Should You Get SMILE, LASIK, or PRK Eye Surgery?
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- Äas pĆidĂĄn 1. 07. 2024
- Learn the differences between SMILE vs LASIK vs PRK! In this video we review how laser eye surgery works, an overview of Relex SMILE vs lasik vs PRK eye surgery and some pros and cons of each. PLUS some tips on finding a eye surgeon near you!
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-Doctor Eye Health (Joseph Allen, OD, FAAO, Diplo ABO)
--- Key Items Reviewed in this video ---
Femto LASIK eye surgery -
Lasik stands for Laser Assisted In situ Keratomileusis. This is where a flap is created in the anterior cornea using a Femto second laser. This flap is folded back and a excimer laser is then used to reshape the cornea to compensate for glasses and contact lenses.
Relex Smile Surgery -
SMILE stands for Small Incision Lenticule Extraction. This is where a femto laser carves a small lenticule within the cornea and then that lenticule is removed through a 2-3mm incision. Similar to LASIK, SMILE has a very fast recovery time.
PRK stands for Photorefractive Keratectomy
This eye surgery involves removing the corneal epithelium (most often with an alcohol solution) and then the use of an excimer laser directly onto the cornea. PRK has a longer healing time than LASIK or SMILE.
For more info on Lasik Eye Surgery VS PRK âą PRK vs LASIK Eye Surge...
For info on ICL Surgery: âą ICL Eye Surgery VS Lasik
â Recommended playlists:
Sticking with Eyeglasses? Here are my secrets to buying the best! âą How to Choose GLASSES ...
Want to try Contacts? Check out my guide to Contact Lenses for Beginners: âą Contact Lenses for Beg...
Dry Eye Tips!! Learn what Causes Dry eyes and Dry Eye Treatments!
âą What Causes Dry Eyes? ...
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Sources Referenced for my EyeNerds
Smile surgery complications
www.ncbi.nlm.nih.gov/pmc/arti...
Smile Surgery and Dry Eyes
www.ncbi.nlm.nih.gov/pmc/arti...
LASIK vs SMILE vs PRK
www.ncbi.nlm.nih.gov/pmc/arti...
pubmed.ncbi.nlm.nih.gov/32271...
Femto Lasik eye surgery vs smile
pubmed.ncbi.nlm.nih.gov/25250...
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DISCLAIMER: All content in this video and description including: inforÂmaÂtion, opinions, conÂtent, refÂerÂences and links is for inforÂmaÂtional purÂposes only. The Author does not proÂvide any medÂical advice on the site. NothÂing conÂtained in this video or itâs description is intended to estabÂlish a physician-patient relaÂtionÂship, to replace the serÂvices of a trained physiÂcian or health care proÂfesÂsional, or othÂerÂwise to be a subÂstiÂtute for proÂfesÂsional medÂical advice, diagÂnoÂsis, or treatment. You should conÂsult a licensed physiÂcian or appropriately-credentialed health care worker in your comÂmuÂnity in all matÂters relatÂing to your health. Also, some of the links in this post may be affiliate links, meaning, at no cost to you, I will earn a small commission if you click through and make a purchase. All non-licensed clips used for fair use commentary, criticism, and educational purposes.
Credit to:
London Vision Clinic
âą Real-time uncut unedit...
âą London Vision Clinic |...
Vision Eye Institute
âą Video
About this video:
If you have been considering lasik eye surgery, then you may have heard of prk surgery and Relex Smile eye surgery. Prk and Relex SMILE are commonly performed eye laser surgeries as an alternative to lasik. Although all of these eye surgeries have very similar results in visual recovery, prk requires a longer recovery time vs lasik and SMILE surgery is so new that some clinics may not offer it. In addition, there are several other factors to consider between prk vs lasik vs smile. This video briefly discusses how corneal thickness, prescription power and dry eyes may influence which procedure you go with.
#LASIK #SmileEyeSurgery #doctoreyehealth - VÄda a technologie
đŽQOTD: Do you have other questions about these procedures?
How lasik cause mgd?
After these refrective surgeries could you please suggest a good sunglass like Polaroid sunglasses or uv sunglasses...few words on contoura vision would be helpful ...
Are you able to move the eye mid procedure, is the eye numbed that much
I recently learned that with Lasik, if you move during the procedure, it's okay in that nothing bad will happen to your eye (although it's obviously preferable to stay very still). Does SMILE allow for moving if needed, such as a sneeze or if you had a muscle spasm or something, without damaging your eye during the procedure?
Hi Dr Allen really appreciate this vid, I had previously asked you in another of your videos about having a small brown/reddish spot removed from the white part of my right eye. It's been there for years and hasn't caused any problems, I'm just a little self conscious about it at times and have been advised over the years that it could be removed, I have worn contact lenses for the last 43 years without problems. I would hate to think that having surgery for a purely cosmetic reason could create problems :( I guess if I do decide to have surgery I would really need to ask all the pros and cons of having it removed. Many thanks for your valuable knowledge.
Pro-tip: If you have this done, KEEP YOUR RECORDS! Years later when you need CATARACT SURGERY, this information will be CRUCIAL to you not having a refractive surprise. LASIK scars, especially the ones made by laser, can be very hard to see, and if you do not tell your cataract surgeon your history, your refractive outcome will be WAY OFF and the blame will be with YOU.
Thanks man
Thank you man
How is this possible, I know that surgeons can see scar tissues with microscope, also isnt cataract removing the lens? so why would scar tissue show problems?
@@jaym9880 Pretty sure that's for emphasis.
@@HeszaR The flap lays back down and it is easy to miss on routine exam. The issue isn't any scarring. The issue is the corneal thinning caused by LASIK can throw off the calculations done for cataract surgery. If you do not tell your cataract surgeon you had LASIK and they do not make any adjustments to their formula, the end result will be hyperopia.
Great explanation! A lot of people are not informed properly about this topic and they are scared and the scare others. Now itâs clear to me. â€
Just had a smile surgery yesterday, and I must say that this is the best decision I have made for my eyes. After 23years of wearing glasses and contact lenses, finally I got the courage to do the surgery. My vision has changed within few hours of surgery. First few hours were uncomfortable because of teary eyes and the drops to be put in the eyes but trust me it gets better. I feel like a whole different world today.
Talking about eyes.. I canât stop looking at your beautiful eyes!
