Enhancement yesterday -- vision much worse

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Enhancement yesterday -- vision much worse

Postby JR » Sat Jul 21, 2007 2:18 pm

I had an enhancement surgery yesterday on my right eye. That is my dominant eye, and it was about 20/40 -- enough to bother me most of the time.

It is the morning after surgery, and I just went to see my doctor. He removed the protective contact lens, and stated that everything looks good. He did not do an eye chart test.

He said that my vision would take a while to "settle down." Can anyone comment on this? I can tell you now that my vision is much worse than before I had the enhancement. I can't see anything clear at any distance out of that eye. Luckily, my left eye is 20/20, so I can function. It's just very frustrating to me now because I thought I would be better after the enhancement.

Can anyone provde some hope?
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Re: Enhancement yesterday -- vision much worse

Postby JPD » Sat Jul 21, 2007 4:43 pm

Need a little more information. Was it a Lasik enhancement or PRK? Obvioulsy if it was PRK then it's normal for your vision to be bad the next day. If it was Lasik, then I'm not sure it's normal. I haven't had an enhancement, but based on reports from other people on this site, they noted immediate improvement following their enhancement.

I would also like to know if you got any second or third opinions from other doctors, notably a corneal specialist to confirm you actually needed an enhancement.

I'm far from an expert, but if you answer those two questions I can at least give you my opinion.
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Postby JR » Sat Jul 21, 2007 4:52 pm

It was Lasik, not PRK....and I only went with my one doctor. I guess that makes me naive. Hopefully things will improve, but I'm getting worried. I noticed immediate better vision with my left eye after the first surgery, and immediately noticable blurred vision with my right eye post-surgery.

Because the right eye is bad immediately after the second surgery, I'm afraid I'm stuck with a worse result for good.

If anyone has stories about the second surgery needing more time to stabilize, then please let me know so I don't freak out as much.

J.R.
JR
 
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Postby JPD » Sat Jul 21, 2007 8:18 pm

Normally an enhancement is very similar to the initial procedure. If you saw well the day after, then most likely you should see well the day after the enhancement. Being only one day out, I wouldn't worry about it yet. It' possible you have more swelling this time around which is causing your bad vision.

Worst case scenario, you didn't actually need an enhancement and are now over corrected. Or you did need an enhancement, but still got overcorrected. Over correction is one risk of enhancement surgery.

But that's worst case, I wouldn't worry about any of that yet, it's still to soon.
Your doctor could be correct that it could take some time for your vision to settle. That seems inconsistant with reports from other people around here who have had enhancement surgery, but that doesn't mean your vision won't come around. It could be swelling causing it.

I would think if after a week you're not improved you should definately confront your surgeon about this. It also wouldn't hurt to have a second opinion from a corneal specialist. It should be covered by medical insurance.
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Postby JR » Sat Jul 21, 2007 9:34 pm

Thanks for the advice. I'll check back here with results after my next appointment.

J.R.
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Postby LasikExpert » Tue Jul 24, 2007 9:11 pm

Surprisingly, the manipulation of the Lasik flap for enhancement surgery can be more traumatic than the initial process. If you have corneal edema (swelling) as a part of the wound response you would become more myopic (nearsighted, shortsighted) and distance vision would suffer while near vision would still be good. Edema is often irregular until it resolves. This could contribute to ghosting and very poor night vision.

Report your problems to your surgeon and please keep us informed.
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I am not a doctor.
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