Medically Reviewed by Tom Tooma, M.D., Founder/Medical Director
LASIK for Astigmatism – Success Rates, Costs & Recovery
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Medically Reviewed by Tom Tooma, M.D., Founder/Medical Director
Table of Contents
What is Astigmatism?
The cornea is the window of the eye. It is crystal clear and covers the colored part of the eye (Iris). When the cornea is perfectly round, there is no eye stigmatism. Astigmatism is present when one part of the cornea is steep and the other part, 90 degrees away, is flat. Patients with astigmatism see distorted images. If you have a significant amount of astigmatism, you’ll have ghosting or doubling of images
What Does LASIK Do for Astigmatism?
LASIK eye surgery can correct astigmatism by reshaping the cornea to make it perfectly round again. The laser removes more tissue in the steep part of the cornea to create a perfectly symmetrical cornea. The predictability of astigmatism correction with Lasik is just as perfect as it is for the correction of nearsightedness.
There are two types of astigmatism, corneal astigmatism, described above, and lenticular astigmatism affecting our crystalline lens inside the eye. Lasik corrects all astigmatism in the eye including both corneal and lenticular astigmatism.
Who Is a Candidate for LASIK for Astigmatism?
If you are a candidate for Lasik surgery, then you are a candidate to have your astigmatism corrected by Lasik surgery. The FDA has approved our current Excimer lasers to correct up to 6 Diopters (units of measurement) of astigmatism.
Factors that may exclude you from being a good LASIK candidate include the following:
- If your level of astigmatism has not stabilized
- Having an autoimmune condition that is not well controlled
- Having severe dry eyes
- Having corneas that are too thin for the level of correction you have
- Being under the age of 18
- If you have Keratoconus – there are other procedures that can correct astigmatism if you have Keratoconus.
- If your corneal contour (topography) is not normal
- If you have uncontrolled diabetes or glaucoma
What to Expect With LASIK for Astigmatism
– Lasik is highly sophisticated and requires the skill of an experienced surgeon to get excellent outcomes safely. It is a two step procedure – In the first step we use a computer-guided femtosecond laser to create the flap. If the cornea was a 500 page book the flap is at page 100. It is literally two human hairs thick. That step takes about 30 seconds. The second step utilizes an Excimer laser. This step typically takes less than 20 seconds. This laser is also computer guided and has an eye tracker. The eye tracker tracks the eye more than 1000 times a second. If your eye moves while the laser is delivering the treatment, the laser follows your eye. If your eye moves too much, the laser will stop. You literally cannot mess it up. The laser reshapes the cornea by removing tissue to correct your prescription. The procedure is painless. We use eye drops to numb the eye. The experience of the surgeon is what translates into the safety of the procedure. The technology translates into the quality of vision. Experience plus technology gives you the highest chance of getting 20/20 safely. No surgery is without potential complications. In the hands of an experienced surgeon, the chances of something happening that would in any way substantially adversely affect your eyesight is way less than 1%. It is the lowest it can be anywhere in the world.
Success Rates of LASIK
LASIK surgery has a patient satisfaction rate of 99%. It is widely considered to be safe, by both the FDA and relevant experts in the field.
Despite its widespread acceptance and success rates, LASIK is still a form of eye surgery and has risks.
- Complications from LASIK are very rare, occurring in less than 1% of cases.
- 99% are satisfied or extremely satisfied with Lasik surgery.
- 98% of patients with nearsightedness up to -7.00 Diopters and up to -3.00 Diopters of astigmatism will have 20/20 vision. Less than 2% may need an enhancement to get them to 20/20 vision. Enhancements are typically performed 3 months after surgery.
- Symptoms, such as dry eye, halo and glare at night are most common in the period immediately following LASIK. These symptoms typically resolve within three to six months.
Costs of LASIK Surgery for Astigmatism
LASIK usually costs between $2,250 and $3,000 per eye. The surgery can be financed for as little as the cost of a cup of coffee per day. Many centers offer interest free financing over 12 to 24 months.
LASIK is considered an elective procedure, therefore, most insurance providersdo not cover the cost. Some insurance providers offer discounts.
