My last post was on 29 Aug, following my last appointment was 28 Aug - we were going to delay next refraction and adjustment for another week, but scheduling got in the way - I had another trip planned and doc wasn’t available the first week for what would have been 4 Sep.
On the 28 Aug refraction I was OD (two adjustments); Plano 0+50, OS (one adjustment): -2.25 +1.75 (doc) +1.00 (tech).
My impressions at that point was OD was pretty darn good, and OS was a bit fuzzy. Both sphere seemed appropriate for mono-vision. (I was wanting something akin to my PRK experience).
Appointment on 26 Sep:
Visual Acuity:
OD: 20/15/J7 (solid 20/15! J7 was a disappointment, though, but about the same as with PRK)
OS: 20/20/J1+ (not as solid as OD, but really good - tech/nurse was very surprised given the sphere)
Auto Refraction:
OD: Plano +0.25 (0.25 D less sphere than 29 Aug)
OS: -1.25 +0.75 (0.25 D less sphere than 29 Aug)
Manifest Refraction:
OD: Plano (0.50 D less cylinder)
OS: -1.50 +0.75 (0.75 D less sphere, and 0.25 D less cylinder)
Note: Doc just did not think YAG was appropriate at this point - we discussed YAG as being extremely common - and potentially more common with LAL silicone material). After review of AR and MR, and my continuing assessment of OS just not being as clear as I would like it, we decided to target removing the 0.75D cylinder. We kicked around idea that this might reduce the amount of what could be EDOF with such good distance vision, but his experience seemed to indicate most times not being able to remove all the cylinder. So, did the cylinder adjustment on the LDD.
Another note: The AR has always been lower differential that MR, typically my AR has been between -1.25 and -1.50 in sphere, and between +0.50 and 0.75 cylinder. Turns out this is pretty close to what the last MR was …
My sense, following this, the second adjustment to the left eye, is that OS is a bit clearer, but I may have lost a line on distance - it is early and still very subjective at this point (I’ve been wrong, before, on my assessment). Next appointment is 10 Oct, so will status after that.
Hi. I am always anxious to hear how you are doing. Hoping your vision is really good after the astigmatism adjustment. Wondering if they could get all the astigmatism.