Laser vision correction - "my detailed story about laser vision correction and why I was not delighted after the operation." What to do if after laser vision correction one eye sees blurry? Double eye after lasik

After laser (excimer) vision correction, patients often face various complications. One of them is diplopia, that is, double vision. Why does it occur and is this phenomenon considered normal for postoperative period? Read the answers to these questions in our article.

In this article

LASIK vision correction is considered today one of the widely advertised and highly effective procedures. It is often recommended for nearsightedness, farsightedness, and astigmatism. Thousands of such surgeries are performed every day around the world.
About the benefits of LASIK or other types laser correction quite a lot is known. Technologies for their implementation are constantly being improved, however, this does not completely eliminate the risk of possible complications.

What are the most common complications after surgery?

According to ophthalmologists, the most common side effects after surgery include:

• decreased vision in the dark, as well as under adverse weather conditions;
• sensation foreign body in the eye, which may persist for several days;

• increased tearing, especially on the first day after the operation;
• the occurrence of the "dry eye" syndrome, due to the drying of the upper layer of the cornea after LASIK;
• eye sensitivity to bright light.

Double vision after surgery. Is it normal?

During the first three days after laser vision correction, the patient may see a blurry or double image. In most cases, this effect disappears within the next few days after the operation, but it can also “accompany” the patient for quite a long time. Doctors say that such a reaction is absolutely normal, but only if the eyes double for a short time. This can be especially pronounced when there is insufficient lighting, for example, while working for table lamp as well as in adverse weather conditions.

Usually, patients complain to their doctors about the appearance of halos around the object they see, or ghosting of the image. Moreover, such defects do not depend on the time of day, that is, they can appear both during the day and in the evening.

What should I do if I see double vision for more than three months?

It also happens that the doubling of the image does not go away after three, five days or a week. It can persist for several months, which causes significant discomfort to the patient. In most cases, in the first days, patients who have undergone laser correction do not attach much importance to this, considering it a normal consequence after LASIK. Physicians themselves are of the same opinion. However, after a certain time, this ceases to be the norm characteristic of the rehabilitation period, and begins to cause unrest in patients. Experiences are even stronger in cases where all other postoperative effects have passed quickly enough, and double vision has remained unchanged. In this case, anxiety is completely justified. In such situations, ophthalmologists recommend performing keratotopography and drawing conclusions based on its results.


It often happens that the reason lies in the peculiarities of the patient's cornea itself. It is believed that the outcome surgical intervention can be assessed no earlier than three months after LASIK. If double vision does not go away even after this period, then most likely the doctor will recommend a second intervention or, as it is also called, pre-correction of vision.

Diagnosis of doubling and its causes

As ophthalmologists explain, double vision after surgery can be explained by the manifestation of the prismatic effect. If, for example, doubling is noted in only one eye, then the reason for this is most likely astigmatism. It provokes a blurry image along one of the axes, while everything remains unchanged on the other. If the examination shows that the problem lies in the imperfection of the surface of the cornea (this is usually seen during examination on a keratotopograph), then we are talking about a coma - one of the most complex spherical disorders, consisting in asymmetrical coloring relative to the central part of the pupil.

If the results of the performed keratotopogram turn out to be negative and do not show any deviations, then the cause of double vision is a violation between the stroma - the transparent layer that forms the basis of the cornea, and the flap - the corneal flap.

Since with my minus it was quite difficult for me to love the world in glasses, and the lenses inflamed my eyes and I had to take a big break (this happens sooner or later for everyone who wears them), I decided - why pull, here it is the very kick and sign, it's time to do what you have long planned. And I started researching the issue.

I chose between Helmholtz, the Research Institute of Eye Diseases, the Fedorov Clinic and the Gazprom Clinic. The best site is at the Gazprom clinic, everything is clearly written there, but the prices there are quite high. I heard a lot of negative reviews about the Fedorova clinic. It was simply impossible to get through to Helmholtz. It turns out that this is a fairly popular query on Google - how to get through to Helmholtz. And on the website of the Research Institute of Eye Diseases there was a promotion that all preoperative examinations are deducted from the cost of the operation. In addition, they immediately answered my request there, set the date for the examination, I googled the doctors, the equipment - everything suited me. And even prices. So I went there.

