Laser Vision Correction

Modern series show that >99% of patients are satisfied with the procedure.

The most common is temporary dry eye; halos/glare at night, over- or under-correction, inflammation/infection (rare) are also possible. More serious complications are extremely rare when the patient meets proper surgical criteria.

Yes, possible but uncommon. More likely if surgery is performed on unstable or high myopia, or in younger patients. Free enhancements are sometimes offered.

Minimum age: generally ≥ 18–21 years with a stable prescription (~12–24 months).
After 40–50: yes, but presbyopia (near vision) and possible alternatives (monovision laser, implants) should be discussed.
No strict maximum age: eligibility depends mainly on the cornea and overall examination.

In Belgium, complementary insurance reimburses between €0 and €500 for refractive surgery.

The corneal correction is permanent, but vision may change with age (presbyopia, cataract) or show slight regression.

Yes, if the cornea allows it (sufficient residual thickness); sometimes the enhancement is done on the surface (PRK) or via LASIK.

The laser itself takes a few seconds per eye; the full session (preparation + surgery) typically takes 15–30 minutes per eye.

LASIK: fast recovery; many return to work the next day (if screen use is tolerated). Avoid contact sports ~1 month.
PRK: slower recovery (discomfort 2–4 days, driving ~1 week).

All surgery carries a non-zero risk. However, the risk of severe vision loss is extremely low when selection and asepsis are appropriate. Serious complications (infection, ectasia) are rare and usually well managed.

It depends on the country, job, and technique. In practice:
LASIK: often return after 1–2 days.
PRK: plan for 3–4 days.

For myopia: LASIK/PRK.
If myopia > –9D: ICL implant.
After 45–50 or if laser-ineligible: lens surgery (refractive lens exchange) with multifocal implant, depending on the profile.

When the prescription is stable, the ocular surface is healthy, the cornea is eligible, and benefits/risks are well understood. Avoid during pregnancy.

No. You cannot shorten an elongated eye with exercises.
In children, progression can be slowed (low-dose atropine, myopia-control glasses/CLs, visual hygiene, more outdoor time), but this is not a “cure.”
In adults, optical correction or surgery are the solutions.

True myopia is generally stable in adulthood; after 40, presbyopia (near-vision difficulty) appears.
Sometimes pseudo-myopia (accommodation spasm) or lens-related variations can occur. This is assessed during consultation.

Main contraindications: keratoconus/suspicion, cornea too thin or irregular, severe dry eye, uncontrolled glaucoma, progressive retinal disease, pregnancy, unstable prescription, systemic diseases affecting healing. Safety and thickness thresholds are respected.

Most results remain stable, but slight regression can occur after 10 years, especially with high corrections. Age-related changes (presbyopia/cataract) are independent of laser surgery.

It depends on the cornea: laser is often performed up to about –8 to –10D if the cornea allows it; beyond this, phakic implants (ICL) are considered. Only the workup determines the safe limit.

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