Possible complications with LASIK surgery


 
  It is common that your eyes will feel dry after LASIK surgery. You may experience a slight to moderate foreign body sensation and changes in vision. In rare cases, the dryness can last for several weeks up to months, however artificial teardrops will provide relief.

A slight overcorrection is commonly achieved after LASIK surgery and is intended to compensate for the body's own healing process. This means that nearsighted individuals may have difficulty reading for the first weeks after LASIK surgery and after age 40 may temporarily need reading glasses. After LASIK surgery for the correction of farsightedness, a slight nearsightedness may occur for the first few days to weeks and may need to be regulated by temporarily wearing eyeglasses.

With the LASIK procedure, only a part of the cornea is treated, or in other words "sculpted". The higher your refractive error, the smaller the part to be treated. The refractive error remains in the remainder of the cornea. When exposed to day light or bright light this will not cause any problems, as under the influence of bright light the pupil is constricted, and light rays will penetrate into the eye only through the treated part of the cornea. At dusk or in darkness the pupil will dilate, and an increase in glare, halos, and double contours may occur. This may result in difficulty driving at night. However, these changes usually occur with nearsightedness of more than -5 diopters and with farsightedness only.

In case of bilateral refractive errors, vision problems may occur in the time period between the surgery of the first eye and the second eye. We therefore recommend surgery of both eyes on the same day (or if requested on two consecutive days).

In rare cases, a displacement of the corneal flap may occur, usually caused by rubbing the eye. This can be treated easily but requires additional surgery.

Ingrowth of the corneal epithelium, the outermost layer of the cornea, under the flap is another rare complication. It may lead to reduced vision and must be removed surgically in some cases. Epithelial ingrowth occurs up to 6 weeks postoperatively. You should therefore make sure not to miss your exams.

Other complications include decentration of the laser ablation, halos and ghosting in dimly lit rooms or at night.
Furthermore, in extremely rare cases, a severe weakening of the cornea with bulging (keratectasia) and a significant decrease in vision or an infection with scar formation may occur. In some of these cases, a corneal transplant may be necessary to restore vision.

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