Lasik/PRK Experiences

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jclimb1

Trad climber
Moab, UT
Topic Author's Original Post - Feb 15, 2012 - 06:21pm PT
I'm scheduled to have PRK eye surgery this Monday (President's Day) and I'm getting cold feet.

I've been super psyced on the idea of not having to deal w/ glasses but I've been reading horror stories on the internet and I'm kind of freaking out and thinking about canceling the surgery.

I've been reading some older posts on the forum. Anyone have and thoughts on their lasik/prk experience?
jstan

climber
Feb 15, 2012 - 06:26pm PT
Search "lasik and climbing".
BASE1361

climber
Yosemite Valley National Park
Feb 15, 2012 - 06:36pm PT
I had Lasix surgery.

The altitude myth is just that.... a myth. Initially they made hundreds of tiny cuts into the lens to make corrections and yes when someone went to alt. there was blurry vision experienced. They haven't done that style of surgery for ages. It's all a laser cut around the lens to make a flap

Are you having the lens cut with a blade or laser?
I had mine done with a laser and it is quite an experience regardless of how it is cut. One is a cleaner cut then the other. They gave me some Ativan prior to relax me.

And are you having the distance corrected (near/far sighted) and astigmatism?
I had both. Figure since there removing the lens flap might as well get it all done with one stop.

It's an extra $$$ to ablate the tissue to correct an astigmatism but worth the cost.

Initially I had experienced an hyphema due to the suction cup that grabs your eyeball to pull on it in order to make the incision. The burning lasted a few days, eye drops were needed for about 3 months. First week back at work was manageable and ABX drops are needed for I think 7-10 days and up to 14 if your in the health care industry.

The Halo's go away after a month.

I went with Lasix Plus. Free exams for 6 months (you need to follow up for 6 months for the warranty) and if ANY corrections are needed in your lifetime it's free.

I had sh#t for vision..... now it's 20/20-20/15.

And I went to a few places. If you do not feel comfortable with the answers your getting cancel the surgery. Go with the place that is not only professional but willing to stop and take the time to answer all concerns.
Norton

Social climber
the Wastelands
Feb 15, 2012 - 06:48pm PT
Way back in 1997 or so I paid $4000 for both eyes.

Wore glasses since I was five years old, then contacts, got so sick of it all.

My right eye is perfect 20/20 for distance and my left is perfect for reading.

It took about 30 days or so for my brain to not think about which eye was being used.

I would do it again in a heartbeat, and it is so much cheaper now!
BASE1361

climber
Yosemite Valley National Park
Feb 15, 2012 - 06:59pm PT
I paid about 1400/eye.

My insurance paid 15% to knock it to that $$. And there are companies (CareCredit) that you can make payments 0% for 2 years. Costs me 128/mo for 24 months. Worth it 100%. Not only in the pain in the ass with glasses, but I don't have to drive at night with rx sunglasses :)
Zoo

climber
Fremont, CA
Feb 15, 2012 - 07:12pm PT
Did both eyes 5 or so years ago. According to Dr, due to eye shape, had 1 done Lasik, the other PRK. Both eyes have been 20/20 or better since. Some of the best money I have ever spent. The lasik eye was good almost immediately. PRK takes longer to heal (about 30 days). So glad that I haven't had to think about my vision on a daily basis like I used to.
Friedo

Trad climber
South Lake Tahoe
Feb 15, 2012 - 07:16pm PT
This has been a great thread, as I am also looking onto Lasik in the near future! Thanks for all the info, y'all!
crusher

climber
Santa Monica, CA
Feb 15, 2012 - 07:42pm PT
Are you sure you need PRK vs. Lasik? Lasik is cleaner (in terms of the laser use vs. knife) and the Lasik Wavefront technology seems to be super accurate these days in getting the topography of each eye read correctly.

I've not done this yet but need to - am blind as a bat. I've talked to my dr. umpteen times about it. Go to a conservative Dr. for sure - don't do both eyes at once. There are many other things to consider - your age, for one, if you have an astigmatism, are at all far-sighted (i.e. need reading glasses). If you're young still (younger than 40 probably) you might want to wait - your eyes can still change - mine have and I'm in the second half of the 40's. So I've waited. Also if you can help it don't go to a bargain basement place.

jclimb1

Trad climber
Moab, UT
Topic Author's Reply - Feb 15, 2012 - 08:40pm PT
Thanks for the replies so far. A bit more info I guess....

I'm scheduled for custom wavefront, vision about -6.00 & -5.75, myopic (nearsighted), astigmatisms in both eyes, about $1800 per eye, Hoopes Vision in SLC, choosing PRK over Intralase lasik in order to avoid the whole flap thing and any future complications (and less likely to cause ectasia), I've gone to two different surgeons and had the thorough exams at both and both told me I am a good candidate - no dry eyes, no thin corneas, good cornea width, etc.

Also, I read locker's thread and his problems from 2009 and the "Lasik and Climbing" thread. Both have interesting info; thought I'd start a new, current thread.

Quote, "Are you sure you need PRK vs. Lasik? Lasik is cleaner (in terms of the laser use vs. knife)"

I might have misunderstood the above post, but PRK does not use a knife or laser to cut the flap. There is no flap w/ PRK. Lasik has a much shorter recovery time, but many people believe PRK to ultimately be a safer choice. And custom wavefront lasers are used in PRK, as well.


edited to change my vision from "farsighted" to "nearsighted"
PeteC

climber
Feb 15, 2012 - 11:37pm PT
Lasik was one of the best things I ever did, in 1998.

I'm a doctor and muddled through the testimonials and the statistics but the thing that convinced me was that all the ophthalmologists and their wives were getting it.

For high velocity sports like biking and skiing it's great, as well as third world travel where contact lens hygiene is poor, and of course altitude .

Thumbs up from me.
Raafie

Big Wall climber
Portland, OR
Feb 15, 2012 - 11:41pm PT
Lasik is awesome, and 100% worth it.

The worst that I have to put up with is some sensitivity to cold wind---my eyes tear-up pretty easily. A bit odd to be walking down the sidewalk going to lunch on a nice sunny day, and having to dab a tear just because it's a little chilly.

Edit: I did lasik wavefront, with the cut flap. Of course it's weird when they do it. But no complications, and 7-8 years later I'm still 20-20 or better.
elcap-pics

Big Wall climber
Crestline CA
Feb 15, 2012 - 11:49pm PT
I had it done in 2001 and after 11 years my eyes are not sharp anymore. But I am older now (67) and they say your vision gets worse once you pass 60. It is however a lot better than before I had it done.
matisse

climber
Feb 16, 2012 - 12:08am PT
The SO had PRK. great outcome about 5 years ago. The great thing about PRK is that there are no worries about dislodging a flap, which can happen even 10 years after LASIK, and no reported issues related to altitude changing refraction which has been reported to be an issue originally with RK and more recently with LASIK.
rgold

Trad climber
Poughkeepsie, NY
Feb 16, 2012 - 12:13am PT
...the thing that convinced me was that all the ophthalmologists and their wives were getting it.

Well, I have a story about that. My daughter just had a laser procedure for a hole in her retina. (So not for eyesight correction.) The doc who did it has done many thousands of laser procedures and is the senior instructor in such procedures at a major academic hospital.

As the procedure was about to start, my daughter joked, ``so, can I get rid of my glasses after you do this?'' The surgeon chuckled, pointed to his own face, and said, "We do a lot of those procedures, but you'll notice that I'm wearing glasses."
Danholio

Trad climber
San Francisco, CA
Feb 16, 2012 - 12:21am PT
I had lasik in Dec 2009 and given a choice, would do it again in a heartbeat. I am a doctor and waited for quite a bit of long term safety data to emerge before deciding to go for it.

I had mildly dry eyes for 12 months post-surgery which was well managed with eye drops.

Post-lasix, I have 20/20 vision in both eyes (formerly ~20/50). For climbing, it's been fantastic to not have to mess around with contact lenses, saline, etc. In the past, I had problems with contacts drying in the mountain air. Also the hassle/discomfort of waking up with contacts and having to manage them with filthy climber hands. Now, I just wake up and climb on.

Wayno

Big Wall climber
Seattle, WA
Feb 16, 2012 - 12:22am PT
I remember Locker having some problems that he talked about here. I'm not sure if it was Lasik or something else.

Edit- Well, speak of devil...
stevep

Boulder climber
Salt Lake, UT
Feb 16, 2012 - 12:33am PT
Well, I had vision about the same as yours, except nearsighted and minus the astigmatism (i.e. blind as a bat). Had LASIK and Interlase done at Hoopes 5 years ago. The Interlase was my only option because of thin corneas.

Best money I've ever spent. Results have been perfect. Could read license plates on cars on the way home. Vision better than 20/20 and stable. No side effects.

No question I'd do it again, and no hesitation in recommending Hoopes.
jclimb1

Trad climber
Moab, UT
Topic Author's Reply - Feb 16, 2012 - 12:55am PT
Man, this is tricky business. Just like you guys, everyone I talk to says, "Awesome, best thing I ever did", and I get all psyched. Then I read about people who are fuked because of lasik. And not just people who had it done in Tijuana 10 years ago. People who had it done 6 months or 1 year ago in university clinics and who will never again drive or read books or live without rx eye drops......shitty.

99 out of 100 will probably be great, but it would really, really suck to be that 1



Danholio

Trad climber
San Francisco, CA
Feb 16, 2012 - 01:27am PT
jclimb - if you're still uncertain, i would just be honest with your doc, have a conversation and if you're still not feeling up for it, then cancel. remember this is elective surgery. if you cancel the surgery, similar to bailing on a big wall, it'll be there for you again when you're ready.

that said, everything in life carries risk. just like in climbing, it's about understanding and mitigating the risks to the best of your ability while achieving your goals as safely as possible. horror stories abound for even the safest medical procedures and climbing routes - but at some point, you just have to go for it and trust the numbers.

take care and good luck!
kc

Trad climber
the cats
Feb 16, 2012 - 02:09am PT
I had a great result. Had Lasik over 10 years ago by a board certified opthamologist. Went from 20/400 to 20/10; things have finally relaxed to about 20/15+ in each eye. Best money I've ever spent. Not having to think about my eyesight on a daily basis is a huge benefit. I wore glasses since 5th grade, contacts for 20 years from high school on. I did have the procedure done before they were correcting one eye for reading. Now that I'm 50, I've got a slight reduction in my reading vision. If I were to do Lasik now, I'd probably get the adjustment for reading and myopia.

I'd say the only difference I noticed right away after the procedure was that I felt like I got more 'stuff' in my eyes. I think my contacts gave me a little bit of a barrier effect, so when they were gone, I felt like I had more dust or dirt or something in my eyes. That difference went away in a few months. I didn't have any changes between contacts and Lasik in terms of night vision. It wasn't that great before the procedure, but it definitely did not get worse after. Maybe even improved a little.

So--one vote for Lasik from me! Oh, and I can't even imagine camping with glasses/contacts anymore. SO nice to be able to get out of bed/bag in the middle of the night and be able to see where I'm going!
Ken M

Mountain climber
Los Angeles, Ca
Feb 16, 2012 - 03:30am PT
Dan's advice would be mine.

I guess I'm the third doc to post who had lasik, and I've been very happy.
The only issue for me is that my eyes dry easily in wind or dry environments, and simple eyedrops take care of it.

I wear reading glasses, but that was coming. I opted not to go for a one eye correction, that would likely have eliminated the glasses, as I thought that stereotopic vision would be better on the heights.
jclimb1

Trad climber
Moab, UT
Topic Author's Reply - Feb 17, 2012 - 01:11pm PT
Thanks for the input, everyone. I postponed the surgery. Gonna give it some more thought.
John Mac

Trad climber
Littleton, CO
Feb 17, 2012 - 01:50pm PT
Has anyone looked into this as an alternative for those of us who are are blind as a bat!

http://www.visianinfo.com/html/icl-eye-surgery.html

Basically it's a lens implant.
JEleazarian

Trad climber
Fresno CA
Feb 17, 2012 - 02:16pm PT
John Mac,

Cataract surgery is also a lens implant. The ophthalmologist removes the natural lens and replaces it with a synthetic one. I had catarct surgeries on both eyes twelve years ago, and was amazed at the change. The surgeries were quick and painless, and the results were immediately apparent. I had both surgeries early in the morning, stopped by my office to make sure everything was OK, then went home and watched March Madness without glasses, with a clarity I hadn't had in years.

John
Karl Baba

Trad climber
Yosemite, Ca
Feb 17, 2012 - 02:33pm PT
Like a miracle


Enjoy
roadman

climber
Feb 17, 2012 - 03:22pm PT
Had PRK from Dr. Levinson in denver and it went great. (2009) I had a slowish recovery, but nothing that bad really. I have 20/15, 20/10 vision now. I have dry eyes now and didn't before. It's more of an issue b/c I live in a high dry environment. I don't notice it near the ocean. Definitely be careful the days and weeks after keeping things clean and following your drop schedule. You will be losing your bowmens layer so that means you must wear sunglasses and or a hat for the rest of your life. Those UV's (that cause catoracts) will reek havac on you're "new" eyes. Not that big a deal as sun on the eyes is bad no matter what! One more little tid bit. Steriod drops cause cateracts! After your 500th drop that is! The amount of detail you can go to with all this informaion is just that information! Knowledge comes from those who do it and do it well. If you trust your Doc. it's a no brainer. If you don't, find one you do. Best of luck.
Banquo

climber
Amerricka
Feb 17, 2012 - 07:28pm PT
I had lasik done in 2005. I was very near sighted wearing -6.25 diopter correction. I was happy with contacts but started getting infections - probably due to my bad contact lens cleanliness habits when in the boonies. Sometimes it just isn't possible to wash your hands, etc.

Anyway, I had both eyes fixed. Since I am of reading glasses age, the doc asked if I wanted to do the close eye, far eye thing but I told him I didn't mind reading glasses and wanted the best distance vision I could get. I stressed that clear distance vision was what was important to me.

In the process they mash the front of your eye flat and carefully slice off the front to form a flap. They peel back the flap and fire a pattern of laser dots to reshape it. Then they squeegee the flap back in place and send you home.

I was unhappy with the result, not only was I wearing reading glasses as expected but I had to get a pair of driving glasses so I could read the signs as far off as I was used to. I was carrying two pairs of glasses around. After a couple checkups the doc agreed to touch up the eye that ended up the most near sighted. The unsettling thing was that after six months, he didn't have to re-cut the flap. He just peeled it open again. Tells me they don't really know if it ever heals! I have visions of Curly or Moe poking me in the eye and peeling the flap off. Perhaps I should wear goggles.

The result is one eye that is sort of ok, the retouched eye won't focus closer than about 6 feet and I am too creeped out to have it done again, not ever.

The correction isn't as precise as a pair of glasses or contacts so former contact wearers might be disappointed with the precision of the result. I think this is especially true if the correction is large as in my case. I have heard that 1/4 diopter error from target correction is about the best you can hope for.

I can find my way around the house without glasses which is nice and I don't have to deal with contacts which wasn't that big of a deal anyway.
crusher

climber
Santa Monica, CA
Feb 18, 2012 - 01:23pm PT
Hey JClimb, you're right I was forgetting that the PRK wasn't a flap. I think the whole knife slices to the eye aspect of PRK has always had me freaked out and anyway apparently with my eye problems the Lasik Wavefront would be most effective. I don't have astigmatisms but am soooo nearsighted - get this - one eye is -6.75 the other is -7.50. And now I'm starting to need reading glasses.

Dr. wants to give me "mono vision" - one eye slightly under corrected so I won't need the reading glasses as badly for a bit longer. I tried this out with my contacts and it drove me insane. Although I work on the computer most of the day, seeing slightly blurry in one eye at the mid and far distance was more than I could take. I just noticed it too much.

I, like you, have thick corneas and seem to be a good candidate for the surgery physically, but for some reason am still anxious about it. To get rid of the contact lens hassles would be nice. So maybe this year will be it for me.

