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Home > Archive > Lasik Eyes Surgery > October 2004 > Right Eye - Not so good
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Right Eye - Not so good
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| Hi,
I'm looking for some advice and hope I can find it here.
I underwent LASIK treatment on both eyes 2 weeks ago in the UK.
Immediately after the treatment I noticed that the right eye wasn't as
clear as the left but was told that I needed to allow some time for
the eyes to settle.
Anyway two weeks later there is little or no improvement in the right
eye. I have been back to the clinic a couple of time and have been
told that there are micro striae on the cornea of the right eye.
Initially I was told to return to the clinic in 6 week for a further
assessment but after reading the treatment for wrinkles is easier if
done sooner rather than later after the surgery I have brought the
appointment forward to the 28th Oct. I'm out of the country next week
so couldn't get anything sooner.
I have done some research and have found a wealth of information but
also a great deal of scary stuff highlighting the dangers of LASIK
treatment. Well it's too late for me so I really need to know what
further treatment is required/recommended to fix the problem I now
have with my right eye.
Many thanks,
Mike.
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| Rebecca 2004-10-13, 7:11 pm |
| mike1859@hotmail.com (Mike) wrote in message news:<2d486a58.0410130531.76913466@posting.google.com>...
> Hi,
>
> I'm looking for some advice and hope I can find it here.
>
> I underwent LASIK treatment on both eyes 2 weeks ago in the UK.
> Immediately after the treatment I noticed that the right eye wasn't as
> clear as the left but was told that I needed to allow some time for
> the eyes to settle.
>
> Anyway two weeks later there is little or no improvement in the right
> eye. I have been back to the clinic a couple of time and have been
> told that there are micro striae on the cornea of the right eye.
Mike,
There are many possible causes of the poorer vision you have in the
right eye and microstriae is only one of them. What do they mean by
"on the corner"? A fold at the periphery should not be obscuring your
daytime vision. Can you get more specific about what you are
experiencing?
While visually significant flap folds should be treated sooner rather
than later, I wouldn't be in a rush to get any further treatment until
there is a clearer answer as to what is causing the problem. If
glasses do not make vision sufficiently clear in that eye (meaning you
have residual refractive error - for example you were undercorrected
or have some induced astigmatism), then they should be taking
topographies and wavefront scans in order to identify ablation
irregularities that account for the problems.
Rebecca Petris
www.lasermyeye.org
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| Glen,
Thanks for the link to the article. Very informative and it's helped
me understand a little more about what may or may not be the problem.
I'm not sure if what I have would be classed as micro or macro striae
but do know that I was very aware of a difference, in vision and feel,
between the left and right eye immediately after the surgery.
I have booked an earlier appointment with my surgeon to discuss the
options.
Thanks,
Mike.
Glenn - USAEyes.org <glenn.hageleSTOPSPAM@USAEyes.org> wrote in message news:<ebfqm0du8tdhttqpbojqeva2p8frafvfhn@4ax.com>...
> I'm sorry to hear of your problems with striae. We have a detailed
> article on striae at http://www.complicatedeyes.org/striae.htm that
> may help explain what probably happened, and what treatment is most
> likely to help.
>
> Glenn Hagele
> Executive Director
> Council for Refractive Surgery Quality Assurance
>
> Email to glenn dot hagele at usaeyes dot org
>
> http://www.USAEyes.org
> http://www.ComplicatedEyes.org
>
> I am not a doctor.
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| Hi Rebecca,
Thanks for the reply. I think you misread my email (cornea not
corner). Anyway I definitely have striae, at least that is what I have
been told but the surgeons and optometrists I have seen.
The symptoms (right eye) are blurred vision (at all distances),
ghosting and general feeling of very slight discomfort similar to
after you have had a fly hit you in the eye. These symptoms are
present both at night, when halos are a problem, and during the day,
which is symptomatic of striae that are not simply limited to the
periphery of my pupil aperture but are intruding into my daylight
vision.
It's quite possible that I have, in addition to the striae, some
residual refractive error but I don't think this can be easily assess
until the striae problem has been fixed. My left eye does have some
residual refractive error but there is a marked difference between the
two eyes. The right is unusable for driving, computer work or reading.
While the left is bordering on acceptable for driving and computer
work and is fine for reading and clear of any ghosting or halo
effects.
Regards,
Mike.
rebeccaNO_SPAM@lasermyeye.org (Rebecca) wrote in message news:<120ffab4.0410131126.1c2070b3@posting.google.com>...
