I had all laser LASIK 3 weeks ago today. My left eye is crystal clear for distance vision, while my right eye is still blurry at distance. Both eyes are fine for close up reading at the computer. The right eye did sting and water much more right after the surgery. The right eye is also much drier. I am using the drops like crazy and actually went back to the doctor yesterday. He put in a punctal plug in my right eye. It feels better, but distance vision is stull blurrier than the left eye. The say I can see 20/15 in both eyes. I go back on July 26th and the doctor says he feels I will be much happier when I see him on that visit. I know it can take up to 6 months for the eye to totally heal. But my question is how much can your vision fluctuate over that time? Is it possible that my right eye will catch up to my left eye? Or is this the best my sight is going to get? I don't believe the vision is off enought to warrant lifting the flap for a correction. Also my right eye is my dominant eye, so I am wondering if this is why the blurriness bothers me more?
Original Post
Three weeks is far too early in the healing process to determine what your final outcome will be. Normally, you must wait about six months before having any further surgery, which I wouldn't recommend in any case, as the lasers are just not perfectly accurate and you could end up in worse shape than you are now with that eye.

LASIK causes inflammation, which sometimes takes a while to dissipate. This can cause vision fluctuations, as does dry eye. You may experience vision fluctuations anyway. Many of us still do.

In answer to your question, eye dominance has nothing to do with how much the blurriness bothers you. It wouldn't make any difference if it were not the dominant eye; it would still be bothersome since you just are not seeing as well as you would like.

In the past, we've had patients who experienced improvements after as long as 18 months.

As an added caution: Just because "they say" you are seeing 20/15 doesn't really mean that you are seeing clearly. Even a small amount of astigmatism may make your vision blurry in the distance.

Try to be patient and let everything heal. If after six months, you're still not happy, check back with your surgeon and see what he/she says.
Artistwoman,
Thanks for the reply. I agree with the 20/15 comment you made. I can make the line out on the chart, but the letters are not crystal clear. I will say that I can see much better in the distance with both eyes open. I couldn't read the time on the cable box in my bedroom before the surgery and now I can. But the difference between the 2 eyes is annoying.

What about the dry eyes? Now looking back I think I might have had slightly dry eyes before the surgery, but never knew it. I never needed eye drops. But I could never wear contacts, I could always feel them in my eyes. Now my right eye feels dry all the time! That punctal plug that the doctor put in does not seem to be giving me any relief. I am literally putting in drops every hour. Of course now I am reading all of the horror stories of people whose dry eyes never went away. I know it is normal to have dry eyes after the surgery for up to a few months. But is it normal for my eyes to be this dry? I constantly feel like I have an eye lash in the lower right side of my right eyeball. The doctor said if the plug doesn't work he can put me on Restasis.

I went out and bought some Omega 3 pills hoping this may help.

I feel like I made a bad mistake having this done and am hoping that in time the healing process will fix everything.
Keep in mind that overuse of drops can cause a rebound effect. What drops are you using? It may be that a different drop would be more effective for a longer period of time.

Dry eye is one of the most frequent complications of refractive surgery. For some, it never abates, for others, it resolves within a few months. There are some things you can try to help get some relief, detailed in this thread:
http://visionsurgeryrehab.evec...6055494/m/2421045554. Dr. Holly's drops are no longer available, but there are some others that are better than average.

Dry eye can/does affect visual quality. You may find that once the dry eye resolves, your vision will improve measurably. As I said in my previous reply, it's way too early to know how things will turn out, but following some or all of the suggestions in the thread above may help to ease your symptoms.
I read the link you provided. The eye drops I am using are Refresh Plus, which are the non preservative type. They said I can use these as much as I want. The doctor also gave me Refresh Optive Advanced, which is thicker than the other ones. He said I can use this 4 times a day. Are the drops you listed preservative free? Sometimes like today I can go hours without any drops. It usually happens while I am outside. So I am hoping this is a good sign.

