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TOPIC: Airline Pilot's PRK and Crosslinking Experience


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Date: Fri Apr 23 4:26 AM, 2010
Airline Pilot's PRK and Crosslinking Experience
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Thanks much for you vote of confidence Lars... How long did it take for your haze to disappear and also for your corneas to stabilize?


I paid my optometrist a visit today, not only for an abbreviated check up, but also to see if it could be possible to fitted with soft Toric contact lenses.
During his examination, it was quite obvious that the visual acuity had changed. I'm glad to report that I was seeing better than I had just two weeks prior. I was now able to attain 20/20 with my left eye and 20/25 with my right† (BSCVA). Now, I have to admit that my vision wasn't absolutely clear in any way shape or form. Ghosting was as evident as ever. I literally had to stare for a few seconds so as to allow my vision to be settled. I was told that this was indicative of having dry corneas. I was further reminded that it can be possible for this condition to be permanent. In addition, Haze was still evident.† I'm not sure if it's a bad sign to have haze at this stage in the healing process.

My left eye that once had a cylinder of just about -6.0 Diopters pre surgery, was now showing 0. THe SPHERICAL value was showing just around -0.25 D or there abouts. The astigmatism in that eye has been completely removed. Unfortunately, my right eye appears to be very stubborn. There has been substantial spectacle improvements in comparisons to pre op but again, I could only attain 20/25. My Cylinder went from -8.0 to -2.5 D.. That feat is still quite impressive. I'm suspecting that if I'm to gather further improvement on that eye, I will have to undertake an enhancement in a few months from now. Normally, nothing is allowed before four months post op.

In end, everything appears to be going well. No complaints at all. Tomorrow, I'll be going to get my Torics so hopefully they'll do the job.

-- Edited by DEFPOTEC on Friday 23rd of April 2010 03:32:21 AM

-- Edited by DEFPOTEC on Friday 23rd of April 2010 06:28:28 PM

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Date: Fri Apr 23 7:21 PM, 2010
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Happy to report that I'm able to achieve 20/20 BCVA with a regular (non toric) contact lens in my left Eye while the Right was fitted with a toric lens. Keep in mind however, that this 20/20 is not the clearest of all 20/20s. My vision involves ghosting and as a result of this, a 'concentrated' steer along with a few blinks is a must. Hopefully this will all change for the better in the near future.


So as to give you a grasp of the changes in my BSCVA thus far,




04/23/10 (30 Days Post Op Topo G PRK)

OD (R) 1.50 X -2.50 X 140 20/25 -
OS (L) 1.25 X Sphere 20/20 -


VS


02/03/10 ( Two months post CXL)

OD -8.00+0.50 x100 20/30
OS -6.00 +0.75 x105 20/25


VS


10/05/09 (Pre CXL or Pre Topo G PRK)

OD -7.75 +1.25 X 80 20/40
OS -5-.75 +1.50 X 100 20/30+2






-- Edited by DEFPOTEC on Friday 23rd of April 2010 06:27:52 PM

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zk


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Date: Sat Apr 24 4:31 AM, 2010
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Wow great news defpotec
Btw I have a delay in the corneal haze it is still there even after 8 months causing haloes and starbursts ...very annoying

What do you need the enhancement for?


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Date: Sat Apr 24 11:28 PM, 2010
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Hey Zk,
I think it would be a bit premature to think that I'll be needing a enhancement for my RIGHT eye. Due to the fact that there was so much that required changing (Astigmatism) with little room (Corneal space) in which to do it. The vision in that eye, though much better, still lags distantly behind that of the LEFT eye. However so, I still have to remind myself that it has only been just about 32 days since my Operation.

Very sorry to hear about your haze. For 8 months, I can just imagine as to how frustrating that must be. Questions:

Is it permanent or can it be remedied and what has your Doctor said about it?

Are you still on any for of Steroidal or any other Medication ?

What are your eyes' prescriptions? Also BCVA/UCVA


Hope I haven't asked too much. Thanks very much for your comments. I think that if there's one good things amid all others, it is that we get to have answers to the questions that are sometimes deflected by our Doctors.....
I'll be heading to my specialist, Dr. Trattler (Ophthalmologist) tomorrow, for my 5 week check up so hopefully he can give me more definitively on whether or not the Haze has progressed...

anyhow we shall see.....

-- Edited by DEFPOTEC on Sunday 25th of April 2010 07:18:26 PM

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Date: Sun Apr 25 2:33 PM, 2010
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Great news DEFPOTEC, that's really impressive, congrats!
I wouldn't worry about the haze, I think it should be temporary, in my case I was ok after 6 months. I hope your dry eyes are also temporary, I was not that lucky here but I do accept this price I have to pay for all other benefits.
Every good luck with the healing process!