If you have a slight minus, then you will most likely be offered Lasik surgery. If big, like mine, then Femtolasiq. The differences are in price and in the fact that in the first case, the flap on the eye is formed by a microkeratome, and in the second - by a laser. That is, the flap will be several microns, healing is faster and such an important thickness of the cornea, which is needed for vision correction, is not consumed.

The thickness of the cornea was measured at the first examination. They also did an ultrasound of the eye, measured intraocular pressure, all sorts of radii, minuses, axes, and so on. It takes three hours. Then I donated blood in the same place for HIV, hepatitis and so on. The cost of blood tests, as well as examinations, will be deducted from the cost of the operation when I do it. And so the examinations cost 2500 rubles + 1500 blood. The whole operation cost me 115 thousand.

After all the examinations, a doctor met me, a very pleasant and sweet woman, and answered all my million questions about the operation. She said that with my minus and the thickness of the cornea, it would not be possible to make 100% vision, that the cornea is a weakly recovering organ, so in the end, after all the restoration, I will most likely have -0.75 in one eye and -1 or -1.5 in friend. I will also have circles around lights, headlights and other light sources after the operation in the evening.

Then the surgeon spoke to me. All operations there are done by one person, a strict, laconic professor who seems to hate the whole world. He looked at all my tests and issued a verdict that he was taking me for an operation, but he warned me about the circles and about the residual minus.
The day of the operation was very scary. I talked to other patients who had already undergone surgery before me, they all assured that it did not hurt, but tears poured from their eyes.

I was taken to the preoperative room, they put anesthesia in my eyes. The eyes and half of the face became wooden after a while. All this time you are sitting in a comfortable chair, your face is treated with some kind of pungent vile solution, dressed in a dressing gown, put on a hat. Then they bury it again and take it to the operating room.

An operating room is a room full of instruments. Lie down on the table. The surgeon sits behind your head. You can’t move your arms and head when he is already looking through the microscope into the eye, so it’s better to put your hands under your ass just in case, so as not to twitch instinctively.
Another drip of anesthesia. A luminous circle with luminous bulbs around the perimeter is approaching the eye - something similar was shown in X-files, when a plate with aliens flew to earth. Previously, the face is covered with such a surgical diaper with a hole for one eye, so that you look at this approaching ball with only one eye through a hole in the rag. Scary dude.

This shnyaga falls right on your eyes. All this time, the surgeon is yelling for you to look straight ahead into the center of this fucked up place. I decided that I was acting in films, I was in the series The X-Files and aliens would now abduct me. It was easier to survive than the thought that your eyes would be hurt.

When this shnyaga falls on the eye in the hole in the cloth, it does not hurt. But unpleasant. You feel a lot of pressure on your eye. This round thing sticks to the eye and the laser around the perimeter cuts out a flap in the form of a horseshoe. You feel nothing and see nothing but darkness and flashes of light around - as if you have already been kidnapped and you are in outer space. Absolutely insane sensations, you look there into the center of emptiness and go nuts from the unreality of what is happening. All this takes half a minute, probably.

Then everything is repeated on the second eye. It is important - no matter what happens, look in the center, do not move your eye. You won’t blink, because there such a dilator is inserted, like dentists insert a rubber thing into your mouth so that you can relax and sit with your mouth open.

After these cosmic visions, you get up with the help of a nurse and move to another table. Another laser is waiting for you there. The surgeon inserts the expander again, puts a cloth on the face, folds back the flap that the previous laser has just cut out, and says that now will be the main stage of the operation. The second laser turns on. You see a red and green spot in front of you. It is important to look at the center of the red spot. Even when it disappears, you still look somewhere there.

Again, everything is not painful, but very scary. The laser chirps like a grasshopper, it stinks of fried food. It burns your eye. The main thing here is not to get scared. It seems to me that there are two wet spots left on both tables from my sweaty palms. This whole act of burning lasts about 20 seconds. Then it is repeated on the second eye. But on the second, it’s always not so scary, you already know what will happen and that it ends sooner or later.