Great video as always. Would be good if you could add a comparison of ICL into the mix.
Hey Dr Allen! Thank you for your great refractive surgery reviews! As an optometrist, I was encouraging people to look at your videos as additional explanation to their issues.. or even on how to use eyedrops, etc. Please do review on transPRK if you have time, as well.
.
I'm actually currently doing a research on post lasik dry eye at my center. So... we'll see how the analysis will turn up.
.
Thanks for all the educational contents!
Any results yet?
Great and Detailed Video of eye refrective procedure.Thank Dr.Allen.
Great video! I was waiting on a video on your opinion about Relex Smile! đ
Love how you are doing educating the public!! đ
Before going for Smile or Lasik surgery, what can we do to prepare our eyes? Taking omega oil for example?
I'm so impressed Dr. Allen with all your informative videos, so professionally done, and with so much knowledge and expertise. You are amazing! Thank you so much for all that you do and share with us!
Thx for this informative thoughtful synopsis of these procedures
Thanks for a very informative video Dt. Allen. I am satisfied with my vision without refractive surgery.
Thanks for your efforts..
i m an ophthalmologist from Pakistan and watch your videos. Love and affection for you buddy...
This was a requested video! Please let me know if you have a video idea or a topic you want covered as I take them seriously! Thank you and I appreciate you!
Would like to hear from you about Convergence Insufficiency. I have it and currently consulting a functional optometrist. I am also considering a refractive surgeryi in a year.. I'm 26 and my power is Sph -0.75/-1.25 and cylindrical 3.25. Do you think it is a safe bet to go for a refractive surgery?
Please do one video on contoura vision..TIA
How about a video on custom lenses (sunglasses) with flash mirror options with some examples of what some look like in person. Such as the zeiss photofusion with flash gradient lenses.
Btw, ever since I got my contact lenses I've gone a bit nuts buying sunglasses. I love them. The Randolph Cobalt lens is nice, but I also am enjoying Maui Jim, and other Luxottica brands which are decent but lack style in their off rhe shelf options.
Doctor ordered me to wear sunglasses... didn't tell me to buy ugly ones though! Lol
Optic neuritis and how to avoid it.
Could you do a video on how to manage unique prescriptions please? I have high myopia, moderate astigmatism in one eye, and mild hyperopia, extreme astigmatism in the other. Also the long sighted eye is amblyopic, and I have a constant alternating exotropic strabismus.
Worn glasses for 35 years, and now my optician has recommended switching to contacts, in order to reduce the aniseikonia (as well as to deal with the problem that prescription sunglasses with a high minus lens are difficult to find suitable frames for).
Lots of trial and error so far, and not got a satisfactory solution yet. But the aniseikonia has now switched, with the short sighted eye seeing everything bigger when wearing lenses, and I can't easily switch from lenses to glasses without getting dizzy and nauseous. Is this normal?
Loved this video! So informative. It would be great if you could do a video on Lasik or smiel with monovision / blended vision!
Iâm scheduled for SMILE tomorrow and Iâve been pretty anxious today. Thank you for laying out the pros and cons, your confidence in positive outcomes is very calming.
Any update?
how is it going?
As a young optometrist, I have greatly gained from your wealth of knowledge right from Optomety School till now. Thank you so much for all you do!
Keep up the great attitude. I wish more optometrists in my country have your mindset to learn. Most just want to sell you expensive eyewear and laugh off any questions you may have.
@@carmelpereira6003 đoh wow
Thank you Carmel. I practice in Nigeria and it's always great to learn cutting edge procedures from the likes of Dr Allenđ
Hi from a Malaysian optometrist!
Yes. I learnt a lot here too! And it's a great place to direct patients to. đ
This is amazing. I just had my consultation today and then you uploaded this video. I'm thinking of going with smile due to dry eyes and the smaller incision! Thanks for breaking it all down so cleanly.
Hey thatâs great! Did your doctor have any concerns regarding dry eye?
@@DoctorEyeHealth not at all she said pay me I'll fix it with no side effect given verbally
I had smile over 3 years ago and it has ruined both my eyes. It will cause the same level of irreversible dryness as lasik. I have seen around 20opthalmologists in London and in America to help fix the smile damage. I can talk to you and give you published research to help you decide.
@FireWizard tell that to the THOUSANDS of people who are suffering.
I know someone who got SMILE. Sees double now due to a slightly decentered procedure, quit working because of that. It's even worse than LASIK.
Most useful comparison and really needed advice, thank you so much!! watched the whole thing and thumbs uped!
You're simply the best in explanation. you helped me a lot
I had the Smile done and it went really well,no dryness at all but the first weeks Iâd definitely get tired vision at night, however now Iâm really happy with my 20/20 vision, truly life changing after dealing with tons of astigmatism and myopia.
Hi! could you please help me know after how many months you could see clearly? I'm getting halos and blurry vision for both near and far objects. It's frustrating to work on the laptop or drive. Please help me, it's been 3 weeks
@@imagelaunchpad262 Hi! for me after a month and half I truly felt like I could see clearly! But you should discuss it with your doctor anyways, itâs been around 4 months since I had it done and sometimes I still get tired vision with screens, however my surgeon told me to expect a full ânormal visionâ without irregularities around 6 months after surgery!
@@zzzetazt thank you sooo much đ
Strongly agree with seeing a well respected eye surgeon who has the time to understand your needs and family medical history! I was advised against having any refractive corneal surgery in my mid-30s due to my thin corneas and relatively high myopia with astigmatism. The doc was concerned about the substantial possibility of halos and loss of contrast in low light which would have negatively impacted my profession.
Itâs now 20+ years later, and Iâ am thankful for his advice.
I suspect there were also concerns about long term post surgical dry eye issues which appears to be a common problem in Coloradoâs dry environment.
Unfortunately most surgeons are not that ethical. Most just want you to go ahead and play down any risks. I was told by my surgeon that dryness always go back to normal. This is totally incorrect and he knew it. 2 years on and my eyes still are non functional due to no tear film and chronic diseases.
most doctors are not like yours. they can't turn down the $$
â@@John_Hudson_922 While I didn't mention my cataract lens replacement surgery in 2021 in my original post, following Dr J's advice from 1996 proved to be wise by removing a level of complexity in my cataract surgery. I had another great surgeon who took time to understand my needs and recommend an older tech lens that was better optimized for my needs. At 58, I was finally living most of my life free of glasses with amazingly clear night vision.
