Questions to doctor - ArtLife Ophtalmologic Centre

 

Laser vision correction

- What are the factors that determine the method of the Laser Vision Correction?
- Is a thyroid condition a contradiction for the surgery?
- How soon can I undergo a vision correction after having delivered a baby?

laser vision correction

Questions to our doctors

Are you wondering, if the laser vision correction is right for you?
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Questions and Answers

Titel Data

Fear of needles – is it justifiable?

Is it possible to avoid the use of needles in any of the laser correction methods? I would rather not have any anaesthetic injected or have a needle put into my eye. I faint every time I have a blood test, so I cannot imagine a needle in my eye.
Dominika

Doctor’s answer
Needles are not used during a laser vision correction surgery. The patient receives local anaesthetic in the form of eye drops. When laser is in use, the eyelids are kept open with a special distractor to prevent blinking. The patient is conscious and aware of the procedure, yet it is completely painless, and the only thing the patient may feel is the touch on the face. If you want to find out more about the laser vision correction methods in our clinic, click on the following link:  http://www.artlife.com.pl/pl/uslugi/laserowa-korekcja-wzroku/metody-korekcji.php

When can I return to work after the surgery?

I am thinking of having laser vision correction. I am short-sighted, with -1,25 dioptres in both eyes, and I have astigmatism in one eye. What is the price of the procedure? What are the medical recommendations that I should follow after the surgery? Is it true that it is not allowed to return to work earlier than a month after  the procedure? 
Magdalena

Doctor’s answer
Your short-sightedness is possible to be fully corrected. It is also possible to correct astigmatism up to 6 dioptres. During a preliminary qualifying examination it will be finally confirmed what results you may expect. The maximum cost of laser vision correction is 6500 PLN. You can find a detailed price list here: http://www.artlife.com.pl/pl/cennik.php
In case of a one-day procedure the cost of the preliminary qualifying examination (200 PLN) is deducted from the price of the both-eye surgery. After the procedure, you need to take the received medications (eyedrops, included in the price of the correction) according to the doctor’s recommendations. The administration period is approximately 30 days. During this time it is not allowed to use a sauna or swim in a pool or any other water tanks. When you can actually come back to work depends to a large extent on the method of the surgery and the type of job you have. In case of office work, it is recommended to return to work a few days after the procedure. If your job involves dust exposure or any other adverse working conditions, it is strongly advised to avoid it for up to 30 days after the surgery. You are entitled to a sick leave for the whole time of your absence. If you want to find out more about the laser vision correction methods, click on the following link:  http://www.artlife.com.pl/pl/uslugi/laserowa-korekcja-wzroku/metody-korekcji.php

Correction of astigmatism in patients with a thyroid disease.

I have decided to undergo laser vision correction of both eyes. Apart from short-sightedness, I have astigmatism in the right eye. Unfortunately, I have a Hashimoto disease, but I know that it does not necessarily disqualify me from the surgery. 
Małgorzata

Doctor’s answer
Laser vision correction corrects short-sightedness, far-sightedness, astigmatism and various combinations of these defects. Thyroid diseases such as hypothyroidism (Hashimoto) are not an absolute contraindication to having laser vision correction. However, to be qualified for the procedure, it is necessary to provide a medical certificate from your endocrinologist attesting to the degree of the disease, stabilisation of hormone levels and lack of contraindications to the laser vision correction surgery. 
It should be taken into consideration that thyroid diseases may slow down the healing process in the eyes and prolong the convalescence period. If you are considering undergoing laser vision correction, make an appointment for a preliminary qualifying examination to rule out any other possible contraindications to the procedure.

When is it possible to undergo a laser vision correction procedure?

Can an 18-year-old person with a stable refractive error who is planning to become a firefighter in the future  undergo a laser vision correction surgery?
Jakub

Doctor’s answer
Yes, it is possible. You can have the surgery at the age of 18 provided that you will meet all criteria, such as refractive error stability, appropriate corneal thickness, etc. During the preliminary qualifying examination a number of tests are conducted whose results allow the operating doctor to decide whether you are eligible for the procedure. If you are, the doctor will present the estimated result of laser vision correction and choose the most suitable surgery method. 

How much time do I have to wait after I finish breastfeeding to have laser vision correction?

How much time do I have to wait after I finish breastfeeding before I can undergo a laser vision correction procedure?
Anna

Doctor’s answer
During pregnancy and lactation a lot of changes are observed in a woman’s body, which are caused by a so-called hormonal havoc. In this period, refractive errors may fluctuate in their severity, and ophthalmologic examinations may produce unreliable results. Therefore, an optimal amount of time you should wait before having a laser vision correction procedure is approximately 6 months, as this is the time required for the hormone levels to stabilise and for the whole body to restore its pre-pregnancy functional abilities.

Short-sightedness correction in the one-day procedure

I would like to undergo a laser vision correction surgery in the one-day procedure. My refractive error is -2,25 in both eyes.
Agnieszka

Doctor’s answer
The WaveLight EX500 excimer laser, which we use in the ArtLife Centre, corrects shortsighedness within the range of -0,25 to -14 dioptres, so your error is possible to correct. During the preliminary qualifying examination a number of tests are conducted, whose results allow the operating doctor to decide whether you are eligible for the procedure. If you are, then the most suitable correction method is chosen during the examination as well. The choice of the method depends mostly on the thickness and shape of your cornea. Please fill in the preliminary qualification form online: http://www.artlife.com.pl/pl/uslugi/laserowa-korekcja-wzroku/kwestionariusz-wstepnej-kwalifikacji-do-laserowej-korekcji-wzroku.php
and let us know which month you are planning to have the one-day procedure (the examination and surgery on the same day) so that we can suggest appropriate dates and times.

Good eyesight for a fire-fighting school candidate

I will turn 19 in two years’ time. I am planning to enrol on a fire-fighting programme and become a professional fire-fighter. There is, however, one obstacle I need to overcome, namely my vision defect. My refractive error is -3,5 dioptres in the left eye and -0,75 dioptres in the right eye. I would like to join the fire-fighting school as soon as I graduate from high school. Is it possible to undergo a laser vision correction procedure at the age of 19? To be eligible for the programme, I cannot have a vision defect greater than 09-1,0 dioptres without correction.
Michał

Doctor’s answer
 laser vision correction procedure may be performed on a 19-year-old patient as long as  the refractive error has already stabilised, which means it cannot increase more than by 0,25-0,5 dioptres per year. A visual acuity test is conducted during the preliminary qualifying examination. During the examination, your doctor will present the estimated result of laser vision correction.

Air travel following laser vision correction.

Is it allowed to fly on a plane following a laser vision correction surgery? I have heard that it may lead to complications shortly after the procedure.
Sebastian

Doctor’s answer
After laser vision correction it is extremely important to pay attention to proper eye lubrication. During a flight your eyes are exposed to very dry air. In order to reduce eye dryness it is recommended not to travel by plane earlier than three days after the surgery and apply preservative-free moisturising eye drops every hour.
 

Is a thyroid disease a contraindication to laser vision correction?

I have had hypothyroidism and have taken Euthyrox for eight years. I remain under a regular endocrinological care and have my hormone levels within the normal range. My refractive error is -3 in the right eye and -2 in the left eye. Am I eligible for laser vision correction?
Justyna

Doctor’s answer
Thyroid diseases, such as hypothyroidism (Hashimoto) or hyperthyroidism, are not a definite contraindication to laser vision correction. However, to be qualified for the procedure it is necessary to present a certificate from your endocrinologist which confirms the degree of the disease, hormonal balance and lack of contraindications to laser vision correction. Thyroid diseases may prolong the eye healing process and thus the recovery period following the procedure. Your refractive error is within the laser operative range, so it can be corrected through a laser surgery. During the preliminary qualifying examination numerous tests are run whose results determine the most suitable method of the procedure and enable the doctor to present the expected results of the correction. 

Other surgeries versus laser vision correction.

I would like to have a SBK LASIK vision correction procedure and I would like to know whether an aesthetic plastic surgery undergone a week or two prior to laser vision correction is not a contraindication to the procedure. How long should I wait before I get pregnant afterwards?
Natalia

Doctor’s answer
The possibility of conducting a laser vision correction procedure depends on the results of the preliminary qualifying examination. During the examination a number of tests are run (including both subjective and objective refractive error assessment and corneal thickness and shape measurement).  It is also checked whether the patient does not have any eye infection or inflammation for it is crucial not to have any infections or inflammatory conditions on the day of the surgery. If the recovery following the plastic surgery is complete before laser vision correction, it should not affect the results of the qualifying examination in any way. It is not recommended to get pregnant earlier than six months after the laser vision correction procedure for the sake of hormonal balance which is of the utmost importance. When the first six months after the procedure are over, you may attempt to conceive.

Personalisation of the procedure.

Do you conduct personalised laser vision correction surgeries (far-sightedness) based on individual corneal topography? 
Paweł

Doctor’s answer
All laser vision correction procedures performed in our Centre are personalised. Laser vision correction is conducted using a method which is chosen individually for every patient during the preliminary qualifying examination. An individual treatment plan is established on the basis of the tests performed during the examination. The examination is also the time to discuss the predicted surgery results and ask the doctor any questions you need answers to. To find out more about the preliminary qualifying examination and the procedure methods click on the following links:
for information on the examination http://www.artlife.com.pl/en/offer/laser-vision-correction/laser-vision-correction-qualifying-examination.php, and   for information on the methods. http://www.artlife.com.pl/en/offer/laser-vision-correction/methods.php

Wearing contact lenses and artificial eyelashes during the preliminary qualifying examination.

I have been wearing contact lenses for many years. I am short-sighted, with -6 dioptres in one eye and -7 in the other. I put on contact lenses in the morning and take them off for the night.   I would like to know whether I can undergo the laser vision correction procedure and how much time before the preliminary qualifying examination I should stop wearing the lenses. I have heard that the required period is approximately one to two weeks. I must admit that I do not feel comfortably wearing glasses and it makes a significant difference to me whether I have to wear them for a week or longer. Another question that I would like to ask is whether I can wear artificial eyelashes during the qualifying examination. They are quite short and look as if they were natural, but I do not know if they are allowed during the examination. I know that they are forbidden during the surgery. 
Aldona

Doctor’s answer
In order to undergo the preliminary qualifying examination you have to stop wearing soft contact lenses one day before the scheduled appointment, and in case of a one-day procedure (the preliminary qualifying examination and surgery both conducted on the same day) you are not allowed to wear your lenses for at least 7 days prior to the procedure. Artificial eyelashes are allowed both during the examination and the surgery. It is not necessary to take them off before the appointment.

