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LASIK eye surgery, also known as laser in-situ keratomileusis, is a revolutionary corrective treatment for vision.
This minimally-invasive procedure relieves you from dependence on glasses and contact lenses. According to studies, there is a 95% overall satisfaction rate among LASIK patients.1
However, even after excellent LASIK post-op-care, there is a risk of your vision changing after the procedure. People also respond to laser vision correction differently.
While many people achieve 20/20 vision after just one procedure, others may need additional surgery to achieve the same outcome. This is where LASIK enhancement or LASIK touch-up comes in.
LASIK enhancement is an additional vision correction surgery that fixes refractive errors, degraded vision, or unsatisfactory outcomes. Unsatisfactory outcomes include under-correction, overcorrection (leading to eye strain), infections, or complications with the healing corneal flap.
Thinking about LASIK? Start a conversation with an experienced Patient Counselor to find out if laser eye surgery is right for you. Learn More
There is no significant difference between LASIK and LASIK enhancement. An enhancement is a follow-up procedure that improves visual outcomes after the first procedure.
The main difference is that LASIK enhancement doesn’t require a corneal flap to be created. Instead, your eye doctor will simply lift the existing flap using special tools.
Because an enhancement requires minimal adjustments, treatment takes less time than the original procedure.
For example, while primary LASIK takes about 30 minutes, an enhancement usually takes just a few minutes, if not seconds.
The recovery process is also similar. You need to follow strict post-op care rules for quick recovery after both LASIK procedures. These include:
LASIK enhancement requires patients to meet specific qualifications. Generally, healthy eyes are eligible for an enhancement 3 months or more after the first LASIK procedure.
Here’s what might qualify for LASIK enhancement:
After the surgery, expect your vision to improve with time.
If you experience blurry vision after 3 months of LASIK post-op care, you might need an enhancement.
During the visit, your eye doctor will evaluate your cornea to determine the cause of your persistent visual problem and recommend next steps.
Everyone wants to achieve a certain visual quality after LASIK. To avoid unnecessary surprises, it’s essential to talk to your doctor about what you expect from surgery.
Your eye surgeon will also let you know the likely outcome of your surgery.3
With this information, you can compare the visual outcomes after the healing process is complete.
LASIK enhancement might be necessary if the outcome doesn’t match your treatment expectations.
During LASIK surgery, your surgeon will lift the flap that was created during the original LASIK surgery and fold it back to allow for laser treatment. They will then place the flap into position and allow it to heal.
Any issues with the corneal flap can affect your vision quality. LASIK enhancement can correct this healing complication for qualifying candidates.
Although LASIK enhancements are rarely necessary, understanding the procedure is essential before following through with laser eye surgery.
Questions about LASIK? Call NVISION to speak with an experienced Patient Counselor who can answer all your questions and set up a free consultation. No commitment required.
To determine if you’re a good candidate for an enhancement, your eye surgeon will evaluate the timeline of your initial surgery and recovery.
Most people are eligible for LASIK enhancement 3 months after the initial surgery. This timeline varies depending on what issue(s) need to be fixed.4
Your eye doctor will also perform a pachymetry test to check if your cornea thickness will allow for a second surgery.5 Usually, a good candidate will have a corneal thickness of at least 450 to 550 microns.
You’re not a good candidate for LASIK enhancement if you:
Typically, just one LASIK enhancement is required to restore vision to an acceptable level. In some cases, however, more than one enhancement is necessary.
LASIK enhancement is not any different from your first surgery. You can expect the following before, during, and after an enhancement:
After an evaluation to determine your eligibility for an enhancement, your eye surgeon will set a date for the procedure.
If you’re using contact lenses to correct your vision, you’ll have to stop wearing them to give your cornea time to adjust to its original shape.
Your eye doctor will also educate you on the expectations of the procedure.
Be sure to inform your surgeon about any concerns you have regarding the process.
On the day of the surgery, your surgeon will perform tests and take measurements of your cornea as you lie on a reclining chair.
They will then re-lift the corneal flap created during the initial surgery to start laser treatment.
Your surgeon will use an excimer laser, the same device used during the initial surgery.
Because enhancements require minimal adjustments, the procedure takes just a few minutes or less.
Just like with your initial surgery, your vision may remain blurrier immediately after surgery. But this will improve gradually.
Your surgeon will give you a detailed LASIK post-op care guide to help you manage the recovery process.2
Your doctor may also prescribe painkillers and lubricating eye drops to relieve any after-effects of LASIK. It’s essential to take these medications as prescribed.
You’ll need to visit your eye doctor 24 to 48 hours after LASIK enhancement surgery to check the healing process.
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Some providers do not charge an extra fee for an enhancement, especially if they performed the initial surgery.
Payment policies can vary significantly depending on your LASIK provider, the available pre- and post-operative care, and the LASIK technology used.
Before committing to surgery, ask about your doctor’s pricing policy and the pre- and post-operative services they offer.
LASIK surgery can restore your crystal clear vision, but you’ll still need to take good care of your eyes.
The most effective way to keep your vision sharp after LASIK is to schedule regular eye exams. This will help your eye doctor monitor your eye health and catch any issues early.
Other tips for maintaining sharp vision include:
If you’ve had refractive surgery, and your vision is still not sharp enough, consult your eye doctor to determine if LASIK enhancement will work for you.
As you’ve learned, LASIK enhancement is not ideal for everyone. Luckily, there are other effective visual corrective procedures available:
If you don’t qualify for LASIK enhancement, ask your doctor about the above alternatives.
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Still not sure about LASIK? Talk with an experienced Patient Counselor at NVISION to find out if it's right for you.
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