Frequently Asked Questions

Medical Conditions Questions


Q. Can you do anything for colour blindness with laser eye surgery?

A. Unfortunately there are no treatments that I am aware of that can cure colour blindness. The laser treatment that we provide is for the correction of short and long sightedness and astigmatism. We can still treat these for you if you are colour blind but you will still be colour blind following the treatment.


Q. I've an early developing cataract in my left eye, I wear lens in that eye of +8. How can you assist?

A. We carry out cataract surgery and can correct long sighted prescriptions up to +13.00.  Therefore, we can remove the cataract and replace it with an artificial lens that will match your refraction error and remove the need for the +8.00 lens.  Suitability and outcome of surgery will be determined with your treating surgeon, and we can assess your initial suitability at a free no obligation consultation.


Q. I wear glasses and I am diabetic. I wish to rid my glasses. How long before one needs another lance replacement? My diabetes is controlled and I am 67. How much will it cost?

A. The surgery provided is a permanent correction, so you should not require another lens replacement.  Please note that the result of surgery will remain the same, provided the eye remains in the same condition after surgery.  We can however, use laser eye surgery to enhance any results or remove any prescription change if necessary.  This will be free of charge. Provided you are not using insulin and have no signs of diabetic retinopathy or damage, surgery can be considered. The cost for surgery will depend on lens selection and complexity of prescription. The details of this are provided through our website and we will confirm this during a consultation.


Q. How much does lens replacement surgery cost please? Also I think I have blocked tear ducts (as my eyes keep watering ) can this be corrected at the same time? 

A. The cost for replacement lens surgery (Refractive Lens Exchange - RLE) depends on the type of lens required and the complexity of the prescription. Details of the different lenses and their cost are available on our website.  At consultation, we will assess suitability and confirm which lens selection is best, confirming the appropriate cost. We only specialise in refractive surgery, so do not offer any surgery options for blocked tear ducts.  You should speak with your optician or GP for a referral to see if anything can be done about this.


Q. I am a healthy female of 66. I have recently been diagnosed with Fuchs endothelial dystrophy. I am having trouble learning how to use contact lenses. Current glasses prescription is R-1.75 -1.00 130.0 +2.25 L -1.75 -0.50 90.0 +2.25. Am I suitable for Laser eye surgery or other treatments?

A. We would not consider laser eye surgery if you have been diagnosed with  Fuch's Dystrophy.  The only option we could consider is the Refractive Lens Exchange, provided the endothelial cell count is within considered limits, which we can assess at consultation.


Q. I wear soft lenses every day and my optician has said that I might have some slight (No Suggestions)/ might be at risk. Does this mean I'm not eligible for laser eye surgery?

A. If you are at any risk of developing or you have (No Suggestions) at any level, you are not suitable for laser eye surgery.  Keratoconus is caused by a weakened cornea.  Laser eye surgery will only weaken the cornea further and cause it to worsen.  If the (No Suggestions) is stable and the eye condition is suitable, we could perhaps consider you for Intraocular Lens surgery.  If the (No Suggestions) were to become progressive, we also offer corneal cross-linking to help strengthen the cornea and help prevent it from getting worse.


Q.  I had a mini stroke almost 3 years ago and have had no problems since then and I am very healthy. Would I be able to have laser eye surgery?

A. Yes, as long as your sight is not affected and is corrected well through glasses / lenses, we can still consider you for laser eye surgery.


Q. If one has AMD, can Lens Replacement still take place?

A. The answer to this question depends on surgeon / company preference. Optimax would not consider lens replacement surgery if you have AMD, unless you have developed cataracts as surgery would then be a medical requirement, rather than elective. Other companies / surgeons may still consider surgery as long as you understand that AMD is progressive and surgery will not affect this.


Q. I have physiological cupping in my eyes but do not suffer from glaucoma. Am I suitable for laser surgery?

A. Subject to outcome of consultation, provided there is no glaucoma, physiological cupping is not a contraindication so you can still be considered for laser eye surgery.


Q.  I have currently been diagnosed with the start of Keratoconus & have been told that I will not be able to continue wearing glasses as I need hard contact lenses to improve the shape of my eyes. Would laser surgery help me?