What is the range of vision defects which can be corrected through laser vision correction?

My vision defect is -12 dioptres in both eyes. I am 21 years old and the defect is stable. I have read on a few websites that laser vision correction is performed in case of defects up to -10 dioptres. Is it possible to correct more severe defects in your centre? Is there any other method which proves effective in case of a defect such as mine? 
Paulina

Doctor’s answer
The WaveLight EX500 excimer laser, which we use in the ArtLife Centre, corrects short-sightedness from -0,25 up to -14 dioptres. Provided that the thickness of the cornea as well as all the other parameters are normal, laser vision correction may be performed. During the preliminary qualifying procedure a number of tests are conducted and the procedure method is chosen on the basis of their results. 

Accommodative strabismus – can it be corrected through laser vision correction?

Can the laser vision correction surgery correct accommodative strabismus? I suffer from accommodative strabismus – I do not squint when I wear glasses, but I have esotropia without them.
Jakub

Doctor’s answer
Laser vision correction corrects vision defects such as far-sightedness, short-sightedness and astigmatism. It does not, however, correct accommodative strabismus. It only corrects a vision defect and therefore makes wearing glasses no longer necessary. It does not affect  the position of the eyes although there is a chance that following the laser vision correction procedure strabismus may also decrease or even completely disappear.

What is the maximum age at which I can undergo laser vision correction?

Can I have laser vision correction at the age of 62?
Emilia

Doctor’s answer
In case of laser vision correction, there are no upper age limits. What plays an important role in determining whether you are eligible for the procedure or not, is your general health condition and lack of contraindications to the surgery. Eye diseases such as cataract, glaucoma or other conditions disqualifying from laser vision correction also need to be ruled out.

Can past eye surgeries disqualify me from laser vision correction?

My vision defect is approximately +1,75 to + 2.0 depending on the examination. I wear equal contact lenses on both eyes, with only a minor difference in the form of a cylinder on one eye.  My question is whether I am eligible for laser vision correction. The doubts I have result from the fact that I had 3 strabismus surgeries in one of the eyes and I have stitches which prevent me from wearing contact lenses.
Łukasz

Doctor’s answer
We can correct vision defects of this kind, yet only on condition that the thickness and shape of the cornea allow for it. These parameters, as well as many others, are thoroughly checked during the preliminary qualifying examination. Past surgeries are not necessarily a contraindication to the procedure; however, you need to undergo the preliminary qualifying examination in order to fully verify your eligibility.

What is the minimum age for undergoing a laser vision correction procedure?

I have learnt from your website that one of the conditions which have to be fulfilled in order to be eligible for laser vision correction is a finished growth process. Does it mean that it is possible to undergo the procedure at the age of twenty?
Piotr

Doctor’s answer
Laser vision correction is a procedure suitable for people who are at least 18 years old, as it is the age when the visual system becomes fully developed. It is also crucial for the vision defect to be stable and not progress more than 0,25-0,5 dioptres per year. It is recommendable to undergo an annual test of vision acuity in order to rule out the risk of vision defect progression. We suggest that you make an appointment for the preliminary qualifying examination to verify your eligibility for the laser vision correction procedure.

Surgical correction of strabismus and far-sightedness.

Can a laser procedure correct strabismus? My strabismus is approximately 3 degrees in glasses and 16 degrees without glasses. I am also far-sighted with +4 dioptres in both eyes and diplopia.
Żaneta

Doctor’s answer
During the laser vision correction procedure the corneal surface  is  reshaped in such a way that the correction with glasses or contact lenses is no longer necessary. The WaveLight EX500 excimer laser, which we use in the ArtLife Centre, corrects far-sightedness within the range of +0.25 up to +6.0 dioptres, so your defect pre-qualifies you for the laser vision correction surgery. When it comes to far-sightedness, an appropriate thickness and shape of the cornea are of great importance. These parameters, as well as many others, are thoroughly checked during the preliminary qualifying examination. Laser vision correction, however, does not fully correct strabismus, although strabismus may disappear or regress after the procedure.

The dates and costs of a laser vision correction

I’d like to ask about the possibility of having a laser vision correction. How long do I have to wait for an appointment? What is the procedure of laser vision correction like? 
I’m 26 years old, I’m short-sighted (with -6,5 in my left eye and -7,5 in my right eye) and astigmatic. How much does such a correction cost?
Michał

Doctor’s answer
In our Ophthalmologic Centre we offer a one-day procedure, which means that both the qualifying preliminary examination and the surgery are scheduled for the same date. The appointment should be made at least 1-2 weeks prior to the day of the procedure.  Wavelight® Ex500 Excimer Laser, which we use in our centre, corrects vision defects within the range of -14 to +6 dioptres and astigmatism up to 6 dioptres. The preliminary examination costs 200PLN and the maximum cost of a laser vision correction  performed on both eyes is 6500 PLN. In case of the one-day procedure on both eyes, the cost of the preliminary examination is deducted from the cost of the surgery.

Severe far-sightedness – is laser correction possible?

My vision defect is +8,5 dioptres. Is there a suitable procedure to correct such severe defects?
Rafał

Doctor’s answer
Wavelight® Ex500 Excimer Laser, which we use in ArtLife Ophthalmological Centre, corrects vision defects within the range of -14 to +6 dioptres. Your defect exceeds this range. In case of a +8,5D defect, a recommendable surgery is a refractive lens implantation. Our centre does not offer such procedures.

Is the patient under general anaesthesia during the procedure?

Is it possible to undergo the surgery under general anaesthesia?
Daniel

Doctor’s answer
Laser vision correction procedures are conducted under local anaesthesia. Prior to the procedure, the patient is administered strong eye drops, therefore the procedure is completely painless and the only sensation the patient may feel is touch.

The date of the qualifying examination and the date of the procedure

I’m planning to undergo an eye surgery and I have a question whether it would be possible to make an appointment in your centre for May and how soon after the qualifying examination could I have the procedure.
Mateusz

Doctor’s answer
Our Ophthalmologic Centre offers a one-day procedure, which means that both the qualifying preliminary examination and the procedure itself are scheduled for the same day. It is also possible to make an appointment only for the qualifying examination and in that case a separate appointment can be made for the procedure, but the waiting time is approximately 1-2 weeks.

A qualifying preliminary examination and a laser vision correction on the same day – A one-day procedure

I would like to know whether it would be possible to undergo all the necessary tests and the laser vision correction within 1-2 days. What is the standard waiting time for the examination and  the procedure itself? Does the price depend on the type of vision defect? Is it possible to pay in instalments?
Magda

Doctor’s answer
The one-day procedure that we offer means that both the qualifying examination and the surgery are performed on the same day. The waiting time for the one-day procedure is quite short, as you can make an appointment even one week before the scheduled surgery. The price depends on the laser vision correction method, which will be  chosen by the doctor on the basis of the qualifying examination results (vision defects, thickness of the cornea, corneal topography, keratometry and other factors). We offer our patients a possibility of financing a laser vision correction procedure through a personal loan from the Santander Consumer Bank Inc. on an interest free instalment plan with 10, 20 or 30 instalments and the first month free. The credit cost is covered by ArtLife Plc.

At what age is it possible to undergo a laser vision correction?

Can I have a laser vision correction to correct short-sightedness if I’m 15 years old? Is it possible to undergo this procedure as an underage person if I’m accompanied by a parent or a legal guardian?
Maciej

Doctor’s answer
A laser vision correction is for people over the age of 18, i.e. the age when the eyes are fully developed. It is also very important for the visual defect to stabilise. The defect fluctuations cannot exceed 0,25-0,5 dioptres per year. When you are 18, please come to the qualifying examination to check whether the visual defect is stable enough and whether you are eligible for a laser vision correction procedure.

Contraindications to a laser vision correction

I have a droopy eyelid. I have a heart condition and an implantable cardioverter defibrillator. Am I eligible for the procedure?
Sylwia

Doctor’s answer
Having a cardiac pacemaker is a contraindication to a laser vision correction because the electromagnetic field generated by the laser may disturb the pacemaker. 

Is hypothyroidism a contraindication to the procedure?

Can people with hypothyroidism undergo a laser vision correction? 
If I wear contact lenses on a daily basis (practically for the last 17 years, with replacement every two weeks) and use glasses only in the morning and evening, do I need to abandon the contact lenses for some time to prepare for the procedure?
Natalia

Doctor’s answer
Hypothyroidism is not a contraindication to the procedure; however, you need a medical certificate from your doctor regarding the lack of contraindications to a laser vision correction. During the surgery the surface of the cornea is smoothed using a laser. When you use contact lenses for a longer period of time, they may cause corneal warpage (shape distortion of the cornea), which may in turn affect the examination results and the results of the surgery itself. Therefore, it is crucial to stop wearing contact lenses at least 7 days before the procedure.

Is it possible to work in front of a computer after a laser vision correction?

I’m short-sighted with a defect of approximately -2 in both eyes and I’m considering a laser vision correction. I’d like to know how long it takes to recover and whether there is anything I should avoid after the procedure, such as working in front of the computer or sun exposure (I’m planning to go to „hot islands”)?
Mateusz

Doctor’s answer
It takes approximately 1 month to recover after the procedure. During this time it is not allowed to use a sauna or swim in a swimming pool or any natural bodies of water. It is strongly advised to avoid increased physical effort such as working out in the gym. Walking and gentle aerobic exercise are both allowed. Sunbathing is not allowed for the first month after the procedure, and even after this period eyes should be carefully protected against excessive UV radiation, which additionally dries the cornea. Working on the computer is allowed; however, you should remember to apply moisturising drops regularly and to take more frequent breaks from work in front of the computer.

Reading glasses – is it really presbyopia?

I read your offer and I am intereste in laser vision correction. I am 45 years old and have had an acute deterioration of my vision for two years. Recently I did an eye examination and now I have to put on the glasses +1 for reading, two years ago I started with +0.5. I would like to mention that during the given period I have spent a lot of time in front of a computer, due to the nature of my work. Upon reading about the eye defects, I conclude that there exists such a condition as presbyopia - a natural process of aging of the eye muscles, which unfortunately can not be corrected. I am asking for an expert’s opinion in this matter. Thank you in advance.
Rafał

Doctor’s answer
It appears, from the description, that you need the glasses only for reading and working in front of a computer. Yes, as you correctly concluded, you probably suffer from presbyopia which unfortunately cannot be corrected by means of laser vision correction.

Keratoconus – is it a contraindication?

I have a question about keratoconus. My ophthalmologist refered me for a detailed examination becease she had some doubts about my case. I wold like to ask whether such examinaiton can be performed in your clinic? In case of confirmation of that impairment – is it a contra indiaction for a laserv vision correction surgery? I am asking beceause I am interested in undergoing one
Mateusz

Doctor’s answer
Diagnosis of keratoconus is based on corneal mapping, which is perfomed during a qualyfying examination. If, during the examination, it turns out that you indeed suffer from keratoconus – laser vision correction will not be possible. Keratoconus is a contraindication for such procedure.

Myopia of a high degree

One eye - approx -11D, the other one twice as high… can I undergo a surgery on one eye only?
Is it safe? I know that I can forget about having the worse eye operated on but maybe I can count on having at least the other one corrected?
Agnieszka

Doctor’s answer
In a case of such serious impaiments lase vision correction is unfortunately impossible, even on one eye only, beceause the refraction error is very often accompanied by organic changes in the retina. In you case an intraocular lens implantantion should be considered.

At what age you can undergo a laser vision correction?

I would like to ask how many years is it possible laser vision correction? I am 14 years old. And if you can perform the procedure, if you have problems with dry eye?
Marika

Doctor’s answer
Laser vision correction can be performed only after you turn 18. The stability of the visual impairment is crucial. Fluctuations shouldbe greater than 0.25-0.5 diopters in 1 year. The problem with dry eye should be further diagnosed – it may be a sympthom of a systemic disease diseases eg. autoimmune diseases. After excluding all potentially serious causes of the dry eye sydrome, laser vision correction can be made, however, the final decision is made after the qualifying examination. I invite you to a undergo a qualifying examination once you turn 18 it will enable us to determine stability of your impairment and whether you qualify for laser vision correction.

Correction of "pluses" and astigmatism

I would like to make an appointment to visit you. I have been wearing glasses since I remember. I have been suffering from eye defect from childhood (I am a preemie). The left lens of my glasses is +4,25, and the right it is +2,75, I also suffer from strabismus and astigmatism. I would like to not to have to wear glasses anymore. That’s why I would like to check for whether I could undergo a laser vision correction surgery.
Krzysztof

Doctor’s answer
The WaveLight EX500 eccimer laser, which we have at the ArtLife Center, corrects hyperopia in the range from +0.25 to +6.0 D and astigmatism up to 6 D, so the defect given by you can be considered pre-qualified for the laser vision correction. It is crucial that you undergo the qualifying examination, during which a number of tests will be carried out and detailed medical history will be taken.

Is it possible to choose the method of laser vision correction surgery?

I would like to get information whether I am suitable for laser vision correction on the SBK Lasik laser? I wear glasses + 5 and + 3.75.
Łukasz

Doctor’s answer
SBK LASIK is on of the methods of laser vision correction. We are using the WaveLight EX500 excimer laser to perform surgeries. The manner (i.e. the method) in which the procedure will be performed is selected by the operator after the qualifying examination and a thorough talk with the patient. The defect you mention is within the scope of laser’s abilities and, as far as the mentioned factors are concerned, you are pre-qualified for surgery.

Does strabismus rule out laser vision correction?

Is laser vision correction possible with strabismus? I'm after 4 treatments for a cross-converged alternating. I wear +6.0 glasses.
Kasia

Doctor’s answer
Previous strabismus surgery is not a contraindication to laser vision correction. In the case of high-degree hyperopia, the result of the keratometry test, that is, the measurement of curvature of the cornea, is very important. If the cornea is ‘too steep’, the procedure may not be possible. I invite you for the qualifying examinatio to check if you are eligible for surgery.

Can presbyopia be corrected with laser?

I am 42 years old and have a disadvantage of +1.0 on both eyes. I have had problems with eyesight for 5 years but have recently become annoyed. I was at an ophthalmologist and told me that at my age such a defect is hyperopia and is not corrected by laser techniques. Is it true?
Iwona

Doctor’s answer
Presbyopia, is a natural process of aging of the body, the result of which is the need to put on glasses to read text or work in front of a computer. This is not a defect of vision, therefore it can not be corrected with the use of laser vision correction. Presbyopia is a natural physiological process that awaits each of us - it results from the aging of the body, just like gray hair or wrinkles.

Cataract and laser vision correction

I am 40 years old, my error is -6.00 in both eyes, during the last examination I was told that cataract is starting to develop in my eye. Does that disqualify me from the laser vision correction surgery?
Paulina

Doctor’s answer
Diseases of the eye, such as cataract or its’ beginning are contraindication, for laser vision correction procedures.

One day procedure – cost of qualifying examination

I am wondering whether I should undergo laser vision correction and I am wondering whether, if I don’t qualify during the examination, I will only pay the cost of the qualifying examination?
Aleksandra

Doctor’s answer
In One Day Procedure, at first you have to go through the qualifying examination. Should you not qualify for the surgery its’ cost (200 zł) is the only you have to pay. However, if you will be qualified for the procedure the cost of the examination will be subtracted from the cost of the surgery.

Correction of “pluses”

Hello, my error is +3.5 in the left eye and +0.5 in my right eye, my question is: is it true that hyperopia tends to relapse after the surgery?
Sylwester

Doctor’s answer
The WaveLight EX500 excimer laser, which we have in our Centre, is capable of correcting hyperopia from +0.25D to +6.0D. It is possible to correct the error you mention but only if it is in fact hyperopia and not presbyopia, which is age-associated deterioration of eyesight and results from ageing of the muscles which are responsible for accommodation. Hyperopia can be operated once and for all but, unfortunately, presbyopia (which is a natural process) is inoperable.

Correction of high degree refractive error

I suffer from -11.00 D refractive error in both eyes and from astigmatism. Is there any chance I could undergo laser vision correction? Are there any other methods available for me?
Is astigmatism a separate condition? I have heard that it is only possible to correct astigmatism not greater than -6.00? How does it look like? Is there any chance I could get rid of my heavy glasses? :(
Patrycja

Doctor’s answer

The WaveLight EX500 excimer laser, which we have in our Centre, is capable of correcting refractive errors form -14D to +6D and astigmatism up to 6D. The refractive error you mention is then possible to correct. However, it is crucial that you undergo a qualifying examination during which precise measurements to determine the degree of your refractive error as well as the thickness and the shape of the cornea will be taken. Only after acquisitions of this data the operating surgeon will be able to predict the outcome of the surgery.

Correction of myopia and astigmatism

My question is: I currently suffer from astigmatism and myopia, is it possible to correct both within one procedure? How much would that cost? In such case, do I pay for one procedure only (assuming both errors would be corrected during single surgery)?
Joanna

Doctor’s answer
During a laser vision correction procedure the refractive error which was verified during the qualifying examination is corrected. This includes myopia, hyperopia, astigmatism or combination of the above. In your case both astigmatism and myopia will be corrected during a single procedure – so you will pay for one procedure. The price of the surgery depends on the method you will be qualified for. Each method allows for correction of myopia, hyperopia, astigmatism or their combination.

Pregnancy after the Laser Vision Correction

Will I able to give natural birth after the laser vision correction surgery or only via C-section?
Dominika

Doctor’s answer
Laser Vision Correction is not a contraindication for spontaneous labour. The surgery does not expose the eye, it only remodels the cornea. However, patients suffering from myopia, regardless whether before or after the surgery, tend to have a very thin retina. During strenuous exercise or labour such thin and weak retina may be susceptible to detachment. That is why in extreme myopia lasering of the retina and c-section are recommended. Nonetheless, the final decision about the course of the labour will be taken by your doctor after appropriate ophthalmologic examination.

Hypothyroidism and Laser Vision Correction

I have been treated for hypothyroidism for the past 10 years and I am under constant supervision by the endocrinologist. Today the hormones are well regulated and within norms. Can I undergo laser vision correction? Is hypothyroidism a contraindication for such surgery?
Darek

Doctor’s answer
In the case of hypothyroidism the stability of the hormones is the most crucial factor. The disease itself is not a definitive contraindication. The positive outcome of the qualifying examination is necessary for determination whether any contraindications occur. If you are under constant endocrinologist’s supervision, you should obtain from him a certificate that will state that no endocrinological contraindications for a Laser Vision Correction occur. Such certificate should be presented to our ophthalmologist during the qualifying examination.

Follow-up visits

I am considering undergoing a Laser Vision Correction surgery. I live abroad and would like to know what the time between follow-up visits is.
Justyna

Doctor’s answer
After Laser Vision Correction first follow-up is usually on the next day after the procedure, preferably in the morning. If the patient will be qualified for such method as EBK, the follow-up takes place 7 days after the surgery. The next visit is usually 2 months after the surgery. However it is not the rule, each case is taken care of individually and the dates are arranged during the first follow-up. The method  for which the patient is qualified is determined during the Qualifying

The date of the qualifying examination and the surgery

I would like to know whether it is possible to independently undergo the qualifying examination and the procedure on two different days. I am asking because before final decision I would like know the approximate cost of the surgery.
Helena

Doctor’s answer
Yes, the qualifying examination and the procedure can be performed independently. After the results of the examination you will have approximately 3-6 months to make the final decision. The period for which the result is relevant is determined by the doctor during the surgery. On the basis of the results the most suitable method and, thus the cost of the surgery, will be determined.

Qualifying examination

I am 32 years old, since the primary school I have been wearing glasses, for the past 10 years I have been working in front of a computer for 8 hours a day, five days a week. I suffer from astigmatism and myopia, my current glasses are -8.5 (left) and -6 (right). I am aware the full information is available only after the examination but could you possibly tell me the cost and the type of correction that could be used in my case?
Karolina

Doctor’s answer
The refractive errors you have mentioned are by all means possible to correct by means of Laser Vision Correction. However, a positive result of the qualifying examination is crucial. During the examination parameters such as thickness of the cornea, subjective/objective refractive error and the topography of the cornea are determined. The price of the procedure depends on the method you will qualify for. Detailed pricelist is available online: http://www.artlife.com.pl/en/pricelist.php

“Plus” refractive error

I am 18 years old and I would like to undergo a laser vision correction surgery in your clinic. I had been wearing glasses from the time I was 4 to the October 2016. Since then I have been wearing contact lenses. My errors are +3.75 in the right eye and +4.75 in the left. My question is whether the correction is possible in my case; I have read that only certain values of the error can be corrected.
Krystian

Doctor’s answer
WaveLight EX500 excimer laser, which is the model we own, is capable of correcting hyperopia from +0.25 up to +6.00. The refractive errors you mention are by all means possible to correct by means of Laser Vision Correction.  In your case the stability of the error for a period of at least one year is crucial. The full insight into your particular case is possible only after the qualifying examination and exclusion of any contraindications. Please do not wear your contact lenses on the examination day.

How long do I have to wait for a visit?

