Lasik ? The Eyes Have It

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tobagotwo

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Feb 10, 2004
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Location
Central NJ
I've been wearing glasses for forty two years, since I was ten years old. I've had astigmatism for forty of those years. I've always had a "corrective lenses required" stipulation on my drivers license.

I had run out of progressive corrections, and was going to need trifocals for my next glasses. With progressives in the middle pane. I just couldn?t handle that thought. I never did well with the progressives or bifocals. I didn't feel I could function with trifocals. I have always been squeamish about my eyes, but this was too much for me. I felt it would be like operating a periscope.

I spent some time studying possible Lasik surgeons and procedures, and wound up with the fellow my ophthalmologist recommended. He does all his own surgery ? no stand-ins. He is the guy that the other Lasik surgeons send their patients to when there?s a problem. A bit more expensive, but I wanted someone really good.

The contract is for a year. There?s the pre-test, the procedure, and the two-week follow-up. Then there?s a three-month follow-up, when a redo is possible if the results need to be honed for satisfaction. Then anything that relates to the surgery, including a redo, until a year is over.

One day after Lasik surgery, with my vision estimated to be only 80% recovered so far, I had 20/30 vision, with almost no astigmatism. I could watch TV, drive a car, recognize people from a distance, and even identify the birds feeding at my seed-strewn steps.

And my eyes weren't even itching or irritated. I had to sleep with the goggles again fro two more nights. A relief, actually; I had pictured a big, plastic cone over my head.

I had two types of drops, four times a day for a few more weeks. And artificial tears to take hourly and as needed. I had twice-daily Doxycycline that I'd been taking for a week, needed to continue for another week, and then go to one capsule a day for two more weeks. In essence, no recovery tasks of real consequence.

The procedure involves pretesting to ensure you're a good candidate, which takes about three hours (and $300).

If you have dry eyes like I do, you have to start Doxycycline for a week before the Lasik. It's used to change the oil content of your tears, not for its antibiotic effect. There are no other preparations or restrictions the night before you go in, other than not wearing contact lenses for two days prior.

When I went in, I signed a very grim document that outlines many of the things that can go wrong. They take me inside and the doctor and I go over my case and expectations again briefly, and I ask last questions. Then, a technician gives me drops to dilate my pupils and deaden sensation. And a cafeteria-lady type hairnet. And a Xanax tablet. I have to lie back with my eyes closed for about 40 minutes. Then they photograph my eyes one more time. At that time (after gauging my readiness), they give me another Xanax tablet. I still feel the flight-or-fight response, but some part of me realizes that it would involve getting up and moving of my own volition, which is really too much effort.

After more drops and waiting with eyes closed, I am led to a different room, where I lie on a table, still in street clothes, with a pillow under my knees for comfort. Unlike what I had imagined, my head is neither strapped to the table nor cranked into a vice. There is a semihollow that loosely cradles my noggin for the procedure. I?m asked to look directly into a blinking red light, and apparently that attention keeps my head sufficiently rigid. Metal lid holders are put in place. They do it quickly, and I don?t really notice (I can?t feel them). The only reason I know they?re there is because I saw it in the illustrations.

After a minute or so, the surgeon comes over to place some kind of shielding over each eye. I feel some pressure, but it?s quick, and it?s not enough to be concerning, Xanax aside. They?re probably doing something with the corneal flap, but I can?t tell, and I can?t feel it.

Then I see bright, light green lines forming sort of a grid over in front of my eyes. It?s not the laser I see, because it?s infrared. What I?m seeing are gasses illuminating from the process. It?s a great light show. I smell a little smoke. How interesting: it?s me. Without enough time to really react, it?s over. Then he comes back, takes all the stuff off of my eyes, and leads me away. Maybe ten, fifteen minutes tops, mostly setup. No pain. I?m told to keep my eyes closed.

Of course, I take a quick peek. Murky green, like looking through a dirty aquarium. A few minutes later, another quick, fearful peek, and everything looks normal this time. Whew!

They don?t really want you to open your eyes for about two hours, but they only keep you for 45 minutes or so longer. They give you sunglasses for the glare. The sunglasses fit over the modified ski goggles you?re supposed to wear until the next morning, and again for the next two nights.

I keep my eyes shut for the whole ride home (OK, I peeked a little now and again). Once home, I go upstairs to try to keep my eyes closed some more.

