Laser Eye Surgery Australia | Dr Anton van Heerden

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Laser eye surgery in Australia has revolutionised the field of vision correction, offering thousands of individuals the opportunity to discard their glasses and contact lenses for good. This comprehensive guide explores the various facets of laser eye surgery in Australia, providing an insightful look into this life-changing medical procedure.

Understanding Laser Eye Surgery

Laser eye surgery, also referred to as laser refractive eye surgery, is a revolutionary form of refractive surgery that aims to address vision issues like myopia (short-sightedness), hyperopia (long-sightedness), and astigmatism. This groundbreaking procedure involves meticulously reshaping the cornea – the transparent anterior segment of the eye – to ensure optimal focus of incoming light onto the retina, thus enabling remarkably clearer vision.

Types of Laser Eye Surgery Procedures

Laser eye surgery has evolved significantly over the years, leading to various advanced techniques designed to correct vision. Here’s an overview of the main types of laser eye surgery available in Australia:

LASIK (Laser-Assisted in Situ Keratomileusis)

LASIK, the most commonly performed laser eye surgery, involves forming a thin corneal flap using a femtosecond laser or mechanical microkeratome. The underlying corneal tissue is then resurfaced using an excimer laser to correct refractive errors. Afterwards, the flap is carefully repositioned. LASIK eye surgery offers rapid recovery and minimal post-operative discomfort, making it an advantageous choice for vision correction.

PRK (Photorefractive Keratectomy)

PRK was one of the first types of laser eye surgery for vision correction and is still commonly performed today. In PRK, the outermost layer of the cornea (the corneal epithelium) is removed entirely, and the excimer laser reshapes the underlying corneal tissue. The epithelium naturally regenerates over the following days. PRK is often advised for patients with thinner corneas.

LASEK (Laser-Assisted Sub-Epithelial Keratectomy)

LASEK is similar to PRK, but instead of removing the corneal epithelium, it’s loosened with an alcohol solution and moved aside. The excimer laser then reshapes the cornea, and the epithelium is repositioned. LASEK can be a better option for people who have thin corneas or are involved in contact sports, where there’s a risk of eye injury.

SMILE (Small Incision Lenticule Extraction)

SMILE is a relatively new and less invasive laser eye surgery technique. It involves creating a small, lens-shaped bit of tissue (a lenticule) within the cornea, which is then removed through a small incision, reshaping the cornea. SMILE is mainly used to correct myopia and is known for its quick recovery times and minimal discomfort.

Choosing the Right Type of Surgery

The choice of laser eye surgery depends on various factors, including the patient’s corneal thickness, the degree and type of refractive error, lifestyle, and the surgeon’s recommendation. Each type of surgery has its benefits and potential drawbacks, and what’s best for one person may not be ideal for another. A thorough consultation with a qualified ophthalmologist is essential to determine the most suitable procedure for your individual needs.

The Laser Eye Surgery Procedure: What to Expect

Initial Consultation: Involves a thorough medical history review and a series of diagnostic tests to determine the type of refractive error and suitability for laser eye surgery.
During the Procedure: Laser eye surgery is typically a quick and minimally painful process. Specific eye drops are used to numb the eye, and the laser treatment itself usually takes less than a minute per eye. The surgeon precisely reshapes the cornea using the laser.
Post-Surgery Care: Most patients experience a rapid improvement in vision. Follow-up appointments are of utmost importance to monitor the healing process. Instructions on eye care and any necessary eye drops will be provided.

Risks and Considerations of Laser Eye Surgery in Australia

Laser eye surgery boasts a commendable success rate; it is crucial to be well-informed about the associated risks and considerations before moving forward with the procedure. Acquiring a comprehensive understanding of these factors empowers you to make an educated decision and equips you for the path that lies ahead.

Common Risks Associated with Laser Eye Surgery

Dry Eyes: A common side effect post-surgery, where the eyes may feel unusually dry. Most patients find relief with lubricating eye drops, and this condition usually resolves within a few months.
Under or Over-Correction: Sometimes, the laser might remove too little or too much tissue from the eye, leading to under or over-correction of vision. In some cases, additional laser surgery, known as an enhancement procedure, might be necessary.
Flap Complications (in LASIK): Issues can arise with the corneal flap created during LASIK surgery, like irregular healing or infections, although these complications are rare with the advent of advanced technologies.
Glare and Halos: Some patients might experience increased light sensitivity, glare, or halos around lights, particularly at night. These symptoms usually improve within a few weeks or months.
Regression: There’s a slight chance that vision might gradually return to the original prescription. This is more common in patients with a high degree of myopia.
Rare Complications: In very rare cases, patients might experience significant vision loss. It’s crucial to discuss these risks thoroughly with your surgeon.

