Hello doctor, I have myopia -4 in power and I am not eligible for LASIK. I am 25. Is this progressive? What long-term complications can be there as my cornea thickness is too low for LASIK surgery.
Hello. Even though your power of - 4 is well within the correctable range and your power has been stable for two years, your corneas were too thin on topography maps for surgery (attachment removed to protect patient identity). The doctors deferred surgery because, during the process of LASIK, we will be removing tissue from your cornea and in a cornea not thick enough this can cause problems like for example keratoconus or in severe cases perforation. Regarding the long-term implications, thin corneas are harmless and usually do not progress unless associated with keratoconus or other similar problems. In case you do have keratoconus, it may show some progress in thinning during pregnancy and lactation. In case you still want to be spectacle-free, the option of implantable contact lenses is viable, provided there are no additional problems in your eye.