Haloes & Starbursts....WHAT TO DO?!!

Post your questions and start your research in this forum if more than three months ago you had any type of surgery to reduce the need for glasses and contacts.

Haloes & Starbursts....WHAT TO DO?!!

Postby Eye see » Sat Feb 27, 2010 3:33 am

more than a year ago, i had PRK. and immediately after surgery i noticed i had what I think is called starbursts whenever I looked at a light in the dark.... Its like what you'd see if you had eyes full of water or tears, then squinted a bit as you looked at a night light (such as a street lamp). Just lines & hazes of light surrounding the light source, instead of clear crisp vision. But this is only at night when my eyes are dilating.

the people at the office where I had my surgery said it would go away after 3 months. it didn't. then they said 6 months. it didn't. Now its been more than a year, and I STILL have it (plus haloes). and my one-year warranty with them is up, so I cannot see them for anything unless I pay.

Now I'm stuck not knowing what to do.

Anyone know how I can get my eyes fixed? and if this condition I have is even fixable? And what caused it?...was it becuz I bumped my eyes a few times during the first week of healing after surgery?
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Re: Haloes & Starbursts....WHAT TO DO?!!

Postby PRKorIntacs » Sat Feb 27, 2010 10:34 pm

This is often a result of large pupils, but can also be caused by an increase in high order aberrations. What was your vision before and after PRK?
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Re: Haloes & Starbursts....WHAT TO DO?!!

Postby Eye see » Tue Mar 02, 2010 12:27 am

First off, I had the customized treatment, which I expected would eliminate the possibility of haloes or whatever else!

My prescription before surgery was (I dont' remember EXACT numbers) about -4 in right eye, and -4.75 in left eye, with some astigmatism in both eyes in differring degrees.
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Re: Haloes & Starbursts....WHAT TO DO?!!

Postby PRKorIntacs » Tue Mar 02, 2010 5:28 am

The customized treatment reduces, but not eliminates this possibility. Sorry you were not told about this risk. Do you know your pupil size? large pupils could be another reason. I have large pupils myself and I know that if I get PRK, I won't see as well at night. I have to decide if it's worth it. In your opinion, would you say PRK was worth it for you? How well do you see without glasses? How much has it reduced your dependancy on glasses? Im unhappy with my -5 myopia.
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Re: Haloes & Starbursts....WHAT TO DO?!!

Postby Eye see » Tue Mar 02, 2010 9:24 pm

Hey, why isn't "LasikExpert" in here giving advice? It would seem that my problem needs more expert guidance. Cuz I am sick of my nighttime glares, haloes, and starburst hazes.

my pupil size is 8mm...I think. I'll hafta double check.
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Re: Haloes & Starbursts....WHAT TO DO?!!

Postby LasikExpert » Wed Mar 03, 2010 12:11 am

We have a detailed article about night vision problems after laser vision correction surgery that will undoubtedly help guide you.
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Re: Haloes & Starbursts....WHAT TO DO?!!

Postby Eye see » Thu Mar 04, 2010 10:18 pm

So can you tell me what I'm to do now, in order to have it fixed? I wanna know if clear night vision is possible for me.

And is it possible that the surgeons/techs mis-measured my pupils?.....maybe they measured them while they were not dilated all the way, and so when they dilated all the way after the surgery, it just got in the way & caused the starbursts?
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Re: Haloes & Starbursts....WHAT TO DO?!!

Postby LasikExpert » Sun Mar 07, 2010 5:46 pm

The pupil measurement important in regard to laser vision correction surgery is the measurement in a low light (but visible light) environment. Infrared devices measure pupils in zero light, which is very accurate, but commonly reads about 1.0mm larger than low light.

Many factors can cause changes in naturally dilated pupil size that range from medications to hormonal changes. Even the time of day can make a difference.

If the vision symptoms are due to an imbalance in correction from the periphery of the cornea to the center, then reducing the pupil size in a low light environment tends to resolve the problem. A common method is the use of Alphagan P, which is a glaucoma eye drop that has the happy side effect of moderately reducing pupil size. Unless there is a allergy issue, use of Alphagan P for the long term has not been shown to be problematic.

Of course, if the correction in the center of the cornea does not fully correct the refractive error, night vision issue will persist even with smaller pupils. Corrective lenses or enhancement surgery would be considered.
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Re: Haloes & Starbursts....WHAT TO DO?!!

