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Old 03-18-2025, 03:43 PM   #202
LenG17
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Join Date: Apr 2017
Location: Calgary
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Appreciate you doing this thread. I have a couple questions.

Almost 50 and had Lasik 25+ years ago and now back in glasses. Pre-op refraction was:
OD -7.50 -1.75 x 165
OS -6.00 -2.50 x 2

Latest prescription that I haven't updated to yet:
OD -4.00 -1.00 x 150
OS -2.50 -0.75 x 165

I was considering contacts, since my glasses are getting heavier on my face but my optometrist said I can only use scleral lenses because of the topography of my cornea from Lasik? Unfortunately, that is way out of my budget! I have read on other forums where people have been successfully fitted with just soft contacts after Lasik so wondering why I cannot try soft or other less costly rigid lenses. Any recommendations?

My optometrist says I have genetic myopia to explain the extreme regression since Lasik. Does that mean there is nothing I can do to stop my eyesight deteriorating? I also have a very steep posterior pole and beginning signs of AMD. I had a sudden PVD in my right eye a couple years ago with some macular bleeding and now have permanent floaters. Are these all considered serious issues?

For the AMD, they recommended Vitalux pills - do these actually work? Each time I start supplements (calcium, fish oil, etc), I get GI issues. The Vitalux bottle says it contains 40mg zinc/pill. Is there anything besides supplements to try? I've been referred back to the retinal specialist I saw for the PVD and still waiting for them to confirm appointment.

And lastly, do you dilate patient eyes for annual exams in your practice and is it better than just a scan/photo? I haven't been dilated at the optometrist office since they got some fancy machine ~ 5 years ago. I think it's an OCT scanner? What tests should an annual exam actually consist of?

Sorry, that's a lot of issues I have when actually typed out! Thanks for any "insight" you may have.
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