post lasik undercorrection, please answer!

Research your concerns in this forum or post your questions if you have had Lasik, IntraLasik, PRK, LASEK, Epi-Lasik, RLE, or P-IOL within the past three months.

Re: Plugs question

Postby DocH » Sat Jul 25, 2009 3:06 pm

The plugs worked great ... until they fell out. The first didn't last 24h and the second about 11/2 days.
Glenn, Does this mean that the other types, silicon etc will also only stay in a short time?
The Doc said my ducts were narrow when he put them in
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Re: post lasik undercorrection, please answer!

Postby LasikExpert » Sat Jul 25, 2009 5:24 pm

There are many styles of punctal plugs with different shapes and sizes. I'm sure your doctor will be able to find one that fits correctly.

BTW: Congrats on the relief with punctal plugs!
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Re: post lasik undercorrection, please answer!

Postby DocH » Sat Jul 25, 2009 8:09 pm

Well the plugs weren't really in long enough for a real try (ie to see if it affected my vision) but the drops did seem to last longer.
I will try and get new plugs fitted and then post results.
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Re: post lasik undercorrection, please answer!

Postby DocH » Tue Jul 28, 2009 12:01 pm

Sigh...I have bitten the bullet and am wearing my glasses to watch TV now.
I can't get more plugs as my Doc is off for 2 weeks.
Snellen in my dominant eye is down to 20/40...
feeling blue
signed
old dry eyes
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Re: post lasik undercorrection, please answer!

Postby LasikExpert » Tue Jul 28, 2009 5:49 pm

There must be someone in the doctor's office who can put in new punctal plugs. Check if the doctor has a covering associate.
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Re: post lasik undercorrection, please answer!

Postby DocH » Tue Jul 28, 2009 5:56 pm

The machine message says the office is shut.
I can't really call this an emergency....
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Re: post lasik undercorrection, please answer!

Postby DocH » Sun Aug 02, 2009 2:39 pm

Was at my LASIK place yesterday, They quoted a horrendous price for putting in temp plugs so I will wait for my eye doc to come back.
My vision in my L eye is still wildly difference without and with a drop of lubrication.
They did give me a sample of Systane Ultra which do seem to be working well ie staying on my eye longer.
Maybe these are the drops for me!
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Re: post lasik undercorrection, please answer!

Postby LasikExpert » Tue Aug 11, 2009 5:44 pm

DocH wrote:Was at my LASIK place yesterday, They quoted a horrendous price for putting in temp plugs so I will wait for my eye doc to come back.


I agree. Punctal plugs to treat Lasik related dry eye should be included in the initial cost of the Lasik procedure, or at the most you should be required to pay only the actual cost of the plugs.

DocH wrote:They did give me a sample of Systane Ultra which do seem to be working well ie staying on my eye longer. Maybe these are the drops for me!


Artificial tears will help temporarily, but you report good success with punctal plugs so that should probably be the long-term treatment.
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Re: post lasik undercorrection, please answer!

Postby DocH » Wed Aug 12, 2009 4:22 pm

Plugs went in yesterday and eyes feel better.
Will post any vision changes.
At present both eyes at 20/50 with improvement in L eye to as good as 20/30 with a lube drop.
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Re: post lasik undercorrection, please answer!

Postby LasikExpert » Wed Aug 12, 2009 5:46 pm

You will see immediate improvement, but it will take some time for the cornea to fully rehydrate and any inflammation caused by the previous dry eye to resolve. Expect continued and slow improvement.
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Re: post lasik undercorrection, please answer!

Postby DocH » Wed Aug 12, 2009 8:08 pm

Which begs the impossible to answer questions... ie how much improvement and how long will it take to resolve?
Even ballpark figures would help....
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Re: post lasik undercorrection, please answer!

Postby LasikExpert » Wed Aug 12, 2009 8:42 pm

You are correct that this is an impossible question to answer, but you should know in about three weeks how much improvement plugs will provided and if additional improvement may be available with additional dry eye treatment.
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Re: post lasik undercorrection, please answer!

Postby DocH » Thu Aug 13, 2009 11:53 am

Thanks Glenn
Your support is really helpful.
I think I see an improvment already ie I got into my car and was up the drive before I realised I hadn't put my glasses on!
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Re: post lasik undercorrection, please answer!

Postby LasikExpert » Thu Aug 13, 2009 1:44 pm

That is really good news and shows others just how much dry eye can effect vision quality.
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Re: post lasik undercorrection/dry eyes

Postby DocH » Sat Aug 15, 2009 7:45 pm

I've changed the subject heading as this post is now 99% about eye dryness now.
No new progress as yet re my Snellen vision although my vision immediately after a thin lube drop does seem better.
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