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LAL+ Full Release Just Happened

Eye Conditions | Last Active: Nov 7 5:44pm | Replies (39)

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@jhs1950

Your journal for the LAL surgery is amazing. So easy to follow. This means so much to me. I am glad you are doing so well and will send thoughts your way each day. Sounds like you have an excellent surgeon. Thank you for posting and will be thinking of you.

I meet with my surgeon this Thursday. I want intermediate/near micro monovision and wear glasses for distance. You are probably correct and he will tell me it is not appropriate. I have been nearsighted for 50 years - about -2.5D and can't imagine not seeing the clock when I wake up or being able to read the print on vitamin labels. I am a bookkeeper and need to read paper and see the computer.

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Replies to "Your journal for the LAL surgery is amazing. So easy to follow. This means so much..."

Latest update - had refraction ninth day after second surgery. At this point all the subconjunctival bleeding had reabsorbed, both eyes felt fine and there was no remaining angled light streaks.

My sense prior to the refraction:
- dominant (R) eye seeing well long with blur beginning at around 3' (although can easily see car instruments, etc - even with just this eye) - refraction says 20/30, so pretty much aligned with my experience
- non-dominant (L) seeing well from 12" out to about 10', and OK after that (not as good as R, though) - refraction says 20/30-2, again aligned with my experience
- combined I think 20/20
- I can sit outside and see individual leaves on trees way out and color is outstanding with the R eye and with both eyes (OU)

The refraction (see photo) indicates
- R eye - sphere is plano so the PRK surgeon must have done a good job and the cataract surgeon estimated well on the length of my eye, but there is certainly some astigmatism (+1.25)
- L eye - sphere is about where it should be in a basic monovision scenario and this is also where the previous PRK had it, so, again, good PRK with predictable sizing by the doc, also some astigmatism (+0.75)

First dilation (and probable adjustment) is 11 Jul (four weeks on first eye and five weeks on the second). I'm guessing now, but doc might simply adjust out the cylinder (astigmatism) and wait for that to settle, or might also do something more fancy with the non-dominant eye at the same time to obtain better monovision - I don't understand this part well, but he could take some of the sphere out, which might, given the design of the LAL provide more mid/distance on that eye while not affecting the near. Will discuss options, but always looking for input here.