LASIK-Flap

Broken Eyes · **Joined:** Sat Nov 26, 2005 7:23 am **Posts:** 3109

Seven-year Follow-up of LASIK for Myopia
J Refract Surg. 2009;25:312-318.
Waldir Neira Zalentein, MD; Timo M.T. Tervo, MD and Juha M. Holopainen, MD

PURPOSE
To assess the long-term refractive results, subjective parameters, and late sequelae of LASIK.

METHODS
A retrospective follow-up study was conducted on 38 eyes of 21 patients (17 with bilateral treatment and 4 with unilateral treatment) who had LASIK surgery between 1999 and 2000. Laser ablations were done with an excimer laser (VISX Star and Star S2). Follow-up was 2 months, 2 years, and >7 years postoperatively. Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), manifest refraction, indirect ophthalmoscopy, and wavefront analysis were measured at the last follow-up and a questionnaire was answered.

RESULTS
Postoperatively, BSCVA ≤0.0 (logMAR) was obtained in 91%, 100%, and 89% of eyes at 2 months, 2 years, and at last follow-up, respectively. Postoperative spherical equivalent refraction within ±0.50 diopters (D) was obtained in 75%, 63%, and 42% of eyes at 2 months, 2 years, and 7 to 8 years, respectively. At 2 months and 2 years, 83% of eyes were within ±1.00 D, which decreased to 42% at 7 to 8 years. Mean spherical equivalent refraction at 2 months was –0.41 D, at 2 years –0.57 D, and at 7 to 8 years continued to decrease to –1.38 D. Patient satisfaction was high—100% of patients would have LASIK again.

CONCLUSIONS
LASIK outcomes tend to shift toward undercorrection over time. Postoperative ectasia was not noted 7 to 8 years after LASIK. All patients were satisfied with the postoperative results although emmetropia was not reached.

From the full text:

Currently, 4 studies with a combined total of 206 eyes have been published on postoperative LASIK results for myopia with follow-up >5 years...

In the present study, 63% of eyes were within +/-0.50 D and 83% were within +/-1.00 D of the intended correction at 2 years. This is consistent with the results of O’Doherty et al at 5 years. However, at last follow-up 7 to 8 years postoperatively, 34% of eyes were within +/-0.50 D and 42% were within +/-1.00 D. Similar to earlier results, myopic regression of the spherical equivalent refraction was noted. At 2 months, an undercorrection of -0.41 D was found; at 2-year follow-up, a minimal myopic regression to -0.57 D was noted, which continued to regress to -1.38 D at last followup. This trend toward myopic regression was noted in all 38 eyes, but it was more pronounced in eyes with preoperative spherical equivalent refraction >6.00 D and in patients aged <30 years. These results show that although refractive results after LASIK are relatively good in the short term, they tend to decline over time.

Broken Eyes · **Joined:** Sat Nov 26, 2005 7:23 am **Posts:** 3109

FDA MedWatch report: LASIK doesn't last.

http://www.accessdata.fda.gov/scripts/c ... ID=1353097

Quote:

Lasik surgery in 2000 - experienced starburst effect immediately, along with dry eyes. My vision has recently started to rapidly regress in right eye, a small amount in left eye. Symptoms: difficulty driving at night, worsened starburst effect, trouble focusing when reading, distance vision impairment. I had to purchase glasses recently, which i was told to wear at night and for the computer. Within 2 weeks, i started having blurred vision, trouble focusing so, went back to eye doctor who informed me, my vision had worsened in my right eye in the past 2 weeks. She ordered a new lens for my glasses.

Broken Eyes · **Joined:** Sat Nov 26, 2005 7:23 am **Posts:** 3109

LASIK doesn't last.

http://www.dailymail.co.uk/health/artic ... cure.html#

http://www.tampabay.com/news/article496285.ece

http://www.usatoday.com/sports/golf/200 ... 5588_x.htm

http://www.ajc.com/braves/content/print ... nform_artr

http://www.dailymail.co.uk/health/artic ... again.html

lasikcomplications.com · **Joined:** Fri Jan 11, 2008 4:02 pm **Posts:** 251

http://www.pga.org.au/default.aspx?s=ne ... aid=128740

19 May 2009

Quote:

One thing I have done that might make a further difference is that I have had my eyesight checked again and had contacts fitted. I played today for the first time with the contacts and the difference was quite amazing. I did have Lasik eye surgery a few years back but it was not all that successful and the last couple of years my eyesight has gotten worse.

Also see:
http://www.peterlonard.com/Latest/New-l ... Peter.html

Broken Eyes · **Joined:** Sat Nov 26, 2005 7:23 am **Posts:** 3109

telegram.com. 8/26/2009

Blurry eyes are on prize, title in sight for Parajeckas

Quote:

Parajeckas, head pro at Pleasant Valley CC in Sutton, underwent successful Lasik surgery to correct his vision in 1996, but he has suffered from dry eyes and cloudy vision for the last year and half to the point where it affects his balance. “It felt like there was a fog over my eyes, like a windshield defroster,” Parajeckas said. “I kept on blinking, blinking, blinking.” Parajeckas had plugs implanted in his eyes to provide moisture, but his eyes got too wet, so he had the plugs removed a couple of weeks ago. He continues to use drops to try to prevent his eyes from getting dry. “It’s been a nightmare,” he said. If the drops don’t keep his eyes moist, Parajeckas may have to wear contact lenses or eyeglasses.

