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Post Info TOPIC: My TPRK - CXL experiance at Bochner


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Date: Tue Mar 11 4:14 PM, 2014
RE: My TPRK - CXL experiance at Bochner
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I read about the prolonged ghosting one line as well so I was prepared for it. The question that wasnt really answered is how much ghosting is expected.

Some people have lots of ghosting, but they are all close to the main image. Mine are pretty spread out, (they were pre op as well so its hard to explain).

One thing for sure is that there is definitely changes going on day to day right now. Yesterday when looking at lights the ghosting was in a sphere shape, with the main image being at the lower left of the sphere and the ghosts to the right.

Today, the main image is still at the lower left, however the ghosts form a triangle shape. One up one to the right.

If i look at a black background with a white dot, the sphere shape IS still there, however it is far less noticeable (IE i dont see it with tail lights during the day anymore).



If the ghosting was gone today, i would venture a guess that my eye could see relatively well uncorrected. I say that loosely because it would be no where near perfect, but i suspect significantly better than the preop of 20/200
I have my 3 week check up on Thursday, so will be interesting to see what the results are. Hopefully they do more than an uncorrected test this time. I know that test for a prescription is almost pointless, but it would give some peace of mind knowing what the BCVA is. (would also be nice to see updated pentacam results.)



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Date: Tue Mar 11 5:22 PM, 2014
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At two weeks, my optometrist put me in contact lenses, and I am still wearing contact lenses now (although the prescription has changed). The lenses help both with the prescription needed and they help a lot with the ghosting. I didn't wear lenses before the surgery, but glasses would be too expensive to get, when I'd have to get another pair in a few months when my eyes finish settling.

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Date: Tue Mar 11 6:18 PM, 2014
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My Optometrist refused to do co-management with Bochner, so I have to drive back and forth to TO for every appointment. Its a bit annoying, but did not have much of a choice.
I guess I am a bit of an odd case since I really don't need any correction to function properly since the right eye is still fine. So I doubt I will buy any glasses / contacts unless they significantly help the ghosting (which would make night driving better).

Would just be nice to know roughly how much BCVA is now compared to pre op, and of course how the healing is going.





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Date: Tue Mar 11 7:36 PM, 2014
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Wow, that's frustrating. I'm surprised your optometrist refused - Bochner gives the optometrist $1000 to do it, which is probably more than what they'd get if they just did regular visits. My optometrist seemed pretty happy to do lots of visits with me - it's a condition and procedure that's still rare and new enough to make it that much more interesting.

My BCVA in one of my 2 eyes is now up to 20/20, as of 6 weeks. This is up from 20/40 before the surgery. My other eye isn't anywhere close to that though. Progress seems to really vary.

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Date: Fri Apr 25 9:10 PM, 2014
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I had my 2 month follow up last week, and it seems my vision has improved slightly with correction.

 

I was able to read most of the 20/40 line, but not all.  So My BCVA is somewhere around 20/40-20/50.  Prior to the surgery it was 20/70-20/80.

 

The optometrist at Bochner gave me a prescription (after I asked for it) which was P1 -1.75 x 090

I dont have my exact perscription from before surgery since I really wasnt wearing glasses or contacts, but I am pretty sure it was somewhere around X -4.00 *180.  (i know it was a 4.0 or 4.75), but really dont remember much else.  Regardless, it looks like the eye needs far less correction now which i suppose is good.  Too bad I wasnt able to get to 20/20.  Hoping that in the next few months the vision sharpens.  I still feel like the biggest obstacle in reading was the ghosting, not so much the letter clarity.

They set my next follow up for 2 months from now (4 month follow up), and said they wouldnt do any scans until 6 months.  I had assumed they might do a quick scan sooner to see how the surgery went, but so far it doesnt seem like they care too much for follow up care.  If i had not read up on the process and healing, i would be a bit lost as they really have not talked much about the recovery.

 

When i asked the optometrist at bochner if i should try contacts, she shrugged and said "if you want" but really didnt think i should since the prescription was still going to change.  

 

 

I still consider getting my right eye done, but I just cant see why risk it today.  Currently it is still at 20/20 (but I do have slight starbursts / ghosting).  I still feel like if was to get the right eye done, i would need to see the vision start to degrade, or the ghosting get worse.  But with me being 30, KC should be slowing down (stopping) and its possible the eye may never get worse (hasnt changed in 10 years).  Would be nice to have perfect vision, but I cant see risking it just yet.


Hoping that someday they have enough data to allow for full laser correction on my left eye, but i guess we will wait and see.



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Date: Fri Apr 25 11:21 PM, 2014
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"I was able to read most of the 20/40 line, but not all.  So My BCVA is somewhere around 20/40-20/50.  Prior to the surgery it was 20/70-20/80."

Am I right in thinking 20/40 was with no glasses worn ?

And was 20/40-20/50 with contact lenses ?

Getting the two eye nearer in vision where there is not much difference between the two eyes would be good to reach. As using only one eye may cause depth perception problems, concentration trouble, eye strain and headaches. I don't think you are experiencing them ? and if you was, is that getting better ?

Keep your good eye as it is, unless there is evidence of progression.

Megan



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Date: Mon Apr 28 1:30 PM, 2014
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Those numbers were with correction sitting in the docs chair.  I have not tried contacts yet, (they might give me even better than 20/40 but since the prescription is going to change it may not be worth it)

Without correction my left eye is somewhere around 20/150 (give or take).  It was similar before surgery.  Uncorrected, the only difference i see now vs before is ghosting is slightly worse.

 

Luckily I really have not experienced headaches etc.  I would assume this is because I have lived with this for the past 10 years and just got used to it.  Depth perception can be a problem for certain things (seeing a golf ball in the sky is rather tough) but other than that I really don't have any problems.

 



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Anonymous

Date: Wed May 7 6:14 PM, 2014
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After your surgery at Bochner, did you wish you had chosen LASIK md? I'm having a hard time choosing, for me it's the post-op care that I look at rather than price/experience. 



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