After the laser has treated the eye - doctors call it the treatment, but in fact they burn out the surface of the cornea so that the light is refracted differently - the removed flap is returned to its place and smoothed. You can already see how a smoothing spatula is driven over your eye. Then they pour you water, drops, remove the dilator.

You get up and walk back to pre-op. You can see much better, but very blurry. You sit and rejoice for an hour that everything is over.

At first everything is fine, but then the anesthesia begins to recede and tears begin to flow from the eyes. It stings, as if citric acid was poured, everything gets in the way, as if sand was poured, and then, as the anesthesia wears off, it still hurts, as if it was hit in the eye. You can’t touch your eye, so you sit and wipe yourself with handkerchiefs.

Then an hour later, the surgeon looks at you again on the machine, the nurse gives you a set of different drops and instructions on how to drip them, and releases you from the preoperative room. It is very important that someone is waiting for you there, because the light hurts the eyes - and there it is lemon acid, sand and pain - call a taxi, take you to the car by the handle and take you home.

At home, everything from the experienced stress is usually cut down. I passed out too. You can only sleep on your back so that nothing from the pillow gets into your eye and so that the flap does not move. After sleep it becomes easier, you see already quite well, but still without details. By evening it gets even better.

The next day, you go to the hospital again so that they can see how the flap behaves. They look at the device and optuskayut home. I advise everyone who has a rather big minus to take a sick leave for 2 weeks, and also pump up audiobooks, because you can’t read or watch anything for the first three days. And when there is no Internet, laptop and books, then there is absolutely nothing to do.

The first week I suffered and regretted that I had done this operation. Because I did not see very well, clearly, but as if through a plastic film. When you enter the room and the lighting changes, I see worse, it takes time to adapt. I can see normally on the street, but even there everything is a little double. The doctor says that this is due to the dryness of the eye, which is visible on the device, but it is important to continue to drip and everything will pass. By the end of the first week, I no longer believed her, because nothing passed and nothing changed.

A week later, instead of drops, I was prescribed a moisturizing gel. It is not prescribed immediately, because the gel can displace the flap, and after a week, when the flap has grown, it is already possible. Things went better with the gel and other gel drops. I can still see through the polyethylene, but it's thinner. And it doubles less often. Still, with a change in lighting, time is needed to adapt, in the evenings around the lanterns and light sources the promised circles. The doctor says that the dryness was expected, I have it more than others, because I was treated with a large surface. But she does not know anyone who has not had it.

So I drip and suffer and wait.

Good day to all!

Today, almost 2 months after the laser vision correction (LKZ), I want to describe my story, results, my feelings and feelings that I experienced after the operation. I hope for those who are going to make a decision to do or not to do LKZ, my long and detailed review will be useful.

HOW I DECIDED….

To be honest, I didn’t even think about doing laser vision correction. One thought that they would interfere with my eyes, do something there, horrified me. In addition, they were frightened by the unknown consequences that may be after the operation.

One of my close acquaintances made such an operation for herself and strongly recommended that I decide, but for a long time and stubbornly I rejected this idea until ...

... once, somewhere on the Internet, I read an article about LKZ and found out that after 40-45 years it is no longer done, due to age-related changes in the eyes. And then something clicked inside me! I'm already 38! A couple more years and I'll never be able to see well their eyes! And here I had a HUGE desire to make LKZ!

My vision at that time was -4.75 and -4.5 plus astigmatism. With such vision, I constantly wore glasses, but I saw about 80 percent in them, it annoyed me, astigmatism did not allow correcting my vision to the proper level. And special glasses were expensive and they were never recommended to me in optics. I tried to wear lenses, but I was uncomfortable in them, so I preferred glasses.

On the recommendation of my friend, I decided to have the operation in Interregional Laser Center (ILC) in Togliatti. I chose Togliatti because, firstly, it is the nearest city from the village where I live, and secondly, there are reviews of real people I know personally who did vision correction there and were satisfied with the result.