I think a major reason for my success is I knew what I wanted. The "I don't want to wear glasses" patient has a different priority than the "I need clear vision in low light to make a paycheck" patient.
Did you have any surgery at all?
@@ojamaliapriscillagodwins5049 I had lens replacement surgery at age 58 later to address vision loss due to cataracts. I have some moderate dry eye issues as a result of the surgery which is very common. (Dry eye issues are common in Colorado in general.) I was very careful about the selection of the replacement lens, and I chose to prioritize clear distance vision in low light which requires me to wear reading glasses in some cases.
Thank you for this breakdown.
That was really helpful... thanks a Lot Doctor!!
I had LASIK now 14 years ago and still have 20/20 vision. My prescription prior to this was -5.50.
Any side effects?
Dry eyes?
Lasik 14 years ago??
@@satyarani1998my brother also had it done 10 ywars agođ
@@satyarani1998 i used the Bates Method. i went from -6 to perfect 20/20 vision in 3 weeks.
Most people don't mention that LASIK has the highest rate of complications and higher order aberrations. It basically goes LASIK>SMILE>PRK from most to least possible aberrations and complications, with varying issues that are more likely or non-existent for each (e.g. flap-related complications).
Thanks for this. Will surely get SMILE
Thanks doctor this video is also very informative and result of your hard work for we people.So nice of you Jazakallah đčđč.
Honestly I donât necessarily want to get rid of glasses forever, I just want the option to not have to be so dependent on them lol I know Iâll definitely still be wearing some blue light glasses when Iâll be working. And I donât mind because Iâve had glasses since I was 6 so itâs natural for me to wear them
Perfect time to release this video as I'm planning on getting Lasik this Friday after wearing glasses from age 7 to 23. And thanks doc for the pre-op tips.
Hey Imran, could you reply back to us after you get your surgery?
Wow! I wish you the best!!!
I had LASIK 14 years ago and achieved 20/20 vision. Did have dry eyes for about 3 years then it just settled. My dry eyes were not severe. I prefer this over contact lenses any day. Hope it all goes well for you.
@@PrismaticPixieI feel like the people that join these type of group all had bad experiences so the only answers you will get are all cons
@@dipper5835 Nailed it, btw nice pfp.
Really informative! Thanks Joe!
Glad it was helpful!
As an ID specialist whoâs about to get relex smile, i just wanna congratulate to you. Amazing clear, simple but complete explanations !
Howâs the smile?
@@Muzicboy3 i did it 5 months ago. I see 14/10 now and have some dry eyes issue (very little). Just some hours of pain and 3 days of blurring gradually improoving. Totally recommended
@@giovannimori7988 14/10? Not sure what you mean. Are you from another country other than UNITED STATES. US measures with 20 as the first number, do you know what your measurements would convert to in terms of US?
Also, is slight dry eye your only issue now?
@@giovannimori7988can you give update ?
to those people who are interested but are not candidates for these surgeries, they might want to look into intraocular lens/iol. i had it done around 2015. recovery time was only a couple of days. the only negative thing for me was that i had bad halos at night and around certain types of lighting. they were bad for a couple of years and affected my night driving. not so bad now. make sure to get a good surgeon.
I would only trust you to do my eyes. You have so much knowledge..
Dr Eye health very well done finely I see how the procedure is done all most like cataract surgery amazing thanks for shering this ecxellent videosđđ
I had ICL in my early 20s and it has been such a miracle! The fantastic doc I saw in Orlando thought it was my best option to have the implants because my vision was 20/200 with astigmatism, my cornea was too thin for the laser correction. My prescription was about -7.5 last I remember.
Itâs been 10 years and I went in for a check up and still have 20/20 vision. My only side effects have been sensitivity to light (I didnât always âneedâ sunglasses before and now I canât be without them and I have to dim the brightness on my phone and other devices) and I do have more trouble driving at night but it isnât too bad. I just have to focus more.
But I once was blind and now I see!! And in the end saved a lot more money on glasses, contacts, and regular exams.
Can I ask who your doc was? I live in Orlando and am trying to figure out the best doc to go to
How much did it cost?
Who was your doctor? I live in Orlando as well.
My left eye is already blinded and my right eye is the only one I have now. I wear very thick glasses and I'm contemplating if I will have this ICL next year.
Had Lasik about a year ago. Best decision I've made so far :)
How old are you and was your vision really bad before?
do u have dryness
Really great video! Would you be able to make a video talking about LASIK touch-up options? I've been reading that there is some debate whether to re-lift the flap or perform PRK if an enhancement is needed after LASIK. I'd love to hear your thoughts or pros and cons about these options. Thank you!
now that's what I call a doctor!!!!
I got LASIK 3 days ago. Best decision I ever made. Iâm farsighted 42 years old. I. Can see closer than ever in my life. Dr said I might need reading Glasses I donât think I will for years to come. Healing was so easy. Just knock yourself out after surgery for like 12 hours. I had no post op eye pain. I use artificial tears like every 10mins to ensure my flap heals perfect. But today is definitely the most clear Iâve ever seen. Canât wait to see what itâs like in 6 months.
How's it going
@@zaygobrazy5246 perfect!! No problems
@@tjfromreno i've been reading a lot of horror stories and comments on how the side effects such as halos, blurriness, double visions etc. affect ppl's lives and how they regret the operation. not sure how yours went.
Update?
@@anonxmous3258 I donât regret doing it. But itâs not đŻ perfect. Eyes gets blurry close up sometimes if I watch tv. But overall Iâm happy.
I enjoy the content on your channel. I had Smile procedure(05-2021), i am very happy about the results!
may I ask when the dryness went away?
I would say 75% normal after 3 months. After that I sometimes experienced dry eyes when looking at my screen for longer periods of time. After 6 months this was almost completely gone (90%). After 12 months I cannot recall any dryness symptoms (100%).
I also had smile 6 days ago my one is still not have clear vision and i cant see close up things clearly. I want to ask if this is normal or just me
â @@tajbirsingh942how are you doing now ? Did your vision improve?
@@tajbirsingh942 hey I got smile 5 days ago and have the same problems you describe. Is it better now?
Thanks Doc for the invaluable content. At the end you said a portion of post op dry eyes system already have sign or predispositiones so dry eyes , that means that most that do suffer from dry eyes post op DO NOT have this predisposition
Great information! Thank you!
