This is a very timely conversation for me as I just had a consult for this yesterday. The original plan was for me to be getting the surgery next Wednesday, but I have problems with dry eyes, so if I choose to have the surgery, I first need to use prescription strength Restasis eye drops for a month (and two more months after the surgery, in addition to rewetting drops about 4-6 times a day). When they do the surgery, they will also put in punctal plugs into my tearducts that will dissolve in about 3 months. They help keep the tears in my eyes longer. The Dr HOPES this will be enough to take care of the dry eyes problem, but no guarantees. He told me that instead of the normal 10% chance of dry eyes, I have a 30% chance. The good news is, even with that, it
almost always goes away within 6 months.
Another issue for me is my pupil is a little larger than a normal person's, so I have a little more chance of having the halo night vision that is a possible side effect of the surgery. There is a
slim chance that it could give me enough trouble that I could not drive at night anymore - which would be devastating to me as I am taking night classes 10+ miles from home for the next year and a half!
Also, my nearsightedness and astigmatism conditions are both very bad, so I have a higher chance of needing a re-treatment within the first year. Re-treatments are for if they overcorrected or undercorrected your eyes, and you got roughly 20/40 vision instead of 20/20, they will do the surgery again and hopefully you would then end up with 20/20. If I choose to have the surgery, I will definitely opt for the lifetime vision warranty for $300, because the retreatment is $295 per eye and I just KNOW I will need it. Plus the lifetime warranty means that if I need a retreatment in seven years, which after the first year would be full price again, it's paid for.
They also have to make sure your cornea is thick enough to handle some of it being lasered away. If they don't leave you with enough cornea, there is a chance you will need cornea transplant surgery sometime in the future.
I also will be choosing the monovision option, as someone talked about in a previous post. This is where they correct your dominant eye for perfect distance vision, but your other eye is left slightly weaker. This is supposed to prevent you from needing to wear reading glasses when you get into your 40's and 50s. Eyes getting weaker from age and requiring reading glasses can't be corrected with LASIK, so this is what they do to help with that issue, so you can be less dependent on glasses for more years.
One thing they made very clear to me is this: Do not go into this thinking you will be 100% free of glasses forever. the goal is to be
less dependent on glasses, but there is a good chance that you
may need to wear glasses for some things. If you are able to go without glasses completely, that's great, but don't be completely crushed if you still need them for things like night driving, etc.
I have already been given the valium I will be taking an hour before the surgery, and several samples of the eye drops I will need to use, as well as my prescription to be filled. I am scheduled to have the surgery on September 1, but I am taking this time to think very carefully about it, because I am at greater risk for side effects.
Oh, and someone asked about price. For me, it will be $1650 per eye, plus tax, and $295 for the lifetime warranty.
All in all, the Dr said I am not the "perfect" candidate, but he also wouldn't hesitate to do the surgery on me. I am still considering the risks and will make my decision after I've had a few nights to sleep on it.