Please help. Confusion on Enhancement

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Please help. Confusion on Enhancement

Postby SouthMiss » Tue Mar 18, 2008 4:13 pm

I had the LASIK surgery last September, and I could see 20/20 for both eyes right after surgery, but my vision has been continuously regressing since then. I asked the doctor if there is anything I could do, the answer I got was “There is nothing you can do to improve the situation”. It is frustrating.

I came to this Website for enhancement information and then learned that “the flap could be lifted as the enhancement procedure after LASIK”. I went back to the doctor and he told me there was no such a thing called “lifting the flap”, and enhancement was to remove more tissue off my cornea. And it is likely that the vision will regress again and then he could remove more again. Until the tissue was too thin to cut, then he can perform PRK on the surface.

I was worried about his response and don't know what to do next. I am an international student here and the surgery cost $3,000. It is hard to say the result was satisfactory. Cause even sitting on the first row of the class, it is difficult for me to read the text on the board.

Before switching to another doctor, I hope to make sure that what enhancement is really about. Removing more tissue or adjusting the position of the flap? I am really confused.

Thanks very much for your time to read through the post.
SouthMiss
 
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Postby LasikExpert » Wed Mar 19, 2008 12:53 am

Indeed there does seem to be some confusion.

Regression after Lasik is relatively common if you had a high refractive error, generally over 6.00 diopters myopic (nearsighted, shortsighted) or over about 1.00 diopters hyperopic (farsighted, longsighted) - more or less. Normal regression will not continue for six months. Usually regression will stabilize within three months postop, depending upon the exact nature of the correction or condition.

In Lasik enhancement surgery the Lasik flap is lifted and the laser energy is applied under the pre-existing Lasik flap.

It is possible to have PRK enhancement surgery after Lasik. PRK after Lasik does not require the Lasik flap to be lifted.

Do you know your eyeglass or contact lens prescription before surgery? Do you know your current prescription? Are you using any medications prescribed by your Lasik doctor? Has the doctor mentioned any other conditions such as Lasik induced dry eye, edema, etc.?

I highly recommend that you seek a second opinion. I recommend you consider a refractive surgery specialist in the ophthalmology department of a university affiliated teaching hospital. Also, take a friend with you to make sure all your questions are answered in a manner that is understood.
Glenn Hagele
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USAEyes

Lasik Info &
Lasik Doctor Certification

I am not a doctor.
LasikExpert
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Postby SouthMiss » Fri Mar 21, 2008 7:46 pm

Thanks for the reply!

I went to my post six month appointment today and below is my result:

O.D. Spherical (-125) Cylindrical (-50) Axis (10)
O.S. Spherical (-100) Cylindrical (-50) Axis (30)


Before the surgery, my right eye was -5.75 and left eye was -6.25

The doctor said that he could tune up my eyes in two weeks. I am hesitating. I decided to go for a second opinion before making the next move.

I also asked a technician there about their enhancement procedure and she explained to me that it was to lift up the flap and apply the laser treatment below to remove more tissues. Was the right?

I am questioning how likely my eyes would regress again after the enhancement.

In addition, my study involves a lot of work with computer. The doctor said it was ok that I didn’t need to change anything in my work and life and it wouldn’t affect my vision after Lasik at all. Would be working too long with computers another possible reason for the regression?

Looking forward to your reply! Thanks a lot!
SouthMiss
 
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Joined: Tue Feb 12, 2008 6:01 am

Postby LasikExpert » Sat Mar 22, 2008 9:52 pm

SouthMiss wrote:O.D. Spherical (-125) Cylindrical (-50) Axis (10)
O.S. Spherical (-100) Cylindrical (-50) Axis (30)


This is low myopia (nearsighted, shortsighted) vision with rather low astigmatism.

SouthMiss wrote:I decided to go for a second opinion before making the next move.


It never hurts to get a second opinion before having surgery.

SouthMiss wrote:I also asked a technician there about their enhancement procedure and she explained to me that it was to lift up the flap and apply the laser treatment below to remove more tissues. Was the right?


Yes, this is the conventional method of Lasik enhancement surgery. A new flap is not required. The existing flap may be lifted.

SouthMiss wrote:I am questioning how likely my eyes would regress again after the enhancement.


Not at all likely if they are otherwise healthy and thick enough. Smaller corrections tend to not regress and your doctor now knows better how your corneas react to the laser energy.

SouthMiss wrote:Would be working too long with computers another possible reason for the regression?


Possibly, but not likely. Those of us who work at computers have a bad habit of not blinking our eyes long enugh or often enough. This can lead to dry eye issues, that can delay and change healing.
Glenn Hagele
Volunteer Executive Director
USAEyes

Lasik Info &
Lasik Doctor Certification

I am not a doctor.
LasikExpert
Site Admin
 
Posts: 3309
Joined: Fri May 12, 2006 6:43 am
Location: California


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