PRK Laser Eye Surgery

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stose85

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Hello everyone! I wanted to make an informative post about my recent PRK (photorefractive keratectomy) eye surgery that was done on Saturday September 17th, and give some pointers for anyone who is interested in this or Lasik Surgery.

First off, to say my vision was bad is pretty much the understatement of the century. By the time I had my first vision test at 11 I was unable to read anything on the vision chart. It has progressed on the down side for the past 20 years eventually stabilizing at -6.75 and -7.00. I've been wearing contacts since the beginning and I hate wearing glasses for anything but the most basic of functions (always fogging up or falling off my face
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). My eyes tested at around 20/700 which put anything past 2 inches from my face into oblivion. If I was wearing just my glasses and I put them on the table they would disappear until I moved within that 2 inch range.

PRK can correct farsightedness as well as astigmatism for those that are interested in that.

Options:

Right now the main 3 types of correction include PRK, Lasik, and ICL (Implantable contact lense). The price has come down considerably on all three but ICL is the most expensive option. I was able to have PRK done for $900 an eye with a groupon discount + $900 of add-ons which included the lifetime warranty, and punctal plugs (to help with dry eyes). $2700 total for PRK with the discount. ICL was going to run upwards of $2500 an eye, but from what I've been told is very state of the art. Lasik runs the same price as PRK.

Groupon discount > https://www.groupon.com/deals/the-lasik-vision-institute-63-tulsa

During my procedure they placed a small metal ring around my iris and added an alcohol solution which softened up the outermost layer of tissue. It was removed and the laser went to work. After the laser has done the corrections the surgeon places a contact lense a lot like a clear band-aid over your eye to help aid in the healing process. Although the healing process and results take longer to obtain, the end result is that you can continue to engage in physical activities like martial arts or flying a jet without the worry of detaching a flap of tissue.

Surgery Day/Day One: Saturday 17th

The surgery itself only takes about 5 minutes for both eyes and other than being a bit nervous everything went well. Imagine your vision improving at least 100x over in a matter of minutes. That's how it starts. Everything wasn't perfect but for the first time in over 20 years I could see 20/50 with my own eyes. You are told to go home and rest for obvious reasons, at least with PRK the worst is yet to come. They give you some cool shades to wear whenever you're outside to protect from the UV rays and they send you out the door. My first follow up appointment is 6 days post surgery (tomorrow the 22nd).

At first I the light outside didn't bother me but within 10 minutes of the 60 minute ride home my sensitivity to light really kicked in. There's a good reason why they tell you, you can't drive yourself home. Even with my eyes closed, sunglasses on, and a hoodie over my head, my eyes teared for the first hour. After we got home I took a couple hour nap and woke up in good shape. I still had a lot of sensitivity but it wasn't as bad as right out of surgery.

Day Two: Sunday 18th

Sunday was a lot like Saturday in that my vision was clear but not perfect. I had to wear a set of goggles to sleep in as they warn against rubbing your eyes. Bad things can happen, so don't do it! I have been on 3 different medicated drops and some natural tears with no preservatives. Usually taking the rounds every 4 hours. This will continue for a couple of weeks.

Day Three: Monday 19th

Day three is the day that most people regret their decision. For whatever reason, it takes this long for the healing process to really take affect. If you would have asked me if the surgery was worth it during any of the 14 hours of agony I would have told you absolutely not. If you have a stash of strong narcotics it would be best used on this day and attempt to sleep it out
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. Here's why it was so bad for me; I woke up with vision that was just crappy going from 20/50 to 20/100 is a big disappointment but I knew it would happen and the surgeon will tell you it gets worse before it gets better. Then I started seeing double, not just a little double but like double vision tiled at 30 degrees. Once the migraine behind my eyeballs set in, it was all down hill from there. Luckily I took the day off from work and I anticipated that it would be bad so I slept and cried it out
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. Whenever life sucks, I just tell myself, "In time this too will pass, its only temporary." Today was the only day that I really had pain in my eyes.

