Healthy Living

Friday, July 4, 2008

Lasik reality check: What do you need to know?

An adivsory panel to the FDA has reviewed Lasik surgery, and recommended that stronger warnings be provided about the potential dangers of the procedure.

This is reasonable and appropriate. But it does not mean Lasik is dangerous, or even disappointing overall. It just means it's not perfect, and it's not right for all of the people all of the time. But nothing is.

The success rate with Lasik--measured by marked improvement in the vision problems that warrant the procedure in the first place--is well over 95%. That is very good, but still means that up to one person in 20 may end up disappointed. That one person deserves to know those odds in advance.

The advisory panel goes further, identifying the characteristics that predict who is least likely to respond well to Lasik. By screening carefully with such criteria, including such things as thin cornea, early cataracts, and unusually large pupils, eye surgeons can improve the already impressive success rate for this procedure.

To borrow from Billy Joel, our societal views of health-related interventions all too often gravitate toward either sadness or euphoria. We expect drugs to work without side effects, diets to take the pounds off effortlessly overnight, surgery to give us back our youth without scars or pain. And when these hopes for euphoria are dashed, comes the sadness of yet another conspiracy or boondoggle revealed.

But Lasik is no more boondoggle than it is a panacea. It's an excellent procedure that will work well much of the time, and that much more so if candidates are identified judiciously.

The current attention to Lasik is not a conspiracy revealed. It simply indicates that like just about all of life's benefits, the benefits of Lasik can only be obtained by tolerating some risk. Neither cause for sadness, or euphoria--just a reality check.


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Avoid Negative Drug Interactions


[photo credit: Getty Images]

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From the Community…

Comments 1-3 of 3
  • erlinda_romualdez's Avatar
    Posted by erlinda_romualdez Fri May 16, 2008 8:27am PDT

    GOOD DAY TO ALL//////

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  • Alesya C's Avatar
    Posted by Alesya C Fri May 16, 2008 11:24pm PDT

    I think this is a great article, I have been aware of the things that can go wrong during this procedure but to have someone with the first hand info is really comforting and......at the same time scary...so thanks good to know!!!Have a good one!

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  • mary c's Avatar
    Posted by mary c Sun May 18, 2008 4:21pm PDT

    Thanks Dr. Katz. I was wondering about getting this proceedure. I have worn contacts for years. Maybe I will check it out...maybe I'm a good candidate for it.

    Report Abuse
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