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Going in for round 2- Opinions please!

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Xarias

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Dec 19, 2000, 9:41:20 PM12/19/00
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I had the Lasik procedure in April.
Went great. I was out at a friend's the same night.
The next day I tested at 20/15 and 20/20.

As months went on, the sharpness decreased and I found myself where I am
now.
The Ophthalmologist wanted to schedule me for a touch-up about 3 months ago,
(as I'm now 20/30+20/40), but the Surgeon didn't want to do it saying he was
afraid that since I was "Only a half Diopitor" off, he was afraid he could
make me slightly far sighted.

Well, I went in today, and basically said, "Look, I don't feel like I can
see well enough to drive. And DEFINITELY not at night!" The Ophthalmologist
had me see the Surgeon and I will be having the touch up done on just the
right eye Friday.

Has anyone had any similar experiences, and if so, how did it wind up?
I'm hoping I'm doing the right thing.
I'm not happy with my level of correction as of right now.

Thanks all.


Dick Claiborne

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Dec 22, 2000, 12:45:41 AM12/22/00
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"Xarias" <Xar...@nospam-excite.com> wrote in message
news:k%U%5.189646$RP.34...@news1.rdc1.md.home.com...
Everyone's different, but a half-diopter residual correction shouldn't
reduce you to 20/40. Overcorrection is something that no one wants and
every surgeon wants to avoid at all cost. Statistically most 15-20% of
folks need touch up. If you're not happy with your vision, and you trust
your surgeon, then enhancement is probably your best bet. However, it's not
your only choice. You could choose to wear a weak pair of glasses to drive
at night or for the movies. When you're in your 40's you might wish you
were slightly under-corrected, but you'll have to take my word for that.

It's your choice what do do. Get the facts so you can make an educated
decision. Don't let anyone tell you what to do with YOUR eyes.


Brandy  Alexandre®

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Dec 22, 2000, 2:01:49 AM12/22/00
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"Dick Claiborne" <refr...@home.com> wrote in
<9UB06.22005$A06.8...@news1.frmt1.sfba.home.com>:

>Everyone's different, but a half-diopter residual correction
>shouldn't reduce you to 20/40.

That's true. I had a half dioptre residual myopia in my left eye with
striae and read the Snellen at 20/25 uncorrected. But the Snellen is
pretty arbitrary. You can't necessarily pick out a refraction based on
what you can read on the Snellen. AND people are getting too hung up
on this 20/20, 20/15 business. How is your VISION? Can you see?
Isn't that what it's all about?

>Overcorrection is something that no
>one wants and every surgeon wants to avoid at all cost.
>Statistically most 15-20% of folks need touch up.

Whose stastistics? My surgeon had only a 5% overall enhancement rate,
and a 2% for people with my level of myopia. I've certainly seen
percentages for people achieving 20/14 over percentages of people
achieving 20/20 in that ballpark, but that doesn't mean those people
require an enhancement or got one.


>If you're not
>happy with your vision, and you trust your surgeon, then enhancement
>is probably your best bet. However, it's not your only choice. You
>could choose to wear a weak pair of glasses to drive at night or for
>the movies. When you're in your 40's you might wish you were
>slightly under-corrected, but you'll have to take my word for that.
>
>It's your choice what do do. Get the facts so you can make an
>educated decision. Don't let anyone tell you what to do with YOUR
>eyes.

If the surgeon doesn't want to do an enhancement he should probably
listen to him. There is a point where the risk to the existing acuity
is at risk if it's disturbed. Could easily come out worse or over
corrected when trying such fine tuning as .50 dioptre. PRK is always
an option. It goes to the point that LASIK is to decrease dependence
on glasses and contacts, not get rid of them altogether. It's just
that the majority of people get rid of them altogether and expectations
are set too high. Any doctor promising anything should be avoided.
But that's sort of closing the barn door after the cows get out in this
case.


--
Brandy  Alexandre®
http://kamikaze.org

My Christmas List is up!
http://kamikaze.org/xmas.html

Richard Wood

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Dec 25, 2000, 5:40:03 PM12/25/00
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> "Xarias" <Xar...@nospam-excite.com> wrote:
> > I had the Lasik procedure in April.
> > Went great. I was out at a friend's the same night.
> > The next day I tested at 20/15 and 20/20.
> >
> > As months went on, the sharpness decreased and I found myself where I am
> > now.
> > The Ophthalmologist wanted to schedule me for a touch-up about 3 months
> ago,
> > (as I'm now 20/30+20/40), but the Surgeon didn't want to do it saying he
> was
> > afraid that since I was "Only a half Diopitor" off, he was afraid he could
> > make me slightly far sighted.

I'm +1.25 diopters in both eyes now, one is 20/20 (easily), other is 20/30 due
to a bit of regressed astigmatism.

I very much doubt that + or - 0.5 would cause your vision to reduce that much
unless your eyes are basically completely unable to focus.

Get a second and third opinion from someone different.


--
Richard Wood

Xarias

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Dec 29, 2000, 12:57:22 PM12/29/00
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Well, I went to www.surgicaleyes.com and let them scare the crap out of me.
I cancelled the enhancement and now I don't know what to do!

My vision REALLY sucks! It's nowhere near what it was, but I can't see the
TV clearly without sitting 4 feet away, and people not too far away have
blurry faces.
Once it starts to get dark, I'm pretty nearsighted.
I can't help but wonder if I should have had the enhancement.

I don't know what my next step is, other than getting a pair of glasses.

