New member here seeking post-PRK astigmatism advice.
I had monovision PRK in the right eye only, 22 days ago. I had a -1.25 prescription with 0 astigmatism. Today the notes say Sphere 0.00, cylinder -2.50, Axis 003, BCVA 20/20, BCVA +/- -1 ghosting effect
I have followed all post op instructions and was treated by Dr. XXX in California. The surgery and healing process was uneventful from what it seemed.
I have had and continue to have ghosting and double vision. On topography maps, the area that is questionable is the entire top half of the pupil area, which is blue in color and supposedly flat, not there pre-op (which was documented by my surgeon this morning).
He believes that the epithelial layer is remodeling and that this will subside on its own. He did an ECC yesterday and says it looks normal. I am concerned about decentration or a surgical error. So far, my optometrist has been unable to help with the astigmatism through glasses as he says it appears somewhat irregular. He did say the epithelial layer appears to be laying flat without any "bumps" at this point in the recovery.
The optometrist and the surgeon are at odds about whether this an issue on the epithelial layer and if it will self-resolve.
The surgeon wants to look at the topography every 3-4 weeks and decide what to do, if anything, in 3-4 months.
Since this is affecting near and distance vision it's making it incredibly difficult to drive or work. Everything is blurry and ghosting.
Of importance to note.. The blue area has shrunk on the topographical image in one week.
Any thoughts on whether you'd tend to believe it's the remodeling of the epithelial layer, or an ablation error?
Thank you in advance. Worried and not sure what to do.