Thanks Marie! It makes me happy when I see you in the comments! Appreciate it
I think SMILE is best choice đ„°
Thanks for information, well explained
I've heard some people complaining about glare especially at night when driving, which procedure produces less glare side effects driving at night?
May be polarised glasses
very helpful I was freaking out
Thankyou this was very informative.đ€đ.
Youâre welcome đ
As someone who was researching the different eye procedures, and have friends that had lasik done. I would highly suggest PRK. My friends eventually needed to go back to wearing glasses. I had my surgery about 2 years ago and my vision is perfect. Iâve had no issues, and the healing was not painful at all just follow the steps
gotten SMILE two weeks ago. so far, so great!
A REPORTER COMMITTED SUICIDE AFTER GETTING SMILE
@@leelunk8235what??
Howâs your vision now? Any trouble with night vision? Halos/glare?
Hey thanks for the video Dr Allen. Can you explain the distended between contura and wavefront and how does one choose between the two?
Great sharing..Thank you..
Make a video on Contoura Vision surgey. It claims to be better than LASIK and SMILE and the latest and safest one of all giving 6/6(20/20) vision. Need a video on that
Yes!!! The technology is so incredibly good. Theoretically. It basically can make your eyes better than where they are naturally. I work with some amazing surgeons and perhaps we can collab on a video about it.
Great video. I had PRK because of thin corneas. Healing wasn't too bad, but there was one night about two days after the procedure where it was very uncomfortable for about 4 hours.
When you say "uncomfortable" can you give a pain scale from 1-10 (1 being none at all, 10 being excruciating pain/needing to go to the hospital)
@@fire_fux maybe mid scale. The best way to describe it is that it felt like someone through a hand full of sand in both my eyes. Couldn't find relief from it if my eyes were open or closed. It was in the middle of the night and I paced around the house until I could get back to sleep. It woudn't stop me from getting the procedure again if I needed to.
@@aggibson74 thank you for the response!
Any issues with really bad dry eyes?
@@rashasarandah1695 never had an issue with really dry eyes from the procedure. Did have some really dry eyes about 3 years prior to the procedure. but they were resolved 2.5 years before the procedure.
Came here for the comments and glad I did đź
Thank you for sharing.
As someone whoâs had lasik done9 months ago, DONT DO IT. I am left with severe dry eye and developed corneal neuralgia, something the lasik doctors will never mention to you. Also keep in mind, I was the perfect candidate with a low prescription and kept up on all my drops after the surgery. I spend every day regretting my decision.
I had PRK recently and I don't regret it at all.
Procedure went perfectly. Eyes were dry at first but that has been getting better.
@@MG-ks1qg thatâs great news! Glad to hear it worked well for you.
hey, where did you get it done and what did you have (nearsightedness, etc...)?
@@MG-ks1qg How long does it take to heal? Are your eyes still dry or way better now?
Well you have the rest of your life to develop issues... I have heard of patients having severe halos, ghosting and night flares happen 4 years after 'successful' surgery. Good luck@@MG-ks1qg
Great comparison! Thanks for making this. I do have one question though. Why didn't you include ICL? I know you made a separate video about it, but I'm just curious why you didn't include it here since you were putting several procedures side-by-side.
The honest answer? CZcams SEO lol đ
@@DoctorEyeHealth Fair enough! đ
This is a great video, covers everything you need to know going into LASIK. I got the femtosecond lasik almost exactly a year back. Unfortunately, I've had very severe dry eyes since then, and my vision is -0.5D on both eyes (still a massive improvement from -7.5/ -8 earlier).
Yeah they really should do a better job of explaining that dry eyes is extremely common. Dont do the procedure if you're not willing to deal with it, and I think a lot of people dont realize/arent told just how common and just how dry your eyes not only can, but likely will, be. Also perfect vision is not the typical outcome even though they like to pretend that it is and leave that factoid to the waiver fine print, you did see very good improvement though!
Regression of -0. 5 when it occured after surgery, after how long?
Great video. Do one about ICL's.
I got you đ czcams.com/video/oxuQpvyom4s/video.html
I'm leaning towards PRK because of the increased chance of dry eyes for LASIK. My one concern with PRK is the removal of the Bowmans membrane because of it's inability to regenerate. I've read where the Bowmans membrane helps absorb UV light, and without it, you will need to be more observant of wearing sunglasses outside, especially when you are in an environment with high UV. What are your thoughts on the Bowmans membrane being removed in PRK?
There are some studies that suggest bowman's may also contribute to healing. I did the math on the UV and the removal of it (and replacement, bowmans-like epithelium) means there's about 10% less UV absorption. Most of it is absorbed by the epithelium and whilst bowman's absorbs a higher density of it, the remainder tends to be dealt with by the lens anyway. So, it's not great, but also, it's not a huge difference either. May at most mean higher risk of getting cataracts a few years earlier than usual.
The nerves regrow in PRK to nearly pre op density after 2 years and with LASIK it's more like 5. The mechanical stability of the eye is better in PRK than in LASIK because there's no flap, and with LASIK that flap never fully heals. LASIK also kills off more nerves and it's done deeper into the eye. That's why it takes longer and part of why people tend to have dry eye more with LASIK.
Correct. PRK often results in recurrent epithelial erosions and disease. There are many many reasons to avoid any laser eyes surgery. Read up on DR Morris Waxler.
@@SalubriousVideos i have lasik 1 year and 5 month plus alcon vivity IQ UV TORIC my vision are very good but my eye are sensitive to heavy light sun ,I used the sunglases after tried a lot Maui Jim grey Peahi frame cover the side , mid light blue lens are the best crisp color HLC bronze for rain dark day
@@SalubriousVideos I totally disagree with you, I am from medical field. If you say Lasik cut more nerves and causes dry eyes than in SMILE it cuts a small incision but according to research SMILE equal dry eyes. PRK/LASIK/SMILE all dryness is same.
The other problem associated with the PRK, is the increase in a corneal haze with the treatment of higher refractive errors. It is because the epithelium cells can never be removed completely, by either alcohol or laser and these tend to grow more haphazardly.
There is also an increased risk of infectious keratitis or corneal ulcer with surface ablation compared to LASIK due to the longer epithelial healing period since the protective epithelium has been removed.
