dducharme wrote:He suggests doing an enhancement to correct -1 in both eyes and seeing if the other -1 goes away with the haze, but if it is just the haze causing this wouldn't that just cause an overcorrection?
The haze is very likely directly associated with inflammation. The meds are anti-inflammatory steroids, trying to control the inflammation and treat the haze.
dducharme wrote:The other option he mentioned is that he could just remove the epithelium and use more MMC and see if it grows back without the haze.
MMC is very strong medicine that should be avoided if possible, but used sparingly if necessary. In the diluted amounts commonly used with surface ablation laser vision correction, the MMC has likely done all it can to reduce haze formation. I suggest you seek the second opinion of a corneal specialist before going with a second application of MMC. Also, I suggest that you don't consider a second MMC until after at least 3-6 months of healing.
dducharme wrote:I am slightly concerned about getting more surgery as I managed to dodge dry eyes and haven't needed a single drop of artificial tears but at the same time the State Police recruitment physical test is this December which is the whole reason I got the surgery in the first place.
Based upon the limited information you have provided, my personal experience with corneal haze, and the experience of patients I know who have had corneal haze, I believe that healing is your primary treatment, not more surgery. Also, much depends upon where the haze is actually located. If it is at the epithelium plane, this is surely going to resolve with healing over the next 4-12 weeks. If it is deeper and at the plane of the stroma it will take longer to resolve, but vision improvement can be expected over the next 4-12 weeks.
dducharme wrote:If it is going to clear up from the steroids at what point should I begin to see improvement?
The steroids are undoubtedly working now at limiting the hazing and by your four-week exam you should see some changes, although they may seem minor to you.
dducharme wrote:How long would it take to heal from removing the epithelium?
You could expect "functional fuzzy" vision for 2-5 days with continued improvement for a month with the truly crisp vision returning in 4-6 weeks - IF removal of the epithelium and MMC resolves the haze.
dducharme wrote:Also I have noticed that unlike many of the people on the board my haloing is constant not just at night, would that be caused by the haze as well?
This indicates that you have true corneal haze, not just an undercorrection. Halo day and night would be expected.
dducharme wrote:Thanks for you comments and help as in one week this has gone from the best decision I ever made to the worst and I just hope it swings back to the best.
What you need more than anything is time to heal. A friend of mine had extreme corneal haze (like a frosted bathroom window) and after several years the cornea cleared completely. Also, you have a combination of myopia (nearsighted) vision that is probably not corrected with glasses, plus haze. It is often difficult to determine what is haze and what is blurr. If the quality of your vision seems better when you are reading a menu or a book, then the difference is probably due to the myopia. If the quality is the same both near and far, then that is the haze.