I would like to know how does the reservation look like i.e. how long after registration will I have to wait for the surgery (I am interested in one day procedure)? My refractive error is small; I also suffer from astigmatism (both eyes) I would like to correct all the errors in one go. I would like to know the price of the procedure and if it is possible to correct both refractive error and astigmatism on the same day.
Grzegorz

Doctor’s answer
The date of the One Day Procedure is individually assigned. If you wear contact lenses you have to stop wearing them for at least 7 days before the surgery. We can arrange it so that the procedure will take place on the closest One Day procedure day (minimally 7 days after taking off the contact lenses).
During the surgery both errors are corrected (i.e. hyperopia/myopia and astigmatism). The price of the procedure depends on the most suitable method in your particular case (which the doctor will indicate after the examination).

Laser vision correction and age

I am 55 years old and would like to have my vision at least partially corrected. I have astigmatism in both eyes. How long does the procedure take? How much does it cost? I live abroad and would have to prepare the journey in advance.
Malgorzata

Doctor’s answer
Your age is not a contraindication for a laser vision correction procedure. However, in order to be qualified for the surgery you have to undergo a qualifying examination, to which I would like to invite you. As one of only few clinics in Poland we offer our patients the possibility of undergoing the qualifying examination and the surgery in One Day Procedure mode. Surgery on both eyes takes about 15 minutes, if you take the preparation and the rest after the surgery under consideration it is about one hour. The price of the procedure is dependent on the most suitable method in your particular case (which the doctor will indicate after the examination).

Blepharoplasty and laser vision correction

I am interested in undergoing a laser vision correction procedure on both eyes (-1D), my refractive error is very annoying. Also, would like to undergo blepharoplasty in your clinic. Is it possible to perform both operations on the same day?
Beata

Doctor’s answer
Blepharoplasty and laser vision correction cannot be performed on the same day. Between those two procedures a minimum of 6 month is required. The first operation should be the laser vision correction. The break between the procedures is crucial as healing after the first procedure has to be completed before second surgery is performed.

Vision correction – return to full health

I am myopic, -0.75 and -0.5 also I have astigmatism in both eyes. I am a professional soldier so glasses are very comfortable solution for me and contact lenses tend to dry out after a while. I am 20 years old and my error has been stable for the past two years, no fluctuation whatsoever. Would I be qualified for the procedure and would I be able to return to full health within a month after the procedure?
Oskar

Doctor’s answer
You seem perfectly eligible for the Laser Vision Correction procedure. However, positive result of the qualifying examination is crucial. Also, the most appropriate method of Laser Vision Correction will be chosen for you will be then chosen. The convalescence takes about 30 days, after which you can fully return to your work in the army.

Qualifying test

I have doubts about one particular question from your qualifying TEST: My vision has been stable for the past year’. There was a time when my error was stable (2011/2012), but then I started working in an office (8 hours a day in front of a computer) and my vision started to deteriorate further (by 0.25 D every 12-18 months).Currently, I find my contact lenses too weak (-3.25 D). Is the constant deterioration of my visual impairment a contraindication for a laser vision correction? What is more, does taking oral contraceptives influence the decision about the surgery in any way?
Monika

Doctor’s answer
Change of the refractive power of the glasses is not always connected with progression of the error. It can happen that weaker lenses are prescribed intentionally to make the eye work harder. That is why you should not rely on the power of the glasses you were prescribed but rather on the actual refractive error. If you have results of your past examinations – please take them for the qualifying examination to allow the doctor to compare them with current state of your eyes. Hormonal imbalance may influence the healing process negatively, that’s why it is advisable not to go off oral contraception during the 3 months preceding the operation and for 6 months after it.

Contraindications

I am 27 years old. I have been wearing the same glasses for over 2 years now (left eye: -3.35, right eye -3.0, CYL 0.5). During the last ophthalmologic examination it turned out that my refractive error has changed only by 0.25 (astigmatism in left eye) and it is hard to tell whether the change occurred during the last year because I haven’t noticed any loss of visual acuity. Is it a contraindication?
Justyna

Doctor’s answer
The refractive errors you mention are by all means possible to correct by means of Laser Vision Correction. However, a positive result of the qualifying examination is crucial. Yearly fluctuations of this rate are insignificant. However, we encourage you to bring the results of previous examinations in order to compare them with the current state of your eyes.

Contact lenses

My refractive error is -7 in both eyes, I also suffer from astigmatism (-1). For over a year now, I have been wearing contact lenses daily. I have heard that I would have to stop wearing contact lenses for 7 days before the procedure. Is that true? I am asking because I don’t own my old glasses anymore and I would have to buy a new pair – which would be a remarkable expense.
Greeting, thanks in advance for your response.
Jakub

Doctor’s answer
Before the laser vision correction procedure you mustn’t wear contact lenses for a period of 7 days. The lenses, when worn, change the shape of the cornea. Such change may interfere with the outcomes of the surgery. In order to achieve optimal results the eyes should ‘rest’ and the cornea should have time to go back to its natural shape.

Laser Vision Correction and diabetes

I have type 1 diabetes. Is that disease considered a contraindication for laser vision correction procedure in your clinic?
Aleksander

Doctor’s answer
Type 1 diabetes is not an absolute contraindication. However, it is connected with longer recovery period and increased risk of complications. The healing process might be difficult and may require additional drugs. Abnormal fundoscopy results are an absolute contraindication.

Determination of the stability of visual impairment

Is it possible to determine whether my refractive error is stable during the qualifying examination?
Konrad

Doctor’s answer
To determine whether your impairment is stable the doctor has to compare the outcome of the examination with your previous results.
Those wearing glasses/contact lenses may control the progress of their error during routine examinations. One’s error usually becomes stable around the age of 20. If you have a document confirming specifications of your glasses, we strongly encourage showing it to the doctor during the first examination. It is required that the refractive error is stable for a period of at least one year.

Laser vision correction in a convergent strabismus

Is it possible to undergo a laser vision correction while suffering from a convergent, incomitant strabismus? The condition was operated 3 times (23 years ago) – without final result. Hyperopia +5.5 and +5.
Tomasz

Doctor’s answer
Yes, laser vision correction is possible when convergent incomitant strabismus occurs.
However the mentioned refractive error is quite serious and a qualifying examination is required to determine whether the correction is possible. During the qualifying examination each patient undergoes a series of tests to find the best laser vision correction method for him. What is more, during such examination any medical contraindications for the procedure can be found.
Serious refractive error calls for keratometry (measuring the curvature of the cornea) and pachymetry (measuring thickness of the cornea).

Laser vision correction in case of HCV infection

Is it possible to undergo a laser vision correction when I’m infected with Hepatitis C Virus (the virus is inactive though)?
Jakub

Doctor’s answer
The infection itself is not a contradiction to laser vision correction but it should be reported to the doctor before the start of the qualifying examination. If the patient is qualified positively, his surgery will be the last one of the day.

Laser vision correction and pregnancy

Hello,
I have a question regarding the surgery. My error is -7 and -7.25. For how long after the correction will I have to wait to get pregnant? What about the labour? Can I give birth naturally or is the surgery an indication for a C-section? What else should I worry about?
Cheers
Agnieszka

Doctor’s answer
The refractive errors reported by you are, by all means possible to correct. However, to be certain that the surgery is indeed possible a qualifying examination, during which multiple tests are performed in order to determine any medical contraindications and the most suitable method of correction, is required. After the surgery you should wait for about 6 months before getting pregnant – after this period the results of the surgery tend to stabilize. Regarding the labour, laser vision correction surgery has no influence on the necessity of the C-section and is not an indication for one. The correction does not cause the eye to be more vulnerable, it only reshapes the cornea. Nevertheless, patients with severe myopia, whether they have undergone a surgery or not, tend to have very thin retina. This is why, in patients with severe myopia, a laser operation of the retina and C-section are recommended. During the qualification, our Doctor-Surgeon will be able to assess the condition of your retina and determine whether C-section is recommended. A proper medical certificate can be then issued.

Laser vision correction, contact lenses and antibiotics

Hello. For the past several years I have been using contact lenses exclusively. My error is -8.0 and -9.0. Do I have to switch to wearing glasses before the surgery? I have one more question about antibiotics. For the whole February, maybe even longer, I will be taking an antibiotic. Is it possible to undergo a surgery then? If I work in front of a computer, do I have to take a leave after the surgery?
It is my main concern regarding the date of the surgery. How long would the leave be?
If the surgery can’t correct my error 100%, will I be able to wear contact lenses, or are glasses the only option then? What are the medical recommendations after the surgery? Greetings.
Estera

Doctor’s answer
The refractive error reported by you is, by all means, operable. Before a planned qualifying examination you should refrain from wearing contact lenses for one day, before the surgery – for at least a week. The contact lenses change the shape of the cornea; for the surgery the cornea should be rested and back in its natural shape. When it comes to antibiotics, the surgery can take place no sooner than one week after the end of antibiotic therapy. The necessity of a medical leave is dependent on the method of laser vision correction used during the surgery. If you qualify for SBK LASIK method, working in front of the computer (with frequent breaks) will be possible on the following day. However, if it is possible, it is highly advisable to give your eyes a rest for one week. Should you qualify for a more invasive method, a medical leave will probably be required for a period of one month. If the error is impossible to be fully corrected (it depends on the thickness of your cornea), you can wear contact lenses after the correction. Whether the error can be corrected completely is to be determined during the qualifying examination.

Laser vision correction using Lasik iDesign method

I’m writing from London. I have had a qualifying examination for a laser vision correction. The most suitable (unfortunately also the most expensive) method turned out to be Lasik iDesign. I would like to ask whether you perform such operations in your clinic. By the way, someone told me that a complete loss of vision is possible after the surgery (e.g. as a result of shock after a car accident). Is that true?
Greetings
Dariusz

Doctor’s answer
The mentioned Lasik iDesign method is a brand name connected with the name of the device used for scanning the eye (in our Centre we use Okulyzer). It is, without doubt, one of 3 LASIK methods (LASIK, SBK LASIK or Epi-LASIK). Those methods differ in terms of preparation of the cornea for the proper operation. The most important factor determining the used method is the thickness of the cornea (pachymetry). All the LASIK methods are available in our Centre. If it is possible, please send us the results of the mentioned examination, on this basis our Doctor-Operator will be able to precisely determine the most suitable correction method for you. Regarding the loss of vision due to a shock connected with the accident – it is not true and absurd. The laser only reshapes the cornea and does not interfere with deeper parts of the eye.

