2.5 months post PRK. What is the role of astigmatism vs haze in ghosting? Need for topo vs wavefront enhancement?

Question

2.5 mos after wavefront optimized PRK with alcon excimer 5000. Still having significant ghosting especially with reading road signs and traffic lights at night and on 1 drop pred forte for mild haze according to DO. Chances this will resolve in months to come? Current rx: plano, -1.25 and plano, -1.00? Please see pic for most recent post-op note and topo scans. Do I need an enhancement? Would i benefit more from topo or wavefront PRK for the enhancement if so?

Jay Bansal, MD · Answer

According to the chart above, there is only trace haze in both eyes. It is likely to clear up in a few months. In the meantime however, you will have to be diligent with prescribed steroids, rewetting drops, sun protection, and Vitamin C. There is a possibility that you may need an enhancement since there appears to be some residual astigmatism in both eyes. If your refraction is stable at each visit, you may consider custom wavefront correction.

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2.5 months post PRK. What is the role of astigmatism vs haze in ghosting? Need for topo vs wavefront enhancement?

Answers (1)

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