Day Four: Tuesday 20th

I went back to work today. I had an early class to teach at 7am so I left the house in the dark at 6am and headed out. It took exactly one car with lights to convince me that I would kill myself or someone else if I drove like this so I parked the car at work and headed into my office. With all the lights off and the computer monitor turned down I was able to squint out an email with sunglasses on. Obviously light sensitivity stays around for a couple of days as well as star bursts from light sources. By the end of the day things were better, but my double vision came back in my right eye at the end of the day. I hit the bed early.

Day Five: Wednesday 21st

Much like day four without the sensitivity to light
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Day Six: Thursday 22nd

When I woke up today the fog that remained in my right eye was gone, no issues with lights, and things were slightly more in focus. I was able to read at 20/60 according to a vision chart I picked up on the internet so that made me feel a little better. I'll be headed to the doctor's office tomorrow afternoon to remove the contact band-aids so that's also a plus.

After Thoughts:

So its been almost a week, and other than that one "bad" day I've noticed things are getting a little better every day. It can take several weeks for everything to focus in and get to 20/20 or better (here's hoping) so I'm definitely excited to see what everything looks like for the SFO trip at the end of October. If you're like I was and completely screwed if anything happened to a contact or if you lost your glasses I would definitely look at getting a consultation (it's free!). There are a lot of facilities that do the surgeries now. My advice is do your due diligence and research the doctors and their facilities. Look for discounts through vision insurance or groupon. I saved more from that coupon through Groupon than my insurance would help with. This is definitely a life changing experience, and I would do it all over again in a heartbeat.

Especially with riding a motorcycle, contacts can get dried out and cause a lot of discomfort. Glasses fog and if you're like me they weren't an option (one bit of vibration and everything was way out of focus). This was the best solution for me, and I look forward to many care free years of riding going forward.

Here's a video that was most like my surgery. You are awake during but it is really quick and they numb your eyes prior to messing around with them. I've heard that most people have an aversion to people touching their eyes or anything in their eyes. You don't have to worry about moving or blinking during surgery. If anyone has any questions or comments about PRK or Lasik please add it to the discussion.

This is NOT my eye >

 
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Isn't it amazing to set up from the surgical table and see across the room. I like you was a -7.00 until about 18 years ago. At that time the Lasik was the recommended procedure and I went for it.. No complaints now for almost 2 decades. Now past 60 I need bifocals but it is an easy trade off. Good luck going forward.

 
I didn't figure Groupon would figure into my health care options. Wow.

Like juniorfjr, I had Lasik many years ago and recently did a cataract lens replacement in the left eye, right eye pending Anyway, you are enjoying the experience of unaided vision that happened for me 25 years ago, with technological improvements. You're going to love the results and the freedom. For me, I am still affected by astigmatism, but pretty clear vision at 62 without glasses. I'm a happy camper.

 
Huh...I had Lasik back in like 2005. In two days, I was good to go, but had to wear the goggles while sleeping for the first week, to give the flap time to heal. Whoever told you the flap doesn't heal is full of it. I used lubricating eye drops for about a month, and then waited for the starring at night to stop. About 3 months after surgery was when I had my 'Aha' moment.

Bunch of people in my department have had Lasik, and no one yet has had a flap that didn't heal. I'm a shooter, and my doc us a shooter, so he understood my concerns. He recommended Lasik all the way.

 
I had it done in 09 and had what my doc calls the perfect out come. I can pass the driver's test without glasses and can read without glasses as well. I do wear glasses when riding since I'm corrected to 20/10 and I use cheaters in the shop when doing fine work. But, I don't need to wear glasses during daily activities.

Spousal Unit had it done as well and had 20/20 vision, but needs help reading anything. Her distance vision has deteriorated over time as well.

 
Huh...I had Lasik back in like 2005. In two days, I was good to go, but had to wear the goggles while sleeping for the first week, to give the flap time to heal. Whoever told you the flap doesn't heal is full of it. I used lubricating eye drops for about a month, and then waited for the starring at night to stop. About 3 months after surgery was when I had my 'Aha' moment.
Bunch of people in my department have had Lasik, and no one yet has had a flap that didn't heal. I'm a shooter, and my doc us a shooter, so he understood my concerns. He recommended Lasik all the way.
HotRod here's what I found with a little more research. The flap does heal, but there's a chance of detachment if they eye receives a direct blow.