Factors to Consider Before Surgery

Your Eye Health: Patients with certain eye diseases, severe dry eyes, or very thin corneas might not be suitable candidates for laser eye surgery.
Lifestyle Considerations: Your hobbies, occupation, and lifestyle should be considered. For instance, if you regularly play contact sports, certain types of laser eye surgery might be more suitable than others.
Long-term Considerations: While laser eye surgery corrects current vision problems, it doesn’t prevent age-related eye changes, such as presbyopia or cataracts.
Expectations: It’s essential to have realistic expectations. While laser eye surgery can dramatically improve vision, it might not always result in perfect vision for every patient.
Cost and Value: Analyse the long-term value of the surgery compared to the ongoing cost of glasses or contact lenses. While the initial cost of laser eye surgery might seem high, it could be economically beneficial in the long run.

Contraindications for Laser Eye Surgery

Before considering laser eye surgery, it’s essential to understand the contraindications that might make someone an unsuitable candidate for this procedure. Here are key factors that can preclude you from undergoing laser eye surgery:

Age Factors: Patients under 18 are generally not candidates for laser eye surgery, as their eyes may still be changing. Most clinics recommend a stable prescription for at least a year.
Pregnancy and Nursing: Hormonal fluctuations during pregnancy and nursing can affect the stability of your vision, making this an unsuitable time for laser eye surgery.
Thin Corneas: A sufficient corneal thickness is necessary for a successful procedure. Patients with thin corneas may be at higher risk for complications.
Severe Dry Eyes: If you suffer from severe dry eyes, laser eye surgery may exacerbate the condition.
Autoimmune Disorders: Conditions like rheumatoid arthritis or lupus, which affect the body’s healing ability, can impact the surgery’s success and recovery.
Eye Diseases: Glaucoma, cataracts, keratoconus, or a history of certain eye infections or injuries can rule out laser eye surgery as a safe option.
Unstable Vision: A fluctuating glasses prescription can indicate that your eyes are not yet suitable for laser vision correction.

It’s important to have a comprehensive eye exam and discuss your complete medical history with your eye surgeon to determine if you are a suitable candidate for laser eye surgery.

Aftercare and Recovery Post Laser Eye Surgery

The success of laser eye surgery doesn’t just depend on the procedure itself but also significantly on how well you take care of your eyes post-surgery. Here are some guidelines for aftercare:

Rest Your Eyes: Immediately after surgery, it’s crucial to rest your eyes for a few hours. Avoid strenuous activities and give your eyes time to start the healing process.
Follow-Up Appointments: Remember that you attend all the follow-up appointments as scheduled, allowing your doctor to diligently observe your progress in recovery and promptly address any concerns that may arise.
Use Medications as Prescribed: Use all eye drops (antibiotics and anti-inflammatory) as prescribed by your doctor to prevent infection and reduce inflammation.
Avoid Rubbing Your Eyes: This is crucial, especially in the first few weeks following surgery, to avoid displacing the corneal flap (in the case of LASIK) or disrupting the healing process.
Protect Your Eyes: Wear sunglasses to protect your eyes from UV rays and avoid dusty or smoky environments that can irritate your eyes.
Limit Screen Time: Reduce activities that cause eye strain, such as using computers, smartphones, or watching TV, especially in the first few days post-surgery.
Be Cautious with Water Activities: Avoid swimming pools, hot tubs, and any activities that could expose your eyes to water for at least two weeks after surgery.
Watch for Complications: Be aware of signs of complications, such as severe pain, a significant decrease in vision, or increasing redness, and contact your surgeon immediately if these occur.
Avoid Makeup: Refrain from using eye makeup for at least a week to prevent infection.
Be Patient with Visual Fluctuations: Your vision might fluctuate during the first few weeks. It’s important to have realistic expectations and give your eyes time to heal.

Long-Term Care

After recovering from laser eye surgery, continue to care for your eyes as part of your overall health routine. Regular eye exams are extremely important to monitor your eye health and address any future changes in your vision. Also, continue to protect your eyes from excessive UV light and maintain a healthy lifestyle to support your vision health.

Understanding the Cost of Laser Eye Surgery in Australia

When considering laser eye surgery in Australia, one of the primary concerns for many people is the cost. It’s important to view this expense not just as a one-time cost but as an investment in your quality of life and long-term vision health. Here’s a breakdown of the financial aspect:

Average Cost: The cost of laser eye surgery in Australia can vary widely depending on the type of procedure, the technology used, the complexity of the patient’s prescription, and the surgeon’s experience. On average, you might expect to pay a starting cost of AUD 2,500 per eye.
Factors Influencing Cost:

Type of Surgery: Advanced procedures like SMILE or custom LASIK may cost more than standard LASIK or PRK.
Technology Used: Clinics using the latest technology may charge more due to the higher costs associated with these advanced machines.
Surgeon’s Expertise: Highly experienced surgeons or those with a specialisation in refractive surgery might charge more.

What’s Included in the Cost: Be sure to understand what the quoted price includes. Does it cover pre-surgery consultations, post-operative care, and any necessary follow-up treatments or enhancement surgeries?
Insurance and Financing: In Australia, most health insurance plans consider laser eye surgery a cosmetic procedure and do not cover the cost. However, some clinics offer financing plans to help spread the cost over time.
Comparing Costs: When comparing costs between different clinics, ensure you’re comparing similar procedures and what’s included in the price. The cheapest option may not always be the best in terms of technology, care, and support.

