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Not all patients are candidates.
And not all surgeries are suitable for all eyes.
The decision to have eye surgery isn't solely based on your prescription.
It's based on a detailed analysis of:
Corneal structure
Refractive stability
Ocular surface (dry eye)
Age and visual needs
Associated diseases
Patient expectations
In some cases, the best decision is not to have surgery.
Over 18 years of age
Stable prescription
Structurally healthy cornea
No active eye diseases
Realistic expectations
High myopia or hyperopia
Irregular astigmatism
High astigmatism
Moderate or severe dry eye
History of eye surgery
Keratoconus or suspected keratoconus
Prolonged contact lens use
Progressive keratoconus
Thin or unstable corneas
Uncontrolled autoimmune diseases
Active eye infections or inflammation
Unrealistic expectations
Each case should be evaluated individually.
There isn't just one type of surgery: it depends on your eye.
For patients with suitable corneas and specific prescriptions.
An alternative for patients with high prescriptions or corneas unsuitable for laser surgery.
Requires adequate space within the eye (anterior chamber).
Indicated when the lens has lost transparency or visual quality.
Also considered for age-related farsightedness (presbyopia).
Keratoconus
Corneal transplant
Combined surgeries
The choice is not based on preference, but on medical indication.
All eye surgery carries risks, including:
Dry eye
Halos or glare (especially at night and in patients with very large pupils)
Refractive regression (especially with laser treatments)
Need for touch-up surgery
Rare but significant complications
The goal is not to promise perfection, but to improve visual quality safely.
Not all patients achieve 20/20 vision (100% vision). Sometimes, functional vision is the goal.
Occasional use of glasses or contact lenses may be required.
Depending on age and visual preferences, a small amount of residual myopia is sometimes preferable.
Age influences the final result.
In complex cases, the goal may be to improve, not completely eliminate, the refractive error.
A sound surgical indication or exclusion is far more important than the technique or technology used.
Complete ophthalmological examination with slit lamp
Evaluation of the ocular surface
Precise refractive measurement
Distance vision
Near vision
Dilation
In addition, depending on the case, the patient's existing complementary studies are reviewed, or further tests are ordered. It is important to emphasize that a thorough examination is paramount; patient care cannot be based solely on complementary studies.
Corneal topography
Aberrometry
Biometry
Etc.
This allows us to determine not only if you are a candidate for surgery, but also how to perform it safely.
It's not about having surgery.
It's about determining if you should have surgery.
In some cases, the best medical decision is to postpone or avoid surgery.
Am I really a candidate?
Which surgery is best for me?
What are the risks in my case?
Is surgery worth it?
Your questions will be answered during the consultation.
Patients who have already been told they are candidates for surgery but are unsure.
People with high myopia or thin corneas.
Patients with dry eye or previous discomfort.
Cases involving previous surgeries (LASIK, RK).
People seeking to reduce their dependence on glasses without taking unnecessary risks.
If you've already been evaluated and have doubts about the diagnosis or the type of surgery recommended, a thorough re-evaluation is advisable.
Some cases require a more in-depth analysis before making a surgical decision.
An inappropriate surgical indication can lead to complications that could have been avoided with a more comprehensive evaluation.
“If you want to better understand this procedure, you can read more here.”
Ablative refractive surgery (LASIK, PRK, FemtoLASIK, SMILE)
Refractive surgery for presbyopia (Monovision, EDOF and multifocal intraocular lenses)