LASIK with pseudomyopia questions?

Discussion in 'Laser Eye Surgery' started by Eric Suing, Feb 2, 2004.

  1. Eric Suing

    Eric Suing Guest

    I'm a 27 year old male working in IS (use computers all the time).
    I've developed what I THOUGHT was a normal case of myopia and it
    gradually got worse to the point where I needed glasses at about 18
    years old. My prescription has about levelled off so I started looking
    into LASIK.

    After visiting a particular eye center to be tested for LASIK, I was
    told by the doctor that I have a case of pseudomyopia, which to my
    understanding, is a spasming in the eye that prevents it from focusing
    at a distance. He was only able to determing this after dilating my
    eyes and giving me an eye chart exam. He said he didn't think I had a
    prescription. I also noticed that when I got home I COULD see better
    at longer distances (ie. I could read the little ticker they have at
    the bottom of the cable news channels.. I couldn't do that before).
    After the dilation went away, my vision returned to it's normal,
    myopic self.

    Unfortunately, THAT doctor didn't recommend me for LASIK because of
    this, siting a fear of OVERCORRECTION, leaving me far-sighted, and did
    recommend seeing a opthamologist and looking into eye exercising. I
    visited another LASIK center for a second opinion and he came to a
    similiar diagnoses, but didn't dismiss LASIK outright. He scheduled me
    for some more tests. He made it sound like LASIK could still be an
    option. So, my questions for the experts in the group are as follows:

    - What IS the risk with LASIK in my case? Glasses work fine with me
    and improve my vision greatly without hurting my close-up vision. How
    will LASIK be different? Is over-correction a likely possibility
    (moreso than most common cases). I can't believe my case is so rare.

    - Will eye exercising really make a difference? Will it even improve
    my night-vision... and how much will it improve it?

    Any help or advice would be greatly appreciated. I've learned a lot
    just by reading this newsgroup. Thanks!

    Eric Suing, Feb 2, 2004
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  2. Eric Suing

    RM Guest

    The first doc you visited is honest and correctly turned you away because
    you are not truly myopic. Run from the second doctor if he confirms that
    you are pseudomyopic and then offers you LASIK. The risk of overcorrection
    is 100% if you get LASIK and you are a pseudomyope.
    I don't personally believe eye exercising will help pseudomyopia.
    Pseudomyopia is due to an elevated and inappropriate muscle tone in you
    ciliary muscle causing you to accommodate all the time, even in the
    distance. This is caused by a person doing constant near work (when the
    muscle is normally contracting) so much so that it develops a natural
    contactile tone and never relaxes appropriately like it should when you look
    in the distance. The cycloplegic eye drops that you got at your first eye
    exam caused it to fully relax. If your myopia disappeared after using those
    drops that pretty much ices the diagnosis-- pseudomyopia! Pseudomyopia
    eventually goes away as people approach middle-age and their ciliary muscle
    mechanism becomes less effective.

    In the meantime, the best therapy for you is to avoid using your glasses for
    anything unless you absolutely have to. Using a myopic correction just
    makes your ciliary muscle continue to have to work when it should be
    relaxing. When you are at work and at home just go without glasses and only
    use them when absolutely necessary (e.g. night driving). Get your eye doc
    to prescribe you glasses that are at the absolute minimum strength to
    provide adequate distance vision. You might also consider using weak
    reading glasses when you are going to spend prolonged periods doing near

    Good luck

    OD Ph.D.
    RM, Feb 3, 2004
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  3. Eric Suing

    Dr. Leukoma Guest

    Gee, whatever happened to those accommotrac devices? I distinctly remember
    that there was a large secondary market for them a few years after their
    introduction. I recall that the device worked for some, but not for most,
    and those for whom it was effective were likely pseudomyopes.

    Dr. Leukoma, Feb 6, 2004
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