LASIK surgery was developed in 1990 by Lucio Buratto and Ioannis Pallikaris as a melding of two prior techniques, keratomileusis and photorefractive keratectomy. It quickly became popular because of its greater precision and lower frequency of problems in comparison with these former two techniques. These days, faster lasers, larger spot areas, bladeless flap incision, and wavefront-optimized and guided techniques have greatly improved the reliability of the procedure as compared to that of 1991. Nevertheless, the fundamental limitations of excimer lasers and undesirable destruction of the eye's nerves have spawned research into many alternatives to "plain" LASIK, including all-femtosecond correction (Femtosecond Lenticule EXtraction, FLIVC), LASEK, Epi-LASIK, wavefront-guided PRK, and modern intraocular lenses.
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You may be under treated or over treated. Only a certain percent of patients achieve 20/20 vision without glasses or contacts. You may require additional operation, but additional operation may not be possible. You may still need spectacles or contact lenses after treatment. This may be true even if you only required a very weak prescription before treatment. If you used reading glasses before surgery, you may still need reading glasses after operation.
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For some farsighted people, results may diminish with age. If you are farsighted, the level of improved vision you experience after procedure may decrease with age. This can occur if your manifest refraction (a sight exam with lenses before dilating drops) is very different from your cycloplegic refraction (a eye-sight exam with lenses after dilating drops).
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