Will headaches go away after healing period?

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Will headaches go away after healing period?

Postby rayvendawn » Sun Dec 31, 2006 9:12 pm

I had wavefront intralasik on the 8th of December and I am nearing my one month appointment. I had a lot of starbursts and double images for the first two weeks which have cleared up now. I had 20/400 vision with high astigmatism before the surgery and I've *like everyone else* have been wearing glasses since I was five years old. After my 2nd day check up I had 20/15 and I'm now doing better than I was on that day. I have a slight wandering eye/cross eye that forced me to wear prism eye glasses because of the headaches I developed from the strain of bright lights and reading bar codes at my job. I was taking the prescribed pain medication that the lasik doctor gave me every single day last week because my head aches were getting so intense and my light sensitivity was making it a lot worse. I suddenly stopped having intense head aches two days ago and I am hoping that my eyes were just adjusting.
I have an appointment with my regular eye doctor this next thursday and I will order tinted prism glasses to wear at work so once again I will be back in glasses :(
I am wondering if anyone else has had these intense head aches after lasik and if anyone ever gets over them?
BTW I developed the head aches from my wandering eye just in the past 4 months, got my glasses for it and then got lasik a month later. STUPID IDEA but are sudden head aches and wandering eye normal?
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Postby LasikExpert » Sun Dec 31, 2006 11:47 pm

If I read you correctly, the headaches existed before surgery and only affected the eye that tends to become misaligned.

Headaches can be a symptom of many issues. If you are nearing age 40, it may be that presbyopia is causing your eyes to work extra hard trying to focus on objects near (accommodation deficiency).

Dry eyes are very often a cause of headaches. The eye tearing function is connected to the sinus, connected to the inner ear, connected to the throat, connected to the respiratory system. Any disease or problem with any of these systems can cause headaches and be exacerbated by one of the other systems. As an example, dry eye can be associated with sinus problems, and the other way around. Ocular health is about much more than the eyes.

Of course, headaches may be caused by issues that have nothing to do with your eyes, such as caffeine imbalance, blood flow problems, and many other issues.

Because you have a wondering eye, convergence deficiency may be contributing to the problem. Convergence is when the eyes aim nasally (cross-eyed) when looking at objects close. The muscles used for eye direction may be working overtime or even having spasm problems that could contribute to the headaches.

Lasik does not change eye alignment. If you needed glasses with prisms to function before Lasik, you would probably need them after Lasik. For those with eye alignment problems, a trial in contact lenses would closely replicate what vision would be like after Lasik.

I suspect that your distance vision after Lasik may be fine and not subject to headaches, but that mid-distance and near vision will cause you problems due to the alignment and convergence issues.

Has your general physician or eye surgeon diagnosed a cause of the headaches? What are their responses to your complaints?
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Postby rayvendawn » Mon Jan 01, 2007 5:45 am

Well here is the deal I'll try to explain without sounding totally retarded.
I'm 22 and my blood pressure and everything is alright and at first I complained to my regular health care doctor about the head aches but he couldn't find any reason for them. I went to my regular eye doctor and she said that I have a slight wandering eye and it was causing my eyes to strain and cause a head ache, at the time I was only wearing toric contacts about 12 hours a day or more and so she gave me a prescription for tinted prism glasses. I started wearing them for a month and my head aches went away but she didn't tell me what to really DO about having that wandering/cross eye like I should just accept it and wear glasses forever. She didn't want me wearing contacts at ALL anymore, she told me that you can't fix eye aligntment with any type of contact and glasses wouldn't fix it but it would keep it from getting worse. I wore my glasses for a month and got sick of everyone telling me that I looked a lot better without them and that no one could "see my pretty eyes" so I decided on lasik. I went in for a consultation on wednesday,they tested me a thousand different ways for 5 hours and they said I was a good canidate for wavefront intralasik. They did not know my past eye history, they had no idea if I had vision that had been stable for 2 years or if I had that slight cross eye beforehand. I wasn't really having that big of a problem with it so I didn't make it a point to tell them, I thought they would find any problems if I had any that would keep me from lasik. My eyes do hurt now when they get tired, I can feel my eye trying to focus in on things that are up close, things that are near me like a person standing in front of me are hard to focus on because of that eye. I have an appointment with my regular eye doctor on thursday to get some more prism glasses. I won't be able to see my lasik surgeon until the 9th, I never get to see the one that did the surgery.. just the little pee on doctors below him. They are all in their 20s and I don't really trust them with giving me a straight answer.
My vision is perfect now and I haven't had one problem with it and I suspect that it is leveling out now. It seems like having lasik just made the problem worse, my eyes have to work on their own now and they feel very tired all the time.
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Postby LasikExpert » Mon Jan 01, 2007 10:34 am

We have a detailed article about Lasik eye strain that you may find interesting and helpful.

