blurry vision but not in the morning

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blurry vision but not in the morning

Postby tawny » Wed Jun 13, 2007 12:56 pm

My blurry vision is driving me crazy, I am at 6 weeks post op now, I find that i can see perfectly in the morning even in darker situations and then as the day goes on my vision gets blurrier it is especially bad in flourescent lights, or in shopping centers.
Does anyone have any ideas? Could it be swelling and as the day goes on the swelling increases.
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Postby eyespy » Wed Jun 13, 2007 2:39 pm

I have the same problems. I am 80 some days out of surgery. I think I notice the flourescent light situations getting better.

What is frusterating, is the fact that I can read 20/15 at the checkups.

My right eye still lags behind, but my best times are in the morning. I don't seem to be too light sensitive however.

I really, really hope this resolves itself or I will go back to contacs.
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Re: blurry vision but not in the morning

Postby JPD » Wed Jun 13, 2007 3:24 pm

tawny wrote:My blurry vision is driving me crazy, I am at 6 weeks post op now, I find that i can see perfectly in the morning even in darker situations and then as the day goes on my vision gets blurrier it is especially bad in flourescent lights, or in shopping centers.
Does anyone have any ideas? Could it be swelling and as the day goes on the swelling increases.


Sounds completely normal, there's nothing wrong with you. Like Glenn likes to say, Lasik isn't a "20 minute miracle" like it's advertised as, but really a 6 month process.

What kind of eye drops are you using? If you're using the standard one's, like Refresh plus/Systane only, I would suggest in addition to that start using some thincker drops like Refresh Celluvisc or Theratears liquidgel. I prefer the Celluvisc between the two. They are both thick and take maybe 5 minutes to absorb into the eye, but about 10 minutes after using them, my vision had always improved dramatically.

What sort of advice are you getting from your doctor? I would think they would have already made this or some similar suggestion. Restasis may work for you too, but that's by perscription only. I might be a bit concerned if they aren't providing you proper care. It just sounds like a dry eye problem to me, and that's something that needs to be addressed because it can effect the final outcome of your vision. Your doctor should be doing more then making you fend for yourself.
Last edited by JPD on Wed Jun 13, 2007 3:32 pm, edited 1 time in total.
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Postby eyespy » Wed Jun 13, 2007 3:30 pm

I have the same problems, but I just had my "last appointment" and said I really didn't have a dry eye problem.

He said the only way for "supervision" like I had with contacts is to keep using drops to create that extra layer of the eye.

I wasn't satisfied with their answers. This site is much more helpful.
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Postby JPD » Wed Jun 13, 2007 3:40 pm

eyespy wrote:He said the only way for "supervision" like I had with contacts is to keep using drops to create that extra layer of the eye.


Your doctor's answer is a bunch of crap. Basically that means he undercorrected you and he's saying to use eye drops to build up your tear film to compensate for his poor work.

I would suggesting getting a second opinion from a well respected corneal specialist. The cost should be covered by medical insurance.
Last edited by JPD on Thu Jun 14, 2007 8:08 pm, edited 1 time in total.
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Postby eyespy » Wed Jun 13, 2007 4:41 pm

So is there still a chance that these problems may resolve? I read the Snellen chart to 20/15.

So I feel bad complaining, but I feel my vision isn't where I am cofortable with it. I realize surgery doesn't always mean perfect vision, but the trouble is in the unknown.
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Postby LasikExpert » Wed Jun 13, 2007 5:09 pm

When did you stop using eye medication? Was there a connection between the vision problems and the med change? What other medications are you using (any med)?

The problem with loss of contrast in fluorescent lights is not exactly common, but is a known problem. It appears to occur when the Lasik flap has not fully adhered to the underlying cornea. There is enough light disruption at this interface that when the light source is fluorescent vision is unclear. Fluorescent lights emit a very different wavelength than incandescent or natural light.

It is possible for the same problem to occur with a surface ablation technique, but it is almost always related to dry eyes.

It is an irritating problem, but is very likely to go away with healing. You are still rather early in the healing process, however dry eye will exacerbate the problem. Testing to determine if your eyes are dry and the type of deficiency will help suggest what type of dry eye treatment would be best.
Last edited by LasikExpert on Thu Jun 14, 2007 5:07 am, edited 1 time in total.
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Postby JPD » Wed Jun 13, 2007 8:02 pm

eyespy wrote:So is there still a chance that these problems may resolve? I read the Snellen chart to 20/15.


Based on my own experience and the fact you're only 6 weeks out, I would definately say yes.
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Postby eyespy » Wed Jun 13, 2007 8:17 pm

JPD wrote:
eyespy wrote:So is there still a chance that these problems may resolve? I read the Snellen chart to 20/15.


Based on my own experience and the fact you're only 6 weeks out, I would definately say yes.


Thanks for the reassurance. I am actually about 11 and 1/2 weeks out, but that is still considered early. I think you melded my info with the other poster.
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Postby JPD » Thu Jun 14, 2007 3:51 am

eyespy wrote:Thanks for the reassurance. I am actually about 11 and 1/2 weeks out, but that is still considered early. I think you melded my info with the other poster.


You're right, I did do that. Even at 11.5 weeks, my answer would be the same to you. Same goes for my response regarding your doctors statement about using drops for "super vision".
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Postby aspenice » Thu Jun 14, 2007 5:04 am

How can dry eye affect your healing in the long term? I think I am suffering but don't know what I need to do when I see the doctor.
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Postby LasikExpert » Thu Jun 14, 2007 5:12 am

What you need to do when you see your doctor is to express your concern. Tests can determine if you have a dry eye problem. The doctor can recommend the proper treatment based upon the exact nature of the dry eye.

Dry eye slows healing because of irritation to the cornea due to exposure without the protection of lubricating tears.
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Postby eyespy » Thu Jun 14, 2007 2:17 pm

I tried the Refresh gel drops. Very nice. It takes a while to clear up but I feel today that my eyes feel and even may see a bit better. Thanks for the advice.
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Postby JPD » Thu Jun 14, 2007 8:01 pm

aspenice wrote:How can dry eye affect your healing in the long term? I think I am suffering but don't know what I need to do when I see the doctor.


My doctor says letting your eyes dry out can cause regression. He's very adament about his patients using eye drops for 12 months, whether their eyes "feel" dry or not. I know that's significatly longer then the majority of doctors recommend using eye drops.
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Postby aspenice » Thu Jun 14, 2007 9:20 pm

I am going to see the doctor at 10am tomorrow for my dry eye or what it seems to be. I am also going to get those Allergan Celluvisc drops tomorrow. Hopefully everything will be alright.

I am wondering something... I use to wear contacts and after having my baby in Oct. of 05 I couldn't wear them again. My eyes dried out and got blurry. You wouldn't think that nearly two years later hormones are still out of whack. I am not having any more children but maybe that was a clear indication that I shouldn't have Lasik.

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