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Is This the Final Results??
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Is This the Final Results??, Teresa, 3/05/2006
 understanding, ace - wpb, FL, 3/05/2006, (#1)
 Ignore Ace, Joe - Putnam Valley, NY, 3/05/2006, (#2)
 Joe is rude, ace - wpb, FL, 3/06/2006, (#3)
 Ace, get a life, David - Palm Harbor, FL, 3/08/2006, (#9)
 Get some temp correction, Tom - Edmonds, WA, 3/06/2006, (#4)
 post op 6 weeks, Ali - New York, NY, 3/07/2006, (#5)
 Reply to Ali, Teresa - Ashland, KY, 3/07/2006, (#7)
 Monovision, Ali - New York, NY, 3/08/2006, (#8)
 Reply to Ali and Tom, Teresa, 3/10/2006, (#10)
 mid range vision, ace - wpb, FL, 3/11/2006, (#12)
 Reply to Tom, Teresa - Ashland, KY, 3/07/2006, (#6)
 What was your original script?, Tom - Edmonds, WA, 3/11/2006, (#11)
 Reply to Tom, Teresa, 3/12/2006, (#13)
 mid range vision, ace - wpb, FL, 3/12/2006, (#14)
 Another Question, Teresa - Ashland, KY, 3/13/2006, (#15)
 Teresa....you will be fine, bu..., Tom - Edmonds, WA, 3/14/2006, (#16)
 After surgery what??, Teresa, 3/23/2006, (#17)
 Still way too early. Relax, Tom, 3/24/2006, (#18)
 Question to Tom, Teresa, 3/24/2006, (#19)
 One more question, Teresa - Ashland, KY, 3/24/2006, (#20)
 Get an accurate refraction on ..., Tom, 3/25/2006, (#21)
 I'll Do That, Teresa - Ashland, KY, 3/25/2006, (#22)
 Several options for you Teresa, Tom - Edmonds, WA, 4/01/2006, (#23)
 Update for Tom, Teresa, 4/04/2006, (#24)
 For Teresa, Greg - Coppell, TX, 4/07/2006, (#26)
 For DRG, Teresa - Ashland, KY, 4/10/2006, (#29)
 Response, Glenn - Sacramento, CA, 4/07/2006, (#27)
 For Glenn, Teresa - Ashland, KY, 4/10/2006, (#30)
 I hate to say this but, Tom, 4/07/2006, (#25)
 Answer for Teresa, Greg - Coppell, TX, 4/11/2006, (#32)
 Question for Tom, Teresa - Ashland, KY, 4/10/2006, (#28)
 Maybe some astigmatism, Tom - Edmonds, WA, 4/11/2006, (#31)
 To Tom, Teresa - Ashland, KY, 4/13/2006, (#33)
 Teresa, Greg - Coppell, TX, 4/28/2006, (#35)
 How'd it go last Friday?, Tom - Edmonds, WA, 4/28/2006, (#34)
 To Tom and Greg Results fro..., Teresa - Nashville, TN, 5/02/2006, (#36)
 Midrange, Greg - Coppell, TX, 5/16/2006, (#41)
 To Tom and Greg, Teresa - Ashland, KY, 5/17/2006, (#42)
 Your best interests., Greg - Coppell, TX, 5/17/2006, (#43)
 ...., Teresa - Nashville, TN, 5/11/2006, (#38)
 Why get enhanced on your readi..., Tom - Edmonds, WA, 5/10/2006, (#37)
 not enough info, ace - wpb, FL, 5/11/2006, (#39)
 Dr Ace strikes again, David - Palm Harbor, FL, 5/12/2006, (#40)
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"Is This the Final Results??" Posted by Teresa on 12:01:13 3/05/2006
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Since Feb.15, this forum has been my strength through this emotional ordeal of monovison lasik surgery. As everyone can see, I've posted numerous questions/concerns since the surgery. I guess I went into the surgery thinking it was no big deal. I had THREE friends to tell me not to worry, the next day I would love my new eyes. Of course, they were not corrected for monovison, so I really can't talk to them about my problems. The first week was a total nightmare. As you can see I posted questions and some people gave me some great advice that made me relax a little. The second week was my great week. If I could have kept the vison I had three days ago, I would be sooooo happy. NOW however I am terrified again and desperately looking for advice. I was overcorrected in both eyes to allow for them to regress. Now I'm afraid they have regresses too much. Before surgery I was extremely far sighted. After Surgery I was extremely nearsighted. Now, My eye for distance is really far sighted and my eye for up close is only good at about 12 inches. anything closer or farther away is blurry. I have no mid range vision. Is this where I have regressed to? I can't even hardly see things on shelves at the grocery store. If I know that this is normal, and my eyes will be back soon, I can relax. Can anyone give me some advice?? Thanks, I really am frightened.
