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I usually prepare my patients for better vision toward the end of 3 months after PRK with still some fine-tuning of the vision happening between the 3-6 month mark.
Typically vision should be clear enough to drive after 1 week of surgery. It may take up to 3 months for objects to be focused. However, some patients may experience glare, halos, and dryness until 6 months, which may affect quality of vision.
The vision recovery after PRK is usually pretty good after one to two months, but I like to tell my patients to expect a 3 month visual recovery. In some cases it can take longer to get rid of halos and double vision.
I would recommend applying cold compresses, instead of warm, directly to closed eyelids. This should help with swelling, bruising, and discomfort. Since blood vessels constrict in cold temperatures, blood flow is minimized, and swelling will be reduced.
First of all, I would recommend that you return to your PRK doctor, or at least an ophthalmologist or optometrist, rather than urgent care, which are not eye doctors. But getting elbowed should have no long-term effect on your PRK results.
Advanced Surface Ablation is a variation of PRK. I would expect little further change 1.5 years after treatment. Most likely, there is some astigmatism which could be corrected by another treatment. Maybe a second opinion is in order.