Hi.

My question is - can LASIK harm the endothelium?

I have 'endothelial changes' but not Fuch's Dystrophy at the moment. My corneas are healthy.

One eye doctor that I have seen (Ultralase, Tottenham Court Road, London) is of the opinion that LASIK can cause the rate of degeneration of the cells in the endothelium to accelerate and will not perform the LASIK procedure on me for that reason. This is also the opinion of Adrian Chorley, the optician at Gatwick AMD. Another eye doctor in Cambridge has advised me that there is no real risk of this happening and said he would be happy to perform the LASIK procedure, leaving me pretty confused.

He also diagnosed that my eyes had 'subtle discreet anterior lesions that were not characteristic of Fuch's Dystrophy'.

So what do you people think? If there is a risk, are you able to give me any idea how much of a risk it is?

Many thanks - my career hangs in the balance.