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Is laser eye surgery worth discussing?

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Six questions about the things an ophthalmologist asks about first. The answer is not a diagnosis and it is not medical advice. It is the next step that is worth your time.

Only an examination can decide. Corneal shape and thickness, tear film, refraction and the rest of the eye have to be measured in a clinic. Nothing here replaces that, and nothing here is recorded.

1 Are you aged 18 or over?

Refractive laser surgery is generally considered for adults whose eyes have finished developing.

2 Has your prescription been stable for 12 months or more?

A prescription that is still changing makes the result harder to predict, whichever procedure is chosen.

3 Do you have short-sightedness and/or astigmatism, rather than long-sightedness or reading vision only?

Laser procedures treat short-sightedness, astigmatism and some long-sightedness differently. Reading-only vision is a different problem.

4 Have you been diagnosed with keratoconus, or told that your corneas are thin?

Corneal shape and thickness are measured at an assessment; a previous diagnosis is worth mentioning before one.

5 Do you have significant dry eye or an autoimmune condition?

Tear film and some systemic conditions affect how a cornea heals, and they change which options are sensible.

6 Are you pregnant or breastfeeding?

Hormonal changes can alter the prescription, so surgery is usually planned for another time.

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