It seems that everywhere you turn there is someone touting LASIK’s benefits. We hear a lot about LASIK surgery and the wonderful clear vision that people enjoy after the procedure. Is LASIK surgery for women over fifty a good decision? Deciding to have LASIK is a big step, and only you and your doctor can decide if LASIK is right for you. LASIK is generally very effective in healthy post menopausal women, but there may be some extra considerations you should be aware of.
Most people develop a condition called presbyopia in their forties and fifties. Presbyopia is a loss of elasticity in the eye’s lens that makes it hard to change focus quickly or to see nearby things clearly. You may first notice presbyopia when you try to read, sew or do any activity that requires seeing fine details up close. Generally, presbyopia is easily resolved with reading glasses or bifocals.
LASIK may hasten the onset or severity of presbyopia, but you can still have LASIK post menopause if all other conditions are right. You may decide to simply wear glasses after the procedure or use a contact lens in one eye to correct your near vision. There is also a way to perform LASIK so you use one eye for distance and the other for close work. Whenever you use or correct your eyes this way it is called monovision.
Tears are necessary to keep the eye comfortable and irritation free, but many women over fifty suffer from dry eye. LASIK can make dry eye worse. Your doctor will assess the moisture in your eyes before recommending or proceeding with LASIK. If you have even moderate dry eye, you may not be a good candidate for LASIK.
If you have dry eye syndrome, you may still be a good candidate for surgical vision correction using either PRK ( Photorefractive Karatectomy) or RLE (Refractive Lens Exchange).
Cataracts are a common condition in which the lens of the eye becomes cloudy and obscures vision. Nearly everyone develops cataracts at some point as they age, although women who eat a healthy diet are less likely to form cataracts. When cataracts are advanced, the lens can be replaced with an artificial lens that restores vision using RLE. Some replacement lenses flex and adapt like a natural lens so you have clear vision at any distance while others are designed for distance or near vision.
If you will be undergoing RLE in the near future you may want to skip LASIK since the RLE process will correct your vision.
Glaucoma is a serious but controllable condition believed to be caused by excess fluid pressure in the eye. If you have controlled glaucoma, you may still be able to have laser surgery, although probably not LASIK. LASIK incorporates the use of a device called a microkeratome, which can increase the pressure in the eye. You may be able to undergo PRK or RLE, or one of several other potential options. You should discuss the alternatives with your doctor.
General Considerations and Recommendations
Your doctor will assess your overall health as well as the health and general condition of your eyes before agreeing to perform LASIK. While the procedure is fast, simple and easily tolerated, healthy people respond better to most surgical procedures, even LASIK.
The most important determinant of the success of LASIK in women over fifty is the skill and experience of the doctor. You should find a doctor you feel comfortable with and ask about his or her LASIK experience before making any decisions.
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