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Do I need to worry about hazy vision from lasik?

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I read in Forbes that Lasik and PRK (photoreactive keratectomy) were found to be of equal effectiveness at improving eyesight. A doctor in made a reference that "The risk of significant haze after PRK is an important difference between these two procedures". What is this hazing they refer to? I've never seen this listed as a risk of Lasik or PRK. Something I should worry about if I'm going to get Lasik?


ColoradoGrrl
Submitted by ColoradoGrrl on April 27, 2006 - 10:29pm. Viewed 2740 times

   

Tom from RealSelf

I did a bit of research to "see" what I could find for you. According to a US FDA website page, when discussing PRK they did mention haze as a potential side effect that was not listed in the information for LASIK. Here is the quote:

In addition, many patients experienced mild corneal haze following surgery, which is part of the normal healing process. The haze appeared to have little or no effect on final vision, and could only be seen by a doctor with a microscope. Some patients experienced glare and halos around lights. These conditions, however, diminished or disappeared in most patients in six months.

Here is the US FDA website about PPK

Good luck Seema.

Haze or a slight clouding of the cornea, or the outer surface of the eye, is a complication more commonly associated following PRK. With newer lasers and medicines to prevent haze, this is not commonly seen in 2008. The risk of haze to the cornea is less often noted with LASIK. However, it is important to discuss the risks as well as the benefits of these procedures with your laser vision specialist to determine which procedure is best for you!

View answers from Sandy Feldman, M.D., M.S.

I'm sure you have done your surgery since and i hope it went well. My husband just had PRK in the beginning of December '07 and he's VERY happy with the results. The first two months were kinda "hard" on him coz he had blurry vision from time to time and he was very inpatient. He's now over 3 months post-op and haven't had any vision problems in a while and his eyes are 20/15 now, while before it was almost off the chart both eyes were so bad.
He went with PRK instead of the Lasik because he's doing martial arts and the dr suggested him to go that route but we've talked to several people since and they said with these days technology it wouldn't have mattered.
PRK's recovery time is considerably longer than Lasik, he couldn't really do anything for several days, he was bored to tears... but now it's all in the past and he's one happy guy!

Dear BluEyes
The experience of your husband is quite typical. What patients tend to forget is that this a medical procedure and healing can take time. Everyone heals a little differently, some faster, some slower. In our hectic pace of life, sometimes, we as patients and doctors, should remember our mother's tales, "eat right, sleep well, have a positive attitude and be patient". Your husband has had a very typical experience of PRK which is why performing these procedures is very gratifying! To be able to give patients vision and see more than the big "E" is truly a miracle! Congratulations on guiding him!

View answers from Sandy Feldman, M.D., M.S.

Thanks! We are both very pleased with the results, finally now he can get up in the middle of the night and see his alarm without having to put his glasses on! He was almost blind, his vision was so bad before.
The doctor that fixed his eyes told him about the possible blurring up to 3 months so it wasn't a "surprise" but you know how some men are extremely inpatient... LOL he wanted it right and then! I kept telling him it was normal and he too knew it.... still he was constantly worrying himself. He feels much better now that all the blurring cleared up and he can see perfectly for the first time in his life!
It truly is miracle to be able to give someone's vision back from being gone as far as his was!

I had LASIK done last year (Jan 2007). Unfortunately, it wasn't 100% and I needed an enhancement for both eyes. They did the left eye enhancement first on 9/27/07 and when they were doing my right eye on 2/07/08, the doctor told me that my cornea is too thin to continue so they put the flap back and suggested that we do PRK after my right eye has healed. I had the PRK done on 7/22/08 and it has been almost 3 weeks now and my right eye vision is still fuzzy/blurry. In fact, my right eye vision was better before I did the PRK. I understand that that the healing proces is different with other people but is this normal or is this something I need to worry about?
Thanks.

Dear BluEyes
It is fantastic that your husband has healed beautifully and can now see perfectly and you assisted in guiding him during the healing process. His experience is normal and can be attributed to the normal healing of one's eyes.

Enjoy his clear vision and cherish his Clear View of the world!

Dr. Feldman

My husband had lasik 2 weeks ago yesterday. His left eye has healed with no problems at all. He says that a "film" has been present in his right eye ever since the surgery. His vision, however in that eye is 20/25 as of his check up yesterday. He is frustrated, but I try to tell him to be patient. I'm not sure if this film is the same haze to with is referred to in these posts, and if so, is it something that could be addressed in a further enhancement surgery?
Thanks.

Dear Julie
LASIK is a surgical procedure and thus, as you suggested to your husband needs to heal. Many patients report that the vision may be hazy or fuzzy and feel like wearing a dirty contact lens. There are many reasons for this vision such as a swelling of the front surface, a small prescription still left, dryness, to name a few. An enhancement may be possible should healing not address the issue and his prescription is large enough....Also, it takes time for the brain to adjust to the dramatic difference before the LASIK.

Please encourage your husband to be patient, or to see or call his doctor if he is discouraged. Let him know "patience" is important.
Dr. Feldman

Julie,

I had PRK - Lasik surgery in the fall of 2006. I thought I had ruined my vision as I had a film like sensation in the right eye for the longest time. What I found is that my vision would "pop" one step further along in healing as time went on. My vision and how my eyes felt improved in increments. My girlfriend who is 10 years younger had an almost immediate recovery. It took me over a year and a half before my vision seemed to be really stable. The blurred or filmy type experience seemed to correlate directly to how hard I was working my vision and how dry my eyes were. It was my ability to read small print that took the longest to return and its not quite where it was before I did the laser eye surgery.

Your husband's vision will get progressively better. His eyes just need time to heal.

Allison

Dear Julie
Allison's comments elucidate the nature of our individual healing responses. A tincture of time is often the best medicine prescribed along with patience and reassurance. Thank you Allison for your comments.

Hello! It's been eight days since I had my LASIK operation on both eyes. My right eye is almost perfect but my left eye is very hazy (of course the haziness increases at night). Sometimes the haziness decreases but it's always there. My doctor says there's nothing wrong with both eyes. Do I have to worry? How much time does my eye need to be normal? will the haziness ever go?

Hi Basma,

I had haziness off and on for quite sometime in just one eye. I wouldn't worry about it (if you can help yourself) as it probably will eventually correct itself. Everyone heals differently. I thought I made a huge mistake the first couple of months after I had it done but all is well now.

I found if my eyes were dry or I was tired my vision was off. Try putting in drops before you get to the point where your eyes feel scratchy. The drops really do help and you will need them for the first year or so.

Allison

I guess u r right. I need to be more patient. It's just getting on my nerves and making me feel worried. Thank you very much for your reply. It's relieving to find other people used to have the same experience and that it eventually turned out to be alright.

Have a nice day,
Basma.

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