Is there anyone in this forum suffering from astigmatism?

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.

Postby tplee » Thu Feb 15, 2007 4:12 pm

Bada yes lifting the flap and laser. i think i will do it after 3-4 months so that the flap can still be lifted.
tplee
 
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Postby bada5150 » Thu Feb 15, 2007 4:51 pm

Hi tplee,
Did your doctor say anything about becoming hyperobia if you get more laser on your eye to fix it? How does he know that it will fix the problem? How does he know now there won't any induced astigmatism?

Virginia,
Yes, astigmatism will cause your middle vision horrible. My middle vision is just way to horrible.
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Postby lou » Fri Feb 16, 2007 6:09 am

virginia
ultimately you should listen to what your surgeon recommends as a wait time before having an enhancement. your eye can definately still be healing after one month. if you enhance your vision while your eye is still healing, your vision may change again. I would definately wait over 2 months to make sure my vision was completely stabilized before thinking about going back thru another procedure. most info states you should wait at least three months. i am not a lasik expert (i am actually also a lasik patient) so talk to your surgeon or look for glenn's info on wait time before enhancement.
Astigmatism is basically where the front of the eye is more steep in one area than another so when light passing through the image gets smeared. You will see a decrease in vision at ALL DISTANCES because the front of the eye is the same shape no matter how far away (or how close) you are looking. Midrange blur is strange. This is usually seen in people over 45. If you have midrange blur and are not over 45 just wait your vision may get better. if the blur you are experiencing is inside arm's distance you could try a +1.00 pair of readers to get you by. experiment in the store before you buy. higher powers of readers work at closer distances so don't get carried away and think a +2.00 (more power!!! insert tim allen grunt here) will help for midrange...it won't. any power of readers will make your distance vision blurry they are meant to use for up close work. so don't drive in them.

update on my vision. my vision was down a little today. BUT i did check my prescription and all my astigmatism is gone... so it may have been induced swelling. i have hopes as i continue to heal it will get better
lou
 
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Postby bada5150 » Fri Feb 16, 2007 2:46 pm

Hi Lou,
Can I ask some questions? You are saying that midrange vision being blur is strange. My doc told me that I have astigmatism left on my right eye and all range vision on my right eye is blur. And I see double vision on white letters on TV and traffic light and any light source.

According to Glenn, astigmatism can blur all range vision and cause double vision as well.

Your opinion will be appreciated.

Thank you
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Postby Virginia » Fri Feb 16, 2007 2:50 pm

Lou,
Thanks for your info. I am 52 yrs. That is why I have the close up issues. I was prepared for that. I was told from the get go that I may need enhancement. It seems my right eye is more blurry that the left. Wonder if that is the culprit. The other thing is did you feel eye strain? Don't know if that is my eyes working to try to focus.
Glenn, what is the average waiting time for enhancement? I won't rush into anything. I do know a doctor that alot of my friends went to ( I did not) that Had enhancement done in a month. I did have 2 optometrists tell me not to go to him. Therefore, I did not. But amazingly, they all love their vision.Glenn, for nightime eye dryness. you mentioned gel drops. What kind and are they sterile, preservative free? Can I use those prior to 8 wks. post op? Thanks to both!! I really need the pep talks!
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Postby lou » Sun Feb 18, 2007 4:08 am

bada
yes read my previous post. Astigmatism will blur vision at ALL DISTANCES. and in most cases the smearing of letters on the tv, lcd clocks, etc are from that astigmatism. mine seems to have resolved 1 week post-op.. if your does not talk to your surgeon he/she may recommend and enhancement. i previously meant that mid range blur without blur at near or far is what is strange.

virginia
i didn't feel eye strain but i did feel extremely unbalanced with one very blurry eye (kinda like one side of my body was distorted. genteal gel drops for moderate to severe dry eyes worked well for me. use this at night (b/c it will blur your vision...don't use when driving). i am still putting several drops in before i go to bed. this has really helped me. it is not preservative free i don't know whether this would cause you any problems (it didn't for me). get glenn's or your surgeons recommentdation if you have further questions.
lou
 
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Postby bada5150 » Sun Feb 18, 2007 6:11 pm

Lou,
According to my doctor my right eye is +.50 and -.75 (astigmatism), Would -.75 astigmatism make things blurry and ghost image? What range of astigmatism is comfortable range to see? -.25? -.50?
Or would +.50 (spherical) make things blurry?
He also told me that +.50 would cancel out with -.75. What does this mean?

