A preoperative assessment is essential in refractive surgery. It allows your surgeon to choose the most appropriate surgical technique for you (which may be PKR, LASIK, PRESBYLASIK or implants) and to check the absence of contraindications.
Indeed, even if refractive surgery corrects visual defects (myopia, hyperopia, astigmatism and presbyopia), compliance with the contraindications avoids post-operative complications.
The quality of the preoperative indication determines the quality of the result. This consultation also helps to answer the patient’s questions.
At Clinique de la Vision, for example, a preoperative consultation includes:
- Measurement of ametropia (visual defect) to be corrected by refraction analysis
- The verification of the “dominant” eye (or “director”) essential when correcting symptoms of presbyopia
- The complete ophthalmic assessment with measurement of the intraocular pressure, examination of the fundus and especially the analysis of the transparency of the lens
- The analysis of corneal morphology (curvature, shape, thickness), thanks to corneal topography, eliminates the contraindications to laser surgery and choosing the most appropriate surgical technique for the patient
- Aberrometric examination analysis of the optical quality of the eye
- We perform a calculation if we’re considering lens surgery
- Other explorations can be done depending on the context.
It is only at the end of this assessment that a surgeon can make a recommendation. They then choose the most suitable refractive surgery technique for you.
Finally, the surgeon will clearly explain the advantages, the possible undesirable effects and the expected results of their recommended procedure.
Surgeons can correct hyperopia with several laser techniques PKR, LASIK, or ICL in cases of severe hyperopia. The patient can also benefit from a lens surgery with implant placement in case of cataracts.