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Hyperopia Lasik and halos risk lower??


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Hyperopia Lasik and halos risk lower??, Dave - Columbus, OH, 6/18/2001
Halos, ann - walsall, AL, 6/19/2001, (#1)
Yes, my vision is better, but...., Dave, 6/20/2001, (#2)
Halos, ann - walsall, AL, 6/20/2001, (#3)
double vision, Bob - Walnut Creek, CA, 10/26/2001, (#4)
Double vision., ann - walsall, AL, 10/29/2001, (#5)
Pupil size is part of it, George, 11/29/2001, (#6)

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"Hyperopia Lasik and halos risk lower??"
Posted by Dave - Columbus, OH on 11:56:46 6/18/2001
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Is it true that if lasik is performed to correct hyperopia the chance of halos, ghosting, etc is lower? I ask because I had lasik to correct farsightedness last friday and I'm getting some halos at night.
Thanks,
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1. "Halos"
Posted by ann - walsall, AL on 15:55:26 6/19/2001
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I am curious. Are you saying that you have good vision apart from a few halos at night?. If you are, then please TELL EVERYONE else who has had Hyperopic lasik and been left with lots of problems( me included) Halos starbursts, double vision, induced astigmatism , etc etc, that are very common in Hyperopics, which is why very few surgeons treat us.It would be wonderful to hear of just one "almost" Success story. Thanks in advance Ann
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2. "Yes, my vision is better, but...."
Posted by Dave on 07:41:38 6/20/2001
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I am only 4 days post lasik.
I was:
od: sph +2.50 cyl -0.75 axis 38 add +2.00
os: sph +3.50 cyl -0.50 axis 05 add +2.00
I am now:
od: sph +1.00 cyl -1.00 axis 116 add +2.00
os: sph +1.25 cyl -1.00 axis 078 add +2.00
I expect my distant vision (now 20/25-20/30) to improve when the rest of the swelling goes down and I knew going in that near vision would never be great (I'm 48 and presbyopia is setting in).
I have halos around lights at night and I had read somewhere that due to the way the laser reshapes the eye, halos are not as big of a risk for hyperopia as it is myopia. Am I wrong about this???
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3. "Halos"
Posted by ann - walsall, AL on 09:20:09 6/20/2001
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Hi Dave, My understanding is that it is due to pupil size that halos occur and there is no evidence to suggest that Hyperopics have less incidence of this problem than Myopics.
Looking at your post-op results It doesnt appear that you have a very good result!. especially as your astigmatism is now higher that before. However 4 days is very early and Hyperopics take a lot longer to "heal" than Myopics. I had an almost identical presciption pre lasik to yours which was just over two years ago (aged 44) but my immediate post presciption was
Od. sph -1.75 cyl -1.75@ 180
Os sph -1.50 cyl -1.50@ 138
Now two years on it reads
Od sph.-0.75 cyl 1.75 @180
Os sph 0.00 cyl 1.50@138
So I have experienced some progression in the Rx but no regression in the induced astigmatism along with starbursts, double/triple vision which makes my vision CRAP. No-one will re treat me( I have tried 5 different surgeons) which is why I still visit this site regularly for answers. Be prepared for a long haul in the healing process, my sight fluctuates on a daily basis even now. Let me know how you progress
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4. "double vision"
Posted by Bob - Walnut Creek, CA on 11:10:44 10/26/2001
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Ann...does your double vision occur all the time or only in dim light? I have a double-vision problem in my right eye after a hyperopic LASIK enhancement for an over-correction and I see double images on clock radios and elevator buttons, one above the other. However in daylight there are no problems. Followup orbscan/topography shows now obvious problems. Thanks...Bob
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5. "Double vision."
Posted by ann - walsall, AL on 16:21:30 10/29/2001
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Sorry to say it Bob but my double (and Triple) vision is in any light.Right eye is just double and a constant image no matter what the light. My left eye is all over the place and I have not been able to make out the "true image"of anything since my treatment. This I assume is due to irregular astigmatism. I see a complete image above the "true one", one complete image to the right and a half image to the left. Glasses do not solve the problem. Theoretically my presciption is Good, but I now accept that what the charts say and what you really see bear no resemblance to each other. My topography shows how bad the astigmsatism is and I havent been able to find a doctor who is prepared to risk trying to improve it. Here in England we have Wavefront available but I am waiting until the doctors have more experience of using it before I risk what little sight I have left to it. I dont drive anymore at night as the halos ,starburst and images make it scary. As a passenger I spend the journey looking at the floor of the car as it is so disorientating to look ahead. I cant even say to you it is better now than at first, because it isnt, but I truly hope that you have some improvement as I wouldnt wish my eyesight on my worst enemy....... Best of luck Ann
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6. "Pupil size is part of it"
Posted by George on 09:57:34 11/29/2001
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Ann, halos are related to pupil size but, in my non-medical opinion, a hyperopic treatment has got to exascerbate the problem.

A myopic LASIK treatment removes tissue from the center of the cornea and none from the sides. A large pupil would merely allow light to pass through the smooth, undercorrected lens edges. This can cause halos.

However, on a hyperopic eye treated with LASIK, more tissue is removed on the edge of the lens. This creates a ridge along the edge of the treated area. If the pupil becomes large enough to expose this ridge, light is scattered in many unwanted directions. The problematic result would probably be more than just halos; you could expect glare and starbursts and more.

This is why it is imperative that the LASIK treatment zone on hyperopic patients be correctly matched up with their pupil sizes.

I'm sorry to hear about your bad result. Do you happen to know your pupil size(s) and the size of the treatment zone that was used on you?

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