Tag Archives: Keratoconjunctivitis sicca

Post LASIK Dry Eye Treatment

According to the Eagle Vision-Yankelovich poll, one out of every five U.S. residents suffer from Dry Eye Syndrome; that’s 59 million Americans!
Dry eye is the most common complication of LASIK.  In fact, about half of all LASIK patients will have dry eye after LASIK. While the condition is usually temporary and mild, significant numbers of people continue to suffer from dry eye for months or even years after the procedure.
Many people who have had LASIK  had a previously undiagnosed dry eye issue, and the procedure actually exacerbated the problem. For example, contact lens wearers who find their contact lenses uncomfortable due to dry eye, may investigate LASIK as an alternative (since they do not want to wear eyeglasses).  They then, regrettably, proceed to LASIK without proper dry eye treatment. Fortunately, pre-LASIK procedure screenings have advanced, and dry eye detection is now a condition that is hopefully detected in advance. However, there are still many, many post LASIK patients who experience dry eye.

Post LASIK Dry Eye Treatment

Dr. Irwin Azman O.D.

Dr. Irwin Azman O.D.

Dr. Irwin Azman, who has been in practice for over 30 years, specializes in post LASIK complications and side effects. Dr. Azman, a PRK patient himself, has been involved in refractive surgery for over 20 year and is always committed to staying updated on the latest, most advanced researcheducation and technologies. Dr. Azman utilizes his knowledge, experience, and expertise to provide his patients with treatments for post LASIK complications and side effects, without further surgical procedures. Each dry eye patient is different, and Dr. Azman utilizes his vast knowledge to customize a treatment program that is tailored for each individual patient.

Treatment for glare after LASIK

Many patients have undergone radial keratotomy (RK), LASIK, PRK and other refractive surgeries with significant success. However, unfortunately, there are many people out there who have even had the newest LASIK procedures, but are still experiencing post Lasik side effects such as glare, starbursts, loss of night vision, and dry eye.

Glare after Lasik

Glare after Lasik

What can be done for post LASIK, PRK, and radial keratotomy (RK) complications and side effects?

Some doctors will continue to recommend additional surgical procedures, which inevitably exacerbate the problem

With over 30 years of experience, Dr. Irwin Azman, a PRK patient himself, utilizes his expertise with the newest technology to resolve and treat side effects from post LASIK, radial keratotomy (RK), PRK and other refractive surgeries.

Contact Dr. Irwin Azman for a free consultation at (240) 782-2020 | www.lasikfailures.com

Treating LASIK Failures and LASIK Complications without further surgery!


LASIK (Photo credit: Wikipedia)

When people hear the term “laser eye surgery”, the first thing they think of is LASIK. However, most people are not aware that LASIK is not the only “laser eye surgery”. The other laser eye surgery options include PRK, LASEK, and IntraLase. Each of these optionshas an excellent safety record, and high success rates. These surgeries are intended to treat myopia (nearsightedness), hyperopia (farsightedness) and astigmatism, and, unbelievably, can allow you to lead a life without glasses or contact lenses.  Although severe LASIK complications and LASIK failures such as complete or partial loss of vision are extremely rare, many side effects can occur.

Like all other surgical procedures, there are potential risks and side effects. LASIK complications commonly include, glare, halo’s and other issues, which are delineated below. LASIK failures and LASIK complications can occasionally be resolved with additional surgery; however more surgery can exacerbate the symptoms.

LASIK Eye Surgery Risk Factors and Limitations

Not every patient is a candidate for LASIK. Specific health and eye conditions and anatomical factors can put you at an increased risk for LASIK complications and LASIK failures. These conditions include, thin or irregular corneas, large pupil size, your specific degree of refractive error, whether or not you suffer from dry eyes; your age, whether your vision is stable, whether you are pregnant, and if you have specific degenerative or autoimmune disorders.

Post LASIK Side Effects and Complications

Although LASIK eye surgery has been performed on millions of people in the United States, experienced LASIK surgeons report that serious complication rates can be held below one percent.  However, like any surgical procedures, there are potential risks and side effects. LASIK failures and LASIK complications commonly include, glare, halos, dryness, ghost images, star bursting, smeared images, loss of contrast, vision fluctuation, blurry vision, and double vision. LASIK failures and LASIK complications can occasionally be resolved with additional surgery, but often exacerbate the problem.

Vision disturbances: Halos, glare and starbursts in low vision, especially at night; dry eye symptoms; hazy vision; and reduced sharpness of vision.

Flap complications: One of the crucial steps in LASIK surgery is the creation of a thin hinged flap on the front surface of the cornea. In the course of the surgery the flap is lifted for the laser to reshape the cornea. The flap is then replaced and heals naturally. If the flap is not made correctly, it may fail to keep to the eye’s surface causing corneal striae. These LASIK flap complications can lead to an irregularly shaped cornea and cause distorted vision.

