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Has anyone done advanced surface treatment over Lasik for eye surgery?

Posted on 11/3/16 at 10:13 am
Posted by cbtullis
Atlanta
Member since Apr 2004
6928 posts
Posted on 11/3/16 at 10:13 am
Recently went to inquire about lasik and I was told I was a better candidate for advanced surface treatment. Cost is the same. But it looks like they remove the flap over the cornea completely.
The healing process seems to take longer than Lasik
Has anyone had any experience with this?
Posted by Huey Lewis
BR
Member since Oct 2013
5166 posts
Posted on 11/3/16 at 10:18 am to
I'm not a doctor, nor am I an optometrist, but here's my take:

There's the best way(s) to perform corrective surgery which ALWAYS involves some amount of removal of the epithelial layer and a reshaping of the cornea (PRK, ASA, LASEK) then there's the quicker, lazier way (LASIK).

LASIK has advantages - mainly in terms of quickness, convenience, faster recovery and so on. But to really do it right from a physical/biological standpoint you have to reshape the cornea and not just make a permanent contact lense. That's just a band-aid fix.
Posted by The Cow Goes Moo Moo
Bucktown
Member since Nov 2012
4392 posts
Posted on 11/3/16 at 10:19 am to
The third, fourth and fifth days after treatment were completely miserable. Eyes hurt like hell and had to sit in dark room because they were so sensitive to light.

Procedure itself was extremely fast and was able to start seeing improvement in my sight instantly.
Posted by ElJefe686
Houston
Member since Nov 2012
892 posts
Posted on 11/3/16 at 10:23 am to
I've had PRK this year. They only do one eye at a time. Surgery isn't bad and it's quick.

The third day can be miserable. Constant eye watering, burning, and puffiness. I looked like Sloth it was so swollen. You have to sleep with an eye guard on for a week to make sure you don't scratch it.

Takes about two months for the eye to fully heal and get to where the vision is completely corrected. A week afterwards my vision was 20/25 and I'd been wearing contacts for twenty years before that.

I recommend it, but your close vision won't ever be as good as it was before if you're nearsighted. That's the one thing they didn't tell me.
Posted by The Cow Goes Moo Moo
Bucktown
Member since Nov 2012
4392 posts
Posted on 11/3/16 at 10:26 am to
quote:

They only do one eye at a time


I had both eyes done at the same time

This was approx 7 years ago
Posted by d1 bound
baton rouge, louisiana
Member since Sep 2015
134 posts
Posted on 11/3/16 at 10:31 am to
My dad has a couple times and it didnt work
Posted by Styxion
St. George, LA
Member since Sep 2012
1738 posts
Posted on 11/3/16 at 10:32 am to
I had PRK done on one eye about 12 years ago and Lasik done on the other at the same time. The PRK recovery was probably one of the worst weekends of my life, but by the next week I was on vacation and didn't even notice anything more than an occasional sting in the eye. That eye still has perfect vision. The Lasik eye has degraded enough that I need to wear glasses again.
Posted by TigerTroll11
Asheville
Member since Sep 2012
459 posts
Posted on 11/3/16 at 10:35 am to
I had LASEK... Pretty sure the epithelial layer just degrades away and your are prolonging a PRK in essence, but yeah it was so painful for the first week. Couldn't really see enough to drive for 3 weeks. My prescription was -7 and -7.25..... would do again in a heart beat.
Posted by ElJefe686
Houston
Member since Nov 2012
892 posts
Posted on 11/3/16 at 11:31 am to
quote:

I had both eyes done at the same time This was approx 7 years ago


My doctor said he'd only do one eye at a time. And to be honest, I wouldn't want them both done at the same time with PRK.

