3 1/2 months post op

Research your concerns in this forum or post your questions if you have had Lasik, IntraLasik, PRK, LASEK, Epi-Lasik, RLE, or P-IOL within the past three months.

3 1/2 months post op

Postby DryEye » Mon Sep 18, 2006 5:14 pm

Had custom lasik early June.
Have dry eye issues with some microstriae.

Told that overtime with the usage of artificial tears vision will improve all that (dry eye/microstriae)
Saw a different corneal specialist at a university/major hospital who I continue to see next month and maybe January.
Vision wet is 20/20 or 20/15.
Since the beginning i have noticed a slight ghost (hazy half or full vision of green lights - not red or yellow lights) I saw the same thing for a while with my VCR clock for a while, but that has cleared up.
Do you think that the green light scenario will clear up in time - say after 6 months? Do you think it is a slight undercorrection or astigmatism? Weird because I see well behind the green stop light and as I get closer to it it clears up.

Prescription before:
(R) -3.50 -1.25 1.80
(L) -3 -1.25 1.70

In any case, i assume it would be wise to wait for 6 months to pass before decding on anything?

It what i describe above something that should even be considered for enhancement if it ever came down to that?

Do you think the way the corneal nerves heal have affect on what I am seeing?

Do you think that after 6 months or a year my vision will be crisper without artifical tears. Is it normal for ones body to take so long?

Do you thiink another opinion is necessary? The individual I have been going to has been right to date and seems to be very very knowledgeable about these things.

Does all this sound normal to you from all the research you have done?

Thanks!
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Postby LasikExpert » Mon Sep 18, 2006 11:08 pm

Dry eyes after Lasik is relatively common. Micro striae do not occur very often, but the treatment plan of lubrication and expectation of improvement with healing is normal. The fact that you see so well with moist eyes is very encouraging.

The only thing enhancement surgery can do is reduce refractive error. It appears that you have no refractive error. Enhancement surgery does not seem to make any sense at all.

If at six months postop you have microstriae and you have vision limiting symptoms, then you may want to consider the use of a contact lens to see if it resolves the microstriae induced irregularities. If you have microstriae and there is no limitation to vision quality or quantity, then there would be no reason to attempt to correct something that is not causing a problem.
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Postby DryEye » Tue Sep 19, 2006 5:56 pm

Do you know of any reason why microstriae would occur?
Any more questions I should ask at the 4 month follow-up?
Does Microstriae basically resolve itself with time?
Do you think the green light scenario is due to the microstriae and/or dryeye and that it will resolve with more time?
I basically use preservative free tears daily and Systane Free once before bedtime.
Thanks
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Postby LasikExpert » Wed Sep 20, 2006 1:53 am

We have a detailed article about microstriae on our sister website that explains why it occurs.

Time and healing are what is usually prescribed for microstriae. Some stubborn cases that are causing major problems required the flap to be lifted, stretched, and repositioned. In extreme cases the flap may be lifted and sutured.

The green light issue is likely about healing at the Lasik interface. Light traveling at that particular wavelength is being deflected and causing the ghost image. It may be related to the microstriae or even residual dry eye. Expect this to get better with time. Most patietns do.
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Postby DryEye » Mon Sep 25, 2006 9:38 pm

When I see him in October are there any specific questions I should ask about the stop lights? Can they see what I am talking about by just looking at how the cornea and microstriae/dry eye is healing?

Thanks!
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Postby LasikExpert » Mon Sep 25, 2006 10:26 pm

They may be able to directly observe the cause of your green light ghosting, but not likely. It is more likely they will see the symptoms of whatever causes the problem. As an example, they may find elevated higher order aberrations (HOA) with a wavefront diagnostic. They may observe residual crinkles from the microstriae. It is not likely that observation will be able to point at a particular irregularity and say that this is why green light sources ghost at certain distances.
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Postby DryEye » Mon Sep 25, 2006 10:30 pm

So it sounds like there is nothing to really do except mention it and wait it out until 6 months passes (January 07')?
Do you think it will resolve itself or do you think it is an undercorrection/astigmatism issue?
If so, though wouldn't something else in my vision be affected similarly other than crispness vision that is resolved by using artificial tears?

Thanks
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Postby LasikExpert » Tue Sep 26, 2006 1:21 am

I suspect that it will continue to disappate through healing of your eyes or through your brain learning to "ignore" the imperfection. It is amazing how the brain learns to look around imprefections. The blind spot is a perfect example. We all have them, but we don't "see" them.
Glenn Hagele
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