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Lasik Eye Surgery Message Board


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The first 4-6 weeks after surgery it is not abnormal for your near vision to be poor and to seem to be overcorrected. This starts to improve over time. If you are still at that high of an overcorrection at 2 or 4 months then its time for concern. If you are moving in the right direction then its a good chance that at 6 months or a year you will be alot better. Prk takes longer for healing and swelling to go away. I had lasik (regrettably). I had the most trouble with near vision for about 5 weeks. I was at +.75 at the 2 month point which is still hard to see through but was an improvement. At 10 months both eyes were near plano on the nearsighted side.

I am at 15 months now. I do not know what the refraction is but near vision is decent now. One eye is better than the other. I am answering your post on my phone and its about 8 inches from my face and all is clear. There is no way I could have done this at 3 weeks after surgery.

I started out at -5.5 in both eyes.
[QUOTE=penny4luck;5281577]Hi all,
I had PRK surgery 3 weeks ago. My prior contact lens prescription was -7.50 in my left eye, and -6.00 in my right eye. I have been overcorrected by a LOT: I am now +3.00 in my left eye, and +1.50 or so in my right. I was told to stop the pred forte steroid drops, and to wear soft contact lenses which were supposed to help me see (they actually make it worse) and wait. I still have edema (swelling) that they say is also affecting things. They gave me the contacts, and booked a follow up appointment in one month. Well, I called that night to re-book because the contacts don't fit right and one doesn't seem to be the right prescription. I am SO scared, and panicked and depressed. I have three young kids, and a job that requires me to drive and use the computer all the time. I am using over the counter reading glasses in order to function right now, but given the difference in prescription between my eyes, it is difficult with those too. I drove today in the daytime, and was scared the entire time. Apparently I am 20/50 in my right and 20/40 in my left. It actually feels worse, but I don't know. So, my questions (some of many) are: is there any chance at all that this will regress? Will I ever get my vision back, even using some form of glasses or contacts? I don't care at this point, as long as I can see. I am so scared that I have ruined my life. Please help - any feedback from anyone who has/is going through a similar thing would be appreciated.[/QUOTE]
Hi Penny4luck,
I just did my PRK 2 weeks ago. I have similar situation. I have about +1.5 overcorrection in both eye and some haze on left. I am wearing reading glasses for computer work, but my distant vision is also not good. I have to wear reading glasses even for driving.
Just wonder if this is part of the normal recovery? How is your vision now? Have your overcorrection improve on its own?

Actually I feel my overcorrection has got worse from +1.25 on Day 9 to +1.5 to Day 14 now. My pre-surgery was -7.25 left and -7.0 right.

Please let me know if you have improved yet as I am getting very worried.
Hi there,
I know your worry very well. I am now 6 weeks post surgery. Long story here, but the tech didn't do my prescription correctly and it ended up being +175 in my left instead of +300. So, the contacts they had just handed me were the wrong prescription completely...no wonder it made my vision worse. Since then, I was provided with different contacts, which help me to see, but my eyes are very dry and irritated by end of day. Yesterday, I got a second opinion on my prescription, from my normal optometrist. He found that the astigmatism is worse in my left eye than prior to surgery. So, the prescription provided for the contacts from the surgeons office was incorrect again, as they did not account for any astigmatism. I am now waiting for new contacts again, and had to pay for glasses, as the over the counter readers don't account for varying prescriptions in each eye, and don't account for astigmatism. I keep being told that I will regress, and my final results here will not be known for 6 to 9 months. I would advise that you seek other opinions (outside of your laser eye office). Whether my vision will improve over time or not, it is very important to me that I see while that is happening. Had I not questioned the contacts, or the prescriptions, I would be trying to function with inaccurate levels with either glasses or contacts. With this newest prescription, my best corrected vision is close to 20/20 in my right eye and close to 20/25 in my left. The positive news here, and to answer your original question: yes, since 2 weeks my eyes have definitely improved in clarity. Uncorrected I think I am close to 20/25 in my right (compared to 20/40 a few weeks ago) and 20/40 in my left (slight improvement here from 20/50 a few weeks ago). The surgeons office does not agree with me getting prescription glasses, since my prescription is fluctuating, but I need to function while this is happening, I need to see, need to work etc. They do not seem to care once the surgery is over...it's almost a feeling of "on to the next" so I have to be my own advocate. I have two other medical opinions on the go with my file, to ensure I am doing everything I can to make sure all steps are being taken to try and fix the overcorrection. It may not happen in the end, but I can say I will not get a second laser procedure to retouch it, even if it means wearing glasses or contacts...I just want to see.
Hi penny4luck,
I am glad to hear your vision is getting clearer. Can you confirm if you stopped the steroid drops 2 weeks ago? How many days after stopping the steroid did you start to see any clearer? Please let me know soon. I want to know if it is the steroid drops that cause the overcorrection and I am wondering if I should stop mine too. But my doctor seems to be reluctant to deviate from the laser center plan. But the plan is generic, not customized for me.

