Should Contact Lens Be Worn With High Cylindrical Number?

Posted on Wed, 25 Feb 2015

Question: hello sir,

i got lasik laser in 2002 in my both eyes.
in 2009 i again started wearing lens and glasses to correct my vision.
i got my vision test done last week and my number is as follows:

LEFT EYE −1 sperical and .2.75 cylendrical
RIGHT EYE -0.75 sperical and −5.5 cylendrical
my number i left eye is stable from the last 4 years but it increased in my right eye and till now i can see clearly from my both eyes with glasses
should i wear contact lens with such high cylendrical number?
am i suffering from post lasik ectasia and will need corneal transpantation in future? i m really worried

Answered by Dr. Ashok Kumar Dash (59 minutes later)

Brief Answer:
lasik surgery inhigh astigmatism myopia and requerement ofcorectionlater.

Detailed Answer:
There are many contraindication in going for lasik surgery. Thickness of cornea is mostimportant. All investigation should be done before surgery. You are having myopia with high astigmatism. Secondtime lasik is not advisable. Post operative problem are also to be taken into consideration. Survey of followup after ten years was done in western country, and most evident complication are posterior epithilisation corneal dytrophyand ectasia. In your case posibility are more. In my opinion, you should go for required correction by specs. For high astgmatism contact lens is also not advisable. Aim is good vision without complication.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Ashok Kumar Dash (3 minutes later)

sir i dont want to go for lasik surgery rather i had lasik in 2002 and now i have post lasik ectasia

should i wear contac lens now or spectacles is advisable?

seconly is there any treatment of post lasik ectasia so that my ectasia should not progress and my number gets stable?

Answered by Dr. Ashok Kumar Dash (10 hours later)

Brief Answer:
spectacle is advisable.

Detailed Answer:
spectacle is advisable. since you are having higher astigmatism. contact lens is available for astigmatism, but i do not see any advantage. It may be problematic. so my personal advise is to go for spectacles. treatment for ectasia will be surgical. It may lead to complication. you can take second opinion and discus about post operative problem.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Ashok Kumar Dash (5 hours later)

What surgery is required for treatment of Eurasia ?

Does Eurasia always lead to corneal transplantation or sometimes it stops progressing also ?

Sorry ectasia

Answered by Dr. Ashok Kumar Dash (45 hours later)

Brief Answer:
Corneal transplant for post lasik surgery problem.

Detailed Answer:
corneal transplantation is contraindicated in your case. Rejection rate is high for corneal transplantation. First you should consult transplant surgeon about your suitability for transplant in your case. Problem for you is for both eye.You have got good vision with specs. So why to think about transplantation.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Ashok Kumar Dash (23 minutes later)

I understand right now my vision is v good with specs right now burnt questin is :

Do all people with post Ladin Ectasia eventually have to get corneal transplantation ?
Or is one cases progression of Ectasia stops ?
I mean can it be predicted ?

Answered by Dr. Ashok Kumar Dash (1 hour later)

Brief Answer:
No, it cannot be predicted

Detailed Answer:
No, it cannot be predicted. Please ask the question to transplant surgeon , before opting for transplantation.

Above answer was peer-reviewed by : Dr. Shanthi.E