my prescriopion is r -9.00 cyl -400 axis 17 and a hlaf left eye is
-750 and cyl is -325 and axis is 175 and my conera is 513 for the right and 516 for the left iam gonna be 22 soon is lasik the best option for me and if so what kind of results may i expect realisticly and i was told i would have halos is there any way to avoid that ??? whats the best thing to in my case i just want to reduce my dependance on glasses and contact lens i dont mind having a low perscription or reading glass
(1)what kind of realistic perscirtion can i espect?
(2)any way to avoid the halos and are halos there all the time even with glass at night??
(3)what is the best option for me??

You are a high myope with high astigmastim, thin corneas and big pupils. This is definately a poor candidate. You have been warned to expect halos due to your huge pupils. Is this acceptable? Your night vision may be so bad you cant drive at night or do anything else in the dark.

Your corneas are probably too thin to safely do lasik without going below 300 microns. You might be able to do prk but at high risk for haze. If you go thru with surgury, expect to still need glasses, but thinner ones and a somewhat reduced dependancy on glasses. Expect night vision problems and other possible problems such as dry eyes or even ectasia.

I am also not a good candidate but have accepted that glasses are the best option for me and seeing my best is what really matters. Id much rather see clear and need glasses than see so-so and not need glasses.

See a doctor. I know people with bigger corrections than yours who are happy with their LASIK.

Don't listen to Ace. He's NOT a doctor, he has no training and no knowledge. He's just a kid playing on the net.

Think of him as the Jack Black character on Saturday Night Live who was living in his parents basement living a fantasy life. Why in the world does he answer every post here when he hasn't had the surgery or any training ? There's something wrong there.

Just what are the prerequisites required to be able to post an opinion on this site? What is the point of enlightenment that one must reach for you to deem their voice worthy?

Matthew

I believe the site is called asklasikdoctors.com.

Anyone answering a question who might give the appearance of being a doctor should in my opinion point out that they are not if that is the case.

Obviously there is a difference between sharing experiences and opinions as a layman and dispensing medical advice.

If there are any real eye doctors on this site, I am appalled that they tollerate it.

BAD ADVICE RUINS LIVES.

Bad advice ruins lives eh? Where were you when my Lasik doctor told me I was a good candidate for the surgery? Where were you when he told me my night vision would be the best it's ever been? A lot of us on this website have had plenty of bad advice given to us and it hasn't been from people like Ace.

Matthew

So you'd rather people were advised by the likes of Ace?

Be rational man!

do not put words in my mouth. I have never stated that anyone should make a decision based on Ace's posts nor anyone else's for that matter. A decision should be made based on all available information.

Have you noticed that 95% of the posts here are from people who are not doctors? If Ace can't post here because he/she is not a doctor than why can anyone else? If only doctors can reply then that should be clearly stated and enforced.

What is your story by the way? Have you had the surgery?

Your first response needs to be a comprehensive evaluation by a competent surgeon. Your large astigmatism, the location of the astigmatism, and your age may be indications of eye health problems that cannot be fixed by Lasik and may be contraindicated.

Because of your high refractive error and especially high astigmatism, if surgery is appropriate you would probably have Lasik recommended and would probably be told to plan to have enhancement surgery at about three months after initial surgery to “fine tune” your vision. It is possible to get good correction with laser eye surgery with such high astigmatism, but it is much more difficult. You may also find that initial surgery would be convention with wavefront-guided withheld until the enhancement surgery. This would be due to treatment range limitation on wavefront-guided surgery.

Those 20 Minute Miracle Lasik patients you hear about all the time...they are not high myopes (nearsighted, shortsighted) with high astigmatism (corneal irregularity). Tread carefully.

Glenn Hagele
http://USAEyes.org
Patient Advocacy & Surgeon Certification

I am not a doctor.

Please re-read post 4. I never suggested that people shouldn't post if they are not doctors, just that they should not impersonate doctors.

No I have not had surgery, but I would like to in order to pass a medical examination.

(Actually - my story is in my own post on the main page if you are interested. I see no doctor has actually answered my question - which I find frustrating.)

Sorry if I was abrupt, but I stand by my comments about impersonation.

I'm getting the impression that a number of you are not happy with your LASIK outcome and that you feel you have ben given bad advice by doctors.

Sorry that things didn't work out for you.

Because I do so much research about Lasik and other forms of refractive surgery, I sometimes sound too much like a doctor when I discuss relevant issues. Many years ago I started using "I am not a doctor" in my public posts. I also started including the URL to our webpage where people can see who I am and who I am not.

I don't know how many bytes were harmed in the process of repeating this same information a quadrazillion times over the past half a decade, but I don’t believe anyone thinks I’m a doctor. I just sound like one on the Internet.

Glenn Hagele
http://USAEyes.org
Patient Advocacy & Surgeon Certification

I am not a doctor.

Yeah, sorry if I was a little abrupt also. Most of it comes from some unnecessary rudeness from previous posts. Anyway, I do wish that more of the docs listed on this webpage answered questions a little more; that would be ideal. I have found that the non-docs who do post are doing so with good intentions and their opinions are researched and can be helpful. I have never been confused between doc and non doc, but if it is a problem for some then I can see the need for a "I am not a doctor" statement such as the one Glenn uses.

Can I assume that you would not pass your medical exam with your current vision?

Matthew

I am not a doctor :)

If they told you to expect halos, it has to be bad. I could live with just halos but also have long extended streaks which distort everything. Besides halos you may also get double and triple images.
Avoid Intralase if possible. My prescription was nowhere near as bad as yours and still have lousy results almost 8 months later. Reading glasses will be the least of your worries. You can't read very well anyway when you are blinking 5000 times a second.

Although there may be specific circumstances where a Lasik flap created with a femtosecond laser is ill-advised, a blanket statement such as "avoid Intralase" is universally inappropriate.

Creating the Lasik flap with a laser rather than a microkeratome (IntraLasik) provides an additional measure of safety due to greater accuracy of flap size, depth, and shape when compared to a flap with a mechanical microkeratome. A laser Lasik flap can be more reliably thinner than a flap created with a metal blade. When a deep ablation is expected and corneal thickness is an issue, accuracy of the flap and thinness of the flap are of paramount importance. For more on IntraLasik, visit http://www.usaeyes.org/faq/subjects/intralase_intralasik.htm

John’s statement that he is blinking excessively indicates a problem with dry eyes. The incidence of Lasik induced temporary dry eye is consistent between laser and mechanical flaps of the same thickness. There is no disadvantage to using a laser for flap creation, but there may be a slight advantage. Because a laser flap can be thinner, fewer of the deep corneal nerves are disrupted by surgery. For dry eye prevention, visit http://www.usaeyes.org/faq/subjects/dry_eyes.htm

Glenn Hagele
http://USAEyes.org
Patient Advocacy & Surgeon Certification

I am not a doctor.

I used to believe you "experts" about all this dry eye bunk. I no longer do after 8 months of treatment and torment. For the scratchey feeling that I have, Steroids give me more comfort than any dry eye product on the market. Does that sound like dry eye to you? And as far as the flap precision goes, I have spoken with far more people that have extended complications after Intralase than have complications after the blade type.
My gut feeling is that after the laser rips your cornea apart, your eyes are much more prone to the inflamation cycle so any little thing like dust, pollen, animal dander etc triggers this inflamation.
If all the experts had all the answers, there wouldn't be so many of us lasik patients in constant torment and screwed up vision.

we still havent heard from hanan. I hope he read this thread, did his research and made an informed decision. We and the docs are saying hes not a good candidate. If he chooses to have lasik, hes gonna expect problems including halos.