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A 33-year-old member asked:

Can you explain why lasik can only work on the eyes up to a certain % of vision loss with astigmatism?

3 doctor answers5 doctors weighed in
Dr. David Kira
Ophthalmology 21 years experience
Corneal shape: Astigmatism can best be thought of as a spoon or football-shaped cornea. Lasik reshapes the cornea to make it round and alters the degree of roundness to adjust focus. Lasik accomplishes this by removing corneal tissue and we have to operate within safe parameters leaving enough cornea behind. Astigmatism can present problems with this.
Dr. Robert Chang
Specializes in Ophthalmology
Cornea limitation: Depends on the cornea shape, thickness, and how much and where tissue can be removed in order to counterbalance astigmatism. If too much tissue is removed it can cause problems and ectasia and if the wrong tissue is removed, it can create more refractive error.
Dr. Jay Bradley
LASIK Surgery 18 years experience
LASIK astigmatism : Laser vision can correct the regular astigmatism of the vast majority of patients. If the astigmatism is irregular in nature, then laser can not be performed.

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Last updated Oct 3, 2016

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