It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Lasik Eye Surgery Message Board


Lasik Eye Surgery Board Index


I had Custom Vue LASIK a month ago. My distance vision is great now. No more glasses for driving and seeing far off. The problem is now my close up vision has drastically decreased. Before the surgery I did not rely on glasses to see the pc, read a book ect. The only thing I needed them for close up was to see the small print on pill bottles or tiny print on packages. Now I cannot see the computer, keyboard, read anything up close , or tell which button on my fridge is ice or water! Trying to cook is a challange also, I can see what I'm doing but it's far from clear. I go back for my one month follow up next week. Has anyone had this happen and will it get better? I am hoping I did not trade off one set of glasses for another !
Hi, Not sure what age you are but as you get older the muscles in the eye become less able to focus at short distantances, shortsightness compensates for this but once you had the laser treatment that advantage is lost. That why some people opt for monovision which keeps one eye more suited for short vision. If you are in your 50s etc I am surprised that it was not mentioned. Additionally, your eyes have only just began its healing process. In my case (i am 59), I had laser treatment 6 month ago and I now need glasses for reading, using the computer and when I am cooking etc. It did improve a little after 3 months but my close vision will never be as good as pre laser but i was warned of this by my Surgeon prior to treatment. You do get use it over time and since your distance vision is good and you have not mentioned dryness or halos etc then glasses for reading etc is not so bad a result. I only wish my dryness would clear up! I hope it improves for you. Regards and season greetings.
Good afternoon,
I am 55, was corrected for myopia, and now cannot see clearly anything closer than six or seven feet. My presbiopic prescription before lasik was +2.25 in progressive glasses. I could see clearly objects as close as 4 feet looking through the upper part of my glasses, the part that corrected my myopia.
Now, I belive that two phenomenon are at play that explain our increased difficulties at seeing up close since our surgery. One, I believe that most surgeons slighlty overcorrect myopic patients initially, to take into account the regression that normally occurs during the healing process, and the higher the initial myopia the higher the expected regression and the higher the initial overcorrection. Second, I believe that presbyiopia develops not so much because cilliary muscles become weaker, but rather because the cristalline lens become more rigid as we age. On top of that, myopic people do not have to accomodate as much as normal vision people for close vision, hence their cilliary muscles indeed get indeed weaker.
What this means is that, during the healing process, not only are we slightly hyperopic due to programmed initial overcorrection, but our cilliary muscles also have to become stronger as we now need to accomodate for close vision.
In my case, my one moth post-op exam showed that the initial overcorrection ihas indeed regressed to some extent. I also noticed that, if I do not use glasses of any kind to work on the computer, I start to see the screen more clearly after 15 minutes or so and that I can then focus clearly on objects as close as five feet for about half an hour.
My distance vision is great, even in my left eye which has still a bit more astigmatism than my right eye at the moment.
As for other common post-op symptoms such as dry eye, haloes and starbusts at night, I had them all, but never at levels that were troublesome. All of those symptoms have also decreased during my first month post-op, which is encouraging..
Of course, every patient heals differently, but hang in there. Things might improve for you as well.
[QUOTE=ShortyGurl65;5104723]I had Custom Vue LASIK a month ago. My distance vision is great now. No more glasses for driving and seeing far off. The problem is now my close up vision has drastically decreased. Before the surgery I did not rely on glasses to see the pc, read a book ect. The only thing I needed them for close up was to see the small print on pill bottles or tiny print on packages. Now I cannot see the computer, keyboard, read anything up close , or tell which button on my fridge is ice or water! Trying to cook is a challange also, I can see what I'm doing but it's far from clear. I go back for my one month follow up next week. Has anyone had this happen and will it get better? I am hoping I did not trade off one set of glasses for another ![/QUOTE]

Hi Shortygurl, I had LASIK done 2 days ago and opted for correction of both eyes for distant vision. I was shocked that my vision is blurry under 12 feet. I have to wear reading glass +1.50 for practically anything. Did your near vision improved? How long did it take for your near vision to improve?
[QUOTE=ShortyGurl65;5104723]I had Custom Vue LASIK a month ago. My distance vision is great now. No more glasses for driving and seeing far off. The problem is now my close up vision has drastically decreased. Before the surgery I did not rely on glasses to see the pc, read a book ect. The only thing I needed them for close up was to see the small print on pill bottles or tiny print on packages. Now I cannot see the computer, keyboard, read anything up close , or tell which button on my fridge is ice or water! Trying to cook is a challange also, I can see what I'm doing but it's far from clear. I go back for my one month follow up next week. Has anyone had this happen and will it get better? I am hoping I did not trade off one set of glasses for another ![/QUOTE]

I had LASIK done 2 days ago and is now experiencing poor near vision under 12 feet. Did your near vision improve? How long did it take to improve?
It has been eight months since my surgery for myopia. I am 56 and I had progressive glasses with steadyly increasing prescription strenght for my presbyopia (last prescription a year ago +2.25) and stable prescription for myopia during that period at around -3.5 with 1.5 astigmatism at 90 degrees
My far vision has stabilized at 20/15 in both eyes after lasik. I use +2.0 glasses for reading ( I should use 2.25 in fact) and +1.0 for computer work. I went recently for an eye exam by my regular optometrist and the exam confirmed that my reading prescription is still at +2.25.
This means that my near vision for common tasks is not worse after lasik. The difference is that, before lasik I could take off my glasses and focus at 30cm, which I cannot do now even with the reading glasses (nor can most people of my age group who have always had normal vision and who became presbyopic).
In my case, I consider having to wear glasses for reading or working on the computer just a part of the aging process. I do not need glasses most of the time. I do enjoy tremendously being able to drive, play golf, do archery and a number of outside activities without glasses. For outside activities in a well lit environment, a bonus is that, as the pupil is small in those environments, depth of field is good and I can write and read my golf score card without glasses, even though it is not perfectly in focus.
Undergoing lasik later in life, I knew that I could not be totally free of glasses. I must say however that my near vision was worse in the first few months after lasik. My surgeon had explain that he was doing an initial overcorrection to anticipate the healing process. So, initially my near vision was worse than before , adding +1.00 roughly in both eyes. Right after surgery, my reading prescription was +3.25 and I had .75 astigmatism at 180 degrees. Near vision returned to +2.25 four months after surgery and astigmatism went to 0.0 at about the same time. This was a tough four months with slow improvement
[QUOTE=Mig0932;5225782]I do not know if your doctor will be able to do a touch up for you. What I know for sure is that I had the same discomfort you are now experiencing a few days after my lasik surgery. As I said, right after surgery, my near vision was worse than before (+3.25 instead of +2.25) plus the 0.75 astigmatism at 180 degrees. It took four months for the astigmatism to disappear and for my close vision to return to its original prescription of +2.25. Believe me, at that time I was hoping for the same thing, a touch up later on. Improvement was very slow (four months is a long time when you get up every morning hoping to see better at intermediate and close distances).
What made it worse is that, even though I could use strong reading glasses, the cheap ones that you get in a drugstore did not correct the astigmatism, so near vision was really bad.
However, it eventually did return to what it was before, and since the astigmatism is gone, cheap reading glasses do the job well. At this point, I would not want to change the vision I have, knowing that improving my near vision surgically would necessarily be done at the expense of my far vision which is now excellent. That would mean likely wearing glasses almost all the time, which is precisely what I wanted freedom from when I got lasik.
I have read somewhere that research is done on artificial lenses that accomodate are in the work for natural lens replacement in cataract surgery. If those become available if or when I develope cataracts, I will consider them. An artficial lens accomodating up to 3 diopters, accomodation by the same muscles that make the natural lens accomodate, would mean no glasses for me at all. In the meantime, I will live with my cheap reading glasses.[/QUOTE]