But the thing is that I feel like I never create tears in my right eye. Sometimes when I yawn I will feel the tears in that eye.

The doctor also gave me a small bottle of Lotemax when I saw him on Thursday when he put the plug in. He said use it twice a day until it was gone. But the bottle was so small I already used it all! So I am going to call him on Monday and see if it was supposed to last longer.

The doctor said that if the plugs didn't work he would put me on Restasis. But I saw in your post that this did not work for you. The doctor I chose is a cornea specialist, not just a LASIK doctor. So hopefully he can help me! But who knows...
While it's generally accepted that you can use drops as often as you like, the result in eyes with damaged lacrymal systems can be a rebound effect, causing an even greater dependence on them. I have used Blink preservative free vials with no ill effects.

Lotemax is a low-potency anti-inflammatory corticosteroid drop, not meant to be used for extended periods.

Are you following any of the other recommended lid hygeine suggestions? Clogged meibomium glands are often a factor in dry eye and hot compresses and lid rolls can be helpful. Also, as I wrote in the referenced thread, a low dose of doxycycline is often effective in treating dry eye.
The surgeon actually had me on doxycycline for 4 days before the sugery and for sometime after it. I am done using the lotemax now. It did seem to help though.

It has been 4 weeks exactly since my surgery. Yesterday was the best day I have had since it. I did not even notice my dry eyes yesterday, but the slight blurriness in the right eye was still there. I am hoping this is just the healing process and it will clear up.

But today my eye is pretty dry again. I think being hydrated plays a HUGE role in how dry my eye feels. I had a few drinks last night and I believe I may be slightly dehydrated today.

Also the best my eye feels is after putting a hot compress on it for a bit. When I take the compress off I feel that is the sharpest my vision is.

I actually made an appointment with my optometrist to get a second opinion on the vison. He said everything looks good and it looks like the surgery went well. He said my eyes to not appear overly dry. He said the nearsightedness is gone, but there is still a slight astigmatism in both eyes. Yet my left eye is super sharp. So he is not sure why my right is bothering me so much. He believes it could be because of the dryness, or possibly because my right eye is my dominant eye.

My left eye has not bothered me once, ever, since the day of the surgery and the vision is crisp.

Oh well, hopefully it is just a healing process and in a few months it will all be OK. If not I will be bummed out.
mrbigbucks,

You are still very early in the healing process, so it is impossible to tell what your final result will be.
What does your surgeon say?
Please remember that each individual is different and that healing times vary enormously among patients.
mrbigbucks,
It has been almost 4 months since the surgery. The blurriness has gotten better in my right eye. But my left eye is still clearer. The reason is that my left eye got overcorrected slightly which is kind of annoying. So with my right eye I can see better close up than I can with my left. The opposite is true for distance. But if both eyes were like my left I would need reading glasses at this point for fine print. I am 42 years old
and was warned that having the surgery may cause the need for reading glasses, but I was prepared for that. So I can still read close up, but stuff like the print on a prescription bottle is a little tough.

Also the dryness got much better around the 3 month mark. I rarely use drops anymore.
Maybe a few times a week. I was using them every 15 minutes at one point!

What I found was that it takes your brain a while to adjust to the new eyeballs! For some
reason for weeks after the surgery my right eye got super strained when working on the computer. Then when I stepped away from the computer my right eye was super blurry in the distance. My left ever was never bothered. But this too has gone away now.

So hang in there. It will most likely get better. Do you know what your prescription is now? Maybe you are undercorrected a bit?
Hi,

Thank you for your response, I was very happy.

@artistwoman

I guess it was my expectation that's causing disappointment, because some of my friends who took lasik surgery were able to see clearly after 1-2 weeks.

My surgeon told me the day after the surgery that my brain is still adapting to the new eyes, My flap was fine no problem whatsoever.

After 1 week, the doctor said my vision is improving (which I also noticed it's about 15% better). He said 1st week is very unstable, my vision will fluctuate from time to time. He also advises me to reduce my drops from every 3hrs to 4 times/day.