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1. "understanding" Posted by ace - wpb, FL on 17:34:31 3/05/2006
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if you can only see about a foot in one eye, your saying that eye is now a -3? The other eye may be a +3 if you say its still very farsighted. I would wait 3 months and see where you end up. You may consider enhancing just your farsighted eye and make it plano and leave your nearsighted eye alone for monovision.
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2. "Ignore Ace" Posted by Joe - Putnam Valley, NY on 22:50:55 3/05/2006
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Ignore Ace. He is not qualified to say what does. This jerk replies to almost every thread.
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3. "Joe is rude" Posted by ace - wpb, FL on 04:44:54 3/06/2006
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Joe is the rude guy. I am just trying to help
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9. "Ace, get a life" Posted by David - Palm Harbor, FL on 10:08:59 3/08/2006
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Ace, please incluse your background with each post so that people know who you are.
You have NO qualifications. You have no academic credentials and you haven't even had the surgery. You're posting misinformation.
Pointing that out isn't 'rude'. Pointing out that fact that you're an ignorant 23 year old nobody who still lives off his parents and trolls the net pretending to be an expert might be rude. If it weren't true.
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4. "Get some temp correction" Posted by Tom - Edmonds, WA on 23:55:47 3/06/2006
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Teresa,
You really need to understand that the first 3 months of h-lasik will be a rolloer-coaster with periods of fluctuating vision. Why your doctor is not advising you of that reality is a bit curious. Stay calm and try to summon some faith and patience. If your distance eye has indeed suddenly regressed to farsightedness, you should request an appt with him asap to get checked and have a full refraction done. There may be something unexpected going on here. Getting corrective glasses now would probably be a waste of money but I'm thinking that your doc could at least prescribe an appropriate + contact lense (the inexpensive daily-wear variety) to help you thru this period. Since you wore contacts prelasik, they should be easy to use again. Certainly there is some level of + correction that will help. Your VA will no doubt continue to change over the next few weeks and months, but he should help you with a script of whatever correction makes you visually functional again until things stabilize and you can consider an enhancement. You may also benefit by using a temp minus contact for your reading eye to push the focal length out a bit farther than 12 inches. Good luck and keep us posted.
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5. "post op 6 weeks" Posted by Ali - New York, NY on 12:25:47 3/07/2006
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Hi Teresa,
Just to add my experience. I am also having the same problem that I can see a little better from left eye and very blurry from right eye don't know why cause my Dr. said that you have more cylinder in that eye but any ways it is still blurry but I am seeing a little different everyday although it seems not very improving but there is slight a different you can say fractionally improvement is happening and my vision is fluctuating too and this is showing that there is some healing process going on. Dr. Trattler on one of my posted questions recommended to wait for at least 3 to 6 months and then when your vision you think stabalizes then go for enhancement if you needed. I don't know what I will gonna do but I am waiting for my 6 months line although it is only 7 weeks gone by and I am a little depressed too cause couple of my friends are enjoying after Lasik but I am still waiting.
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7. "Reply to Ali" Posted by Teresa - Ashland, KY on 19:26:46 3/07/2006
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Hi Ali,
Did you have the surgery for monovision?? I was wondering if maybe your problem is like mine. Very few people I've talked with have experienced this type of surgery.
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8. "Monovision" Posted by Ali - New York, NY on 08:50:33 3/08/2006
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Apparently not but I don't know very much of it Teresa. I feel myself a little silly that I never asked question to my doctor as I knew him very well and he is one of the best and I just told him that I wanted to see myself have 20/20 vision. My prescription was Left -8.75 with 0.50 cylinder and Right -5.75 with 1.50 cyl. Surprisingly the left eye is a little better although not very good but due to this eye I am still surviving otherwise from the right eye I can't see the words on my computer even. So you can imagine but I feel in the night my vision becomes a little more sharper and I see better when I am at home so I don't know whether I am a slow in healing or what but really I can understand what you must be feeling I have the same sort of problem. I am eager to know what your doctor says.
