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Laser Vision Surgery for Developers?

cyclops asks: "I have been contemplating about going for LASIK surgery for a couple of years. I want to get rid of my dependency on glasses or lenses because I really find them cumbersome. The main thing that is stopping me now is that like you, programming is my livelihood and thus I spent a major part of my day staring into the monitor. I have readthat there is always a certain percentage of patients not regaining 20/20 vision but it's OK for them since most of them don't need that sharp vision during work. I am about to consult with a LASIK surgeon but I would love to hear anecdotal evidence about your experiences, to hear if it works out for you eventually. (I have stable myopia of -5.50 and astimagtism of -1.00 for 3 years already)." Ask Slashdot has handled this issue in the past in two previous articles: this one from 1999, and a related article from 2000. With at least 2 years since the last time this question was posed, how has medical technology improved in this aspect? For those unwilling or unable to take advantage of Laser Surgery, have other viable alternatives arisen in the past two years?

14 of 711 comments (clear)

  1. Night vision by JohnTheFisherman · · Score: 5, Informative

    Lasik can harm your night vision, among other things. For such a distance-specific task as programming, you're probably much better off with glasses (and much safer).

    I don't know much about this site, but I'd just heard about it: http://www.lasiktruth.com/. Look around, I've heard a lot of bad stuff second hand about it.

  2. Aberrations by Anonymous Coward · · Score: 4, Informative

    At present, opticians measure and correct defocus and astigmatism. The eye has many higher orders of aberration (spherical aberration, coma, trefoil etc), which are not measured and are not corrected. The problem is that, for laser surgery, the astigmatism and defocus are corrected over a small area of the pupil, smaller than the area of the dilated pupil. Outside this area, aberrations are exacerbated, and not currently measurable (although there is a lot of work in this area). Hence, if you have laser eye surgery, your corrected vision will (barring complications), be fine during the day or when in a brightly lit area, but vision may be worse than pre-correction at night. Doesn't sound too bad, unless you drive at night...

  3. BIG FONTS ARE YOUR FRIENDS :-) by Bruce+Perens · · Score: 5, Informative
    I have used a 21-inch monitor, way far back on my desk... actually behind the desk on a shelf, with huge fonts, for years. At Pixar, they called it "the world's most expensive TTY", as I usually work in one screen-sized terminal window. I have improved my eyesight substantially and went from needing glasses to needing none. With my 45th birthday rapidly approaching, I'm noticing some slight degradation in my sight due to aging, but avoiding strain helps a lot.

    Bruce

  4. I did it by mclem · · Score: 5, Informative

    Had the procedure done -- both eyes on the same day! -- and it was fantastic. My night vision was never very good, so I don't mourn the loss, and in fact, my depth perception has improved since getting rid of my glasses. After a year, I'm 20/20 in one eye, 20/15 in the other -- a vast improvement over my pre-surgery vision. (And my good eye now was my good eye then, too.)

    I notice my eyes getting a little tired near the end of the day, which is normal for folks with naturally good vision. And I know that I'll need reading glasses eventually. Big deal. I can see my wife in the morning, swim with my kids, fall asleep while reading, wear decent sunglasses, etc... All trivial things when you've got normal vision, but oh-so-worth it when you've needed glasses for 20+ years just to find your frelling shoes.

    Oh yeah, it's worth it. Find a decent surgeon -- research! ask questions!

  5. Great Experience: Strongly Recommend by jrichau · · Score: 5, Informative

    My story is anectdotal at best, but I can't recommend the surgery strongly enough. I spend most days staring at the computer screen (I remember talking to my eye doctor suggesting that I spend 14-16 hours looking at the computer, he replied "in a week?", "No, a day..."). Both of my parents also had the surgery with success which gave me more confidence to have it.

    I had laser surgery (LASIK) last spring. It was a fantastic experience. I basically have had contacts forever (-4.5 in one eye, -4.25 in the other, slight astigmatism in one but I don't know the number value for it). I went in for a consult and they deemed me an ideal candidate after checking my vision and doing some measurement of the size of my cornea (mine is thicker than average which is good for them because they effectively reshape your eye by getting rid of some of the cornea).