I never had severe dry eyes and my near vision is very good (both eyes open) I can read small prints. The far vision is the one bothering me, during my 1st and 2nd week it's very difficult to read street names, car plate numbers etc.,

I can't even recognize clearly the person standing 10-15 meters away from me specially on poor light condition and driving during night time is very hard also because the light coming from the cars hurt my eyes.

One day I was very curious I tried using my wife's eyeglass and it was very clear on far distance! I removed it quickly because it feels like the eyeglass is very strong for my eyes and never did it again.

Today I'm 3 weeks and 2 days, things are better now about 30-40% better with both eyes open (still fluctuating). I notice when I cover my right eye it was OK on both near and far for me left eye, it's my right eye that's giving me blurriness specially on far distance.

I'm using Systane Ultra 400 for eye drops and flax-seed oil as supplement. Is it good?


@db_9

My prescription before surgery was 400/450 with high astigmatism. 2nd day after surgery the auto refractor machine says 20/30 and after 1 week it says I'm 80/100 though I can see better compare the 2nd day? Now I'm confused.

I'm 30 years old and very active, I love trail running and hiking that's the reason I had lasik surgery to have more freedom. My work is 80% computer. I also noticed that during weekends my eyes feels better because I don't use computer.

To illustrate better this is what I see at far distance on my right eye when my left eye is cover.

I also notice that whenever I'm cooking the warm steam makes my eye a bit clearer.

I hope my eyes will become stable soon, I want to do lots of outdoor activities however I'm not confident at this point.

Some questions for you guys:

1)Have you experienced itchiness on your eyes?
2)How would I know if I'm over or under corrected. I know it's early for me to tell.
3)Do you have tips in order for my eyes to heal/recover faster? or just leave it alone?

Once again thank you and more power to visionsurgeryrehab.com.
mrbigbucks,
Now 4 months later I can see 20/15 in my right eye and 20/20 in my left. The wierd part is that I can see better in my left eye for distance, yet my right eye can make out letters on the 20/15 chart better. Oh well. I was also left with a small astigmatism in each eye. But it doesn't really bother me.

The reason I had it done is because I was never able to wear contacts. They always bothered my eyes when I tried them. Which now looking back could've been mild dry eyes?? But I have 2 young children. When I would go swimming with them I would take my glasses off. Well then I couldn't see them or tell if they were above water or below it!! Also on vacations when we went snorkeling I couldn't see the fish.

I also work on computers all day long. While the close up vision has not completely gone, at 42 years old it is coming. Look up something called presbyopia. Everyone gets it usually between 40-50 years old. But if you were near sighted previously you could just remove your glasses to see fine print. After LASIK this is removed. So now eventually I will need reading glasses, which are basically just magnifiers.

You mentioned a few things in your post.

1. When you cook the warm steam makes your eyes a bit clearer. I noticed the same. I was putting warm compresses on my eyes and when I took it off that is when I saw the sharpest. I used those for 3 months. I no longer need them.

2. You mentioned Systane Ultra and flaxseed oil. I was using Refresh drops and switched to the Sytstane Ultra. I think that really helped me. I also take 1 flaxseed oil pill and 1 fish oil pill every day. I am not sure if it helps, but in my mind it does Smile Also the surgeon put in puntal plugs 2 weeks after surgery when I complained of dryness. They are still in and I plan on just leaving them there.

3. You mention under/over correction. It is probably still to early to tell your final outcome. But I went to my local optometrist that I have used for years. He did the thing where he put the lense in front of my eye and said better or worse. That will tell you whether you are over or under.

So here is what I have learned from having LASIK surgery.

1. It is sort of a crap shoot. You may have end up with worse vision than when you had your glasses on.

2. Recovery takes much longer than I ever expected and at times it can feel like the biggest mistake in the world. I know at least 10 people who have had it done and not one of them ever had the issues I did.