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10. "Reply to Ali and Tom" Posted by Teresa on 19:35:46 3/10/2006
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Hi,
I went to the doctor and this is what he informed me. First, he said I had a very complicated surgery because I was extremely farsighted, I had Astigmatism, and I was corrected for monovision. He said I am seeing 20/30 in my distant eye and 20/20 in my eye for up close. The time before I was 20/20 in my distant eye. He said that in about 10 years I would love the correction because when you lose your focus ability this would be a good corrrection. He told me I would not see as well as I did with my contacts because they are short term and then you change to another prescription where as this is forever. However, I am healing well, have thick, healthy corneas, and an enhansment would be an option. When I told him my mid-range view is blurry, he said that I can't have the eyes of a 25 year old. I an 42. I told him I have to have that mid range view, so I guess I'll have to have my eye for up close moved out some. What would you do, have the eye for up close moved out to mid range, or have it too corrected for distance and wear a contact when necessary?? Or do you think with time, my mid range vision can start focusing and I won't need the enhancement?? Questions, questions. I don't know what to do. I do welcome ANYONE"S advice AGAIN!!!!
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12. "mid range vision" Posted by ace - wpb, FL on 07:56:22 3/11/2006
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Maybe consider wearing progressive glasses? My parents love it to bits and it lets them see clear at any distance thanks to progressives. You could take your glasses off for seeing in the distance like watching TV or taking a walk outside. Progressives will let you see near, intermediate and far.
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6. "Reply to Tom" Posted by Teresa - Ashland, KY on 19:18:06 3/07/2006
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Tom,
Thanks for the advice. I called my doctor's office and they have me coming in tomorrow. Will I be able to wear contacts after three weeks? If I can, that will be great. You know, I really did like my contacts. I thought I would have the same or better vision with the surgery. Maybe in the long run I will. Last week I was glad I had the surgery. I don't know what happened to set me back. I guess I'll know more tomorrow.
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11. "What was your original script?" Posted by Tom - Edmonds, WA on 03:10:42 3/11/2006
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Teresa,
It would be helpful to know what your original presccription was to understand better how long your fluctuation and healing will take.
Three weeks is VERY early in the process, even for mild h-lasik correction. You have said your doc has told you that you were VERY farsighted with astigmatism. That's all very relative. What were the numbers prelasik and what is your current refraction for BVCA (best corrected visual acuity)? You proabably will not stabilize until after about 3 or 4 months. Stay patient. You may able to wear contacts now for temporary correction and relief, but glasses are safer. Only your doc should advise on that.
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13. "Reply to Tom" Posted by Teresa on 16:23:53 3/12/2006
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Tom,
I feel soooo stupid. I don't know what my script was before lasik. All I do know is that I NEVER in all my life had to wear glasses or contacts until about 10 years ago. It started off as needing reading glasses and then eventually I noticed I had problems seeing my son at his basketball game. I went and got some contacts(monovision) OD+1.50 and OS +2.50 I really did like them. For about a year they worked great, but right before my lasik surgery I noticed I was having to pull out readers again for that up close reading. AND night driving was hard as far as reading road signs. That takes me up to now, I had friends who had lasik. Three of them. They LOVED it. I decided I wanted it too. I went in and honestly had no questions. I thought my friends had answered everything. Let me point out that all three friends were nearsighted. I never really asked any questions. He told me I was farsighted and of course the rest you know from kindly reading my posts for the past three weeks. I guess this has come to be my support group along with the Lord. I cry almost every day. I fear I have messed up for life. I am missing work, which is so out of character for me. If I knew that in the long run, I'll be fine, I could cope a little better. I am soooo tired at looking at things hazy and blurry.
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14. "mid range vision" Posted by ace - wpb, FL on 19:07:20 3/12/2006
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Maybe consider wearing progressive glasses? My parents love it to bits and it lets them see clear at any distance thanks to progressives. You could take your glasses off for seeing in the distance like watching TV or taking a walk outside. Progressives will let you see near, intermediate and far.
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15. "Another Question" Posted by Teresa - Ashland, KY on 18:52:18 3/13/2006
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When You say that three weeks is a short time and I can expect changes, are this changes that can be good one day and bad the next? For example, I have noticed my distant eye even more blurry today. My eye for up close is good for reading but nothing else. Would it hurt my healing if I wore a cheap pair of readers to bring my distant eye to mid range?I think the two eyes working against each other is a big part of the problem. Did you have surgery for monovision?