The center has its own official website. where you can find all the information you need.

I carefully studied all the necessary information, read all the reviews about this operation on Airek and other sites, and after hesitating for a while, weighing all the pros and cons - I decided!

To begin with, it was necessary to undergo diagnostics costing 2000 rubles. At that time, there was a campaign in the ILC: if you perform an operation within a month after the diagnosis, then the money for the diagnosis will be returned.

DIAGNOSTICS

It is necessary in order to determine the condition of the eyes, whether it is possible to perform an operation at all, and to choose the method of the operation. The method is determined by the doctor.

They checked my eyes on various devices and devices, measured visual acuity, corneal thickness, retinal condition and a bunch of other indicators.

The doctor said that there were no contraindications to the operation, only in the right eye it was necessary to strengthen the retina. I was scheduled for laser photocoagulation of the retina. Without this procedure, the LKZ operation cannot be done.

After the diagnosis, the doctor prescribed an operation using the MAGEK method.

MAGEK (contact lens-protected superficial keratectomy using mitomycin) is a modification of superficial techniques using a special drug "Mitomycin-C".

MAGEK is an advanced knifeless laser correction technique. MAGEK is technically no different from PRK (photorefractive keratectomy), but there is a significant difference in the drugs used. After exposure to a laser, as a result of which parts of the collagen layer of the cornea evaporate, the cells begin to regenerate, which can manifest itself as a slight regression (deterioration of the initial result) of your vision after the operation. With MAGEK, before applying a protective contact lens to the eye, the perimeter of laser exposure is treated with a special drug Methomycin-C, which stops the regenerating processes of corneal cells, and thereby eliminates visual regression after surgery. Vision remains stable forever.

The main difference between MAGEK. from the LASIK method in that the rehabilitation process after surgery takes longer.

The cost is 40000 rubles. on both eyes.

The diagnosing doctor immediately warned me that vision in the right eye would be restored by 100%, in the left - 90%. Those. I will be able to see the last 10 and 9 rows on the test card, respectively. (By the way, without glasses, I didn’t even see the largest line with letters W and B) Astigmatism was promised to be removed completely. The effect of the operation should last for life.

PREPARATION FOR OPERATION

Before the operation, all patients are given such a memo, which describes in detail what and how to do, what requirements before and restrictions after the operation.

Before surgery:

• the patient must be completely healthy (no runny nose, cough, fever, herpes on the lips). If a catarrhal disease is transferred, 14 days must pass after complete recovery, so that at the time of the operation there are no residual effects.
• do not wear lenses 2 weeks before surgery
• take a shower, wash your hair
• on the day of the operation, do not use deodorant, toilet water,
• do not drink alcohol 48 hours before surgery
• 3 days before the operation, do not use eye makeup
• wear non-woolen clothes (preferably cotton)
• bring your sunglasses

DAY OF OPERATION

Was I scared? Of course yes! I was tormented by “vague doubts” whether it was in vain that I agreed to all this. Vision is no joke.

Pending preparatory activities I was sitting in the corridor and saw a book of reviews on the table. I managed to read it all, there were quite a lot of reviews. After reading it, I felt much calmer: I received so many positive emotions from these reviews! So many happy people described their enthusiasm for the acquired excellent vision, that my last doubts disappeared, and there was more confidence in the correctness of my decision.

There were 6 of us (patients). We were preliminarily examined by a doctor, on the day of the operation everyone should be healthy, without residual signs of illness, so as not to cough or sneeze during the operation.)))

After examination, all were taken to the preoperative ward. They gave out a set of disposable clothes: a bathrobe, shoe covers, a hat. They ordered to turn off the phones, because. they can adversely affect the performance of the laser.

05.11.2009, 22:23

I have myopia. Until some time, it almost didn’t bother me, but about half a year ago, as it seemed to me very sharply, almost in one day, double vision appeared in my right eye. Those. when you look with your right eye, you can see an image, and above it is another one, blurry, as if growing from the first one. At the same time, he began to see better at long distances with this eye, and worse at close range.