> mike1859@hotmail.com (Mike) wrote in message news:<2d486a58.0410130531.76913466@posting.google.com>...
>
> Mike,
>
> There are many possible causes of the poorer vision you have in the
> right eye and microstriae is only one of them. What do they mean by
> "on the corner"? A fold at the periphery should not be obscuring your
> daytime vision. Can you get more specific about what you are
> experiencing?
>
> While visually significant flap folds should be treated sooner rather
> than later, I wouldn't be in a rush to get any further treatment until
> there is a clearer answer as to what is causing the problem. If
> glasses do not make vision sufficiently clear in that eye (meaning you
> have residual refractive error - for example you were undercorrected
> or have some induced astigmatism), then they should be taking
> topographies and wavefront scans in order to identify ablation
> irregularities that account for the problems.
>
> Rebecca Petris
> www.lasermyeye.org
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| Rebecca 2004-10-14, 11:08 am |
| mike1859@hotmail.com (Mike) wrote in message news:<2d486a58.0410140049.7722158@posting.google.com>...
> Hi Rebecca,
>
> Thanks for the reply. I think you misread my email (cornea not
> corner).
I sure did! Reading too quickly! Sorry about that.
> Anyway I definitely have striae, at least that is what I have
> been told but the surgeons and optometrists I have seen.
I'm not doubting that you have them, I'm just saying that (especially
now that I understand what you're seeing in more detail, thanks for
that) there are other common explanations for them than striae and
residual refractive error. I say this not of course to discourage you
from getting the striae treated but just to perhaps temper your
expectations, because I know many people who had their striae
straightened and found that that wasn't what was causing the vision
problems anyway.
Frankly it sounds to me much more likely to be ablation related -
whether decentration or other central irregularities. I've never known
anyone to have the degree of visual disruption you describe in your
right eye from striae alone.
Anyway, good luck, and keep us posted on your progress.
Rebecca Petris
www.lasermyeye.org
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| Glenn - USAEyes.org 2004-10-14, 7:13 pm |
| Feel free to return to this forum with your additional information.
Glenn Hagele
Executive Director
Council for Refractive Surgery Quality Assurance
Email to glenn dot hagele at usaeyes dot org
http://www.USAEyes.org
http://www.ComplicatedEyes.org
I am not a doctor.
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| Hi Rebecca,
"Frankly it sounds to me much more likely to be ablation related -
whether decentration or other central irregularities."
Can you point me to somewhere where I can read up on this, I have no
idea what this means.
Many thanks,
Mike.
rebeccaNO_SPAM@lasermyeye.org (Rebecca) wrote in message news:<120ffab4.0410140727.7f760ebc@posting.google.com>...
> mike1859@hotmail.com (Mike) wrote in message news:<2d486a58.0410140049.7722158@posting.google.com>...
>
> I sure did! Reading too quickly! Sorry about that.
>
>
> I'm not doubting that you have them, I'm just saying that (especially
> now that I understand what you're seeing in more detail, thanks for
> that) there are other common explanations for them than striae and
> residual refractive error. I say this not of course to discourage you
> from getting the striae treated but just to perhaps temper your
> expectations, because I know many people who had their striae
> straightened and found that that wasn't what was causing the vision
> problems anyway.
>
> Frankly it sounds to me much more likely to be ablation related -
> whether decentration or other central irregularities. I've never known
> anyone to have the degree of visual disruption you describe in your
> right eye from striae alone.
>
> Anyway, good luck, and keep us posted on your progress.
>
> Rebecca Petris
> www.lasermyeye.org
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| Rebecca 2004-10-18, 11:08 am |
| mike1859@hotmail.com (Mike) wrote in message news:<2d486a58.0410172119.2ec47d@posting.google.com>...
> Hi Rebecca,
>
> "Frankly it sounds to me much more likely to be ablation related -
> whether decentration or other central irregularities."
>
> Can you point me to somewhere where I can read up on this, I have no
> idea what this means.
Mike,
I am sorry I can't think of anything as succinct as I might like to
put you in the picture of irregular ablations. There's some materials
I wrote about a year and a half ago at
http://www.lasermyeye.org/patients/...iondefects.html
BUT please note it is somewhat outdated and my own views have modified
somewhat since then. There is also a good (albeit lengthy) explanation
at http://www.lasermyeye.org/keratosco...25may2004.html.
Or, email me at rebecca at lasermyeye.org.
Rebecca
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