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 bada5150 » Mon Feb 19, 2007 4:30 am

Did your doctor transfer your data to corneal specialist? Or did you have to ask your data from your doctor to go to your corneal specialist?
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Postby DryEye » Mon Feb 19, 2007 5:06 am

Not sure about the data/info. other than he had lasik and now there is a question about what to do with microstriae.
Anyone you go to will look at you and probably take the orbscans & topographies or anything else they need.
I'm sure it's good to gather all your records - I just did for future visits just to give them a feel where I am coming from and for them to look at them for an opinion.
Ask he/she for your copies (ask for the wavescans and orbscans to be in color) - you're entitled to them.
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Postby lou » Tue Feb 20, 2007 4:57 am

dry eye
i don't think i would trust my eyes to anyone but an expierenced surgeon regardless of how much or little they do.
my script was -4.00-0.50 and -5.00-1.25. my script now varies slightly from day to day (i usually just use the autorefractor/the machines which approximate the prescription) on myself. my script varies to about +0.50 with slight astigmatism in both eyes... i haven't checked in about 4 days (off from work).

bada
astigmatism will not change based on lighting conditions. astigmatism is where the front surface of the eye is more steep in one area than another this does not change regardless of lighting conditions. however most people will notice blur due to astigmatism more at some times than others. i noticed mine on lcd clocks or when reading books not so much driving. in lower lighting conditions where vision is more difficult you may notice blur from the astigmatism more even though the amount does not change.
a toric lens is a contact lens for astigmatism. trade term. why wouldn't you just correct the astigmatism... okay here goes
1) contact lens companies do not make an astigmatism lens for less than
-0.75
2) the lens is less comfortable
3) the lens lets thru less oxygen
4) because astigmatism is a steepening in one meridian of the cornea the power to correct the astigmatism has to stay in that one spot. not a problen with glasses (the frame doesn't move) but with a contact lens every time you blink the lens moves...this causes vision fluctuations. if the lens rotates out of place (b/c your eye gets dry, you rub your eye, or just b/c toric lenses tend to shift) your vision gets pretty blurry
so the option i give my patients is this
you can have a lens that allows contstant but slightly reduced vision (more comfortable also) or you can wear a lens that will sometimes afford better and sometimes worse vision- vision fluctuations.

for a person with a higher amounts of astigmatism they have to accept the disadvantages of toric lenses b/c without it they wouldn't be able to see clearly. but for a patient with low astigmatism usually (and from personal expierence) it is easier to just accept the slightly reduced vision over having to deal with the problems that toric lenses cause
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Postby DryEye » Tue Feb 20, 2007 5:05 am

Lou:
Thanks
My contacts were:
(L) -3.50 -1.25 1.80
(R) -3 -1.25 1.70
I wore Vertex Toric contacts
My measurement in November after Custom in June 06'
(L) -25 -50 30
(R) -50 -75 15
So, it looks like I am left with some astigmatism.
It sounds like the custom on you slightly overcorrected you vs mine undercorrected everything?

Glenn:
Any thoughts on how it can be wide ranging other than the picture taken before the procedure?
Also, I remember the machine correcting -2.65 and -2.59 - Is that the same apples to apples comparison (contact lens prescription vs custom)?

Lou:
Did you have it done in Nashville?
I have done some research and may be getting opinions form a couple of docs. before I decide to do anything.
I have heard good things of one in the Nashville area.
Thanks Again
Last edited by DryEye on Tue Feb 20, 2007 5:23 am, edited 1 time in total.
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Postby bada5150 » Tue Feb 20, 2007 2:10 pm

Hi DryEye,
It seems like you have same degree of astigmatism like me -.75 on your right eye? I see things very blurry on my right eye and ghosting on the letters on TV and any light source.
Do you still see those just like me since you have -.75 astigmatism?

Thank you
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Postby DryEye » Tue Feb 20, 2007 2:28 pm

Bada:
My right eye is blurrier than my left eye, but when I instill artificial tears it crispens up. It was also drier than my left when I wore contacts. I used to wake up rubbing that eye, so I am willing to wait it out and get a couple more opinions before I do anything. I don't wake up anymore rubbing that eye due to the tear regimen I am on.
I still don't see stoplights at night very well (not nice and round more smeared) and have starbursting on headlights of cars.
The weird thing though is that I see everything else well (stop signs, signs, etc etc) Even during the day when I was seeing 1 1/2 Green lights i could see everything around it well Hopefully, the daylight green light issue resolves and eventually the night stoplight issue crispens up?
Who knows exactly why to all this and that is why I am in the camp of more opinions and time is better than rushing into doing an enhancement.
If I end up doing it I need to know why and how going forward.
This forumn helps a great deal with learning and then getting opinions from competent doctors should hopefully do it.
It better becuase it hasn't been fun.
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Postby bada5150 » Tue Feb 20, 2007 9:00 pm

DryEye,
Thank you for info. Are you still having -.75 of astigmatism? Or did it improve over 6 months? For example, -.75 to .25. Something like that.

Thank you
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Postby DryEye » Tue Feb 20, 2007 9:39 pm

I'm getting a second opinion in a couple of weeks
I'll find out then
I wasn't measured until November (better 1 or better 2)
Had it in June
But, it wasn't right from the start
Overtime things have gotten a little better

If you are only two month you have plenty of time to see how things pan out & what you unlitmately decide to do
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Postby bada5150 » Tue Feb 20, 2007 11:01 pm

I would like to hear about your visit to doctor for second opinion. It seems like I have very similar problem like you have DryEye.
I am getting second opinion this Friday. I will post after that.

Many thanks to Lou. What Lou told me was little different than what my doctor said.

Thank you
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Postby DryEye » Wed Feb 21, 2007 1:02 am

Bada:
My corneal specialist that I see and have been seeing (not the doc who did lasik) told me he would like more refractive hsitory last I saw him in January, but that if need be in time PRK would be an option - since he did not recommend lifting my flaps due to the hard time i had with it (mircostriae, etc) I mentioned to him a few names of docs around the country that I was willing to go see for another opinion just so we are as sure as we can be.
I'm supposed to go back to see him in April or early this summer.
I have decided to wait it out and in the meantime get a couple more opinions.
If I decide to do anything it will be early Fall.
From all I have already gone through (8 months so far) my guess is that most will say it won't hurt to wait it out and see how things settle considering one can always do an enhancement later - Unless of course thier vision is noticeably bad or something else is involved.
Go see the doctors (corneal specialist or a very experienced lasik surgeon - one from this site is in MN.) and get their opinions - They are the only ones who can see what is needed or not for someone and can ulitmately do something about it.
I'll probably post more info for all those interested in reading in a month or so, but i think i have made up my mind to wait it out before I do anything again.
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Postby bada5150 » Wed Feb 21, 2007 2:11 am

Would lasik surgeon on this website see me even though I didn't get my lasik done at his place?
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Postby LasikExpert » Wed Feb 21, 2007 2:35 am

Many, but not all, Lasik surgeons will evaluate the needs of patients who have had care by a different doctor.
Glenn Hagele
Volunteer Executive Director
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Lasik Info &
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I am not a doctor.
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Postby bada5150 » Wed Feb 21, 2007 2:53 am

Glenn,
If I ask my doctor to give the wavescans and orbscans to me to take them to another doctor, would they give them to me without getting mad about it?

Thank you
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Postby LasikExpert » Wed Feb 21, 2007 5:47 am

You have a legal right to a copy of your medical file (there may be a copying fee) and you can give that file to anyone you want, but do not expect an adversarial environment. Most doctors are very cooperative when a patient wants a second opinion and will often help you find a specialist for your needs. Your doctor can send a copy of your file directly to the second opinion specialist, or you can carry it yourself.

Be sure you ask for color copies of those items that require color, such as Orbscans.
Glenn Hagele
Volunteer Executive Director
USAEyes

Lasik Info &
Lasik Doctor Certification

I am not a doctor.
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Postby bada5150 » Wed Feb 21, 2007 3:10 pm

Thank you Glenn,
I am not expecting an adversarial environment. I just want to get a second opinion of my eyes from different doctor and want to know how they think about my eyes. This will give me a peice of mind.

Thank you
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