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What are refractive errors?
The Lasik Procedure
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Dr Wong Tet Fah, MBBS, FRCS, FRCOphth
Datin Dr Teoh Su Lin, MBBS, MSurg, FRCS, FRCOphth
Dr Khaw Hoon Hoon, MD, FRCS Ophth

News
TLC News & TLC-IBU SEPTEMBER 2004 WRITE-UP
TLC WRITE-UP In Health Magazine
TLC News In The Expat Service Guide on April 2007 WRITE-UP
TLC News In Japanese (WRITE-UP)
TLC Interview in Movie Clip Files...Clik here to download

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Links & Resources
www.lasikinstitute.org - probably the best source of well-balanced information on LASIK for both the public and physicians
www.eyenet.org - the home page of the American Academy of Ophthalmology
www.ascrs.org - a comprehensive link to relevant information on eye health and refractive surgery

Refractive Errors
Why do some people need to wear glasses or contact lenses? About 50% of the general population have refractive errors, i.e. they need to wear glasses or contact lenses to see clearly. This situation arises because the length of the eyeball or the shape of the cornea is abnormal, such that an image cannot be focused on the retina (the same as a film in a cornea).

Myopia (Shortsightedness) This is a very common condition where the eyeball length is relatively too long, such that the image falls short of the retina and becomes defocused. Distant objects appear blurred.
As a rule, LASIK corrects myopia (shortsightedness) up to 13.00 D

Hyperopia (Farsightedness) In this instance, the eyeball length is relatively short and the image is focused behind the retina. The near objects are relatively more blurred compared to the distant objects.
LASIK corrects hyperopia (farsightedness) up to 6.00 D

Astigmatism In this situation, the curvature of the cornea is not spherical, but appears more egg shaped, resulting in the inability to focus the image to a single sharp point. Images appear distorted both from a short and far distance.
LASIK corrects astigmatism up to 5.00 D

The goal : 6/6 This begins in most people around the age of 40 and is considered as the normal aging process. This occurs in everyone as the natural lens becomes less flexible with age, and is unable to focus near objects. Therefore, regardless of whether a person has refractive error (poor eyesight) or not, most people will need to wear reading glasses for close-up work with age.
LASIK does not correct presbyopia. In short, you must understand that the goal of LASIK is to reduce your dependency on the need for glasses or contact lenses so that you can see well without the need for them. It is important that you understand the aim of the procedure so that you can have a realistic expectation of the LASIK outcome.

The goal : 6/6 Traditionally, the way to help focus images in people with poor eyesight is with the aid of prescription glasses (spectacles) or contact lenses.
If you can read letters 9.5mm high from 6mm away, you have 6/6 vision.


How do I know if I am suitable for LASIK?
  • Most, but not all people who wear glasses or contact lenses are candidates for laser refractive surgery.
  • Only after a proper eye assessment, your doctor can advise if you are suitable for this procedure.
  • In addition, your eye must be in good health, and your refractive errors must be stable.
  • You must be at least 18 years old and not pregnant at the time (to ensure stability of vision), and not to wear contact lenses for at least for one week prior to the surgery (as contact lens wear may temporarily affect the power of your eye).
  • Furthermore, some patients may have too thin cornea that precludes them from a safe LASIK procedure.
  • Overall, about 90% of patients are suitable for the LASIK procedure.

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