Laser vision correction and nystagmus

Hello
I had a brain tumour operated in 2007 and since then I have a double vision (nystagmus).
The error in my right eye is -3.75
The error in my left eye is -4.25.
I have undergone 5 or 4 different surgeries, but I still have double vision.
Can you help me?
Michał

Doctor’s answer
Laser vision correction surgeries treat conditions such as myopia, hyperopia and astigmatism. After the surgery, the patient sees as if he was wearing glasses/contact lenses but without them.
Your refractive errors can be corrected with laser. Nevertheless, it is crucial that you undergo a thorough qualifying examination during which multiple tests are performed in order to determine any medical contraindications and the most suitable method of correction. Laser vision correction cannot, however, treat nystagmus. The condition is connected with the innervation of the eye and laser only remodels the cornea.

Laser vision correction and severe myopia with astigmatism

Hello, is there a chance to fully correct -8,5D refractive error and a slight astigmatism during the surgery?
Paulina

Doctor’s answer
It is possible to correct the mentioned refractive error by means of laser vision surgery. However, you have to undergo a qualifying examination during which multiple tests are performed in order to determine any medical contraindications and the most suitable method of correction. During the said examination it is also possible to assess the degree to which the correction is possible. The main factor here is thickness of your cornea (which is measured during the examination).

Laser vision correction before applying to a fire-fighter officers’ school

My refractive error is about -4, in 1.5 year I’m going to apply to a fire-fighter officers’ school where even smallest refractive error is unacceptable. Which method is the best, given the above context?
Can the correction be repeated?
Filip

Doctor’s answer
The refractive errors reported by you are, by all means, possible to correct. Our equipment is able to correct errors from -14D to +6D and astigmatism (up to 6D). You are asking which method is the best. Each method is good and effective, each treats visual impairments. The methods differ in terms of preparation of the cornea for the proper operation. The methods in which a flap of the cornea is created (LASIK, SBK LASIK) the patient does not experience any discomfort on the next day after the surgery. After surgeries during which the corneal epithelium is removed (PRK, TransPRK, LASEK, Epi-LASIK, EBK), the patient experiences pain for 3-5 days after the surgery. The suitable method is chosen after the qualifying examination, during which, among other tests, pachymetry (measurement of the thickness of the cornea) is performed. LASER VISION CORRECTION surgeries are usually performed once in a lifetime. In rare cases (depending on individual characteristics), however, when the error is very large or a mixed astigmatism occurs, after the effects stabilize (6 months), the remaining error can be operated again. Each method allows for a reoperation, providing the cornea is thick enough.

Return to work after laser vision correction

Hello. For some time now I have been considering undergoing a laser vision correction surgery.
I’m mostly interested in SBK Lasik method, but I have some doubts because I work in front of a computer, at least 8 hours a day. I’m wondering how long it would take me to get back to work.
Kamila

Doctor’s answer
After SBK method surgery the patient is able to go back to normal functioning few hours after the operation. You would be able to go back to your work in front of a computer on the next day after the surgery, providing you would make a 10 minute break after each hour of work and apply moisturising eye drops. Working in front of a computer decreases the rate of blinking, which may lead to dryness of the eye. To ensure proper healing the eye should be properly moist. If a there is such necessity, we do issue medical statements entitling to a 30 day leave.

Laser correction of astigmatism

My vision is OD: +3.00, CYL: -2.75;    OS +2.5, CYL: -1.75. I have undergone 5 strabismus surgeries. It is now (while I’m wearing glasses or lenses) virtually invisible (0 degrees). Without correction an eye ‘escapes’. The weaker one. Will the effect, after the laser correction, be equivalent to the effect of lenses/glasses? Will it make my strabismus disappear?
What is more I'm suffering from papillary conjunctivitis (because of the contact lenses). Would I qualify for a surgery?
Martyna

Doctor’s answer
The impairments reported by you are, by all means, possible to correct, however, the eye has to be healthy. The conjunctivitis has to be cure completely. Laser vision correction can be performed only when the eyes are fully healthy. After the surgery, the patient sees as if he was wearing glasses/contact lenses but without them, however the operation does not cure strabismus.

Strabsimus

If the strabismus is not visible when the glasses are on (it is somehow connected with the astigmatism), it should disappear when the astigmatism is gone, right? After all, that is what I care about most.
Martyna

Doctor’s answer
After the treatment it is best to wait about 2 weeks. In some cases the angle of strabismus can change after the surgery, but the degree to which it is possible can only be determined during the qualifying examination.

What are the side effects of a laser vision correction?

What are the side effects of a laser vision correction?
I have been wearing glasses for 30 years.
My left eye is ok, my right eye need correction of +1.5.
Generally I am able to function without glasses for few weeks but it results in sensation of fatigue.
When I close my left eye and look only through the right the vision seem hazy.
Is there a way to correct my vision?
Let me just add that I have been diagnosed with hypothyroidism and Hashimoto’s disease.
I am seeing an endocrinologist regularly any my hormones are stable.
Daniel

Doctor’s answer
A qualifying examination is a basis of every laser vision correction. During the examination multiple tests are performed in order to determine any medical contraindications and the most suitable method of correction. As a matter of fact, elimination of the contraindications minimises the chance of occurrence of any side effects. Our laser can operate on wide range of refractive errors (-14 up to +6). The surgery results in a best possible correction – you can see as if you were wearing glasses, without actually having them on. It is possible to treat your refractive error by means of laser vision correction. Regarding your hypothyroidism, in order to be qualified for the surgery you have to have a medical statement from your endocrinologist that there are no contraindications for the surgery, that the hormones are indeed stable and that you are under constant medical supervision. Hypothyroidism substantially elongates the healing process.

Is a relapse of the impairment possible after the surgery, sport and laser vision correction?

Hello, I have a few questions regarding the vision correction:
1. Is a relapse of the refractive error possible after the surgery and can it lead (in rare cases) to loss of eyesight?
2. I am physically active, but my activities are somewhat unusual – I have been practising break-dance for years. Would I be able to go back to my trainings after the surgery (even after 30 days)?
My head touches the ground quite often, but does not hit it; I stand and twist on it. Wouldn’t that cause some kind of postoperative complications?
Thank you in advance for your answer.
Port

Doctor’s answer
1. "Relapse of the refractive error", or the differences between the planned and the achieved result of the correction can happen in some cases. The laser can operate a range of errors from -14 to +6, and the extreme errors may require and additional surgery. It happens in less than 1% of all cases. Should such one occur, after the stabilisation period of 6 months an additional surgery is performed (it is included in the price of the first procedure). To date, not a single case of vision loss due to laser vision correction was reported.
2. Usually, a strenuous physically activity can be taken up 30 days after the surgery. Standing on your head elevates the intraocular pressure; it is advisable to give it up for at least 2 months. The other activities can be practised as usual.
A qualifying examination is a basis of every laser vision correction. During the examination multiple tests are performed in order to determine any medical contraindications and the most suitable method of correction.

Glasses only for reading

Hello, for past 6 six months I have been experiencing trouble while reading, it can take a while before the acute vision sets in, normal examination indicates that I need glasses only for reading. Which method would be the most appropriate for me and what results can be expected? Greeting
Jacek

Doctor’s answer
Laser vision correction surgeries treat conditions such as myopia, hyperopia and astigmatism – those connected with glasses you have to wear throughout the whole day. The reading glasses you mention are probably connected to presbyopia, a physiological condition which usually onsets after the age of 40, regardless of prior refractive errors. Presbyopia is not a refractive error, laser vision correction procedure do not cure presbyopia.
More on presbyopia:
http://www.artlife.com.pl/posts/presbyopia.-can-it-be-corrected-139.php

Is acne a contraindication for a laser vision correction surgery?

Hello! I am interested in undergoing a laser vision correction at you facility. I am currently undergoing an anti-acne treatment. I am taking AKNENORMIN 20mg, at 60mg/day. The drug dries the skin and my dermatologist. I personally do not feel as if my eyes were ‘dry’. My question is: Is taking this drug a contraindication for the surgery? I should add that I am very determined to undergo the surgery as soon as possible. Thanks in advance for your reply. Greetings.
Piotr

Doctor’s answer
Acne and the mentioned anti-acne pharmacotherapy are not contraindications for a laser vision correction procedure, as long as the disease is mostly cured, without visible manifestations, and the mentioned drugs are the last stage of the therapy.
Eruptions and purulent inflammation are contraindications - they may cause infectious corneitis after the surgery. Eyes which are dried due to anti-acne drugs should be moisturised with appropriate eye drops (artificial tears). What is more, for the night, a special moisturising gel should be applied to alleviate the healing process.

Psoriasis and Hashimoto’s. Are those a contraindication for laser vision correction surgery?

My error is – 5,25D. I would like to undergo a laser vision correction surgery, but I don’t know whether I would qualify for one. I suffer from psoriasis – I don’t take any medications for that and Hashimoto’s – my hormones are stable and I am under constant supervision of an endocrinologist. Is there a chance that I would be qualified for the laser vision correction surgery?
Maja

Doctor’s answer
This refractive error is by all means operable. A qualifying examination is a basis of every laser vision correction. During the examination multiple tests are performed in order to determine any medical contraindications and the most suitable method of correction.  In order to be qualified for the surgery you have to have a medical statement from your endocrinologist about the progress of your disease and that there are no medical contraindications for the surgery, that the hormones are indeed stable and that you are under constant medical supervision. The diseases you mention are connected with substantially elongated period of healing.

How long after giving birth do I have to wait to undergo a laser vision correction surgery?

How long after giving birth do I have to wait to undergo a laser vision correction surgery?
Originally my errors were -3.75 and -3.25, but ever since I gave birth (3 months) I noticed that my vision has lost its acuity even more. Thanks in advance for your reply. Greetings.
kachaa89

Doctor’s answer
During pregnancy and breastfeeding woman’s body undergoes substantial changes. The refractive errors may then vary and the test results unreliable. It is recommended to wait at least a year after giving birth for the hormones to stabilise before undergoing a laser vision surgery.

Braces

I am 22 years old and I’m wearing braces.
Can I undergo a laser vision correction surgery?
Zossia

Doctor’s answer
Wearing braces is not a contraindication for a laser vision correction surgery.

Is it possible to undergo surgery earlier?

I’m 18 years old. Since I was a child I have been dreaming to stop wearing glasses. I suffer from astigmatism OS: 1.25; OD: 2.25. I would really like to have the surgery earlier and not have to wait until I am 20. I should probably add that my refractive error has been stable for past couple years. Is there any possibility that I could have the surgery before my 20th birthday? Thanks in advance for your reply. Greetings
Amelia

Doctor’s answer
Thank you for your question. I completely understand. We do usually say that one has to be 20 to have the surgery, as it is the age at which the physical development stops and the refractive errors stabilize. However, growing up is a very individual thing and the errors may stabilize earlier in life. The main criterion is that the error is stable for at least one year.

