PLEASE HELP ME!
I am from JAPAN,and I Need HELP for mine vision problem!!

http://www.geocities.jp/heso0o0/

ok first of all what is your manual refraction post lasik? Do you have any residual refractive error? You did mention what it was before lasik and I can see the bow shape corneas on your topography before lasik. I can see what looks like irregular astigmastim post lasik, at least thats one good explanation for the doubling. Your lower half of the cornea appears steeper than the upper half. Has your doctor ruled out a wrinkled flap? Has he said anything about irregular astigmastim? why does he not want to help you anymore?

I know it is a little hard to read it...

I have change the URL to

http://www.geocities.jp/heso0o0/201711243/

Ok you have about 340 cornea left. Ive already asked you some ?'s in the first post. Why wont your doctor help you? I also asked if they ruled out flap wrinkles. You may need an enhancement but before you do, I would get several opinions from different doctors and make sure they know what they are doing and how to resolve the issue!
I see you used to be 20/10 BCVA in right eye, this is an amazing BCVA, very rare too. Frankly I probably would suggest not getting lasik if you have a BCVA better than 20/15 but thats a little late now. I say you have irregular astigmastim.
Can you download AOL instant messenger then we can chat in real time? Ill give you my AIM screename after you get AIM. I hope your issue gets resolved and doubling goes away and you have better than 20/20. One more thing, did you get the wavefront lasik?

>Ok you have about 340 cornea left.
>Ive already asked you some ?'s
>in the first post. Why wont
>your doctor help you?

My doctor explained that he cannot do an enhancement because of the dry eyes. He said that I have to wait one year or two years. He said that a flap can be easy to lifted even 2 years latter.
I saw some other doctors. Some did say that I have slight dry eyes, but it is not the main reason which cause double vision. Some found that I have debris in the left eye. No doctor find any wrinkles in both eyes.

And I was told by other doctors that my doctor has a very bad reputation in Japan. As they know there are so many patients with bad result like me. The doctor ignore all of them. "wait one more year" are the common answer we get.And you know what, patients are even warned that they will be accused if they write down their bad LASIK experience on the internet. That is the reason I am here. It has been 6 Months since I had LASIK, but I still have no idea about how I should do next step.

You mention about wavefront .In his advertisment it writes " INTRALASIC + WAVEFRONT". But I was told later by other doctors that it is just a wavefront-optimized Lasik, which is not a real wavefront-guided-Lasik. Of course I didn’t know that before. And I didn’t have the informed consent about that either.I don’t know the difference between wavefront-optimized and wavefront-guided-Lasik.
What I know is that I see very bad now.

I have installed AOL AIM, and my account is liangchengwang

Thank you again.

>My doctor explained that he cannot do
>an enhancement because of the dry
>eyes. He said that I have
>to wait one year or two
>years. He said that a flap
>can be easy to lifted even
>2 years latter.

This is not always the case, sometimes the flap cant be lifted! I cant comment on dry eyes and enhancement but if the other doctors say its OK to enhance, you might want to.

>I saw some other
>doctors. Some did say that I
>have slight dry eyes, but it
>is not the main reason which
>cause double vision. Some found that
>I have debris in the left
>eye. No doctor find any wrinkles
>in both eyes.

debris doesnt explain the double vision in BOTH eyes. Have you asked them about irregular astigmastim? show them your topographies!

>And I was told by other doctors
>that my doctor has a very
>bad reputation in Japan. As they
>know there are so many patients
>with bad result like me. The
>doctor ignore all of them. "wait
>one more year" are the common
>answer we get.

ouch :( he should be fired and sued. It seems like hes just careless :(

>And you know what,
>patients are even warned that they
>will be accused if they write
>down their bad LASIK experience on
>the internet. That is the reason
>I am here.

Dont hold back, I am glad you are warning everyone else so they do not get lasik with this bad doctor!

>It has been
>6 Months since I had LASIK,
>but I still have no idea
>about how I should do next
>step.

This is where me and the doctors will try to help you. Maybe one of the doctors here can do an enhancement on you but youll need to visit USA

>You mention about wavefront .In his advertisment
>it writes " INTRALASIC + WAVEFRONT".
>But I was told later by
>other doctors that it is just
>a wavefront-optimized Lasik, which is not
>a real wavefront-guided-Lasik. Of course I
>didn’t know that before. And
>I didn’t have the informed consent
>about that either.

If you never signed any consent forms, you are in good position to slap a lawsuit(sue) this doctor. Even tradational lasik should not give double vision, sounds like its the fault of the careless doctor. As for AIM, I sent you an instant message but your probably in bed at this time of the day. What time will you return so we can chat? I hope theres a happy ending to this

I looked at Wang's topographies, and his Waveprints. The Waveprints showed classic coma, which is the cause of his double vision. Furthermore, there is a progressive steepening of the inferior topographies, with the appearance of superiorly decentered ablations. I don't know what that means...yet. I have seen similar looking topographies. Some have remained stable and some have not. One recent case became ectasia.

I would be careful about recommending another surgery at this point.

DrG

Greg Gemoules, O.D.
Coppell, TX

He and his doctors say to wait anywhere from 3 months to more than a year before getting more lasik. Right now he wears 4 pair of glasses! One for reading, one for bright light, one in the house and one in dim light and at night. We have talked and hes in agreement with me in deciding to get just the worse left eye enhanced. That left eye sees double and is like 20/30 uncorrected. His better right eye has just ghosting and is a weak 20/20. Glasses dont improve his BCVA much but they help with the ghosting and quality of vision. Makes for easier reading when everything isnt ghosted as much. At first thought, his UCVA sounds decent, but it doesnt factor in the fact he just sees two everything :( He had lasik in mind to be free of uncomfortable glasses. I am not a doctor so I havent given him any medicial diagnosises, but just discussed his options. What would you say his options are? Should he go like this forever or should he at least enhance the worse left eye for now?

I took a closer look at the maps. Even under magnification, some of the numbers are illegible on the topographies. But, I was able to determine that the printouts are in "normalized" mode, and so the color key is not standardized from one map to the other. The topographies don't show increasing inferior steepening as they appear. The central cornea is showing some slight steepening due to something causing an erosion of the ablation inferiorly. My take is either the flap is being elevated from below by epithelial ingrowth, or from above by epithelial hypertrophy. Did he say he had a flap lift? The ablations don't look decentered, just eroded from below.

Having said that, the situation appears not to be stable, which -- in my mind, at least -- would seem to mitigate against having additional surgery at this stage. The double vision seems to be due to vertical coma, causing retardation of half of the wavefront, and acceleration of the other half, with the division right along the horizontal midline.

But, the patient is obviously in distress, so what to do. An RGP would be a quick "patch," and would lead to resolution of the symptoms, although the patient's dry eye might pose a problem. There are special lenses, called scleral lenses, which can be used on a dry eye. Other types of RGP lenses might work as well. Of course, it's all too easy being a Monday morning quarterback, and saying one should do this or that. The reality is that it can be difficult finding the right resources.

DrG

Greg Gemoules, O.D.
Coppell, TX