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What Is Thin Cornea? Causes, Symptoms, and Eye Care Tips

A thin cornea refers to a condition where the cornea—the clear, dome-shaped front layer of the eye—has a thickness lower than normal, which can affect vision and overall eye health. This condition may result from various causes such as natural aging, frequent eye rubbing, genetic disorders, or side effects from eye surgeries like LASIK. Common symptoms include blurry vision, frequent changes in prescription, distorted images, and unusually high astigmatism.   Understanding the Cornea The cornea is the transparent, curved layer covering the front part of the eye. It helps focus light into the eye for clear vision and serves as a protective barrier against dust and germs. Normally, corneal thickness ranges between 520–550 microns, but it may thin with age.   What Is a Thin Cornea? A thin cornea is typically defined as a corneal thickness of less than 500 microns (0.5 mm). It is not necessarily a disease and often requires no treatment. However, thin corneas can affect certain diagnoses—such as glaucoma—since intraocular pressure readings may appear lower than actual values. Corneal thickness also plays an important role in refractive surgery decisions. For example, patients with thin corneas and high refractive errors (nearsightedness or astigmatism) may not be ideal candidates for LASIK, as the remaining corneal tissue after surgery might be too thin. This could increase the risk of complications like keratoconus or corneal ectasia. In such cases, ophthalmologists may recommend alternative procedures such as PRK, ICL, FemtoLASIK, ReLEx SMILE Pro, or NanoLASIK, which preserve more corneal tissue. Therefore, detailed corneal thickness assessment is essential before undergoing LASIK to ensure safe and effective outcomes.   Does Wearing Contact Lenses Cause Thinning of the Cornea? Generally, wearing contact lenses correctly does not thin the cornea. However, prolonged use without proper cleaning or rest may lead to oxygen deprivation or corneal infections, which can gradually weaken or thin corneal tissue.   Causes of Thin Cornea There are several factors that can lead to corneal thinning: 1. Genetic Conditions Keratoconus: The most common cause, where the cornea gradually thins and bulges outward into a cone shape, leading to irregular astigmatism and blurred vision. It usually appears during the teenage years to early adulthood. Corneal Dystrophies: Such as Pellucid Marginal Degeneration (PMD), where thinning occurs in the lower peripheral cornea. 2. Eye Surgery or Injury Procedures like LASIK or PRK can thin the cornea, especially if excessive corneal tissue is removed. Repeated eye injuries or untreated infections (e.g., corneal ulcers, keratitis) can also cause thinning due to tissue damage. 3. Systemic Diseases and Medication Autoimmune diseases such as Rheumatoid Arthritis or SLE can cause chronic inflammation, leading to corneal thinning.Long-term use of steroid eye drops may also weaken corneal tissue over time.   Symptoms of Thin Cornea Corneal thinning often progresses slowly and may not show early signs. Key symptoms include: Blurry or distorted vision Frequent changes in prescription High or irregular astigmatism Difficulty focusing or double vision   Diagnosis Thin cornea is often detected during pre-LASIK evaluations.Eye doctors use devices like: Keratometer: Measures corneal curvature and astigmatism. Corneal Topography: Creates a detailed map of corneal thickness and shape. Tomographic Biomechanical Index (TBI): Evaluates corneal strength and risk of ectasia. While early symptoms can hint at the condition, only a comprehensive eye exam by an ophthalmologist can confirm it.   Summary Thin cornea is a silent condition that can significantly impact vision if left untreated. Early detection—especially before refractive surgery—is crucial.At Bangkok Eye Hospital, advanced diagnostic tools and experienced specialists ensure accurate corneal thickness evaluation and personalized treatment planning to maintain long-term eye health.     FAQ: Frequently Asked Questions About Thin Cornea 1. Can corneal thickness be increased?No, corneal thickness cannot naturally increase as it is determined by the cornea’s internal structure. 2. What happens if thin cornea is left untreated?It may lead to worsening blurred vision, irregular astigmatism, or even corneal ectasia. In severe cases, acute hydrops or corneal perforation may occur, leading to permanent vision loss if untreated. 3. Can thin cornea be prevented?Yes — by avoiding vigorous eye rubbing, maintaining good eye hygiene, limiting contact lens wear time, and having regular eye checkups, especially if there is a family history of corneal diseases.
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Laser Vision LASIK Center

