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Dry eye excluded."},"contraindications":["Unstable refraction (prescription change within the past year)","Keratoconus or other corneal ectasia, or suspicious topography","Cornea too thin for planned correction","Active eye infection or inflammation (e.g., keratitis, uveitis)","Severe uncontrolled dry eye","Pregnancy or breastfeeding (refraction may be unstable)","Uncontrolled autoimmune or connective tissue disease","Uncontrolled glaucoma or advanced retinal disease","Refractive error outside the treatable range"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Planned outpatient day case for both eyes under topical anesthesia; no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":4,"unit":"weeks","qualifier":"Light exercise at about 1 week if cleared; contact, ball and water sports after about 4 weeks with clearance."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Vision usually clear within 1-2 days; refraction and dry-eye symptoms stabilize over weeks to a few months."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Fly after the 1-2 day check confirms healing and travel is cleared. Later reviews are done locally."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":2,"unit":"days","qualifier":"Day-after check of flap, vision and eye pressure."}},{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Check of healing and visual acuity."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":120,"unit":"days","qualifier":"Refraction stability and dry-eye review about 1-4 months after surgery (30-120 days)."}}],"indications":["Myopia","Hyperopia","Astigmatism"],"main_risks":["Dry eye","Glare, halos and night-vision disturbance","Under- or overcorrection requiring enhancement","Flap complications (displaced flap, striae, epithelial ingrowth)","Corneal ectasia (rare)","Infection or diffuse lamellar keratitis (rare)","Loss of best-corrected vision (rare)"],"pain":"Minimal during surgery with numbing drops (pressure sensation); mild burning, grittiness or light sensitivity for several hours afterward, usually easing within 24 hours.","preparation":["Eye exam: topography, pachymetry, pupil size, refraction","Stop contact lenses as clinic advises (soft vs rigid differ)","No eye makeup, lotions or perfume on surgery day","Arrange transport home","Discuss expectations, risks and alternatives like PRK or lens surgery","Follow clinic medication and eating instructions"],"recovery_timeline":[{"phase":"Day of surgery","description":"Both eyes treated as an outpatient; rest at home with eyes closed for some hours. Burning, tearing, light sensitivity and blurry vision are common.","restrictions":["No eye rubbing","Wear protective shields while sleeping as instructed","Use prescribed antibiotic/steroid and lubricating drops","No driving until cleared"]},{"phase":"Days 1-7","description":"Vision usually improves by the next day. Daily activity and desk work often resume within 1-3 days. Mild dryness and fluctuating vision are common.","restrictions":["No eye makeup or lotions near the eyes","No swimming, hot tubs or saunas","Avoid dusty environments","Avoid strenuous exercise"]},{"phase":"Weeks 1-4","description":"Light exercise (e.g., jogging, gym without heavy straining) can resume after about 1 week if the surgeon agrees. Dryness and night-vision symptoms gradually settle.","restrictions":["No contact, ball, martial arts or water sports until cleared","Continue lubricating drops"]},{"phase":"1-4 months","description":"Refraction and dry-eye symptoms stabilize. Scheduled result review at about 1-4 months, with enhancement considered only if needed and the cornea allows.","restrictions":["Protective eyewear for sports with eye-injury risk until cleared"]},{"phase":"At any time","description":"Seek urgent eye assessment for worsening pain, sudden vision loss, increasing redness, discharge or trauma. Flap displacement is a concern early on.","restrictions":["Do not wait for the next scheduled review"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Return to light activity or desk work in 1-3 days. Dryness may last longer; rubbing, swimming and contact-sport restrictions continue."},"result_longevity":"Corrected refraction is generally long-lasting, but age-related changes such as presbyopia and cataract still occur, and some patients experience mild regression over years.","revision_rate_pct":{"min":1,"max":8,"unit":"percent","qualifier":"Patients needing enhancement within about 1-5 years. Lower in low myopia; higher in high myopia, hyperopia, astigmatism."},"scars":"No visible scar; a corneal flap edge is created that is not visible externally.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One treatment visit for both eyes; follow-up checks are not counted as treatment sessions."