I went to the optometrists in the clinic, they didn’t really find anything, they said myopia + astigmatism.
I was in the center for laser correction, conduct a full examination, they also said that myopia + astigmatism. They did not find anything else. They offered to wait 3 months and if there are no changes, to do the operation. The time has come, in principle, I have long wanted to do it, but there are doubts about the correctness of the diagnosis.

I would like to know the opinion of an uninterested party. In addition to what has already been said, I can add that:

1. Sometimes in the morning there is no ghosting, it’s just hard to see close up, but then it gradually appears, while in the near I see a little better if you take the bottom image.
2. Doubling decreases in size if you lie down, relax and rest. Previously, after that, it completely disappeared, but now it is only decreasing.
3. By evening, the double vision intensifies and also intensifies in the dark.
4. If you look at a flat luminous dot, then when you weaken the focus to the maximum in the left eye, the dot turns into a wide blurry circle, and in the right eye into a semicircle, at the top of which is an arc, and from the bottom there is an even line. Sometimes an oval is formed.
5. If you slightly cover the lower eyelid to the top, then the image becomes clear and doubling disappears.
6. When looking at light sources in the distance, a light source is visible, for example, car headlights and an oval elongated upward, which narrows towards the top and turns into a very thin line. It looks like a thin cucumber with a tail, tail up. Moreover, if the light source is close, the oval is small, when it moves away, the oval grows in size.

Was the diagnosis correct or could there be other versions of the diagnosis?

Thank you in advance

05.11.2009, 22:52

06.11.2009, 17:23

Hello, it is obligatory to measure the thickness of the cornea, it is better to additionally keratotopography.
Please rewrite the eye examination data. Sincerely.

Keratotopographic study was done.

I will scan the data on Monday and provide it. There are a lot of things, I don’t know how to write here, it’s better to have a picture right away.

06.11.2009, 17:29

I forgot to say. Before this happened, he took various dietary supplements, including vitamin E, B, fish oil. Vision after taking it has greatly improved, it has become clearer and brighter. But this went on for probably 1-2 months, after which the described thing happened to the right eye.
I do not know if one and the other are connected, but I pointed it out just in case.

06.11.2009, 19:25

06.11.2009, 20:35

Give the data of the examination by an ophthalmologist (visual acuity with and without correction, autorefractometry data).
Question: does double vision disappear with complete correction of myopia and astigmatism?

I do not understand these terms, I will lay out everything in full after I scan it. As I understand it, the data of the examination by an ophthalmologist (an optometric study is written on the card):

Vis OD 0.4 sph + 0.75 D cyl - 1.5 D ax 80 (degrees like) 1.0
Vis OS 0.6 sph - 1.0 D cyl - 1.0 D ax 100 (degrees like) 1.0

When they put lenses into my glasses to check my vision, as far as I remember, just a little bit of double vision remained. But maybe the lens was not chosen correctly.

I noticed one feature: if you press a little on the eyelid so that it presses on the eye from the very edge of the eye near the nose, at the bottom of the eye, then the eye sees perfectly, clearly and without double vision, if double vision increases on the back side.

06.11.2009, 20:58

06.11.2009, 23:46

It is better to retake all the inspection data, and, having covered up the last name, post photos of the available conclusions.
... while the point is yes, but when looking through a small hole in a sheet of paper, doubling decreases? Otherwise, are you healthy?

I'll do that, but when I get to the scanner.

Yes, when I look through a small hole in a sheet of paper, it disappears altogether. But! Depending on which part to look. If you look at the bottom or middle part of the hole disappears. If you look through 2/3, it appears again at the top, and if at the very top it disappears.

10.11.2009, 21:34

Here is one of the results of the research.

At the expense of "Otherwise, are you healthy?" I do not know what to say. I went to the neurologist and he said everything was normal. Nobody else had. Although the neurologist watched just a couple of minutes.

In general, I came here to make a list of possible problems in order to gradually figure out the real problem and solve it.

10.11.2009, 23:30

11.11.2009, 18:19

Hello, considering the condition and your complaints, I strongly advise against doing any refractive surgery...
Manifestations must be controlled, re-examination after 3-6 months (I understand that the examination is paid, but it is better to repeat keratotopography - my opinion).

