bexensol wrote:Reading around, it appears I may be able to take a prescription eye drop to reduce pupil size at night time, with potential side affects,
The eye drop is Alphagan P, which is a glaucoma medicine that has the side effect of causing the pupils to reduce slightly. Unless you have an allergy to Alphagan P, other potential problems are few.
bexensol wrote:...or explore 'Complex Wavefront Retreatment'. This treatment may be able to treat my shortsightedness up to my full dilated pupil size.
The largest optical treatment zone in wavefront-guided mode is 6.5mm, smaller if there is astigmatism correction. A wavefront optimized treatment may be a more appropriate alternative, depending upon the size of your naturally dilated pupils and if Alphagan P or similar helps your vision problems.
bexensol wrote:PRK appears to have the potential to cause 'haze' if applied to post-LASIK eyes, which if the possibility exists that may affect my day-time vision, I'd prefer not to take that risk.
Mitomycin C is applied to the cornea when PRK is used after Lasik virtually halts all cormeal haze formation. Mitomycin C is strong medicine, but appropriate when needed and PRK on the Lasik flap pretty much requires Mitomycin C.
bexensol wrote:1. I was not informed I may lose sight during the IntraLase phase. That was a shock.
When the suction ring is applied to the eye to create the Lasik flap (mechanical or laser created) the intraocular pressure within the eye elevates enough to cause a temporary black-out. I'm quite surprised this was not in the normal preoperative videos, informed consent, or mentioned by the doctor and/or staff as the suction ring was applied. Yes, I imagine that was quite shocking.
bexensol wrote:2. I was not informed I may smell burning, eye burning, during the operation. I did.
The excimer laser used for Lasik and PRK does not actually burn the cornea. It causes a reaction that releases the molecules that hold together the cells of the cornea. These cells fly away from the cornea, and that is what you are smelling. It very much has a burnt hair or burnt tissue smell, but the cornea actually only raises about 11 degrees and that is only because of the friction of the cells banging into each other as they escape the cornea.
bexensol wrote:3. My large pupils, and the potential risks involved, were not adequately described to me.
What I have found is that doctors and staff are good at saying, "You have large pupils, there may be a night vision problem, but in my opinion the risk is not very elevated." Or you may hear, "You may have a bit of halos around lights at night after surgery."
What you apparently did not hear was, ""You may have a bit of halos around lights at night after surgery and that means you may not be able to drive at night."
One statement informs. The other statement informs and informs the consequences as they may relate to the patient.
bexensol wrote:I would prefer to avoid further surgery, especially if I have to have my eyeballs vacuumed again.
Vacuum would not likely be required. The Lasik flap can be lifted even years after surgery. PRK on the Lasik flap would not require the flap to be lifted.
bexensol wrote:I'm also going to ask my LASIK surgery for a full copy of my records, to determine the measurement they took for my pupils against what their surgery can correct up to.
There is nothing wrong with getting a copy of your records (give them a few days to copy everything), but unless you have a doctor look at them you are not likely to see clearly what was the pupil size measurement. If you want to know the size of your naturally dilated pupil as reported in your chart, ask your doctor's staff to review the documentation and explain how the measurement was taken (Colvard in no light, ruler in low light, scan, etc.) and what were those measurments.