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Solving a Lasik Post Op Problem

I had Lasik vision correction surgery two years ago, and am quite glad I did.  I think that my Lasik story might be helpful to some that consider that they might not be a perfect Lasik client, and are concerned about side effects after the Lasik procedure.  I did have a significant side effect after my Lasik operation, but have weathered it well, and still recommend the operation highly.

My operation went exactly as described, with no pain or real discomfort at all.  My Lasik physician was clear, stating each step that he completed so that I would know the Lasik procedure was proceeding as expected, and more quickly than I had imagined.  I know that all of the discussion I had earlier with the Lasik professionals stated the operation generally took less than twenty minutes, but I was still surprised.  

At the end of the operation, my Lasik doctor replaced the flap to its correct position in my eye and covered it with some kind of clear goop.  Even at that time I could notice a distinct improvement in my vision.  I was instructed to wear goggles over my eyes for five nights in order to prevent me rubbing my eyes while I was sleeping.  I guess they assumed that any good Lasik patient would not do that when awake.  

In addition, I followed all post-op Lasik procedure instruction to the letter.  I slept immediately after the Lasik procedure was done (after I made it home, of course), used the eye drops religiously, and did not try to strain my eyes by reading everything that I could.  I was amazed the immediate improvement in vision that Lasik makes, just as if there was a set of weightless contact lenses.  Very impressive.

My biggest problem in Lasik procedure recovery was a result of epithelial erosion.  The flap that is made in the eye during the Lasik procedure is made from epithelial cells.  Once the flap is replaced at the end of the Lasik procedure, these cells start to regenerate in order to fill in the line where the flap has been cut.  All of this is normal post-op Lasik healing.  However, in my case the cells would grow fine, but at night my eyes tended to dry out when I was asleep.  So, when I woke up, my eyelid would pull up some of the new cells from their place where they belonged, where if my eye was sufficiently moist they would have stayed in place.

I told this to my Lasik eye surgeon, who said this side effect just makes healing a little longer and it was not a serious side effect.  When I went for a checkup to the Lasik center (which I highly recommend any time a Lasik client has any post-op worries or questions) they decided that I needed a thicker, more jelly like version of the eye drops to use at night.  This worked well, and the rest of my post-Lasik recovery went well.  
I am a strong advocate of the Lasik vision correction procedure.  I also strongly suggest interviewing a number of positions, and do not put low cost as the highest priority.  Your eyes are very important, and a highly competent Lasik physician is the most important factor.

Lasik Surgery Statistics

The Lasik operation can be a wonderful, life-changing option for many people whose vision is less than perfect.  There are several different types of Lasik operations now available, from the original and well documented procedure to Lasik procedures done with three dimensional wavefronts, or done entirely with lasers.  Each of these variations of the Lasik procedure should be discussed with the physician that is to perform the operation.
Like any surgery, Lasik does have the potential for side effects.

Sometimes reading the horror stories of the outcomes of a Lasik procedure can deter people from seriously considering such a choice.  It is also true that the vast numbers of people who have a successful, trouble-free Lasik surgery tend not to report a long and detailed story of their experience, unlike those that have experienced trouble afterward.

However, it is good to know what the possible side effects of the Lasik procedure are, and also the likelihood that one of these side effects will occur for a particular patient.  Just like any medicine we take, each has a possible number of side effects, but we generally assume that the likelihood of a serious side effect is small, and we take the medicine anyway.  This article will hopefully put concerns of the prospective Lasik patient into perspective so that they can calmly and thoughtfully ponder having a Lasik procedure done in the future.

More than one million Lasik procedures are done in the US every year, according to the FDA.  This arm of the national government has accumulated the following statistics for the most common side effects of the Lasik procedure.  These statistics will also vary by the physician performing the surgery, so make sure to get as much information on the prospective Lasik physician as possible.

After Lasik surgery, 1.7 percent of patients experience some glare or sensitivity to light after the operation.   This varies by patient, but this sensitivity is especially noticeable when looking at a bright light, such as a streetlight when walking at night, or other strong light and dark contrast.  Another light related side effect is a halo around a light, and this occurs in 3.5 percent of Lasik patients.