Remember, everytime you get a corneal ulcer, you are going to get another scar. And the next scar might be in the central cornea, if you are unlucky enough, and that would permanently affect vision. The eye is a pretty fragile thing, and some things, once they happen, may not be reversible.
DYLANCARR+ WEAR GLASSES DUDE, I WEAR GLASSES FOR DRIVING, ALL DAY I DON'T WEAR IT UNLESS I HAVE TO SEE FROM FAR AWAY, WHO CARES, AT LEAST YOUR EYES STAY HEALTHY, NOT WITH LASIK OR PRK WHICH IS THE SAME SHIT
I had LASIK done a while ago. I saw halos for the first week, then they kinda faded. I see 20/20 and I had - 4.25 with astigmatism on both eyes. Post op was awful, but the next morning was fine with no pain. I'd do it again if I could, it's changed my life. Little to no dry eye.
I had this done on 1/25/24. I still canât see far I see blurry and itâs worse at night when Iâm driving. I too see halos. When will my vision get better? đ«
@@amorales015 Ive pretty much stopped seeing halos and my night vision is great. I can't say for your case, but my experience has been really good
@@amorales015 how do you feel now? is it better?
@@thirupurasundari1166no. Itâs worse I see even more blurry at night. Def dnt feel safe driving. And I have really dry eyes đą
@@amorales015from where did u get it ?? And what was ur eyes power
It would be great if you could create a video about blended vision đ
Thank you! Could you make a video about lens replacement surgery (iol)?
Absolutely! What type of info would you like to know?
I had Femto lasik. Since I had a very high prescription before, some dioptrĂas were left. Would you recommend to use contacts ? I'm curious now to know why my doctor didn't suggest prk if i had all those things that you mentioned to be recommended for...anyhow.
How high was your prescription?
I wanted to avoid the places that have coupons and stuff but honestly it seems like (in my area at least) thatâs all there is. Places that offer this procedure at a discounted price or half off the other eye type of stuff
I'm glad SMILE in Europe got approved sooner. Here there are a lot of well experienced surgeons for it and they even are using the laser that does it in 8 seconds instead of 25, so even less invasive
@doctoreyehealth would PRK or SMILE be suitable options for people with thin cornea or keratoconus? Since these are both laser based surgeries and may reduce cornea thickness even further?
I had lasik surgery in 2015 and that's the biggest regret of my life.
First of all, I had 12/10 vision after the lasik, so my ophthalmologist classified the outcome as great despite me explaining that I had issues. But 12/10 doesn't tell the whole story, and it's annoying that visual acuity seems to be the main point of focus among ophthalmologists, articles, and I guess studies as well... The problem with refractive surgery is that you can end up with many vision defects that are IMPOSSIBLE to correct with glasses. Halos, starbursts, ghosting, double vision, ... Whereas, visual acuity is simply measured by making you read black letters on a white background, often in a well lit environment. I also have dry eyes issues, and it's also extremely annoying, because when my eyes are dry it's even harder to read. And I also know that there are people that have it much worse than me.
The ophthalmologist I went to see had a good reputation, but reputation don't mean much because it's not based on actual skill, as you can't really judge something you know nothing about and average people are not ophthalmologists. I think that reputation is mostly based on how nice the doctor is, or how long he has been doing it (hence how many people have had positive outcome with him). If an ophthalmologist has a success rate of 8/10, that's 8 out of 10 people that will recommend him, whereas it's not even sure the 2 out of 10 failed will recommend against. I've known many people who had successful lasik and shout it out loud because they felt it was amazing, and it changed their lives, but I don't, even though it has changed my life as well. I think happy people speak louder than disappointed people.
Even if lasik has 99% satisfaction rate (don't know the exact number, but it's not higher than that), this is insanely low. If I had 1% of a chance to win the lottery, and become a multimillionaire, I would definetely play. 1% of chance to get poor vision with no possibility of fixing it with glasses... That was not a good idea.
Also remember that we only have two eyes, and that is one of the rare organs that cannot be replaced. And when you do the excimer laser ablation, it can only be done so many times depending on your cornea thickness, it doesn't grow back.
Refractive surgery is also an outrageously huge business. Something like half the population needs glasses at some point. So the potential market size is 4 billion times $3000 (that's an approximation, of course, 8 billion people are of all ages, and they are not all going to get lasik next year). I think it's telling that the newest procedure is called "SMILE", I don't think the acronym was chosen at random. It's a marketing move, which is disgusting for something with serious health risks.
I had it in 2021 brother aged 20, quite a regret. Ruined my career, not sure if future surgery will fix it or make it worse. All BS.
Happy diwali! czcams.com/video/Ev7Hsp4NFIQ/video.html
@@randomdude1053 Sorry for you, 20 is quite young for lasik IMO, even without all the other issues, it is likely that the vision will keep progressing. I did it at 23 and only because my vision was stable for more than a year, and my myopia still came back a little.
For your issues, I don't know what you are experiencing, but please don't lose hope, the main reason I did not do a new surgery to try and fix it:
- Almost all ophthalmologists I saw considered my outcome good, considering I had 12/10 visual acuity
- It is hard to have trust once you have been failed
Now that I have some myopia back, I am thinking of redoing a surgery, but I want first to understand better what I am getting into, and also make sure that I can manage my dry eyes, and that a second surgery won't make it even worse.
Depending on your personal issues, if you have "high order aberrations" (ghosting, starbursts, double vision, halos, ... things that can't be fixed with glasses), I would suggest - if you attempt to fix it through second surgery (which I am not sure if it's the right thing to do or not) - that you look for wavefront assisted lasik, because from my understanding, it's supposed to help for high order aberration. But I would be cautious still.
If it's because your pupils are too large compared to the flap diameter, then I don't think a new operation will change anything. But hopefully then the problem is mostly at night. Some ophthalmologist can prescribe drops that reduce the pupil diameter, but I am not sure if it's a good idea either, as this also has some risk, and is not even applicable for everyone.
Another thing that can help is Scleral Lenses, this is what I am personally trying right now. It is better at correcting some higher order aberration defects that can't be fixed with glasses. For me, it reduces them but does not remove them completely. I've seen some that also use wavefront analyzer to better customize the lenses and better fix high order aberrations, but I have not found easy access to it where I live, and it's likely more expensive (way more expensive than lasik). For reference, my scleral lenses cost more than 3000⏠for both, but I only paid 850⏠because I live in Europe, and they were partly reimbursed because I had irregular astigmatism. It can also be helpful for dry eyes because your eye is constantly in a saline solution. In my personal experience however (only had them for about 2 months), it's not super comfortable to wear. But that's highly dependent on the person, and maybe my fitting is not great, again hard to know.
