question for Glenn

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question for Glenn

Postby Betty39 » Wed Feb 07, 2007 7:57 pm

Looking back at things in retrospect...when my doctor examined my eyes pre surgery could he have seen this predisposition to dry eyes that I apparently had but didn't know about? I filled out the questionaire to the best of my ability but never felt like my eyes were dry. Never used rewetting drops for my contacts ever. They slipped off my eyes every night with no effort. How come my doctor did not do any tear tests of any kind? I read some peoples doctors do it routinely. Also again, by looking at my eyes with that slit lamp could he have seen a pre-existing dry eye condition. I am feeling so frustrated like he should have screened me better and I should have been smarter and realized my eyes were dry (even though they really didn't feel it.)
Betty39
 
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Postby Betty39 » Thu Feb 08, 2007 2:41 am

One more thing..if you were me Glenn...what would you do next? They finally gave me the number of a corneal specialist to call. I will do that tomorrow. Should I ask him about Restatis?
Thank
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Postby LasikExpert » Thu Feb 08, 2007 1:10 pm

It sounds like you had no symptoms of a dry eye problem before surgery. No complaints. No artificial tear use. The corneas obviously appeared healthy on examination. The doctor may have completed a tear breakup time test by examining the tear film as you kept your eye open without you knowing that your tearing function was being checked. The doctor may have applied a staining liquid to help indicate dry spots with no result. Additional testing such as the Shirmer test in the absence of any symptoms would be a judgement call and could legitimately be considered unnecessary.

Let the corneal specialist complete the exam, make his/her diagnosis, tell you the prognosis, and suggest a recommend a treatment plan before you recommend a treatment plan. If the doctor's recommends treatment does not include Restasis, you may want to ask why the doctor does not believe Restasis is appropriate. Corneal specialists tend to be no-nonsense people who will come right to the point.
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Postby Betty39 » Thu Feb 08, 2007 7:58 pm

Only from here did I learn that maybe I had 1 or 2 dry eye symptoms. Sometimes without my contacts on I could kind of "feel" the air in the room on my eyes but it wasn't uncomfortable. Also once in a while a contact would bug me and I would take it out and rinse it off then it would be fine. I never used rewetting drops and every night my contacts slipped off my eyes fine. So if I had a pre existing condition I sure didn't understand that it was. I filled out the questionaire in the office as best I could and I never felt my eyes were dry which was one of the questions. So maybe I was "boarderline" but neither myself or my doctor caught it.
So then from what you say the doctor could examine my eyes and see if there was dryness there. I don't think he ever stained my eyes with anything.
I will go to the coreal specialist next week. I have been reading from other sites on the internet that say this is a permanent condition in some people and that scares the heck out of me. Do you know of any patients where this never went away? Did it at least lessen? And in your opinion Glenn, if this has persisted ( it has improved over time though) does that indicate it may indeed be permanent? Thank you for your help and patience. If my doctor was the only resource I had I would be totally nuts by now so thank you so much.
Betty39
 
Posts: 130
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Location: Ventura CA

Postby LasikExpert » Thu Feb 08, 2007 8:47 pm

Refractive surgery can cause long-term dry eye problems. It is relatively rare, but it does occur.

A comprehensive examination will often provide indications of a dry eye problem that would trigger a closer examination and perhaps more evaluations. It is natural to "feel air" after contact lens removal because the cornea was previously protected from the atmosphere by the contact lens. It may be that you were borderline preoperatively and it may be that everything that has occurred is exclusively related to the surgery.

Doctors are not perfect (who is?) and problems can be missed. It appears that neither you nor your doctor saw a dry eye problem before surgery. It is easy to miss a problem in the absence of symptoms.

I'm glad our forum has helped you keep your sanity.

:)
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 Betty39 » Thu Feb 08, 2007 11:53 pm

Glenn do you happen to know the statistics of how many dry eye patients actually have the condition resolve? Like what percentage of those with dry eye complications get better?
Thank you
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Posts: 130
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Location: Ventura CA

Postby LasikExpert » Sat Feb 17, 2007 6:06 pm

We do not have malady-specific information, however about 97% of refractive surgery patients have no surgery related complications at six months postop. That would include dry eye.
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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