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Lasik Eye Surgery Message Board

Lasik Eye Surgery Board Index

I had fluctuating vision starting about a week after Lasik (had Lasik 3+ years ago), and of course I freaked out, but it turned out to be dry eye as well. I was put on Restasis, which I was on for about 6 months. I didn't really have any vision "problems" ever, but just more of fluctuating vision. I would be able to see something really clearly one minute, and not so clearly the next. I was very scared too, so I completely understand what you're feeling. But after I started the prescription drops, it cleared up. Your eyes are still healing. I know that all the advertisements make it sound like Lasik is a piece of cake and you'll be able to see great the next day, but your eyes really do take months to heal. Fluctuating viison is normal, and it really could be just dry eye like mine was. Good luck!!

I had Lasik done November of 2009. I was worse than 20/400 and had a glasses prescription of -7.50 and -7. I am a 24 yr old female.

I would not worry too much about the fluctuations you are experiencing. After surgery it takes a while for your vision to ultimately adjust and settle. I want to say that I kept a journal of what I was seeing (not seeing) for 3 weeks. I would write down the eye and how it felt throughout the day (dry, blurry, halos, etc).

I was experiencing the fluctuations in vision as you describe. Sometimes I would wake up with perfect vision, and then around lunch time it would get worse, by dinner it would be better and when I went to sleep my vision would be perfect. I did not always experience the same fluctuations, but my vision did fluctuate.

My Doctor has been out of the office for the past month and I finally have my one month checkup this Friday, so I will let you know how that goes. I was 20/20 the day after surgery and 20/20 1 week after, my one month evaluation is pending, but I believe I am 20/20 still.

I have read on various sites that your vision can fluctuate for months after surgery. I mean think about it, you had a traumatic procedure done to your eyes. You reshaped your eye! haha, but it is modern technology that has been around for years and for one reason or another, like me, you decided to take a leap of fate. Your vision may get worse, or it may get better. But I would bet on it you will be fine.

I know it's freaky because they are your eyes, but just breathe and take one day at a time. Take your medications as directed - and keep hydrating those eyes with sterile (individually packaged) drops. Track how your feeling and how your vision fluctuates so you can see if your symptoms are getting better or worse. But what you describe seems normal and almost identical to what I went through.

If my vision stays this way, it is by far the best decision of my life this far. I hope my post was a little helpful. Take care.
Sorry to leave you guys hanging, thanks for keeping the thread up. In short, life is much better now, though not perfect.

First, and most importantly, we discovered that my slow healing was the result of a steroid reaction. The OmniPred drops I'd been taking were causing an overreaction in my eyes. That paired with me taking them too long (by about a week, due to the lack of any indication from my doctor to STOP taking them) caused a pressure problem. Ocular pressure usually remains the same or drops slightly after Lasik. Mine went from 12 to 20. This was causing discomfort and lens shape changes.

So, I stopped the steroid and took a two week trip to Costa Rica (the trip had been already planned, but was conveniently humid AKA good for dry eyes). It helped with the discomfort, though vision remained about the same.

Now, it's been almost two months. My vision is not perfect, and still what I consider mostly unsatisfactory, but it's so much better that it seems a miracle (after what I'd gone through). I woke up a week ago with 20/20 or 20/25 in my left and 20/30 or 20/35 in my right (depends on the dryness). I have a thin pair of glasses (given to me by doctor) that I use when I need the extra sharpness and for use in lowlight conditions and while driving at night.

I find now that I'm fine all day, until the sun gets low, or I go into a lowlit room or store (especially fluorescently lit ones). The amount and quality of light seems to have a major effect on the vision.

It's still pretty obnoxious to have glasses at all and to have to carry around a bunch of drops (morning eyes are still so dry they stick shut, yuck), but compared to the terrible vision and searing headaches and despair of those first weeks, it's a huge relief. I make my living doing ornithological/bird work, and vision is of paramount importance. I'd been really upset after the Lasik when I could no longer ID birds flying past. That's mostly changed, though the glasses are helpful for fine detail and those high-flying hawks.

In short, life again seems manageable, so much so that I am currently riding my motorbike across the United States (it's cold) to make a new bird job in Arizona.

Hope my words help, glad to keep the discussion going.