The new, corrected vision can be noticed quickly by some Lasik patients, in as little as a few hours after surgery.  Most patients that have undergone the Lasik procedure find the change is permanent within a few days.  In 2.6 percent of clients that have had a Lasik procedure done, there is persistent visual fluctuation within at least a part of their sphere of vision.

Finally, some patients do not get a fully corrected sphere of vision after their Lasik procedure.  This happens with a small number of clients, and the FDA statistics are that only 3 percent of patients have this effect.  In all or nearly all cases, the physician in charge will perform an additional Lasik procedure to improve this.

This detailing of the major permanent side effects of the Lasik procedure should put any personal horror stories into perspective.  Notice that none of the percentages are above 3 percent, and this should bring comfort to most prospective Lasik clients.  However, it should also motivate them to look carefully at the Lasik eye surgeons personal record.

Stories From the Lasik Surgery Waiting Room

As an experienced Lasik patient I thought I might give a glimpse into the worst part of the Lasik procedure… the waiting room.   I have had a Lasik procedure twice, the second being a follow up since one of my eyes needed additional work after the healing procedure was complete.  I was distinctly less nervous about the second procedure, and observed and talked to a number of the other Lasik clients that were waiting with me.

One was a young woman in her early twenties who talked incessantly trying to keep her mind off of any of the Lasik brochures and information on the table.  She had been thoroughly oriented to both the Lasik operation and post-op procedures, but had brought along a few stuffed animals to keep her company during the operation.  Most Lasik physicians recommend a minimum age of 18 due to sufficient maturity of the eye, but maybe waiting for some emotional maturity might be another factor.  On the other hand, I wondered what I looked and sounded like waiting for my first Lasik operation.

Talking to a few of the other Lasik clients, I realized I was not the only one in for a second Lasik procedure.  Two others were like me in that they did not get sufficient improvement in their vision to satisfy themselves or the Lasik surgeon.  In all of our cases, our first Lasik procedure of several months earlier went well, and none of us were particularly nervous.

It did surprise me, considering that it was 6:30 AM, of the variety of clothing styles of the Lasik clients.  Most of us, considering the hour and the rather frigid temperature of the Lasik operating room and the waiting room, were dressed in snug and warm sweat suits or other comfortable wear.  One Lasik patient was dressed in formal business attire with full makeup.

This puzzled me for at least two reasons: any makeup, lotions, or other things that could get into the eye are forbidden for at least 24 hours before the surgery, and it is highly recommended to go home and sleep as quickly as possible after the Lasik procedure.  The only thing I could figure out was that she wasn’t actually getting a Lasik procedure, but no one else is there at 6:30 AM.  Her dominating and withering look made me decide that any pre-Lasik conversation with her was better left unsaid.

I was probably the fourth person escorted into a waiting room for a final discussion on Lasik post-op procedures, but I could not tell how long I had been waiting.  I think they avoid clocks for a very good reason.  The lady two seats down from me was calm enough about her Lasik procedure to go back to sleep while waiting, which seemed like an eminently sensible idea.

Each patient is offered a mild sedative before the Lasik procedure starts.  It is mainly for psychological purposes, as my first Lasik experience was not painful at all.  I did take it for my first experience, but my own Lasik history and the others I have heard in the waiting room make me think that I don’t need it.  But I take it anyway, just in case.

I hope that this window into a Lasik waiting room helps give the attitude that for most people it is not a dreaded procedure, and for those of us that have had Lasik eye surgery performed, a rather uneventful one.  

Talk to Your Lasik Surgeon!

For anyone considering a Lasik procedure to correct vision, it is crucial to find a physician that is reputable and caring.  It is also very important that they are experienced and knowledgeable in the Lasik procedure, and that they have a track record of patients that are happy with the treatment they received and the results that they got.

This guide gives a number of basic questions that you should ask when deciding on which Lasik center and which doctor to select for your Lasik procedure.  The comfort you have during the process, and even the results that you receive, may depend on getting good answers to these questions.  It is important to realize that the answers to these questions will vary from physician to physician.

