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Lasik Eye Surgery Message Board


Lasik Eye Surgery Board Index


Re: Cremebrulee
Aug 9, 2005
If I remember correctly, Lasek is a procedure where the doctor removes the flap, performs the laser correction and then returns the flap. It is supposed to speed up recovery time. I spoke with my doctor about the procedure. He did not recommend it because the epithelium cells are among the fastest to regenerate.

How long has it been since your surgery? Are you sure you need an enhancement. Most doctor's will not perform enhancements until at least six months after surgery because it takes at least that long for you to achieve your best vision. It has only been about 4 months since my surgery and I notice that my vision improves every single day. I still cannot believe the results considering the fact that I was a poor candidate for laser eye correction. The most I was hoping for was to be able to wear a thin pair of glasses.

Here is my ordeal: I had surgery scheduled for a Thursday morning. In the operating room the doctor instilled several anasthetic drops in my eyes. He used some sort of pen to make marks on my eyes. He instilled even more dropped some alcohol solution down the tube and left it there for 45 seconds. Everything went blurry. He then used a mini scapel and scraped the top layer of my eyes away. Everything got clearer. He then used the laser to correct my vision. It is the exact same laser for lasik patients. The doctor then inserted a clear contact lens. I was able to read the time on the clock when I sat up. The exact same procedure was performed on the other eye.

I left the laser center with my eye shields. I was able to see but it was fuzzy. When I got home, I was not tired at all but I knew that it was best if I went to bed. THe halcion that I took at the laser center helped me fall asleep. I slept for about three hours. I was a sensitive to the lights but other than that I had no other problems. i was waiting for the extreme pain and discomfort that people talked about. Nothing. I didn't want to overwork my eyes so I listened to some audio books that I downloaded from the public library. The following day I was tearing a lot. It kinda felt like I was cutting an onion. I went to a Counting Crows concert that night. I was fine. I went to work on Monday. After work I went for my post-op appointment and the doctor removed the contact lens. He inspected everything and said that the epithelium cells healed really nicely. I only had to wear the eye shield to sleep until the end of the week. I know that with lasik you have to be careful with the flap for at least a month. I continued with my schedule of drops. With PRK I had to use the drops a lot longer than lasik patients.

During the first few weeks I was afraid to drive at night because I still had trouble with halos. At my two-week post-op appointment, my vision was 20/25. I have no trouble at all with dry eyes. I don't even use my artificial tears at all and I am fine. Over the last couple months my vision has gotten extremely crisp and clear. My near vision is also excellent. At my three-month post-op appointment my vision was 20/20. I went into this with realistic expectations. I knew that I was not the ideal lasik candidate and could not expect perfect vision. I did my due dilligence and made sure I found a doctor that I as comfortable with. I knew that it will take at least six months before achieving my best vision. It has only been four months and if it does not improve beyond this, I am still happy.

I hope I answered your question. If you have any more, feel free to ask.
Re: Cremebrulee
Aug 10, 2005
Lasek and PRK are different procedures. My impression is that it is a cross between Lasik and PRK. In Lasik a flap is cut. In PRK the epithelium layers are dissolved and removed enitirely. In Lasek an alcohol solution is used to dissolve the edges of the epithelium and is returned after treatment. For some reason my doctor did not feel that Lasek was an ideal procedure for me. He said that PRK is a great procedure. The reason why doctors and patients prefer Lasik over PRK is the healing time. Lasik patients are fine after the first day. It takes PRK patients about a week to heal. I think Lasik produces immediate results while PRK is slow and progressive. I chose PRK because I was concerned about the long-term results.

There was hazing for the first week or so while the epithelium slowly grew back. The layers grow back in a web pattern eventually forming a solid sheet over the eye. The hazing was not bad and slowly decreased. I was able to drive and read by the fifth day.

Honestly I have almost no side effects at all except for the halos at night but that is attributed to the fact that I have abnormally large pupils.

If you want an enhancement and worried about the cornea thickness, you may want to consider PRK. It may take a while longer to heal but I think a few extra days of discomfort is worth it.

I cannot be any happier with the results. My doctor is absolutely the best.
Re: Cremebrulee
Aug 14, 2005
i am thinking that if you are left under-corrected, your doctor did not remove enough tissue. with your high degree of nearsightedness it must be difficult to get it accurately. but if your prescription was entered into the laser correctly then the results should be pretty darn close.

how long were you out of your contacts before you had the surgery? contacts have a way of temporarily flattening cornea and slightly correcting your vision. i wore -8.5 contacts and -9.5 glasses but my actual prescription was -10.25 after my cornea returned to their normal shape. since i wore my contacts all the time the doctor recommended that i was out of them for about three weeks. i was out of my contacts for four weeks before my surgery. this was torture. i kept on missing doorways and running into walls. i was really afraid that i would misjudge a turn and get into a car accident.

i'm not sure what floaters and backwards c's are. did you have them prior to surgery? if you had these potential complications, the doctor should have discussed the risks with you and try to find a way to reduce the risk of complications. It sounds like you were not the ideal lasik candidate. many people who have lasik and get wonderful results are usually those who have prescriptions of -1.0 to -4.0, have perfect corneal thickness, have perfect pupil sizes, etc. most people who go for lasik fall into this ideal candidate category. it is people like us who have to be a little more cautious and aware. colorado laser surgeons actually turned me away. the doctor said, "i'm going to be honest with you. if you were my sister, i would not recommend either procedures for you because even if you achieve great vision you will still have to deal with problems with night vision." i suppose they didn't want me to mess up their stats of over 99% of their patients do not require an enhancement. another lasik center that heavily advertise about their 20/20 or it's free guarantee said that i did not qualify for their guarantee.

if you don't want to risk having another surgery, is there any way your under-correction can be corrected with maybe a thin pair of glasses? that was the reality i was willing to live with (and the doctor discussed this with me before the surgery). even if the surgery did not give me 20/20 results i was willing to wear a thin pair of glasses. glasses are cute when you are not forced to find a pair that will hold the 1/2 inch thick lenses. if i was in your shoes i too would be a little wary of another surgery. i would go with the glasses, see if my eyes will stabilize or improve over the course of a year and then think about having an enahancement. check with your doctor to see how long you can wait to have an enahancement. most places give you one year of free enhancements (not that you can go in every month during that year to get an enhancement because you just do have enough cornea tissue to have unlimited enhancements). my doctor has a lifetime of enhancements with every procedure. so if my vision changes when i am in my forties (which it probably will) i can opt to have an enhancement. the doctor made sure that with the prk i was left with enough cornea tissue for at least one enhancement.

i am really sorry that you are not happy with your surgery. i know it sucks to have spent all this money and not get the results you were hoping for. with my experience, i highly recommend the procedure to everyone i know who wears glasses but i still tell them to do their homework. sometimes these lasik centers give their patients too much hope on the outcome and do not discuss the realities of the surgery.





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