At night, there is a Valium waiting for me. But my eyes aren?t that irritated, and I?m not very afraid I will rub them. I take the 30mg diazepam (generic Valium), and it completely wakes me up. Story of my life.

The next night, I get a call from work at 3:00 am. I spend a frantic ten minutes searching for my glasses on the nightstand. I glance to see what time it is and suddenly realize: I am reading the clock from across the room. I can?t do that. Yes, I can. I don?t have glasses anymore.

There is some minor irritation on and off during the day, like dryness or eyestrain, but nothing that calls for Motrin or tempts me to unthinkingly rub. The drops do well keeping the eyes wet.

The sharpness of focus comes and goes in each eye independently. I?m told it will be this way for a few more weeks. In the morning, my left eye was perfect, my right somewhat blurred. The right sharpened up a few times during the day, then blurred again. Then they were both on, full tilt. Then my right eye vision was incredibly crisp, and I suddenly noticed the left seemed a little blurred. The brain doesn?t seem to care. It favors whichever lamp is brightest at the moment.

Even with that, I feel that I can see at least as well as I did with my glasses. Two days after the Lasik, I had driven at night. I felt fully confident in my vision, and had no haloes or star effects from the lights. Less effects than my glasses had given.

I?m a week out, and there?s no discomfort of any kind. I go back on February 4th, for a thorough reexamination. Then we?ll see how things went from the pros.

Lasik is not for everyone, and I wouldn?t have done it if I didn?t feel I was at the end of my rope. I have also heard some not-so-great stories from some other people at work who knew people who had had it done, as well as some good stories from others.

Not everyone gets perfect results. I don?t really know what my final results will be yet - there is some indication I may still have a very slight astigmatism, but it may also go away. Not everyone has a smooth recovery, as I have had so far. And my eyes may still change over the years, requiring a "tune-up" or "adjustment" (a.k.a. "redo') years from now. This isn't an adertisement for Lasik surgery.

I note that there is at least one site on the web by and for people who did not have good results. Fortunately, no one mentions my Lasik surgeon there. But no one is 100%.

Anyway, I thought I?d try to share what it?s been like so far.

Best wishes,
 
Do you know if you can have this done if you are on warfiin. I have been thinking about it for some time. I have had glasses for 48 yrs I am ready for them to go. It would be great to wake up and be able to see :eek: I am glad everthing went well for you.
 
I don't know if warfarin would affect it, but there's no bleeding, and as far as I can tell, not even any opportunity for bleeding anywhere in the process. There are no blood vessels at all where they're working.

Unless, of course, you bump your head as you are being led away...

Best wishes,
 
Lasik surgery.

Lasik surgery.

Hi Bob,

Been reading the Lasik story with much interest. I too have been wearing glasses for many, many years because of an bad Astigmatism. I would love to get rid of my glasses plus I think I look better without them. :cool: :cool: :cool:
I need to go to the eye doctor again but hate to go because I know he will increase the strength of my lenses once again, and so my eyes get weaker and weaker.
At times when I know I don't have to do any reading I will not wear them, but feel naked without them. It is so weird. I've become totally dependent upon my glasses.
I am very interested in having the Lasik surgery done, but need to do the research of course and find out how much it would cost per eye. I know insurance would not cover this.
Did you have to pay out of pocket?
 
I don't know about the Coumadin issue, but I have heard that if you form keloid (sp?) scar tissue that you are not a candidate for Lasik.
 
I had Lasik 7 years ago. IMy glasses had a 7.5 correction -- basically that means that the big E on the chart could not be seen without glasses. What a phenomenal experience to lie down and a few minutes later sit up and see my husband across the room without my glasses. On the drive home, I kept saying "Look at that", "I can see that" etc etc. Amazing! That is an experience I will never forget.
 
I had the old fashioned RK 12 years ago where they actually cut your eye with a small scalpel. At that time, insurance covered the procedure, so I think I paid a total of $100. Everything has gone wonderfully well since then and I still have 20/20, or maybe even better.
 
