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from The
Post-Star, Glens Falls, NY www.poststar.net
1/10/02 |
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Surgery
brings a new view
On The Bright Side
By Kay Hafner
I spent most of 2001 trying to wear
contacts. It had been a decade since I'd last worn them and in
that time there'd been many improvements and advancements. I
figured it was just a matter of getting something to match my
fairly sizable astigmatism.
When I had my first appointment, I was very optimistic.
Roughly eight pairs of trial lenses--and two eye
doctors--later, I was frustrated. While the prescriptions were
correct, nothing fit quite right.
By this time I was back at the optometrist who had prescribed
my first pair of glasses when I was 6, 30 years ago. He also
fit me for my first contacts at age 16 (the rigid and
uncomfortable gas permeable lenses). A couple years later, he
switched me to toric lenses, which are soft contacts that
balance in place after you blink to accommodate for the quirks
of astigmatism.
I wore toric lenses until I got pregnant at age 26. At that
point I was due for a new prescription but the eye doctor in
Connecticut advised me to wait until after I delivered for a
better fit. Expensive contacts seemed frivolous in the face of
diapers, formula and other child needs, so I did without.
Ten years later I was running out of soft-contact options. I
was so desperate I even gave the old gas permeables a try.
Finally, it seemed that laser surgery was the only remaining
option. Even if they couldn't correct for the full
prescription, any glasses I'd have to wear would be
feather-light and wafer thin. Perhaps even an average pair of
soft contacts might work at that point.
That's why three days after Christmas I was heading for the
Montreal office of LASIK M.D.
You may have read descriptions of LASIK surgery or seen one on
TV. The process involves cutting a sliver of the cornea,
making a hinged flap that is held back while a laser reshapes
the underlying cornea. The surgeon is able to tell the laser
how much tissue to remove and in what pattern to create the
best vision based on the results of a battery of pre-op tests.
After two hours of testing the day before the scheduled
surgery, they gave the OK to proceed. The only change to their
normal routine was to require me to use a slightly more
advanced piece of equipment--at a cost of $50 per eye--so that
the initial flap could be thinner and, thus, leave more
corneal tissue for the laser to work with.
I went back to the hotel and had a restful evening with my
daughter and husband.
I wasn't really nervous. I'd read so much about it and talked
with several acquaintances who'd also made the trip there for
the procedure. I knew all the caveats and
possible-but-unlikely complications.
No matter how I looked at it, the possible benefits outweighed
the possible risks.
The next morning I was at the office at 7:45. The surgery was
supposed to be at 8:45 but I didn't get in until after 10.
When I finally saw the surgeon about 10 minutes beforehand, he
seemed personable and explained that with my situation he
recommended aiming for 20/25 vision. I'd hoped for better, but
he was the expert.
I walked into the surgery room, which wasn't a sterile O.R. as
I'd imagined, but simply a high-tech doctor's office. I took
off my glasses one last time, lay down on the bed of the laser
unit and prepared to hold still and stare straight ahead.
The surgeon calmly talked me through the whole procedure,
first with the right eye, then with the left. He was very
encouraging: "Whatever you're looking at, keep going.
You're doing great."
It was quicker than I'd expected. In less than 15 minutes from
the time I walked into the room, I was walking out. I spent
more time in the recovery room--putting in lubricating drops
and pampering my laser-zapped eyeballs--than I did in surgery
itself.
When I was ready to go, I left with my green kit bag full of
goodies for the first week: a supply of three kinds of eye
drops; a pair of clear plastic eye shields to tape over my
eyes during sleep; and thick, wrap-around sunglasses.
The first couple hours after the operation were unpleasant. I
wasn't in pain, just an aching sort of discomfort. My eyes
were very sensitive to light, even indoors with the sunglasses
on, and basically just tired after their ordeal. But I was
prohibited from sleeping for at least two hours after the
surgery.
Lubricating drops had to be administered every 20 minutes at
that point, and hourly thereafter (except during sleep).
After I slept, I could start to see--literally--the
improvement to my vision. It wasn't 20/20, but a vast
improvement over the 20/400 range my eyes had been seeing.
The next morning, at the post-op exam, the surgeon determined
my right eye was close to 20/25 but the left was more like
20/30. He said there was still some swelling there and I
needed to keep up on my eye drops to keep both eyes properly
hydrated. He seemed very pleased with how things went.
So, I entered the new year with a new outlook on life, but it
wasn't quite what I'd expected.
By the end of last week I was still experiencing the
"ghosting" or "underwater" vision that is
part of the healing process. Also, the one-week checkup with
my local eye doctor confirmed what I'd noticed: a slight
regression from the post-op results, something which can
happen in the higher prescriptions like mine.
He advised coming back in two weeks. By then my vision should
be stabilized enough to determine where to go next.
As I write, it has been nine days since my surgery. By all
accounts, this is too soon to tell what my final vision is
going to be. I am certainly much improved and functional on a
day-to-day basis, but overall not yet back to the vision I had
with glasses.
Am I disappointed at my left eye not coming along as well as
hoped? A bit.
Am I still happy I had the surgery? Definitely. I may not see
perfectly, but it's been 30 years since I could see this well.
Kay Hafner, a writer from Queensbury, can be reached via
e-mail at [email protected].
On the Bright Side appears every other Thursday in the
Arts/Life section.
copyright Kay
Hafner 2002
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