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Hello! I’ve been thinking of doing LASIK but I’m concerned that my dry eye syndrome may worsen after LASIK. I’ve been having dry eyes for some time, which have worsen due to over wearing of contact lens. Hence I’ve now switched to wearing spectacles only. I’ve read from one of your entries that the incidence of dry eyes is reportedly lower for ReLEx Smile.
Is ReLEx Smile the best option for those with dry eyes? Can I still consider LASIK as one of my options?
Current options available for laser vision correction include LASIK and ReLEx SMILE that are cornea flap-based procedures, and also no flap Advanced Surface Ablation methods like TransPRK.
During LASIK, the doctor will have to cut your cornea to create an external flap. This will result in cut corneal nerve endings, increasing the risk of dry eyes.
In ReLEx SMILE, the cut made to your cornea is smaller than in LASIK and thus, the incidence of dry eyes is lower as compared to LASIK.
However, TransPRK is a surface-based, no cut no flap procedure that has been shown in scientific studies to have a lower incidence of dry eye complications.
If you have dry eyes, it is best not to opt for a procedure that involves cutting a corneal flap. Instead, you may want to opt for a surface-based procedure like TransPRK.
In any case, do see your ophthalmologist to do a thorough evaluation of your eyes before deciding on any procedure 🙂
Dr. Tony Ho
Clearvision Eye Clinic & LASIK Centre