lboogie wrote:I am overcorrected in both eyes -- but not by enough that the doctor thinks it would cause headache, and the focusing stuff. During regular (un-dialted refraction) I am plano. But during dilated and wavefront I show over correction of under 1.00 in each eye.
This is very helpful information. With manifest you are plano, but cycloplegic you are 1.00 diopter hyperopic (farsighted, longsighted) This means that to see distant objects your eyes need to accommodate (change focus) 1.00 diopter. To see near objects, you need to accommodate 1.00 diopter
plus whatever is requited to see near and mid-distance objects. Considering you were myopic with corrective lenses before surgery, your eyes need to focus all the time and work a bit harder for objects close. Sometimes this kind of situation can lend itself to headaches, nausea, and other eye strain symptoms.
lboogie wrote:He thinks it might be a manifestation of Transient Light Syndrome (the headaches at least).
Transient Light Sensitivity Syndrome (TLSS) is a problem that occurs with the Intralase femtosecond laser (does not seem to be a problem with the Zimmer femtosecond laser) and relates to the energy used to create the Lasik flap. It does go away eventually, but can cause headaches associated with photophobia. This may be able to be resolved with controlled lighting. Keep your environment lit lower than normal, lower the intensity of your computer monitor, and wear dark sunglasses.
lboogie wrote:Sounds odd to me, so I was questioning it -- but he said the focus stuff should still settle down.
It will undoubtedly change during the healing process. At 3-6 months postop you will know if correction or enhancement surgery is recommended.
lboogie wrote:He is the best in the state at this stuff being at a teaching university and all.
A competent doctor is your best resource.
lboogie wrote:I'm also nervous about being on the steriod b/c I've heard bad things about being on it -- he assures me it's a short enough time period -- but I'm concerned about making dry eyes worse and stuff, b/c they've been feeling pretty good.
A major concern with extended use of steroid eye drops is an increase of intraocular pressure (IOP). Your IOP can be measured with each visit to see if you are responding to the steroids; not everyone does. If necessary, you can use additional medication to reduce the IOP if necessary, and it takes a relatively long time for damage from high IOP to occur, with signs normally quite obvious to a competent doctor.
Wearing readers right now, still have the headache, maybe worse. Ugg. Any insight from anyone would be great.[/quote]
Reading glasses are, essentially, hyperopia correcting glasses. A pair of inexpensive +1.00 readers for distance vision would be very. This may get you by until vision settles down or enhancement surgery is recommended.