Other problems associated with LASIK flap complications include:

  • Irregular astigmatismCaused by an unequally curved corneal surface. Resulting symptoms may include double vision or “ghost images.”
  • Keratectasia or Keratoconus: Bulging of the cornea can occur when too much tissue is removed during the LASIK procedure. Or when the cornea, prior to LASIK is weak as evidenced from corneal topography mapping. Rarely does keratoconus develop after LASIK with no known risk factors.  Enhancement laser surgery is usually not suitable, and scleral contact lenses, gas permeable contact lenses or, corneal implants may be prescribed.

Left: Post LASIK uncorrected HOAs with starbursts at night.
Right: Corrected Post LASIK HOAs at night

Dry eyes after LASIK: LASIK surgery can cause a decrease in tear production and cause your eyes to feel scratchy and blurry. Almost half of all patients experience some degree of temporary dry eye syndrome. People who already have severe dry eye should have been eliminated as LASIK candidates.

Significant under-correction, overcorrection or regression. Not all patients will patients will receive 20/20 vision after LASIK eye surgery, and contact lenses or glasses for some or all activities may still be required. If the laser removes too much or too little corneal tissue, or you do not have typical healing, your best vision outcome can be less than optimal. Furthermore, if the laser removes tissue in an uneven manner or your eye heals unevenly, astigmatism can result.

LASIK Failures and LASIK Complications:



Incomplete corrections (under-correction, over-correction, residual astigmatism) or regression of effect

Blurry, less-than-perfect vision

Decentered ablations

Visual distortions & aberrations (HOA)

Oversize pupils

Visual distortions & aberrations (HOA)


Visual distortions & aberrations (HOA)

Irregular flap

Visual distortions & aberrations (HOA)

Dry eye

Dry, itchy or scratchy eyes.

Diffuse lamellar keratitis (eye inflammation)

Visual distortions & aberrations (HOA)

Dr. Irwin Azman has over 25 years of experience in the diagnosis and management of the Post LASIK patient with LASIK failures and LASIK complications. Dr. Azman utilizes non-surgical restoration techniques to restore quality vision to those who have lost it due to  LASIK failures and LASIK complications, R-K surgery, corneal transplant surgery, ocular trauma, dry eye and corneal disease. Together with his knowledge and experience, his team of technicians, new technologies in instrumentation and new treatment modalities, Dr. Azman is able to prescribe each LASIK failure patient with the perfect solution in resolving their LASIK complications, without any further surgical procedures.

Scleral Lenses: Post-Surgical Complications and Vision Loss


LASIK (Photo credit: Wikipedia)

 Post-Surgical Complications and Vision Loss:

Dr. Irwin Azman is one of the leading Pre and Post Lasik consultants with over 25 years of experience in the diagnosis and management of the Post Lasik patient with Lasik failure complications. Together with his knowledge and experience, his team of technicians, new technologies in instrumentation and new treatment modalities, Dr. Azman is able to prescribe each Lasik failure patient with the perfect solution in resolving his/her Post Lasik failure complications.

Post Lasik Treatments:

There are a number of specialized lenses now available that will allow post-surgical patients to function on a much higher level and with a much greater level of comfort. To address the vision and comfort issues that most post-refractive surgical patients are facing, Dr. Azman prescribes Post-Surgical Scleral Lenses.

Scleral contacts are large-diameter gas permeable contact lenses specially designed to vault over the entire corneal surface and rest on the “white” of the eye (sclera). In doing so, scleral lenses functionally replace the irregular cornea with a perfectly smooth optical surface to correct vision problems caused by Lasik failures, post-surgical complications, and other corneal irregularities.

Because scleral lenses are designed to vault the corneal surface and rest on the less sensitive surface of the sclera, these lenses often are more comfortable for a person with corneal irregularities. A special liquid fills the space between the back surface of the lens and the front surface of the cornea. This liquid acts as a buffer and protects the compromised corneal tissue. Scleral lenses are designed to fit with little or no lens movement during blinks, making them more stable on the eye, compared with traditional corneal gas permeable lenses. These lenses are almost always very comfortable and the vision provided by them is extremely good. The great majority of patients are able to wear their scleral lenses almost all of their waking hours without problems.

Dr. Irwin Azman prescribes scleral contact lenses for a variety of hard-to-fit eyes, including patients with Stevens-Johnson Syndrome, Radial Keratotomy and Lasik Complications, Keratoconus, Corneal Ectasia, Post-Surgical Vision Loss, and Pellucid Marginal Degeneration.

Dr. Irwin Azman neither avoids nor declines the challenge of prescribing the most difficult cases. Dr. Azman tends to have a perfectionist demeanor.