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  • Best treatment for HOA (starbursts/haze/etc) years after lasik?

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    Old 11-09-2014, 10:13 AM   #1
    bens123
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    Best treatment for HOA (starbursts/haze/etc) years after lasik?

    Sorry for the long post, just getting it off my chest. Skip to the last few paragraphs for my main questions.

    I had lasik about four and a half years ago, my eyes were pretty bad before and I had an astygmatism, but obviously because I had the money I was a "good candidate".

    I wore glasses my entire life all day every day so I was used to them and never even considered wearing contacts let alone lasik. I was about 21 when it was offered to me by my mother (who just had it redone after getting it done originally decades ago) and I didn't look at the possible side effects at all really. I was young and stupid and seriously regret my decision, it was free for me and just expected my vision to be fine.

    My HOA/night time vision issues have not improved since day one, I still get a big circle of light below (and a thinner streak above the light) LED lights and what I used to love doing the most (watching movies etc) has become a chore as every single lighter object on the screen emits a hazey streaky light around it.

    My eyes also feel dry and I always feel my left lower eyelid palpitating a lot and I have trouble keeping focused as my eyes feel tired and want to "zone out" when watching TV, driving or doing anything that involves looking in one place for a while. I am hopeful glasses I have ordered from the opticians (left +1.00 right +0.25) will help me with this focusing issue though. I assume the lower left eye lid pulsing is to do with constantly battling to keep it in focus and dryness tiring out the muscle.

    I know I can't go back in time and undo what was done. I am scheduled to go back to the lasik clinic in January when I will tell them about my problems, I should have gone back years ago. I am probably in their records as a "success".

    Has anyone had success with enhancement surgeries to get rid of the haze/glare/starbursts/halos etc? They didn't mention that there was an undercorrection or anything in the followup appointments after 6 months so I don't even know if they will offer that as a solution, or if it would work.

    I have also looked at RGP contact lenses but, as I mentioned I have never worn contacts but if it is the only way I can comfortably watch TV and play games again then I'll have to do it. The glare I get off screens is much more annoying for me than the starbursts I get from driving at night (when I am just trying to get from A to B rather than relaxing and enjoying myself). Do lasik clinics ever offer RGP lenses as an option?

    When I look through a pinhole all the HOAs are gone which makes me depressed as I can see what my vision used to be like when I had glasses. They never mentioned that my pupils were so large that this would be an issue but maybe those drops that stop your pupils getting too large could help?

    I gather those are my only options for fixing my HOA issues? Ideally, I'd like to avoid surgery but then I also don't want to have to wear RGP contacts the rest of my life. Can anyone advise me on if enhancement surgeries helped fix these issues or what was the best solution for you?

     
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    Old 11-10-2014, 11:28 PM   #2
    whiskeythekid
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    I have starbursts that fluctuate. Its been 22 months since lasik.

    My lasik doc tells me there is a new technology called topography coming out in the usa in a few months. Its been in europe for many years. He said its possible it might help with the starbursts. He does not really know for sure.

    Mine are in part caused by dryness and in part from lasik flattening the eye.

    I can not stand the dirty night vision that lasik has given me. It is unpredictable. Sometimes the bursts are horrible, sometimes tolerable, sometimes very small and minor. I used to have crisp sharp night vision.

    I understand your frustrations. Try to address your eye dryness by seeing a specialist. Find out if you have blepharitis or if you have issues with tear production. Improving your eye dryness should help.

     
    Old 02-27-2015, 07:35 PM   #3
    nowayman
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    Re: Best treatment for HOA (starbursts/haze/etc) years after lasik?

    curious if you have found out more about the topography treatment. i too have strange night vision problems for a multitude of reasons but the one consistent suggestions has been topolink lasik which has been performed throughout the world except for the united states.

     
    Old 02-27-2015, 09:01 PM   #4
    whiskeythekid
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    My lasik doc mentioned it but I am in the USA and unfortunately it is new here

     
    Old 02-27-2015, 09:04 PM   #5
    nowayman
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    Re: Best treatment for HOA (starbursts/haze/etc) years after lasik?

    same. have you explored the option of surface wavefront treatment? that was also mentioned to me but the doctor said topo would yield the best results because i see 20/20 at the moment

    Last edited by moderator2; 02-27-2015 at 09:26 PM.

