ophthalmic devices
Dr. Cynthia MacKay [ophthalmologist]
Dr. John Vukich, chair of the American Society for Cataract and Refractive Surgery’s refractive clinical surgery committee
Dr. Malvina Eydelman, director of the division of ophthalmic and ear, nose and throat devices at the F.D.A.’s Center for Devices and Radiological Health
Dr. Anat Galor, an associate professor of clinical ophthalmology at the Bascom Palmer Eye Institute at the University of Miami.
Dr. Pedram Hamrah, director of research at the New England Eye Center at Tufts Medical Center
I'd say the parent comment is factually wrong:
> the article is based around a flawed study
The article is based around at least 6 studies and a long list of interviews with experts. And the article's subtitle says, studies show (note the plural). So it's false to say the article is based on one study.
> a flawed study that hilariously contradicts the title
The title is, Lasik's Risks Are Coming Into Sharper Focus. Which study contradicts those words? Certainly not the one discussed in the GGP, which supports the claim that there is growing information about the amount of risk from Lasik. Again, the line quoted above is false.
> circumstantial evidence
I'm not sure what the parent refers to with that term, but as I pointed out, there is a large amount of evidence and experts analysis in the article. Circumstantial evidence is not a bad thing; it's evidence and is admissible in court, for example (AFAIK). It's just generally not considered sufficient by itself; in this article, it certainly has plenty of company.
> disqualify it from being a quality objective piece
They quote people and research on all sides of the issue, extensively.
> hilariously ... instantly
For me, hyperbole disqualifies comments from being taken seriously. It conveys a desire to rant and be dramatic, not a desire to reason about the facts. In fact, the former is often used as a substitute when the latter is lacking.
=================================== quote
But many of the trial’s 574 participants reported having visual aberrations and dry eyes before surgery, and the study concluded that Lasik slightly reduced the prevalence of these problems.
Three months after surgery, however, glare, halos and double vision were common, affecting 50 to 60 percent of all patients, with up to 5 percent characterizing them as “very” or “extremely” bothersome.
Even after six months, some 41 percent of patients reported visual aberrations, with nearly 2 percent — or one in 50 — saying the symptoms presented “a lot of difficulty” or “so much difficulty that I can no longer do some of my usual activities.” And one-quarter of the patients followed six months had mild to severe dry eyes.
=================================== end quote
Note that wording here is unclear, because "many" is not quantified and we don't have percentage change over time here. Did it increase or not and by how much. But due to this it is possible to interpret this part however your want - that lasik made things worse or that it didn't.
Also, did this trial use a microkeratome or the femtosecond laser for flap creation?
Side note: Anecdotally, my late father had the exact same issues as what is presented early in the article. Needed eye drops every 30 minutes to an hour and his quality of life dropped dramatically as a result of lasik.
2) If you want to be a military pilot, then research the correct military branch. Historically, some allow eye surgery and some don't.
3) All surgery is major surgery, with the risk of infection or other complications.
It's quite miraculous.