Epi-Lasek high prescription advice required

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.

Epi-Lasek high prescription advice required

Postby yakyak » Tue Aug 08, 2006 7:24 am

I am 26 years old and I have had epi-lasek performed on both my eyes seperatley. My left eye was -8 and was performed 9 months ago. It is now perfect and I am extremely happy with the result. My left eye was -7.5 and was operated on by the same doctor 5 months ago. At first the vision was excellent, however in the last 6 weeks the vision has started to deteriorate - I think. In low level light conditions the vision is poor, I first put this down to dryness, as I seem to remember the same happening with my left eye. This might not be the reason though. Near to sight is excellent with my right eye, and it feels as though for all the near-to work (for example on the computer) my right eye is doing all the work. For distance however my right eye struggles. With my right eye, things in the distance seem foggy, not the same as when I was short sighted, and certain colors like red have a white glow to them. (Hard to describe)

I am putting quite a lot of artificial tears in each day, but by 5 months I would have thought that my tear nerves would have repaired themselves.

I am going back in 3 weeks time to see what the doctor thinks. In the meantime I am starting to think that my right eye has regressed. Putting the artificial tears in increases the clarity for about 30 seconds, after that it reverts back to normal.

Any advice that anyone has would be most appreciated.
yakyak
 
Posts: 3
Joined: Mon Aug 07, 2006 12:51 pm

Postby LasikExpert » Tue Aug 08, 2006 8:12 am

Regression would be expected. It may be that your doctor slightly overcorrected your eyes to accommodate for regression, but more regression than expected occurred. The fact that your near vision is excellent but distance vision is not quite so good indicates that you are now a little myopic (nearsighted, shortsighted).

Certainly dry eyes could contribute to this problem, but I agree that after five months most surgery induced dry eye should have resolved. It may be that surgery exacerbated previously existing dry eye, but your doctor can evaluate your tear function during your exam. You may want to read about LASEK and Dry Eye for treatment ideas.

At your next exam, ask your doctor for a manifest refraction (which is better, one or two?) and a prescription for glasses or a contact lens. You may want to call staff before the appointment and let them know that you want this exam because it may be an exam they do not automatically provide, but should as a part of your surgery fee.

Your prescription and an exam for dry eyes will give you (and us) a much better understanding of the situation.
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

Couldn't wait.

Postby yakyak » Fri Aug 11, 2006 1:06 pm

My right eye continued to get worse so I went back yesterday to find out what was wrong with it. It appears that I have corneal haze in the right eye, and that is why it was affecting my vision. I am now taking fluorometholone drops 4 times a day for 1 week, 3 times day for 1 week dropping down 1 each week.

They seemed confident that my eyes were not dry at all, and that the drops would sort it out. I have noticed alerady however that my vision is getting worse in that eye. This is something I expected though, as the dops made my right eye worse before it got much better.

Thanks for your advice.
yakyak
 
Posts: 3
Joined: Mon Aug 07, 2006 12:51 pm

Postby LasikExpert » Mon Aug 14, 2006 6:02 pm

Be sure that you report any changes in your vision quality to your doctors immediately. They may need to change your medication or otherwise intervene to resolve the problem.
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

Strange things are happening...

Postby yakyak » Sat Jan 12, 2008 9:00 pm

Things have been great with regards to my vision since I last posted. The FML sorted out my haze and my right eye became perfect.

Meanwhile my left eye has deteriorated. My little boy caught my eye with his fingernail when we were playing, and at the time I thought nothing of it. That was about 2 months ago, and now my eye is just about functioning. I am just about able to drive. My right eye is doing all the work and is starting to give me headaches! The quality of vision has really deteriorated in the past week.

I first went to my local optician yesterday to see about the loss of vision, and he did several tests. He ended up putting some yellow dye into my eye and used a blue slit lamp to check the surface of my eye. He said that there was a mark and that I should go back to the surgery for them to probably prescribe me with FML again.

I went back today and had several tests done. They took a multicolor map/topography of my eye and said that it looked fine and there was no haze in my eye. They said they got some strange results back and couldn't work out what was going on. They asked me to go back in six weeks to be checked again. I don't think I can wait that long. My eye is quite blurry typing this, and is starting to burn. I'm not sure if this is also dry eye. They also told me the thickness of my cornea was now 372 and not suitable for a retreatment if it didn't improve in its own.

The difference of opinion isn't really helping me. The original optician first mentioned that he could see a mark on my eye and that a steroid would sort it out. I could book to go to another clinic for a third opinion as I feel that the original scratch to the eye is the problem.

I am clutching at straws now to find an answer to this problem. I probably have forgotten some details here, but my eye is burning that much I have to stop typing!!
yakyak
 
Posts: 3
Joined: Mon Aug 07, 2006 12:51 pm

Postby LasikExpert » Mon Jan 14, 2008 4:52 pm

You will want to read our article about dry eye treatment as what you describe may be related to dry eye issues. At the very least, keeping your eye appropriately lubricated will promote healing.

I recommend that you seek the opinion of a corneal specialist. Unusual test results and the lack of a definitive diagnosis or treatment plan indicates it is time for an outside evaluation. Ask your Lasik surgeon for a recommendation or contact the ophthalmology department at a university affiliated teaching hospital.
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


Return to Had It A While Ago

Who is online

Users browsing this forum: No registered users and 1 guest