In August 2017, I had Relex surgery for correcting my eyesight.

I'm 36; the numbers are (before => now):

right: -2,75 sph, -1,75 cyl, 180° => +0,50 sph, -0,75 cyl, 5° = 1,0
left : -3,75 sph, -2,25 cyl, 5° => +0,50 sph, -0,50 cyl, 0° = 1,0

My eyes are still recovering; specifically, they are unable to keep in focus very well (additionally, I work on a screen 8+ hours every day). It seems that the left eye has almost-but-not-entirely 100% acuity, even with glasses, although I suspect that it's the focusing problem.

However, there has been a steady progress since the surgery (this was predicted by Dr. Hartzok in September - he was right Smile), so I have the feeling that I'm going to fully recover. I don't really have any other symptoms aside the lack of focus.

The doctor who operated me, who own a prestigious center in Germany, has a quite "uninterested" attitude, but the job was good (I hope). She proposed me to have a T-cut for correcting the remaining error.

Now, I have a few questions, since she isn't very "keen on answers":

1. what is a t-cut? strangely, it's something almost absent from the internet;
2. what do I need to know before undergoing it? is there anything that I can do to take a more informed decision (eg. exams)?
3. should I wait before having a 100% recovery? at this pace, it will take at least other 2-3 months.

Thank you in advance!
Original Post
storm,

A t-cut is a little incision to the peripheral cornea to reduce the cylinder. I would hesitate to chase (attempt to correct) the 0.50 and 0.75 cylinder because many people tolerate that much uncorrected cylinder and have no complaints whatsoever. Correcting the cylinder will actually push you a little in the farsighted direction so you would be trading one small refractive error for another. I don't see much advantage to the t-cuts.

Refractive surgery is plastic surgery on the cornea. Some plastic surgery patients have had dozens of facial procedures for what they consider to be flaws in their appearance. Some plastic surgeons can be all too accommodating in the patiens' push for perfection. So it is with refractive surgeons to some degree. Chasing down a small amount of refractive error with additional procedures does not always create perfected vision. In your case, the first question that comes to mind is whether that small amount of cylinder is really the problem since, as you say, the left eye "has almost-but-not-entirely 100% acuity, even with glasses". I would consider augmenting (adding) +0.75 sphere to your present glasses prescription in both eyes and see if that helps.
Your reply has been, again, very precious Smile

I was misled by my doctor, as she gave me the false impression that this would have fully corrected my sight, not that it would have been a sort of trade-off or a partial correction.

Under these conditions, I'm very likely not to take it.

Many thanks!
Thanks for your additional answer.

I decided beyond any doubt not to proceed after realizing what I was getting into; I'm quite shocked by the doctor's carelessness.

A question, for my general information: which things did the t-cut make worse in the case you mention? The focusing problem, the visual acuity, or both?

Thanks again!

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