What are the Possible Complications of LASIK Surgery? | Griffin & Reed Eye Care

There are a number of things that can
happen, but the three that I’m worried about and that I always tell my patients
i’m watching for, that flap needs to have 18 to 24 hours to heal down. Within that
period of time, it becomes significantly more firmly attached to the front of the
eye. It has a hinge so that it never comes off the eye, but you have to fill
the rim in with cells, and the eye heals so incredibly quickly, that within 18
hours, it’s ten times stronger than it was the first day. So, that’s my number
one concern. You don’t want to go home and rub your eye. We put these
“modified ski goggles” on everybody, send them home to wear those for 18 hours, to
wear them continuously till they wake the next morning. And then they can take them off, and come in and let us look. And then we have you wear them for five nights, when you sleep. That’s my biggest concern. And generally speaking, people that are
compliant patients, I can make sure they’re going to wear those, otherwise I
won’t do their surgery. The number one thing that patients read about or experience is dryness, because when we create that flap, we cut the nerves that
stimulate your eyes to make tears, but these nerves do grow back—they grow back slowly. Secondarily, we always watch for two other things. One is infection, and the other is inflammation. And those things are exceedingly rare. Infections—I
don’t believe we’ve ever had a LASIK infection here. We’ve seen an occasional
infection after PRK, which has been resolved and treated well, but with LASIK—I don’t recall ever seeing a LASIK infection. As far as glare—patients will
have glare, initially, the first four to six weeks. That’s absolutely normal.
Beyond that, patients say they have about the same as, if not better, than what they
had prior to surgery. Inflammation though, is where some patient’s immune system
actually over-reacts, and tries to put some white cells under the flap. And
you’ll see that in about one in a thousand people. And it always… rarely if ever it
doesn’t, it shows up the next morning. And so that’s why we insist that our
patients come back and see us the next day. So we do post-op on them—
the surgeon does the post-op on the patient, does the pre-op, and does all the
follow-up. We see them the next day, personally, to make sure they’re okay.
Because caught early, those things are easily resolved. Well, we try to screen
the patients in advance to see what they are at high risk for, and if they are at
high risk for any particular problems, it’s fair to speak with them about it,
let them know what our concerns are. Of course, if there is something that’s
going to adversely affect their eyes, long-term, we’d prefer to leave those patients alone. And we’ll explain exactly why they’re not a good candidate for any of our procedures.

One comment

  1. Awesome video and information. I would love your insight on our latest podcast http://defocusmedia.com/whats-new-and-whats-next-in-refractive-surgery

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