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Author I HAD MY LASER DONE 11/7/04----NEED SOME OPINIONS
RickLick

2005-01-27, 8:52 am

Approximately 2 months after my surgery I am still a little
dis-satisified with my result. When I wake up in the morning my vision
is not very good. My eyes were -7.50.

It takes several hours before my vision gets clearer. It's usually the
best at night. My eyes really don't feel dry. I didn't need reading
glasses before the surgery but now at work, I can not see my computer
screen without reading glasses...that pisses me off. On the other
hand, sometimes I can see the computer screen.

It seems my vision is worse looking at things about 3 feet away vs. 10
feet away. The doctor says my vision id now 20/25. But I think that is
bullshit.

He says things will improve.

Would like to hear from others with the same experiences.
I need some hope that things will be ok.

Am I still healing?
Why are my eyes blurred in the morning?
Is it dry eye?

rebeccaNO_SPAM@lasermyeye.org

2005-01-27, 8:52 am


RickLick wrote:

> It takes several hours before my vision gets clearer. It's usually

the
> best at night. My eyes really don't feel dry. I didn't need reading
> glasses before the surgery but now at work, I can not see my computer
> screen without reading glasses...that pisses me off. On the other
> hand, sometimes I can see the computer screen.
>
> It seems my vision is worse looking at things about 3 feet away vs.

10
> feet away. The doctor says my vision id now 20/25. But I think that

is
> bullshit.


You sound either overcorrected or presbyopic. How old are you?

Fluctuating vision is not uncommon especially in the first months.
Hopefully this will resolve.

Rebecca Petris
www.lasermyeye.org

doctor_my_eye@msn.com

2005-01-27, 8:52 am

When your doctor tells you that your acuity is "20/25" that tells you
how many rows you can read on an eye chart, but not any information
about whether you are nearsighted or farsighted now. A general
"rule-of-thumb" is that the eye is pushed flatter by your closed
eyelid, so if you wake up in the morning with "crummy vision" and it
gets better as the day goes on, you are now farsighted or
overcorrected. In essence, your eyes are too flat in the morning but
they "bow out" as the day goes on. The fact that they improve later in
the day is a good thing, because it suggests that your results are
within a small range of perfect and they might be improved with a
little "tweaking".

You need to get a good refraction, from your surgeon or your local
optometrist. If you are moderately farsighted, read up on the CLAPICS
handout that Glenn has on his websight. (It is excellent, by the way.)
Try not to press on your eyes as you sleep, figure out if you tend to
bury your eyes in the pillow, which tends to make you hyperopic after
refractive surgery.


RickLick wrote:
> Approximately 2 months after my surgery I am still a little
> dis-satisified with my result. When I wake up in the morning my

vision
> is not very good. My eyes were -7.50.
>
> It takes several hours before my vision gets clearer. It's usually

the
> best at night. My eyes really don't feel dry. I didn't need reading
> glasses before the surgery but now at work, I can not see my computer
> screen without reading glasses...that pisses me off. On the other
> hand, sometimes I can see the computer screen.
>
> It seems my vision is worse looking at things about 3 feet away vs.

10
> feet away. The doctor says my vision id now 20/25. But I think that

is
> bullshit.
>
> He says things will improve.
>
> Would like to hear from others with the same experiences.
> I need some hope that things will be ok.
>
> Am I still healing?
> Why are my eyes blurred in the morning?
> Is it dry eye?


serebel

2005-01-27, 8:52 am

The slightly farsighted explanation sounds right, along with some early
post op dry eye.
Happened to me also. My vision gets better as the day goes on. Two
months out is early for you to stabilize, but you should start seeing
things more consistantly as time goes by.

SErebel

Glenn - USAEyes.org

2005-01-27, 8:52 am

Rick,

It looks like you already have some good information from others and
your problem may even be diagnosed. You can attack the potential
nighttime dry eyes straight away with an gel or ointment for this
purpose. We have a whole article on LASIK related dry eye at
http://www.complicatedeyes.org/dry_eye_treatment.htm

CLAPIKS was mentioned. This is a somewhat technical technique, but
may be exactly what you need. Take a look at
http://www.usaeyes.org/faq/subjects/clapiks.htm and download the
protocol for your doctor. Your doctor will be the person who will
know if this is helpful for you.

You can reasonably expect some improvement. Don't be afraid to ask
your doctor probing questions and don't feel foolish if you don't
exactly understand everything that is said. Just ask for a
plain-language clarification so you know exactly what is going on with
your eyes and - more importantly - what you can ultimately expect.

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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