THE
LASER FIX
Should
you have the new surgery to get rid of your glasses?
Plus: New ways that lasers can improve your looks
Maybe you don't mind the dents your glasses have
carved into the sides of your nose. Maybe you
actually enjoy cleaning
your contact lenses. But if you're anything like
the millions of other people who wear contact
lenses or glases then
you've probably occasionally wondered what your
life would be like with perfect vision. No more
fishing
for dropped
contacts in the bathroom sink.
You
could turn those dreams into reality-in less than 15
minutes. Just settle onto the surgical couch at an ophthalmologist
's office and let an incredibly precise excimer laser
reshape your corneas. Then get up and experience a bright
new world. At least that's what doctors -and, more important,
their ecstatic patients-are saying about LASIK , or
laser-assisted in situ keratomileusis.
Chances are you already know
people who have had their eyes-in that newest of buzz
verbs-lasered. For most people it works spectacularly:it
corrected their vision to a very normal 20/20. Most of
the rest still saw well enough to drive without corrective
lenses. By 2010, some surgeons predict, LASIK will have
advanced so far that 90% of patients will see better
than 20/20.
Most patients aren't just
happy with the results;they're positively gleeful. Only
hours after his LASIK procedure last year, Michael Knorz,
who says he was "quite blind" before the operation, knew the contact lenses he used to wear were superfluous. "I was sitting in an open-air restaurant on the beach, " he recalls, "and when I looked up at the sky I could see the stars clearly-just like that!
It's a completely new life for me. " Knorz knows what he's talking about. As head of the German Commission for Refractive
Laser Surgery, he introduced LASIK surgery to Germany
in 1993. Since the German Ophthalmologic Society and
the Professional Association of Oculists officially approved
the method in June, the number of LASIK operations in
the country has tripled from 2, 000 in the first half
of 1999 to around 6, 000 in the second.
Now for the reality check. "LASIK is a surgical procedure with all the attendant risks of any surgical procedure "says Dr. Mark Mannis , a professor of opthalmology at the University of California
at Davis, who has performed the operation on a weekly
basis for the past four years. "It is highly successful in the vast majority of well-chosen cases, but"-and here you have to pay close cases, but"-and here you have to pay close attention - "each of those words I said is very important. "The best candidates, he emphasizes, are those adults whose sight is only moderately
distorted, whose vision is stable and who have no other
eye problems. Even so, complications occur that can't
always be corrected.
It's also important to realize that 20/20 vision isn't
synonymous with perfect eye sight. The standart eye
chart measures vision under conditions in which contrast
is
high. But there are other factors, like how well you
see in dim light or discriminate among various shades
of gray, that help determine the overall quality of
your vision and that can be adversely affected by
LASIK.
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