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Old 04-04-2013, 01:13 AM   #1
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Lasik... Concerned!

So let me prefix this by saying I am probably being impatient and needlessly worried, but I am just looking for reassurance really...

I underwent Wavefront Guided Intralase, Lasik - Bilateral surgery on Friday 22nd March. My prescription prior to the surgery was;

SPH CYL AXIS
R -0.75 -3.00 15.0
L -0.75 -3.50 165.0

I was told it all went well and advised the day after that I had better than 20/20 in both eyes (although it seemed really blurred to me). 12 days on I'm a little concerned that my vision doesn't really seem to be improving day by day as I though it would.

I can see better than I could without my glasses but the vision is average - very cloudy/blurry, especially near vision. Long distance is improved but I find if I focus too hard things get blurry again. I am also seeing universal glare with anything bright which is making it hard for me to go back to work and stare at a screen. I am also experiencing the glare/starburst driving at night which is making it quite difficult.

I know all these symptoms are to be expected but waking up without noticing any improvement is a little disheartening. I was told prior to surgery my case was relatively simple.

I relayed my concerns to the surgeon yesterday and was told to be patient and that astigmatism, which is what I was mainly treated for, takes a little longer to recover from and heals at it's own rate.

Anyone care to share any of their own experiences? Mainly people who suffered from moderate/high astigmatism?

Thanks!

Last edited by mod85; 04-04-2013 at 08:32 AM.

 
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Old 04-05-2013, 05:27 AM   #2
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Hi

Yes you are early. I am 3 months out. The first few weeks i wore my sunglasses with orange lenses to work on the computer due to the glare. Near vision was very strained and frustrating. It came back little by little over the first 4 weeks. One eye is now normal for near, the other eye was slightly over corrected so that very near eg under 10 inches is strained but all else is fine.

It takes 3 - 6 months for vision to seem normal. Sometimes longer from what I have read on this forum with some taking up to a year. Dryness is a big factor in eye recovery so use eye drops and if the drops dont feel good keep trying different brands until you find one that works for you. I went through a ton until i found theratears worked best for me.

 
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Old 04-05-2013, 05:50 AM   #3
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Hi

Yes you are early. I am 3 months out. The first few weeks i wore my sunglasses with orange lenses to work on the computer due to the glare. Near vision was very strained and frustrating. It came back little by little over the first 4 weeks. One eye is now normal for near, the other eye was slightly over corrected so that very near eg under 10 inches is strained but all else is fine.

It takes 3 - 6 months for vision to seem normal. Sometimes longer from what I have read on this forum with some taking up to a year. Dryness is a big factor in eye recovery so use eye drops and if the drops dont feel good keep trying different brands until you find one that works for you. I went through a ton until i found theratears worked best for me.

 
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Old 04-05-2013, 06:18 AM   #4
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Re: Lasik ..... Concerned!

Thanks for the reply. I know I need to be patient and most days I am, but I have those lapses thinking this was all a mistake and that my vision won't get better than it is. My near vision is getting slightly better with time, but my short sightedness was very minor. It's the astigmatism which is causing things not to be totally crisp.

Thanks for the tip, I will see if that helps. The ones I am using now are pretty good, but i don't notice my eyes being dry or a sudden improvement in vision when I use them either.

 
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Old 04-05-2013, 07:08 AM   #5
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Re: Lasik ..... Concerned!

Lasik recovery is glossed over by the doctors and Lasik clinics. For me it has been an unexpected lengthy journey for 1 of my eyes and easy breazy for the other with tons of why did I do this to myself days. There needs to be a Lasik hotline to give people comfort over the recovery period.

 
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Old 04-05-2013, 07:14 AM   #6
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Re: Lasik ..... Concerned!

Quote:
Originally Posted by whiskeythekid View Post
Lasik recovery is glossed over by the doctors and Lasik clinics. For me it has been an unexpected lengthy journey for 1 of my eyes and easy breazy for the other with tons of why did I do this to myself days. There needs to be a Lasik hotline to give people comfort over the recovery period.
Definitely! I asked my doctor about the glare, blurriness, etc. and he was just so bla about it. I found it really odd. It's almost like the whole thing is considering a total success as long as someone can see 20/20, doesn't matter about the quality or any side effects.

 
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Old 04-08-2013, 08:33 AM   #7
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Re: Lasik ..... Concerned!

So just a bit of an update. I think it is getting a bit better... slowly... because I am not noticing things that bug me very often as the days go on. General day-to-day viewing is fine but yesterday I went to Costco and my eyes kept going out of focus because there were so many things!

Night vision is still a problem - lots of glare and minor starbursting which I can't really tell if it is diminishing or not.

It was 2 weeks since my surgery on Saturday.

 
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Old 04-10-2013, 11:09 AM   #8
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Re: Lasik ..... Concerned!

I am 3 months out. I would say it took 5 days for my R eye to see clearly and around 3 weeks for the L to see OK but not as clearly as the R.

This week I'm nticing my L eye is actually even sharper than my R. I had mod / high astigmatism but really didn't believe the doc who told me to wait 3-6 months.

In my case he was right, it has taken much longer than I expected but I am very happy now.

