8 weeks post lasik for hyperopia question

Discussion in 'Laser Eye Surgery' started by gm4jnw, Sep 20, 2006.

  1. gm4jnw

    gm4jnw Guest

    It's now 8 weeks since I had lasik for hyperopia.
    I realised that I would need reading glasses but was unsure about
    middle distance vision.
    I have regressed since the op and am at 2 diopters for reading and 1
    diopter for middle distance.
    Long distance is pretty perfect.

    I have an appointment in approx 4 weeks and was wondering if I could
    ask for an enhancement and what I should ask for. Ideally I would like
    middle distance without glasses, even if it was at the expense of
    loosing a little long distance.

    I am also considering buying some glasses (bifocal or varifocals) to
    cover the middle and short distance problems, at 8 weeks is my
    prescription likely to change or will it have settled?

    Thanks in advance.
     
    gm4jnw, Sep 20, 2006
    #1
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  2. Unfortunately hyperopic LASIK commonly regresses, and may continue,
    which means you might need stronger glasses in another month or two. If
    you have an enhancement, have them shoot for about 1.50 overcorrection,
    and hope for no more than another .5 of regression after that one.

    w.stacy, o.d.
     
    William Stacy, Sep 20, 2006
    #2
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  3. gm4jnw

    LarryDoc Guest

    Dear Bill,

    Please don't play into the LASIK marketing strategy using the
    terminology of "enhancement". It's a make-nice, sugar coated term for
    *retreatment* or *repeat surgery* and as you know, has similar risks as
    the first surgery.

    LB, O.D.
     
    LarryDoc, Sep 20, 2006
    #3
  4. Play into? That's what they've been called since the first one. I have
    a problem calling it a retreatment since it is another surgery, not just
    a treatment, and repeat surgery would suggest recutting the flap, which
    it almost NEVER entails. The patient knows what is meant by lifting the
    flap and relasering. I see it as having much less risk, since no
    cutting, no pressure/suction ring trauma, although the flollowup
    care/cautions are obviously the same as the original procedure.

    BTW I wouldn't recommend hyperopic lasik to anyone, esp. a presbyope,
    but since she already had it done, not much ADDITIONAL risk in having a,
    what shall I call it, a flap lift?

    w.stacy, o.d.
     
    William Stacy, Sep 20, 2006
    #4
  5. I use "enhancement surgery" to remind folks that is surgery.

    The idea of Lasik overcorrection from hyperopia (farsighted,
    longsighted) into myopia (nearsighted, shortsighted) vision is
    theoretically appropriate for select patients, but there is nothing
    that screws up a perfectly good theory faster than reality. Try the
    reality in contacts first.

    If you think that 1.50 diopters myopic would be a good final result,
    get fitted with contacts that provide -1.50 vision. Wear them
    religiously for at least a month and see how you actually like the
    world of myopia. You may find that you want to be more myopic, less
    myopic, or not myopic at all. You can try different refractive error
    until you determine what is best for your individual needs. Then, and
    really only then, should you consider having that correction attempted
    with Lasik or Lasik enhancement surgery.

    Two months after Lasik is commonly enough time to know where your
    vision will settle, but not with hyperopic correction. Hyperopic
    correction often regresses. It is probably best that you do not
    consider having enhancement surgery until at least six months postop,
    and possibly even longer.

    Glenn Hagele
    Executive Director
    USAEyes.org
    Patient Advocacy Surgeon Certification

    "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.

    Copyright 2006
    All Rights Reserved
     
    Glenn - USAEyes.org, Sep 21, 2006
    #5
  6. gm4jnw

    serebel Guest


    Here goes another one seeing monsters under his bed. No one is
    "playing into any lasik marketing strategy" here. Just giving advise,
    that's all, no secret agendas.
     
    serebel, Sep 21, 2006
    #6
  7. gm4jnw

    LarryDoc Guest

    Good! As long as "surgery" is included, I don't have the slightest
    problem. Just honesty. I know you agree!

    What I DO have an issue with is the practices that call it simply
    "enhancement", which conveys the impression that all is well and all you
    need is a little extra something to make it better. And THAT is
    disingenuous.
    That doesn't make it right. Just like "through away your glasses and
    contacts!" and "now with all-laser LASIK and CustomCornea you can have
    20/20, even 20/15 vision!" Come on, you've heard the ads! Come on down!
    Ah, but you you just said it's another surgery. So call it what it is!
    But hitting it with the laser and altering the cornea tissue is most
    certainly SURGERY.
    Patient for the most part know only what we tell them, so why not tell
    them the truth?
    procedure.

    It might be less risky, but it is not without risk and the outcome of
    the additional surgery is far from certain.

    My ONLY contention is simply to be honest with our disclosures and
    presentation. So stop using disingenuous and misleading terminology.

    LB, O.D.
     
    LarryDoc, Sep 21, 2006
    #7
  8. Actually, as you probably know, many LASIK and wave front patients can
    indeed throw away their glasses and contacts. Millions have. What IS
    your problem?

    Who's lying about what? I would never tell a patient to go back and
    have a "touch up" without informing them that it entails more surgery!
    I presume you have some documentation where the enhancements (flap
    lifts, re-surgery, whatever you want to call it) has less than positive
    benefits? I've never seen one go wrong yet.
    Those are strong words. I have made some people happy with
    retreatments. The terminology is secondary and, I think, a bit picaune.

    As someone once told me, Chill...
     
    William Stacy, Sep 21, 2006
    #8
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