The LASIK flap heals back into its original position and the healing process is not limited to he edge alone. The healed flap is stable and unlikely to dislodge with eye rubbing. Significant eye trauma could potentially dislocate the flap, however, such instances are rare. Flap creation making use of the femtosecond laser provides for even greater stability and reduced chances of flap movement or dislocation. This has been one of the greatest advances in LASIK surgery.

I removed that part of my post so there is no confusion.

 
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FYI for anyone getting eye surgery of this type. You will get older. If and when it is time for cataract surgery, the records of the correction are something your doctor can use. My Lasik was in 1998, and the the records were not available. It's the difference between a generic and toric lens. If the doctor does not fully understand your correction, he will have problems correcting for astigmatism.

GET YOUR DETAILED RECORDS and keep them. The medical community is not reliable in retaining stuff more than 10 years, if that. It's not just eye stuff. I had a caner surgery in 2004 and the doctor died in 2011. No records. Maybe with current computer records things have changed, but I think some Information Technologist may not consider your old information worthy of storage space. Keep your own important records.

 
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Huh...I had Lasik back in like 2005. In two days, I was good to go, but had to wear the goggles while sleeping for the first week, to give the flap time to heal. Whoever told you the flap doesn't heal is full of it. I used lubricating eye drops for about a month, and then waited for the starring at night to stop. About 3 months after surgery was when I had my 'Aha' moment.Bunch of people in my department have had Lasik, and no one yet has had a flap that didn't heal. I'm a shooter, and my doc us a shooter, so he understood my concerns. He recommended Lasik all the way.
HotRod here's what I found with a little more research. The flap does heal, but there's a chance of detachment if they eye receives a direct blow.

The LASIK flap heals back into its original position and the healing process is not limited to he edge alone. The healed flap is stable and unlikely to dislodge with eye rubbing. Significant eye trauma could potentially dislocate the flap, however, such instances are rare. Flap creation making use of the femtosecond laser provides for even greater stability and reduced chances of flap movement or dislocation. This has been one of the greatest advances in LASIK surgery.

I removed that part of my post so there is no confusion.
Ah, that makes more sense. Seriously, I try not to get hit in the eyes. My thought is I only have one pair. Due to some stuff I've seen, I wear Oakleys almost exclusively, day and night. Keeps sharp stuff and gross stuff out of my eyes. They've saved me more than once!!

 
There is one contradiction to Lasik and it's the cutting of the flap. The tool is a microkeratone and it uses suction to pull the cornea up flat to slice a consistent thickness. When suction is applied the pressure in the eye goes over 40,like glaucoma. Average is 18 in a healthy eye. It is a concern, but not significant enough. The biggest advantage of Lasik over prk is less pain and not having to wear a bandage contact. Some Dr's use both procedures depending on the amount of correction and corneal thickness. Still worth it,either one.

 
Lasik in 2012. Worth every single penny. The place I went to only offered all the bells and whistles. I now have better than 20/20 vision in both eyes. Before, I would trip over my contacts if I dropped one.

 
I wore glasses since the third grade.

By the time I was in college, the only time I could get contacts was when there was a manufacturing error. Most people weren't as blind as I was. Without glasses or contacts, I needed a seeing-eye bat.

I considered corrective procedures since I was in high school. The thought of someone cutting into my eye weirded me out to the point that I couldn't do it.

Once I got into my late-20's, this whole "Lasik" thing came around. I watched as several friends went down the Lasik path.

Finally I pulled the trigger. In late January of 2002, I got my peepers zapped.

On my one-week follow-up with my eye doc, my vision was 20/15. I asked my doc what my vision was before getting zapped. His response was, "Umm... Let's see here... Ummm... Roughly speaking, without doing the math all the way, I'd say you were in the range of 20/3200."

20/3200 to 20/15.

After getting zapped, my GF at the time and I went and visited a friend and his GF at the time. His GF was giving me "the look" - I said, "Yeah, yeah, I know. I look different without glasses." Her response was, "Well, yeah, there's that, but I thought you had the eyes that go in different directions." That was due to the distortion caused by my correction.

So, going on 15 years later, I'm just to the point of needing glasses, especially while driving at night when I'm tired.

I don't regret getting zapped at all. Just don't go for the low bidder. They're your eyes fer fook's sake.

 

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