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Comment: IOL is an option if your cornea is too thin (Score 1) 550

by AlexisKai (#47525179) Attached to: Laser Eye Surgery, Revisited 10 Years Later

If your cornea is naturally very thin, you're ineligible for LASIK because the whole point is to ablate away part of the cornea. I had IOL surgery instead, which is like an implanted contact lens. The trouble with IOL surgery is that there's a 1% chance you'll get a cataract from the lens accidentally rubbing against your natural lens. This ended up happening to me in one eye 12 months after surgery. To their credit, the clinic where I had it done got me back in and gave me a complete lens replacement in that eye at no charge.

Now, a post-cataract-surgery eye is not as good as a normal eye. I would need glasses again were it not for the fact that my other eye is working perfectly with the IOL. So I have one 20/10 eye and one 20/80 eye, but to be honest it's not something I actually notice day to day; the visual cortex sorts it out for you. I do use reading glasses for long computer sessions.

If I had it to do again, I would still do it, because for me life with glasses and contacts was full of daily annoyances and constraints that I no longer have to put up with. Even if I develop presbyopia, my vision will never again be anywhere near as horrendous as it was before surgery. I had a diopter around -8, plus astigmatism. The convenience of life without glasses is worth the hassle of having one post-cataract eye.

Also, one option people often don't think to explore is that you can have _just your astigmatism_ corrected in an outpatient procedure. This procedure is quick and easy and it allows you to use cheaper glasses and contacts (no more "toric" contacts).

I cannot draw a cart, nor eat dried oats; If it be man's work I will do it.