- why LASIK is called "flap and zap"
If you are having LASIK, please read the other pages in this
section carefully - they are reached from the blue link buttons on the left. The
following are results graphs for my last few months results. Most are taken at 3
months post op. I have also scanned in a recent article
(April 2010) about this
laser from an ophthalmic magazine called Ocular
Surgery News
Running Audit of my results
(using the Wavelight Eye-Q 400 Hz laser - Sept 2010).
(results are the same for LASIK and LASEK)
Accuracy Levels: The middle
line is spot on and the dotted lines are +/- 1 Dioptre. We
have only had the laser for a few months and these are our first results.
As you can see, this is a very accurate and safe laser, Both LASIK and LASEK
results are in the myopia charts.

Another Accuracy Graph:
Driving standard is about -0.75 Dioptres. A patient who gets even one eye
within half a Dioptre is usually very pleased.

Astigmatism Results:
There is usually a bit more scatter with
astigmatism as there is an axis that varies as well as the size.

Safety for treating myopia (short sight):
"
"No harm" is no loss of Best Corrected
Spectacle Visual Acuity (BCSVA).
One line loss is usually not noted by the patient
line loss as a measure of safety. The chart plots how many lines gained or lost on the
standard Snellen vision chart.
Most stay the same. Of those who gain sharpness of vision, a lot do so
because of magnification effects;
glasses make the object size smaller, whereas contact lenses and
Lasik do not. Our charts use the
continental spacing of 1.2, 1.0, 0.8, 0.63, 0.5
which corresponds to the British
6/5, 6/6, 6/7.5, 6/10 and 6/12. If the
patient could see 1.0 prior to surgery and after it could only
see 0.8, then this would count as loss of one line of best corrected
spectacle vision.
Results are normally at 3 months as the vision can be
improving up to then. Hence these are early and incomplete results, with only 16
eyes at 3 months. However, note that no eye has lost any lines of vision at 3
months and that 6% have gained a line.
Defocus Equivalent: A
technical graph of accuracy made by the numerical addition of the sphere and
half the cylinder without taking into account the sign. (
+1 / -2 x 180 has a spherical equivalent of 0 but a defocus equivalent of 2). It
is a truer measure of accuracy than the spherical equivalent used in other
graphs. (sphere + half the cyl taking into account the sign).

Results for hyperopia (long sight):
Wavelight Laser:

Bar chart:
Hyperopia takes longer to stabilise than myopia. We only have
12 eyes at 3 months so far. There is often an initial myopic shift in treating
hyperopia.

In hyperopia, the image size is bigger with glasses
and smaller with contact lenses or Lasik/PRK.
Hence there is a tendency, opposite to myopia, to
lose sharpness of vision with contact lenses
or Lasik because of the image size difference.
The average age of people presenting for hyperopic
lasik is around 46y, whereas the average age for
myopia is 33y. This is because the hyperopes can
manage until middle age until their
fails. There is nothing worse than a middle aged
hyperope as they can see neither distance or near.
Correspondingly, they are often amongst the happiest
patients following refractive surgery.
S J Doyle Sept 2010