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16. "Teresa....you will be fine, but" Posted by Tom - Edmonds, WA on 02:36:26 3/14/2006
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You need to do a few things for yourself now and get some temporary correction. Stop worrying and crying about doing lasik or messing up your life in this early healing and unstable period. There will be days when your vision is not as good as others. That's normal during healing. You're going to be just fine, but as I have said many times, recovery from H-lasik just takes longer and you may need enhancements to get to your goal. I'm a bit surprised your doc did not prepare you better for your recovery and what to expect. You should go in and get an accurate refraction asap for temp glasses to give you 20/20 in your distance eye and leave the other uncorrected for reading if you are comfoprtable with the monovision. This will give you some relief so you can get back to normal living.
These temp glasses you get now will no longer be of much good in another few months as your regression slows down and eventually stops. It may not stop at plano for 20/20 and there may be some minor induced astigmatism and you may need enhancements as I did. Getting progressive lenses now as Ace suggests may be worth considering but will not be useful later since your script is still changing. Only you can put a price on getting some relief and peace of mind right away by seeing better with temp correction. I have a friend who just did h-lasik with +5 a few weeks ago. He's about a -1 and wearing progressive lenses now but is expecting regression to get him close to plano and seems quite satisfied with his treatment and progress so far.
Unless your current doc has done quite a few h-lasik treatments and enhancements, consider getting a second opinion and more competent help with this going forward. You only want to do enhancements once if at all possible. It seems from your posts your current doc is giving you very little support in your recovery. All the best and keep us posted.
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17. "After surgery what??" Posted by Teresa on 23:00:41 3/23/2006
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Hi, it's me again. I went to my doctor this past Monday and he gave me a contact to move my eye corrected for up close out. To be honest, I can see good now. The contact is a little uncomfortable around 8:00 and i take it out. Oh my gosh, when i do I can see nothing hardly. My doctor told me I read 20/25 with my distant eye. What I'm wondering is this, after my surgery it seems my mid range vision is no good in my distant eye. what I mean by mid range is up to about 10 feet. The eye corrected for up close has picked up this mid range with the contact. In other words, I like my vision now. BUT, I can't leave it this way because every time I take out the contact I almost freak out. It drives me crazy. I said all that to ask this question. When I get the eye up close enhansed, will lose my mid range and if I do lose it can I get contacts to correct it to the way I can now see. I am stressing over this. I want to know that after the next surgery when this eye is corrected to be like the other one I will be able to fall back on something if I don't have mid range vision. I don't mind readers but on out there a few feet I really need to see. I don't mind wearing contacts again. I just want to finally see again. I try to tell myself that I will be like any other person who only sees well far away and there are contacts to correct that. Am I right??
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18. "Still way too early. Relax" Posted by Tom on 03:23:17 3/24/2006
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Teresa,
You are still only about 5 weeks out since your Lasik. As we all have told you, you're going to need about 3 months to fully heal to be able to tell what your *final* result will be. It sounds to me your distance eye regressed rather quickly at about 2 weeks and is now slightly far-sighted but since you still have accomodation at age 42, you can focus at long range OK. But, your near vision eye was corrected far into myopia to allow for more regression and your doc has now prescribed a minus contact to push out your focal length so you can function OK within 2 to 10 feet. Since that eye was more far-sighted prelasik and got much more correction for near-vision, it will likely continue to regress over the next few months and you may find the contact will not be needed for good reading distance monovision. And you may find an enhancement may be needed on your distance eye instead, to give you better mid-range acuity but still retain good distance vision. Stay calm and report back in another 6 weeks or so.
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19. "Question to Tom" Posted by Teresa on 03:43:58 3/24/2006
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Tom,
If I do stay the way I am, and I have the enhansement on my eye for up close in order to push it out, is there something I can wear to make up for my mid range vision? If I am seeing 20/25 in my distant eye, is that considered farsighted? My doctor talks like that eye is fine. I don't think so because I can't see midrange from it. I honestly would rather not have surgery on it because it is the only one that works at distance for me and I am afraid. I just want to push out this eye up close. I could maybe go to bed and actually sleep if I knew that once I have my up close eye fixed, there is something out there I can wear that will give me my mid range. I'll wear readers for reading, I don't care. I just want to see. Do have advice for me about this? And by the way Tom, you are such a support through all this. Thank you so much for your advice. I actually find strength in it.