3. If you are slightly undercorrected it may be a good thing when you get older. Like I said before my left eye is slightly overcorrected. While things in the distance are clearer, things like the Iphone are blurry now.

4. If I had to do it all over again I would most likely pass on LASIK and just stick with glasses. But whats done is done and I have to move on with my life.

Good luck to you and I know how you feel right now. I went through the same thing. But after 4 months I don't really think too much about it. So try to relax and give it some time. Believe my I know that is easier said than done!!
I got my lasik done on 9 Aug 2013.Before Lasik
L eye 4.5 : R eye 4.0

I am using Systane Ultra twice a day and Ivision tablet once a day. Docter asked me to continue this for 4 months.


I never had severe dry eyes during initial period for 2-3 weeks . I can read small prints and work on my Computers comfortabily,but when i stand say 4-5 ft away from computer,then it become difficult to read what is written on Computer screen.
Its like now more that 7 weeks but still I have blurr vision and difficulty in reading street names, car plate numbers ,reading tickers on TV etc.

Docter says now your power is Zero,but ur left eye is slight weak as compare to right one for far distance.
@ag

As of the moment. I'm happy with my left eye, I'm trying to live normal and live healthy while ignoring the blurriness on my right eye. I had my run training today.Smile Next month will be my next check up. I hope by that time my right eye will improve. I'll keep you posted.
Hi Guys,

I had my 1 month post op check up today. According to my doctor my left eye is 20/20 and my right eye is 20/25. My left eye improved so my right eye. The far vision on my right eye was still blurry, doctor said my right eye is weaker and bit dry compare to my left,and this was part of healing process. My flap is ok no wrinkles whatsoever.astigmatism from 450 is now down to 50 which is tolerable. My next check up would be on end of November as of the moment I have less chance having enhancement. I just need to wait for my right eye to settle.
Please keep this up to date! I'm watching it very closely as I feel like I'm going crazy! Your first description, db_9, right down to the eyelash feeling is exactly how I feel. Its driving me nuts right now! I'd rather wear an eyepatch and see out of my left eye only. Worse is its only 1 week in and I feel like jabbing my right eye with a drywall saw. haha, ya but just keep the updates up cause i NEED to know if theres light at the end of this very blurry tunnel.
dgulseth,
I am almost 6 months into this. Things have gotten better. My right eye still does not feel right, but I don't constantly have the eyelash feeling in my eye anymore. Some days I don't even notice it. But other days my eye bothers me. So I think my final prescription is: Left eye 0.25x-0.5, Right eye 0x-0.5. So the spherical equivalent of my left eye is 0 and my right eye is -0.25. So I am still sligthly nearsighted in my right eye. That is why I see better in the distance with my left eye and better near in my right. The asymmetry between the eyes still bothers me and I am right eye dominant. So I think if the prescriptions were swapped it would not bother me as much. But the astigmatism in the right eye bothers me in the distance. I can see 20/20 on the eye chart and most of the letters on the 20/15 chart. But they are slightly blurry. It is not the clear crisp vision I had with glasses on. But the surgeons don't care. They just say you are seeing 20/20!!!
dgulseth,

It's only a week, and you are still very early in the healing process. Have you been back to your surgeon with your concerns? If so, what did he/she say?
Are you using your drops regularly?

There is light at the end of the tunnel, but the end of the tunnel is a bit farther away than you may have been led to believe.
dgulseth,

You had plastic surgery on your corneas a week ago. Let me repeat that. You had PLASTIC SURGERY on your corneas a week ago. Your final outcome is not knowable at this time.

db_9,

You had plastic surgery on your corneas six months ago and "things have gotten better." A quarter diopter difference between the two eyes is well within the expected tolerance of LASIK outcomes. This is the downside to refractive surgery - ALL refractive surgery: It can't be held to the same tolerance as glasses or contact lenses.

