What to know about LASIK

Written in association with: Mr Sumith Perera
Published: | Updated: 14/11/2024
Edited by: Conor Lynch

LASIK (Laser-Assisted in Situ Keratomileusis) is a popular and effective refractive eye surgery designed to correct vision issues such as nearsightedness, farsightedness, and astigmatism. By reshaping the cornea—the transparent layer covering the front of the eye—LASIK allows light entering the eye to focus more directly on the retina, enhancing clarity of vision and reducing dependence on glasses or contact lenses.

The LASIK procedure

The LASIK procedure is relatively quick, typically taking around 15 minutes for both eyes. It begins with the application of numbing eye drops to ensure comfort. The surgeon then creates a thin, hinged flap on the cornea using either a microkeratome (a small blade) or, more commonly today, a femtosecond laser.

 

This flap is gently lifted, exposing the underlying corneal tissue. Next, an excimer laser, precisely programmed based on the patient’s specific prescription, reshapes the corneal tissue by removing microscopic amounts of tissue. After reshaping, the flap is carefully repositioned over the cornea, where it naturally adheres without the need for stitches.

 

Success rate

LASIK has a high success rate, with most patients achieving 20/20 vision or better. The results are typically noticeable within 24 hours, and the recovery period is brief. Common side effects, such as dry eyes and temporary visual disturbances (like haloes around lights), usually resolve within a few weeks. Follow-up appointments help monitor healing and address any concerns.

 

Ideal candidates

Ideal candidates for LASIK are over 18, have stable vision, and do not have significant underlying eye issues like severe dry eye, cataracts, or certain corneal diseases. Additionally, candidates should not be pregnant or nursing, as hormonal fluctuations can temporarily affect vision.

 

Advantages

The advantages of LASIK are considerable. It offers long-lasting results, typically eliminating the need for glasses or contacts. The procedure itself is minimally invasive and quick, with minimal discomfort and a short recovery time. However, LASIK is not suitable for everyone, and like any surgery, it carries risks, including over- or under-correction and, in rare cases, vision loss.

 

For those eligible, LASIK represents a safe and effective solution to correct common refractive errors. Consulting with an experienced ophthalmologist is essential to determine suitability and understand potential outcomes, ensuring the best possible vision correction experience.

By Mr Sumith Perera
Ophthalmology

Mr Sumith Perera is a highly experienced consultant ophthalmic surgeon in Reading who specialises in cataract surgery and refractive procedures. His areas of expertise include presbyopia, dry eye, blepharitis and emergency eye care. He is highly skilled in using refractive lasers and is a UK pioneer in femtosecond lasers for cataract and refractive surgery.

Mr Perera graduated from the University of Colombo and won a prestigious World Health Organisation scholarship to study ophthalmology at the Institute of Ophthalmology London. Following the completion of his training in the South Thames region and Moorfields Eye Hospital, he joined the NHS in 1996.

Mr Perera trained in LASIK surgery in Chicago, USA, in 2001. He was one of the earliest surgeons to perform LASIK surgery in England. He is an accredited laser refractive surgeon having obtained the certificate in laser refractive surgery from the Royal College of Ophthalmology. He was awarded a distinction on completion of the University of Ulster refractive surgery course.

Mr Perera is passionate about teaching, having trained many surgeons in refractive and cataract surgery. He regularly presents his work at international conferences and is often an invited speaker at many meetings.

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