LASIK Surgery Checklist |
1
Know what makes you a poor
candidate:
Career impact - does your job prohibit refractive surgery? Cost - can you really afford this procedure? Medical conditions - e.g., do you have an autoimmune disease or other major illness? Do you have a chronic illness that might slow or alter healing? Eye conditions - do you have or have you ever had any problems with your eyes other than needing glasses or contacts? Medications - do you take steroids or other drugs that might prevent healing? Stable refraction - has your prescription changed in the last year? High or Low refractive error - do you use glasses/contacts only some of the time? Do you need an unusually strong prescription? Pupil size - are your pupils extra large in dim conditions? Corneal thickness - do you have thin corneas? Tear production - do you have dry eyes? 2 Know all the risks and procedure limitations: Overtreatment or undertreatment - are you willing and able to have more than one surgery to get the desired result? May still need reading glasses - do you have presbyopia? Results may not be lasting - do you think this is the last correction you will ever need? Do you realize that long-term results are not known? May permanently lose vision - do you know some patients may lose some vision or experience blindness? Dry eyes – do you know that if you have dry eyes they could become worse, or if you don’t have dry eyes before you could develop chronic dry eyes as a result of surgery? Development of visual symptoms - do you know about glare, halos, starbursts, etc. and that night driving might be difficult? Contrast sensitivity - do you know your vision could be significantly reduced in dim light conditions? Bilateral treatment - do you know the additional risks of having both eyes treated at the same time? Patient information - have you read the patient information booklet about the laser being used for your procedure? 3 Know how to find the right doctor: Experienced - how many eyes has your doctor performed LASIK surgery on with the same laser? Equipment - does your doctor use an FDA-approved laser for the procedure you need? Informative - is your doctor willing to spend the time to answer all your questions? Long-term Care - does your doctor encourage follow-up and management of you as a patient? Your preop and postop care may be provided by a doctor other than the surgeon. Be Comfortable - do you feel you know your doctor and are comfortable with an equal exchange of information? 4 Preoperative, operative, and postoperative expectations: No contact lenses prior to evaluation and surgery - can you go for an extended period of time without wearing contact lenses? Have a thorough exam - have you arranged not to drive or work after the exam? Read and understand the informed consent - has your doctor given you an informed consent form to take home and answered all your questions? No makeup before surgery - can you go 24-36 hours without makeup prior to surgery? Arrange for transportation - can someone drive you home after surgery? Plan to take a few days to recover - can you take time off to take it easy for a couple of days if necessary? Expect not to see clearly for a few days - do you know you will not see clearly immediately? Know sights, smells, sounds of surgery - has your doctor made you feel comfortable with the actual steps of the procedure? Be prepared to take drops/medications- are you willing and able to put drops in your eyes at regular intervals? Be prepared to wear an eye shield - do you know you need to protect the eye for a period of time after surgery to avoid injury? Expect some pain/discomfort - do you know how much pain to expect? Know when to seek help - do you understand what problems could occur and when to seek medical intervention? Know when to expect your vision to stop changing - are you aware that final results could take months? Make sure your refraction is stable before any further surgery - if you don't get the desired result, do you know not to have an enhancement until the prescription stops changing? Source: fda.gov. |