I was refered to my laser center by my own optometrist who is doing the post op care for me as he got paid for doing that. In this case, I am not sure if he will give me fair second opinion. But I have a strong feeling that the steroid is the cause of my overcorrection and I want to stop it before it is too late.

So what medication (eye drops) are you taking now? According to the plan of my laser center, I should be taking Lotemax 0.5% 4 times a day for 1st month. I am suspicious that if this should be reduced or stopped as it looks like it has stronger effect on me than others.

For your case, you mentioned you were using Pred Forte 1.0% which is very strong and I only used it the first 5 days.
Hi penny4luck,
at least your overcorrection has come down quite a bit from 300 to 1.25 now. Are you totally off from all steroid drops and only using artificial tears now? My doctor is still insisting me to stick with 4 steroid drops a day (Lotemax).
My vision is bad. Yes one reason is because two eyes are not the same. I feel they are around +1 L and +2 R, and 1.0 astimatism on left. Will astimatism actually go away by itself? My doct says my astimatism is due to still swelling. But it has been 3 weeks. Is it normal to still have swelling? Will the steroid drops help swelling to go? My vision has not improved the entire week last week. I hope some improvement before Thursday, which will mark my month 1.

I feel stupid to tell my friends what has happened. Some of them actually warned me not to do surgery but I was so fancied by others on internet talking about their super results.

In case my vision does not regress and I stay farsighted, is it possible to wear contact lenses any more? Is it easy to buy contact lenses for farsighted and can they be fitted well? I don't know of anybody who has farsight, except myself now.
[QUOTE=penny4luck;5290983]I am still overcorrected - around +100 in my right, and +125 in my left eye (plus astigmatism in both). He ordered a different contact for my left, so we'll see - doesn't match my prescription I obtained from my optometrist though. He doesn't seem to want to recognize that one at all. How are you doing?[/QUOTE]

Hey, that sounds like you are back on track with recovery. I guess by end of Month 3 you should be under +100 for both eyes and maybe by 6 months, close to +50 or zero! Did your doc mention what is causing the astigmatism and will it go away?
My optometrist still insisted that I should stick with the generic drop plan, still 3 drops per day. He insisted it is normal for me to be +150 after 1 month. I hope I will be no more than +100 in the next 2 weeks.
But I am noticing something funny in the past few days. The shadow in my left eye by itself seems to get slightly less but the shadow becomes more with both eyes. I don't understand why. Is it an improvement or getting worse?
[QUOTE=penny4luck;5290983]I am still overcorrected - around +100 in my right, and +125 in my left eye (plus astigmatism in both). He ordered a different contact for my left, so we'll see - doesn't match my prescription I obtained from my optometrist though. He doesn't seem to want to recognize that one at all. How are you doing?[/QUOTE]

Hi penny4luck,
It has been almost 2 weeks. Is your vision is improving? Mine improve a bit the week after 1 month but then no more improvement for the last 2 weeks. I am using +1.0 for general stuffs but sometimes need +1.5 for close up work. I am at week 6 already. Just wonder if it is too late for further regression. But regardless, my doc still insists I should stick with my steroid drops.





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