Life After Laser Eye Surgery

Life post-laser eye surgery can be transformational for many. Here’s what most patients can expect:

Immediate Changes: Many patients notice an immediate improvement in their vision after surgery, although it might take several weeks to stabilise fully.
Reduced Dependence on Glasses/Contacts: One of the most significant benefits is the reduced or eliminated dependence on glasses or contact lenses, which is especially beneficial for those with active lifestyles or those who find glasses and contacts inconvenient.
Follow-Up Care: Initially, you’ll have several follow-up appointments to check on the healing process and vision improvement. It’s essential to attend these appointments even if you feel your vision is fine.
Lifestyle Adjustments: Participating in sports and swimming, unrestricted by the need for glasses or contact lenses, can bring a sense of liberation. However, it’s important to protect your eyes and avoid activities that might endanger them, especially in the first few weeks post-surgery.
Long-Term Eye Health: Regular eye check-ups remain important. While laser eye surgery corrects current vision problems, it doesn’t protect against age-related eye conditions.
Emotional and Psychological Benefits: Improved vision can lead to enhanced self-esteem and confidence, with many people finding their quality of life significantly improved.

Frequently Asked Questions Regarding Laser Eye Surgery in Australia

How do I know if I am a candidate for laser eye surgery?

You are a potential candidate if you are over 18, have a stable vision prescription for at least a year, do not have severe dry eyes or thin corneas, and are not pregnant or nursing. A thorough consultation with an eye surgeon, including a comprehensive eye examination, is necessary to determine your suitability.

Is laser eye surgery painful?

Most patients report little to no pain during the procedure. Anaesthetic eye drops are used to numb the eyes, and at most, you may feel some pressure. Post-surgery, there may be some discomfort or a gritty feeling in the eyes, but this usually subsides within a few days.

How long does the surgery take?

The actual laser treatment usually takes only a few minutes per eye. However, you should expect to be at the clinic for a few hours to allow time for preparation and post-surgery care.

How long does it typically take to recover after undergoing laser eye surgery?

While recovery times can vary, most patients notice a significant improvement in their vision within 24 hours. However, it can take several weeks for vision to stabilise fully. Most people can return to work and most normal activities within a couple of days.

Do the effects of laser eye surgery last indefinitely?

Laser eye surgery is designed to be a permanent correction of the current prescription. However, it does not prevent the natural ageing of the eyes, such as presbyopia or cataracts, and some people might need reading glasses as they age.

Can I drive after laser eye surgery?

You will not be able to drive immediately after the surgery, and it’s recommended that you arrange for someone to drive you home. Most patients are able to drive within a few days, but this depends on the individual recovery rate and the surgeon’s advice.

What are the risks and potential side effects?

Frequent side effects may encompass dryness of the eyes, sensitivity to light, and temporary visual disruptions like glare or halos. More serious but rare complications can include infection, significant under or over-correction, and flap complications in LASIK surgery.

How do I choose the right clinic or surgeon?

Look for a clinic with experienced surgeons in refractive surgery that uses the latest technology and offers comprehensive pre-and post-operative care. Don’t hesitate to ask about the surgeon’s qualifications, experience, and success rates.

Can both eyes be treated at the same time?

Yes, it’s common to treat both eyes during the same session, especially with LASIK. However, in some cases, based on individual circumstances, the surgeon might recommend treating each eye on different days.

What if I need further correction after surgery?

Some patients may require an enhancement procedure to achieve optimal vision. This is more common in patients with high prescriptions. Your surgeon will discuss the likelihood of needing further surgery during your initial consultation.

Does health insurance cover laser eye surgery?

In Australia, most health insurance plans categorise laser eye surgery as an elective or cosmetic procedure and do not cover it. However, it’s always a good idea to check with your insurance provider for specific details.

Choosing the Right Laser Eye Clinic in Australia

When considering laser eye surgery in Australia, selecting the right clinic is crucial. Look for a reputable laser eye clinic that offers:

– Experienced and qualified surgeons.

– State-of-the-art technology, including advanced femtosecond lasers and computer-controlled excimer lasers.

– Comprehensive diagnostic tests to ensure suitability for surgery.

– Clear communication about the laser eye surgery procedure, potential risks, and outcomes.

Conclusion

Laser eye surgery in Australia represents a significant advancement in vision correction options. For those tired of the constant reliance on glasses or contact lenses, laser eye surgery offers a viable, effective solution. As with any medical procedure, it’s important to conduct thorough research, understand the risks, and choose a reputable laser eye clinic. For many, the path to clearer vision and enhanced quality of life is just a laser procedure away.

Call us today on 03 9000 0389, and our team of experienced specialists can provide you with more information about laser eye surgery in Australia. We are happy to answer any questions you have so that you can make the most informed decision possible. Contact us for a free consultation, and let’s get started on your journey to a better vision!

Note: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

References

mayoclinic.org/tests-procedures/lasik-eye-surgery/in-depth/lasik-surgery/art-20045751
medicalnewstoday.com/articles/laser-eye-surgery

Laser Eye Surgery In Australia: Transforming Vision, Enhancing Lives