Ghost images after wavefront lasik

This message was forwarded to me:

"It has been just over a month since I had customized ablation with the wavefront guided machine. I had about -7.5 myopia and -1.5 stigma in both eyes before surgery. As of last week I was tested at 20/20 each eye. Unfortunately I have trouble with ghosts. More precisely, for example, when I look at the full moon at night I see a fuzzy circular blob the same size as the moon that appears to sit on the main image of the moon. This is an almost identical problem in both eyes. When I watch television in a dimly lit room I am distracted by what appears to be a bleeding of the images above the screen. The flaps of my LASIK surgery were created such that they were sliced from the bottom upward. Does anyone have a similar experience?
Original Post
have them get a penlight and then put the penlight near their eye. Does it go away? Turn the penlight off? Does it "grow" right back?
What do headlights in the distance in the dark look like? Starbursts, I bet.

How big are those nighttime pupils?

I guess at a -7 you are very suceptible to pupil size abberations (GASH). If you custom ablate a 6mm or 6.5mm optic zone on an 7.5 or 8mm pupil, you have only "Custom " treated the optic zone. You still have the ledging from the flattened cornea and untreated corneal area. It is just like good old fashion lasik.

If the images only go upward, they could be decentered downward a bit.
I am thinking of having wavefront enhancement to correct ghosting caused by my initial LASIK. Having been told that I am an excellent candidate for this, I was most concerned and sorry to hear of your problem.
I am well in the range for pupil size, but was a -7.5 myope. Is there an advantage to waiting for changes in our understanding of the causes of ghosting before having wavefront? I feel torn, but I want to try again at some point.
Thank you
That's very like what I see. I had bilateral LASIK 4 years ago. The ghost images sort of circle the true image and colors bleed off the screen to form a starburst at about 10 O'Clock. The darker it is, the more pronounced the ghosts and starbursts are. I think I'll cross wavefront off my "Things to do" list.
This person just had the procedure only a month or so ago. It is not uncommon for haloes and "bleeding" and the like to present for 3-6 months after the procedure.

In this case, because it so early out, I would suggest patience. Tracking improvements over time will be more helpful, rather than taking a near point and extrapolating end results. A second opinion would be useful as well.

I'm aware that the "patience" mantra has been pulled on most of us, but in this instance I believe it is sound rather than trite advice.
quote:
Originally posted by Sandy Keller:
This message was forwarded to me:

"It has been just over a month since I had customized ablation with the wavefront guided machine. I had about -7.5 myopia and -1.5 stigma in both eyes before surgery. As of last week I was tested at 20/20 each eye. Unfortunately I have trouble with ghosts. More precisely, for example, when I look at the full moon at night I see a fuzzy circular blob the same size as the moon that appears to sit on the main image of the moon. This is an almost identical problem in both eyes. When I watch television in a dimly lit room I am distracted by what appears to be a bleeding of the images above the screen. The flaps of my LASIK surgery were created such that they were sliced from the bottom upward. Does anyone have a similar experience?


I know this thread is just about 12 years old, but Im curious to know if you have found any solutions. I am in a similar situation and have gone to two different doctors now who have told me that everything looks to be ok, however, I am experiencing everything just as you have described above. The only difference is that I see the bleeding/blurring/ghosting below the images.
Barbara,

Thank you for the quick response. I would absolutely be interested in getting additional information on possibly getting fitted with RGP's. Just as a little back ground info, Im about 7 weeks post Lasik and have been told by two separate doc's that everything looks fine, however, I continue to experience ghosting (more so in my right eye than my left, but it is still present in my left eye). Im guessing that regardless of whatever I decide to do going forward Ill have to wait until at least 6 months post op before any other doc will be willing to help (just to verify the healing phase is complete and my sight is stable)???

By the way, I have spent numerous hours scouring the internet for as much information I could find and just came across this site today. I can say without a doubt that it is by far the best site out there.

Thank you in advance for any recommendations/information.

Thank you.
Sorry for the late reply. If you're only 7 weeks post op, you are still in the healing stages, and you will need to be patient. Generally, after about three months, you'll have a pretty good idea of what to expect from your vision, although some people continue to experience vision changes as long as 18 months out.

I would be glad to help you find an expert RGP fitter, but I'd advise waiting until your vision has stabilized, as the process can be lengthy, and you will want to make sure that your vision will not change again as soon as you are fitted. Please keep us posted on your progress. Once you feel your vision has stabilized after a few months, if you still are having problems, we will work on rehab options.

Thank you for the kind words for VSRN. Dr. Hartzok and I have worked very hard to make our organization a safe place for post-refractive surgery patients. We are dedicated solely to facilitating rehab options and providing information to patients, their families and friends.
Thanks for the reply and the info. I will give it some more time, although the ghosting seems to be getting worse if anything. Also, I forgot to mention in my initial post that I have been having issues with glare as well. Especially when an object/person is in front of a window or brighter background. Is this something that could improve with time and/or do you know if this is something that can be managed or overcome using RGPs as well?

Thank you.
Typical aberrations include starbursts, glare, haloes, arcing and ghosting. All of these are generally eliminated or diminished by expertly fitted RGP lenses. You may also be experiencing dry eye that can affect the quality of your vision. Are you still using drops? If so, what kind?
Does your vision improve when you put drops in?

At this point, as I said earlier, it's really too early to tell what your final result will be, although it has been my experience over the past 13 years that if you have those issues now, you may continue to have them. Not what you want to hear, certainly, but I have to be honest with you.

Because you are so early in the healing process, you will need to give it a little time to let everything heal and settle, and then we can talk about rehab options.
No, the ghosting does not seem to resolve after applying drops. In fact, this morning I realized that my left eye is beginning to present some ghosting as well.

I appreciate the candid response, and as I said before I was kind of thinking the same thing since most of the other issues have slowly gotten better with the exception of the ghosting.

I will give it some more time and hopefully things will improve and settle. Ill plan to reach back out in a couple of months.

Again thank you for the info.

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