Is it possible to have the surgery when you are suffering from diabetes?

Hello! I would like to know whether it is possible to have a laser vision correction surgery while suffering from diabetes. Thank you in advance for your reply.
Asia

Doctor’s answer
It depends on the state of your eye – whether there are any diabetes-connected damages. It is also important that the diabetes is balanced with proper pharmacotherapy. Diabetes itself is not a contraindication for laser vision correction.
Final decision is always made after the qualifying examination.

Is there a chance that the impairment will relapse few years after the surgery?

Is there a chance that the impairment will ‘come back’ few years after the surgery?
Is there any kind of guarantee that the refractive error will not come back to its previous state?
Karolina

Doctor’s answer
It all depends on the original refractive error. If it is not a complicated case of astigmatism or a severe impairment (-6.0 and more), the effects of the surgery are stable for a long time. In mentioned cases, very rarely, the error may slightly relapse, but not to a previous extend. Should such case occur an additional surgery will be performed for free – this is our guarantee.

Qualification and methods

Hello. My refractive error is -4.5 and my cornea is 495 micrometer thick with pupil dilatation of 7.9 mm. I wanted to have a surgery done in my hometown but I prefer to come to your Centre as I believe you have bigger experience in performing laser vision correction surgeries. My question is: do those parameters qualify me for a laser vision correction, and if so, which method would you recommend. I know my cornea is rather thin, but I don’t want to travel 500km for nothing. I am looking forward to your answer.
Jarek

Doctor’s answer
The parameters you mention suggest that the best method for you would be SBK LASIK.
Here you can read more about the method: http://www.artlife.com.pl/en/offer/laser-vision-correction/methods.php
We would like to invite you for a qualifying examination. In our Centre it is possible to have qualification and surgery done on the same day (follow-up visit is on the next day)
About One Day Procedure: http://www.artlife.com.pl/en/offer/laser-vision-correction/one-day-procedure.php
The price of One Day Procedure includes:
-qualification and an overnight stay,
-up to 2 follow-up visits
-professional sunglasses
-eye shields (patients have to wear them while sleeping for 7 days after the surgery)
-eye drops (3 bottles, covering the whole healing process)

I am 37, is there any point in correcting my myopia?

Hello, I would like to know whether there is any point in correcting myopia (OD 1.75, OS 1.75) when you are 37, taking under consideration the inevitable onset of presbyopia in upcoming years.
Thanks in advance.
Artur

Doctor’s answer
There is a point if you don’t want to wear ‘-‘ glasses. After the age of 40-45 you will need reading glasses (just as those without myopia). You would have to decide which glasses you prefer to wear.

When can I have my surgery?

Hello, my question is: when can I undergo a laser vision correction. I heard that I have to wait until my error is stable. I am 19 years old and would like to apply for a job in a fire department, so I am in a bit of a hurry. Are there any other methods?
Mateusz

Doctor’s answer
In order to be qualified for a laser vision correction your refractive error has to be stable for one year. It can happen so that a patient can undergo a surgery when they are 18 but some have to wait until they are 21. It is hard to assess your case as we know very little about you. It would help if you could state the extent of your error and whether it is stable. The choice of a method does not depend on the age but on the results of the qualifying examination, to which we would like to invite you.

Questions

Hello, I am interested in undergoing a laser vision correction surgery but I am 34 years old and my errors are: left eye -6.75, right eye -6.25. Is there a point in having a surgery at my age, if so can my error be corrected completely? For how many days before the surgery should I refrain from wearing contact lenses? Thanks in advance for your reply.
Beata

Doctor’s answer
Hello, the error you mention is by all means operable, and your age is perfectly fine. The most efficient method in your case would be the SBK LASIK procedure, if only your cornea is thick enough. If it isn’t, an Epi-LASIK procedure is the most appropriate one. During qualifying examination, after carious tests, the best method for you will be chosen and the effect of the correction will be presented to you. On the day you qualification will be scheduled you shouldn’t wear your contact lenses. What is more, for 7 days before the surgery you shouldn’t wear contact lenses as well.

Return to a normal life

Question: I am 21 and I want a laser vision correction. My error is stable. How long after the surgery would I have to wait to return to my normal life?
Rafał

Doctor’s answer
If your error is stable, then yes, the surgery is possible. Regarding the return to normal everyday life – it is possible on the next day after the surgery.

For how long will I have to attend the follow-up visits?

I use +2.7 for reading and +1.75 for other activities (based on an examination form 2011). I work abroad and would like to know how long I would have to wait for al follow-up examination, because I will be staying in Poland for one week only.
Piotr

Doctor’s answer
Hello, the most important, first follow-up takes place on the next day after the surgery. It would be great if you could also attend the second one – usually after one week. You can also see the doctor back at home. For foreign patients we provide a Passport including all technical details of the surgery in English. What is more, every patient is provided with an Information Card.

Few questions

Hello, I have already read quite a lot on laser vision correction methods and complications. I have 3 more questions:
1. Is the surgery at your Centre ‘tailored’ basing on the results of the preliminary examination and map of the cornea or is the laser ‘preset’?
2. I am wondering about the complications connected with night vision after SBK Lasik surgery – is the optic sphere of your laser big enough to be used on larger pupils? Also, what is the probability of onset of less or more transient dry eye syndrome after SBK Lasik surgery?
3. I work as an IT specialist. Can working in front of a computer for long hours be a cause of a regression of a total correction? Currently: OS -5.5D astigmatism -3.5D; OD -5,5D, astigmatism -4.5D.
Thank you in advance for your answer.
Kamil

Doctor’s answer
1. The course of the surgery is planned according to the results of corneal mapping and the refractive test (objective and subjective). Performing a Custom HOA (Higher Order Aberrations) correcting surgery is not recommended as it may result in removing much more of the corneal epithelium than a surgery using so called ‘preset’ laser.
2. SBK method is not connected with optical sphere (it can be 8,0nm max). It is not recommended to widen the optical sphere in high refractive errors. In comparison with conventional LASIK method, the SBK surgeries are followed by lower degree of ailments connected with the Dry Eye Syndrome.
You can find more details about SBK LASIK method here.
3. Working in front of a computer should not cause a relapse, however, in a case of such severe astigmatism (3,5D and 4,5D), a possibility of regression cannot be ruled out.

Follow-up visit

I was qualified for a laser vision correction surgery last week. It is going to take place on Friday the 18th of April. According to the recommendations and ‘Patient’s statement’ a follow-up visit takes place on the next day after the surgery. In my case it would be on Saturday, but your webpage states that your Centre is closed on Saturdays. How am I then supposed to attend the follow-up visit on that day?
Tomasz

Doctor’s answer
The follow-up visits will, of course, take place as planned – on the next day after the surgery. I will be admitting patients after 10:00 am.

Activities after the laser vision correction surgery

Hello, my errors are -4.5 and -4 with astigmatism. I am 22 years old. I would like to undergo the surgery in September. I am an athlete – rugby player, and I spend a lot of time on physical activities (gym, jogging, cycling). For how long after the surgery will I have to resign from those? How long will I have to wait before I can run or ride a bike?
Sylwester

Doctor’s answer
Light activities can be taken up as soon as the next day after the surgery. However, the strenuous ones should be postponed for at least a month.

Hyperopia or presbyopia

My glasses are: left +3.5, right +1.5. Do I qualify for the procedure? I would only like to have left eye ‘corrected’ as with the right one I can see perfectly fine.
Michał

Doctor’s answer
Unfortunately you have provided too little information to determine whether you would qualify for a laser vision correction surgery. You also haven’t stated your age. It is important to determine whether your impairment is an actual refractive error or is that due to an age related loss of the accommodation – ant it is impossible to know that just from the power of your glasses. To answer this question you would have to have your eyes tested with a refractometer. Presbyopia cannot be treated by means of Laser Vision Correction. We would like to invite you for a qualifying examination. On the basis of the results I will be able to explain everything to you.

Do I qualify?

I am 54 year old – I have 4.75 in my right eye and 3.5 in the left – astigmatism. Could I have my right eye corrected by laser? Age-related weariness: right eye 2.5, left eye 1.25. Thank you.
jadwiga

Doctor’s answer
Both your age and refractive errors qualify you for a laser vision correction surgery. I do not see any contraindications for correcting both right and left eye. I invite you for an examination to rule out any diseases of the eye and determine the possibilities and outcomes of the surgery in detail.

Laser correction and age

Do I have to be over 21 to undergo a laser vision correction surgery?
Ada

Doctor’s answer
You have to be at least 20 to undergo the surgery. Also, the error has to be stable.

Vision correction after scleroplasty

I suffer from myopia (-6) and astigmatism, I had a scleroplasty 5 years ago, can I undergo a laser vision correction surgery?
Kashia

Doctor’s answer
Undergoing a scleroplasty in the past is not a contraindication for a laser vision corrected surgery. If your error is stable, you are over 20 years old and the qualifying examination goes well removal of the error should be possible. I would like to invite you for a qualifying examination.

Birth control and laser vision correction surgery

HELLO. One month ago I have gone off the pill, I have an appointment for a qualifying examination in 8 days. I simply didn’t think of it when I was making the appointment. Is it a serious contraindication? What are the possible side effects if I decide to undergo a surgery anyway? Greetings
Renate

Doctor’s answer
Hormonal imbalance may extend the healing process. This is why it is not recommended to go off the pill in the perioperative period. One month is more than enough for the surgery to be safe. You should go back on the pill until the eyes are fully healed (1-3 months).

The range of corrected errors

Hello. I’m 38 years old and I suffer from myopia; right eye -8D, left eye -9D, additionally a slight astigmatism. Ophthalmologist has diagnosed a vascular hypertrophy in my left eye probably caused by extensive use of contact lenses (over 20 years). Due to my line of work I cannot wear glasses all the time and correcting my vision to at least -1D (if total correction is impossible) would be a true rescue. It has been 17 years since I had undergone a scleroplasty in Szklarska Poręba 17 and since then my vision has worsened only slightly (maybe 1-2D). First of all, I would like to know if it’s possible to reduce my refractive error. Secondly, you claim to operate on errors up to -14D while other clinics seem to only reduce errors up to -10D – where does this difference come from?
Marek

Doctor’s answer
Both your error and age qualify you for a correction. In order to determine whether such surgery is possible a series of tests has to be performed. Only with the results of the examination I will be able to tell whether it is possible to remove to error completely or only reduce. The crucial factor here is the thickness of your cornea. Divergences in values of corrected errors come from the specifications of the laser used during the surgery. You can compare those values here: http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/SurgeryandLifeSupport/LASIK/ucm192109.htm .
The sole method of the correction is also a big factor, e.g. a flap created in SBK LASIK method is approximately 50% thinner then the flap created in traditional LASIK surgery, thus saving 90 micrometers of the substantia propia of the cornea – which widens the range of the correction.

