Overview treatments - REALEYES München

Overview of treatments

For your best possible treatment we offer the complete range of refractive surgery

Overview of refractive surgery

Many options for a life free of glasses

Laser eye treatment and lens surgery

Refractive surgery means treatments which correct refractive errors for a life without glasses or contact lenses. Basically, we distinguish refractive laser eye surgery (cornea) and refractive lens surgery. Both procedures are available at REALEYES.

Preliminary examination

The following information allows a rough self-assessment about whether you are a candidate for the two procedures. Only a detailed preliminary examination will definitely determine your individual treatment.

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Which procedure is right for me?

Femto-LASIK/
LASIK

Myopia:
Up to -10 dpt*

Hyperopia:
Up to +3 dpt*

Astigmatism:
Up to 5 dpt

Presbyopia:
Not treatable

* dependent on corneal thickness

LASEK/PRK/
Epi-LASIK

Myopia:
Up to -6 dpt

Hyperopia:
Not treatable

Astigmatism:
Up to 3 dpt

Presbyopia:
Not treatable

e. g. for very thin cornea. With its quick mechanical recovery these procedures are a good option for athletes who predispose to flap trauma.

Refractive
lens implant

Myopia:
Up to -20 dpt

Hyperopia:
Up to +10 dpt

Astigmatism:
Up to 6 dpt

Presbyopia:
Not treatable

For high diopter values and for patients younger than 40 to 45 years

Refractive laser lens replacement

Myopia:
No limits

Hyperopia:
No limits

Astigmatism:
Up to 12 dpt

Presbyopia:
Treatable

Refractive errors in combination with presbyopia and for patients older than 40 to 45 years

Indications and contraindications

Unfortunately, not everyone with poor eyesight who is within the range of correctable refraction can actually be treated. Concerning the relevant exclusion criteria we distinguish hard and soft contraindications. Hard contraindications mean definite exclusion, while for soft contraindications (e. g. poor general health, other diseases like rheumatism, allergies, diabetes, retinal changes etc.) an individual decision pro surgery may still be made.

  • Sufficient corneal thickness
  • Stable refraction (for at least one year)
  • Minimum age: 18
  • Glasses/contact lens intolerance or allergy to contact lenses solution
  • Appropriate pupil size
  • Eye health
  • Good general health
  • Corneal diseases (e. g. Keratoconus, degenerations)
  • Distinct eye diseases (e. g. proliferative diabetic retinopathy, advanced glaucoma or cataract)
  • Corneal thickness less than 480 microns
  • Unstable refraction (increasing diopter values)
  • Age: under 18 (eye still growing)
  • Pregnancy, lactation
  • Extremely dilated pupils
  • Sufficient corneal thickness
  • Stable refraction (for at least one year)
  • Minimum age: 18
  • Glasses/contact lens intolerance or allergy to contact lenses solution
  • Appropriate pupil size
  • Eye health
  • Good general health
  • Corneal diseases (e. g. Keratoconus, degenerations)
  • Distinct eye diseases (e. g. proliferative diabetic retinopathy, advanced glaucoma or cataract)
  • Corneal thickness less than 480 microns
  • Unstable refraction (increasing diopter values)
  • Age: under 18 (eye still growing)
  • Pregnancy, lactation
  • Extremely dilated pupils
  • Stable refraction (for at least one year)
  • Age: over 18 under 40 to 45
  • Appropriate pupil size
  • Sufficiently deep anterior chamber
  • Eye health
  • Good general health
  • Corneal diseases (e. g. Keratoconus, degenerations)
  • Distinct eye diseases (e. g. proliferative diabetic retinopathy, advanced glaucoma or cataract)
  • Unstable refraction (increasing diopter values)
  • Age: under 18, over 40 to 45
  • Pregnancy, lactation
  • Extremely dilated pupils
  • Insufficient endothelial tissue of the cornea
  • Insufficient anterior chamber depth
  • Stable refraction (for at least one year)
  • Age: over 40 to 45
  • Appropriate pupil size
  • Eye health
  • Good general health
  • Corneal diseases (e. g. Keratoconus, degenerations)
  • Distinct eye diseases (e. g. proliferative diabetic retinopathy, advanced glaucoma or cataract)
  • Unstable refraction (increasing diopter values)
  • Age: under 40 to 45
  • Pregnancy, lactation
  • Extremely dilated pupils