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LASIK Alternatives And Complications Specialist

Cohen Eye Institute

Cataract, Refractive & LASIK Surgeons and Cornea Specialists located in Midtown East of Manhattan, Ridgewood of Queens, & Elmhurst, NY and Old Bridge, NJ

As a top-rated ophthalmologist with extensive experience in treating a wide array of vision issues, Dr. Cohen is uniquely positioned to offer patients in and around New York City and Central Jersey the most comprehensive treatment options for hyperopia, myopia, and astigmatism, including many LASIK alternatives for patients with specific vision needs. LASIK is a time-tested technique for correcting many different vision issues, but there is always the risk of complications. Dr. Cohen helps patients understand the potential side effects and uses the safest, most advanced methods so the risk of complications is minimized every step of the way.

LASIK Alternatives and Complications Q & A

 Besides LASIK, what are my options for correcting my vision problems?

LASIK is an extremely popular procedure for correcting vision problems, so it's no wonder it gets a lot of attention in the media. But the fact is, LASIK is just one of several options for treating myopia, hyperopia, astigmatism, and even presbyopia. Some of the other options include:

  • PRK, or photorefractive keratectomy, that reshapes the cornea without making a flap

  • clear lens exchange or refractive lensectomy that replaces your natural lens with an artificial lens designed for better vision

  • Epi-LASIK and LASEK which, like PRK, do not use a corneal flap

  • implantable contact lenses or ICLs that rest in front of your eye's natural lens

Different treatment approaches can be ideal LASIK alternatives for people with significant vision issues or for men and women with very thin or very steep corneas.

How can I decide which treatment option is right for me?

Dr. Cohen is skilled in all types of vision-correcting surgery, and he has treated patients with all types of vision and corneal issues. After performing an in-depth exam and evaluation and discussing your expectations and lifestyle, he'll be able to determine all your options so you can compare the benefits of each and feel confident in the option you select.

I'm severely nearsighted; what are my options?

Men and women with severe myopia can undergo LASIK, but the vision correction is often not ideal, which means there's a good chance they will still need to wear glasses to see clearly. Both clear lens exchange and implantable contact lenses can be a good solution for correcting severe myopia, and there may be other options as well. Dr. Cohen will be able to determine which options are available for your needs after evaluating your vision and the structure of your eye.

Please click on the links below for more information on LASIK:

Is LASIK surgery safe?

LASIK surgery has been performed for many years and has a very high success rate and a low rate of complications. However, as with any type of surgical procedure, there is a risk that complications can occur. Some complications resolve on their own over time, while others can require additional surgery or may be permanent. Understanding the possible risks before having LASIK performed is the best way to ensure you have all the information you need to make an informed decision about your treatment.

What complications can occur with LASIK surgery?

Some of the side effects that can occur following a LASIK procedure include:

  • halos around light sources . 

  • glare

  • dry eye

  • infection

  • difficulties seeing at night or in very low-light conditions

These side effects are often temporary and resolve within the first six months following surgery or can be easily fixed. When complications do occur, they often involve the flap, the small piece of corneal tissue that is peeled back to expose the lower layers for reshaping. Flap complications can occur in both traditional and bladeless LASIK and may include:

  • irregular flap made during surgery (“free flap” or “buttonhole flap”)

  • flap displacement (flap striae)

  • inflammation beneath the flap (sometimes called “sands of Sahara”)

  • infection underneath the flap

  • growth of epithelial cells (cells normally found on the surface of your eye) beneath the flap

  • optical problems caused by the flap or its placement that affect the clarity of your vision

How can I reduce the likelihood of experiencing a complication?

The best way to reduce complications is to make sure the surgeon you choose is experienced in the type of procedure you're having performed. Surgical experience and skill have a major impact on your post-LASIK visual acuity (your ability to see well without glasses), so be sure to choose a surgeon with plenty of successful outcomes. When other surgeons that aren't specialists have complications, they often refer their patients to Dr. Cohen to resolve. 


Click on the links below to read more about LASIK: