LASIK!
I finally got Teresa’s approval and shelled out the buck$$$
and got LASIK done for both my eyes.
Here’s my story…
Prior to LASIK:
I had to fill three prescriptions and buy a bunch of
preservative-free eye drops. The three
prescriptions are for a eye steroid to fight infection, another steroid to reduce
inflammation, and Xanax for the day of surgery.
Other than that, there really was nothing that I had to do before
surgery, except fill out a bunch of forms.
Day of LASIK:
My appointment was at 1:20,
and I would be at the LASIK center (TLC Lasik in Dublin,
OH).
I took the entire day off and got a few things done around the
house. I picked up Teresa from work
around 1:30, and we went for a lunch
together (sans children), which was nice.
I had no anxiety, but Teresa assumed I would never see again, so it was
nice for calming her nerves. I arrived
at the center at 1PM (I like to be
early), checked in, filled out some more forms, and found out that the Xanax
was optional, and only if I wanted to take it.
I didn’t want to take it, so I didn’t (waste of a prescription).
I got taken back to prep for surgery around 1:20.
Prep involved a quick eye check by the LASIK doctor (Dr. Boyle), a bunch
of info about what to expect, a bunch of eye drops for numbing my eyes and
preventing infection (something like 5 different drops in each eye over a
period of 10 minutes), and then just hanging out. I got taken back into the actual LASIK room
probably around 1:50.
NOTE: if squeamish,
you will want to skip the next paragraph
The LASIK room smells and sounds like a data center (e.g.,
climate controlled, computer fans, slight smell of electric current passing
through silicon). The LASIK (picture
below) has a bed that you lay out and your head swivels under two machines. The first is a laser that cuts open your
cornea to create a “flap” on the top of the cornea that can be folded
back. This is actually the most painful
part, because a device applies pressure to your eyes to hold it in place for
the laser. This is the only time during
the surgery where my vision was lost for any period of time, and this was
mostly because of the pressure on my eye.
Before anything was done, I had devices put in my eye so that the lids
couldn’t close. They did each eye
independently and taped shut the opposite eye when the other was having the
flap created. Once both eyes had their “flaps”
created, I was swiveled under the other side of the machine. This was the LASIK laser, which simply reshaped
the remainder of the cornea under the flap to refocus the light passing
through. It lasted about 30 second for
each eye. After the reshaping was done,
Dr. Doyle used a tear-like solution and a very gentle brush to wash my cornea’s
and remove any debris the laser had created when ablating my corneas. This was the weird part, because I could see
her doing this but couldn’t feel it. It
didn’t hurt at all, but it tickled when she touched any part of my eye not
numbed by the drops (e.g., eye lashes, eye lids). Finally, Dr. Doyle folded back my “flaps”,
which, much like contacts, stuck to my eyes by suction. No sutures are necessary to secure the flaps;
however, rubbing the eyes and any contact with the eyes is strictly forbidden
for a week, because touching the eyes and move the “flaps” and cause them to
fold open or move. The “flaps” won’t
move on their own, and heal shut within 24-72 hours, and will completely heal
back in something like 1-4 weeks.
Here's the process in a pictorial format:
This is the LASIK machine that I was under
Immediately after LASIK
My vision was fixed, kind of. I could see as soon as I got up, but
everything was foggy. Think of looking
through a really dirty windshield in your car.
Yeah, you can see, but any light has a halo-effect to it, and the
details are all a little vague. This is
because tears and moisture got under the “flaps” and need to be absorbed. Once they are this effect goes away. Also, while my vision was much improved, at
first I knew that I didn’t have 20/20 vision.
In fact, my right eye could see much better than my left. I was kind of pissed. However, the numbing drops were wearing off,
and I didn’t want to have my eyes open anymore.
I was told to go home and nap for four hours, because I
would experience “discomfort” and maybe some “burning” in my eyes and the nap
would help promote healing. To say that
I was grumpy was an understatement.
Teresa, bless her heart, drove me home, after a detour to pick up the
kids from Daycare. Here’s what I was
dealing with during that 45 minutes:
-
Discomfort – Imagine wearing
contacts (or not) and getting something in your eye. Something big. In both your eyes. At the same time. And not being able to rub your eye, remove
your contacts, or do anything about it.
It was so damned annoying!
-
Burning – Here’s an idea, take
normal tap water, mix it with some soap, and put that in your eye. The burning sensation was kind of like that.
-
Nausea – I didn’t want to open my
eyes, because it felt better to close them.
However, riding in a car that was wobbling and moving was making me
somewhat nauseous. Then I open my eyes,
and my vision is totally different than what I’ve ever experienced, which makes
me nauseous. Needless to say, I made it
home just in time.