Quote:

Parajeckas’ vision problems bother him most when he putts. Yesterday, he putted for birdie 17 times, but made only one of them — when he hit a 9-iron from 139 yards to within two feet on No. 14.

Read article at:
http://www.telegram.com/article/2009082 ... 009/sports

Broken Eyes · **Joined:** Sat Nov 26, 2005 7:23 am **Posts:** 3109

Not a peer reviewed article, obviously.

http://www.tampabay.com/features/consum ... es/1033797

Lasik surgery does not necessarily mean the end to glasses

By Ivan Penn, Times Staff Writer

September 5, 2009

Quote:

At first blush, I could hardly believe my eyes. What's the point of the surgery then?

Well, I had a chat with a couple of ophthalmologists, Dr. James Salz, of Beverly Hills, a spokesman for the American Academy of Ophthalmology and clinical professor at the University of Southern California; and Dr. Steve Updegraff, a St. Petersburg ophthalmologist who underwent the laser treatment.

Salz does not dispute Consumer Reports' findings.

Broken Eyes · **Joined:** Sat Nov 26, 2005 7:23 am **Posts:** 3109

MedWatch report submitted to the FDA

http://www.accessdata.fda.gov/scripts/c ... id=1513527

I had lasik surgery nine years ago performed by a dr. At first it was great, i could see 20/20 if not better. However, i never felt comfortable driving at night because as a result of the surgery, i had difficulties with white signs appearing very blurry, as well as the halos and so forth. After three years, i required glasses to drive. My prescription has continued to increase, requiring me to where glasses all the time. In addition, i do not drive at night, even with the glasses, unless extremely necessary. I can not see at night - it's terrible-.

Broken Eyes · **Joined:** Sat Nov 26, 2005 7:23 am **Posts:** 3109

from the LASIK docket on regulations.gov

PUBLIC SUBMISSION As of: April 20, 2010
Tracking No. 80ada97d
Comments Due: November 15, 2010

Docket: FDA-2008-N-0488
Medical Devices: Ophthalmic Devices; Laser-Assisted In Situ Keratomileusis (LASIK) Devices; Establishing a Docket.

Comment On: FDA-2008-N-0488-0025
Medical Devices: Ophthalmic Devices; Laser-Assisted In Situ Keratomileusis (LASIK) Devices; Reopening of the Comment Period

Document: FDA-2008-N-0488-0089
J M Siegman - Comment

--------------------------------------------------------------------------------

Submitter Information
Organization: N/A

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General Comment
12 years ago, I had LASIK surgery in both eyes.
I was thrilled - no more glasses for me - except to read
I had an "enhancement" about 6 months later.
After that, my near vision went out the window - reading glasses to eat dinner.
Residual "dry eye," that I was told might go away, is worse then ever 12 years later.
Now, after 12 years, I need glasses to drive at night, and during the day if it is not bright outside.
I called the opthalmologist's office to ask about the diminishing of my distance vision, and I was told: "did you expect the LASIK correction to last forever?"
I replied I was under the impression, that it was forever.
I was told I could come in for "another enhancement" for a price.
I declined, because I am no longer comfortable with the side effects, and I do not wish to spend additional money on this.
My original surgery, and enhancement, was done by Dr. Robert Maloney in Los Angeles California.

Broken Eyes · **Joined:** Sat Nov 26, 2005 7:23 am **Posts:** 3109

05/07/10

McCann will go back to glasses upon return

Despite previous surgeries, right eye continues to be issue

By Mark Bowman / MLB.com

PHILADELPHIA -- When Brian McCann underwent Lasik surgery again in October, he proudly stated that he would never again have to wear the glasses that had allowed him to continue playing over the course of the previous five months.

But when McCann returns to the Braves' lineup after a two-day absence on Saturday afternoon, he will once again be wearing a pair of Oakleys fitted with prescription lenses. Over the course of the past two months, the All-Star catcher has been unable to find any other solution to correct the vision problems that he is now experiencing in his right eye.

Read full article at: http://mlb.mlb.com/news/article.jsp?ymd ... p&c_id=mlb

lasikcomplications.com · **Joined:** Fri Jan 11, 2008 4:02 pm **Posts:** 251

http://blogs.ajc.com/atlanta-braves-blo ... raves_blog

Quote:

Saito said he had laser eye surgery nearly a decade ago and didn’t need any corrective lenses again until recently.

He wears glasses off the field and contacts in games, but can’t make out the signals at night, or when McCann is trying to hide signals from baserunners or coaches who might be trying to steal signs.

“I had Lasik surgery before and my eyes did get better,” Saito said. “But I still wasn’t able to see the fingers, especially when the catcher has them between his legs, because it creates a shadow. He’s trying to hide it from the first- and third-base coaches, so it makes it really difficult for me to see.”

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