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Am I a Good Candidate for a Follow-up Procedure?


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Am I a Good Candidate for a Follow-up Procedure?, Pallavi, 7/10/2001
regression, Lisa - Los Alamos, NM, 7/26/2001, (#1)

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"Am I a Good Candidate for a Follow-up Procedure?"
Posted by Pallavi on 14:19:52 7/10/2001
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Hello all,

I need a second opionion. I had LASIK on June 7, 2001 (I had a very high power, approx. -9.75 on both eyes). The next day I was reading at 20/25 and everything was crisp and clear. It is now a little over a month later, and my vision has become slightly blurred. I am now 20/30, but unlike my day-after visit, the whole board is a blur. Halos are still a problem at night although my doctor seems to think those will clear in time.

However, he also said that I was a bit under-corrected, and that if I had a touch-up surgery, it would help with the night vision, as well as the blurriness (he also said it is perfectly common for someone with my high power to need a follow-up). When he put a lens over my eye, I definitely saw an improvement from my current vision. I have 3 questions:

1) is there some reason that my crisp vision immediately following LASIK has retrograded into a slightly blurred vision? I was under the impression that eyes get better over time, not worse...this has been the most disappointing aspect of the surgery.

2) I know that it is recommended to wait about 6 months before a followup surgery, but considering that I did see better when he placed the clearer lens over my eyes, is it worth pursuing sooner? Is it more common for those who had a higher original prescription to need a follow-up procedure?

3) Will a follow-up potentially help with my night vision problems, or are they something I will have to permanently deal with, as my original power was so high? Would overcorrection potentially occur if I get this second surgery done so soon after my original?

Thanks for any info. you can offer. FYI: I am 23, have not experienced significant dry eyes (at least to my knowledge), and am still pleased with the surgery, although I am nervous about subsequent reversions in vision.

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1. "regression"
Posted by Lisa - Los Alamos, NM on 09:31:01 7/26/2001
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What you are experiencing is regression - your eyes are changing towards being nearsighted. There doesn't appear to be a definitive explanation to why this occurs, but it may have to do with the healing process - every eye responds differently to lasik. I have found that higher myopes, such as yourself, are more likely to need enhancement and I advise you to wait. Your eyes may change again and it is best to wait for enhancement when your eyes have stabilized. The risk of overcorrection is not increased by getting the enhancement sooner.
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