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Revision surgery is not a procedure that simply restores 1.0 (20/20) vision.
The cause of the decline must be found and treated with a tailored plan.
Declining vision can be more than the inconvenience of needing glasses again;
it may be caused by a serious, hidden side effect.
The symptoms and their cause must be identified precisely and treated accordingly,
and the timing of surgery should not be decided hastily.
GANGNAM CENTRAL EYE CLINIC
“We do not rush into revision surgery.”
Did you know that excessive dry eye can cause decreased vision?
You may not notice it yourself, but severe dry eye or an eye disease can make your vision feel
as if it is slowly getting worse. Some patients take this for regression and come to us having already decided on surgery,
but at Gangnam Central Eye Clinic we treat the cause first and recommend surgery only when it is needed.

Many patients regain vision through treatment before surgery,
and if regression is still progressing, it may be better to wait.
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Each person has an optimal time for surgery. We find that timing.

GANGNAM CENTRAL EYE CLINIC
Detailed Fundus Examination for Revision Surgery

Vision Testing

· Visual function testing
· Best-corrected visual acuity (BCVA)
· Uncorrected visual acuity (UCVA)
· Near vision testing

Glare & Halo Testing

· Daytime pupil size
· Nighttime pupil size
· Higher-order aberrations test

Corneal Testing

· Anterior/posterior corneal shape assessment
· Residual corneal thickness measurement
· Corneal flap thickness measurement
· Corneal biomechanics assessment
· Higher-order aberration analysis

Dry Eye Testing

· Tear secretion test
· Tear film break-up time (TBUT)
· Conjunctival disease evaluation
· Corneal disease evaluation

Retinal Testing

· Lens transparency assessment
· Axial length measurement
· Lens refractive power measurement
· Fundus photography and optic nerve OCT
· Contact and non-contact intraocular pressure (IOP) measurement

FAQ

LASIK · LASEK Revision Surgery: Frequently Asked Questions

Will revision surgery give me 1.0 (20/20) vision?

Revision surgery is not a procedure that simply restores 1.0 (20/20) vision. We first find the cause of the decline and treat it accordingly; when correction becomes necessary, we decide the method then. We do not promise a specific level of vision.

I had LASIK. Do you lift the flap again?

We do not. At Gangnam Central Eye Clinic, even revision surgery for patients who had LASIK is performed using the surface-ablating LASEK approach.

Can SMILE LASIK be revised as well?

It depends on residual corneal thickness and the cause of the decreased vision. Because the procedure does not create a corneal flap, the method is determined after reviewing the test results, and we cannot say whether it is possible without an examination.

I had surgery at another clinic. Can I consult with you?

Yes. We start with testing. After checking residual corneal thickness and corneal shape, and identifying the cause of the decreased vision, we let you know whether another surgery is possible.

Can I get just the tests?

Revision consultation begins with testing. We measure in five categories and review the results with you. We cannot determine candidacy before reviewing the results.

If my cornea is thin, does that mean revision surgery isn't possible?

It means we do not recommend re-ablating. There is an option of placing a lens inside the eye without further corneal ablation; we review this together based on your measurements.

What are the conditions for revision surgery?

Whether revision surgery is possible, and on what conditions, is explained at your consultation.

Can I undergo vision-correction revision surgery right away?

Not automatically. If dry eye or an eye disease is the cause, we treat that first.

I had LASEK. Is the revision method different?

No. For those who had LASEK, revision is performed in the same way, and the criteria for decision-making are the same as for LASIK revision.

My surgery was recent. Can we decide now?

It is premature to decide before refraction stabilizes. We check at 1 month to see if refraction has stabilized, and wait until the 3-month examination before discussing. If the decrease in vision is ongoing, it may be better to wait longer.

I don't have my surgical records. Is that okay?

Records help us decide more quickly, but even without them there are items we can verify by examination. We measure your current eyes to check residual corneal thickness, the curvature difference between the ablated zone and normal cornea, and corneal flap thickness.

Do you also treat patients who had surgery at another clinic?

Whether revision surgery is possible, and on what conditions, is explained at your consultation. If your first surgery was done at another clinic, we review your records and examination results at the consultation.

When is a good time to have surgery?

If regression is still progressing, it may be better to wait longer. Everyone has an optimal time; we determine it after testing confirms whether the progression has stopped.

Can anyone have revision surgery?

No. We assess feasibility by examining residual corneal thickness and shape, the cause of decreased vision, and the ablation range from the first surgery. If testing indicates it is not suitable, we do not recommend revision. We cannot state feasibility without test results.

How is revision surgery performed?

At our clinic, we proceed with the LASEK method. However, depending on the residual corneal thickness and the prior ablation range, we may advise differently; the method is determined after reviewing the test results.

I don't remember which surgery I had.

Our testing includes corneal flap thickness, so we can tell whether a flap was created in the first surgery. Even just telling us roughly when it was done is helpful.

What do you check first in the examination?

We first determine whether the decreased vision is due to myopic regression, a retina/optic nerve problem, or early cataract. If the cause differs, the evaluation and treatment plan that follow change entirely.

Is thickness all you look at?

Thickness is the first hurdle, but not the only one. We also look at the laser treatment zone and centration from the first surgery, and the curvature difference between the treated area and the untreated cornea.

Is there a time limit for revision surgery?

Whether revision surgery is possible is judged on its own, based on the remaining corneal thickness and the cause of the decline in vision. The conditions are explained at your consultation.

What tests are done in a vision-correction revision consultation?

Testing is done in five categories: vision, glare and halos, cornea, dry eye, and retina.

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