Given the signs of irregular astigmatism in the right eye, it is necessary to clarify in the future whether there is a possibility of initial keratoconus or transparent marginal degeneration (pellucid marginal degeneration)

Questions - what was the visual acuity five years ago? Are there other diseases, allergies, ethnicity (Asian, Middle Eastern roots ... Tatar-Mongols, please do not take into account ...), complaints from the gastrointestinal tract, eating habits?
Sincerely. P.S. I really hope that I was mistaken and first impressions are wrong. There is data on the thickness of the cornea (pachymetry), maybe separately - it is not visible in the picture, Where is it written? Usually these are numbers from 450-500 to 600 micrometers. Best wishes.

I'm going to repeat the survey, it's not about money. That's why I came here to give good advice.

Vision decreased at the age of 14 and fluctuated within 0.4-0.6 in the right eye, 0.6-0.7 in the left eye. There was some astigmatism. Those. 5 years ago, it was about the same as above. Now I am 30.

Other diseases: gastritis and everything. The truth is often a headache. According to the study on the computer, they said that there is hypertonicity of the vessels with right side and I feel it, but recently I began to associate it with the fact that because of such vision, the brain is strained and it is on the right side.
Roots - most likely there is something oriental, often even confused with the oriental type.
There are no special preferences in food. But! Before using dietary supplements, my eyesight was just a little bad, after the first course of dietary supplements everything was ok, but after a month or two after the second it decreased.

There is pachymetry, but I could not post it because there is a file size limit.

OD/R 580
554 540 566
551

1:
2:
3:
4:
5: 551
6:
7:
8:
9:
10:
Av: 551
SD: 0

OD/R 563
554 546 566
554

1: 559
2:
3:
4:
5:
6:
7:
8:
9:
10:
Av: 559
SD: 0

This data is for April. I'm planning to go back for another examination soon.

If not surgery, then how to solve the problem with vision? When I put on glasses, everything floated under my feet, there was a feeling of a drunken state. So I think the glasses are not the solution to the problem.

I also read that it could be a sign of glaucoma. They took my eye pressure and said it was normal. I understand that this is pneumometry:

R-19
L-18

11.11.2009, 18:23

In general, there is a feeling that double vision is a consequence of the fact that either the eye or the brain is trying to tune in so that it can be seen better. Those. double vision is a compensation for poor vision. Those. no other way was found other than this. Never wore glasses or lenses.
In the right eye in the morning, when there is almost no doubling, almost nothing is visible near, everything is blurry, that is, it seems like farsightedness (they told me about farsightedness during the examination, but I did not understand what it meant).
When double vision appears, I see no worse than with my left eye.

11.11.2009, 19:22

11.11.2009, 19:44

It seems that the cause of double vision is in the refractive media of the right eye, and specifically in the cornea. Therefore, please listen to the words of opto_dive - do not touch it, the cornea, now, be examined in dynamics / with new symptoms. To rule out a primary disease of the cornea now, it seems to me, is more important than to deal with doubling itself.

What examinations would you recommend? Once again, do the same examinations as were, or some other?

11.11.2009, 21:07

11.11.2009, 21:57

12.11.2009, 18:00

Maybe it makes sense to get a "second opinion" during an internal examination by an ophthalmologist who deals with diseases of the cornea, at the place of residence ...? Ophthalmologists who know local realities will tell you better.

I also visited an ophthalmologist in the clinic from the enterprise. They didn't find anything. Have written out drops and all. After you drip them, it was necessary to massage the eye.
After that, sometimes I massage my eye without drops, and the most interesting thing is that double vision disappears! At the same time, it disappears only if there is a sensation of "humidity" around the eye. Naveno, the innervation is increasing ...

12.11.2009, 18:02

Tell me, over the past five to ten years, have you been dripping drops that dilate the pupil?
What city do you live in, I agree with #15 - you need to see a doctor who deals with corneal surgery and ask if there is a need to test the condition with cycloplegia and examination of the macula? It is also necessary to control intraocular pressure with "weights" or at the discretion of the doctor.