Your prescription remains subject to change over time since LASIK does not stop the natural progression of prescriptive change. Dominance and quarter diopter difference aside, if you are frustrated with the vision I would expect that it relates more to the QUALITY (as you said, "crispness") of your vision and loss of "crispness" is part of the trade off of refractive surgery. If the tear film in not stable, then the crispness issue will fluctuate with the blink. If your tear film is intact, then the problem is usually pupil diameter versus ablation diameter and or anterior chamber depth. That can be differentiated by varying the light intensity in the examination room. If the lack of crispness is frustrating, rigid gas permeable lenses (that FIT) can differentiate the diagnosis.
Dr DavOD,
I wish I had done more research before doing this damn procedure. I know at least 10 people who have had it done and not one issue for them. But it is ultimately my fault for not looking into this more and making the decision to have it done.

What are these rigid gas permeable lenses? I have been to my local optometrist who I trust. He does the "better/worse" thing with the different lenses. That is how I got my prescription. He said the astigmatism existed before and is not sure why the LASIK surgeon did not fix it. But I get the crispness back when my optometrist corrects me using the "better/worse" thing. So worstcase is I go back into glasses! So now I am out of money that I paid for the procedure, lost my good near sight, and have less than good far sight. So now I will be right into bi-focals becuase both distance vision is bad.
db_9,

LASIK does not fix everything. How the flap seats itself back down onto the ablated cornea has a lot to do with minor inaccuracies. Other factors can alter the pre-LASIK and post-LASIK refraction. It's not possible for any surgery to guarantee a PLANO outcome.

If you get the crispness back when your local optometrist uses lenses to refine the outcome, you are in luck. We reserve custom designed rigid gas permeable lenses to fix complications that glasses CAN'T fix.

For as long as there has been RK, PRK and LASIK, I have questioned aspects of the procedures that could result in a loss of vision quality.

In the ENTIRE eye care business - glasses, contact lenses, refractive surgery, cataract surgery - there is an expediency to sell procedures and devices. Underlying all of it is the patient's desire for restoration of vision and their willingness to pay for it. All too often the distinction between being an eye doctor (OD or EyeMD) and a retailer blurs. What is supposed to be caring becomes selling and patients become customers. In some cases it's simple greed but I think, in the majority of cases where products and procedures are over-sold, it's because the doctor fails to understand the complexity and true wonder of vision and just how fragile it is. With all the technology at our disposal, doctors have come to see the visual process as just so many numbers on a printout. They believe they can read the outputs of their instruments and know what the patient is seeing. They have stopped LISTENING to the patient. And when there is a disconnect between the instrument findings and what the patient is saying, they register indifference to the situation. What they are unable to explain to the patient fails to become a question worthy of answering because they DO NOT UNDERSTAND the nature of vision. Vision is a perception with many facets that are not measurable.

In refractive surgery the corneal curvature is altered to eliminate the refractive error. But the process also alters our SENSE of vision in ways the industry has yet to identify. Is the procedure salable? Absolutely! Is is desirable? Absolutely! Is money being made? Certainly! Does it satisfy every single person? NO! The obvious question is why doesn't it satisfy every single person. They don't know. Can more money be made by finding the answer to that question? Probably not.

db_9… You could have done years of research, you could have waited for the next version of a laser's software or the release of the next best thing - it would not have mattered. Refractive surgery is PLASTIC SURGERY and we don't always get the new nose or chin we were expecting.

It's not your fault. You were sold a procedure. It's retail.
So its coming up to 2 weeks since the procedure and no, my followup appointment is on Wednesday. I do think my brain is adapting to the difference in eyes but if I cover one eye, my right is still quite blurry compared to the other. And yes, DrDav, I do understand it's early in the process, but what you must understand is it's bloody annoying and a couple weeks of headaches due to shitty vision is pretty awful. So people will bitch early and often. One thing I am curious about though, how long until I can rub my eyes? haha, that may sound ridiculous but I'm actually afraid to move the flap. How long does it take to completely "seal" into place?
You don't have to be overly concerned about dislodging the flap. But, you can move your eyelid back and forth across your cornea by pulling it gently from the outside corner of your eye. This eliminates putting any actual pressure on the eyeball (and cornea) and somewhat relieves the need to rub.

