LASIK Procedure | How will my eyes be assessed

The pathway to this treatment normally involves three health professionals. The first step is the patient’s optometrist or general practitioner delivering a referral. The patient then attends the eye surgery clinic where an orthoptist undertakes a full vision assessment, including an assessment of their current need for spectacles and/or contact lens. Finally, the patient sees an ophthalmologist.

Detailed measurements (called “corneal topography”) of the patient’s eye will be taken with painless, state-of-the art technology to determine if the patient is a candidate for laser vision correction.

Normal corneal topography is a pre-requisite to proceeding with laser vision correction. Very rarely, subtle irregularities are identified that prevent some patients from proceeding. In some situations corneal topography may provide important prognostic information that is not evident on the ophthalmologist’s examination or corneal topography performed using older technology.

Keratoconus

The most common condition identified through topography is keratoconus or its subtle precursor condition  forme fruste keratoconus. This relatively uncommon condition involves increased corneal thinning and steepening. Proceeding with laser vision correction in this condition can result in further thinning and steepening of the central cornea, a condition called ectasia It occurs in approximately one in 2000 cases of LASIK.