The first question to ask is “How many years have you been performing this type of Lasik surgery?”  There are several variations of the Lasik procedure, and the doctor should have a track record of at least three years in doing Lasik procedures.  This amount of time also allows the doctor to watch his patients and the long term success of their Lasik procedures.

Next, ask the physician for the number of Lasik procedures they have performed in the last two years.  The physician should do the operation frequently enough that he is well versed in current procedures.  Also, he should be successful enough that prospective Lasik patients feel comfortable in coming to the Lasik center.  The physician should perform at least 500 Lasik surgeries in the last two years.

At this point, ask what percent of his clients that underwent Lasik surgery ended up with 20/40 vision or better.  Notice that not all patients will achieve 20/20 vision, and that is acceptable.  However, it is important that 90 percent of the patients get at least a 20/40 correction after the first Lasik procedure.  Claims of much more than 90 percent might make him seem much better, but in this case ask for evidence that that number is true.  There are some exceptional physicians out there, but also a few Lasik doctors that make unfounded claims.  Asking the doctor what percentage of Lasik patients achieve 20/20 should run about 50 percent.  Again, if the number is greatly higher, ask for evidence.

Finally, ask about post-Lasik complications.  The percentage of patients that experience complications after 6 months is complete should be 3 percent or less.  If the physician claims that complications are so rare that he doesn’t keep records, you should be very suspicious and ask for evidence, if any.  No doctor is perfect.  Similarly, when asked the percentage of patients that require an additional operation to achieve clear vision, the number should be less than 10 percent.

To wrap up the interview, ask the physician what types of Lasik procedures he recommends and practices, and under what circumstances he denied a Lasik procedure to a patient.  Not all vision challenged people are good candidates for a Lasik operation, and the doctor should at least have a few examples of people he dissuaded from the operation.

Finally, ask about the cost of the operation and if financing plans are available through the Lasik center.  A physician that is willing to sit down and discuss these questions is often a physician that will address any other medical issues that come up, and is a good prospect to perform your Lasik procedure.

Lasik Surgery – a personal view

I have noticed that more people I work with are talking about, or undergoing, the Lasik vision correction procedure.  I don’t know really know why Lasik has suddenly become more popular in my company, but I do know that there are a number of rumors about Lasik that I am not sure are true.  Let me just talk about my long term experience with Lasik.

It has been more than eight years since I had the Lasik procedure, so I was one of the early and brave pioneers!  Perhaps I wasn’t that brave when considering Lasik, for my vision in each eye was worse than -9.  Even now, Lasik physicians consider that a very strong case and do caution prospective clients that the Lasik process will likely improve their vision, but may not eliminate the total need for glasses.

The Lasik operation itself had mild pressure and some unusual feelings, but no real discomfort or pain.  This is still true in modern Lasik procedures, and hopefully they are even better at keeping the client comfortable.  I do notice that now Lasik physicians also give a mild sedative mainly for psychological reasons, which I think I would have appreciated back then.

Two or three days after the Lasik operation I was astounded to find I had VERY clear vision in each eye, at least 20/20.  Considering my previous prescription, you can imagine how fervently I thanked my Lasik physician.  However, I did also have temporary symptoms of considerable dryness in each eye (which was helped by eye drops), and also halos around lights at night.

A few months after the Lasik procedure I noticed my vision changing a bit, though very slightly.  The best way I can describe it is that the crisp edges no longer looked exceedingly crisp, but each object still seemed to be in focus.  At my one year Lasik correction anniversary my physician said that one eye was still at 20/20, but the other had changed slightly to 20/40.  However, I was still a great statistic for the Lasik correction procedure, and we were both still happy with the results.

In the years between the original Lasik procedure and now, my vision is still 20/20 in one eye and 20/40 in the other.  I do have a pair of glasses and one contact lens for that eye, but rarely bother with them unless I am doing something like watching a movie.  My long track record after the Lasik procedure has given hope to a number of other people in my office.  I do want to say though that I was over 35 when I had the operation, and my Lasik physician said that the stability of my eyes and my age were good indicators that the Lasik results would be long term.

I hope this encourages people with bad vision to talk to a local Lasik physician about scheduling a Lasik procedure.  Find a physician that has a good track record, and one that you trust, and I hope that your long term Lasik results will be as good as mine!