Reading vision helped by laser eye surgery
Dave Allamby | Jun 27, 2008 | Comments 9
You can see more information in the first featured article above on how laser eye surgery is now used to correction problems with reading vision.
Most people start to need reading glasses after the age of 45 and previously were not eligible for laser eye treatment. All that has changed with advances in technology. FOCUS Laser Vision has been very active in this increasingly popular area of laser eye correction.
Filed Under: LASIK • Reading Vision
About the Author: Mr. Dave Allamby FRCS FRCOphth is a leading London-based laser eye surgeon. You may have seen him on the This Morning TV show with Phillip Schofield and Fern Britton or read one of several articles in the national press, recently for treating Denise Van Outen, rock giant Rick Wakeman and broadcaster Paul Ross. David is Medical Director at Focus Laser Vision, known as a world-leading clinic in the treatment of presbyopia, or age related loss of close vision. Focus Laser Vision is also London's only clinic to offer next-generation Z-LASIK laser eye treatment for short sight, long sight or astigmatism.













Dave,
many thanks for your help.Appointmnent made and I look forward to meeting you at the end of the month.
Regards
Craig
Hi Dave,
Just wondered if you received details of my current prescription okay ??
Thanks
Craig
Hi Craig
Yes, got your messages thanks. It is a bit complicated optically but I will try to simplify!
You are long-sighted which is an anatomical problem you were born with (a small eyeball), but which only becomes apparent visually usually after age 35 or so. Initially close vision becomes blurry, but by the age of 45-50, distance vision also will become blurry. Hence you start off with one pair of glasses to help you read, and your optician will later recommend either two pairs or one pair of varifocal lenses, to help you see near and far.
You are still young at 42 and so your long-sight has quite some years still to get worse. In fact it will carry on getting worse until the age of 55-60. Therefore we cannot fix all your vision problems with just one LASIK op. You will need a second procedure in a few years time (maybe around age 50) to top up the result to compensate for the natural worsening we know you will get with ageing.
The advice from Optical Express does not seem to be correct. Just correcting the distance prescription only will still leave you needing reading glasses either immediately or very soon after the LASIK. We really need to add a full blended vision component to your correction to keep you out of reading glasses too and to give you a longer lasting benefit. Also, at the consultation, we will dilate your eyes and remeasure your prescription by pushing it to the maximum, as long-sighted eyes tend to be a bit worse than the standard vision test shows. So rather than being R +1.50 and L +2.00, you are likely to be R +2.00 and L +2.50. But by finding the maximum and treating as much as we can, you will do better long term.
On the bright side, long-sighted patients are usually the happiest post-op, because they gain both distance and near clarity.
I know this is a complex description, and as you can see, is not straight forward. Optical Express apparently did not explain these details to you, but which you really need to know to make an informed choice. Correcting distance prescription only will not make you happy though. I specialise in blended vision and have done around 8000 procedures and know the results inside-out. But blended procedures are more expensive but I may be able to help a little there to link in with our summer promotion. If you want to book in for a consult, call Paula on 0845 5000 500 and ask her to check back with me for final costs.
Hope that helps
Dave
Dave,
Sorry,my age is 42 !
Dave,
Thanks very much for this…..I’m in a complete spin over this and thought it would all be so straightforward !! My prescription is as follows :
Right Eye +1.50 -0.25 at 95
Left Eye +2.0 -0.50 at 98
There is also +0.75 reading add on for both.
I’m looking forward to your reply which will hopefully clear up my confusion/frustration.
Regards
Craig
Dave,
Many thanks for your response.However,I’m confused….not by you I might add ! The thing is when I had my consultation with Optical Express I was told that the wavefront intralase surgery would give me 20/20 vision or as near as damn it but that in later years I would need reading glasses.I’m now told from another source that this is not the case and that I would definately need glasses for reading in the years immeditaley after surgery.Whilst I am long sighted I also see things blurred around me and my recent prescription now recommends variofocals.I am totally confused and don’t know what to do for the best.I understand that “monovision” surgery is very expensive compared to regular wavefront ????
Yours despairingly
Craig
hi Craig
Let me see if I can clear this up for you!! Could you please tell me your age, and your distance vision prescription, plus any near ‘add’ that your optician might have also written on your prescription.
Thanks
Dave
I am a 57 year old and my eyes have been deteriorating over the years. Is there a laser treatment that will help with this condition and my longsight
Dear Julie
Sorry as I missed your post last month! Laser blended vision will address your vision problems, if you are describing difficulty with near vision, or a combination of far and near problems. The only way to know fully would be to have a consultation, as around 5-7% of patients aren’t suitable for blended vision correction and in this case we can only correct any distance vision problems.
Best regards
Dave