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Enhancement Advice for Hyperopia plus Astigmatism


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Enhancement Advice for Hyperopia plus Astigmatism, Ethan - New york, NY, 9/03/2005
Response, Glenn - Sacramento, CA, 9/04/2005, (#1)
Correction, Ethan - New york, NY, 9/04/2005, (#2)

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"Enhancement Advice for Hyperopia plus Astigmatism"
Posted by Ethan - New york, NY on 08:46:31 9/03/2005
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Greetings.

Anyone with the necessary knowledge or credentials please reply my post.

I underwent Lasik on in August 2005. It is 1 month now. My Left eye is doing well but my Right eye is bad. These are the readings for my R eye.

Pre op: -3.75 x 1.75
Post op: +1.5 x 1.0

As you can see, I am overcorrected. I got 150 degrees of longsightedness and 100 degrees of astigmatism now. Doc advise on enhancement in 3 months time...maybe November if things do not improve...

My question: Is my level of Astigmatism and Hyperopia too high for a good chance to achieve perfect vision after enhancement? Do I correct Astig or Hyperopia first or both simltaneously?

please reply

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1. "Response"
Posted by Glenn - Sacramento, CA on 00:27:45 9/04/2005
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That is a rather large overcorrection. Even the residual astigmatism is rather high.

Before you do anything more, you need to have a heart-to-heart with your doctor to try to determine why you were so overcorrected. Considering your preop prescription, you should have ended up much closer to a good outcome than this. Before you have additional surgery, you need to know that such unexpected results are not likely to occur again.

After you have had a detailed discussion with your surgeon, I highly recommend that you get a second opinion before having additional surgery. That second opinion will go a long way toward assuring that you are headed in the right direction.

It is reasonable to expect some of your hyperopia and astigmatism to regress over the next few months. You may want to discuss CLAPIKS (http://www.usaeyes.org/faq/subjects/clapiks.htm) with your doctor. This is a technique to induce hyperopic correction.

If possible, you probably should hold off on enhancement surgery until at least 3-6 months postop. The longer, the better, as this will allow as much natural regression to occur as possible.

Glenn Hagele
http://www.USAEyes.org

I am not a doctor.

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2. "Correction"
Posted by Ethan - New york, NY on 09:35:10 9/04/2005
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pre-op...my right eye was

-3.75 x -0.75 x 85

post op it became +1.5 x -1.0 x 120

another question is
for my post op readings how are the chances for plano or something close to it to be achieved with an enhancement...

is +1.5 x -1.0 x 120 possibly easy to enhance?

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