Where to Start with Contacts?

About my problem:

I had LASIK done about 6 weeks ago to correct a -8.25 sph/-1.25 cyl prescription and I knew something was wrong almost immediately. Right off the bat, everything was fuzzy and glowing like an old 1990s VHS tape, complete with the snow/static effect (like what you see when you close your eyes) over everything, along with all the typical LASIK GASH side effects. Left eye has double vision, right eye has triple, but the ghosts are close enough that things mostly just look blurred/smeared, the only notable exception being point light sources and digital displays, which are crisp multiples. I have immense difficulty seeing anything that's black, it appears to me as a silhouette with minimal surface detail...makes my cat very disturbing to look at. Picking similarly colored objects apart is a nightmare.

The surgeon tried to tell me dry eyes could cause this, so I bought several boxes of preservative free eyedrops and bathed my eyes in drops every 15-20 minutes for several days straight to see if it helped, but nothing alleviated the fuzz and the ghosts were 100% consistent. After he failed to find an explanation for the bad vision at the one month follow up, I decided to go for a second opinion and have a peek at some topographies. The second LASIK guy tried the whole "give it time" act too and said there was nothing he could tell was wrong, but the topographies look to my untrained eye like a pretty obvious decentration. The marks for the corneal apex and the visual axis are nowhere near each other and the reddish yellow ring on the tangential map showing the edge of the ablation zone are instantly recognizable as off center. Obviously I'm not a doctor or anything and I won't get a firm medical diagnosis for a couple weeks, but the point here is that the vision just plain sucks, the cheapo pair of glasses I got to correct the residual refractive error don't help the fuzz/ghosts, and I want out ASAP...which brings me to my main set of questions.

I'm not going to let anyone take another whack at this with a laser if there are available options out there that can potentially fix my vision and be reversible at the same time. I've been looking into contact lenses and I don't really know where to start to go down that route. Is anybody able to help with the below questions?

1.) I've read that contacts can be fitted as early as 8 weeks post LASIK, but I can't find any guidance on when starting the process is possible. I've also read it can take up to 6 months for large corrections to stabilize. Do I need to have reproducible topographies/refractions first? How do I go about demonstrating the eye is stable enough that we aren't aiming at a moving target? I asked the surgeon about this but all he had to say was "I don't think contacts will help."

2.) How do I find a good fitter for zapped eyeballs? I live in the central PA area, so there's quite a few cities within reasonable driving distance. Google tells me there's a place about 45 min from me that fits scleral lenses, but I have no way of knowing if they do it well. Is there a directory for this type of thing?

3.) Is there any advantage to corneal RGPs over scleral lenses if cost isn't a sticking point?

4.) I've read some vision plans will cover lenses for medically necessary problems. Is there any kind of barrier to signing up for one of these if you already know your eyes are messed up? That seems slightly fishy to me. I've got Davis vision through work, but I think they only offer coverage for specialty lenses if it's for kerataconus.

5.) What kind of results are expected from a hard lens without any wavefront correction on the surface? I know every eye is unique and I don't have a current HOA measurement, but let's say I'm at like a "functional but extremely ugly" type of level. Are these worth exploring, or should I be looking for a place that can do the customs?

Original Post

1.) I've also read it can take up to 6 months for large corrections to stabilize.

Not necessarily.

Do I need to have reproducible topographies/refractions first?

No.

How do I go about demonstrating the eye is stable enough that we aren't aiming at a moving target?

Not applicable.



2.) All answers = VSRN

3.) Is there any advantage to corneal RGPs over scleral lenses if cost isn't a sticking point?

It depends on who does the fitting.

4.) I've read some vision plans will cover lenses for medically necessary problems.

Your need for contact lenses is not considered a medical necessity.

5.) What kind of results are expected from a hard lens without any wavefront correction on the surface? I know every eye is unique and I don't have a current HOA measurement, but let's say I'm at like a "functional but extremely ugly" type of level. Are these worth exploring, or should I be looking for a place that can do the customs?

You've been doing a lot of reading but your suppositions here are mostly invalid given your described circumstances.

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