It does sound like you've done your homework. Can you talk to some other patients your Dr. has treated with the same procedure - to see how they're doing and if they had any complications?

Good luck and keep us posted please!

Edit - John Mac, a friend of mine had the lens implant surgery for vision correction and it was a major disaster. I'm not sure this procedure is up to speed yet - maybe it was just her but she is now really badly off and can't have Lasik and is basically stuck with damaged eyes.

Re. cataracts/cataract surgery - my Dr. assured me that should I need cataract surgery in the future after Lasik, no problem. Maybe this is dependent on an individual's cornea thickness. Who knows? My Mom just had her cataracts removed from both eyes - she was a bit near sighted before, says now her clarity of vision is astounding and she seems to not need her distance glasses anymore. Interesting. She's 75 by the way.
Edwardmw

climber
Feb 18, 2012 - 01:47pm PT
I had Lasik surgery on both eyes about 10 years ago. Everything went smooth. I had better than 20/20 in both eyes immediately. It is a gift to be able to see perfectly. I would say go forward with the procedure.
MikeCoza

Social climber
Manila, Philippines
Apr 5, 2012 - 01:55am PT
Laser Eye Surgery is the best option for eye enhancing but it is very expensive & not every can afford it. And some says that there are risks in this surgery. That's why I also cancelled my lasik surgery operation, for now I am using the natural vision correction through doing eye exercises like call the ball, follow your thumb, palming, bead & string, look away. And remember that healthy diet is very important too, to sustain the nutrients/vitamins needed by the eyes.

bit.ly/HowGetRidOfYourGlasses
crusher

climber
Santa Monica, CA
Apr 5, 2012 - 05:29pm PT
Good luck with that one MikeCoza. That would never work for me or I imagine, most of us here. Sounds like exercises to strenghten a lazy eye, or may to re-focus at distance when you've been reading.

If it worked then so many people wouldn't be having Lasik.

Dorje

Trad climber
Valley of Smoke
Aug 27, 2013 - 02:01pm PT
I am strongly considering surgery. Any recommendations for a good Dr in LA?
Reilly

Mountain climber
The Other Monrovia- CA
Aug 27, 2013 - 02:11pm PT
You can't do much better than the Jules Stein Eye Institute at UCLA unless
you are in the OC in which case the Gavin Herbert Eye Institute at UC Irvine
would be an equally good choice. You should know that not everyone is a
candidate for lasik (just so you don't get your hopes up unrealistically).
Dorje

Trad climber
Valley of Smoke
Aug 27, 2013 - 02:21pm PT
Thanks for the lead.

I was a good candidate when I looked into it 5 years ago.
Stevee B

Trad climber
Oakland, CA
Aug 27, 2013 - 02:56pm PT
Dr. Salz in Beverly Hills. Research him, unparalleled.
Had it done 12 years ago, not a single complaint.
Seamstress

Trad climber
Yacolt, WA
Aug 27, 2013 - 03:28pm PT
I asked about eye surgery incessantly until my optometrist, a low vision specialist at the forefront of most innovations in treating low visions, finally said that the surgery techniques and tools were finally a decent option for me. I was so incredibly near sighted that they promised me I would continue to need glasses after the surgery. I signed up anyway since my very poor vision made me a great candidate to die in a fire, not be able to find anything quickly in an emergency, dead in the water if a contact came out skiing or climbing. I was hoping to just be able to see the alarm clock from bed or find my way out of a hotel in an emergency. I had -19.25 in one eye and -18.50 in the other eye.

My optometrist personally vetted the surgeon who did the procedure. He actually went down to the surgery with me. OK, I was one of his first patients and had been his patient for 30 years, subject of several studies on the very first gas permeable lenses and assorted other advances in contact lenses. He arrested the rapid deterioration of my vision which threatened to blind me completely in my early teens. Based on my optometrist's recommendation and research, I had full confidence that this surgeon was qualified.

The only good news about my eyes was that the corneas were abnormally thick. Even though they promised about 15 diopters of correction, the surgeon thought there might be room to go for a little more. I told him in no uncertain terms to go for it.

