Yes, it is possible to get LASIK surgery if you have lattice degeneration, but it comes with additional considerations and risks.
Lattice degeneration does not automatically disqualify you as a candidate, but your eye specialist will need to evaluate the condition carefully to ensure the procedure is safe for you.
This article will explore what lattice degeneration is, how it may affect your suitability for LASIK surgery, and the steps your ophthalmologist is likely to follow if you are considering undergoing the procedure.
What is Lattice Degeneration?
Lattice degeneration is an eye condition that affects the peripheral retina. The retina is a thin layer of tissue at the back of the eye that captures light and converts it into signals that your brain translates into vision. Lattice degeneration weakens the retina and makes it prone to tears or holes, particularly in its outer edges. This condition is relatively common, affecting about 6-10% of the population, and most people with lattice degeneration are asymptomatic.
Key Facts About Lattice Degeneration:
- Affects Peripheral Retina: The central vision remains unaffected; the issue lies in the outer edges of the retina.
- Risk of Retinal Tears or Detachment: Weakened areas in the retina increase the chances of retinal tears, which can lead to detachment if not addressed.
- Associated with Myopia: It is more commonly found in people with nearsightedness (myopia).
If your optometrist or ophthalmologist has diagnosed you with lattice degeneration, you may wonder how it impacts any plans for LASIK surgery.
What is LASIK?
LASIK (Laser-Assisted in Situ Keratomileusis) is a popular vision correction surgery that uses advanced lasers to reshape the cornea and correct refractive errors such as myopia, hyperopia, and astigmatism. The ultimate goal of LASIK is to reduce or eliminate dependency on glasses or contact lenses.
LASIK involves creating a small flap on the cornea, reshaping the underlying tissue with a laser, and then repositioning the flap. It is minimally invasive and has a high success rate, but like any surgical procedure, it comes with potential risks and considerations—especially for individuals with pre-existing eye conditions like lattice degeneration.
How Does Lattice Degeneration Impact LASIK Eligibility?
When determining if you’re a good candidate for LASIK, eye surgeons take into account various factors, and lattice degeneration is one of them. Here’s why:
1. Risk of Increased Eye Pressure:
During LASIK surgery, the eye is typically held stable using a suction ring to create the corneal flap. This temporarily increases intraocular pressure (IOP) in the eye. For someone with lattice degeneration, this spike in pressure could potentially trigger retinal tears or detachments, though the risk varies depending on the individual’s condition.
2. Structural Vulnerability:
Since lattice degeneration weakens the retina, any additional stress around the eye—whether from surgery or post-operative healing—may heighten the risk of complications.
3. Eye Health Evaluation is Critical:
People with lattice degeneration must undergo a thorough eye examination before being approved for LASIK. This includes tests specifically designed to check the retina for any signs of thinning, holes, or impending detachment.
While lattice degeneration doesn’t necessarily mean you cannot have LASIK, it does increase the importance of precautionary measures.
What Precautions Can Minimise Risk?
For individuals with lattice degeneration, ophthalmologists typically follow additional protocols to reduce the risk of complications with LASIK. Some of these measures include:
1. Thorough Retinal Examination
Before recommending LASIK, your eye doctor will perform a detailed retinal examination. This usually involves:
- Dilated Eye Exam: Allows the ophthalmologist to get a closer view of the retina’s periphery.
- Optical Coherence Tomography (OCT) or Retinal Imaging for a deeper analysis of the retina’s structure and thickness.
If any retinal tears or weak areas are detected, additional treatment may be required to stabilise the retina before LASIK is considered.
2. Preventative Laser Treatment
If lattice degeneration has caused small tears or holes, the doctor may recommend a procedure called laser photocoagulation. This preventive treatment involves using lasers to seal any holes or strengthen weak areas in the retina. It reduces the risk of retinal detachment and makes it safer to proceed with LASIK.
3. Alternative Vision Correction Options
If LASIK carries significant risk for your case, your ophthalmologist may suggest alternative procedures such as:
- PRK (Photorefractive Keratectomy): This may be safer for those with retinal concerns as it doesn’t involve creating a corneal flap.
- ICL (Implantable Collamer Lenses) or RLE (Refractive Lens Exchange) as non-laser-based options.
Alternative Vision Correction Procedures for Lattice Degeneration Patients
If LASIK is deemed unsafe, several other vision correction options may still be viable. Here are some alternatives:
1. PRK (Photorefractive Keratectomy):
- Similar to LASIK but eliminates the need to create a corneal flap.
- Safer for individuals with retinal conditions since intraocular pressure increases are minimal.
2. Implantable Contact Lenses (ICLs):
- A soft lens is implanted inside the eye to correct vision, avoiding any manipulation of the retina.
- Ideal if you have severe myopia or other refractive errors and are unsuitable for laser surgery.
3. Refractive Lens Exchange (RLE):
- The natural lens of the eye is replaced with an artificial intraocular lens (IOL) to address refractive errors.
- Common for patients over 40 or those with early cataract formation.
An experienced ophthalmologist can discuss the pros and cons of each option to determine the best approach for you.
Post-LASIK Care with Lattice Degeneration
If you proceed with LASIK, post-operative care becomes especially important. Here’s what you should expect and prioritise:
1. Frequent Post-Surgery Checkups:
Regular follow-ups are essential to monitor the health of the cornea and retina after surgery. Be vigilant about attending all scheduled appointments.
2. Monitor for Symptoms of Retinal Issues:
Watch out for warning signs such as flashes of light, sudden floaters, or a shadow appearing in your peripheral vision. These could indicate retinal detachment and require immediate medical attention.
3. Avoid High-Impact Activities:
Activities that may strain or jolt the eyes, such as contact sports, should be avoided for a significant period post-surgery.
4. Use Protective Eyewear:
Protect your eyes from debris, bright sunlight, and accidental trauma during your recovery phase.
Parting Shots
Lattice degeneration does not necessarily mean you can’t have LASIK eye surgery, but it does require extra steps to ensure the procedure is safe and successful. Your ophthalmologist will carefully evaluate your ocular health and recommend an appropriate course of action. Preventive measures such as laser photocoagulation, or alternative procedures like PRK or ICL, might be suggested if LASIK isn’t the best option for you.
Remember that the first step toward clearer vision is consulting an experienced eye care professional. Ensure that your chosen specialist has expertise in both refractive surgeries and retinal conditions for the best outcome.
Curious to explore your LASIK options, or need advice tailored to your unique eye health? Schedule an appointment with a qualified ophthalmologist today to discuss the path to better vision that’s right for you.