Severe myopia

I am 20 years old (will turn 21 in September). My errors are -13 and -12 and have been stable for past 3 years. Is it possible to correct errors of this order? If yes, which method would be most appropriate?
Sylwia

Doctor’s answer
It is possible to completely treat myopia up to -14D. If the qualifying examination reveals no contraindications and the cornea is thick enough, it will be possible to perform the surgery. The method of the correction is to be determined basing on the results of the examination and anamnesis.

Healing

Hello. Is there any correlation between the time of the year in which the correction is performed and the length of the healing period (e.g. cold weather in winter or high level of insolation during the summer)? For how long do physical activities have to be avoided? Is it necessary to go on a medical leave after the surgery?
Ewa

Doctor’s answer
There is no correlation between the time of the year and the length of the healing period. Throughout the whole year the eyes heal just the same, however they have to be protected with sunglasses (which are provided by us). Light physical activities can be taken up one week after the surgery, but you will have to wait for at least a month to start any strenuous activities. Medical leave is not necessary. However, if you work in smoky or dusty place or your work is connected with heavy physical activity you will be given a proper medical statement.

Age and laser vision correction

My 15 y.o. son suffers from astigmatism and wears glasses. Recently he has been constantly saying that he wants to start wearing contact lenses. However I have been told that it will be extremely difficult to find proper ones for him due to nature of his error. The ones I would like him to wear are up to +2.2 CYL. Is his astigmatism possible to correct? OD +1.5 CYL +3.0 axis 100; OS 2.0, CYL +3, axis 85; pupil 62. I am looking forward to your quick reply.
sabi

Doctor’s answer
It is too early for a Laser Vision Correction. Your son would have to be at least 20 years old and have a stable error for at least a year to be considered for the surgery.

Stability of the error

Hello I am 25, on year ago I had my glasses changed, recently I had an appointment and the doctor told me that my error is still progressing, is it possible at my age? I am tired of wearing glasses, I don’t know what to do, the error in my right eye is almost -8, CYL -1.75 axis 30; left eye -7.75 CYL -1,75, axis 165. For how long does the error have to be stable to be qualified for a laser vision correction? Does the surgery reduce the refractive error completely?
Marta

Doctor’s answer
Changing the power of glasses is not always a result of a progression of the error. Sometimes a weaker lens is prescribed to encourage the eye to work. You shouldn’t then rely solely on the prescribed glasses, the actual refractive error is more important. If you have the results of the previous examination, it would be good to compare them to the current state of your eye. At age of 25 your error should have already stabilised, but not necessarily. If you would come to our centre for an examination we would be able to talk through possible options and together decide whether to have the surgery now or later. It seems that it is possible to remove your error completely, but to be sure I would have to know the results of the examination.

Qualifying for a surgery

Hello, my errors are -6.0 and -4.75, I am 24, when will I be able to undergo a surgery?
Is it possible to remove those errors completely?
What is the most appropriate method for me?
Emilia

Doctor’s answer
The age of 24 is appropriate for the surgery. If the error is stable and the outcome of the qualifying examination is good, you will be able to undergo a surgery. I will be able to choose the most appropriate method for you after the examination.

Strenuous exercise and complications

Hello. I am working in uniformed services and that’s why I would like to have a laser vision correction surgery. I suffer from myopia (-3) and slight astigmatism. Ophthalmologist, after a preliminary examination, said that I would qualify for Laser Vision Correction surgery but only after pachymetry (which he wasn’t able to perform). However I am worried because my pupils are not situated centrally – they are shifted medially and upward. Additionally, I am an athlete and I actively engage in various strenuous exercises.
Is that a contraindication for the surgery?
How long after the surgery would I have to wait to return to regular physical activity? I have heard that it is possible to completely lose visual acuity and to have double vision after the surgery, how often does it happen? What does it result from? Thanks in advance.
karol

Doctor’s answer
Taking your errors into consideration it indeed looks like you are a fine candidate for a Laser Vision Correction surgery. Just as your doctor said, the thickness of your cornea (along with few other parameters) has to be checked to fully qualify you for a surgery. It is not uncommon for the pupils to be decentred but to determine whether the misalignment of your pupils will be an obstacle during the surgery I would have to examine them.
Usually the cornea heals for about 10 days and after that you can return to physical activities. However I would strongly recommend you to avoid strenuous exercises for at least a month after the surgery. The mentioned complications are extremely rare (according to multiple studies the probability of all of complications is lower than 0.5%). It is hard to tell what causes them as the main purpose of the qualification process is to rule out any risk of them occurring. Despite that, after Laser Vision Correction, just after as any other surgery, some complications may occur.

How to prepare?

Is this qualifying examination painful? Do I have to prepare for them? Will I be entitled to a medical leave after the surgery (I work in front of a computer and I have heard that it is not recommended after the surgery).
Marzena

Doctor’s answer
Qualifying examination is not painful at all.
Before the examination you should restrain from wearing contact lenses for at least a day and you should be driving a car for about 3-4 hours after it (that’s because the eye drops used during the examination temporarily impair vision). No further preparations have to be made. After the surgery you will be given a proper statement entitling you to one week (or longer) medical leave. You can return to work after 2 days, however it is advisable to minimise the time spent in front of the computer during the first week after the surgery.

Reduction of the error

Hello I have a question regarding the Laser Vision Correction.
My error is quite big (+8 in each eye). I would like to know if it is possible to reduce it.
Ula

Doctor’s answer
There is a chance to completely reduce your error. However there is an option that only a partial reduction will be possible. To determine available options and expected result of the surgery a specialist qualifying examination is needed.

Congenital visual impairment

I need a full diagnostics of my eyes (also for the surgery). I have a congenital visual impairment – hyperopia, I had a strabismus surgery at the age of 5 (I am 49 now). I have been treated for glaucoma. After that some other doctor said that it is not glaucoma. For some time now I have been noticing a decline in my vision. Today I hardly see any letters and have to squint to read anything. I work mostly with my left eye as my right eye is very weak.
Krystyna

Doctor’s answer
The above description does not allow to determine whether Laser Vision Correction is possible in your case. Glaucoma has to be ruled out and further examination of the right eye is needed. To have a full perspective you would have to undergo a qualifying examination.

Reading glasses

I would love to read without glasses – they are really annoying. I am 53 years old.
Ala

Doctor’s answer
Laser Vision Correction does not treat presbyopia. It is a natural process of loss of the eyes’ ability to accommodate and that is why most of people need reading glasses after the age of 40. Excimer laser allows for an operation called monovision – the dominant eye will be responsible for seeing distant things while the other will be used for near vision.

Strabismus

I suffer from strabismus. Can you help me?
Piotr

Doctor’s answer
We do not operated strabismus in our centre.

Birth control and surgery

Is it necessary to go off the pill before the surgery? How long before and how long after the surgery would I have to stop taking oral birth control?
Aleksandra

Doctor’s answer
Birth control drugs should be taken as usual. You should not stop taking them for 3 months before and 3 months after the surgery.

Qualification

I am 20 years old. I have had a visual impairment since I remember but I hate wearing glasses. The ophthalmologist said that I have -3.5 in both eyes. Is it possible to fully correct this error, my doctor said it is impossible which made me very sad. Will I even get a driving license with such impairment? Is my error really too big for the correction? Please answer.
Michalina

Doctor’s answer
The error reported by you (-3.5) is an error of a medium order and it is possible to correct it completely. It is possible to correct myopia up to -14D. You are by all means a good candidate for a qualifying examination.

Astigmatism

I am 21 years old. I wear glasses because I was diagnosed with astigmatism few years ago. For past 2 years my error has been stable. Is it possible to treat astigmatism by means of Laser Vision Correction? Is there a possibility of a relapse? Thanks.
Kamila

Doctor’s answer
Astigmatism up to 5D can be corrected. However, only after full examination of your eyes I will be able to inform you about the possibilities and expected effects of the surgery. The qualifying examination consists of: determination of the refractive error, ophthalmoscopy, fundoscopy, pachymetry and videokeratography. All above tests will allow to determine the nature of the astigmatism as well as the possible ways of treatment.

Myopia -20D

Is it possible to correct an error of -20D? Or at least to reduce it by half?
Katarzyna

Doctor’s answer
Unfortunately it is not possible to correct an error of this order. Neither is it possible to reduce it. An implantation of an intraocular lens might be an option for you.

Pacemaker

I would like to undergo a laser vision correction surgery. Nevertheless, I have a question, is an implanted ICD a contraindication for a Laser Vision Correction?
Błażej

Doctor’s answer
Unfortunately an ICD, an implantable cardioverter defibrillator as I presume, disqualifies you as a candidate for a Laser Vision Correction.

I am 61 year old. I wear glasses. Is correction possible in my case?

I am 61 year old. I wear glasses (right eye SPH +2.00 CYL +1.00 axis 105 left eye +2.50 +2.00 axis 65). Is correction possible in my case?
Edward

Doctor’s answer
Laser Vision Correction surgeries are generally performed before the age of 60-65. Of course, age is not an only factor and the general health status is much more important. If you are not suffering from any disqualifying diseases (such as: glaucoma, cataract, diabetes mellitus, hipo- or hyperthyroidism, neoplasms) there is possibility that you could qualify for the surgery. To rule out any contraindications, s a series of tests is performed. Qualification is also backed up by a medical examination. Your error is within the range of the correction but to qualify you have to fulfil few other requirements.

Strabismus

Hello, I have a question, I am 31 years old and a congenital visual impairment (strabismus). Every ophthalmologist has told me that it is too late to operate it, greetings.
Krzysztof

Doctor’s answer
Laser vision correction can treat only refractive errors – myopia, hyperopia and astigmatism. Operating strabismus is connected with operating on the muscles of the eye. We do not perform such surgeries in our centre.

Age for a laser correction

Could you please tell me what is the minimum age for a Laser Vision Correction? I am 19 years old, thanks.
niki

Doctor’s answer
Laser Vision Correction surgery can be performed only when the refractive error has been stable for at least a year. Usually such state is achieved after 20 years of age, when the eye stops growing. That is why it is advisable to wait until after 20th birthday for the surgery.
 

