Eye health is one of the most important factors that directly affects a person’s quality of life. Millions of people who wear glasses or contact lenses due to refractive errors seek a permanent solution through laser eye surgery. This method eliminates visual problems such as myopia, hyperopia and astigmatism, offering patients the chance to live without glasses. However, not every patient is a suitable candidate for laser eye surgery. Certain eye structures, health conditions or special circumstances may prevent the procedure from being performed. For this reason, correct patient selection is a critical step.
With many years of experience in laser eye surgery, Op. Dr. Diclehan carefully evaluates each patient through a detailed examination to determine whether they are suitable for surgery. In cases where the procedure may be risky or ineffective, he informs the patient and directs them toward alternative treatment options. This approach is extremely important for both patient safety and long-term success.
Although laser eye surgery may seem like a simple procedure, it involves intervening in the cornea, the most sensitive tissue of the eye. Therefore, not every patient will achieve the same result. The success of the operation depends on the suitability of the eye structure and the correct selection of the method. If the eye is structurally unsuitable or if certain diseases are present, laser eye surgery may lead to serious complications.
Op. Dr. Diclehan never gives the same answer to every person who applies for laser surgery. His approach prioritizes personalization. First, a detailed map of the eye is created, corneal thickness is measured, the retina is examined and eye pressure is evaluated. Based on this data, it is determined whether the surgery will be safe. In this way, risks arising from incorrect patient selection are prevented from the beginning.
One of the most important criteria for laser eye surgery is age. Generally, this surgery is not recommended for people under the age of 18 because their eye prescription has not yet stabilized and may continue changing over time. Performing laser surgery on a still-developing eye does not provide permanent success, and the prescription may increase again.
Young people considering surgery should manage their expectations realistically. Op. Dr. Diclehan advises younger patients to be patient and wait until their prescription remains stable for several years. During this period, regular follow-up examinations are conducted. Once the eye becomes suitable, laser surgery can be performed safely.
There are also certain limitations in older ages. Especially after the age of 40, presbyopia — difficulty seeing up close — develops. Therefore, the same level of success cannot be achieved in every patient. Op. Dr. Diclehan offers alternative treatment plans or combined solutions for this age group.
Laser eye surgery is most effective when the eye prescription is stable. If the prescription has changed within the last year, surgery cannot be performed. Otherwise, visual problems may reoccur as the prescription continues to increase.
Therefore, patients whose prescription has not stabilized are not suitable candidates. Op. Dr. Diclehan emphasizes that the prescription should remain unchanged for at least one year. Otherwise, the surgery may not meet the patient’s expectations.
Laser surgery is performed directly on the cornea. Therefore, the cornea must be sufficiently thick and healthy. If the cornea is too thin or irregular, the surgery is unsafe. In extremely thin corneas, weakening of the cornea and serious complications may occur after laser treatment.
Using the most advanced devices, Op. Dr. Diclehan measures corneal thickness to identify this risk beforehand. For patients with unsuitable corneal structure, alternative solutions such as implantable lenses or other surgical techniques may be recommended.
Laser treatment can only be applied within certain limits. In patients with very high prescriptions, laser surgery may not provide sufficient correction. For example, a patient with very high myopia may still need glasses after surgery. Therefore, laser surgery is not suitable for this group.
In such cases, Op. Dr. Diclehan may recommend implantable lenses or other surgical alternatives to achieve safer and more effective results.
Some systemic diseases make laser eye surgery unsafe. For example, diabetes, autoimmune diseases or rheumatologic disorders may impair healing. In such patients, the risk of infection or delayed recovery increases after laser surgery.
In these cases, Op. Dr. Diclehan prioritizes patient safety. He ensures that systemic diseases are brought under control first and then, if necessary, recommends alternative treatments.
Laser surgery is strictly not performed in the presence of active eye infections. Conditions such as eye inflammation or herpes infection must first be treated. Performing laser surgery during an infection may permanently endanger eye health.
Similarly, patients with uncontrolled glaucoma (high eye pressure) are not suitable candidates because the condition may worsen after surgery. Op. Dr. Diclehan guides such patients toward other treatment options.
Patients with retinal tears, degeneration or other retinal diseases are generally not suitable candidates for laser eye surgery. These conditions may increase the risk of vision loss after the procedure. Retinal problems must be treated first. Op. Dr. Diclehan closely follows such patients in cooperation with retina specialists.
Hormonal changes during pregnancy and breastfeeding may temporarily alter the eye prescription. Therefore, surgery is not recommended during this period. Additionally, medications used after surgery may affect the mother and baby.
Op. Dr. Diclehan advises postponing the procedure until after pregnancy and breastfeeding.
Not every patient may be suitable for laser surgery but this does not mean there is no solution. Alternative methods such as implantable lenses, combined cataract and refractive surgery, or continued use of glasses or contact lenses may be recommended. Op. Dr. Diclehan always offers the safest and most appropriate method for each patient.
Thanks to advancing technology, unsuitable candidates are now identified more accurately. Artificial-intelligence-supported systems analyze the eye structure in great detail. Corneal thickness, intraocular pressure and retinal condition can be evaluated with greater precision. Op. Dr. Diclehan closely follows these developments to provide his patients with the safest possible treatment options.
By selecting only suitable candidates, Op. Dr. Diclehan ensures long-term success in laser eye surgery. For him, the most important priority is always patient safety. Even when surgery is not performed, he offers regular follow-up and explains alternative treatment options. With this patient-focused approach, he is trusted by patients both in Turkey and abroad.
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