    I went in for the surgery on an afternoon. I had both eyes done on that day. I basically sat in this chair and focused on a little red light. They put some numbing drops in my eyes and then lowered this eyeball sized tubish thing over my eye. It basically sucked onto and grabbed hold of my eye, then a blade comes out of that to slice a thin layer of the cornea. The surgeon then lifts up that layer and the world goes super foggy. I focused as best I could on the red light (with the sucker thing on my eye, I couldn't have moved it anyway). And they basically fired a laser at my eye for 50 seconds or so. Then they flipped the cornea layer back over my eye and the world became clear. They then did the same process for the other eye. It did not hurt in any way during the process.

    When it was done, I could immediately see better but it did hurt to look at bright light so I basically got patches over my eyes and was driven home. I took some Tylenol PM and went to sleep with these plastic things covering my eyes to protect from rubbing during the night.

    The next morning I drove back to the eye center without my glasses. At that point my eyes were about 20/40 or 20/30. I went to work that day as well so I basically missed an afternoon of work. I had to wear the eye covers at night for the next few nights. Over the next week or so as my eyes completely healed, my vision became 20/15 in both eyes. It has been that way ever since. I do notice slightly more haloing (halos around point light sources) at night but nothing that might not have been there before and I just didn't notice.

    I can't recommend it strongly enough. Not having contacts has been a pleasure and the whole surgery experience was a breeze. The worst part of it was the anxiety as they did the surgery but it only lasts about 15 minutes and was well worth it.

    --
    Honk if you love Justice! -The Tick
  6. Re:Don't Do It! by MoxCamel · · Score: 5, Informative
    Any laser surgury will ruin your night vision...

    Hogwash. There is a chance, but night vision problems (like haloing) typically go away over time.

    I had Lasik a couple years ago. I never had nightvision problems, even temporarily. My wife had hers done a week before mine. She had haloing for about 6 months, but it eventually went away.

    It's different for everyone. General statements like that are just FUD. We /.ers don't like FUD.

    Mox

  7. Horror stories by Anonymous Coward · · Score: 5, Informative

    http://surgicaleyes.com

    Wish I'd found that site before I had my eyes fubared.

    Short version...its been a year+..I'm spending over $50 a week on eye drops due to major dry eye issues....reading which used to be a pleasure in my life is now a nightmare....most importantly, due to the dryness and constant tiredness of my eyes, long term comp work is flat out. Also, caffine is majorly restricted due to how my eyes react to it... Nightvisions pure hell.

    So..if contemplating it....do ALOT! of research...any doubts, dont do it.

    See also : http://www.martialtalk.com/showthread.php?&threadi d=1618&highlight=lasik for more info on what I went thru.

    Good luck

  8. My case is pretty typical, I think by Reality+Master+101 · · Score: 4, Informative

    I was like -4.00 and -3.75. I had Lasik a few years ago. Now I see about 20/25 and 20/20. I have the halos at night.

    I have to admit, initially I was somewhat disappointed because my vision definitely wasn't as sharp as it was when it was fine-tuned with my contact lenses. But to tell you the truth, now I don't even think about it. My vision is definitely "good enough" and I'm glad I did it. Being free of any vision correction is really, really nice. The halos at night used to be somewhat annoying, but I've pretty much gotten used to them and they don't bother me.

    One big advantage is that my eyes don't get as fatigued from wearing contact lenses at the end of the day, and I find that to be an advantage in late night programming sessions.

    For me, the positives outweighed the negatives, but unfortunately there's no way to really know for yourself without doing it.

    --
    Sometimes it's best to just let stupid people be stupid.
  9. Thrilled with Mine by stoolpigeon · · Score: 4, Informative

    I'm a programmer. I had my eyes done about 4 years ago. I've had no problmes. I did get a 'starburst' on bright lights at night but it is actually milder than the same effect when I wore glasses.