It is reasonable to expect some improvement, but the alignment issue will not be corrected or improved by Lasik. You may need glasses only for the prism after Lasik. You may want to ask your regular doctor for a referral to a strabismus specialist. This exam should be covered under your major medical insurance as strabismus is a medical condition not related to refractive state.
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Postby rayvendawn » Fri Jan 05, 2007 4:51 am

Update
I went to my regular eye doctor today and she checked me out, she said my eyes were doing fine and healing well. I was able to pick out some glasses with prism in them and I put a faded tint on them to make them look like sun glasses. I am actually excited about wearing glasses again. She told me that my eyes are NOT used to having to focus up close and that it was probably causing my headaches and the more my eyes learn to focus the less intense the headaches are and now I've gone for awhile without headaches. I can still feel my eyes trying to focus hard on things close up, with my old vision I could see everything perfectly up close but now my eyes are like ??? hehe. I would still trade my close up vision for my beautiful far off vision. She gave me a little bead kit to exercise my eyes with but she said it probably wouldn't help me at all. It is the string test which I am now able to do without pain.
I am hoping that my eyes will get used to looking at things up close again after my healing period from intralasik. I can tell things are getting BETTER so I'm optomistic but not looking for a miracle.
I will update again when I have had my one month intralasik checkup this thursday with my surgeon. I'm going to discuss my findings with him.
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Postby LasikExpert » Fri Jan 05, 2007 6:38 pm

LasikExpert wrote:We have a detailed article about Lasik eye strain that you may find interesting and helpful.


It looks like my educated guess was on target. This is something that will undoubtedly improve with time.
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Postby rayvendawn » Fri Jan 12, 2007 7:43 am

Another update.. I am so confused now! Went to the intralasik doctor on the 9th...
My regular eye doctor gave me prism glasses and said that my vision was perfect in my right eye but my left has a very small amount of astigmatism, she said it wasn't even worth getting glasses just for that but because I'm already going to be wearing glasses that I might as well have the correction in the glasses. I haven't had any headaches in a week or so which is just out of this world, I haven't even received my prism glasses yet. She told me that my eyes weren't used to adjusting at all to things up close since it came naturally for me before. I have been doing things to get my eyes used to it or so I think, I have resumed my drawing and reading and now I don't get headaches when looking at things up close. I can even put on a clasp on a necklace that is three inches from my face. I am hoping that this is just a healing period. I REALLY hope that my astigmatism will not get worse, I would seriously have a emotional breakdown if I had to go through with all of that bad vision again!
I went in on the 9th to see the doctors under my intralasik surgeon, I didn't get to see him. The doctor there told me that there wasn't any point in wearing glasses since the astigmatism in my left eye was so slight and he said that I don't have an eye muscle problem and that I shouldn't wear prism. I am not sure if this is just because they want to make sure that a very small portion of their patients say that they need glasses or because that is his honest opinion. Their buisness is based on "you don't have to wear glasses or contacts" theme.
I am not sure what to do, any opinions or expirence would be greatly appreciated.
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Postby LasikExpert » Fri Jan 12, 2007 6:42 pm

It is good to hear that your vision is coming around.

The bottom line is that you are the judge of the quality of your vision. If you are able to function well without glasses, then it would seem that you don't need glasses. An alignment problem will present itself as doubled vision with both eyes open.

Now that your eyes have adjusted to their new vision it is very unlikely that you would experience the same problems if you elected to have enhancement surgery. Whatever change may be performed with enhancement surgery would be very minor and would not require the same adjustment period nor would you be expected to experience the same negative effects.
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Postby rayvendawn » Fri Jan 12, 2007 11:31 pm

Well to ME my vision seems perfect, I can't imagine it being better. I just don't want to not wear my glasses and make things worse. I don't have double vision and my eyes align well when I have to focus on the string with the beads but I was worried about other people seeing my eye float off sometimes. I have trouble keeping it in line when I am staring at people that are near me, I can tell my eye is floating away but I can't SEE the difference.
Will asitmatism always get worse or will it stay the same? My eyes had leveled out in presciption for two years without the astigmatism getting worse but I'm scared that it might start up again especially since that one eye already has some in it.
I don't know the causes of astigmatism by the way.
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Postby LasikExpert » Sat Jan 13, 2007 1:05 am

Your astigmatism may have been induced by surgery or may be a result of your dry eyes. It may resolve with full healing, but it appears that the astigmatism is very small and does not interfere with your vision quality.

A strabismus expert will be much more knowledgeable about the need for prism glasses. At least you know that you can see well without them. You will need specialist advice on whether or not using them is required for good long-term alignment.
Glenn Hagele
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USAEyes

Lasik Info &
Lasik Doctor Certification

I am not a doctor.
LasikExpert
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