Думал сделать себе PRK/Lasik но копнув поглубже - нахуй надо, а я то думал смогу поправить свой ебучий астигматизм :(

Риски лазерной коррекции зрения от глазного микрохирурга Cynthia J MacKay:
https://eyedocmackay.com/complications-of-lasik/

If you have LASIK, you have a 50% chance of developing “dry eye”. This means your eyes will feel as if sand is pasted under your lids, and they will burn as if they have hot pepper sauce in them. There is a 100% chance this pain will be with you for the rest of your life. The “dryness” is actually nerve pain, caused by damaged corneal nerves.

You have a 60% chance of developing fluctuating vision in dim light, a 50% chance of glare, a 40% chance of sensitivity to light, a 20% chance of fluctuating vision in both bright and dim light, and a 10-20% chance of difficulty driving at night due to halos around lights and ghost images. These problems will never go away. You may have to give up night driving and going to the theatre and movies. If your job requires functioning in dim light, you may become permanently disabled.

The LASIK flap never heals completely. You have a lifetime risk the flap can dislocate after minor trauma, and infection can creep underneath the flap.
The cornea is not inert, like a sheet of plastic. It is a living structure that grows and remodels throughout life. 20% of LASIK eyes are not stable. They either go back to being nearsighted, or go in the other direction and become farsighted, or else fluctuate from one to the other. Some eyes continue to fluctuate in vision for as long as twenty-five years.

LASIK thins and weakens your cornea, which puts it at 1.5% risk of ectasia, or bulging. As the cornea sags outwards, it becomes steep and warped, and your vision becomes progressively more blurred and distorted. The only way to treat ectasia is with hard contact lenses, or a corneal transplant. Ectasia cannot be corrected by glasses or soft contact lenses. Ectasia can develop twenty-five years after apparently successful LASIK.

LASIK stretches and damages the retina, so your risk of retinal detachment is forty-two times greater after LASIK.

LASIK patients develop cataracts fifteen years earlier than normal.

Even if you see better at distance, you will have other problems you did not have before LASIK. For example, people over forty will have to use reading glasses. There is only a 30% chance you will be able to throw away your glasses, according to a 2009 Consumer Reports survey.

After you have LASIK, there is a 100% chance you will no longer be able to distinguish between subtle shades of grey. (Yamane et al, Investigative Ophthalmology and Visual Science, 2004: “100% of eyes lose contrast sensitivity after LASIK”.)

Fifty-five percent of patients are unhappy with their vision seven years after LASIK.

tl;dr: кал.

>>52947
Тебе что платят за форс иол?

https://pubmed.ncbi.nlm.nih.gov/21710954/

Results: Cataract was the major postoperative complication reported: 136 (5.2%) in 2592 eyes. Of those, 43.4% (n=59) were reported within 1 year, 15.4% (n=21) between 1 and 3 years, and 35.3% (n=48) ≥ 3 years after ICL implantation. Twenty-one (15.4%) cataracts were reported as surgically induced, 46 (33.8%) eyes had poor vault (<200 μm), and cataract surgery was carried out in 27.9% (n=38) of eyes. Early acute intraocular pressure increase was also reported to be relatively frequent, whereas acute pupillary block was less frequent and mostly resolved with additional iridotomies. A total of 42 ICLs were explanted due to cataract and IOP. Reported endothelial cell loss varied from 9.9% at 2 years to 3.7% 4 years postoperatively. This loss was reported to be more pronounced within the first 1 to 2 years, with stability or lower progression after that time.

Conclusions: The majority of reported complications after ICL implantation are cataract formation.

Вот тут более подробно:
https://www.lasikcomplications.com/implantable-lens-risks-and-complications.htm
Кратко риски:

Corneal endothelial cell loss, which may lead to need for corneal transplant. Risk may be greater with an anterior chamber lens.

• From page 7 of the Verisyse/Artisan Patient Information Booklet: (content reorganized for clarity).

"The endothelium is a layer of cells which lines the undersurface of the cornea, and it regulates corneal water content. The endothelium works as a pump, removing excess water as it is absorbed into the stroma [middle portion of the cornea], the surface behind the epithelium. If the water content isn't regulated, the stroma could become saturated, resulting in a hazy and opaque appearance, which would reduce vision.

"Corneal edema occurs when the cornea takes on more water than-it can absorb, which means the cornea swells and becomes less transparent. Endothelial cells play a role in keeping the cornea healthy. The available 3-year data from the clinical study indicates a continual steady loss of endothelial cells of -1.8% per year and this rate has not been established as safe. If endothelial cell loss continues at the rate of 1.8% per year, 39% of patients are expected to lose 50% of their corneal endothelial cells within 25 years of implantation. The long-term effect on the cornea's health of a 50% loss in comeal endothelial cells is unknown. However, if too many cells are lost you may need a corneal transplant. Therefore, it is very important that your endothelial cell density is periodically monitored.

"Based on the data obtained from the clinical study of the ARTISAN® Phakic IOL, it is impossible to predict the effect that this IOL will have on the corneal endothelium."

• From pages 11 and 13-14 of the Visian Patient Information Booklet:

Complications After 1st Week: loss of cells from the back surface of the cornea responsible for the cornea remaining clear (endothelial cell loss, 8.9% at 3 years).

WARNINGS: The long-term effects on the corneal endothelium have not been established. You should be aware of potential risk of corneal edema (swelling) possibly requiring corneal transplantation. Periodic checks of your endothelium are recommended to monitor the long-term health of the cornea.

• From page 115 of FDA Presentation: Mar. 14, 2014, which states that the post-approval study of the Visian myopia implantable collamer lens demonstrated endothelial cell loss of 11% at 5 years. Six percent of eyes had endothelial cell loss greater than 30%.

• Ocular Surgery News U.S. Edition, November 25, 2010: "The Air Force has not begun using phakic IOLs in any of our men and women in uniform, and we are waiting for additional long-term safety data regarding endothelial cell loss before we will begin using the lenses in our personnel". – Charles Reilly, MD, Lt. Col, USAF. Link to source

Cataract formation

• This 2011 literature review found that cataract was the most common complication of posterior chamber intraocular lenses, reported at a rate of 5.2% of eyes implanted. Of those, 43.4% were reported within 1 year, 15.4% between 1 and 3 years, and 35.3% three or more years after after ICL implantation. Cataract surgery was carried out in 27.9% of eyes with induced cataracts.

• Visian phakic intraocular lens shown to lead to development of cataracts over time. Source: Schmidinger G, et al. Long-term changes in posterior chamber phakic intraocular collamer lens vaulting in myopic patients. Ophthalmology. 2010 Aug;117(8):1506-11. Link to abstract

• "But ocular trauma can cause the PIOL to shift, become dislodged, and even come into contact with the crystalline lens and induce a cataract. The most common traumas that Dr. Devgan has seen in these patients are due to airbag injuries during car accidents." Daly, Rich. "Long-term strategy for phakic IOLs." EyeWorld. March, 2014. Link to article

Glaucoma

• Early acute intraocular pressure increase is reported frequently after phakic IOL implantation. Pupillary block glaucoma can occur due to occlusion of aqueous flow between the lens and the iris. This is a dangerous situation which may lead to permanent vision loss if not detected and remedied immediately. In this small study, pupillary block glaucoma occurred in 5.8% eyes within the first postoperative day.

Update 2019: Case report of a 29 year old woman who suffered pupillary block/acute angle-closure glaucoma five years after ICL implantation.