Vision - More advice please - The latest on my misplaced LRI incision vision probs

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More advice please - The latest on my misplaced LRI incision vision probs

Roy Starrin

2006-05-03, 11:23 am

All have been helpful as I have worked my way through 2nd
opinions/options after 1st MD, performing an LRI incident to cataract
surgery in 12/05, put the incision in the wrong place. This left me
with this as the latest (last week)
OD +.75/-3.00/99 Add +2.25 (Problem eye)
OS +.75/1.00/70 Add +2.25 (Provided for info only-it works fine)
(Above scripts were done last week by independent OD, who even took me
for a walk in trial frames to see what I could see. New lenses go in
today)
Besides original MD, have consulted with 3 more MD + the OD just
mentioned.
OD suggested I see the 4th MD which I did yesterday. So far, I like
his approach the best - a no-flap sort of PRK-like surface ablation
proceedure he calls Supralase:
( www.firstcolonialeyecenter.com/content.htm ) scroll down below the
picture.
Many "old folks" like me (+71 years) had raved about him, but I had
sort of not bothered with him until now. We will get together again.
He is currently reviewing all the pretty eye "pictures" i.e. Orbscans,
CustomVues, Axial Maps, etc., as well as the pre-op, post op records
and all the consultants inputs.
We will see each other at least once, more if I decide to let him go
ahead. What he has said is that he would do what I infer as "spot
treat" the CYL, leaving the SPH alone, where it is. He says he does
not see it as an insurmountable problem and he would feel comfortable
with that approach, if I would.
So, this is sort of a new approach to me. Any thoughts, inputs, would
as usual, be greatly appreciated. (I would note that [though not
really relevant] his walls are full of pictures of well known
entertainment, sports types, thanking him for their vision. On the
other hand, the culprit has been sued twice so far this year. He is
the best known in the area. The OD said were he in need of lasik in
some form, he would go to the culprit - he just didn't recommend
anything with a flap)
My Goals
Correct astigmatism in which flat surfaces appear to slant down, about
45 degrees to the left (from dead ahead) E.G. Tried to work on some
yard drainage problems last week. My "seaman's eye" could not tell
whether ground was flat or not. Concurrently improve now-lousy depth
perception.
Minimum aggravation of mild dry eye. He says, if needed, punctal
plugs (did that once, they fell out) or cautery lower plus plugs upper
if needed. Culprit got paid to cauterize them about 3 years ago; they
are open now
Glasses, though trifocals, are fine. Have warn them for 30 years.
Would feel naked without them.
TIA
Roy

Roy Starrin

2006-05-03, 6:23 pm

On Wed, 03 May 2006 19:06:51 GMT, William Stacy <wstacy@obase.net>
wrote:
>I don't like his idea of ignoring the +.75, as he would be leaving you
>hyperopic, something that is to be avoided if possible.

Before we started all this, I was OD +4.0/-1.25 and OS +3.75/-1.50
and getting along fine with trifocals, except for the lousy vision
because of the cataracts. Recognizing (as I have come to) the
possibilities for damage when one lets someone have at their eye
surgically, it looks like I would still have have a better pair of
eyes that I did before.
>
>I still vote for wearing glasses and avoid surgeries, esp. in light of
>your last sentence.
I will agree with this (just got the newest lenses a couple of hours
ago) provided I return to a flat earth in a world with some depth
perception I will go that way in a heartbeat. So far I have a better
quality of vision than I did yesterday. But, to me, it's all about
the astigmatism. Will see how it turns out.

At the same time, however, I am still seeking to gain as much
information as I can about the procedure he advocates in order that I
can make the best informed decision possible---in case they won't let
me back in the flat-earth society. Part of a decision of surgery vs
glasses will be which surgery, with all its attendant baggage. To me,
this sounded the most promising.
There is no rush on this, I'm taking it slow and easy, trying to learn
as I go
Thanks for the input
Roy[vbcol=seagreen]
>
>w.stacy, o.d.
>
>Roy Starrin wrote: