Should I consider having LASIK, or; Do I still qualify, Given that my diopters are -13 and -14?

No, in my opinion. Only one of the LASIK lasers approved by the FDA are labeled for treatments up to -12 Diopters. But most all responsible LASIK surgeons I know recognize that the upper limits of safely treating nearsightedness (myopia) with either LASIK or PRK is probably around -5 to -7. These lower levels of recognized treatment parameters are the result of over 20 years of hard-won experience.

Risk in LASIK is proportional to the degree of myopia you are trying to treat; the more nearsightedness, the more thinning of the cornea; the thinner the cornea, the more likely you are to destabilize the cornea's strength. And the problem is that often you will never experience those problems until years after the LASIK was performed. Do not fall for somebody telling you they have been able to treat even up to -13 D. as if achieving high myopia corrections were a matter of the surgeon's skill -it's not.

There are other options that IMO would be safer for you: e.g. the ICL where the risks of surgery are independent of how nearsighted you are.

_Written by J. Trevor Woodhams, M.D. - Chief of Surgery, Woodhams Eye Clinic