• It’s been a few months since I don’t tolerate contact lenses any more, but I don’t want to wear glasses, also because of my sports activities. Can I undergo a refractive surgery?

      • In order to give you an answer on the safe feasibility of a refractive surgery, it is necessary to proceed with focused tests and exclude potential risks. To go ahead with the pre-operative examination it is necessary to suspend wearing contact lenses at least 15 days earlier.
    • I heard about a new laser which is supposed to make refractive surgery safer and more precise. What is it about?

      • It is the Femtosecond laser. This laser has great potentialities in the ophthalmic field, because it replaces the mechanical equipment formerly used, increasing the surgery precision and reducing the operation risk.
    • How long does the operation take?

      • Usually the operation takes from 5 to 7 minutes per treatment (per eye). The difference in time is caused by the technique performed and by the vision disorder to cure.
    • Which are the potential side-effects?

      • Not suitability of the eye to undergo these treatments, eye pathologies and strabismus. Each patient has to follow a pre-operative examination and in most cases it is possible to go ahead with the surgery after an appropriate treatment.
    • Is everyone suitable for the refractive surgery?

      • Pre-operative examination is necessary even if the patient’s eyes are in good health: map of the cornea, corneal thickness, etc to guarantee the suitability for the treatment.The international guidelines are detailed and strict, and clearly describe the functional and anatomical parameters that an eye needs to be suitable for the treatment.
    • Is it possible to have any guarantee on the results?

      • In most cases, the operation completely succeeds. Thanks to the latest equipment and to the most advanced expertise, the risks of a partial negative result are extremely low. However it is possible to carry out a second treatment.
    • Is it possible to cure any vision disorder?

      • Potentially all the vision disorders can be cured. The differences and the potential non-suitability depend on the seriousness of the vision disorder in relation to the structure of the eye that has to be treated.
    • Can patient’s sudden movements compromise the operation?

      • Modern lasers are equipped with a new technology called eye tracking system, which can follow the eye movements during the operation. This technology optimises the ablation and prevents the treatment from beingnot perfectly centred, cancelling the potential errors due toa bad cooperation of the patient.
    • Is the operation performed under general anaesthetic?

      • No, a local anaesthetic is sufficient: a few drops of an anaesthetic eye-drop.
    • Will the operation be painful?

      • No, it won’t. The patient will feel just a slight pressure on the eye during the first stage of the treatment, but no pain at all.
    • Is the operation unilateral?

      • The operation can be both unilateralor bilateral. The surgeon decides it case by case to optimise time and results.
    • Will I have any difficulty to see at night-time?

      • This is a problem we noticed in the past. Nowadays the lasers and the technologies have extremely improved and the patients that notice this kind of problem are a very low percentage.
    • How long does it take to go back to work, sport and study?

      • The Femtosecond laser technique allows to go back to your everyday activities even the day after the operation. Driving is possible as well, without wearingglasses or contact lenses. Sports activities are possible too, except for particular sports that involve physical contact (boxing, judo, rugby or other sports that involve violent impacts). It will be possible to go back to these particular sports approximately 2 months after the operation, after the authorization of your ophthalmologist. Swimming must be suspended for approximately 1 month for hygienic reasons.
    • Is there any alternative solution to the laser?

      • There is a variety of solutions that doesn’t involve the use of the laser: the main option is the implant of intraocular lenses called phakic, a reversible technique recommended in case of serious myopia that cannot be treated with the laser.
    • Does the treatment increase the risk of eye pathologies?

      • The treatment does not increase in any way the risks for your eyes health. There are international guidelines that specify when and how it is possible to treat an eye without compromising its efficiency and health.
    • When can cataract be operated?

      • When the opacification of the crystalline lens affects the activities of your everyday life, such as reading, driving, painting, watching TV, etc. Doctors and surgeons no longer think that cataract has to be operated when it is “mature”.
    • Is the operation painful?

      • Absolutely not. Just a few drops of an anaesthetic eye-drop are enough to face this operation without feeling any pain.
    • Is the operation performedwith a laser?

      • Nowadays the operation is performedwith ultrasound waves, even though the femtosecond laser is now starting to be used. However it is just complementary to the ultrasound technology.
    • Will I need glasses again after the operation?

      • It depends on the kind of artificial lens that will be implanted. There are monofocal lenses (optimising your sight in the distance), or multifocal lenses (to improve your vision in the distance and near), as well as lenses that correct astigmatism.
    • Is it necessary to replace the artificial lens with a new one after some years have passed since the operation?

      • No, once the lens has been implanted, it lasts indefinitely and it is not necessary to replace it.
    • How long should I wait to have new glasses prescribed, either resting glasses or corrective glasses to see in the distance and near?

      • You should wait at least one month before you can prescribe new glasses, in order to let your eyes settle after the operation.
    • Is there any other less invasive optionthan the corneal transplantation?

      • The corneal transplantation is the only option when keratoconus is at the worst stages. At the early stages, or when the visual acuity is not seriously damaged yet, it is possible to proceed with a new laser technique called corneal cross-linking. This treatment consists in the application of a riboflavin solution to the eye which is activated after approximately 30 minutes by illumination, that changes its structure. This change that happens inside the corneal tissue strengthens it, preventing it from further deformations.
    • Can the corneal cross-linking cure astigmatism caused by keratoconus?

      • The corneal cross-linking’s first goal is to stop keratoconus progression. However we can observe in many people a decrease and regularisationof the astigmatism.
    • Will I need glasses again after the treatment?

      • Generally astigmatism decrease is not adequate to eliminate the use of glasses, anyway it is possible to cure this disorder with corneal lenses. In effect these lenses are better tolerated after corneal cross-linking.
    • Is corneal cross-linking painful?

      • In the case of this procedure, using the femtosecond laser, the post-operativephase is completely painless.
        In the case of the traditional procedure, where the corneal epithelium is removed before the application of the riboflavin solution, the surgery is painless. In the following 2 or 3 days, your eye may feel a bit uncomfortable and sensitive to the light, because of the healing period of the corneal epithelium.
    • When will I realise if the treatment has been successful?

      • The results of the corneal cross-linking treatment are not immediate, but they start to appear 2 or 3 months afterthe operation.
    • In case of a partial negative result, could my visual acuity get worse?

      • Absolutely not. Your condition would be unchanged or just slightly improved.
    • Is it possible to repeat the treatment to refine the results?

      • Yes, it is. Without any problem.
    • Does the corneal cross-linking compromise a potential corneal transplantation in case the keratoconus would worsen?

      • No, there are no side-effects. It is possible to carry out corneal transplantation even if the eye has been previously treated with corneal cross-linking, without any further risk.
    • Can strabismus surgery endanger eyesight?

      • Absolutely not. The operation is performed outside the eye and it does not endanger its efficiency.
    • Will I wear glasses again after the operation?

      • If corrective measures are necessary before the operation, they will be necessary after the surgery as well. The operation does not condition in any way the dioptre of the vision disorder.
    • Is the operation performed with the laser?

      • No, it is a surgical operation performed with the traditional technique.
    • How long does it take to go back to my everyday activities?

      • Generally you will need three or four days of rest. However, this period varies a lot from person to person, depending on the seriousness of the operation and on the personal reactivity.
    • If an angle of strabismus will persist even after the surgery, is it possible to undergo a second operation?

      • Usually it is necessary to plan several operations to correct the misalignment of the eyes, therefore it is always possible to undergo several surgeries.