LASIK: What is it? Procedure, Benefits, and Post-Operative Care

Introduction LASIK (Laser-Assisted in Situ Keratomileusis) is a popular and effective refractive eye surgery designed to correct vision problems such as nearsightedness, farsightedness, and astigmatism. This procedure reshapes the cornea using laser technology, allowing light to focus properly on the retina, resulting in clearer vision. LASIK is a life-changing solution for those who wish to reduce or eliminate their dependence on glasses or contact lenses. What is LASIK? LASIK is a minimally invasive surgical procedure that corrects refractive errors by reshaping the cornea with precision laser technology. It is one of the most commonly performed vision correction procedures worldwide due to its high success rate and quick recovery time. Who is a Candidate for LASIK? Candidates for LASIK should meet the following criteria: Be at least 18 years old Have stable vision for at least one year Have healthy corneas with sufficient thickness Not have severe dry eyes or other significant eye conditions Not be pregnant or breastfeeding The LASIK Procedure The LASIK procedure typically takes less than 30 minutes and involves the following steps: 1. Pre-Surgical Evaluation Before the procedure, the ophthalmologist performs a comprehensive eye exam to assess corneal thickness, pupil size, and overall eye health. This ensures that LASIK is the right option for the patient. 2. Creating the Corneal Flap A femtosecond laser or a microkeratome is used to create a thin flap on the cornea. This flap is then lifted to allow access to the underlying corneal tissue. 3. Reshaping the Cornea An excimer laser precisely removes a small amount of corneal tissue to correct the refractive error. The laser reshapes the cornea based on the patient's prescription. 4. Repositioning the Flap Once the reshaping is complete, the corneal flap is carefully placed back into position, where it naturally adheres without the need for stitches. Benefits of LASIK Surgery LASIK offers numerous advantages, including: Improved Vision – Most patients achieve 20/20 vision or better. Quick Recovery – Patients often experience clearer vision within 24 hours. Minimal Discomfort – The procedure is virtually painless, with only mild discomfort during recovery. Long-Term Results – Vision correction is usually permanent, with minimal chances of regression. Reduced Dependence on Glasses or Contacts – Many patients no longer need corrective eyewear after LASIK. Post-Operative Care and Recovery 1. Immediate Aftercare Patients may experience mild irritation or sensitivity to light for a few hours. It is essential to rest the eyes and avoid rubbing them. 2. First Few Days Use prescribed eye drops to prevent infection and reduce inflammation. Avoid swimming, hot tubs, and dusty environments to prevent complications. 3. Long-Term Care Attend follow-up visits as scheduled by the doctor. Wear protective sunglasses to shield the eyes from UV rays. Avoid strenuous activities and eye strain for at least a few weeks. Why Choose Bangkok Eye Hospital for LASIK? Experienced LASIK Surgeons Our highly skilled ophthalmologists have extensive experience in performing LASIK procedures with high success rates. Advanced Laser Technology We utilize the latest laser technology, ensuring precision, safety, and optimal results for every patient. Comprehensive Pre- and Post-Surgical Care We provide thorough pre-surgical assessments and personalized post-operative care to maximize the effectiveness of the treatment. Appointment, Costs, and Insurance Coverage Booking an Appointment Patients can schedule a consultation through our website or by calling our hospital hotline. Online appointment booking is available for convenience. LASIK Costs The cost of LASIK depends on the type of procedure and technology used. Flexible payment options are available to accommodate patient needs. Insurance and Coverage Most insurance plans do not cover LASIK, as it is considered an elective procedure. Our staff can assist patients in understanding their financing options. FAQ 1. Is LASIK painful? No, LASIK is performed under numbing eye drops, so patients only feel mild pressure but no pain. 2. How long does the LASIK procedure take? The actual laser correction takes only a few minutes per eye, with the entire procedure lasting about 15-30 minutes. 3. How soon can I return to work after LASIK? Most patients can resume work within 24-48 hours, depending on their comfort level and occupation. 4. Are there risks associated with LASIK? Complications are rare but can include dry eyes, glare, halos, or night vision difficulties. Most side effects resolve over time. 5. Can LASIK permanently correct vision? Yes, LASIK results are typically long-lasting. However, natural aging may still affect vision over time, requiring reading glasses later in life.
Laser Vision LASIK Center

Can Reading Vision (Presbyopia) Be Corrected After LASIK for Nearsightedness (Myopia)?

Can Reading Vision (Presbyopia) Be Corrected After LASIK for Nearsightedness (Myopia)? Presbyopia is a common vision condition that typically becomes more noticeable with age. It results from changes in the eye's lens and ciliary muscles, making it challenging to focus on close-up objects.   For individuals who have previously undergone LASIK to correct short-sightedness (myopia) and later develop Presbyopia, there are options for correction.   NV LASIK for Presbyopia: NV LASIK is a surgical procedure that can enhance vision for both near and distant objects. It can be an effective solution for individuals experiencing Presbyopia after LASIK for myopia. The procedure can provide clear vision in one eye for near vision and the other for distance vision. This approach addresses the change in vision due to aging, which affects the eye's ability to focus on nearby objects. The duration of the effect can vary from 3 to 5 years, depending on individual eye conditions. Refractive Lens Exchange (RLE) for Presbyopia: RLE is another option to correct Presbyopia after LASIK for myopia. This surgical procedure involves removing the eye's natural lens and replacing it with an artificial lens. By replacing the lens, the eye's focusing power can be adjusted to correct hyperopia.   It's important to note that there can be misconceptions about presbyopia and how it interacts with other refractive errors. For example, some individuals believe that myopia will revert to normal vision as they age.  In summary, it is possible to treat presbyopia after LASIK for myopia using surgical procedures like NV LASIK or RLE, depending on the individual's specific condition and needs. These treatments can help individuals achieve clear vision for both near and distant objects.   ** In reality, presbyopia is a separate condition that results from changes in the eye, particularly the weakening of the eye's focusing muscles. While it might improve near vision slightly, it doesn't restore normal vision.   **For individuals who have presbyopia alongside uncorrected short-sightedness, this can lead to difficulties with both near and distant vision, especially as they reach their 40s. In such cases, it's essential to consult with an eye specialist to explore corrective options.
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