    I had the procedure mainly because glasses interfered w/hunting and other outdoor sports.

    From what I understand- the greater the correction needed, the greater the risks. My vision was not too bad prior to the procedure and better than 20/20 in both eyes after it was done.

    I would do it again in a heart beat.

    .

    --
    It's hard to believe that's how Micronians are made. Why don't we see it right now by having you both kiss one another?
  10. Not like buying toothpaste by gclef · · Score: 5, Informative
    I had it done about 2 1/2 years ago. No regrets at all. For the record, I had about -6.5 with about -3 astigmatism.

    However, if you take one quote away from this post, it should be this: This isn't like buying toothpaste. This is surgery. You will get what you pay for.

    In other words, do your homework before even talking to doctors. Be aware that this is surgery, even if it is outpatient surgery. I ended up paying much more than the "average" rate because the doctor I chose had done over 10,000 procedures (successfully), and was an instructor of the procedure. If you can afford it, the extra money for someone really experienced in the procedure is worth it.

  11. Not for the Squeamish by Tablizer · · Score: 4, Informative

    I basically sat in this chair and focused on a little red light. They put some numbing drops in my eyes and then lowered this eyeball sized tubish thing over my eye. It basically sucked onto and grabbed hold of my eye, then a blade comes out of that to slice a thin layer of the cornea. The surgeon then lifts up that layer and the world goes super foggy....

    My brother had it done. He does not regret it, but he did say that the experience can be phychologically very uncomfortable. If you are the least bit squeamish about people playing with your eyeballs with scary tools and having your head and eyes locked into one position for a duration, then forget it.

    They can't put you under anesthesa (sleeping gas) because you must keep your head and eyes still, and sleeping people tend to move both. Bummer.

  12. Make sure to check fda.gov first by GuyMannDude · · Score: 5, Informative

    I'm not sure if you've already looked at the FDA's When is LASIK not for me? site but you'd better have a look at their suggested restrictions. Among them: your vision has not stabilzed yet and history of autoimmune diseases.

    GMD

  13. get computer glasses by g4dget · · Score: 5, Informative
    If you don't want to focus nearby when looking at a monitor, just ask your optometrist about "computer glasses". They are glasses that allow you to perform close work while being focussed further away and they do help with eye strain.

    Beyond that, if you are nearsighted and don't suffer from stress-related vision problems, there is no way to "improve" your eyesight through eye exercises; eyes just aren't built that way. Most likely, the "improvements" you are seeing are the onset of presbyopia. Moving monitors further and further away is a common way of dealing with it. Most people get reading glasses when they reach the limits of their desk--it's more convenient. And, no, there is nothing to be done about presbyopia--everybody gets it sooner or later. Some people are just more willing to tolerate inconveniences for vanity--that's the only reason you don't see everybody over 50 running around with reading glasses.

  14. Ortho-keratology by Tack · · Score: 5, Informative
    I looked into LASIK, but it is both expensive and risky. I took an alternate approach that not very many people seem to know about: ortho-keratology, aka ortho-k.

    Essentially, with ortho-k you wear hard contacts while you sleep. These contacts are engineered in such a way that they reshape your cornia to adjust for myopia or astigmatism. I also depend on staring at a monitor both during my job and when I get home (as a hobby). My vision has changed from a -3.5 lens to about +0.25. (The slight far-sightedness is actually a good thing.)

    One of the advantages (or perhaps disadvantages depending on your perspective) is that ortho-k is not permanent. As a result, it's less risky. If you stop wearing the contact lenses, your eyes will slowly revert (however probably never as bad as they were when you started).

    I've been using ortho-k for over a year now and I love it. I don't have to worry about dry eyes from contacts (since when I do wear the contacts I am sleeping, so I don't feel them) nor do I have to deal with the inconveniences of glasses. Plus I don't have to undergo the scary LASIK surgery. The risks and the costs are much less with ortho-k. I highly recommend it.

    Jason.