Laser Eye Surgery (LASIK)

Soldato
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17 Mar 2004
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I took the plunge yesterday after a consultation beginning of April last month.

On the consultation they performed the following tests

Focimetry: A measurement of your glasses power is taken to determine your current prescription strength.

Autorefraction: The autorefractor reads how light passes through your eye in order to help determine your baseline prescription.

Tonometry: Used to measure your eye pressure. It is a key indicator in diagnosing the eye condition glaucoma.

Pentacam: Gives detailed information on your cornea (the outer surface). It provides the specialist refractive optometrist and surgeon with accurate information relating to the surface shape and thickness of your cornea and how this varies from the centre to the periphery.

CustomVue Wavescan: Identifies and measures imperfections in your eye 25 times more precisely than standard methods used for glasses and contact lenses. It provides the essential data used in a Wavefront treatment.

Visual Acuity Testing: Measures the eye's ability to see details at near and far distances. The tests usually involve reading letters or looking at symbols of different sizes on an eye chart. Your uncorrected visual acuity (UCVA) is what you see without glasses or contact lenses while your best corrected visual acuity (BCVA) is what you see with the optimum correction in place.

Refraction: Your specialist refractive optometrist verifies your current prescription and compares this to the focimetry readings and previous prescription details to ensure stability.

Cycloplegic Refraction: Specialist drops are used to relax your eye muscles and allow your specialist refractive optometrist to determine how your prescription is likely to change over time.

Pupillometry: This test takes a measurement of the size of your pupils in the dark when they are at their largest, using infrared technology.

Pachymetry: The Pachymeter is an ultrasound device used to determine the thickness of your cornea in any given location. The thickness of your cornea is very important when determining whether you are a suitable candidate for laser vision correction.

Slit Lamp Exam: This test uses a microscope and a small beam of light to examine closely your corneas under high magnification, as well as your conjunctiva, lids, iris and lens.

Eye Dominance: This test measures which of your eyes is the dominant or stronger eye.

Retinal Exam: Here the specialist refractive optometrist is assessing the health of your internal eye and in particular the retina. As a consequence of the drops used for the cycloplegic refraction an excellent peripheral view is achieved.

Having given the all clear my prescription was -5 in both eyes with Astigmatism. Now they lay out your options of surgery. The most popular being LASIK. LASEK one of the other options is a surgical procedure for cutting the flap and is painful for some days after. This is recommended if you do contact spots as the flap is a lot more secure after surgery.

I opted for Advanced CustomVue Wavefront LASIK & Intralase (an advanced process for cutting the flap for the laser to correct the vision) at Optical Express (High Street of Milton Keynes). Total cost was over £3k

I arrived at the opticians yesterday morning at 09:50 for my 10:00 appointment. I'm sat in the waiting area reading over the consent form that I've read hundreds of times as it contains so many disclaimers etc etc. Basically protecting their backsides.

Anyway, 10:10 I get taken for a couple of tests and then told to wait to be called. At this point you can see people coming in an out, walking into the 'backroom' with glasses and out with sunglasses kinda surreal.

Mr **** ******** was called '****' all of a sudden every ounce of my body is limp, questioning why the hell am I doing this your a mad man. I was expecting to be taken to a room and to have the local anesthetic drops administered, but no straight into the surgery room, Doctor fully kitted out with a camp Willem Dafoe in Platoon smile was grinning at me. I was expecting him to say 'Hiiiiiiiiiii' and wave!

I get placed on this bed and told to swing my legs up onto the bed and a hair net placed on my head. At this point I nearly blurted out I cannot do this and run as far as I possibly could. I was breathing quite heavy at this point and the nurse asked if I was okay? Err no not really, but I'm here lets rock.

Surgeon now walks over and without further ado is straight into his magic.

First step was to create the 'flap' with the Intralase IFS 150 laser. Starting with my left eye with a cap over my right I'm staring into a circular light that in seconds has cut the flap completely painless. At this point I was completely calm and felt completely comfortable. Next step was to switch laser to the actual correction laser Visx. I was told to stare as best I could at the red dot and with the count down of 40 seconds in 10 second intervals was correcting my vision, this made a loud ticking noise and vacuum was extracting the smoke. Nothing like the smell of your own eyeball wafting around your nose. Will never forget this smell.

