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Re: Did PRK in OCT
Jun 13, 2007
Hi Jake

I had epi-lasik last summer and did not have good results in one eye and then regressed so I had an enhancement with PRK in December. I'm sorry to say I still haven't had good results and have regressed again. I know some have good vision post PRK, but I didn't. I don't know if it's my eyes, my surgeon or PRK.

Epi-lasik is slower to heal and more painful than Lasik and PRK is even more so. Plan on not really seeing functionally for a week and don't try to be a hero about the pain. If they offer you meds, take them. If they only offer you drops, ask for meds!! Seriously. The pain was manageable with drugs and if I thought I'd get good vision with PRK, I wouldn't hesitate to do it again.

At one week, I still had the bandage contact in. It had to be changed after 3 days because it got tight and it hurt. On the second or third day you get a big haze in your eye as the cells regrow and after the contact came out, my eyes went really blurry for a few days. After that, I was functional but not great. I think for most people it gets sharper over the next 3 - 6 months.

Your eyes get dry while you sleep and when you wake up it can be quite painful. I kept eye drops next to the bed and everytime I woke up, I put some in. That helped a lot.

Plan to take a week off due to poor vision, being drugged up and needing to go into the eye clinic if necessary. I was very light sensitive and spent most of the time lying around in a daze in a dark room listening to books on tape. I really couldn't safely drive for the first week. Most surgeons will only do one eye at a time with PRK, so plan on doing this twice.

Hope this helps.
Re: Did PRK in OCT
Jun 14, 2007
I was also unable to be corrected at the one month mark and was VERY worried that I was pretty much screwed. After all, I couldn't get clear vision even with glasses. The good news - that part did improve and heal. I can now be corrected to 20/20. The bad news - I need glasses or contacts to see 20/20. I'm at .75 with .75 astigmatism so I can get by without glasses but it's not a great way to go around having everything fuzzy and I need to wear glasses nearly all the time at work or if I want to enjoy a movie or drive somewhere unfamiliar.

I completely understand how hard it is to log in and have someone say "Yay, my vision has cleared up at 3 weeks and now I see 20/20." And that could still be you. I read one guy last summer who got to 20/20 at the 3 month mark. And if not, most people get good results if they have an enhancement - I seem to be some kind of odd situation. But I understand that it's hard to think about going through this again.

Jake, I just read your post in another thread and I don't think an enhancement is out of the question. I had very thin corneas. That's why the epi followed by PRK enhancement. Your PRK eye has had very little tissue removed and they can do more. My doc is suggesting a third surgery on my eye and says we could keep on until we get it right. Actually, that wasn't a particularly reassuring thing for him to say!
Re: Did PRK in OCT
Aug 31, 2007
Hi again Jake

I haven't followed the boards lately since I have nothing new to report, but thought I'd give it one last post. No improvement in my vision. All ranges of vision are blurry. I need to wear glasses to see anything clearly. My monovision eye lets me read without glasses, so I take them off to read. Very annoying. Two months ago, my surgeon suggested we could keep doing enhancements as long as needed, it's very little tissue, etc. He put it all on me - I have to get the courage to do more, I have to decide what range of vision is acceptable to me since at my age I can't have them all. He also put the poor results on me - I didn't say I wanted to see clearly at all ranges of vision, I should have known I couldn't, etc. Heck - I don't see clearly at any range! And I don't think he believes me.

So, the eye doc at the clinic and I spent weeks trying various contact lens strengths and when that didn't work, I got a pair of glasses that give me 2 feet to about 10 feet clear and further out a very acceptable "pretty clear." I would wear reading glasses with this correction. I had decided that if we did another enhancement on both eyes, I would go that route.

Last week, we brought the surgeon back in and he looked at the prescription that worked and asked what I thought about having more surgery. I said I would like to but needed to know what we would do differently to up the odds of better results since the results I got couldn't have been his plan. I guess that was the wrong thing to ask! He said he wouldn't do anything differently. I asked what the odds were of getting decent results with a third surgery and he said low. He doesn't recommend further surgery. He cited my "expectations" as one reason. What a jerk. Are there people who are pleased to see poorly? And why did he have the eye doc and I waste all that time trying prescriptions ? I asked once again why he thought I had such poor results and what caused such blurry vision with such a low prescription and he answered "I dont know." He couldn't get rid of me quick enough. This guy speaks at conferences all over the world, publishes in numerous journals, participates in research and yet he doesn't give a crap about one challenging patient.

End result - I will see the eye doc in 6 months and get a prescription for progressives with GOOD distance, GOOD mid-range and they might as well put reading in there too since I'll have to wear them all day long. That will be my last visit to that vision center. Some year maybe I'll go to another surgeon and see what options I have but for now I am burnt out on lasik and surgeons.

You will no doubt have good results with your enhancement. I seem to be a rarity. I really have never heard of anyone who didn't get 20/20 with their enhancement.

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