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Author Re: Look how good orthoK sounds. I want!!! (Oh yeah, I wanted multiple RS surgeries to
RT

2006-03-28, 5:32 pm


acemanvx@yahoo.com wrote:
> Thats why I want orthoK, Ill just go to sleep
> and not have to deal with discomfort. I can see the morning annoyance.
> Ill just wake up, insert some eyedrops, eat breakfast than remove the
> orthoK lenses.


Still rolling with the flights of fancy Aceman?
~RT

http://tinyurl.com/mxc7b

From: Ace - view profile
Date: Fri, Nov 18 2005 9:16 am

info about me:
OD(right eye)-4.5 sphere, -.5 cylindar.
OS(left eye)-5 sphere, -.5 cylindar.
UCVA=worse than 20/400, count fingers(CF)
BCVA=sharp 20/30 in OS, 20/30 to 20/40 in OD
pupil size=9mm or so. +2.5 accomodation in each eye(mild presbyopia).
Mild dry eyes sometimes occurs.
My strategy:
This applies if(as in hypothethical) I were to get lasered today or in
the near future(before any major technological advances) What I would
do is get my dormant left eye which is at least half diopter more
myopic lasered first using the most advanced lasek machine with true
wavefront epi-lasek. The optical zone would be 8mm, the largest FDA
approved and the largest possible. Theres no way ill go for an oval
astigmatic zone for only -.5 astigmastim since such said zone will be
8x6 instead of a round 8x8 zone! My dilated pupils could be 9x9! The
oval zone may give me slightly better daytime UCVA but seriously hurt
my night vision.

I have a strategy and this is to ask for a -2 correction in my dormant
eye. This is to greatly reduce anisopia in case I have a less than
satisfactory result in my dormant eye. I will then of course be done
with surgury and see well from my virgin eye and see reduced from the
lasered eye. If I were to get fully corrected in one eye and decide not

to do the other, glasses will be a major problem due to severe
anisopia. I cant tolerate contacts so those are out. Other surgeries
are just as risky. Id be stuck with anisopia glasses or laser the other

eye and hope for the best.

Lasering -2 diopters will also reduce possible night vision issues
because there will be only 2 diopter difference between the 8mm optical

zone and the untreated zone my pupil dilates past. If I am still having

any vision quality and/or accuracy issues, I will be thankful its not
more severe. My uncorrected vision will improve and ill be a little
less dependant on glasses. Id end up -3(left eye) and -4.5(virgin right

eye)

This will give me a great opporunity to compare my virgin eye vs. my
lasered eye using glasses with -3 and -4.5 lens with whatever
astigmastim power I will need. I will wait three months or more before
I take my next course of action. If im happy with results, I will get
my virgin right eye lasered and ask to be -1 undercorrected to greatly
reduce the likehood of overcorrection. I dont mind being undercorrected

but an overcorrection is a disaster!

If im still happy at this point after 3+ months wait to heal and
stabalize, I will get an enhancement to the left eye and probably ask
for a -.5 undercorrection again for safety. With my mild monovision, a
small difference of half diopter can easily be tolerated and will allow

me to see the computer monitor clearly and sharply with no need for
reading glasses, not even as I get older. I also can put off needing
reading glasses for near for some time. My distance vision should be
like 20/50 in the -.5 sphere, -.5 cylindar left eye, correctable to
20/30. Right eye will be more undercorrected at 20/70 but 20/30 BCVA.
This is all if I dont lose any lines of BCVA and if I did, I would stop

after lasering -2 from my dormant left eye in the first place!

step 1:

laser dormant left eye from -5 to -3

step 2:

wait at least 3 months

step 3:

If results are good, laser right eye from -4.5 to -1

step 4:

wait at least 3 months

step 5:

If results are good, enhance left eye from -3 to -.5

step 6:

enjoy reduced dependancy on glasses and greatly improved UCVA!
20/50(left) 20/70(right)

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