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20. "One more question" Posted by Teresa - Ashland, KY on 17:05:23 3/24/2006
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Is it possible for the eye corrected for distance to start focusing at mid range again or since it has regressed to be far sighted again will it stay there? It is worse now than before lasik as far as mid range is concerned
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21. "Get an accurate refraction on both eyes now" Posted by Tom on 02:05:44 3/25/2006
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The only way to know what is best for getting relief for mid-range vision with your distance eye and how best to handle your reading eye now is to go back to your doc and insist on an accurate refraction to measure how much residual error is still present in both eyes. I am just guessing your distance eye has regressed to a little bit of far sightedness, but without a measurement, we are only guessing. Why you're doc wont give you the numbers is curious. If it were me, I would demand to have him write down your prelasik script and what it is now after a careful refraction so you know where you stand and what you are dealing with. I know you've paid him for the procedures, possible enhancements and all the followup care and treatment, so he should do this for you. If he says it's not important and to just trust him, go to another doc or at least a Walmart Eyecare center and get it done as a second opinion. It's hard for anyone including doctors to give you any reasonable and reliable information and advice right now without this info. Glad to be here for you and help as a fellow h-lasik survivor Teresa, but we need the numbers.
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22. "I'll Do That" Posted by Teresa - Ashland, KY on 05:51:11 3/25/2006
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Tom
I have to go back to see my doctor on the 21st of April and I will for sure request that. BUT to give me some piece of mind I need to know that when everything is finally done, I will be able to see again. So, in your opinion, (and from what I have found out through this posts you are pretty knowledgeable so I value your opinion) will I be able to use contacts to correct the mid range view I don't have. I don't understand the eyes a lot but there are so many different prescriptions out there and so much knowledge out there there seems to be something that I'll be able to do with contacts that my lasik surgery didn't. If it helps you to answer my question, I can see mid range from my distant eye with the weakest wal mart readers they have. It does mess up distant vision some though. I am sorry to keep shooting these questions at you, but I can't sleep anymore for worry. Yhis has driven me crazy. So, what do you think? I look foward to reading your next post. I try to comfort myself by saying that I'll be the average farsighted person and they wear contacts to clear things up. Oh and by the way, those weak readers do clear up mid range but they'e not strong enough to let me read out of this distant eye. They do however let me read out of this up close eye when I have the contact in Thanks again Tom.
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23. "Several options for you Teresa" Posted by Tom - Edmonds, WA on 02:04:57 4/01/2006
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It would appear to me that if the weakest Walmart readers (+1.0) help your mid-range vision (about 3 feet out to 10 feet)you probably have about a residual +0.5 prescription in your distance eye and advancing presbyopia has made it harder for you to accomodate sharp focusing at those distances. It's possible that eye may regress farther and you may find the +1.0 readers will start working better at farther out distances. If you are comfortable reading at distances of one to 2 feet, then your close-in eye has given you the monovision your doc was expecting. But as we've said before, you need to wait another few months to see where the healing process stops the regression and your vision becomes completely stable for 2 or 3 months in a row. Generally the eye that received less correction with the lasik and was less farsighted to begin with (probably your distance eye) will regress less and become stable sooner. The reading eye is probably going to regress further so your "sweet spot" distance for comfortable reading may move out a bit farther. But without your pre-lasik and current scripts, I am only guessing here. In either case, I am thinking you will find that to regain sharp focus at all distances with advancing presbyopia, using a pair of variable multifocal glasses will give you the best results when you really need the sharp vision. They would be a light script, probably a +0.5 to +0.75 on top for the distance eye and maybe a
-1.0 on top for the reading eye with a progressing add to +1.5 or so on the bottom of each lens. They don't really have good variable power contact lenses yet to my knowledge, but they are working on that technology. If you can't get used to the variable power multi-focal lenses, then trifocals work well. I actully used trifocals after my lasik when I needed sharp vision like night driving and they worked well before I got CK to fix a small residual amount of plus cylinder (astigmatism) in each eye. The CK treatment also gave me about a -0.5 in my non-dominant eye that works well for the middle distances. Now I just use light readers for extended reading and computer work and find that's enough. There are certainly solutions to the minor refractive error you are experiencing and if you may want to look into CK to give you your best results after you are fully healed and stable.