The surgeon then replaced the flap over my eye and was placing precisely where it was cut. You can see the swabs etc while this is going on, but again all completely pain free.

Switch eye and the above done on my right eye.

All done and I was taken to a quiet room and instantly donned my sun glasses. A nurse was then telling me about all the drops I needed to be using. I felt I should have been left to recover prior to all these instructions as I was still pretty spaced out and pretty paranoid that I was pretty much blind.

I walk out into the waiting area and then with my g/f head home. The sunlight was a killer and was grateful to get back to the back but my hood up over my eyes, fold the seat back and get chauffeured back home.

I still cannot see at this point. Think nothing of it and head straight to bed. My right eye was streaming constantly and both eyes stinging somewhat. I had to administer the first lot of antibiotics. This stung like mad.

I then closed my eyes and tried to sleep. 4 hours later I get up and have a coffee. Weird sensation in my eyes, not much discomfort but the feeling that with every blink I could feel the outline of the incision that had been cut on my eye.

My eyesight was slowly improving and I could at least see writing on a page just to recheck the 24 hour expectation/24 post OP.

My vision was still pretty poor could not see anything in the distance and felt a bit uneasy (I cannot stress enough, that you do not walk in have it done and be able to see the clock in the waiting area as the adverts make you believe)!!!

Roll on this morning having spent the entire night wearing goggles to protect my eyes from knocks in the night. I woke up a few times as I was paranoid my eyelids would weld themselves to my eyeball!

I got up at 7am and looked outside the window **** me I can see. Instant relief from the feeling I had the night before.

My right eye is still a bit fuzzy, but the left is pretty focused. Still going to take time to completely stabilize so to be expected.

Watch this space :)
 
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Only read the last bit, but sounds good so far :)

I'm tempted to have this done in a few years time, I'd appreciate I once a year write up to tell us all how its going....that would be great :D
 
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Nice one.

I had LASEK a few years back (I wanted to join the Police and the local force would not accept LASIK, but would LASEK) and I wish I'd done it ages ago.

Hurt like HELL for a day or 2 after but I've got 6/4 vision now.
Only small issues I have is that my eyes are a little more sensitive to light now, as I used to get away with no sunglasses in bright sun but now I can't for extended periods or time.

Also, once in a while, I wake with dry eyes. Nothing a quick rub doesn't sort and it's only once every few weeks.

No night time problems, starbursting or halos or any other such reported issues.
 
nice right up im looking to get it done in near future, is there any chance that your vision could get worse again after having it done?
 
Post op day 3

Early morning vision is a lot better, as the day wears on my vision diminishes. Eye drops help, but it's going to take time!!

Woke up in the night and my eyes felt extremely dry and uncomfortable.
 
am interested in this but have quite bad eyesight -8 and -9 i think, plus strong astigmatism

what have they said for the recovery period and has your right eye caught up yet with the left ?
 
You had the same procedure as me. :) I didn't have any stinging eyes, or pain, but my eyes did stream a lot on the way home (I was driven home so I could keep my eyes closed - and then proceeded to keep my eyes closed for the rest of the day).

That smell is not your eyeball, it's the smell of the gas that is used by the laser. :)

Sounds like it went well, I was lucky I guess as I could see perfectly the next day. It is important to keep the eye drops regular - but also to leave a gap between the anti inflammatory and antiseptic ones, else you wash away each one.

The saline solution is handy when your eyes get dry - I fortunately didn't use it for more than a couple of weeks, and stopped using the antiseptic and anti inflammatory ones after a week (by recommendation from my optician of course!).

Hope your recovery gets better, it can take months for some people's eyes to settle unlike some lucky buggers (me ;)). :)

It's the best decision I've ever made, and I love being able to see all the time! Night vision is even better than with my glasses now which is pretty cool IMO.
 
Chances of that are pretty slim I'd have thought, but I'm sure the surgeons will know how to rectify the problem if ever it were to occur.
 
I had mine done at Ultralase Guildford 4 and a half years ago and had an eyetest today at Specsavers just as a general checkup. Still have just over 20/20 in both eyes so am very happy! Best thing I ever done as well
 
Anyone know what happens if the flappy bit comes off? Do you grow another one or are you screwed?

A cornea transplant. Something you do not want to have done.

There's a youtube vid of the flap being cut and torn. I'm no expert, but a laser IMO is a better option intralase being the newest technology.
 
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