Let us know what your doctor says after your appointment on Wednesday. Give us all the details.
I had Intralase Wavefront LASIK August 9, 2013. Ever since the surgery I have noticed the exact same sensation in my right eye. I still experience dry eye in both eyes, but much less noticeable in my left eye. I have also noticed a burning sensation that comes and goes. But the blurriness in my right eye is very annoying like you said. I am still using very many drops throughout the day and am thinking I will need to wean off, but I have been told I need to keep the inflammation down. I will be taking more Omega supplements. Have you made any other changes that have helped?
efs115
It would help to know WHY you have blurriness in the right eye. What is your Rx, and what does your doctor have to say about it? While dry eye can cause some visual defects, blur of the sort you have sounds like an under- or over-correction.

What kind of drops are you using for inflammation?
Hi, sorry I had not replied on here yet. I forgot to follow-up due to the lack of me thinking about my eyes! So it turns out I'm a giant worrier. Its now been a little over 5 weeks since my surgery and I had my 1 month followup last friday. Turns out I'm seeing 20/15 right now out of both eyes and the blurriness in my right eye has gone away, well except when it gets dry and it gets dry much more often than my left, but no big deal. I am slightly far sighted now however, but apparently that should adjust over time??? I do still have halos at night that I feel are distracting enough for me to try and avoid driving at night if I can. But all in all, its the best thing I've ever done and would recommend it to anyone!
quote:
have halos at night that I feel are distracting enough for me to try and avoid driving at night if I can. But all in all, its the best thing I've ever done and would recommend it to anyone!


Would you recommend it to someone who drives at night for a living?

A month ago you were freaking out over your situation. Now that your situation has improved you are ready to "recommend it to anyone." Realize that the reason VSRN exists is because sometimes it DOESN'T GET BETTER. Promoting your new found circumstances on this BB is like Fred Astaire demonstrating dance steps to paraplegics.
quote:
I do still have halos at night that I feel are distracting enough for me to try and avoid driving at night if I can. But all in all, its the best thing I've ever done and would recommend it to anyone!


In all the years that I've presided over VSRN, I've never said this to anyone who posted here, but I'm going to say it now. Only a person lacking in empathy or who is so totally self-centered as to NOT have bothered to read any of the horror stories on this bulletin board, posted by ordinary people like you, could possibly recommend LASIK to "anyone."

Dgulseth, you rolled the dice and you got lucky and that's all.
I am 3 months post LASIK with very blurry vision in my right eye, despite the fact every exam shows I am 20/20. (My left eye is seeing clearly and feeling fine besides minor dryness now and then.) I'm on Restasis and Lotemax in the right eye only - have been on both for about 2 months now. The dryness I have is not severe, it's more moderate-mild, yet I am still constantly feeling discomfort and irritation in my right eye. (Again, left eye is okay.)

They are now planning to re-float my right LASIK flap this coming Friday and I'm pretty freaked out about it!

I've had 3 docs look at my eye. They all say the same thing: flap looks okay overall, no striae, vision 20-20 with .25 astigmatism, which they all say should not be causing the severity of vision problems I'm experiencing. One doc did aberrometry, which showed hardly any HOAs. He did say he sees a difference between right and left flap and that the left one is "smoother" whereas the right has some "slight waves", but he says it's not abnormal and it's outside the visual axis.

So, everyone is mystified about why I have such poor vision quality with severe blurriness/ghosting and also the discomfort is unexplained. It's so bad that if I was seeing this badly out of both eyes I'm not even sure I'd be able to leave the house and I sure wouldn't be able to drive or work. (So thankful my left eye turned out okay.)

The surgeon is now theorizing that my ongoing problems could be the result swelling/inflammation at the deepest layer of the cornea that they cannot see with the slit lamp. So, they want to re-float and irrigate with the steroid solution directly under the flap to see if this will resolve my vision problems. They said they had success with this on another patient about 8 months ago.

