PRK after lasik??

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PRK after lasik??

Postby blue eyes » Fri Jul 24, 2009 2:46 am

I had lasik about 8 yearss ago. I had some of the usual complaints, dry eyes etc. I do still have starburst/halos at night but they are not any worse than what I had with my glasses. About 2 years ago my vision started regressing, but the doc wasn'st sure if sthis was true regression or could be attributed to the beginning of cataract formation. he said my lenses were very slightly cloudy. We decided to go wisth glasses for nighst driving. Since then I have started needing the glasses for daytime driving and sometimes I could use them for things like shopping or cleaning. I just saw my doc who now suggests PRK for my right eye. This is my dominant eye, and the distance eye for my very slight monovision. Even though I've been through this before, I'm still kind of nervous. Any comments or suggestions would be appreciated. SThanks
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Postby LasikExpert » Fri Jul 24, 2009 3:49 am

If the progession of myopia (nearsighted, shortsighted) vision is due to changes in the cataractous lens, then making changes on the cornea do not seem appropriate. If the problem is a cataract, then resolve the cataract problem. Then, if needed, PRK on the Lasik flap may be appropriate.

PRK recovery is quite different than Lasik recovery. You will not have the "wow!" effect that you had with Lasik. PRK takes longer to heal and there is more discomfort. Search on this website for stories of PRK recovery.

You may want to seek an opinion from a cataract specialist, if your Lasik doctor is not one.

What is your age?
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Postby blue eyes » Fri Jul 24, 2009 4:23 am

I am 51 years old. the doc seems to feel that the cataracts are stable at thie point, as he has been following them for 2 years. my concern is the effect of

prk on the pre made flaps, and on the cataracts. thanks
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Postby LasikExpert » Fri Jul 24, 2009 10:20 am

PRK on the Lasik flap is possible if the flap is thick enough to accomodate the amount of tissue removal necessary to give you the effect you need...and thanks to Mitomycin C that all but eliminates the possibility of corneal haze developing in a flap that has laser energy applied to it with PRK.

You are rather young to have mature cataracts, however it is possible if other conditions exist.

Lasik or PRK can only correct what is correctable with glasses. If your vision is acceptable with glasses, then PRK on the Lasik flap may be appropriate. I still feel a consult with a cataract specialist may be wise.
Glenn Hagele
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USAEyes

Lasik Info &
Lasik Doctor Certification

I am not a doctor.
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