Follow-up visits

Are the follow-up visits necessary (I will be around only for 2 weeks), what is the efficiency of astigmatism treatment?
Wojciech

Doctor’s answer
It is highly recommended to have to follow-up visits. The most important are the first to visits – on the next day after the surgery and 7 days later. However, it would be advisable to also see an ophthalmologist 30 days after the surgery. The highest risk of an infection is during the first 24-72 hours after the surgery. If the patient takes care about himself, follows the recommendations and applies eye drops regularly there is no need to have the eyes controlled. Of course you have to supply yourself with an appropriate amount of eye drops before leaving. Astigmatism can be corrected successfully up to 5D. It depends the results of the keratography, also the thickness of the cornea is important.

Surgery at the age of 52

Is it possible to have Laser Vision Correction at the age of 52? Is it dangerous?
Grażyna

Doctor’s answer
Laser Vision Correction surgeries are usually performed before the age 60. It does not get more dangerous when you get older, however a good overall health status is required. Every patient has to go through a qualifying examination in our centre.

Hyperopia

Is it possible to correct errors: +4.5, +6.0?
aneta

Doctor’s answer
Yes, errors up to +6 can be corrected down to 0, providing that no contraindications occur...

Stability of my error

Hello I am interested in undergoing a laser vision correction and I have had a test to check whether I can do it. All the answers were positive, apart from one – my impairment has not been stable for one year. I am myopic in both eyes (-4.5). I am 23 years old. Would recommend having an operation in these circumstances? Greetings.
Alicja

Doctor’s answer
You are old enough to have your eyes operated. When it comes to the stability of the error – a progression of the error exceeding 1-2D (over a period of one year) is a contraindication. In such case it is advisable to wait. It would be great if you could have your eyes examined in our Centre in order to rule out any contraindications. After the examination we will able to decide on further course of treatment.

Public refund of Laser Vision Correction

I am interested whether Laser Vision Correction surgeries are refunded by the NFZ. Is there a possibility of at least a partial return of the expenses connected with the surgery?
Mateusz

Doctor’s answer
Unfortunately, Laser Vision Correction surgeries are not refunded by the Narodowy Fundusz Zdrowia. Refractive error is not considered a disease by them – that’s why there are no resources for Laser Vision Corrections.

Should I have the surgery?

Hello, I have an error of -1.5, I will be 20 years old soon. Could I undergo a surgery by the end of this year, or shall I wait?
Joanna

Doctor’s answer
You are at age in which undergoing a surgery I theoretically possible. It is important whether your error is stable. It would be best if you could come for a qualifying examination which could rule out any contraindications. After the examination it will be possible to determine whether you are an appropriate candidate for a laser vision correction and then we could think about choosing the most convenient date for you.

Question about the procedure

Could I ask you a few questions? What are the requirements for the procedure? (my error is OS -12, OD -10, at the age of 12 I have had a bilateral scleroplasty, since then my error has been stable, increasing only by 2D throughout past 5 years). Are there any restrictions when it comes to intensive physical activities after the surgery?  When could I possibly come for a qualifying examination? Thanks
Tomasz

Doctor’s answer
Theoretically your error is within the range of our methods. Requirements include: age between 20 and 60, good overall health status and no preexistent diseases of the eye. If you fulfil the first two of them we would love to invite you for a qualifying examination. After the surgery you can return to your everyday routine, full convalescence depends on the individual characteristics of the organism.
Intensive physical activities should be avoided for two weeks after the surgery, any kind of contact sport should be avoided even longer. To arrange a qualifying examination you can call our reception.

Progression

I am interested in undergoing a Laser Vision Correction (Lasik). My errors are OS -1.25, OD +5.0. My main problem is that the error has progressed from 0 (left eye) and +3 (right eye) to the current state in just 3 years. What is more, from my observations, it seems as if it is progressing even further. Is that a contraindication for a laser vision correction? For how long should the error be stable? Thank you for the answer I am looking forward to.
Małgorzata W.

Doctor’s answer
Progressing visual impairment is not necessarily a contraindication for a laser vision correction. However, the error should be stable for at least a year. The progress reported by you is not that big, but we still would need more information (e.g. your age) to fully answer your questions. What is more, it would be best if you could come for a qualifying examination which would additionally help to rule out any contraindications. Specialist medical tests and full anamnesis will help to determine whether you are a good candidate for a laser vision correction.

Working as a stewardess

I am a flight attendant. Could the nature of my job influence the healing process?
Agnieszka

Doctor’s answer
Your vocation is not a contraindication. If you will take good care of yourself, moisturise your eyes properly and avoid dusty or smoky rooms the healing process should not be disrupted.

Cutting the cornea

I have a question. Is the cornea cut during surgeries at your Centre? Or maybe you use the newest method, without mechanical intervention?
Marzena

Doctor’s answer
I perform two types of surgeries: LASIK and LASEK, in our Centre. During the LASIK procedure a microkeratome is used to create a very thin flap of the cornea. The surgeon then folds back the hinged flap to access the stroma and reshape the corneal tissue using a laser. In LASEK method an ultra-thin "flap" of epithelium is pushed off to one side of the cornea, where it remains attached to the eye. After the laser treatment is finished, the epithelial tissue is repositioned on the surface of the eye to cover the lasered stroma. I am not sure whether this answer will satisfy you, because the older methods of correction included cutting the cornea in order to reshape it – such surgeries are not performed in our Centre. If you have any further questions – feel free to ask them, I will be happy to help you.
 

2 weeks after surgery

Finally back home. Today it is 2 weeks since the operation. I have to get used to put on glasses where I took them off before when reading. Driving car without glasses, and not have to use them during the day is ok. The right eye is perfect and clear. But my left eye is not yet clear and sharp on distance. When I close my right eye, I am not able to read the plates on the car in front of me, and the back ligths are "cloudy". They are also a bit dry, and sometimes I have the feeling there is some dust in the eye. It seems like I need different reading glasses for reading, and when using the computer. Weel, its been only 2 weeks, and there is some new rutines I have to get used to that is different from before. Ingers left eye is ok, but the right is not ok yet. She is also strugling finding the correct glasses. She was not able to drive on our trip back from Oslo to Aalesund. If possible, could we get a feedback if this is normal ? We will both visit an eye specialist for a controll as recommended from the clinic in Gdansk.
Alf

Doctor’s answer
Your problems are quite normal, and you should be patient, because vision stabilisation after corrective laser surgery lasts from one to several months. You should also regularly turn up for postoperative visits following a fixed schedule. When you go to an ophthalmologist, please take a copy of the examination result, scan it and send to us. Maybe then I will be able to say something more about your problems. Usually during the recovery period you may experience mild pain, swelling of the eyelids, itching, watering, »dust in the eye« feeling, and later over-sensitiveness to light (light glare) or vision acuity fluctuations (e.g. in a dark room some patients may see with less contrast). Full vision acuity returns within a couple weeks after the surgery, yet vision may fluctuate for a period up to 12 months after the surgery. Alf, it is normal that after correction you need glasses for reading, but they should be the same as for computer. Inger also will need glasses for reading, but not as strong as earlier. This is a result of reduced elasticity of the lens - the accommodation ability of the eyes deteriorates. You suffer from presbyopia, which manifests itself in the necessity to wear glasses for reading. If you have some more questions or need some clarifications I’m at your disposal.

Refractive error +4D

I suffer from hyperopia OD +4.0, OS +4.0, I am 27 years old. I wear glasses. I see much better with my left eye than with my right eye. After closing the left eye I cannot see clearly, however when I close the right eye I can see all the contours but I experience problems while reading. Can Laser Vision Correction help me?
Gregory 

Doctor’s answer
Theoretically you refractive error is operable.
Hyperopia can be corrected up to +6D, but I have successfully operated aberrations of even higher order. An error of +4D can be usually corrected to 0, providing that no medical contraindications occur (e.g. thin cornea). Qualification is only possible after the qualifying examination.
 

High myopia

I am 16 years old and right now my refractive errors are -7.5 and -8.5. It is a genetic disorder (my grandpa has very severe impairment of around -11 and my grandma has glaucoma, they are parents of my mother) I don’t know if that is of any importance. Last year I have had an examination in Warsaw (I think it was HRT) and it has shown that I am not in danger of developing glaucoma. My impairment progresses at the rate of 1 D per year. For the past 4 years I have been wearing Rigid Gas Permeable Contact Lenses which were supposed to help me but failed to do so (progression didn’t stop). To the point: My impairment will probably keep progressing at this rate until I turn 21 (that’s when the progression should stop) and my error will then be -13D. Does it disqualify me from the surgery?
Paweł

Doctor’s answer
Laser Vision Correction surgeries can treat myopia up to -14D, so if the rate of progression stays the same and there will be no other medical contraindications you will be able to undergo the surgery. Obviously, I will be able to qualify you for the surgery only after the qualifying examination which is crucial as it allows to rule out any contraindications such as keratoconus or too thin cornea.

Surgery on both eyes

I have watched a successful LASIK surgery: http://www.youtube.com/watch?v=Y-TUMw1FTmY
so I am pretty well informed :-). I have also watched an example of a failed surgery. Question: does having both eyes operated at the same time increase the risks connected with failure during the surgery?
Tomasz

Doctor’s answer
Having both eyes operated at the same time does not increase the risk of complications.
LASIK method can be successfully used on both eyes at the same time. It is much more comfortable for the patient in terms of time saving and stress reduction to have a ‘double’ surgery than to have each eye operated separately. However, it is your decision – I can operate each eye separately.

Physical activity after the surgery

In the postoperative recommendations I found a point which says that I should restrain from physical activities after the surgery. Does that apply to every type of activity? Which sports are allowed?
pacjent

Doctor’s answer
The exact period in which you should restrain from sports is to be determined during the follow-up examinations; it depends on the rate at which the eyes will be healing. The sports to in which a direct trauma to the eye can happen (e.g. tennis) are prohibited until the cornea fully heals. However, if you will be using protective glasses you can return to your favourite sports faster. When it comes to activities such as gardening, home gymnastics or moderate exercises they are allowed no sooner than 3 days after the surgery. You must very careful not to contaminate or touch your eyes as that may lead to dislocation of the flap.

Do I qualify?

Hello. I am dreaming of not having to wear glasses after 30 years of struggling with them. My refractive error is are +5 and +6 and CYL 2.0 in both. The effective error has been calculated to be about +11. My problem is that I suffer from thickening of the optic nerve – will that be a problem?? Thank you.
Inez

Doctor’s answer
The provided information is insufficient to qualify you for the surgery. I would have to examine your eyes thoroughly. It would be great if you could come for a qualifying examination and bring your medical documentation along. The qualifying examination apart from being crucial to determine whether the operation is possible also helps to diagnose many eye diseases in the early stage of development.