     
    Old 02-27-2015, 09:22 PM   #6
    whiskeythekid
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    What is your night vision like? How does it effect your driving on an unlit road? How does it effect looking out of your windows in your house into the night sky?

     
    Old 02-27-2015, 09:28 PM   #7
    nowayman
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    Re: Best treatment for HOA (starbursts/haze/etc) years after lasik?

    lights (street lights and headlights) look like dandelions that's about it. might not seem much but they are fairly big. with alphagen they are more manageable but not perfect - more sun-like with a bright center and a halo around it.

    i've gone to like 5 different doctors and each have different opinions on my dryness so i'll be getting plugs soon to isolate the issue.

     
    Old 02-27-2015, 09:43 PM   #8
    whiskeythekid
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    I see rays of light that shoot down and to the left of the light source and the light source is either distorted or too big

    I see this in dim light or darkness
    Driving on a well lit road does not produce this. It has to be a darker room or a non-lit road. I do not see halos.

     
    Old 02-27-2015, 09:48 PM   #9
    nowayman
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    Re: Best treatment for HOA (starbursts/haze/etc) years after lasik?

    Quote:
    Originally Posted by whiskeythekid View Post
    I see rays of light that shoot down and to the left of the light source and the light source is either distorted or too big

    I see this in dim light or darkness
    Driving on a well lit road does not produce this. It has to be a darker room or a non-lit road. I do not see halos.
    apparently mine are due to spherical abberation which is why the topography guided treatment was recommended to me. i too am in the united states and the anticipated arrival time of the devices supposedly is q4 this year but that doesn't necessarily mean they will be primed and ready for action for our situations.

    the other options i was told about are:

    wavefront glasses
    rgp contact lenses
    specific eye drops.

    you can work your way up the totem i suppose

    Last edited by nowayman; 02-27-2015 at 09:50 PM.

     
    Old 02-28-2015, 12:23 AM   #10
    HenrietT
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    Re: Best treatment for HOA (starbursts/haze/etc) years after lasik?

    Sorry to but in slightly off topic but your decription of dandelions amused me. Before LASIK I saw street lights which had starbursts down to the pavement so I suppose I am relatively happy with the current Dandelions!

    Last edited by HenrietT; 02-28-2015 at 12:24 AM.

     
    Old 02-28-2015, 09:51 AM   #11
    nowayman
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    Re: Best treatment for HOA (starbursts/haze/etc) years after lasik?

    remind me did you have dandelions too or starburst? and did they get better (as in reduced)

     
    Old 03-01-2015, 12:23 AM   #12
    HenrietT
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    Re: Best treatment for HOA (starbursts/haze/etc) years after lasik?

    I wouldn't have described them as Dandelions myself, originally before first procedures huge long rays in multiple directions and multiple lengths. Car headlights would spike off right across the other side of the road and streetlights down to the floor- that was with my glasses. Post first lasik vastly diminished but still halos although they also diminished. Post enhancement starbursts and halos in corrected eye but probably diminished since treatment but still worse than pre enhancement. Possibly more halos than starbursts most of the time.

     
    Old 03-01-2015, 01:43 PM   #13
    nowayman
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    Re: Best treatment for HOA (starbursts/haze/etc) years after lasik?

    oh so you had rays coming out even before your procedure?

    i had no issues before the procedure and post lasik there is an increase level as shown by my charts

     
    Old 03-01-2015, 03:16 PM   #14
    whiskeythekid
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    I had no starbursts before either. My optometrist used the zeist machine and it measures hoa's which I now have outside of the normal range.

     
    Old 03-01-2015, 11:54 PM   #15
    HenrietT
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    Re: Best treatment for HOA (starbursts/haze/etc) years after lasik?

    Interested in your "normal range" Do "Normal" people see halos and if so to what extent?

     
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