A. Laser eye surgery is not a suitable option with (No Suggestions).  The condition causes changes within the structure of the cornea making it thinner and structurally weaker which results in a bulging forward of the cornea.  The contact lenses you have been prescribed are designed to act as a strengthening to stabilise the cornea and prevent it from getting worse.  Laser eye surgery will only weaken the cornea further. We would instead recommend a treatment called Corneal Cross-Linking (CCL) as it is designed to help strengthen the cornea and prevent the condition from worsening.  Suitability is still required but with surgery it could remove the use of the contacts and allow you to go back to wearing glasses.  Please be aware that this is a preventative surgery and will not offer a cure to remove the use of glasses.  Consultation and treatment is currently only available in our London Finchley Road clinic.


Q. Can you please advise if a Strabismus esotropia can be straightened or rectified?

A. It is not something that can be directly corrected using laser eye surgery or intra-ocular lens surgery.  We do not offer any other kind of surgery so cannot advise on what other possible options may be available.


Q. Do you treat macula degeneration?

A. We do not offer IOL treatment for Macular Degeneration.  We specialise in refraction correction only to remove the need for glasses due to long or short sight.


Q.  I have been given HYLO eyes because my eyes cry a lot, will this make a difference?

A. The drops themselves are fine as they are non preservative lubrication eye drops but the dry eye condition you use them for could be a problem.  We will assess everything at consultation including dry eyes and if the condition is severe or increases the risk of surgery then we may refuse treatment.  We could consider alternative options through Intra-Ocular Lens surgery but again this would also depend on eye condition.


Q. My father has Glaucoma. I do not. I am considering eye laser surgery to correct my short sightedness. However, I understand that there is a greater possibly of me developing glaucoma at some stage that a person who has no history of glaucoma in the family. If I have eye laser surgery and develop glaucoma at a later stage, would the fact that I have had eye laser surgery cause any added complications to the treatment of glaucoma should I develop it

A. Having had laser eye surgery would not add any additional complication to the treatment of glaucoma, should you develop it.  The biggest factor to consider when having laser eye surgery and the possibility of developing glaucoma in the future is that laser eye surgery alters the corneal thickness at the front of the eye.  This change in thickness will have an effect on measuring the intra-ocular pressure (IOP) inside the eye and would generally lower the pressure readings.  If you see a glaucoma specialist they should have alternative tests to look at all aspects of the eye, optic nerve, disc damage, visual field tests, etc. which should help them diagnose glaucoma but you must let your specialist or consultant know that you have had surgery so they can take this into account.


Q. Can I have the treatment while taking warfarin?

A. This should be fine and we can confirm suitability with you at the Consultation stage. It is likely that we can offer you the LASEK Surgery subject to your prescription and Corneal measurements.


Q. I am taking salazopyrin and methotrexate for rheumatoid arthritis, can my eyes still be corrected?

A. As you have Rheumatoid Arthritis unfortunately you would not be suitable for Laser Eye Surgery.


Q.  I would like to have LASIK eye surgery but I have keloid scarring. Would I be able to have the treatment?

A. We will be able to offer you treatment with the keloid scarring but you will be limited on choices. You will not be able to have the Lasek treatment. You will only be able to have the Lasik with Intralase and this will be decided on your suitability depending on your prescription. If you send me your prescription I can give advise you on your suitability.


Q. I am epileptic. I take 500mg of epilim daily (i.e. 3 tablets per day). I only suffer mild nocturnal epilepsy and as such have only had 7 attacks in 44 years - of course all when I am asleep. Can I still be considered?

A. Providing that you haven't had a seizure within the last 2 years then you can be considered for Laser surgery. Your definite suitability will depend on a consultation so that we can fully test and screen your eyes; checking your prescription and the general health of your eyes in regards to the thickness of your cornea and the width of your pupils.


Q.  I am short sighted and my eyes shake from side to side, can I still have laser eye surgery?

A. Unfortunately you wouldn't be suitable for Laser treatment. The eye needs to be kept exceptionally still during the procedure otherwise the tracker that we use to follow the eye will shut down the Lasers at the slightest movement.


Q. I had an operation to remove a brain tumour last march. A crumb was left in the area of the right optic nerve. I have since had double vision due to nerve damage in that area. I have partial right third fourth and sixth nerve palsy. The NHS say that they have no operation or treatment to help me. Please could you tell me if you would be able to treat me and if so how much it would it cost?

A. I am sorry but Optimax do not have any treatments available that will suit this.