My son had Lasik...12 years ago...Still doing great. I remember it took several valiums before he felt good enough to go back :p Big guy.. :p I remeber him saying several days later. Look at the leaves on the trees. :D I have an appointment with a real eye doctor tomorrow. I have had problems this winter with dry eyes, watery eyes, ect... When they get too watery, I cannot read the signs along the road. Even, tho, I can drive well. I made the mistake of having my last eyecheck after my surgery. I think that my eyes were still not up to par.. :eek: and the lens have just not been what I really need... I know the cost of my son's Lasik was $2,000.00 12 years ago. I think it runs now to be $5,000.00 locally. Yikes..Bonnie
 
Most insurances don't cover Lasik, and the costs range between $1,500 an eye to $2,750 an eye. However, my eyeglasses were running upwards of $500/year, and about to go up ($trifocals with progressive center panel$).

We put the money in a pre-tax medical fund, so the money doesn't wind up being taxed. That basically means the value of the money is discounted about 28% (+- a bit), as that's money that would have just gone into taxes.

If you do go for it, be careful about assembly-line Lasik parlors, where you don't even really know who is operating the machines (in some places, not even doctors). My fee covers me for a year, for any disappointments from the surgery, and that includes "redos," if needed.

The place should do a really thorough preexamination, to determine whether you're a good candidate. The place I went to does a preliminary look for free, to see if you have the right basic requirements. Then they do a 3-4-hour, intensive exam that they charge $400 for, whether you come back (must be within 45 days) for the surgery or not. Better to pay up front like that - you don't want them to urge you to go ahead, just so they can recoup their exam costs. As pointed out in some posts, not everyone has a good chance of having the results they would want.

As far as looking better without glasses, well...that ship has sailed. But, so far, I can certainly see better without glasses.

Best wishes,
 
Lasik Surgeons around Louisville

Lasik Surgeons around Louisville

Sherrin,
I had Lasik 16 months ago and just love it. It is a little pricey, but well worth it. It took me at least 6 months to stop reaching for my glasses in the morning, but I think I'm finally past that. I have to wear reading glasses now, but I can live with that trade off.
I had my done at John Kenyon by Norton Surburban, but I know they have an office over by you in Indiana.
 
I,too, had Lasik about 4 years ago. I LOVE IT!!! It's so great to see distances without glasses or contacts. Everyone said it well, watch out where you go and who does the surgery.....I think mine was about $3,000, but I financed it for a year interest free as long as it was paid off within that year....Ask your Dr's about that.

I had to sleep in goggles for about a week because I do sleep with dogs and our dr. didn't want to take any chances of scratching.

One thing I will mention is that Lasik surgery lowers the pressure in your eyes, and if you're Glaucoma suspect, one of the symptoms is a high pressure, so it's always good to keep up to date with the visual field tests, etc. yearly if you are "older."

Enjoy those new eyes......THEY'RE GREAT!!!

Evelyn
 
Doctor

Doctor

Bob H,

Do you mind me asking who performed the procedure? I see you are in NJ. I am in NYC and have heard good things about about Dr. Speaker at the TLC center on 57th (right upstairs from where I have my INR checked, actually). Just wondering if that's where you went...
 
I had PRK

I had PRK

Hey y'all. I had PRK laser surgery 6 weeks ago. My opthamologist would not do LASIK because of the INR issue, and the fact that LASIK applies a suction procedure to the eye. The eye has a lot of microscopic vessels that could rupture easier with a person having a high INR. PRK uses the same laser, but the Dr scrapes off the protective coating of the cornea (epithelia) and reshapes the outer layers of the Cornea. LASIK surgery envolves cutting a flap in the outer layers of the Cornea and resaping the inner layers. The flaps goes back into place (the cornea has tiny little suction cup type cells), and the cornea heels with out having to mess with the epithelia. I had a -8 diopter in 1 eye and a -5 in the other, all caused by astigmatism. I was basically blind without my glasses, however I could squint and still see the alarm clock, and I could shave without glasses, but my face was 6" from the mirror. I am now 20/30, HOWEVER, I now need reading glasses and I did not before. In order to shave I have to wear reading glasses, which is a drag. For those you you considering LASIK/PRK surgery do your homework. True I can drive now without glasses etc, but I also lost something that I had before. FYI only. I am no doctor. But I am smarter than a lot of them. :)
 
Actually, I had it done by Dr. Peter Hersh, in Teaneck ( http://www.drhersh.com/ ), just over The Bridge from you. It was over an hour's drive, but worth it to me, as I felt my eyes were in the best hands that I knew how to find.

