Can LASIK Treat Astigmatism? (2024)

Are you searching for a way to achieve visual freedom from visual aids? LASIK is a popular alternative to glasses and contact lenses.

LASIK is a vision correction procedure that treats refractive errors. These include nearsightedness, farsightedness, and, yes, even astigmatism.

If you have a refractive error or combination of refractive errors, you may be a good candidate for LASIK. Keep reading to learn more about LASIK and why it’s so effective!

How LASIK Works

Can LASIK Treat Astigmatism? (1)

LASIK is a vision correction procedure that involves reshaping the cornea to treat refractive errors permanently. The cornea is at the front of the eye and is transparent.

When light passes through your eye, it refracts or changes its angle through the cornea and hits a focus point at the retina. The retina lines the back of your eye.

After hitting the retina, the light gets translated into impulses. These impulses are sent from the retina through the optic nerve to your brain.

Your brain perceives the impulses as images. When the cornea is misshapen, light doesn’t refract correctly through it.

As a result, light doesn’t hit a focus point at the retina. The light the retina receives and sends to your brain is warped, causing images to appear blurry.

Why Do Refractive Errors Occur?

Refractive errors occur when you have corneal irregularities. LASIK uses two lasers: a femtosecond laser and an excimer laser. The femtosecond laser creates a flap in the cornea, while the excimer laser corrects refractive errors and reshapes the corneal tissue.

After reshaping the tissue, your surgeon replaces the flap so it can act as a bandage while your eye heals, eventually fusing back to the rest of the cornea.

What to Expect During LASIK

LASIK is a quick and painless procedure. You’ll receive numbing eye drops before it starts so that you won’t feel almost anything. Surgery only takes a few minutes per eye, and you get to go home the same day you have the procedure.

Recovery is also easy thanks to the corneal flap keeping your eye protected as it heals, and initial discomfort only lasts a day or two. While most people who get LASIK are primarily nearsighted, it can treat farsightedness, astigmatism, and different refractive errors. As long as your prescription is within the treatment limits, you may be able to have LASIK.

Astigmatism and LASIK

Can LASIK Treat Astigmatism? (2)

Nearsightedness and farsightedness are refractive errors resulting from the cornea being either too long or too short. If your cornea has a longer, more pronounced curve, light refracts so that the focus point lands in front of the retina.

If your cornea is too short or lacks curvature, light refracts so that the focus point lands behind the retina. Either way, the retina doesn’t receive the focus point, but only if you’re viewing something far away (if you’re nearsighted) or up close (if you’re farsighted).

What Is Astigmatism?

Astigmatism is different because it causes blurry vision at all distances. It’s not caused by the cornea’s curve being too pronounced or flat but rather by its shape.

A person with astigmatism has a cornea shaped more like an egg than a perfectly round ball. But even though astigmatism is different from other refractive errors, you can still correct it with LASIK.

You Can Treat Astigmatism with LASIK to a Point

The lasers used during LASIK can change the eye’s curvature to correct refractive errors. If you have nearsightedness and astigmatism or farsightedness and astigmatism, you can have both refractive errors corrected at the same time by reshaping the cornea during LASIK.

LASIK does have limits, however. It can only correct up to 5.00 diopters of astigmatism.

However, this covers most patients with astigmatism. The chances are good that your prescription will fall within these limits. If your prescription is not within the treatment guidelines for LASIK, you may be a better candidate for PRK or another procedure.

Who Qualifies as a Candidate for Having LASIK?

Can LASIK Treat Astigmatism? (3)

Although LASIK can correct your refractive errors, it’s unsuitable for everyone. While most people do qualify for LASIK surgery, around 10-15% get screened out for one reason or another.

To know if LASIK is right for you, you need a LASIK consultation. A LASIK consultation is the only way to see if you qualify for LASIK. Many factors go into LASIK candidacy, but some you can determine before being evaluated.

A good LASIK candidate is at least 18 years old. They cannot be currently pregnant or nursing due to changes in vision while pregnant. They should be in good health and have no eye conditions besides a refractive error.

Good LASIK candidates also need to have a stable prescription, meaning it hasn’t changed in at least a year. As mentioned earlier, LASIK also has its limits. Your prescription cannot exceed -11.00 diopters of nearsightedness, +5.00 diopters of farsightedness, and 5.00 diopters of astigmatism.

LASIK Creates a Flap in the Cornea to Correct Vision

Can LASIK Treat Astigmatism? (4)

Because a crucial component of LASIK involves creating a corneal flap, your cornea needs to be thick enough to allow for a flap to be made. Most people have thick enough corneas for a corneal flap, but not everyone does.

If your corneas are too thin, undergoing LASIK can result in severe complications or issues with your vision. Most people qualify for LASIK.

If you find out that you aren’t a good LASIK candidate, alternative vision correction procedures can also correct astigmatism, like PRK or the Visian ICL. If you don’t qualify for LASIK, talk to your eye doctor about these alternatives.