For the first time in my life I can function wihtout any vision correction. I needed one contact to help me read, and I needed nothing else for 13 years. Previously I was uncorrectable to 20/20. After surgery, I was slightly farsighted. It was a whole new game. I was deliriously happy that I did this. Yes, threading a needle was not as easy as it used to be, but I could read street signs and recognize faces from across the room. Life is good.

14 years later, I use a mild correction to see well driving at night. I also use reading glasses. I am no longer afraid that if I lose a lense skiing, swimming, or climbing that I will become incapacitated. At 56 years old, the old lense doesn't adjust as well between near and far, day and night. But that is entirely normal. At least I can still see the alarm clock from my bed, climb without any vision correction, etc. I have been to Denali, and I have take up scuba. It all works.

Talk to your optometrist. Trust who that person trusts.
crusher

climber
Santa Monica, CA
Aug 27, 2013 - 04:17pm PT
Seamstress, Holy Canoli!

I thought I was bad and I'm -6.50 and -7.50.

SteveeB - my Dr. is also Dr. James Salz! Funny coincidence. He is excellent and very well versed in Lasik. He is also an avid skier so he understands about outdoor pursuits.

Dorje - check him out. His office is on Wilshire Blvd. in WLA near Federal. I've also heard Dr. Maloney in Westwood is great but I haven't had a consult with him.

Please keep us posted if you have the surgery. Like some here I am still in contemplation mode but am getting closer to doing it. Life is too short and there are things I want to do that are hindered by my reliance on contacts/glasses.
apogee

climber
Technically expert, safe belayer, can lead if easy
Jul 27, 2015 - 02:23pm PT
Bump
apogee

climber
Technically expert, safe belayer, can lead if easy
Jul 27, 2015 - 02:25pm PT
Thinking about getting the eyes cut, after so many years. There's some good beta here in this thread, but I'm open to more if it's out there...

In particular, recommendations on resources near Palm Springs, Inland Empire, or even in the LA area (including or in addition to those mentioned at UCLA, Irvine & BH). Or places NOT to go...all beta is appreciated!
neebee

Social climber
calif/texas
Jul 27, 2015 - 08:41pm PT
hey there say, seamstress... wow, as to this, your share:

I asked about eye surgery incessantly until my optometrist, a low vision specialist at the forefront of most innovations in treating low visions, finally said that the surgery techniques and tools were finally a decent option for me. I was so incredibly near sighted that they promised me I would continue to need glasses after the surgery. I signed up anyway since my very poor vision made me a great candidate to die in a fire, not be able to find anything quickly in an emergency, dead in the water if a contact came out skiing or climbing. I was hoping to just be able to see the alarm clock from bed or find my way out of a hotel in an emergency. I had -19.25 in one eye and -18.50 in the other eye.

My optometrist personally vetted the surgeon who did the procedure. He actually went down to the surgery with me. OK, I was one of his first patients and had been his patient for 30 years, subject of several studies on the very first gas permeable lenses and assorted other advances in contact lenses. He arrested the rapid deterioration of my vision which threatened to blind me completely in my early teens. Based on my optometrist's recommendation and research, I had full confidence that this surgeon was qualified.

The only good news about my eyes was that the corneas were abnormally thick. Even though they promised about 15 diopters of correction, the surgeon thought there might be room to go for a little more. I told him in no uncertain terms to go for it.

For the first time in my life I can function wihtout any vision correction. I needed one contact to help me read, and I needed nothing else for 13 years. Previously I was uncorrectable to 20/20. After surgery, I was slightly farsighted. It was a whole new game. I was deliriously happy that I did this. Yes, threading a needle was not as easy as it used to be, but I could read street signs and recognize faces from across the room. Life is good.

14 years later, I use a mild correction to see well driving at night. I also use reading glasses. I am no longer afraid that if I lose a lense skiing, swimming, or climbing that I will become incapacitated. At 56 years old, the old lense doesn't adjust as well between near and far, day and night. But that is entirely normal. At least I can still see the alarm clock from my bed, climb without any vision correction, etc. I have been to Denali, and I have take up scuba. It all works.