In my case, my dry eyes issues might also be due to allergies, partly at least, so this is something I am working on as well, using antihistamine drops, and pills.
Again, if anyone has issues and is reading it, please don't lose hope, there are solutions to explore, and technology is also advancing. Dry eyes drop are improving, I believe refractive surgery knowledge regarding those issues is still improving as well (but many ophthalmologists aren't aware of all the advancement, so please don't trust blindly any ophthalmologist, go see several, and do your own research).
Other things that may help in one way or another, that I haven't mentioned:
- Autologous serum (expensive, for severe dry eyes, different concentrations possible)
- Warm wet compresses, as mentioned by this channel and others (but I think it's better if they don't push too hard on your eyes)
- Omega 3s (fish oils) if you have a lack of them, apparently it can affect dry eyes as well
- I just read in the comments of this video about something called contoura vision which seems to be an improvement over wavefront assisted lasik, I know nothing about it, but maybe it's a solution to investigate as well.
guys with problems or wanting to have refractive surgery, wait for LIRIC: laser induced refractive index change. it's non ablative, no tissue removal, no cutting, so no cutting of the nerves, not even antibiotics are needed cause they don't cut at all.
let's hope it works.. they've done trials for presbyopia with success and stability for 2+ years after the procedure. look it up if you're interested
What do you want to say exactly you couldn't treat your dryness or double vision or bluy sight?
Thank you for the video, I told my eye doctor about you and she thought it was awesome how you inform patients so they can ask questions!
An idea I have for a video, is what's in the pipeline for vision correction over the next few years, like new types of contacts, glasses, refractive surgeries, etc. Always interested to hear about possibilities for the future.
Or how about treatments that are approved in the us but not the rest of the world and vice versa?
Wow thank you!
And yes, both of those videos ideas are fantastic. I know a lot is in the works for both new implant technology as well as AR glasses and contacts.
Also knowing what's in the future can help me decide to wait a couple years as I'm researching thoroughly now or go ahead
@@DoctorEyeHealth Thanks for the helpful information. Could you also speak about Contoura eye surgery? Can't seem to find much information on it
@@DoctorEyeHealth Doctor, can you also do a video about the future eyesight correction methods other than surgery? I know many people out there are looking for final solutions for eyesight correction. Like a super comfy contact lens (dailies or monthlies), a super light eyeglasses or AR glasses that no need to go through any surgery we can enjoy normal vision.
I would love doctors to talk more about corneal neuralgia after the surgery... So scary
I AGREE 100%, I NEVER GOT LASIK AND HAVE NO DESIRE TO HAVE AN EYE DOCTOR DAMAGE MY EYE IN ORDER TO POSSIBLY GIVE ME BETTER EYESIGHT WITH A TREMENDOUS AMOUNT OF RISK AND DANGER, NO THANKS, SORRY THAT HAPPENED TO YOU, EYES ARE THE MOST SENSITIVE PART OF THE HUMAN BODY, PEOPLE NEED TO LEAVE THEM ALONE
Hello Doc Allen do u leave in houston? I wanna see u to check my eyes . Thank you for the honest advice about lazer and blue light glasses, red eye etc . I been watching ur interesting vlog hope to see you Doc Allen take care and god bless u
Getting PRK was the best decision I ever made. Got it at 18 understanding I may need it retouched in my early 20's. Now I'm 21 still with 20/15 vision. Highly recommend Dr Stahl in Beavercreek Ohio for anyone in the area.
Glad it went well for you, Ryan!
How was the recovery? Painful?
Any bad side effects now? Dry eyes or trouble driving at night?
For me lasik left me very sensitive to light (it's been three years now). So now I have to wear shades at work (indoor). I no longer use eye drops, but I do blink every four seconds. I can still read, but have to pull further the reading material. I prefer all this over contact lenses. If I knew about smile, would have gone that route.
There was a news lady that offed herself after SMILE because of the pain she had after.
@@MG-ks1qg Sounds like fake news.
@darkojehu PRK is the best route. It takes the longest to heal, but is the least invasive.
â@@MG-ks1qgsource
@@darkojehuisnât fake news though, google it.
Is there one you can suggest, if youâve already had lasik? Can another procedure be done again?
Thank you so much for your very informative video.
If I could personally talk to you,it would be a great help for me.
My Son is now 19 yrs + .
He is wearing spectacles for last 10 yrs.
I was thinking about LASIK or SMILE for him. But I am not getting concrete idea regarding this.
What about if you've dry eyes already? Does it get worse? Does it fix it? Or does it have an unexpected effect?
Laser surgery always cause some degree of dry eye. the degree and duration vary greatly, and these variations cannot be predicted, except to say that having dry eyes in the first place makes it worse in every way
I had Lasik about 20 years ago and have been having dry eyes since. My vision is now at -3.5 and the doctors recommended PRK this time around.
What do u mean ur vision is at 3.5?
I wonder how it goes when doing PRK on top of a lasik, because I think it means they are ablating the flap, therefore thinning it, and I wonder if this can have consequences. The only ophthalmologist that was OK to try to help me after I had problems following the procedure also recommended PRK but it sounded weird to me because of that. In my opinion, it sounds risky to reduce the size of something that is already only about 150 ”m thick, but it's also very likely that I just don't understand how it works, maybe the bind of the flap to the rest of the cornea is sufficiently strong that it's not an issue.
@@LarennPBel They need a -3.5 diopter lens to correct their vision (a concave, 1m/3.5=0.29m focal length, 0.58m radius, lens). I'm doing this unit in AP Physics rn so idk.
@@LarennPBel they have a shortsighted prescription of negative 3.5 diopters. Which means they need glasses for most things they do.
@@FranzzInLove wow, a true layman speaking about something
Can you do a video on intentional overcorrection and it's recovery?
I am myopic with -6.0 ish on each eye. Iâm told that is usually the threshold at which the doctors recommend doing PRK rather than LASIK. It seems from the video that this number may be bogus, and may depend on each individual personâs case, in particular their tendency to get a dry eye rather than the extent of myopia.