Good luck.
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24. "Update for Tom" Posted by Teresa on 21:17:43 4/04/2006
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Hi Tom it's me again. I wanted to update you on what is going on in my life. My doctor gave me a contact for my up close eye a -1.50. It actually worked wonders until I scratched my eye with it. My doctor told me I had to take it out to let it heal. Again I freaked out. I cannot tolerate my vision without my contact. I insisted he do an eye exam and fit me for glasses. I went that very day and got them. The script was a -2.00 for the up close and a +1.75 for the distance. I can't see from them. They make everything feel like I really can't judge distance. It is hard to explain. It is like the two eyes compete or something. I really like the vision from the contact which was again -1.50 and in only one eye. I am going back Saturday and requesting another exam because I am not going to pay 200.00 for something I can't use. I guess I'll have to pay for an exam also because my doctor won't be in Saturday. Your advice is soooo helpful to me. I've come to depend on it. Why do you think the glasses didn't work? What do you think will happen Saturday? I called my lasik doctor today and told him the glasses didn't work and he told me that glasses will not give me as well of a correction as the contact did. I really don't know if I need to get a less or greater script. I also wonder if maybe I need only a clear glass for my right eye. It has regressed and you would think that +1.75 would actually help. Then again, before lasik I only used a +1.50 in the same eye.
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26. "For Teresa" Posted by Greg - Coppell, TX on 12:23:50 4/07/2006
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Hi Teresa. I'm an optometrist who deals a lot with post-operative issues and dry eyes. The reason that the eyeglasses don't work is because of the large prescription imbalance, and the image size differences between the two eyes. The brain cannot put them together. The single contact lens is the way to go, but it sounds like your eyes are too dry.
I agree with your decision to go back to the doctor to revisit the contact lens issues. He should also assess your eyes for dryness, and suggest some short term measures to deal with it so that you can wear a lens safely and comfortably.
DrG
http://www.coppellfamilyeyecare.com
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29. "For DRG" Posted by Teresa - Ashland, KY on 19:13:33 4/10/2006
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Thank you for your advice. If you can help me with one more question, I would be so grateful. It is posted under Question for Tom. thank you so much
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27. "Response" Posted by Glenn - Sacramento, CA on 14:48:31 4/07/2006
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Theresa,
DrG's response is probably the very best for you to follow. No matter what happens with your healing, the stress and anxiety you have from poor vision now is not helpful. You may be fine long-term, but we don't "see" long-term.
Being fitted for contacts will create normalized optics. The balance between the two eyes is important for depth perception and an imbalance can cause vertigo and even nausea. As DrG said, the brain cannot make sense of the two different sized images. Even if each eye is in perfect focus, the combination of the two images of different sizes will cause a blurr effect. See http://www.usaeyes.org/faq/subjects/aniseikonia.htm
Hyperopia (farsighted, longsighted) laser correction has a long history of regression. It is possible that you will regress to an acceptable point, will need enhancement surgery to resolve any residual refractive error issues, or will find contacts to be the best option. What you dont need to do now is make any decisions about your final outcome or panic. There will be plenty of time to panic later. 8^)
Glenn Hagele
CRSQA
http://www.USAEyes.org
I am not a doctor.
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30. "For Glenn" Posted by Teresa - Ashland, KY on 19:16:15 4/10/2006
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Thank you for your response. If you have any advice on another question, I would be so thankful. The question is posted under question for Tom. Thank you
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25. "I hate to say this but" Posted by Tom on 04:13:13 4/07/2006
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I think you should get an independent second opinion from an opthamologist who treats lasik aftermath issues and knows about all the options. The lasik doc you are depending on obviously is not being very attentive to your needs or concerns. If he fitted you with -1.5 for reading, I would think that eye uncorrected would be close to plano and work OK for distance. If he fitted you for +1.75 for your distance eye, it is hard to fathom it has regressed BEYOND its original refractive error of +1.5. Something is very fishy here. Please look for your original script for non-monovision correction before your lasik. That will tell us a lot more about what might be going on now. Sorry to hear you scratched your healing cornea. That is always a risk using contacts. Stick with glasses for now, but you may want to get a pair of bifocals that correct both eyes on top for distance and both bottoms for reading so you can function better without all this induced monovision confusion. Keep the faith.
