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LASER Surgery Vs Ortho-k
Hi, I am 27 F . I have been wearing spectacles since I was 19. I’m myopic. My current prescription of power is:
L eye: Sph -1.75 ; Cyl -0.75 ; Axis 140 ;
R eye: Sph -2.00 ; Cyl -0.50 ; Axis 20 ;
I am considering specs removal surgery . I have taken the eligibility tests and I am eligible for the surgery. SILK procedure has been recommended.
In the meantime I’ve also been told about orthokeratology, or Ortho-k lenses instead of surgery as the effects of surgery might wear off in time or cause other complications but I’m also given to understand it is a temporary way to manage spectacles usage.
I am generally not a fan of touching my eye or wearing lenses regularly.
My question is which is the safer option for the long run? What are the chances or power returning in later years?
It would be great to get some insights as I'm unable to make a decision.
Thank you in advance
Answers (8)
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It can be considered after thorough ophth examination
So kindly consult
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For long-term safety and convenience, SILK is generally considered a better option than orthokeratology for those who prefer not to use lenses regularly—provided the patient is eligible and has healthy corneas.
The chances of vision reverting after SILK are low, though mild regression may occur over time, particularly in cases of higher prescriptions.
Orthokeratology provides only temporary correction, requires nightly lens wear, and vision begins to decline as soon as lens use is discontinued.
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In the long run, refractive surgery (SILK in your case) is a better option. Technically the effect does not “wear off” but a “regression” or return towards your original power may happen. This is usually less than 1 and happens over years. Modern refractive surgery (eye surgery to remove glasses) is safe and effective.
In your case, power is not so much and lower powers give the best results. Please remember as you approach your 40s, a natural phenomenon called presbyopia occurs and you will require reading glasses then, irrespective of whether you get SILK done or not.
Ortho-K as your doctor has correctly said, are temporary measures and you may not like the hassle of changing contact lenses every day. So I would not recommend.
In the end, it’s your eye and you make the choice. Your doctor’s job is to tell you the pros and cons of all options available to you.
Next Steps
Be in touch with your doctor, take a decision and avoid social media
Health Tips
Do not google things and decide
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As per your current power, you are better suited for Lasik Surgery.
No your power will not return later after Lasik.
Lasik is permanent and irreversible.
Next Steps
Go for Lasik (Silk)
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Hello mam,
You can consider laser surgery. It is generally safe.
Chances of getting a refractive glass correction after laser surgery are generally less than 5 to 10 percent.
Once you touch 40 years of age, eye sight starts to fade for near vision. This is age related, not a side effect of laser surgery. There are options to correct that even.
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Dr. Ravi Chandna
Ophthalmologist/ Eye Surgeon
9 yrs exp
Bhopal
Kindly get an online consultation to address all your concerns
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Dr. Nikhilesh Shete
Ophthalmologist/ Eye Surgeon
7 yrs exp
Sangli
Go for silk
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Dr. Saba Kausar
Ophthalmologist/ Eye Surgeon
12 yrs exp
Bangalore
Both options are good
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.