Hope this helps

 
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Old 04-11-2013, 01:56 AM   #9
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Re: Lasik ..... Concerned!

Quote:
Originally Posted by Globetrotter013 View Post
I am 3 months out. I would say it took 5 days for my R eye to see clearly and around 3 weeks for the L to see OK but not as clearly as the R.

This week I'm nticing my L eye is actually even sharper than my R. I had mod / high astigmatism but really didn't believe the doc who told me to wait 3-6 months.

In my case he was right, it has taken much longer than I expected but I am very happy now.

Hope this helps
Thank you. I have good and bad days with it. Some days I wake up and it's not bad at all and then I have days like today where it's blurry and out of focus so much that even drops don't help.

Patience

 
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Old 04-12-2013, 09:57 PM   #10
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Re: Lasik... Concerned!

Hi. I too am trying to patiently wait for my right eye to clear up. I had Wavefront LASIK a little over 3 weeks ago. I was -3.50 in both eyes and had no astigmatism. Was told this would be a slam dunk procedure as my vision had been stable well over 6 years. Immediately following the procedure I had severe pain in my right eye & experienced a painful recovery with that eye for several days. My left eye was fine & I could see wonderfully. I could see ok out of my right, but I felt like I had a blob of Vaseline over my right eye. My vision was not only blurry, but cloudy. I called my dr & he said it was completely normal & my right was just healing (in my line of vision) and that it would get better. After 1 week it did. The cloudiness went away, but not the blurriest. At 1 week post LASIK, I was 20/20 in the left & 20/40 in the right. I don't feel like my right eye vision has improved at all. I'm using Restasis & drops regularly for dry eye. I know I need to be patient & give it time but my right eye vision is pullin' me down! If both eyes responded like my left I would be 100% satisfied!

 
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Old 06-13-2013, 02:17 PM   #11
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Re: Lasik... Concerned!

So it will be 3 months since I had the surgery in 7 days time and I thought I'd just update.

Overall, vision is good and the bluriness has nearly subsided. I get it if I'm tired and first thing in the morning but I'm hoping the latter will diminish over time.

Day-to-day vision and everything is fine.

Night time is a different story. My vision seems fuzzy in low light/dark and doesn't seem to be improving. I am still experiencing glare from car headlights etc. and minor starbursting which is the most disappointing and concerning thing for me. It isn't incapacitating but still makes it very uncomfortable. My near vision is also not as good as it used to be.

I e-mailed the surgery my concerns and they agreed with me that the majority of healing should have taken place by now so I don't think the night issues will improve which is really disappointing. I will be bringing this up at my 3-monthly appointment on the 20th and see what they say. I don't really want to have an enhancement.

 
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Old 06-14-2013, 06:31 AM   #12
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I saw my lasik doc this morning he said that those night time issues are all related to eye dryness provided that eyes were treated with wave front optimized. He said in old days of lasik night issues were caused when treatment zone was smaller than dilated pupils causing bursts and/or because the treatment made the cornea flat - flatness would cause halos. He said new treatment with optimized - cornea is not flat and therefore no halos, and the treatment zone is bigger than pupil size and therefore no optic issues should occur from that.

With that said- i had wavefront optimized and i have 0 halos BUT i have starbursts that only appear with pupil dilation - therefore if the optimized lasik doesnt cause it because the treatment Zone is bigger than the pupil then why do I only see the starbursts when my pupil is dilated?

His answer: dryness caused by some clogged tear glands, go see a dry eye specialist, hot compresses, omega 3, lid scrubs

 
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Old 06-14-2013, 06:40 AM   #13
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Re: Lasik... Concerned!

I'm very weary about what your doctor said. Do you think dry eyes would be causing it?

 
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Old 06-14-2013, 08:08 AM   #14
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Yes and not reallly

I do think that dry eyes can cause starbursts because i have read that it can and did witness it one time in my life first hand where i had gotten off of a plane in utah, coming from florida, at night and then had to drive an hr into the mountains. My contacts were very dry and it was really late at night...i did see starbursts coming from oncoming cars. That was only one time and i never had seen them before or since until lasik. So yes i do think so.

a few nights ago sat in my dark house and put on swim goggles for a half hour. When i took them off - no bursts for several minutes. So perhaps the extreme moisture helped. Try that and see what happens.

The doubt comes in because why do they happen when the pupil is big but not when it is small? Why dont drops clear them?

 
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Old 06-17-2013, 01:11 PM   #15
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Hi

I saw a second doctor today and got some good information on starbursts

1. The lasik flap edges lets light in when pupils dilate you can see that light. As the flap "heals", this goes away. He said that in older lasik - even after healing about 5% would have permanent night vision issues. With the current technology, there is still a risk of it being permanent buts its way lower at 1 in 200 ish - less than 1%.

2. Dryness can contribute to all sorts of vision issues and to work on that with flax seed oil and warm compresses

3. I am at 6 months point. He said that 6 months is not an end point and that healing and improvements can take 6-12 months in some people, in others longer and that time is the only real thing you can do - basically wait and treat the dryness

4. He said dont check each eye individually more than 1x per day because that could confuse your brain

 
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