LASIK with -11.50 diopter

[devildoc2]

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I know, it depends on the individual, and I need to seek the professional opinion of a qualified refractive surgeon (not an optometrist). But give me a rough assessment. Is -11.50 diopter myopia too much for LASIK? Assume that corneal thickness and all the other stuff is fine.

Can anybody share personal stories of successful LASIK with severe myopia?

 

[coppertopdoc]

A qualified OD (one with a good amount of LASIK co-management experience) can determine your candidacy.

Once your ocular health status has been established, then the OD can compare your data with the parameters of the procedure and determine your candidacy. The surgeon has the final say if they see something they don't like, but rarely did their clinical opinion contradict the OD's.

The clinical directors for TLC centers and many ophthalmologic practices are optometrists.😱

When I practiced at TLC we received the same CME (LASIK specific) as the surgeons. We went to the same meetings to talk about new technology, etc, etc.

 

[LUBDUBB]

I know, it depends on the individual, and I need to seek the professional opinion of a qualified refractive surgeon (not an optometrist). But give me a rough assessment. Is -11.50 diopter myopia too much for LASIK? Assume that corneal thickness and all the other stuff is fine.

Can anybody share personal stories of successful LASIK with severe myopia?

I think it would be a great idea to see a cornea specialist, maybe even two. From what I vaguely remember working with a cornea guy, was that generally you need to have about 250microns of residual (post-lasik) stromal thickness to be on the safe side. Depending on the laser, the ablation depth may be 10-15microns of stroma per diopter of myopia.

Bottom line, get a lasik workup...corneal pachymetry, topography..etc, even better, find a dr with a Pentacam.

I'm a -8.00, so I sorta feel your pain. Best of luck

 

[orbitsurgMD]

I know, it depends on the individual, and I need to seek the professional opinion of a qualified refractive surgeon (not an optometrist). But give me a rough assessment. Is -11.50 diopter myopia too much for LASIK? Assume that corneal thickness and all the other stuff is fine.

Can anybody share personal stories of successful LASIK with severe myopia?

Depends on so many things: your pupil size dark-adapted, your corneal thickness, the laser being used and the software (custom vs standard), your wavefront analysis, your expectations (e.g. night driving, special occupational requirements), your age. At -11.50 with a normal thickness cornea, some would only do your case with Intralase to control the flap depth, others might recommend PRK with MMC to avoid the flap issue and maximize the available depth of tissue available, and some might not treat you at all.