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Electromechanical reshaping offers safer eye surgery

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51–60 of 81 posts

Re: Electromechanical reshaping offers safer eye surgery

#51
post #3

Earlier quoted context omitted.

Anything to look out for for someone considering going for LASIK in the next few months?

I had it done in late 2022. The doctor does close to zero work and it’s all in the laser. I called almost every lasik specialist in the city to figure out what laser they use and what their price is and then narrowed that list further with in person consultations. Don’t go for the absolute cheapest but there’s zero reason to pay quadruple. At the time it was about $1k per eye and of course vision insurance sucks and…

Everyone should do it? Without any research or consulting a doctor? This is really bad advice.

Re: Electromechanical reshaping offers safer eye surgery

#52

> potential to replace laser surgeries in ophthalmologists’ offices in the future, for a fraction of the cost . The cynic in me says we won't be seeing adoption of this technology....

The cynic in you has a zero-sum mental model of the world with a fixed number of eye surgery doctors.

If a cheaper, faster, safer (therefore lower insurance cost) procedure becomes available, more clinics will open using it. Competition drives prices down fast in the domain of elective medical procedures.

Re: Electromechanical reshaping offers safer eye surgery

#53
post #8

Glasses are annoying, and I’m not particularly risk averse, but unless I was completely blind or in excruciating pain, I can’t imagine any scenario in which I would elect to have someone cut, lase, or reshape my eyeball.

I elected for LASIK as my near-sighted prescription was severe enough that I could only see about 6-8 inches in front of my eyes without my glasses.

Also, I could only get my prescription filled in high-index lenses as the normal lenses would be too thick for nearly any glasses shop to order and grind. And had been that way for at least a decade by the time I opted for LASIK.

Poor control of my eye reflexes meant that even after over a year of trying I still couldn't reliably wear contacts, and was a highly stressful part of my day when I managed to get them on.

I had a family friend that went for LASIK very early on (late 2000s iirc) and had a horrible outcome losing sight in one eye, and a couple of friends in college that had amazing outcomes, so I had seen both sides. Ultimately, the LASIK operation was a very quick and pleasant operation for me, and the results were beyond my expectations. Nearly a decade later, my eyesight is still fine though I think I'm starting to see some blurring at middle distances that wasn't there a couple years ago. Did get some strong starbursts at night for a couple of years but I've either gotten used to them or they've faded.

After wearing glasses for around 20 years of my life, I love the freedom of no longer wearing them.

Re: Electromechanical reshaping offers safer eye surgery

#54

Getting LASIK never made sense to me given the risks. Essentially, take a very very low risk of permanent eye problems to not have to wear contact lenses. I'd rather pay for contact lenses forever, put them in, and take them out every day than risk anything to my vision. Obviously contacts have risks as well but infinitesimal if used correctly.

Yeah, not to mention that LASIK will degrade over time.

Re: Electromechanical reshaping offers safer eye surgery

#55
post #10
post #3

Earlier quoted context omitted.

Anything to look out for for someone considering going for LASIK in the next few months?

Many acquaintances dating decades back to high school days have gone through LASIK. They were lucky enough to be happy at first (not everybody is). Long term, they all regretted it. The statistics agree. I would personally not consider LASIK.

LASIK is well known to only be a short to mid-term solution. The eyes age like the rest of you, and any correction will eventually be outpaced by the natural weakening of your ocular muscles to the point where you can no longer pull focus and require glasses. Further correction is possible, but from what I remember being told by my doctor and my own reading, the bounce-back from the surgery is rougher as you age.

I know a few folks from college who got it done and a bit over decade later they're going strong. My own surgery is just about hitting a decade (couple of months shy). That said, I have a family friend who had bladed LASIK done in their 50s (late 2000s) and their outcome was bad with total loss of sight in the affected eye. The result on their other eye was barely an improvement but plenty of scarring lead to halos and starbursts.

Re: Electromechanical reshaping offers safer eye surgery

#57

Getting LASIK never made sense to me given the risks. Essentially, take a very very low risk of permanent eye problems to not have to wear contact lenses. I'd rather pay for contact lenses forever, put them in, and take them out every day than risk anything to my vision. Obviously contacts have risks as well but infinitesimal if used correctly.

> I'd rather pay for contact lenses forever, put them in, and take them out every day than risk anything to my vision

Same same same. Soft contacts are pretty freaking great in the grand scheme of things -- go read contemporary accounts of what it was like to suffer from severe myopia even just 50 years ago. The hype surrounding LASIK when there is a cheaper, non-invasive, lower risk, minimally inconvenient and widely available alternative never made an ounce of sense to me.

Re: Electromechanical reshaping offers safer eye surgery

#58

Getting LASIK never made sense to me given the risks. Essentially, take a very very low risk of permanent eye problems to not have to wear contact lenses. I'd rather pay for contact lenses forever, put them in, and take them out every day than risk anything to my vision. Obviously contacts have risks as well but infinitesimal if used correctly.

Risks for both contact lenses and LASIK are incredibly low, but with that said strictly from a quantitative perspective, contact lenses carry a higher risk of permanent vision loss than LASIK. The issue is that the risk of LASIK is almost entirely front-loaded whereas the risk from contact lenses causing an infection that results in significant to total loss of vision accumulates little by little.

Re: Electromechanical reshaping offers safer eye surgery

#59

Getting LASIK never made sense to me given the risks. Essentially, take a very very low risk of permanent eye problems to not have to wear contact lenses. I'd rather pay for contact lenses forever, put them in, and take them out every day than risk anything to my vision. Obviously contacts have risks as well but infinitesimal if used correctly.

Exactly the opposite for me. I would never tolerate contacts and hated wearing glasses too. I had Lasik, 18 years ago now, and absolutely glad I did.

For me the only significant downside is dry eyes (it damages the nerves that sense dryness so you don't produce as many tears), but that's manageable with eyedrops. I do notice my night vision getting slightly worse now in my late forties, but hard to tell if that actually had anything to do with Lasik or if it's just normal aging. No problems with driving at night yet, and eye exams tell me everything is normal.

Re: Electromechanical reshaping offers safer eye surgery

#60
post #8

Glasses are annoying, and I’m not particularly risk averse, but unless I was completely blind or in excruciating pain, I can’t imagine any scenario in which I would elect to have someone cut, lase, or reshape my eyeball.

Lasers are not fun. Especially when they're not aiming at the cornea/etc flap and instead are intentionally burning your torn retina flap to "photocoagulate"/glue it back on to the back of they eyeball with the rest of the retina. It hurts quite a bit (like getting punched in the eyeball 300 times) and you have to remain perfectly still with your eye always looking at the the same exact spot for 20 minutes minutes wh…

Don't they typically do local anesthetic for eye surgeries? I know at least some offices do for IOL placement.
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