You can contact the center / clinic - where rigid gas-permeable lenses are selected, but the need to wear them, apparently, will only improve visual acuity in the present ...

So, it seems to me that you need to be examined where hard lenses are selected and / or cross-linking is performed (look on the Internet, or write where you live).
P.S. be sure to keep the originals of studies, give only copies to doctors. I wish you health.

I didn’t drip anything at all, only after contacting an ophthalmologist on the basis of doubling, some kind of double vision was prescribed, I dripped for 2 weeks and stopped, because there was no effect.

Himself from Minsk.

12.11.2009, 18:10

Tell me, over the past five to ten years, have you been dripping drops that dilate the pupil?
What city do you live in, I agree with #15 - you need to see a doctor who deals with corneal surgery and ask if there is a need to test the condition with cycloplegia and examination of the macula? It is also necessary to control intraocular pressure with "weights" or at the discretion of the doctor.

You can contact the center / clinic - where rigid gas-permeable lenses are selected, but the need to wear them, apparently, will only improve visual acuity in the present ...

So, it seems to me that you need to be examined where hard lenses are selected and / or cross-linking is performed (look on the Internet, or write where you live).
P.S. be sure to keep the originals of studies, give only copies to doctors. I wish you health.

I understand that you tend to keratoconus?

Could my situation be related to the muscles of the eyes?

AT the expense of cross-linking, the choice is not rich - they seem to do it only in the clinic where the study has already taken place.

12.11.2009, 23:42

Best wishes.

13.11.2009, 18:55

With muscles - hardly. It is not worth thinking about cross-linking hastily, firstly, you need confirmation of progression, and secondly, the development of medicine does not stand still (now there are already reports of the same procedure "without removing the epithelium").

It is important to know which drops. Remember next time. Mandatory control of IOP (pneumotonometry within 19-20 may be a threshold value, you need to dynamically check). What is your age?

You can also try contact lenses(mandatory or high-quality gas-permeable, or soft silicone hydrogel astigmatic).

Additionally, I can advise you to diversify your diet with products containing vitamin B2, see [Only registered and activated users can see links] (there is true English) or review this for yourself, consult a doctor for m / zhit.
Best wishes.

I remembered about the drops - Moxipin. Age -30 years. I took a lot of vitamin B2 because there were dietary supplements with a complex of vitamins B, including B2. Just after this course, doubling happened.

You said "need confirmation of progression" - progression of what?

13.11.2009, 19:45

13.11.2009, 20:27

Dietary supplements are not medicines, the exact composition is not known (even if written), good nutrition is necessary.
Most likely you have a pathology of the cornea, a single examination is not enough, observation is necessary - then the diagnosis will be more understandable.
Cross-linking is a method of stabilizing keratoconus, which has shown effectiveness in its progression. The main word in this phrase is "with progression."
Any recommendations made here are only an addition, the likelihood that this is correct must be agreed with the doctor for m / zhit (examinations). Sincerely.
I'm going back for another examination next week. Before him, I wanted to have additional information due to the fact that at the last examination in double vision they did not find anything terrible, they simply said that astigmatism and this is corrected through laser correction.

By the way, I didn’t pay attention before, but now I started: very small doubling, or vagueness, I don’t know how to call it correctly (1-10 if you look at the letters from a distance in the vertical plane and 1/5 horizontally, there is also on the left eye) . But the truth is on the right eye only vertically, and if you move the muscles near the right eye, then the second picture also moves, up / down.
Maybe it's really just astigmatism and the doctor who made the final conclusion can be trusted?

15.11.2009, 13:34

If a person comes for advice, he must say everything that he considers necessary (useful) for making a diagnosis ... Just like a doctor, he asks what is important in his opinion ...
Here at RMS you saw such an expression "tests do not cure" (p.) - therefore, without even seeing how the pachymetry points are placed, without having examination data .. these are only assumptions. One of them is that this condition is not a pathology in you, it has not been noticed for a long time (astigmatism), the second is initial keratoconus, transparent degeneration is less likely, or some kind of specific corneal dystrophy ... Then you need to ask about family history, etc. .

