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Eye Care (Expert Forum)
LASIK vs. PHAKIK
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.
LASIK vs. PHAKIK
by Janice-Morey, May 03, 1999 12:00AM
Posted by Janice Morey on May 03, 1999 at 17:20:27
I have been told by a local laser vision correction center that I could benefit from either LASIK or PHAKIK (IOL implant) surgery to correct my myopia. It seems both procedures deliver the same results, but PHAKIK is both more expensive and more invasive than the LASIK. I understand that PHAKIK involves a little less recovery time; however, it carries the same risks as cataract surgery. What, if any, are the major advantages of PHAKIK over LASIK, and vice versa? In other words, why would anyone choose PHAKIK, if LASIK is already an established option? Thanks.
Posted by HFHS MD - NI on May 03, 1999 at 17:42:40
Janice,
You raise a very interesting question. Lasik is a very popular and successful procedure. Why replace this with another procedure which is more involved and may have more risk. Lasik involves permanent reshaping of the cornea. It involves surgery over the center of the cornea so any subsequent scarring may permanently affect vision. These complications are relatively rare but have occured. The surgery is also irreversible.
Phakic IOL's means placing an implant lens over a preexisting normal lens. We routinely remove cataract lenses and replace them with implant lenses. The nice thing about this procedure is that it is reversible. The lens can usually be removed if necessary or exchanged. The main complication is cataract formation. If this occurs, the cataract can be replaced and a new implant lens inserted. There is also a small chance of glaucoma depending upon the type of implant lens used.
The implant lens is a newer technology and has much less of a track record. Before choosing any refractive surgical procedure, you should have a good discussion with your surgeon about the risks, benefits and alternatives to treatment in your particular case.
This information is for educational purposes only. Please see your physician for diagnostic and treatment options.
Sincerely,
HFHS MD - NI