"Richard Wood" <ne...@sqweek.net> wrote in message
news:977791647.6503.0...@news.demon.co.uk...

so_t...@my-deja.com

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Dec 29, 2000, 1:44:59 PM12/29/00
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In article <6g436.218177$RP.41...@news1.rdc1.md.home.com>,

"Xarias" <Xar...@nospamyoulosers.excite.com> wrote:
> Well, I went to www.surgicaleyes.com and let them scare the crap out
of me.
> I cancelled the enhancement and now I don't know what to do!

There was someone who posted on SurgicalEyes who was not happy with his
vision because he regressed after LASIK, then had an enhancement and was
very happy with the results. SE, contrary to popular belief, is not all
horror stories. But it is true, there is a risk, and there are people
who regret having an enhancement (or having LASIK in the first place.)


> I can't help but wonder if I should have had the enhancement.

Whether or not you have an enhancement, your doctor should find a way to
help you improve your vision, since it is unsatisfactory to you. Maybe
not YOUR doctor, a doctor. As others have pointed out, get another
opinion. When you have a better idea of what your alternatives are,
you'll have a better idea whether an enhancement is worth the risk to
you.

> I don't know what my next step is, other than getting a pair of
glasses.

That is the risk-free way to go. As Brandy pointed out, the hype of
LASIK obscures that the idea is to REDUCE dependence on glasses or
contacts, not necessarily eliminate them. So having to wear glasses
truly is not a failure.


Sent via Deja.com
http://www.deja.com/

Brandy  Alexandre®

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Dec 29, 2000, 3:34:34 PM12/29/00
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so_t...@my-deja.com wrote in <92im3a$opv$1...@nnrp1.deja.com>:

>There was someone who posted on SurgicalEyes who was not happy with
>his vision because he regressed after LASIK, then had an enhancement
>and was very happy with the results. SE, contrary to popular
>belief, is not all horror stories. But it is true, there is a risk,
>and there are people who regret having an enhancement (or having
>LASIK in the first place.)

It's unfortunate that so many people believe that needing an
enhancement means LASIK was a failure. For many people, the need for
an enhancement is built into the entire LASIK approach. The first
surgery is done with an enhancement in mind. This is most often done
with high myopes. Needing an enhancement is not a complication.

>> I can't help but wonder if I should have had the enhancement.
>
>Whether or not you have an enhancement, your doctor should find a
>way to help you improve your vision, since it is unsatisfactory to
>you. Maybe not YOUR doctor, a doctor. As others have pointed out,
>get another opinion. When you have a better idea of what your
>alternatives are, you'll have a better idea whether an enhancement
>is worth the risk to you.

I must have missed the original article. If the vision is 20/40 or
below an enhancement might be a good option. If the person was not
left with a lot of faith in their doctor the first time around, they
might not want to. As for Surgical Eyes, you have to remember that it
is a gathering place for people who have had problems. It skews the
perception of LASIK problems as being more common than they are. You
look at a watering hole in African that is filled with wildebeasts. Is
that all the wildebeasts in Africa or just how many there were in the
vicinity that were thristy?

Enhancements aren't without their risks, though. You start over with
all the original possible complications and the risk for cell ingrowth
increases for some unknown reason. Probably because your eye is going,
"Hey! C'mon! I just fixed that! I'll show you... Lots of tape. Lots
and lots of tape..."

>>I don't know what my next step is, other than getting a pair of
>>glasses.
>
>That is the risk-free way to go. As Brandy pointed out, the hype of
>LASIK obscures that the idea is to REDUCE dependence on glasses or
>contacts, not necessarily eliminate them. So having to wear glasses
>truly is not a failure.

That's absolutely right. But your surgeon should work with you until
you are satisfied. If the includes an enhancement, you trust him, and
he recommends it, take that to another doctor for a second opinion. If
he agrees, go for it.

--
Brandy  Alexandre®
http://kamikaze.org

"...practically no one in the world is entirely bad or
entirely good... motives are often more important than
actions." -- Eleanore Roosevelt

Xarias

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Dec 29, 2000, 11:40:29 PM12/29/00
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Well, I went and got a pair of glasses tonight.
I don't know how I will be dealing with my newfound vision.

My night vision is PERFECT!
It's incredible!
My vision has been soooo blurry.
I also had my vision checked elsewhere and they say the surgery was done
well.
The Dr. said if I hadn't told her, she might not have seen the flap.
Told me not to wear the glasses all the time as I will become dependant.
I can see why.
I CAN SEE!!

Anyway-uncorrected I'm 20/30 and 20/40

I really don't see well at all.
Like I said before, they are afraid if they enhance me, they may
overcorrect.

So here I am- $3000.00 in the hole, and seeing perfectly...with glasses.
Maybe I can wear contacts again, yippee......

"Brandy Alexandre®" <bra...@kamikaze.org> wrote in message
news:Xns90197D781br...@207.217.77.22...

Mike

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Dec 30, 2000, 1:55:58 AM12/30/00
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Xarias,

I can understand why you want your vision to be better. 23/30 and 20/40
is really not all that good of vision. I don't understand the part
about not wearing the glasses all the time if that is what you like.
Your eyes will really not become dependent on them unless they otherwise
are able to focus. It is your brain that is already dependent on seeing
well.

The good part is that the glasses correct your vision. That means that
an enhancement has a chance of improving your vision should you
ultimately choose that route.

Xarias

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Dec 30, 2000, 4:23:56 PM12/30/00
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Yeah-but the surgeon seems to be leaning against that, so it seems I may as
well try and get a pair of contacts.
Sigh.
"Mike" <mjme...@home.com> wrote in message
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