},"stages":[{"code":"laser_treatment","label":"Flap creation and excimer laser correction of both eyes","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day as the procedure."}}],"qualifier":"Single-visit bilateral treatment; later enhancement is a separate procedure and not included."},"success":{"metric":"Uncorrected visual acuity of 20/25 or better in treated eyes","value":90,"unit":"percent of treated eyes","horizon":"3-6 months after surgery","population":"Screened adults with stable low-to-moderate myopia, with or without astigmatism, after primary femtosecond LASIK.","evidence_status":"limited"},"techniques":[{"name":"Femtosecond-laser LASIK","suits_whom":"Most screened adults with stable refraction, adequate corneal thickness and normal topography.","recovery":"Vision often clear within 1-2 days; desk work after about 1-3 days; light exercise after about 1 week."},{"name":"Microkeratome blade LASIK","suits_whom":"Candidates where a femtosecond laser is unavailable.","recovery":"Visual recovery similar; flap-related risk profile differs."},{"name":"Wavefront- or topography-guided LASIK","suits_whom":"Selected patients with higher-order aberrations and regular corneal topography.","recovery":"Broadly similar to standard LASIK recovery."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Both eyes, about 15-30 minutes of operating-room time, excluding check-in and preoperative measurements."},"initial_assessment_documents":["Current glasses or contact lens prescription","Recent eye exam report with refraction history","Corneal topography report (if available)","Corneal thickness report (if available)","List of eye conditions and eye medications"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-visit bilateral surgery; pre-op tests, surgery and day-after check fit in a 3-4 day stay. Later reviews done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask what retreatment would involve if the results do not meet your goals","scope":"procedure","source":{"url":"https://aao.org/eye-health/diseases/lasik-questions-to-ask","host":"aao.org","quote":"If LASIK results do not meet our vision goals, what might retreatment involve?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery 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procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information promising complete success should be treated with suspicion","scope":"treatment_type","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Pressure to decide quickly, or cheap time-limited offers, is a warning sign when booking treatment abroad","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don't be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Written record of the treatment, handed over before you leave, for your home doctor","document":"discharge summary","source":{"url":"https://www.chelwest.nhs.uk/your-visit/patient-leaflets/after-your-plastic-surgery","host":"chelwest.nhs.uk","quote":"This will also be written in your discharge summary, which you will be given a copy of before leaving the hospital.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Keep the pre-LASIK keratometry card, since a future eye doctor may need it","document":"pre-lasik keratometry card","source":{"url":"https://www.aao.org/current-insight/lasiks-ethical-dilemma","host":"aao.org","quote":"Keep your refractive surgery records indefinitely, he says, or give your patients a card with their pre-LASIK keratometry.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your corneas are irregular and you may not qualify for laser surgery","name":"Implantable collamer lens","source":{"url":"https://www.aao.org/eye-health/treatments/implantable-collamer-lens-icl","host":"aao.org","quote":"ICL may also be well suited for people with irregular corneas who may not be candidates for LASIK or SMILE.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":null},{"id":"A2","text":"You play contact sports or have a job with eye injury 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energy","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"microkeratome-blade-lasik","name":"Microkeratome blade LASIK","how_it_works":{"text":"A mechanical blade cuts the corneal flap while oscillating","source":{"url":"https://www.aao.org/current-insight/creating-lasik-flaps-femtosecond-laser-vs-mechanic","host":"aao.org","quote":"Mechanical microkeratome devices (Figure 1) use high-precision oscillating-blade systems that dock to a suction ring to create a lamellar corneal flap","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"wavefront","name":"Wavefront- or topography-guided LASIK","how_it_works":{"text":"A measured map guides a custom laser reshaping of the 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