file014
07-14-2006, 09:11 PM
My refraction is as follows
OD +0.25-1.00x180 (dry)
OS +1.00-1.67x013 (wet, Alcon wavefront) (+0.50-1.50x013 dry refraction)
Ill do a dilated wave or refraction on OD sometime this week to see if I am a bit latent there too. Topography shows all of my cyl to be corneal. My orbscan is normal with CCTs of about 520 OD/OS. Its my understanding that I would be a pretty good candidate for AK surgery. Ive been told that the spherical equivalent should stay the same after AK, which is good since my sphere equiv is essentially plano now. Do a lot of OMDs do AK surgeries for mixed astigmats or over the top of an ICL to get rid of excess cyl? Are you getting stable results with good VA's over the long term? I basically see a fuzzy 20/20 OU now with no correction, so I dont wear my Rx full time. But there are times (night driving, reading, studying, CRT) when I have to grab my glasses. I find myself squinting quite frequently when I dont wear my rx.
Im not really asking for medical advice (I know thats hated on this forum) or an online consult. I mostly would like to know if AK is a pretty widespread practice and is effective and safe at long term vision correction (unlike RK in many cases). Does the "freehandedness" of AK cause a lot of HOA's or glare/haloes to be induced after surgery? Any concerns about doing a cat extraction on corneas with AK scars(Im thinking 50 years ahead...)? Is there a need for extending the incision much of the time to further decrease corneal toricity?
Not looking to start any OD/OMD wars either.
Thanks,
file014
new od currently doing disease residency
OD +0.25-1.00x180 (dry)
OS +1.00-1.67x013 (wet, Alcon wavefront) (+0.50-1.50x013 dry refraction)
Ill do a dilated wave or refraction on OD sometime this week to see if I am a bit latent there too. Topography shows all of my cyl to be corneal. My orbscan is normal with CCTs of about 520 OD/OS. Its my understanding that I would be a pretty good candidate for AK surgery. Ive been told that the spherical equivalent should stay the same after AK, which is good since my sphere equiv is essentially plano now. Do a lot of OMDs do AK surgeries for mixed astigmats or over the top of an ICL to get rid of excess cyl? Are you getting stable results with good VA's over the long term? I basically see a fuzzy 20/20 OU now with no correction, so I dont wear my Rx full time. But there are times (night driving, reading, studying, CRT) when I have to grab my glasses. I find myself squinting quite frequently when I dont wear my rx.
Im not really asking for medical advice (I know thats hated on this forum) or an online consult. I mostly would like to know if AK is a pretty widespread practice and is effective and safe at long term vision correction (unlike RK in many cases). Does the "freehandedness" of AK cause a lot of HOA's or glare/haloes to be induced after surgery? Any concerns about doing a cat extraction on corneas with AK scars(Im thinking 50 years ahead...)? Is there a need for extending the incision much of the time to further decrease corneal toricity?
Not looking to start any OD/OMD wars either.
Thanks,
file014
new od currently doing disease residency