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32. "Answer for Teresa" Posted by Greg - Coppell, TX on 08:21:23 4/11/2006
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Double vision is caused by some optical aberration, either lower order such as astigmatism, or higher order such as coma, etc. Lower order can be corrected by ordinary spectacles or soft contact lenses. Higher orders require either wavefront devices such as wavefront spectacles, or some kind of RGP lens.
The doubling may go away over the course of a few more months. Again, the cause will determine the proper course of action.
DrG
http://www.coppellfamilyeyecare.com
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28. "Question for Tom" Posted by Teresa - Ashland, KY on 19:10:38 4/10/2006
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Hi Tom
I was wrong in the eye glass script. it was a -2.00 in the upclose eye but only a 0.75 for the distant eye. I have noticed some problems in my distant eye. When approaching traffic lights I sometimes see two circles when I should only see one. This is when I am testing my eye out with the up close eye closed. Also, when I have the contact in my upclose eye, I need readers to read. It works well with the eye with the contact, but my distant eye has double letters. Do you know why this is happening. I am so stresses with all of this. I wish I understood what is going on.
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31. "Maybe some astigmatism" Posted by Tom - Edmonds, WA on 01:50:02 4/11/2006
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During healing from h-lasik, you will be a bit nearsighted. You now say your distant eye was refracted at 0.75. I presume that is a -.75? Blurred or double images around lights at a distance are a function of that myopic error, and as you come closer to the source, they merge and go away. But it could also be accompanied by some astigmatism. Double images are often a sign of some induced astig after lasik, which is fairly common in h-lasik. Some of it may also be due to dry eye and some should resolve when healing is complete, but you might be left with a small amount of astig. Enchancements can take care of that. I have suggested you get another opinion and another refraction. Refracting a sharp corrrection during the early stages of h-lasik recovery can be difficult. I know it was for me. You may get different results in different times of the day and different lighting. It takes time for the flap to fully adhere to the ablated stromal bed and for the corneal surface to smooth out. Only time will tell. Do you have your original prescription before lasik handy?
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33. "To Tom" Posted by Teresa - Ashland, KY on 00:09:55 4/13/2006
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Hi Tom, The script for my distant eye is not a
-0.75, it is a +0.75. My distant eye feels like it has moved out too much. I have a hard time reading posters from one side of my classroom because they are blurry. Also, I can't focus on the hall digital clocks. The numbers are too skinny. What is weird is things appear too dark out of my distant eye. It's like if I could light up things more, I could see better. I can't wear the glasses, so my contact is my best friend. The only problem with the contact is I can't read when I put it in. Even with readers, my distant eye has a hard time.When I take the contact out, Things are blurry but I can read from my up close eye. I will be so happy when I can have my enhansement and be fixed. My doctor assures me I have nothing to worry about I have healthy eyes. BUT!!!! I can't help to worry about the what ifs. I really want to relax and trust the Lord, but I am having a hard time with it. If I knew I was going to be alright in the long run I would be able to relax. Saturday the 15th makes two long months.I go to the doctor again on the 21st (Next Friday. I will request my original script then. I know it wasn't too bad though. I could wear a +1.50 and a +2.50 contact and see perfect. He said I was far sighted, and had astigmatism. Of course presbyopia was playing its part. Nothing the contacts couldn't fix. I originally thought I would only have an enhansement on the up close eye, but it is looking to me like the distant eye is going to need adjusting. I just hope I can see after everything is done. I honestly don't know what I would have done without the advice from those of you who have been so kind. I really am grateful for it.
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35. "Teresa" Posted by Greg - Coppell, TX on 07:29:21 4/28/2006
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You will be alright in the long run.
It sounds like you may have more issues than simply an under-correction or a regression in the distant eye. The doubling suggests some type of astigmatism. If eyeglasses completely clear it, then it is regular astigmatism. If glasses don't completely clear the distance eye, then the astigmatism if probably irregular, and additional surgery of any kind may not help.
However, hyperopic surgeries can take many months to settle. It has only been a little more than two months for you.
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34. "How'd it go last Friday?" Posted by Tom - Edmonds, WA on 00:40:50 4/28/2006
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Were you able to coax your prelasik script out of your doc? If you were under +2 to start, your regression should be stable in another month and you can then contemplate enhancement options. If there is little or no astigmatism and you have some dry eye issues, CK may be a less invasive way to correct the residual +.75 on your distance eye to plano rather than relifting the flap and rezapping. There are always risks with lasik enhancements. CK only treats the periphery of the cornea with pulses applied by an RF probe and worked pretty well for me.
