Up to 60% of RK patients complain of diurnal fluctuations. However, long- term sequelae of patients who have undergone RK include diurnal fluctuations and progressive hyperopic shift that have continued to affect RK patients years after surgery. His findings were supported by another survey of 62,814 cases performed by Marmer, published in 1987, who found that less than 1% of patients experienced a decrease in visual acuity after RK. Although the rate of complications from RK is difficult to ascertain, Salz performed a review of 935 eyes from the Prospective Evaluation of Radial Keratotomy (PERK) study in 1984, and concluded that RK was safe with a relatively low rate of complications. Other refractive procedures have largely supplanted RK, and it is now very rarely performed. Hundreds of thousands of patients have undergone radial keratotomy (RK) for the correction of myopia since its introduction in the 1970s. 10 Traumatic rupture of keratotomy scars.4 Incorrectly placed incisions & optical zone decentration.I gather those are my only options for fixing my HOA issues? Ideally, I'd like to avoid surgery but then I also don't want to have to wear RGP contacts the rest of my life. They never mentioned that my pupils were so large that this would be an issue but maybe those drops that stop your pupils getting too large could help? When I look through a pinhole all the HOAs are gone which makes me depressed as I can see what my vision used to be like when I had glasses. Do lasik clinics ever offer RGP lenses as an option? The glare I get off screens is much more annoying for me than the starbursts I get from driving at night (when I am just trying to get from A to B rather than relaxing and enjoying myself). I have also looked at RGP contact lenses but, as I mentioned I have never worn contacts but if it is the only way I can comfortably watch TV and play games again then I'll have to do it. Has anyone had success with enhancement surgeries to get rid of the haze/glare/starbursts/halos etc? They didn't mention that there was an undercorrection or anything in the followup appointments after 6 months so I don't even know if they will offer that as a solution, or if it would work. I am probably in their records as a "success". I am scheduled to go back to the lasik clinic in January when I will tell them about my problems, I should have gone back years ago. I know I can't go back in time and undo what was done. I assume the lower left eye lid pulsing is to do with constantly battling to keep it in focus and dryness tiring out the muscle. I am hopeful glasses I have ordered from the opticians (left +1.00 right +0.25) will help me with this focusing issue though. My eyes also feel dry and I always feel my left lower eyelid palpitating a lot and I have trouble keeping focused as my eyes feel tired and want to "zone out" when watching TV, driving or doing anything that involves looking in one place for a while. My HOA/night time vision issues have not improved since day one, I still get a big circle of light below (and a thinner streak above the light) LED lights and what I used to love doing the most (watching movies etc) has become a chore as every single lighter object on the screen emits a hazey streaky light around it. I was young and stupid and seriously regret my decision, it was free for me and just expected my vision to be fine. I was about 21 when it was offered to me by my mother (who just had it redone after getting it done originally decades ago) and I didn't look at the possible side effects at all really. I wore glasses my entire life all day every day so I was used to them and never even considered wearing contacts let alone lasik. I had lasik about four and a half years ago, my eyes were pretty bad before and I had an astygmatism, but obviously because I had the money I was a "good candidate". Skip to the last few paragraphs for my main questions. Sorry for the long post, just getting it off my chest.
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