Are you ready to say goodbye to glasses and contact lenses? Find out if you are a good LASIK candidate by scheduling your LASIK consultation at Omaha Eye & Laser Institute in Omaha, NE!

You have nothing to lose and everything to gain, so why wait any longer? Your best vision could be right around the corner!

Can LASIK Treat Astigmatism? (2024)

FAQs

Can LASIK Treat Astigmatism? ›

LASIK is a vision correction procedure that treats refractive errors. These include nearsightedness, farsightedness, and, yes, even astigmatism. If you have a refractive error or combination of refractive errors, you may be a good candidate for LASIK.

Can LASIK fully correct astigmatism? ›

The ultra-precise lasers used for LASIK surgery can be programmed to reshape the cornea so the front surface of the eye is more symmetrical, thereby eliminating vision problems caused by astigmatism. Most of the time astigmatism can be fully corrected with a single LASIK procedure.

What is the success rate of LASIK for astigmatism? ›

While LASIK surgery enjoys a success rate of over 90%, the effectiveness of the surgery will depend on the severity of a patient's astigmatism. LASIK is most effective as a treatment for mild to moderate astigmatism.

What are the limits for LASIK astigmatism? ›

Typically, eye doctors will set their limits to +6 for farsightedness, -12 for nearsightedness, and 6 diopters for astigmatism.

Does astigmatism disqualify you from LASIK? ›

There's a common, dated misconception that astigmatism rules out LASIK as an option, but in reality, people with mild to moderate astigmatism can be candidates for the procedure. Of course, you have to be a candidate for LASIK in general in order to be a candidate for LASIK treatment of your astigmatism.

Why do I still have astigmatism after LASIK? ›

After a LASIK procedure, astigmatism that still exists is known as residual astigmatism. It could happen as a result of incorrect preoperative measurements, improper corneal markings, posterior corneal curvature, or other surgical procedure errors.

What eyesight can LASIK not fix? ›

Lots of things related to vision cannot be fixed with LASIK. Disease and degenerations like macular degeneration and cataracts are not at all suited for LASIK treatment.

Is there anything better than LASIK? ›

PRK may be a better option than LASIK for people with thin or flat corneas, or for athletes and those with an active lifestyle or career (such as a pilot or race car driver) who are concerned about dislodging the flap after surgery. However, PRK typically results in more pain in the days immediately after surgery.

What is the best eye surgery for astigmatism? ›

When it comes to correcting astigmatism, the first line of defense, surgically speaking, is LASIK. This is because LASIK is effective for a wide variety of patients and offers the quickest recovery time.

How much does it cost to fix astigmatism? ›

The cost of LASIK for astigmatism can vary depending on several factors, such as the surgeon's experience and reputation, the location of the practice, and the specific technology used during the procedure. On average, the cost of LASIK for astigmatism ranges from $1,999 to $4,000 per eye.

What disqualifies you from LASIK? ›

When is LASIK not for me?
  • You required a change in your contact lens or glasses prescription in the past year. This is called refractive instability. ...
  • You have a disease or are on medications that may affect wound healing. ...
  • You actively participate in contact sports. ...
  • You are not an adult.
Jul 11, 2018

When is LASIK not recommended? ›

It is important to know that if you have dry eyes, LASIK surgery may make the condition worse. Large pupils. If your pupils are large, especially in dim light, LASIK may not be appropriate. Surgery may result in debilitating symptoms such as glare, halos, starbursts and ghost images.

Can you have LASIK twice for astigmatism? ›

Yes, it's possible to undergo LASIK surgery more than once, known as a LASIK enhancement or retreatment, for reasons such as regression of vision, residual refractive error, changes in prescription, or complications.

Who is not a good candidate for LASIK? ›

A patient may not be a good candidate for LASIK if they have thin corneas, an irregular shaped cornea, corneal scarring, or other unusual findings. In those cases, your eye doctor may recommend photorefractive keratectomy (PRK) surgery.

What is the success rate of LASIK surgery for astigmatism? ›

The procedure then uses advanced lasers to precisely reshape your cornea , and give you lasting results. For moderate astigmatism , the expected results are similar to the typical LASIK success rate , which stands at 99% for up to 20/40 vision , and 90% for 20/20 vision .

How long is the recovery time for LASIK astigmatism? ›

After Getting LASIK for my Astigmatism, How Long Will it Take to Recover? While most of the patients who get LASIK for astigmatism notice a difference right away, it usually takes your eyes about three to six months to fully recover and heal.

Can glasses completely correct astigmatism? ›

Glasses or soft contacts cannot usually correct irregular astigmatism completely, but customized contacts—such as rigid gas permeable (RGP) or scleral contact lenses—can usually overcome this problem and may be able to get the eye back to 20/20.

Why did my astigmatism go away? ›

Over time a small amount of vertical astigmatism, probably because of the constant pressure of the lids, may diminish and even disappear but horizontal astigmatism will slowly increase over time due to the same factor. Larger amounts are generally stable and will not disappear spontaneously.

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