Unless you mean LASIK. They do both eyes with that at the same time, typically, because recovery is faster.
Posted by lsutigersFTW
Lafayette
Member since Jun 2008
8042 posts
Posted on 11/3/16 at 12:01 pm to
If you were talking about PRK, I had it. The recovery is incredibly painful. I can't really overstate how painful the recovery is. I mean I'm not trying to scare you, but you'll be in some severe pain for probably 2.5 to 3 days. I had it on a Wednesday morning, and by Saturday night I was finally able to keep my eyes open at length.

After the fact, it's definitely worth it though. I had mine done 11.5 years ago, and I still see just as good to this day
This post was edited on 11/3/16 at 12:05 pm
Posted by cbtullis
Atlanta
Member since Apr 2004
6928 posts
Posted on 11/3/16 at 12:28 pm to
That is definitely one of the things I am wondering. I have it schedule for a Wednesday afternoon and I am suppose to be back at work Friday morning. I am thinking I may need to reschedule this when I can take a few more days off.
The other thing I am worried about is the fact I am nearsighted. I can see fine with things up close. If I put on my glasses its just clearer. I would compare it to standard definition vs 4k on a tv.
I can see, but its a lot clearer with my glasses on. I have trouble seeing further distances.
So if it's going mess up my nearsighted vision then I may second guess this. I spend a lot of time in front of computer and paperwork.
I am a finance manager at a Toyota dealersip
Posted by Styxion
St. George, LA
Member since Sep 2012
1738 posts
Posted on 11/3/16 at 12:33 pm to
quote:

hat is definitely one of the things I am wondering. I have it schedule for a Wednesday afternoon and I am suppose to be back at work Friday morning. I am thinking I may need to reschedule this when I can take a few more days off.
The other thing I am worried about is the fact I am nearsighted. I can see fine with things up close. If I put on my glasses its just clearer. I would compare it to standard definition vs 4k on a tv.
I can see, but its a lot clearer with my glasses on. I have trouble seeing further distances.
So if it's going mess up my nearsighted vision then I may second guess this. I spend a lot of time in front of computer and paperwork.
I am a finance manager at a Toyota dealersip



You will definitely not want to be looking at a computer screen on Friday if you have it done on Wednesday. I'd wait to go back to work on Monday.
Posted by cbtullis
Atlanta
Member since Apr 2004
6928 posts
Posted on 11/3/16 at 12:45 pm to
That's not an option unfortunately
So looks like I need to put this off till I can take more time off
Doctors office is telling me I should be able to drive 24 hours for post op
But should have back up plan in case
Posted by Styxion
St. George, LA
Member since Sep 2012
1738 posts
Posted on 11/3/16 at 12:48 pm to
quote:

Doctors office is telling me I should be able to drive 24 hours for post op
But should have back up plan in case


Driving wasn't a problem for me after mine. TVs and computers were due to the fact that they tend to make your eyes dry out. I mean you could do it, but your eyes will probably be real scratchy.
Posted by AFtigerFan
Louisiana
Member since Feb 2008
3794 posts
Posted on 11/3/16 at 1:54 pm to
quote:

I've had PRK this year. They only do one eye at a time. Surgery isn't bad and it's quick.

I had PRK done in 2004, and both eyes were done at the same time. The procedure went very quickly, but the recovery can be a pain in the arse.

I guess I brought it on myself because I didn't take the Tylox that was prescribed to me. I didn't have any pain for the first day and a half to two days. That third day, however... it was like hades himself was dancing a fiery dance on my eyes. I woke up in excruciating pain. It was like having needles stabbing me in the eyes. The doctor told me that the Tylox would have made me not care about the pain (something about pain meds not really effecting the eyes unless it was topical). You live and you learn. The pain lasted for maybe 2 days tops. Other than that, it felt like I had a little sand in my eyes while the eyes healed themselves.

I would do it all over again, however. My vision was horrible, and it had been since I was in the 5th grade (nearsighted). After the surgery, my vision was 20/15 and still is to this day. I'm not sure if my eyes were ever that good, but they are now so that's all that matters. Get the surgery done and don't look back. But take the pain meds.
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