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Date: Tue Apr 27 2:18 AM, 2010
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Lars, my friend, thanks very much for the best wishes and also for the informative explanation of your experience.



Day 33 RECOVERY

Paid my Ophthalmologist a visit today for my 5 week (Approx) Check up.† All seems to be going well except for the fact that my eyes are dry. On the grand scale of a 0-10 measure, with 10 being the worse, Dr. Trattler puts my level at a 4. To be quite honest, he looked a bit more concerned than just a level of 4. Non the less, he opted to take a more aggressive step in treating this problem by plugging another duct in each eye.

He also prescribed RESTASIS. He had done this initially but due to the fact of its expense, he opted to have me use Lacrilube, Celluvisc, and pretty most other Preservative free eye drops as he felt that using RESTASIS would provide only a marginal, if any at all, effect.


Usage Instructions:† 2 times a day.

Restasis can take up to 3 months in which to work and believe it or not, it has been proven to only be effective on 50% of all patients. The good thing about it is that for the people that it helps, its effectiveness is tremendous.

As for my haze, he puts it at a grade 2. He avows that it should go away in the ensuing months.


Vision:

UCVA

20/40 OS
20/50 OD


BSVCA

Not sure of the acuity but it was not as Clear as when I had visited my Optometrist a week Prior. Needless to say that the technician was using the measurements/prescription from the previous 3 week check up.

Everything else appears normal inclusive of my Ocular Pressure.


Well, heading back home to Jamaica tomorrow.† Next check up will be in One Month.
Here are some Topo for your perusal. Post OP


-- Edited by DEFPOTEC on Tuesday 27th of April 2010 02:25:16 AM

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zk


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Date: Tue Apr 27 3:41 AM, 2010
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Hey DEFPOTEC
The doctor was not worried about it, he says all is going well. Ill be seeing him next week for my 6 month follow up for both eyes.
Some people with a delay in haze have used to steroids to resolve it, others had their epithelium scraped off again and the doctor applies a very diluted solution of mitomycine c(not sure if I got thename right) . This apparently prevents haze from forming. As for me the doctor has not suggested any options yet.

Concerning my vision, please note before I had kc, I had been myopic with Ė 6 but could get 20/20 with glasses or normal soft contacts like any normal person.

Now , with glasses my vision is 20/40 and 20/50
With rgps it is around 20/25
Without anything due to myopia and kc I think it is in the range 20/100 -20/200

Sorry I donít have the prescriptions with me now Ill be going soon for a new prescription because cross linking has changed my corneas a bit, but this gives you a slight idea of how my vision is due to myopia and kc now
And I hadnít been on any drops since a long time. I sometimes put a drop of lubricant every now and then.


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Date: Thu May 13 11:36 PM, 2010
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Hi everyone,

sorry for being so silent for the past couple of weeks. I ve been trying to play catch up with my day to day affairs after being a bit incapacitated for the past few weeks.

I have not as yet visited my Ophthalmologist (trattler) in Miami since my last entry. I have an appointment with him the week after next so hopefully there will be evidence of a mark improvement.†
In leu of that visit, I've however arranged to meet with another Ophthalmologist in Jamaica so as to check on the developments of my Haze and stage of Corneal Dryness.†

Along with the standard use of †steroidal and anti pressure eye drops, I've been using the lubricants during all stages of the day also the Lacrilube gel for night time during the periods while i sleep.
As the task appears to be arduous and as a result, frustrating, I have to bear in mind that in following through with this regimen, it will vastly improve my chances of having the most beneficial result of the TOPO G PRK and X Linking treatment.



Day 49 Recovery

VISION:

My vision has gotten a lot better since my last entry. I'm not exactly sure as to the exactness of my improved acuity, but based on using the eye chart on my iphone, I'm probably around 20/50 OD and 20/25 OS (UCVA). Again, I m not really sure if the eye test on my phone is that accurate but I'll have something a bit more definitively by early next week.
Ghosting and Halos are still prevalent-especially at night but the quality of vision during the day is quite good. †The more light there is, the better the vision - †as expected !

As for the general condition of both eyes, there's no evidence of any burning or scratchiness as before... I guess the only exception would be when I instill my steroidal and restasis eye drop..There is burning for a short time after instillation but other than that, my eyes feel and look a lot healthier.

Anyhow, I ll keep you abreast of the result from my next check up....


Lars, thanks for the helpful response. I ve been learning a lot as a result of my correspondences with you and other KCers. Keep the chat going! There s much more for all of us to learn!


-- Edited by DEFPOTEC on Thursday 13th of May 2010 11:03:40 PM

-- Edited by DEFPOTEC on Thursday 13th of May 2010 11:04:16 PM

-- Edited by DEFPOTEC on Friday 14th of May 2010 06:19:54 AM

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