Hello,

I had RK in 1992 on both eyes but my vision has slowly worsen over time. I am considering wavefront LASIK but I am concerned about problems with the flap separating. Could someone review my results and comment on the likelihood of problems with the flap and the possible results that I would obtain after surgery.

Visual Acuity (uncorrected) Right: 20/70-2 Left: 20/400+
Visual Acuity (best corrected) Right: 20/30-2 Left: 20/25+
Manifest Refraction Right: -3.50/-0.50 x 090 Left -3.00/-0.75 x 045
Intraocular Pressure Right: 13 Left: 10
Pupils measured with Colvard Right: 6mm Left: 6 mm
Keratometry Right: 38.5/29.5@090 Left: 38.75/40.5@95

Dr. Demong noted multiple RK incisions of varying depth on each eye and blue dot opacity in the lens in each eye. Otherwise, the examination was unremarkable.

Both eyes had higher order aberrations indicated on Wavefront scanning, with the following summary:
Right: Defocus 6.50, Astigmatism 0.86, Coma 1.05, Spherical Aberration 1.22 and Other 0.71 Match was 74%
Left: Defocus 7.28, Astigmatism 1.54, Coma 0.59, Spherical Aberration 0.76 and Other 0.61 Match was 85%

Corneal Topography indicated the following thickness centrally:
Right: 637 microns Left: 611 microns

Endothelial cell count (CD) indicated Right: 1402 with a max of 1738 Left 1631 with a max of 2097