Thank you
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Postby DryEye » Sun Feb 18, 2007 8:09 pm

Lou:
In your practice do you comanage lasik patients and/or see any patients that have had lasik?
What type of lasik did you have (custom, intralase, conventional)?
Without naming the surgeon you went to - Was he/she located in TN.?
How did you go about choosing your surgeon?
Sounds like your vision is an almost there scenario - Curious to know if you have dealt with those cases before and how they resolved during the 1st year post lasik?
Great to see someone from the eye community is visiting this site and actually had it done!
Thanks
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Postby lou » Mon Feb 19, 2007 2:06 am

bada
okay -0.75 of astigmatism is a rather slight amount. if you were a contact lens patient most doctors don't correct the astigmatism (because you would need a toric lens which has limitations) unless the patient is extremely sensitive to the blur (some people are more so than others). no +0.50 would not make you blurry unless you are 55. yes there is a "canceling out". for every half (-0.50) of astigmatism a -0.25 will cancel it out. basically what this means is if you are a contact lens patient with power -4.00 and -0.75 astigmatism you would be fit in a -4.25 or -4.50 lens to cancel out the astigmatism. That does not always work... like i said it depends on how sensitive to the astigmatism you are.

dry eye
no i do not comanage with lasik pre or post op.
i came to this site as a patient just like you did to see what issues others were having post lasik. my vision did improve so now i'm just helping out where i can. I AM NOT A LASIK EXPERT.
i had custom lasik (this is what i decided on and i am not recommending one type over the another consult your surgeon) and yes my surgeon is in tn. i chose him based on reputation and asked him his correction rate (his was 5%). i also know other optometrists who had trusted their and their spouses eyes to him.
i really benefited from reading glenn's posts and knowing that (from others expierences) my vision might improve. I studied lasik complications but have and do not provide lasik post-op care.
lou
 
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Postby DryEye » Mon Feb 19, 2007 2:23 am

Lou:

I chose Custom also, but didn't really get what I was expecting.
Perhaps, a little more time will tell.
It sounds like you had a well known and experienced surgeon.
Do you think an experienced surgeon makes a difference in Custom considering the machine does most of it except for ther microkeratome?
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Postby DryEye » Mon Feb 19, 2007 2:33 am

Lou:
What was your prescription before and what is it now?
Thanks
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Postby bada5150 » Mon Feb 19, 2007 3:32 am

Thank you lou.

If .75 of astigmatism is a slight amount, then would this number change depending on well lit room and dark room? When I am outside, I don't really feel uncomfortable (when outside is bright). Then when I go to work and looking at schematics and other things inside building, things are very blurry and I noticed ghosting on white letters on TV and traffic lights on the street (more at night).
Then is it possible someone to have astigmatism of -.75 when it is bright and maybe this number increases when someone is in darkroom (for example, -1.00 of stigmatism in darkroom).
I guess my question is: Would astigmatism change depending on pupil size? When pupil gets bigger, astigmatism is more than normal?

I was not contact lens patient. I was wearing glasses pretty much all my life. I am not sure why doctor would not correct their stigmatism when the patient. What is toric lens?

Thank you for your help.
bada5150
 
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Postby DryEye » Mon Feb 19, 2007 3:43 am

Bada:
Good questions
I saw you are in Mn.
If you haven't gotten a second opinion I saw on this website one of the USAEYES doctors is up there. Dr. L.
If you decide on getting one let us know what his thoughts are.
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Postby bada5150 » Mon Feb 19, 2007 4:04 am

Hi DryEye,
I haven't got the second opinion yet. Did you get your surgery info and all other info from your first doctor when you get second opinion from other doctor? Or they don't provide anything to you to go to another doctor for second opinion?

I want to get some info from my first lasik place to go to anther doctor, would they give out info?

Please let me know.

Thank you
bada5150
 
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Postby DryEye » Mon Feb 19, 2007 4:19 am

Bada:
I was referred to a corneal specialist 4 days after my lasik when I asked him for a second opinion due to microstriae. He wanted to lift my flaps, but I wouldn't let him without a second opinion.
Glad I did. I last saw the corneal specialist in January and I am getting another one or two opinions before going back to him to finally to decide what to do after my one year mark. I like the corneal specialist.
Some may think that is aggressive, but as far as I am concerned when you have a 98% trade and you end up with the 2% you want to make sure your doing everything you can and should.
Dr. L in Mn would be worth going to for an opinion - He's one of the docs on this site.
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