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Table of Contents
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 Post Lasik Enhancement, James - Piedmont, CA, 6/13/2005
  High correction, James - Los Angeles, CA, 6/14/2005, (#1)
 answre, William B. Trattler, MD Miami, FL 6/14/2005, (#2)
Thank you, James - Piedmont, CA, 8/05/2005, (#3)
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"Post Lasik Enhancement"
Posted by James - Piedmont, CA on 23:44:30 6/13/2005
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I had Lasik done on both eyes approximately 7 years ago. I am near sighted. Prior to lasik my vision was -13 with a very high astigmatism of -6. Gradually, my eyes seem to be worsening form a -1 to a -2 during the last few years. My doctor informed me that I had thin corneas and that re-treatment would be difficult (1999). I suffer from extremely blurred night vision, caused by flaring and halos. Is there anything I can do treat these symptoms with any of the recent advances in Lasik such as wave front? I would greatly appreciate any advice.
thank you
JC
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1. "High correction"
Posted by James - Los Angeles, CA on 00:20:52 6/14/2005
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>I had Lasik done on both eyes
>approximately 7 years ago. I am
>near sighted. Prior to lasik my
>vision was -13 with a very
>high astigmatism of -6. Gradually, my
>eyes seem to be worsening form
>a -1 to a -2 during
>the last few years. My doctor
>informed me that I had thin
>corneas and that re-treatment would be
>difficult (1999). I suffer from extremely
>blurred night vision, caused by flaring
>and halos. Is there anything I
>can do treat these symptoms with
>any of the recent advances in
>Lasik such as wave front? I
>would greatly appreciate any advice.
>thank youJC
You should first try hard contact lenses. You most likely have had a high correction with a small treatment zone which can induce sperical aberration and coma. This can be measured with a wavefront reading. If your cornea is too thin you should leave well enough alone. If it is not too thin, you could be a candidate for a wave front based PRK on the surface which doesn't require lifting the flap. get an evaluation from a LASIK surgeon in your area recommended by an opthalmologist who dosen't do LASIK.
Dr. Salz, Los Angeles
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2. "answre"
Posted by William B. Trattler, MD on 01:35:35 6/14/2005
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I agree with Dr. Salz. A PRK or LASEK on top of the flap can be performed in patients with thin corneas. But you need a very careful evaluation to determine whether your cornea is stable, etc.
Best of luck
Bill Trattler, MD
Miami, FL
P.S. Dr. Salz can provide a second opinion, as he is in your area. Whoever you end up seeing, make sure you talk about PRK/LASEK and also make sure they carefully check your topography to make sure it is stable.
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3. "Thank you"
Posted by James - Piedmont, CA on 17:40:42 8/05/2005
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I'm sory for the delay in replying to your answers.
I appreciate your advice and am planning to visit and non lasik opthamologist soon. I will post back with the results of my consultation.
Grateful
James
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