Issues 3 months after lasik

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Issues 3 months after lasik

Postby Mike » Thu Nov 02, 2006 8:33 pm

This site is one of the bese sources of information. Thankyou for this.

I had Lasik in exactly 3 months and 2 days ago. Before I had -2.75 and -2.5. After the Lasik, I had one eye overcorrected to +0.75. In the
checkup about a week ago, looks like it is now +0.25. The images are not still crisp but I can live with it.

I had pressure in my left eye (which was overcorrected) when I bend down. The doctor checked for the pressure (just used the hand held instrument to measure) and said it is normal and no reason to worry about Glaucoma. However, he could not explain the pressure. In the same eye, I have a mild pain coming from somewhere back of the eye inside; some times it spreads all the way to the back of neck. The doctor could not explain that either; he asked me to give it time. I am sure this pain is not due to the overcorrection since this happens sometime over the weekend also when I do not read, do not work on computer. Also, as far as the overcorrection, he has advised me not to go for the correction followup surgery since it is only +0.25.

Now I am worried about the pressure and the pain since the doctor cannot explain it and this does not seem to go away. Is there any other eye specialist I need to go and check this?

Please advise.

Thanks
Mike
Mike
 
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Postby LasikExpert » Thu Nov 02, 2006 10:19 pm

Mike,

Start looking for causes of the "pressure" from sources other than the surgery. Lasik may have exacerbated something, but is not likely to have directly caused such a sensation that presented so long after surgery.

Glaucoma - an increase of pressure inside the eye - generally has one of two early symptoms (depending upon the type of glaucoma). One is no symptom at all. The other is excruciating pain. Since you have neither, it does not seem likely that what you feel as "pressure" is actually intraocular pressure. Your doctor's evaluation seems consistent with this conclusion.

The symptom of pressure at the eye is much more likely pressure at the sinus. The tear ducts drain into the sinus, the sinus drains into the throat. This interconnectivity can cause a problem in one location to seem like it is caused in another location. The inventor of a very popular punctal plug and expert on dry eyes has shown that sinus, throat, and headache problems can be directly linked to simple dry eye.

Because the symptom occurs when you bend down, I also suspect that a blood pressure or blood flow to the head issue may be at hand.

What you describe may be a sinus infection, the onset of a cold, a virus, a blood pressure problem, a reaction to medication (prescription or over-the-counter), dry eye, or a large number of other possibilities. Since your eye doctor has ruled out problems there, I recommend you approach your general physician with a list of your symptoms and a description of the circumstances under which they occur.

Also, what is your age? This may indicate concern in another direction.
Glenn Hagele
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Postby Mike » Thu Nov 02, 2006 11:03 pm

Hello,

My age is 37.

I am not sure if this is due to sinus/cold since I never had this issue before. I will make an appointment with my general physician for checking that also.

Also, I have been taking Tricor for a about 2 years for my triglyceroids and never had issue with it.

Also, the other issue that started after the surgey is my left eye twitching on the upper eye lid. This started around 2 weeks ago. The frequency varies - some times once in 2 hours ; some times every 2 minutes for about 30 mins.


Thanks
Mike.
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Postby LasikExpert » Thu Nov 02, 2006 11:32 pm

You may be having some accommodation issues. Accommodation is when the natural lens inside the eye changes shape to change focus. Since you are now hyperopic, your eye may be attempting to "focus around" the hyperopia, causing strain.

The twitching (blephospasm) indicates something other than accommodation.

A bit of trivia: In the 80’s ophthalmologists began injecting a small amount of diluted botulism near the eye lids to paralyze the muscles that cause blephospasms. That technique became Botox.
Glenn Hagele
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USAEyes

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I am not a doctor.
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Postby Mike » Mon Nov 06, 2006 3:01 pm

Thanks for the reply.

However, I have the overcorrection of only +0.25. Will this small amount of hyperopia can cause accommodation issues?

Thanks
Mike
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Postby LasikExpert » Mon Nov 06, 2006 8:11 pm

Normal fluctuation of the human eye is about 0.25 diopter. This small amount of refrctive error does not seem likely to cause major accommodation concerns, however you eye is able to accommodate and may be focusing around more hyperopia than appear with a manifest refraction (which is better, one or two?). It may be that a cyclopegic refraction would show that you have more hyperopia when your lens is not able to change focus.

You have also changed the optics of the eye from -2.75 to +0.25. It may be that your eye is having a hard time adjusting to the new optic range for accommodation. You may want to read about Lasik Eye Strain.
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

Postby Mike » Mon Nov 06, 2006 11:11 pm

Thanks for the reply.

I am more worried if there are any damages to the eye other than the overcorrection - because of the mild pain coming from the back of the eye somewhere inside the head. This pain is constant and it exists most of the day. Could there be a damage to the optic nerve or something?

Should I seek a help from another Eye specialist? If yes - then what kind of specialist?

Thanks
Mike
Mike
 
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Joined: Thu Sep 14, 2006 5:58 pm

Postby LasikExpert » Tue Nov 07, 2006 1:13 am

I think your next best step is your general physician's evaluation. If nothing is found, then a visit to another eye specialist may be in order.
Glenn Hagele
Volunteer Executive Director
USAEyes

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Lasik Doctor Certification

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

Postby Mike » Thu Nov 09, 2006 5:16 pm

Hello,

I had a followp visit to my lasik surgeon. I still have the mild pain on my left eye that starts somewhere behind the eye
and spreads till the back of my head. He has asked me to consult a optho neurologist. He did not give me any referrals.

Is there any good optho neurologist in New Jersey aread that you can recomment?

Thanks
Mike
Mike
 
Posts: 22
Joined: Thu Sep 14, 2006 5:58 pm

Postby LasikExpert » Thu Nov 09, 2006 6:04 pm

I don't know of any personally, but if you contact the ophthalmology chair of the nearest university affiliated teaching hospital, s/he will know.
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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