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Dry eye following laser vision correction of any kind, whether that is PRK or LASIK, can cause fluctuations in vision. One way to assess if dry eye might be the cause is to resume artificial tears. If your vision clears with the use of artificial tears, dry eye may be at the root of your problem. However, blurred vision can be the result of many things. The only way to tell if your vision is affected by dry eye or some other reason is to contact your eye doctor, who will perform a complete exam to determine the exact cause.
Dry eye is a known risk factor after PRK and LASIK. Although this is often a transient effect, and can resolve on its own after several months, dry eyes following laser vision correction can be a permanent problem. That being said, your case sounds like a particularly severe case of dry...
PRK and ICL are both options, but you may want to consider having LASIK with a femtosecond-created flap. The femtosecond laser can create a thin flap which should fit your particular parameters. Remember that whichever option you choose, each procedure carries its own unique set of risk factors....
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...