Postby Eye see » Fri Apr 23, 2010 9:04 pm

LasikExpert wrote:The pupil measurement important in regard to laser vision correction surgery is the measurement in a low light (but visible light) environment. Infrared devices measure pupils in zero light, which is very accurate, but commonly reads about 1.0mm larger than low light.

Many factors can cause changes in naturally dilated pupil size that range from medications to hormonal changes. Even the time of day can make a difference.

If the vision symptoms are due to an imbalance in correction from the periphery of the cornea to the center, then reducing the pupil size in a low light environment tends to resolve the problem. A common method is the use of Alphagan P, which is a glaucoma eye drop that has the happy side effect of moderately reducing pupil size. Unless there is a allergy issue, use of Alphagan P for the long term has not been shown to be problematic.

Of course, if the correction in the center of the cornea does not fully correct the refractive error, night vision issue will persist even with smaller pupils. Corrective lenses or enhancement surgery would be considered.


i don't like the sound of dependence on Alphagan P, becuz I want any correction to my night vision to be natural & permanent without the artificial upkeep.

Is there any experts (ie. eye doctors/surgeons) in here who can reply to my message?

Becuz, I guess my bottom line questions are:

1> Now that I had PRK, what are the new weaknesses of my eyes?...are my eyes now more susceptible to more injury from impact to the eyes? becuz it sure feels that way when i rub them.

2> It seems it is an unknown whether my faulty night vision can be fixed/cured or not...and I don't even know HOW it would be fixed....so....what do I do now? Who do I see to find out the definitive answer, since my original surgeon & his whole office refuse to see me anymore (my warranty expired)??

3> So is it true that if you have large pupils, and got LASIK instead of PRK, you would have better results at night?

4> And if so, or not, how do special forces military personnel (who are required to have PRK instead of Lasik) see at night during their operations? Do they run into the same problems, or is there somthing else? AND WHERE CAN I FIND CASE RESULTS OF MILITARY PERSONNEL HAVING PRK, IN ORDER TO SEE IF THOSE MILITARY CASES EXPERIENCED ANY NIGHT VISION PROBLEMS??
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Re: Haloes & Starbursts....WHAT TO DO?!!

Postby The Real Jonny D » Tue Apr 27, 2010 7:31 pm

Do you have any remaining refractive error? I ask, because residual or surgery-induced astigmatism could cause issues similar to what you describe. Get a second opinion if you are not happy with your surgical center's approach (or lack thereof) to the problem. It is impossible to diagnose someone remotely, only offer advice based on statistical information.

1) PRK does NOT affect the structural integrity of the eye, nor does it make it more susceptible to injury. LASIK patients, however, have the issue of potential flap dislodgement. There isn't a flap in PRK.

2) Many things can cause halo's and starbursts, residual refractive error and astigmatism could be something to look at. Get a second opinion!

3) LASIK and PRK have the same size treatment zones and use the same laser/laser technology. Some surgeons use PRK for larger pupils exclusively... I have not heard of LASIK being superior...

4) This questions was based on the above, so it was already answered the best I could. As far as records of Military procedures, I have yet to see any statistics... I have heard that they do exist, but I cannot find them myself. We'll leave this to someone that knows better!
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Re: Haloes & Starbursts....WHAT TO DO?!!

Postby LasikExpert » Tue Apr 27, 2010 11:06 pm

The Real Jonny D wrote:1) PRK does NOT affect the structural integrity of the eye, nor does it make it more susceptible to injury. LASIK patients, however, have the issue of potential flap dislodgement. There isn't a flap in PRK.


This is not quite accurate. PRK involves the removal of corneal tissue. Any tissue removal can affect the structural integrity of the cornea, however PRK removes tissue less deep than Lasik for the same refractive change.
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Re: Haloes & Starbursts....WHAT TO DO?!!

Postby Eye see » Fri Apr 30, 2010 8:35 pm

Yeah, but guys....my question remains: So who/where do i go to now? Where do I get that "second opinion"? (Now that my original surgeon has abandoned me)
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Re: Haloes & Starbursts....WHAT TO DO?!!

Postby LasikExpert » Sat May 01, 2010 5:05 am

Eye see wrote:Where do I get that "second opinion"?


Ophthalmology department of the nearest university affiliated teaching hospital, probably with their corneal specialist.
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