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Post Info TOPIC: My CXL + T-PRK experience in Canada


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Date: Tue May 27 7:11 PM, 2014
My CXL + T-PRK experience in Canada
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-----Somehow double posted, ignore this one--------



-- Edited by jgcpalmer on Tuesday 27th of May 2014 07:18:53 PM

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Date: Tue May 27 7:18 PM, 2014
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Thanks for the advice, Georgiagirl.

Last week I read similar advice, and started taking both Fish Oil pills (Omega 3) and Flaxseed pills (Omega-3 and Omega-6). According to the bottles, I'm getting at least around 4000 mg a day between the two of them. I'll look into the creme packets too; thanks for the link!

By the way, how long did it take for the dryness to clear up? I've been doing these pills for just maybe 4 or 5 days so far, and haven't yet to see any improvements.

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Date: Wed May 28 1:56 AM, 2014
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I hope this isn't a duplicate. It takes awhile for the omega 3 to work. Give it a month or more. The products your taking are fine I'm sure. Dr soecifically said at least 3000mg so your doing fine with that too. The product I got is Coromega. Comes in several flavors. Supposed to absorb faster in cream form. I like because easy to get most of daily requirement in one small packet. Keep doing what you're doing. It should make a difference in a few weeks.

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Date: Wed May 28 7:39 PM, 2014
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A quick update.

I went to the store to order my glasses, and found out that my sunglasses could be done in an hour! So an hour later I had prescription sunglasses, which means I can continue to drive, at least during the day.

In positive news, with the glasses on, I can now see things more sharply than I've been able to in years. So in that regard, the surgery is definitely a success.

On the other hand, I still have quite a bit of ghosting and the glasses of course do next to nothing to help that. Still, I feel quite confident driving with the glasses on, so that is a bit of good news.



-- Edited by jgcpalmer on Wednesday 28th of May 2014 07:39:46 PM

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Date: Tue Jun 17 5:37 PM, 2014
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FIVE MONTHS.

Today is five months since the surgery. Here is where I'm at:

VISUAL ACUITY:
As far as I can tell, my eyesight has not improved much in the last 2 months. Certainly the ghosting is still there. One problem I used to have is that sometimes I had 2 images so strong and clear that they would compete to be the "main image" and it made reading very difficult. This hasn't happened for awhile, but I still have several ghosted images, and one that is clear enough that I can read it, and it can cause issues with reading, etc. when lines of text are close together. I now have both my sunglasses and regular glasses, and beyond the ghosting, my vision is quite good with the glasses on. So, for practical purposes, my vision is better than before the surgery, although the ghosts provide a major distraction that wasn't really there before the surgery. While I still hope things improve, I haven't really seen improvements in so long that I have no expectations that it will happen.

LIGHT SENSITIVITY:
Within a few days of my optometrist appointment a month ago, my light sensitivity took a huge drop. Even though my steroid dose was cut in half, I am doing much, much better. I can go outside for a few minutes without sunglasses on without worrying that I'll have a migraine later that day. I still need to wear sunglasses outside in general, but things in this department are getting continually better. Very good news in this department.

DRYNESS:
It's a bit hard to judge how this has changed. The dryness was very noticeable with contact lenses in, but with the lenses out, it takes awhile for my eyes to get irritable or sore from dryness. They still do, and my eyes are often bothering me noticeably after a full day at work in front of the computer. But I think things are slightly better than before. It's hard to tell, and certainly no dramatic changes. If it's still like this at my next appointment, I'll definitely be asking to get on the Restasis drops.

So that's about it. My frustration at the lack of progress in my visual acuity has more turned into resignation and acceptance, which is oddly enough, a good thing. I don't seem to have the constant ups and downs as I used to (both with my eyes and emotionally). My main hope is that since so many other things have healed/settled slowly (my epithelium, my light sensitivity, my dry eyes), that maybe the corneas settling will also take extra time, and my eyes will still get better as the months go on.

I guess I'm at the point now at least, where I can say I'm glad I got the surgery. Practically speaking, my eyesight is better, even if I'm still not happy with it, and of course the CXL should mean that things don't get worse, which was the most important thing.

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Date: Wed Jun 18 2:13 AM, 2014
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jgcpalmer,

Does the ghosting reduce when contact lenses are used ?

What about when you instill dry eye drops ?

You have done a fantastic job to keep others informed.

I have to say, even those with "normal" corneas sometimes have a second "touch up" laser procedure to fine tune any left over refractive error there still may be. I think Domenic posted on his thread that he did just that.  Has your Dr said anything about the ghosting and if there is more time to go with it, or that they could do an enhancement surgery ?

Success for each person is in if they are happy, not by what eye charts or numbers say.

(or even relatively happy from knowing where they was with their vision and where they could have been negatively)

I think there may be some more waiting to do to know what your best vision maybe, but do ask your vision surgery clinic and your contact lens fitter on what their advice is (and do let us know).

Wayne

 



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Date: Wed Jun 18 4:00 PM, 2014
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Hi Wayne,

I haven't tried wearing any kind of rigid contact lens yet. With the soft contact lenses, they did reduce the ghosting somewhat, but usually only for the first 5 minutes to half an hour in the morning and then my eyes dried out and by the end of the day, the ghosting was worse with the contact lenses than without. If my eye dryness can clear up, then I can consider some sort of rigid contact lens, but so far, even the soft ones I did not find to be very comfortable. Oddly enough, now that I have my regular prescription glasses, I find that they do reduce the ghosting a little bit. Not much, but there is a little less ghosting with my glasses on.

As far as eye drops go, they help keep my eyes comfortable, but I haven't found them improving my vision.

My optometrist said that if the ghosting does not further improve, he'll send me back to the surgeon to discuss. Whether they would suggest doing more surgery, I don't know. I believe they would wait at least 1 year after my surgery before even considering it. Dr. Stein (my surgeon) said that he wouldn't want a topography done until at least a year after the surgery, so perhaps next year it would be a possibility. However, my cornea thickness I believe is down to 405 in my left eye and about 425 in my right eye (according to the person who did my crosslinking), and generally they only want to do PRK if you have more than 450 for thickness, so I might not be a candidate for a touch up. We'll just have to see what they say if I end up getting referred back.

I agree that eye charts and numbers don't show the whole story - I have to remind my optometrist that every visit - he sees my BCVA getting better and thinks things are great, and I have to remind him that I am not just seeing one set of letters on the screen, and if they were closer together I wouldn't be able to read them very well.

I will definitely keep posting here, at least on a monthly basis, and more if there are any significant changes or updates, and I'm certainly always happy to answer any questions you or anyone else has about my experience.

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Date: Wed Jul 16 3:58 PM, 2014
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Thank you so much for your posts, jgcpalmer!

I had the exact same procedure done about three weeks ago at Bochner and was disappointed to have great vision the first week and then poor vision with extreme light sensitivity the third week. I think my healing is slow but hopefully going in the right direction.

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