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Depending on your age, (over 40) a clear lens exchange (replace your lens with a multifocal lens implant) that allows near and far vision or (under 40) an implantable contact lens are your best options. A clear lens exchange is "off-label". Both options have risks that are beyond the scope of this reply but in skilled hands the risks are generally low.
In view of you thin corneal status and high prescription LASIK survey would not represent a safe option. Your best choice would be to opt for Visian ICL surgery. The Visian lens implant can correct higher levels of near sightedness and is especially useful in addressing patients with thin corneas. The quality of vision delivered by the implant is astounding in our experience.
Yes, you may wear contact lenses after PRK surgery. Alternatively, you may consider a laser refinement procedure to improve your outcome.
Moderate activity is fine. I would avoid swimming for 7-10 days to allow your corneal surface to heal and thus make infection less likely.
In general most refractive surgeons will do both eyes the same day. This is perfectly safe and makes the recovery of visual function quicker.
Be patient, it is not unusual to have an initial overcorrection with a high prescription. It may regress over the next couple of months. We generally wait 6-12 months before deciding on an enhancement to insure a stable prescription.
It is most common that one eye heals faster than the other in PRK. It is unusual for them to both heal at exactly the same pace. The frequent use of artificial tears will speed up the healing process and it is important to avoid rubbing of th eyes which can cause the new surface...
It is impossible to be both nearsighted and farsighted in the same eye. It is like a number being both positive and negative at once. More likely, you were nearsighted with presbyopia. Many people confuse presbyopia with farsightedness. Presbyopia is the aging of the lens inside the eye...
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