I had LASIK 21 months ago and it was the worst decision of my life. It left me with severe dry eyes to the point I use eye drops EVERY 15 minutes all day. I canât leave a room without worrying about if I grabbed my eye drop pouch. I appreciate you going over the side effects, but I know your in one of my dry eye groups and you first hand read about all the suffering these procedures have caused. And I donât believe your video (or anyone elseâs) really makes it known the SEVERITY of the issues these procedures cost. Do I have great vision now? Yes, was it worth it? ABSOLUTELY not!
Iâve seen 2 dry eye specialists since and spent THOUSANDS dollars on treatments. That $5,000 surgery from that reputable doctor has cost me at LEAST another $5,000 in treatments and will continue to cost me thousands upon thousands more over my lifetime. Iâm 32 years old.
Same here, fuck LASIK it's a scam. Im 21 years old.
Thank you May, I think weâre in similar FB groups related to this . 100% agree
I really don't mean to come off as unsolicitated health advice, but have you tried Ikervis eye drops? They are prescription medication drops, somewhat new on the market.
I have dry eyes caused by other medical issues and these drops really helped me with my symptoms. I don't have to use other eye drops throughout the day most days.
@@m2ukass you must be outside the US :) itâs Restasis here. I have. Iâve tried Restasis and Xiidra. Iâm now on Cequa at 4x/day (instead of twice a day as normal) and have been placed on an aggressive regime of steroids, antibiotics etc. due to my horrific corneal and conjunctival staining.
@@PrismaticPixie Are you feeling fine at least? I remember how awful dry eyes get, it's not fun.
PRK all the way. Less complications, less dry eye symptoms and better optics. Safer option in the long term.
Not really. Dry eyes will be there in all refractive surgeries, if you even cut a small incision on cornea. to same level in all procedures, its how nerve react if you cut even a small portion of it.
PRK, is the increase in a corneal haze with the treatment of higher refractive errors. It is because the epithelium cells can never be removed completely, by either alcohol or laser and these tend to grow more haphazardly.
There is also an increased risk of infectious keratitis or corneal ulcer with surface ablation compared to LASIK due to the longer epithelial healing period since the protective epithelium has been removed.
Remember, everytime you get a corneal ulcer, you are going to get another scar. And the next scar might be in the central cornea, if you are unlucky enough, and that would permanently affect vision. The eye is a pretty fragile thing, and some things, once they happen, may not be reversible. The most important thing is to prevent such things from ever happening again.
The caution at the end reminds me of King of Queens where he uses a half off the second eye coupon for Carrie eye surgery.
off topic, but if you havenât already, could you do a video about led masks? including if they are safe to use around the eye area, how they could affect the eyes and people who have had lasik, iol, etc? thank you.
After some research, I chose PRK/Lasek over LASIK before I had my surgery back on 2013. Best decision in my life ! The fact that it is less invasive than LASIK means fewer side effect on the long run
Any bad side effects now? Dry eyes or trouble driving at night?
@@rashasarandah1695 No side effect now
What was your eye prescription before PRK/Lasek?
@@UO12345 left eye -5 & right eye -4
â@@jackofrozand at what age did you do it? And how long was your prescription stable?
Thanks for your work! Would you suggest ICL instead of SMILE/LASIK/PRK in case of moderate dry eye? I'm under treatment for my dry eye symptoms and I would like to get rid of glasses (at least not being completely dependent on) without losing my progress in managing dry eye.
Thank you!
You can wear contact lenses which I wear and it transforms how I look and provide extremely clear vision! Also makes my eyes a bit darker too
@@agsechogd6406 I think the point is he doesnât want to wear contacts on his eyes⊠that why he wants iclâŠ.
@@agsechogd6406 I want to get contacts. My vision is about -1,5 diopters on both. Can wear normal contacts, do you feel them and can you wear them for 8 hours? I see people wearing them a lot.
Also is it dangerous to wear them, if youre sticking to instructions?
@@shadowthrunight5911 hey, as a 13 year old wearer with -4.50 here is what you need to know :)
-At first it's difficult to put on and take off but you get the hang of it after a week or two
-They are very comfortable and they don't have any pain or discomfort, the ones I use are from cooper vision. When they are on you see with a lot of clarity like with glasses, when I first got them on at the clinic I couldn't believe how clear it was and yet it felt like nothing was on my eye. When you blink it feels smooth, you know it's there but very comfortable.
-You can wear them for the whole day and reuse the same pair for up to 30 days (assuming you want to get the monthly ones) after this period, you can still wear them but I really don't recommend it as it starts getting uncomfortable, I would say dispose of them after 35 days as they degrade over time and gradually get more uncomfortable.
-They are not dangerous to wear but you have to stick to the precautions which are to never sleep with them or shower with them as micro organisms can get under the lens and although rare, can cause eye infections. And never go swimming with them for the same reason.
-Always wash your hands before putting them on and look for any dust on your fingers and make sure your hands are clean. If you are wondering, you need to get the liquid to disinfect them from anything after you finished wearing them but don't worry about it as your optician will tell you about that stuff.
-The price can be 30-40 for a 3 month supply of monthly contacts which can be pricey, but it is fully worth it in my opinion. If you aren't comfortable with that, you can get hard contacts which last much much longer and a pair can last you a year providing you take care of them properly.
This took long to write haha, let me know if you have any more questions.
@@Rerollful He wants to not wear glasses tho
Is is true that ICL doesn't contribute to dry eye since no tissue is removed? And are there ICLs available that also correct for presbyopia?
I just got SMILE done two days ago and damn am I glad I got it. It's like 90-95% of the way to 20/20 already. The only side effect I have is that there is an ever-so-slight halo-glare around white light (like white lettering on a computer screen). It doesn't obscure being able to read whatsoever. My eyes don't feel dry and only need the anti-biotic and anti-flammatory drops that you're required to take. Overall, I'm so glad I got it done!
DON'T DO LASIK PLEASE.
I've done it 10 years ago, and i'm still suffering from dry eyes, red eyes, sharp pain, sensitivity to light.... My surgeon hid the side effects when I first met him and told me there was no risk. I wish I knew before and I would have kept my glasses.
My one regret in life: LASIK
đ
That doesn't make any sense. There is something you are leaving out
Did you do dry eyes test before opting for LASIK?
@@thechillmaster5836 i'm not hiding anything. Except maybe the fact that I work in a computer all day long, and that increases the dryness too. But Lasik should be avoided at all cost. Probably SMILE procedure has less side effects.
