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PRK induced Dry eyes 6 months in

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  • PRK induced Dry eyes 6 months in

    Hello everyone, this is my first post and I guess I should start at the beginning...The year was 1993... No I'm only kidding, not that far back.

    I decided to get laser eye surgery after years of nervousness. I opted for intralase sbk in both eyes. I was a candidate for intralase or PRK but I opted for intralase because I have always had problems with dry eyes. I was very nearsighted. My prescription for contacts was around -6.50 in both eyes. This was September 2016 (9 months ago as I'm writing this). The surgery was pretty standard as far as everyone describes. A few days after the surgery my right eye had nearly perfect 20/20 vision. My left eye had around 20/100 or 20/200 (can't remember, just know it was awful). I went back for a checkup and it was found I had a flap wrinkle (striae) in my left eye. At the 1 week mark since my surgery I had another surgery to lift the flap and attempt to flatten it (thus eliminating the wrinkle). Sadly this didn't work.

    After 3 long months of awful vision I was back in the operating chair for a round of PRK on my left eye. I had purposely tried not to have PRK because I was worried it would make my mild dry eye problem I've had my whole life into a bigger problem.... Regardless my choices were limited so I went forward. This was December 2016 (6 months ago).

    For the first few weeks after the surgery I had a few issues in the night with my eye sticking to my eyelid (painfully) and causing my already poor vision to loose any progress that it had acheived in healing. Frustrated I went back to my laser clinic multiple times and I was finally told to try MURO 128 cream. Well this stuff was magic. I had immediate results. I used this cream every night and had no major dry eye issues in the night. I had the occasional issue with my eye but it was very mild and my vision wasn't adversely effected. Within a week of using MURO 128 I had great vision. Somewhere around 20/40. Not as good as my right eye but I was a lot better off then my botched intralase surgery.

    Fast forward to 3 days ago. I had an awful issue in the night (even though I've continued to use the MURO 128). My eye stuck to my lid and started to water badly. The pain was intense and my eyesight went back to the sight I had immediately after my surgery. 3 days later and no improvement and a lot of discomfort during the day. My vision is awful again. I feel like I've taken a step back in my recovery... a 6 month step. I've been back to see the clinic and been given a contact lens to wear as a bandage (as my eye is very inflamed). I've also been given some steroid drops. I feel very defeated at the moment. I hope to keep updating this blog with eventual good results. I also hope someone thinking of getting this surgery reads my post first and it gives them pause. I've struggled for 9 months now, I can say even if i get decent vision back that it wasn't worth it. I live with the fear every night I go to bed I'm going to wake up in extreme pain and my eyesight is going to be worse off then before I went to bed.

    Regardless I have not given up, I've just ordered some eyeseals 4.0 to attempt to sleep in. I also got a humidifier Im going to run while I sleep. I already take omega3 fish oils and haven't seen results yet obviously. I will continue to use the Muro 128 (after I remove this bandage contact lens in a few days). Fingers crossed.

  • #2
    Hi, if you suffer night pain, maybe the followings would help you:
    1) when sleep: ointment/gel before bed +(swimming google)
    2) morning & before bedtime: wash eyes with (running) warm water 5-10 times, warm compress, massage. lid scrubs --to remove bacteria, dirts etc.

    I used to have such problems for some years but not any more.

    if you have MGD, you need oil-based drops. I eat lots of nuts/seeds daily and my Omeg 3 is almost double than normal.

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    • #3
      Thanks MDG1701 for the reply.

      I just finished wearing he laser clinics few days worth of contacts as a bandage. I was supposed to sleep in the conacts but the first night i woke up with an Erosion. I threw that contact away and went to bed with my MURO 128 ointment. I then upon waking installed a new contact lens. I was having some improvement. Sadly today my first day with no contact I'm back to extreme dryness and pain. My vision has gone backwards. I picked up some MURO eye drops thinking this may help as the ointment does me very good. Unfortunately the drops dry my eyes substantially... not to mention the unpleasant burning they cause.

      So I'm back to being scared and in pain. My Vision is awful in my left eye. I await my regular optometrists opinion on Thursday...

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      • #4
        Hi Justin. Sorry to hear about all you've been going through. I just posted this info on scleral lenses on another person's PRK thread in this forum, and am posting it here for you in case you didn't see it:

        Have you looked into scleral lenses to help with the pain? Many people with post-LASIK and other eye surgery problems have gotten relief from sclerals. Not everyone can tolerate them, and it does not address the cause of the problem, but if you can wear them them, it can provide immediate comfort. I wear mines 12+ hours a day and it's helps a lot, however my condition is from a different cause. Here's a good general description of sclerals for Boston PROSE sclerals and the conditions it treats...there are several different brands, but this is the one I use and have been very happy with the lenses and expertise of my Boston practitioner (the expertise of the practioner in fitting sclerals is key):

        http://www.bostonsight.org/PROSE/PRO...ats/Post-LASIK

        http://www.bostonsight.org/PROSE/PRO...s-PROSE-Treats

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        • #5
          Thanks Hokucat. I'm going to do some research into these lenses. Very interesting.

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