I got home at 3PM,
put on the sweet goggles they give you so you don’t touch your eyes
inadvertently when you sleep, and went to the guest room to lay down. I prayed to fall asleep and finally did. I woke up around 5:30, with my eyes only slight less “discomforted” and “burning”. Teresa came up and asked if I wanted dinner,
to which I very un-patiently responded I didn’t (did I mention she was awesome?),
and decided to roll over and stay in bed until 6:30. At some point, Dr Doyle called my cell phone
to check on me, and actually left her cell phone number to call in case of
problems (what a swell doctor!). I fell
asleep again, and when I woke up at 6:52
two things dawned on me: 1) I could see the alarm clock from four feet
away! and 2) the discomfort and burning were gone. Yeah, there was still some discomfort, but
whereas before I wanted to gouge my eyes out, now I just wanted to put in some
drops and wash it away. Also, all traces
of nausea were gone (thank God).
I have no idea who the girl is, but she's wearing the LASIK goggles. Picture courtesy of the "Internet"
Night of LASIK
You’re not supposed to read books or strain your eyes, but
TV is OK. I sat with the kiddos and
Teresa, all of which were very happy that “Daddy the grouchy bear” was
gone. We watched some TV and I applied
my three sets of drops (steroids, anti-inflammatory, and tears), and then did
tears as often as possible. My vision
was still foggy, but I could see pretty well.
I still noticed that my right eye was better then my left, but as long
as the burning and discomfort were gone, I was ok with it. I went to bed around 10PM, put on my sweet goggles, and slept pretty well.
The morning after LASIK
I woke up to Sam and Ryan coming down the stairs and into
out room, looked easily over at Teresa’s alarm clock (did I mention that’s
really cool?!), and got out of bed at 6:47am.
I had a follow-up appointment at 9:10am that we’d all be going to. My vision that morning was much better, less
foggy, though there still was some “halo-effect” happening. But I could see very well, and while my eyes
were dry, I used all my drops to get them going. Nearly all of the discomfort was gone, and no
burning remained at all. Most of the
discomfort was because I could feel my eyes were dry. The tear-drops helped that, and I used them
frequently.
I got to my doctor appointment, sat in front of the reading
charts, and for the first time ever, without corrective lenses, I saw the
chart. I read the bottom lines of the
charts with each eye and together, getting a “that’s really excellent” for my
eye doctor. She didn’t tell me what my
vision was at the time, saying that it would continue to progress and likely at
that point would only get better or at worse stay the same. She did mention that I have a couple of spots,
one in each eye, that are very dry. I am
to continue using all the drops I have at the regular times, and they should
clear up on their own. If they don’t
clear up by themselves, it is possible I may need to have another procedure to
address those spots because they could affect my vision long-term. I have a follow-up on Thursday to take a
further look.
Personal thoughts:
First, my eyes are dry and I use drops a lot. I used to hate putting drops in my eyes and
was horrible at it. Literally, 24 hours
after this procedure and I’m a pro, putting drops in my eyes whenever I need to
and not really batting an eye about it (literally and figuratively). My current thoughts are that I should have
done this sooner, and I’m very happy I did it.
My vision looks to be on its way to getting to 20/20, so I’m wicked
excited about that. I don’t know how to describe
the pleasure of being able to see without wearing contacts or glasses – those of
you who don’t have to deal with that are lucky as hell. Those of you who do have to deal with those,
I recommend the LASIK.
Here’s what you need to have for the procedure:
1)
Thick enough corneas that it can
be done. Your annual eye appointment
will be able to tell you if you are a candidate
2)
The ability to stomach people
mucking around with lasers in your eye.
The forms I signed basically said I was screwed if something went
wrong. All risks are explained up-front,
so you do it at your own risk.
3)
Around $4-5K for the
procedure. Most places will take credit,
so at least you get the points out of it.
I also maxed out my healthcare savings account to pay for it ($2,500 is
my FSA maximum). That saves you some
cash out of pocket.
4)
Commitment to using drops for the
next 3-12 months. Steroid and
anti-inflammatory drops are done after a wear, but the artificial tears get
used for as long as you need, and they aren’t that cheap.
5)
Keep in mind that the condition
that requires reading glasses (presbyopia) cannot be corrected by any LASIK
procedures. It’s hell to get old.
6)
Find a good place to have it done.
As long as I continue to get my annual eye
appointments, I’ll have a warrantee for my LASIK procedure. If my eyes degrade over time, I can
potentially get my LASIK center to do another procedure to fix it. There’s all kinds of caveats on this, but I
plan to keep the warrantee anyways.
In parting, a buddy of mine had a great idea too – he gets
corrective lenses per his vision insurance every year (as most of us do). Instead of contacts of glasses, he just uses
the money towards a nice pair of sunglasses.
He purchases them through his eye doctor, but since he gets about $120
for corrective lenses, he gets a pretty sweet pair of Nike shades every
year. I plan on taking full advantage of
this fact this week!
