Four days ago I received 560 cc C high profile implants with brachioplasty. The recovery has been really tough. I would say in comparison to my mini tummy tuck. A lot of pain and in the chest area. So far so good I went to a hair salon to have them wash my hair today. I'll take pictures within the past few days. I'll post more once I heal.
Not all artificial tears are created equal. The preservative is only one component of the artificial tears. While using preservatives too often may be damaging to the ocular surface, some of the modern preservatives are relatively mild. Ultimately, your doctor should have a recommendation of which artificial tears would be best for you. They can titrate their recommendation based on their findings of your ocular surface.
Stability is an important thing to establish prior to doing refractive surgery. This depends on a number of factors including your age, your refraction, and other associated findings. For the FDA trials, a change of less than 0.50 diopters over the course of a year was considered stable. Sometimes previous refractions and/or glasses may be helpful to establish long term stability. Also, bear in mind that changes of 0.25 diopters fall within the range of normal fluctuation.
As you were told, night vision symptoms typically improve with time. However, if it has not improved after several months, you should get reevaluated by your surgeon. Frequently, treatable conditions such as residual refractive error, ocular surface problems, or other conditions may cause your symptoms. If needed, an enhancement to your primary procedure is certainly a possibility.
It is normal to have variations in healing after LASIK—particularly within the first few weeks. Dryness is frequently a contributor and may or may not be the sole cause of your blurry vision. In the absence of certain pathologies (e.g. flap striae or epithelial ingrowth), it’s a good idea to simply continue with artificial tears and to be patient. If residual refractive error is the issue, surgeons would typically not consider enhancement before 3 months of healing and stabilization. If you have continued concern, you should follow up sooner with the surgeon who performed your procedure.
It is difficult to say because your prognosis depends on what is causing your symptoms. Even though you are reading better than 20/20, the eye chart only partly characterizes your visual experience. There are a lot of factors that come into play—some transient and some which might be improved with an enhancement. Fortunately, we now have topographers and wavefront aberrometers that can help your surgeon to determine the cause of your symptoms and to formulate possible courses of treatment. It is best to continuing seeing your surgeon to get the most out of your procedure.