I'm sure there are many excellent laser surgeons in the NY/NJ area. It's good to get a feel for the place first, though, and see if it suits your idea of proper procedure, cleanliness, and attitude. And like OHS, practice makes perfect, so you're looking for someone who does his own surgeries and has done a lot of them.

There is also a "flapless" LASEK procedure. It's new, and intended for people who have thin corneas or might have difficulty with a flap.

Best wishes,
 
sister and her husband had theirs done about 3 yrs ago. They got choices. She had one eye done for distance, the other for close up, she has no trouble with her driver's license test. He got both eyes for distance, wears glasses for close work. She had lots of burning and pain with hers for a couple days; he had no pain at all. Their cost was about $1500 per eye - it was done in Dallas. Both of them seem to be very happy with theirs. Neither is on coumadin.
 
Because I had to know...

I floated the question with the doctors at the Institute regarding Coumadin AntiCoagulation Therapy (warfarin) and LASIK surgery.

I was told that ACT is not a factor in determining advisability of LASIK surgery, and does not create vascular or bleeding concerns in the eye if they are are not already there. If a patient has vascular issues in his eyes, they will be detected by the equipment used in the lengthy preliminary examination. However, those vascular conditions would be independent of warfarin use, would not be caused by warfarin use, and would disqualify the patient from LASIK whether warfarin was being used or not. As Jeff pointed out, that does not mean that other procedures are not still available.

LASIK is bloodless. The only suction used is to lift the flap, and that is very minor, and applied to the flap, not the eye. On rare occasions, someone can burst a tiny vessel in their eye to the same extent and in the same way as someone can do from sneezing. Regardless, it would be perhaps colorful, but not a damaging situation.

Perhaps Jeff had a vascular issue that the ophthalmologist saw in his pre-exam, or the ophthalmologist was simply reluctant to work invasively on warfarin patients, a very common phobia among doctors and dentists of all specialties. However, the response from the Institute was that it is not a consideration or a problem. As they also do Custom Wavefront, LADARVision, HydroLASEK, PRK, CK, Intacs, and PTK as well as LASIK, it's not from lack of choices.

Regarding credentials, I point to http://www.drhersh.com/director/hersh.html
Dr. Hersh did my LASIK surgery.

Best wishes,
 
interesting reading, thanks

interesting reading, thanks

Thanks, Bob, for sharing your experience. Interesting to read about everyone's experience. I've toyed with the idea, (the Big E is blurry for me, too) but now that I'm needing to reach for reading glasses on top of my contacts, I don't see how the lasiks would benefit. Does the surgery take care of age related farsightedness?

Also, I'm actually more fearful of having someone tamper with my eyes, than I am of eventually having heart surgery! As if I could manage without my heart!! Kinda silly, just can't imagine sight gone wrong. Yeesh.

And, since the grey (ha! as in Poupon, Bob, the spelling connection is working!!) floaties seem to be increasing which means my "posterior vitreous detachment" is something which may digress, I guess I haven't figured I was a good candidate. It is encouraging to hear of everyone's success, however.

Thanks for the info. It is intriguing.

:) Marguerite
 
LASIK surgery doesn't correct presbyopia, which is the encroaching inability to see close up that starts showing in our forties, caused by a gradual loss of flexibilty in the lens of the eye. It can correct nearsightedness and astigmatism. In fact, before they did the LASIK, they warned me that I might now need reading glasses for things which I hadn't needed them before. So far, I still don't need reading glasses for any normal pursuits.

They do have other surgeries for close vision, but I don't know how or if the surgeries "mix" at all.

For all:

Just to keep these posts in perspective, I'm not trying to advocate people having LASIK surgery by this thread, or boost my LASIK surgeon. I have only written this account to share my experience with other folks here. There is a fair preponderence of people in my age group and older, and I feel it is something of a common theme in which many might share some interest.


Best wishes,
 
congrats bob

congrats bob

I am an optometrist for a busy medical practice and i follow up LASIK patients on a daily basis. What was your starting Eyeglass Rx.
Sounds like you are doing well!!!
I see great results and happy people every day!!
Congrats on taking the plunge!!
Let me know if you have any questions.

PS dont forget to update your picture,,, sans specs.
 
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