Comments on: LASIK and Dry Eyes http://lasik-truth.com/lasik-laser-eye-surgery/lasik-dry-eyes/ Your personal on-call laser eye surgeon Wed, 08 Feb 2012 21:33:01 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/lasik-dry-eyes/comment-page-1/#comment-2854 Dave Allamby Thu, 07 Jul 2011 11:53:19 +0000 http://lasik-truth.com/?p=702#comment-2854 Hi William I don't see permanent dry eyes in those patients who had a good tear film pre-operatively. At my clinic, we are very aggressive in testing for, and treating pre-operatively as necessary, any eye dryness. I prefer thin-flap LASIK, as there is less inflammation post-operatively when compared with PRK/LASEK, (inflammation is a key component of symptomatic dry eye) and a fairly quick recovery of corneal nerve supply. The important stage is to be able to say no to someone with significant dry eye ad who does not respond to appropriate therapy. Regards, Dave Hi William
I don’t see permanent dry eyes in those patients who had a good tear film pre-operatively. At my clinic, we are very aggressive in testing for, and treating pre-operatively as necessary, any eye dryness. I prefer thin-flap LASIK, as there is less inflammation post-operatively when compared with PRK/LASEK, (inflammation is a key component of symptomatic dry eye) and a fairly quick recovery of corneal nerve supply. The important stage is to be able to say no to someone with significant dry eye ad who does not respond to appropriate therapy.
Regards, Dave

]]> By: William http://lasik-truth.com/lasik-laser-eye-surgery/lasik-dry-eyes/comment-page-1/#comment-2850 William Mon, 04 Jul 2011 22:39:32 +0000 http://lasik-truth.com/?p=702#comment-2850 Dear Dave, As far as I know, even with the newest technology that create flaps <100 microns there are still cases of permanent dry eye, which obviously has a very severe effect on someone's life. It seems that in those cases, pre-op tests for dry eye did not flag such issues as it does not necessarily correlate with such test values. Would you say that for someone who would like to reduce the risk of permanent dry eye to the absolute minimum, Lasek/PRK is the better choice as it cuts less stromal tissue and has therefore lower risk of permanent dry eye? I feel like I could be ok with all other risks (even if they occur at very low probabilities) but NOT permanent dry eye. Many Thanks Dear Dave,

As far as I know, even with the newest technology that create flaps <100 microns there are still cases of permanent dry eye, which obviously has a very severe effect on someone's life. It seems that in those cases, pre-op tests for dry eye did not flag such issues as it does not necessarily correlate with such test values.

Would you say that for someone who would like to reduce the risk of permanent dry eye to the absolute minimum, Lasek/PRK is the better choice as it cuts less stromal tissue and has therefore lower risk of permanent dry eye?

I feel like I could be ok with all other risks (even if they occur at very low probabilities) but NOT permanent dry eye.

Many Thanks

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