I had hyperopic lasik.
Here is my script pre-lasik (+3.25 / -1.25 astig and +3.75 / -1.5 astig) and had lasik about 11 weeks ago. I was already presbyopic, that is why i had lasik.
I have read with much interest how hyperopic lasik has recovered and i have some issues i would like some of you who had hyperopic lasik to comment about.
croanster,Mack,gkrogers .. are you still around? would you comment it? Expert lasik, please comment...
After the surgery i felt i had a macro zoom, i could read my watch model name and read road signs far away, but everything was double and blurry. It made me think that the surgeon had adjusted to some +3.50 and 4.00 diopter target, and expect to regress? This would mean i would be -0.25 in both eyes? I dont know how a myopic world is, so, being presbyopic with hyperopia is not really nice.
When i looked to a keyboard "single quote" i would see a "double quote", that started to worries me a lot.
I returned to the surgeon on the same day and asked him to look again to see if the flap was ok, and he did not see anything wrong.
The next day, same thing, and asked doc what went wrong, i got this answer and i quote "I dont know why you are seeing double, we have the best tool and everything was made according to planning, you are with irregular cornea", by best tools he meant Allegretto Wavefront, i dont know if it is 200 hz or 400 hz.
Next appt would be in 30 days, but i was back in 10 days complaining about my vision and the feeling of burning corneas i was having. He told me "This is normal, dont worry, just come back in 3 months, just wait, and use the drops every hour".
The burning feeling kept and i was really in panic, started googling and also started to worries me more.
Where is the normal feeling, no pain,1 to 2 weeks recovery to normal life that lasik gives?
Some days later, the burning feeling got me really hard, and an examination from the surgeon said this was normall!!!!!!
I went to a second opinion, and got some info from this doc, "your surgery is called what we say: technically a success, so nothing wrong apparently, to make sure it is ok we will do an OCT exam", the results were normal stroma, and normal flap.
I was worried that the flap was made too small, believe or not, i could see the edges against an indirect light, seeing on the mirror.
apart from what the docs said that i was seeing "more" and was an anxious person, i had to be certain that there was no flap related problem.
So the OCT revealed nothing wrong.
He stated that there was a start of blepharitis and that is what i was feeling and not the corneas, why the surgeon did not notice it i dont know.
In fact i had never felt a normal eyes.
I have never had blepharitis in my life, he said it was due to too many drops in and it had altered the flora and that i had to clean the eyelids more frequently.
Got some medication during the nights for 20 days, baby shampoo to clean and eventually i got better (coincidence or not?) on day 20 - today.
Fortunately, double vision has diminished for near vision.
So the issues i am having and would like those who had hyperopic lasik to comment please (also lasik expert):
a) Dry eyes - burning sensation, but not in the eyelids (plepharitis), i would think is in the periphery of the cornea. It does not sting as the normal dry eyes complaint. I am putting in drops every 2 hrs, some times every hour.
What is/was the feeling of a dry eyes you were having and how long it last?
b) Every time a Blink (open the eye) first time i get a blurry vision, and have to blink right after to get a good vision, did any one have it? Could be Dry Eyes?
This is the unstable vision i am experiencing now, some times i have to blink twice to get a good vision, would it be regression symptoms or dry eyes or the tears is unstable enough to not have a smooth epithelium?
c) I think regression took place, i have noticed that the zoom factor is diminished, near is getting worse, far is getting better, i have to wear glasses to read +2.0, no astigmatism
question: If i have +2.0 to read and this causes to blurry far, that means i become Myopic looking far away?
d) I have noticed that i see near (5 feet < ) without astigmatism and beyond i notice some ghost on blue and green light, specially blue, right above, 90 (12 oclock) that i think is astigmatism.
question: Is this irregular astigmastism? Thats why refrator sees -1.0 and cycoplegic dont get this value? Green lights get a bit Oval far away, not near.
e) I have a very hard time focusing, is this accommodation or an indication that the astigmatism is getting worse or i have regressed. Everything is out of focus until a force to focus, so i get tired at the end of the day, i have not get a prescription after 30 days of the surgery.
f) I have borrowed a glasses from my brother that is myopic, he is not sure what diopter, but he says is less than -1.0, and i think i get o bit sharper image far away, but i am not sure, but at least is more comfortable, would it be an indication that i am nearsighted seeing far away and longsighted seeing near? Is it possible?
Have i expressed it correctly? The 2nd opinion says he would not take this aproach to let me nearsighted and than expect it to regression to plano.
I was thinking that the target would be +3.5 (so more tissues removed than the +3.25) and then expect it to regress to +3.25 to get plano?, if you know what i mean? or it is just the couple effect that every 1.0 astigmatism is about -0.25, it will never get to 0.00 (plano)? thats why hyperopic astigmatic is so unpredictable? If i had know it!!!!!!!
g) The weird feeling of focuses is worse indoor where neon exists and when i try to read printed charts, say: red with white letters, green with white letters, is this astigmatism or just accommodation?
Please, croanster, Mack, Lasik expert or any other who had hyperopic lasik could comment on this?