LASIK Up-to-date Newsletter

What can be done about extreme near- or farsightedness?
Alternatives to Laser surgery

For patients with severe to extreme visual disorders, such as myopia (nearsightedness) and hyperopia (farsightedness), laser surgery with PRK/LASIK or LASIK alone, is not the answer.

Experienced and responsible surgeons advise against surgery if myopia of more than -10 dpt or hyperopia of more than +3 dpt is present, since the required tissue ablation is generally too large, and may result in instability of the cornea.

However, these patients have several other alternatives at their disposal.

Lens Implants (ICL, Artisan, Verisyse)
Lens implants are an option for younger patients; their lenses have not yet lost their elasticity, and therefore still have the capability to adjust (seeing close objects without glasses). By implanting an artificial lens in front of their own, the patients are given a chance to correct or reduce their visual disorder. Despite this, the close adjustment capability of their natural lens remains.
- More information on lens implants

Bioptics
is a combination of a lens implant that is followed by LASIK to correct the residual ametropia, e.g. the accompanying astigmatism.

RLE (Refractive lens exchange, old term: clear lens exchange, CLE)
RLE is reserved for patients who are over 40 years old, and who already need reading glasses. RLE is also used if age-related cataracts are present, which eventually could lead to a lens implant. The new artificial lens will then be calculated in such a way that the existing visual disorder is equalized.
- More information about RLE

The procedure that would be best suited for you can only be determined after an extensive preliminary examination.