But why? You have sufficiently qualified doctors for m / zhit, there is appropriate equipment. Only it is not necessary to head into the pool, if intervention is offered - it must be justified. Sincerely.

I’m not going into the pool, because it may happen that it will be even more difficult to correct everything later. Therefore, I collect different information and views.
I think the examination for which I am going next week will clarify a lot.

Thank you for your help.

21.11.2009, 16:45

Maybe someone is interested and useful. In general, he was on re-examination. The data is completely identical to those that were on the first one. Those. no dynamics.
Diagnosis: mixed astigmatism in the right eye, ie. farsightedness + myopia and it's all in one eye! (It turns out that this also happens) As a result - doubling.
According to the doctor, this is congenital, it was not noticeable before because of a younger organism and a more elastic lens, which could compensate for all this. Now the lens has become not so elastic and, as a result, it is no longer possible to compensate for it.
At the same time, the right eye pulled the left eye along and spoiled it ... he was the leader and he had to pull everything out for 2 eyes.
The only thing that is alarming is that if you look at a luminous dot, then with your left eye it is a dot, and with your right eye it is a dot and a triangle above it ... when you relax your left eye, the dot expands to a circle, and the right eye - to a semicircle. Such a feeling arises that somewhere something is strongly pinched and because of this the circle does not work out.

Hello. I want to have Lasik surgery. Doctors all told pre-examination passed. I want to know how accurate and safe the operation is and whether it is better to go to Fedorov's clinic in Krasnodar or Moscow. My diopter is 8.5. Moreover, one eye is slightly darker than the other (meaning the visibility of color), to which the doctors of the local clinic did not say anything and will only correct the diopter. Are there more modern technologies to correct myopia, or lasik completely good operation? Take heard that the protective layer of the eye, which during the operation will be lifted with a blade like a door, may not overgrow later or there will be scars, nodules visible to me as a visual defect. Thanks in advance, looking forward to your reply. I have been living with poor eyesight all my life and this operation is something from the realm of fantasy for me. I would like to do everything correctly, so that later I would no longer lie down on the operating table.

"Various errors in valve formation;

Violations of valve fixation;

Ingrown epithelium under the valve;

Intrastromal keratitis and their consequences;

Distant keratectasia (corneal protrusion or keratoconus);

Reduced contrast sensitivity, optical aberrations due to the limited size of the exposure area;

According to international data, the level of postoperative complications after the LASIK procedure is small, but noticeable - 1-5%. Basically, the problems relate to errors in the formation of a superficial flap using a microkeratome (perforations, violation of the integrity of the zinn ligaments, uneven thickness of the flap, etc.), postoperative edema, inflammation and corneal opacity. Attention is drawn to a significant number of repeated interventions (8-13%) required to correct astigmatism, hypoeffect or regression of refractive results. In many respects, the reasons for the formation of postoperative opacities, which remain one of the main causes of a decrease in corrected visual acuity and a partial loss of contrast sensitivity, have not been clarified. Laser-induced damage to the retina and corneal ectasia in the late postoperative period are described.

In 2001, Russian refractive surgeons analyzed 12,500 LASIK procedures and noted deviations from the normal course and side effects in 18.6% of cases. The most severe complications are associated with the main feature of this technology - the foldable corneal flap. One of the severe consequences of unsuccessful LASIK is when the image begins to double (noted in 0.67% of cases). The total number of reoperations after LASIK in Russia is 12.8%.

Let me present to your attention a comparative graph of visual acuity recovery after PRK and LASIK, borrowed from the monograph by I. Pallicaris "LASIK". The graph clearly illustrates that in the first months after surgery, visual acuity in patients who underwent LASIK is higher than in those who underwent PRK. By six months after surgery, these indicators are compared, and then patients with PRK begin to lead, which may be due to the development of long-term complications after LASIK and lower visual acuity.

home » Roof types » Laser vision correction - "my detailed story about laser vision correction and why I was not delighted after the operation." What to do if after laser vision correction one eye sees blurry? Double eye after lasik