@@user-of4lq6sz1c yes, i did. And if I check now tear break up time, it appears as normal. So, the most probable is that I have Corneal Neuralgia, which is due to the nerve sectioning. The corneal nerves DO NOT regenerate fully after the surgery. Again, with the new SMILE procedure, the dry eye sensation is probably way less. I would still advise to keep the glasses if possible.
@@ousskham I see. Around when the pain started like after immediately the surgery or after few years?
Had femto-lasik 2 weeks ago, results are amazing. I even see slightly better than with glasses.
I donât have dry eyes just a little Halo effect which is decreasing.
Dr. Victor Derharturian was operating me, very reccomended :)
That's great to hear, Kasia! Thanks for sharing your experience.
@@DoctorEyeHealth sure :)
could you tell me, ur myopia size before get lasik?
and after FemtoLasik , how about your night vision?
Is it OK for you ? Dry eyes ?
Ooo ktoĆ z Polski đ cieszÄ siÄ, ĆŒe dobrze poszĆo, ten doktor ma chyba same pozytywne opinie. TeĆŒ bym chciaĆa zrobiÄ sobie korekcjÄ, ale strasznie siÄ cykam đ
I have well controlled type 2 diabetes. Sever Astigmatism and near sighted. Which procedure would have the best outcome?
Hi doc! Is PRK the same as LASEK thatâs commonly performed in Europe?
I got PRK surgery done for high myopia last year in India. The first one month was hell with excessive irritation, watering, redness and dryness. And for some odd reason, the irritation usually only occurred in one eye at a time. At the time, I felt as though my eyes were conspiring against me since every time my one irritating eye stopped causing trouble, the other would start doing the same. I was already told by the doctor that the first week would be tough but when the problems persisted for 2-3 weeks post surgery, I got really worried. But thankfully, after trying every possible eye drop and even temporary lenses, my eyes recovered after about a month or so. It has been a year since and my vision is better than 20/20. So for anyone wanting to go for refractive surgery, I would advise to also look at PRK despite my initially difficult experience. PRK is less invasive and produces quality results but without the high risks associated with LASIK. The only downside is that the recovery period is longer.
Thank you for your feedback. Are you experiencing dry eye or any other long term side effect from the PRK surgery?
@@lorenzoic Nope. None since then.
@@phoenix007ism Great the hear! Thanks for your feedback.
@@lorenzoic No problem! I guess it varies from person to person. I have rarely heard or seen anyone with long term complications post PRK. However, this does not mean that the procedure is risk-free. It's just that the probability with this one is lower compared to LASIK, most probably because the latter is more invasive.
@@phoenix007ism Yes, PRK is superior. Many cases are giving me confirmation of this
I think I will go with PRK since I'm a serial killer and sometimes my victims fight back.
It is best option of you are ok with pain and failing to see for like 5 days. I don't it and have no regrets
Itâs so great to hear a serial killer talking about their eye problems! Itâs not talked about enoughđ
Highly Recommended just had it done 5 days back. I must say I am now demoted to a blurry shooter instead of a sharp one but hand to hand combat is spot on.
I have very dry eyes and drops arenât helping much (using hycosan extra) and Xiidra irritated them badly.
I have awesome 20/20 vision in my left eye. My right eye has always been super far sighted (20/300) and my brain just basically ignores it so my vision with both eyes is fine without glasses (except for reading because Iâm 58).
Doctor suggested lasik for the far sighted eye but Iâm hesitant since Iâm managing and have dry eyes. But each year I feel like my nighttime vision is worse and I get bad halos driving at night even though the doctor says I donât have cataracts yet.
No one has done those dry eye tests.
Amy suggestions? Know any doctors in San Diego area you can recommend?
Also, family history of glaucoma and macular degeneration but none do far for me.
Hello, which of the method does hold the highest risk of ectasia? Does smile have it because more tissue is removed?
Hey Dr. Allen - fantastic video! My sister is considering getting LASIK and SMILE. She has thin corneas and heavy myopia (-8 in one eye and -10 in the other). Which would you recommend for her? One concern I've heard about SMILE is that it's harder to do future surgery compared to LASIK. There's also some conflicting literature with respect to SMILE or LASIK being better for thin corneas (have heard SMILE requires more corneal tissue to be removed for the same degree of correction). Any help would be great. Thank you!
Please do not ruin your eyes with SMILE. I had this done in 2019 in london. My life is ruined.
@@-1-2-1- Hi, what happened after Smile?
@@UO12345probably dry eyes.
Neither prk , Tell her to keep her glasses
It's essential to BETTER emphasize the potential RISKS associated with LASIK procedures and to discuss the accountability of surgeons when complications arise. According to an FDA report, out of the 9 million people who underwent LASIK, 95% reported positive outcomes. However, this means that 450,000 individuals had adverse experiences. The repercussions of these complications can be severe, given the importance of our eyes. Some patients report issues such as halo effects, ghosting (which includes double or triple vision), trailing images, extreme dry eyes, and heightened sensitivity to bright lights like computer screens. In some rare cases, there's complete corneal nerve damage, which can lead to persistent pain in the eye and face. It's heartbreaking to note that there have been instances where individuals have taken their lives due to the distress caused by failed LASIK procedures. One prominent case is that of TV presenter FOX 2 Jessica Starr, who underwent SMILE. Many who have experienced complications express deep regret and wish they could reverse their decisions. It's crucial for potential patients to do thorough research and choose experienced and reputable surgeons, avoiding those who might not have the best intentions or adequate skills.
Like and a comment, this is important. In general too many people forget to actually contemplate the effects on themselves in the relatively unlikely event that the procedure fails and just banks on success. Do one eye at the time, realize that complications up to (and including) complete blindness is a possibility, realize you will need glasses eventually anyway and decide if the money and risk is worth the gain in good/better vision for a longer time which you MAY achieve at the cost of some other drawbacks (dry eyes, sensitivity to trauma, reopening of the flap in case of lasik etc). Most people do not achieve perfect vision anyway, but most get close.
What do you consider as large puilples? I understand that the correction diameter is 6.5mm for smile, so is large considered any puiple above 6.5mm? And would that be before or after dilation?
i dont have 3d vision, and i mostly just use my left eye (i can choose though, and if i use both eyes i see double.). would you recommend doing laser surgery on my left eye only, or do both?