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Post Info TOPIC: One eye or both eyes?


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Date: Tue May 26 4:10 AM, 2015
One eye or both eyes?
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Hi all,

Been reading the forum for a while since I was told I would need to get CXL. I was wondering if you guys suggest doing one eye or both eyes at a time.

 

When I was in high-school I started to wear glasses. I wore them very infrequently because I only ever really had trouble seeing the projector if I sat far back. Fast forward to university, I would have some trouble seeing the projector if I sat far back. But not to the point I could not see at all. It was just a bit out of focus.

Fast forward now, I am 23 and there are only a few times I ever have any trouble with my vision. I work at a bank so I get really close to the screen sometimes to differentiate a 5 from a 6 and an 8. In addition, sometimes when I am editing papers (I am also a TA) online when I sit far back from the screen I can still read the words properly without trouble but they just look a bit off. I cannot quite describe it, as I currently write this I am sitting back and I am having no trouble but I guess you could say there is the slightest of double vision. The final time I have trouble is at night driving when I go somewhere on the highway that I am unfamiliar with or when it has just rained. When I go somewhere unfamiliar I do not know how the road turns so I am a bit cautious. Moreover, when it has just rained the lights and the glare become a bit much. None of this has deterred me from driving, I just take my time when I am far from home/when it has just rained.

At my appointment at Bochner eye institute, the rep told me that I don't really notice so much trouble in my vision because where my condition lies is below my field of vision. However, at night, when your field of vision expands that is where I get some problems. As it stands, I have a corneal thickness of 530 in my left eye and 508 in my right eye. If I close my left eye I could barely function on a day to day basis. However, if I close my right eye I could function perfectly (or near perfect) with just my left eye. My operation is next Tuesday and I am still undecided as to whether I want to do one eye or both at the same time.

My expectations for the surgery are as follows; I only want to return to the vision I have now. I am perfectly fine with being able to wear glasses for the rest of my life as long as I can stop the progression of this and get back to the vision I have now.

The positives I can see from doing both eyes are that I do not have to do the procedure twice and I can stop the progression ASAP; since my thickness is relatively decent and the condition lies outside my field of vision, I (hope) the recovery would be fairly quick. The negative that I see with doing both eyes is that the recovery time would be longer, I would have to take more time off of work (I have been approved for 13 days with pay), I would take a longer period of time to return to daily activities (driving etc..)

The positives I can see from doing one eye at a time are that if I do my weak eye first I still have one solid eye to function with and that I would be able to gauge the recovery so I would be able to know and plan how much time ahead I would need for the second eye. The negatives I see are that I would have to perform the procedure again, there is a chance that my good eye could rapidly get worse, and I am continuing my Masters degree in September, so I do not want to interfere with my studies.

As if stands I am leaning towards one eye at a time but I am still uncertain, any insight would be greatly appreciated!

 



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Date: Tue May 26 2:22 PM, 2015
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I would go with doing the worst eye first. With Epi off crosslinking, the healing can take a while.



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Date: Tue May 26 5:11 PM, 2015
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kinglfc6,

As someone who just had CXL performed last month, I would definitely recommend one eye at a time (I'm assuming your doctor suggested Epi-Off technique?). If you are getting Epi-Off, expect to be out of commission 3-5 days at least. Healing time is different for everyone and the amount of discomfort also varies. You will be sleeping a lot the first few days and having your good eye still in tact will be crucial for your ability to function and return to work more quickly. Having both eyes done at once might sound more convenient but I think you will wish you had only done your worst eye. The other thing is that you will need to take a lot of eyes drops for the weeks following your procedure (steroid, antibiotic, lubrication drops..) So having both eyes done would only make this more of a hassle. This is just my opinion so other people might have different thoughts. Hope this helps. 



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Date: Wed May 27 12:00 AM, 2015
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aaronarchy wrote:

kinglfc6,

As someone who just had CXL performed last month, I would definitely recommend one eye at a time (I'm assuming your doctor suggested Epi-Off technique?). If you are getting Epi-Off, expect to be out of commission 3-5 days at least. Healing time is different for everyone and the amount of discomfort also varies. You will be sleeping a lot the first few days and having your good eye still in tact will be crucial for your ability to function and return to work more quickly. Having both eyes done at once might sound more convenient but I think you will wish you had only done your worst eye. The other thing is that you will need to take a lot of eyes drops for the weeks following your procedure (steroid, antibiotic, lubrication drops..) So having both eyes done would only make this more of a hassle. This is just my opinion so other people might have different thoughts. Hope this helps. 


Thank you for the reply aaronarchy!

Yes, my doctor did suggest epi-off but he also said on examination day they could explore the possibility of epi-on. When you say out of commission were you essentially in bed most of the time? I am pretty active and I was hoping to go to the gym and go out every now and then. I am also assuming, however, this would probably depend on how I feel.

Your take on the positives of doing one eye at a time is very encouraging for my (current) decision; I am leaning towards one eye. Like you said, going back to work and what in a timely manner is essentially what I am looking to do.

I have a few questions for you; 1. If you could do the procedure again, would you do one eye at a time? 2. How would you describe your vision right now? 3. Did you have epi-off as well?

Wishing you a speedy recovery and once again, thank you for the help! 



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Date: Wed May 27 12:01 AM, 2015
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Bobby wrote:

I would go with doing the worst eye first. With Epi off crosslinking, the healing can take a while.


Thank you for the reply Bobby! 



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Date: Mon Jun 15 1:52 AM, 2015
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aaronarchy wrote:

kinglfc6,

As someone who just had CXL performed last month, I would definitely recommend one eye at a time (I'm assuming your doctor suggested Epi-Off technique?). If you are getting Epi-Off, expect to be out of commission 3-5 days at least. Healing time is different for everyone and the amount of discomfort also varies. You will be sleeping a lot the first few days and having your good eye still in tact will be crucial for your ability to function and return to work more quickly. Having both eyes done at once might sound more convenient but I think you will wish you had only done your worst eye. The other thing is that you will need to take a lot of eyes drops for the weeks following your procedure (steroid, antibiotic, lubrication drops..) So having both eyes done would only make this more of a hassle. This is just my opinion so other people might have different thoughts. Hope this helps. 


 Hello King,

I just had epi-off cxl done 3 days ago. Jw, but how long was your eye tearing up for? also, I'm taking  NSAID eye drops every 4 hours, but my MD recommended not to take unless needed as he said it prolongs the healing process...were you given similar information? Since your further into your recovery just wandering how things are going now? 

 

OP: I was also told 1 eye at a time, start with worst eye first for the exact reasons king has pointed out. You will be very limited if you do both at same time. I am 26, and physically active as well, hoping that i can get back into my routine around 7-10 days post op, as long as everything is healed then activity and sports are not limited. Everyone's body heals differently but as long as you follow your MD strict instructions, you'll be fine. Good luck! 



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