- C
Hi! please give yourself lots of time to heal - your corneas and eyes have been traumatized - no joke - the brain and your eyes have to adjust; I'm seven plus weeks since my conventional Ilasik (I was -12.00 on both eyes) and am now 20/10 on the left (awesome) and 20/30 on the right with this eye taking longer to heal. Sometimes it feels like seven years but I tell myself that the body heals on its own timeline and it does you no good to beat yourself up with regrets and recriminations. Take good care of yourself - I limit my computer time as my eyes get tired really easily; I live in Florida so dark sunglasses and limited sun are a must; my eyes are dry alot and I only use Preservative free drops (yeah they cost more but work better for me). Let your doctor know your progress but I can attest that it really is a long recovery; have faith and take care!
I had Lasik a month ago. I had about -5 in both eyes and astigmatism. I can now see much better than I ever could without glasses. But if I'm honest it's not how I expected it to be. My vision fluctuates a lot and I know that it is not as crisp as it was when I wore glasses. My surgeon says I have 20/20 or better but like others have said I'm not entirely sure I qualify for that in that I struggle to make out the letters and they are far from stable/clear.

I'm trying to be positive about the results but deep down I think I may have been better off sticking with lenses/glasses. Yes, the surgery has meant that I don't need to wear glasses/lenses in an everyday sense. But I feel as though I'm putting up with inferior quality of vision for the benefit of no frames or not messing about with contacts.

For around 60% of my life this is fine - day to day stuff that kind of thing. But close up work, detail work, moments when you just want everything to be crisp. They just haven't happened.

I'm hoping things will improve. I actually don't mind if I could wear glasses for the detail and leave them off for everything else. I do however feel a bit miss sold. I thought the surgery would correct my eye sight. Instead it seems to have given me a different set of issues. If I have a late night or a little too much to drink the night before my vision is poor the next day. If the light is dim my vision is also poor.

My eyes don't feel dry which is good - but I suspect they may be as sometime I get better vision a few minutes after the drops go in. Then later on it slips away again.

I'm very surprised that the treatment is quite so variable and also that the variables are not clearly explained. I tolerated my lenses- the vision wasn't great with them and they were a bit unstable. But for most things where I didn't need glasses they were OK. And I could always take them out and go back to glasses for detail work. I now seem to have permanent contact lens quality vision. Variable, slightly soft and probably not as good distance.

Will things get better?

I really am trying to be positive. I do want this to work. I also want to be realistic. If I need to wear glasses for something then that's OK. Not ideal but OK.
I agree with so many of your observations - Lasik is much more involved than any advertisement might have you believe. My initial response to you is for you to remember that Lasik causes trauma to the eyes - it takes at least two to six months for your eyes and brain to even figure out what's going on which in my case following 30 years of contacts and glasses at minus -12.50 w/mild astigmatism. I truly agonized over my decision and it now has been nine weeks since my conventional Ilasik surgery with excellent results so far. HOWEVER, there are so many little continued bumps along the way (there are still moments where I start to wonder about my decision but catch myself because the surgery is done and now I have to move forward; my new reality includes things like dry eyes, halos, "tired eyes syndrome" - yes, your vision or at least the acuity will decline if your body is tired or run down. Your eyes will tell you what you can get away with - listen to them; I had the flu last week coupled with a nasty sinus infection and bronchitis and thought my right eye was going to jump out of its orbit. The FDA has launched a study into post Lasik complications particularly to determine if there are similarities among patients with certain post surgery complications; I strongly agree with you that results are so variable which makes the prescreening process and in being in the hands of experience so critical. Yes, dim lighting affects the vision as will allergies and certain medications and most notably the degree to which you are taking care of yourself. Even though my surgeon is amongst the best in the world - there were things even he didn't tell me - I had made it a point to obsessively inform myself and to be realistic in my surgery expectations. Please remain positive and give lots more time - your body and eyes are not the same anymore - everything has changed and please address your concerns during your regular post surgery follow-ups; This surgery goes beyond the advisement of "decreasing dependence on glasses and contacts" - it involves such a willingness to accept new challenges as a trade off for old inconveniences. Again, you have to give it more time - four weeks is nothing considering what your corneas and surrounding areas went through.
Best wishes to you!

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