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Home > Archive > Lasik Eyes Surgery > November 2005 > Why Glenn Hagele's eyes hurt after surface treatment... may be permanent
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Why Glenn Hagele's eyes hurt after surface treatment... may be permanent
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| http://www.ncbi.nlm.nih.gov/entrez/...1627&query_hl=6
J Cataract Refract Surg. 2001 Apr;27(4):577-84.
Symptoms of dry eye and recurrent erosion syndrome after refractive
surgery.
Hovanesian JA, Shah SS, Maloney RK.
Jules Stein Eye Institute and the Department of Ophthalmology, UCLA
School of Medicine, Los Angeles, California, USA.
PURPOSE: To determine the incidence and severity of patient complaints
typical of dry eye and recurrent erosion syndrome after excimer laser
refractive surgery and to compare the incidence of these symptoms after
photorefractive keratectomy (PRK) and laser in situ keratomileusis
(LASIK). SETTING: Outpatient university practice. METHODS: A
questionnaire was mailed to 1731 patients who had had primary myopic
PRK or LASIK at least 6 months previously. Questions were designed to
determine the incidence and character of ocular dryness and recurrent
erosion symptoms and their impact on patient satisfaction and
willingness to have surgery again. Responses from PRK and LASIK
patients were compared. RESULTS: Responses from 231 PRK patients and
550 LASIK patients revealed an incidence of dryness symptoms in 43% and
48%, respectively (P >.05). Soreness of the eye to touch was reported
by 26.8% and 6.7%, respectively (P <.0001). Sharp pains occurred in
20.4% of PRK patients and 8.0% of LASIK patients (P =.0001). Complaints
of the eyelid sticking to the eyeball occurred in 14.7% and 5.6%,
respectively (P =.0001). All symptoms occurred predominantly on waking.
Frequency of eyelid sticking (P <.0005) and sharp pain (P <.005)
symptoms, as well as severity of sharp pain symptoms (P <.0001), were
significantly greater in PRK patients than in LASIK patients. On a
scale of 0 to 10 (10 high), median overall patient satisfaction with
surgery was 9 in both groups. Soreness of the eyelid to touch occurred
significantly more frequently among patients with symptoms of sharp
pains on waking (P <.001) and the sensation of the eyelid sticking to
the eyeball (P <.001). Patients with 1 or more symptoms were twice as
likely as asymptomatic patients to have a satisfaction score of less
than 8 (P <.001). CONCLUSIONS: Ocular dryness symptoms occurred
commonly after PRK and LASIK. Symptoms suggestive of mild recurrent
erosions included sharp pains, the sensation of the eyelid sticking to
the eyeball, and soreness of the eyelid to touch, a previously
unrecognized symptom of this condition. These symptoms occurred
commonly after excimer laser procedures but were significantly more
common, more severe, and more prolonged after PRK. The presence of
these symptoms had a significant effect on patient satisfaction.
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| serebel 2005-11-22, 1:02 am |
| There goes an idiot diagnosing someone over the web again.
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| Glenn - USAEyes.org 2005-11-22, 1:02 am |
| The item cited has absolutely nothing to do with the results of my
PRK. I have already addressed this several times.
Glenn Hagele
Executive Director
USAEyes.org
"Consider and Choose With Confidence"
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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