 |
|
|
|
|
To Dr. Friedman; Possible AK, PRK or Lasik enhancement
|
Table of Contents
.....................................................................................................................
 To Dr. Friedman; Possible AK, PRK or Lasik enhancement , Charlotte, 10/09/2002
  Re: possible AK,PRK, or liftin..., Leonard Friedman, MD Washington, DC 10/09/2002, (#1)
 Other eye 20/20, Charlotte, 10/09/2002, (#2)
Other eye 20/20, Leonard Friedman, MD Washington, DC 10/10/2002, (#3)
.....................................................................................................................
|
"To Dr. Friedman; Possible AK, PRK or Lasik enhancement "
Posted by Charlotte on 10:23:02 10/09/2002
|
Include Original
Message on Reply |
I'm 48 years old. I had RK on my left eye only in 1987 and Lasik in 1999, followed by an enhancement on the left eye only. My left eye is still undercorrected with astigmatism; my RX in the left eye(for glasses) is -1.00, -.75, axis 110. My right eye is perfect.
A second Lasik enhancement on my left eye seems risky, as this would mean lifting a flap that is 3 years old, and which has also had RK. I was wondering if AK, PRK, epithelial PRK, or anything else being developed might be a less risky option, or if you feel I am better off doing nothing.
|
 |
1. "Re: possible AK,PRK, or lifting flap"
Posted by Leonard Friedman, MD on 15:00:01 10/09/2002
|
Include Original
Message on Reply |
The first thing I would recommend is to correct
the eye with a contact and see what it is like to
lose the near vision you are getting now by being
slightly under corrected. I recomment against PRK
because of the risk of haze. Lifting the flap is
also risky. You can reduce some of the
nearsightedness by doing an AK which will help
with the small amount of astigmatism. However if
you can read well in spite of the small
astigmatism, don't do anything. I hope this
helps. What is the status of your other eye?
Leonard Friedman MD Washington DC
|
| |
2. "Other eye 20/20"
Posted by Charlotte on 19:55:36 10/09/2002
|
Include Original
Message on Reply |
The contact lens suggestion makes sense. My right eye sees 20/20 after Lasik, so I have good distance vision, and I can still read pretty well out of both eyes despite being 48. If you feel that staying nearsighted in my left eye will help long-term with reading as I get older, and that my astigmatism is slight, then maybe I'm better off leaving well enough alone. But if I'm going to develop presbyopia in the undercorrected eye and not be able to read well anyway after a certain age, Ak might be worthwhile to correct the astigmatism and also give me better distance vision. How predictable is AK? I don't know anyone who has had it.
|
| |
3. "Other eye 20/20"
Posted by Leonard Friedman, MD on 08:08:56 10/10/2002
|
Include Original
Message on Reply |
Since you are reading well now, I wouldn't bother
with the AK. It works fairly well but is still
not 100% and does have some risks.
As far as needing reading glasses as you get
older, your current Rx will hold you for several
more years. In addition even if you need readers
some of the time, your current low myopia will
still be useful. You will probably always be able
to see menues in good lighting, read your watch
without your glasses etc. You will probably only
need readers for fine print or prolonged reading.
If you get used to it, your present situation is
ideal.
Leonard FriedmanMD Washington D
|
| |
If you encounter any problems with the bulletin board, please notify the
|
|
|
|