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36. " To Tom and Greg Results from Friday" Posted by Teresa - Nashville, TN on 10:19:43 5/02/2006
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Hi Tom and Greg,
My doctor told me that I am seeing 20/20 in my distant eye. This is so hard to believe because even though I could read the letters even the big ones had a blur to them.He said the distant eye was 20/40 before lasik and I was even better than he expected. That I do believe because I couldn't even watch my son play ball before lasik without contacts. What I don't believe is that my distant eye is alright because I know it needs help to crisp things up. I don't know maybe a small number + contact. I don't want an enhansement on this eye but things at mid range is going to have to get better. I am scheduled for an enhansement on my up close eye for May 31. Please pray for me. He is going to set it as close to 20/20 as possible. I am afraid that all mid range will be gone then. I do have a little from the up close eye now. But what choice do I have. What do you all think??
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41. "Midrange" Posted by Greg - Coppell, TX on 08:23:44 5/16/2006
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Teresa,
Your lack of midrange vision is most likely due to the over-correction. The 2 diopters of myopia gives you clear vision only out to about 20 inches. Therefore, resetting that eye back to plano will probably not give you back your midrange vision.
Your options include an enhancement on the over-corrected eye, or some type of optical correction via eyeglasses or a soft contact lens. On the other hand, it may also regress over time. Even ortho-K is a possibility for such a small amount of over-correction.
DrG
http://www.coppellfamilyeyecare.com
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42. "To Tom and Greg" Posted by Teresa - Ashland, KY on 17:15:59 5/17/2006
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I went in for my post op yesterday and after undergoing all the tests on both eyes my doctor informed me that i cannot have the surgery on May 31 due to the fact that my eyes have both changed since my last visit. The up close eye has moved out some which is good, but the eye for distance has also moved out. This is causing problems for me to see well with it at all ranges. I did ask about my previous script and he said I was 20/200 in my distant eye before lasik and now about 20/30 but not a clear 20/30. My eye for up close was 20/60 but now 20/20 0nly up close. He has prescribed me a soft contact +1.00 for my distant eye until I can settle on a fixed script. Needless to say I am sad that I have to wait. We are now looking at June 14th. I have to go back June 9 to check and see if I have changed anymore. Will I have to go through all the tests again that I went through yesterday? Wonder why my eyes are changing so much. Is this the reason I can't see mid range very well?
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43. "Your best interests." Posted by Greg - Coppell, TX on 20:34:52 5/17/2006
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It is in your best interests to wait until things are stable, as difficult as it may be. The contact lens should help with the midrange vision.
DrG
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38. "...." Posted by Teresa - Nashville, TN on 10:44:45 5/11/2006
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....
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37. "Why get enhanced on your reading eye?" Posted by Tom - Edmonds, WA on 02:27:05 5/10/2006
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Teresa,
Even tho we have asked you for your original prelasik script and what it is now, many many times in order to give you more valid advice and better options to consider, you have yet to supply this vital info. It's as if you don't think it's important, you have not asked your doctor for the info, you keep forgetting to ask, or he will not give it to you. Please follow thru so we can help you more meaningfully.
If it were me, I would not be enhancing your non-dominant reading eye back out for 20/20 distance, hoping it would somehow help you right now, especially if that eye helps you to see close and middle distances. You will likely be very disappointed in that effort. Leave it alone for now and concentrate on getting the best distance result for the dominant eye including possible enhancement. You should be getting a second opinion from a qualified opthamologist who is very skilled at dealing with h-lasik aftermath for the best answers to your questions.
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39. "not enough info" Posted by ace - wpb, FL on 14:27:03 5/11/2006
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The origional poster hasnt provided her pescription but reguardless if she cant see well at all distances, this is presbyopia for ya and nothing can be done about it. Monovision will give her distance vision in one eye and near in the other eye. Intermediate may be blurry in both eyes. It sounds like she is unhappy with monovision and is getting her close up eye to plano. She will of course need reading glasses for everything, possibly bifocals.
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40. "Dr Ace strikes again" Posted by David - Palm Harbor, FL on 15:29:22 5/12/2006
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"hasnt provided her pescription but reguardless"
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