I can't find anything about this online though, so I'm very nervous. It basically means I'm having the procedure all over again and starting all over again with healing, which was soooo horrible the first time around. I couldn't stand being in bright lights or watch television for weeks.

Does anyone have thought/swords of wisdom about this?!
It's very hard to offer ideas since we are so limited in history. (For example, I will assume you were nearsighted prior to LASIK.) To say that "20/20 with 0.25 diopters of astigmatism" is so blurry that you couldn't drive or work if it was like this in both eyes is intriguing. I tend to distrust post-operative refraction findings by LASIK providers because there is a natural incentive to NOT find over-corrections. You are forty years old. If you are overcorrected, some of the blur could be related to being over-corrected.

Assuming you are not over-corrected in the right eye...

quote:
He did say he sees a difference between right and left flap and that the left one is "smoother" whereas the right has some "slight waves", but he says it's not abnormal and it's outside the visual axis.


The visual axis is the absolute center of vision. "Slight waves" outside the visual axis (within three millimeters or so of the axis) could explain why your vision quality is off. That's reason enough to attempt lifting the flap.

quote:
The surgeon is now theorizing that my ongoing problems could be the result swelling/inflammation at the deepest layer of the cornea that they cannot see with the slit lamp. So, they want to re-float and irrigate with the steroid solution directly under the flap to see if this will resolve my vision problems. They said they had success with this on another patient about 8 months ago.


You have been on Restasis and Lotemax for two months. Both are anti-inflammatories (albeit, not as strong as true steroids) but, after two months of Lotemax, it would steer one away from the assumption that deep stromal swelling is present. Since steroid irrigation is to be combined with a flap lift, if successful, I would tend to think the flap lift alone was the real benefit, particularly if they have noted "slight waves."

Were you significantly more nearsighted in the right eye prior to LASIK?
Sorry for the lack of detail - once I start typing I feel like I could type a whole novel about this ordeal and didn't want to get too long winded! Smile

Before LASIK, yes, I was nearsighted and only wore contacts b/c glasses always caused headaches. I was -2.25 (contact lens prescription) in both eyes with an extremely minor astigmatism that wasn't even being corrected for with my lenses. My prescription had been stable since I was a teenager and I was told I have "thick corneas" so I was supposedly a "perfect" candidate for LASIK.

I have seen doctors at 3 separate offices, including two optometrists (one who referred me for LASIK and one I went to for 2nd opinion) plus I've seen 3 different surgeons at the center where I had my LASIK. None of them can give me a reason for the problems.

The fact that I'm still having so much pain and discomfort along with the poor vision is making me inclined to just go ahead with the flap re-float because I'm getting pretty desperate for some relief.

I did have bad edema immediately after surgery, so they also said it could be "fluid" rather than swelling.

But pretty much they are saying they just don't know for sure and this seems to be the only other idea anybody has as far as what to try next since steroids aren't resolving it and dryness doesn't seem severe enough to explain it either.

In fact, my left eye is supposedly drier even though it sees just fine!

I do wonder if the surgeon thinks the flap is less-than-perfect and just isn't saying so. But my 2nd opinion doc also agreed that the flap overall looks fine. In fact, he said he has seen "much worse" so I guess I just drew the short stick here with unexplained bad outcome.

This has all just been a nightmare and I try not to get too down about it. I really need to keep looking forward, not back, since it cannot be undone.

So, you think the slight waves DO justify flap lift? That's encouraging to hear. Everything I read online about refloating focuses on more dramatic things like wrinkles, dislocation, etc. and obviously what I have shows up as minor in clinical terms, but the effect on vision quality is major.
And I guess I should also add there WAS a wrinkle in the flap that they "smoothed" on day 1 post surgery (which feels like ancient history now - this has been the longest 3 months of my life!)

They didn't lift the flap and the wrinkle again was considered minor and was not in the visual axis.