Having the freedom from glasses and contacts is an amazing feeling. How can you put a price on that? However, if you think of the cost/benefit analysis, the cost of Lasik for a lifetime of freedom is small, compared to the lifetime cost of glasses and contacts. Most spend $1,000 a year on glasses and contacts.
Financing Your LASIK Procedure
We believe every patient should have access to the life changing procedures NVISION® offers. Since LASIK is considered an elective medical procedure or advantageous to the patient but not urgent, it is typically not covered under insurance plans. Our financing options ensure that you are not held back by cost. Read on to learn more about CareCredit®, FSA/HSA, Insurance Discounts and other options.
Recovery After Astigmatism Correction With LASIK
Most are able to go back to work the next day after surgery. You will be using an antibiotic and a steroid drop for one week. You will also be asked to use artificial tears frequently for the first one to three months. Most patients do not have any pain following surgery. It is common to have a foreign body sensation in the first 3 to 4 hours after surgery. Most surgeons provide relaxing medications that help you go to sleep immediately after surgery. If you do that, when you wake up after your nap, you should have no pain and you will already notice that your vision is substantially improved.
You can typically return to normal activities very soon after surgery. Most surgeons recommend that you do not swim in a pool or in the ocean for two weeks. It is OK to shower as early as the first day after surgery. It is also recommended that you never rub your eyes after surgery, but especially the first three months. Returning to the gym as early as the first day is OK. Most recommend that you do not run or bicycle in the outdoors for one week after surgery to avoid the drying effect of wind in your eyes. It is OK to use a stationary bike or the treadmill as well as lifting weights as early as the first day after surgery.
Mild fluctuations in your vision are common the first few days after surgery. Using frequent artificial tears will minimize these fluctuations.
Astigmatism for LASIK FAQs
Can LASIK treat astigmatism?
Astigmatism is a type of refractive error, which LASIK can generally treat within certain ranges. Your doctor will confirm if you are a good candidate for LASIK astigmatism correction.
LASIK cannot treat the less common form of astigmatism, lenticular astigmatism, which is caused by a misshapen lens.
How long does LASIK last when used to treat astigmatism?
LASIK is a permanent procedure. It never wears off, since the changes that are made in your corneal curvature are permanent. Less than 1% of patients will need an enhancement within the first year and less than 5% during your lifetime. Enhancements are typically necessary not because the Lasik effect is wearing off, but because of other internal changes in the eye such as changes in your lens
Is LASIK worth it if you have astigmatism?
Absolutely. LASIK can correct astigmatism along with other refractive errors such as nearsightedness and farsightedness. The freedom from glasses and contacts is priceless. Lasik is a good investment and a great value when you compare the cost of a one time Lasik procedure to the cost of a lifetime of glasses and contacts.
Is LASIK for astigmatism more expensive?
No, Whether you have a stigmatism or not the cost of Lasik surgery is the same.
References
- How Much Does LASIK Cost? (October 2021). Forbes.
- LASIK — Laser Eye Surgery. (October 2020). American Academy of Ophthalmology.
- Refractive Eye Surgery: Helping Patients Make Informed Decisions About LASIK. (May 2017). American Family Physician.
- What Is Astigmatism? Symptoms, Causes, Diagnosis, Treatment. (February 2022). American Academy of Ophthalmology.
- Functional Outcome and Patient Satisfaction After Laser In Situ Keratomileusis for Correction of Myopia and Myopic Astigmatism. (January–March 2015). Middle East African Journal of Ophthalmology.
- What Should I Expect Before, During, And After Surgery? (July 2018). U.S. Food and Drug Administration.
- Complications of Laser-Assisted in Situ Keratomileusis. (July 2021). Indian Journal of Ophthalmology.
- Functional Outcome and Patient Satisfaction After Laser In Situ Keratomileusis for Correction of Myopia and Myopic Astigmatism. (January–March 2015). Middle East African Journal of Ophthalmology.
- Post-LASIK Dry Eye. (August 2012). Expert Review of Ophthalmology.
- Laser Surgery Recovery. (January 2017). American Academy of Ophthalmology.
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