Mig, did you or your doctor ever discuss the possibility of retouch to monovision after your LASIK? I work using computer and also I like to see things (food I am eating, the bills I am signing etc) with near vision. I am just wondering if this retouch monovision after distant LASIK correction is possible. Do you have any idea? I feel so bad now having LASIK done.. Buyers remorse.
[QUOTE=liman923;5225785]Mig, did you or your doctor ever discuss the possibility of retouch to monovision after your LASIK? I work using computer and also I like to see things (food I am eating, the bills I am signing etc) with near vision. I am just wondering if this retouch monovision after distant LASIK correction is possible. Do you have any idea? I feel so bad now having LASIK done.. Buyers remorse.[/QUOTE]

Hi Liman,
I discussed monovision with my lasik surgeon before the operation. I did not select that option. In the past, I went to my optometrist to get a new prescription if there was the slightest difference in vision between my left eye and my right eye, as I found that terribly annoying. In monovision, one eye is corrected for distance vision (generally the dominant eye) and the other eye is corrected for close vision. I considered that, given the aggravation I had experienced at times in my life when my vision was not the same in both eyes, I would have too much difficulty to adapt to monovision.
I think that it is indeed possible to get monovision after a first surgery that has corrected both eyes for distance, but I suggest that you discuss this directly with your doctor. In any case, it is unlikely that your surgeon would perform that new surgery before your vision has stabilized from the first surgery.
Hi Kifftay

My timeline is noted in my other post. It for sure felt like i was looking through the inside of a fishbowl for about 4 weeks. People would get close to me and I would want to step back another few inches, could not read my phone or computer very well either.

It will clear up - just takes some time. Maybe 3-6 weeks. You have swelling and damaged eye muscles. All of that will go away.

My near vision in one of my eyes is the same as it was when I wore contacts. The other eye is worse than prelasik. The focus position in that eye is a few inches further than the better eye and things look smaller. Probably because the lasik gave it a slight astigmatism. However it can see the computer and read most things. Smaller fonts and details at any distance are not crisp with that eye because of the astigmatism.

Hang in there!
[QUOTE=deerhuntingal;5288036]I' just like you too! Funny how a lot of us never knew it would be this way but now we deal with it the best we can and keep positive if possible. My readers are blurry for things like splinter removal and since one eye has astigmatism and a little better up close vision, it is hard to adjust. My readers work for one eye and sort of for the other......I'm 3 months post op and go in next week to the Dr. I hope to get answers...Good luck to all of you dealing with this issue that us older crowd see to be going through. I'm 47 by the way..[/QUOTE]

I'm 48. And yeah, my readers are driving me nuts (I use a computer all day at work). I'm only seeing through one eye. If I have to wait 6 months for an enhancement, I'm going to need some prescription readers for sure.
[QUOTE=lone airedale;5288042]I'm 48. And yeah, my readers are driving me nuts (I use a computer all day at work). I'm only seeing through one eye. If I have to wait 6 months for an enhancement, I'm going to need some prescription readers for sure.[/QUOTE]

I have heard of some getting an enhancement @ 3 months but I believe it is the Dr.'s choice as dryness can effect vision as well so they like to make sure the dry eye is gone or at least diminished a lot. If you have not dry eye, maybe you are a candidate sooner. Hard to say. I stare at a computer all day too and it takes it's toll for sure on dry and tired lasik eyes! I have a lot more fluctuations it seems due to that one fact.
[QUOTE=deerhuntingal;5288045]I have heard of some getting an enhancement @ 3 months but I believe it is the Dr.'s choice as dryness can effect vision as well so they like to make sure the dry eye is gone or at least diminished a lot. If you have not dry eye, maybe you are a candidate sooner. Hard to say. I stare at a computer all day too and it takes it's toll for sure on dry and tired lasik eyes! I have a lot more fluctuations it seems due to that one fact.[/QUOTE]

Thanks for your reply deerhuntingal. I try to focus on the positive. The dryness is tolerable and getting better. My right eye is tack sharp, better than it ever was with glasses (and thankfully that's my dominant eye). If I'm outside where the light is good and I'm mostly using my distance vision my left eye doesn't bother me too much. I have my next appointment with the doc next Tuesday so we'll see what she says then.





All times are GMT -7. The time now is 03:23 AM.





© 2021 MH Sub I, LLC dba Internet Brands. All rights reserved.
Do not copy or redistribute in any form!