Below is a link to where I posted my whole story two months ago on a dry eye website (if you can't see it tell me and I can re-post). Besides Rebecca, who has been AWESOME, there haven't been a ton of responses there, probably since it's mainly a site for dry eye patients and that's not my main problem.

So I'm so glad I now found this resource. Thank you!!!

I have improved since this old post, mainly in that my binocular vision is better and no more cold air sensitivity or light sensitivity. I wouldn't call what I have "haze" anymore - it's just plan blurriness and crappy vision! :/

http://www.dryeyezone.com/talk...ry-eye-advice-please
Oh, and refraction during exam does not seem to resolve the blurriness either. Maybe it makes it a teensy bit better, but mostly no. There was some discussion of trying on a RGP lens (which sounds awful to me - I wore those back in the '80s and they hurt! I wore contact lenses for 29 years before having LASIK). But corneal specialist and surgeon both say they think we should try re-floating first.
All flaps are subject to wrinkles and waves because the underside of the flap is forced to "fit" over the ablated corneal stroma. The original tissue volume covered by the flap has been reduced; the flap is essentially baggy, trying to cover the reduced corneal volume. It's like losing thirty pounds and noticing that your once nicely-fitted shirt doesn't tuck into your waistband like it did previously. So, you re-tuck your shirt, smoothing out the bagginess in the front while pushing the wrinkly mess behind your back. It looks better than it did in front but it's still messy in the back. (Not that I would know!)

Anyway… can they smooth out the waviness from near the visual axis and tuck the waviness closer to the flap edge? That's essentially the issue. The more nearsighted someone is before LASIK, the more the flap won't fit the underlying, laser-altered cornea. You were not very nearsighted prior to LASIK so we would expect this to be LESS of an issue than for someone who was very nearsighted.

Your minimal nearsightedness pre-op does make you wonder why you had a significant wrinkle in the right eye in the first place. Could those "waves" suggest something about the integrity and uniformity of the flap throughout its thickness? I don't know. Microkeratomes are mechanical devices used while the cornea is under the duress of elevated pressure. I have seen LASIK issues obviously associated with the microkeratome. Could there have been a subtle issue with the cut? I am only surmising. When dealing with ocular tissues and optical devices, small problems are hard to see.
Also, should I expect recovery from a flap re-lift to be as difficult as my initial LASIK recovery was?

The drs. have told me the visual symptoms (light sensitivity, trouble focusing, depth perception problems, etc.) shouldn't be as bad since they aren't treating the cornea, only lifting what was already cut. Not sure exactly how they phrased that, but this is how I interpreted it.

But I had an unusual amount of pain symptoms after my surgery, partly due to dry eye (now I'm 2+ months into Restasis so not sure if it's working yet). But they say probably some of it was nerve pain. They will give me some stronger pain eye drops this time, but they also said the cutting usually causes more pain than the relifting.

Is all of this true?
There is no guarantee that the flap lift will solve the problem, but if the existing waviness is contributing to your visual frustration, then it should help.

If a well-fitted, rigid contact lens eliminates the visual frustration, then you know the problem is optical and primarily on the corneal surface.

Yes. Lifting the flap is not as traumatic since it doesn't entail cutting the cornea and burning the nerves. Were both of your eyes equally painful following the LASIK procedure?
Both eyes were painful - I gather much more painful than what is "typical."

It's hard to say if the right eye was more painful from that first day (though it was obviously cloudy and blurry from the get-go). But definitely within the first few days, I noticed the right eye was more bothered/irritated/sensitive/reactive to changing conditions (light, air, etc) from the beginning.

By the one-week mark there was a really obvious difference in pain symptoms with right eye being so much worse (had to close it while driving for example b/c couldn't tolerate the sunlight - though both eyes were excruciating and freaking out when it was really bright, right eye was worse).

And as the left eye improved, the right eye has stayed bad. I would say only about a 25% improvement in 3 months. Whereas I'd say the left eye has had more like a 75% improvement.

My left eye was perfectly clear from the beginning.

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