Laser-Augenoperation (LASIK/PRK) Risiken: Was Sie vor der Entscheidung wissen müssen

Laser vision correction (LASIK, PRK, SMILE) has an excellent safety profile—>95% patient satisfaction—but risks exist. Discuss these with your ophthalmologist:

• Under/overcorrection – Residual refractive error; may require enhancement (typically after 3–6 months stabilization).
• Dry eye syndrome – Very common early (1–3 months); usually temporary. Managed with preservative-free tears, punctal plugs, cyclosporine. Higher risk with pre-existing dry eye, age >40, high myopia.
• Glare, halos, starbursts – Night vision symptoms; typically resolve within 3–6 months as neural adaptation occurs.
• Corneal ectasia – Progressive corneal thinning/steepening; rare (<0.2%). Risk factors: thin corneas, high myopia, forme fruste keratoconus, excessive tissue removal. Screening (topography, pachymetry, biomechanics) is critical.
• Flap complications (LASIK) – Dislocation, striae, epithelial ingrowth, diffuse lamellar keratitis (DLK). Rare with femtosecond lasers.
• Retinal detachment – Very rare; myopic eyes at higher baseline risk.
• Infection (infectious keratitis) – <0.01%; prophylaxis with topical antibiotics.

Candidacy screening (corneal thickness, topography, tear film, pupil size, refractive stability) is the primary risk mitigator. Choose a fellowship-trained corneal/refractive surgeon with high volume and transparent outcomes.