Talk to your optometrist. Trust who that person trusts.


wow!!! i am so very very happy for your freedom to see now, to do 'the greatoutdoors' with more ability!!

my eyes are not as bad as yours, but i sure know what you meant about:
losing a contact, and thus not being able to fully function, :O


wow... so glad... happy greatoutdoors to you, continually now, and thanks for sharing, what just might be a 'new way of life for someone' ...

yet, yes, i do agree, as well, with those that have to say:

CAUTION... such a very hard study, really is needed, to decide all this, as if it is for you, or not...
apogee

climber
Technically expert, safe belayer, can lead if easy
Aug 6, 2015 - 11:09am PT
Bumping for better vision...

Anybody ever been a patient at the Jules Stein institute? Is there a particular doctor you liked, or have heard good things about?
apogee

climber
Technically expert, safe belayer, can lead if easy
Oct 21, 2015 - 12:13pm PT
So I went to Dr. Maloney in Westwood a few weeks ago for a consult....I'm a pretty good candidate, apparently, but at a price: ~$6500 for both eyes. Sheesh!

A phone call to Jules Stein (Dr. Kevin Miller) resulted in a fairly similar quote. I'm going to contact Dr. Salz, too.

I'm nearsighted, and have worn glasses for at least 25 years- my Rx has gotten stronger over the years. I'm pretty confident I'm actually a good candidate, but concerned about the functionality I'll gain & lose.

I pretty much need all ranges of sight: up close, for detail work (i.e. finish carpentry, inspection of placements)...mid-range sight (computer viewing, foot placements)....and distance sight (street signs, landscape features).

I'm concerned that correcting for distance will allow good medium-distance vision, but that up close vision will always require reading glasses. Would you really need to wear reading-type glasses in order to inspect protection placements?
murcy

Gym climber
sanfrancisco
Oct 21, 2015 - 01:27pm PT
Do you take your distance glasses off to inspect placements?
apogee

climber
Technically expert, safe belayer, can lead if easy
Oct 21, 2015 - 01:45pm PT
Right now, my vision (with glasses) is such that I have pretty good clear vision of placements, as well as rock features within arm or leg reach...and a little beyond. Distance vision is a real problem, though, and I'm getting more eyestrain in general (though my Rx isn't that old).

I'd be tempted to just stay as is, except that sunglasses are a continuing pain in the arse, and because of that, I'm not wearing them enough- that possible UV damage is probably worse than the eyestrain from deteriorating eyesight.
murcy

Gym climber
sanfrancisco
Oct 21, 2015 - 02:14pm PT
Same for me (at 52yo), and my distance correction is 20/20 (though you wouldn't know it to see me hunt for bolts). I wouldn't thread fish hooks or read fine print with my glasses on, but fiddling gear is not a problem. That's what I'd expect after eye surgery.

Why do you think sunglasses would be less of an issue? Cheaper? Not having to carry both regular and sunglasses?
apogee

climber
Technically expert, safe belayer, can lead if easy
Oct 21, 2015 - 02:40pm PT
Yeah, I think about your experience sometimes, Locker...or more accurately, try not to think about your experience. Making such a irreversible decision is really scary. I hope you've found a way to adjust.


My eyes are also 52 y/o...I've had a couple pairs of Rx sunglasses in the past, but gradually stopped using them because I'd have to take them on and off constantly during the day as I was performing various tasks (routefinding, climbing, reading), and have to put on another pair of glasses. The attraction of wearing a single, off-the-shelf pair when I need them is strong, and the ability to see well enough to see terrain features or read topos reasonably well when they're off is a requirement.
hamid

Trad climber
Berkeley, California
Oct 21, 2015 - 04:30pm PT
Does anybody have any experience with Visian ICL? I'm scheduled for the surgery next week...
apogee

climber
Technically expert, safe belayer, can lead if easy
Dec 2, 2015 - 09:06am PT
Anybody done this KAMRA procedure? Know anything about it?

http://www.maloneyvision.com/procedures/kamra/
Byran

climber
Half Dome Village
Mar 29, 2017 - 11:30am PT
I had read through this thread when I was thinking about getting Lasik, and so I thought I'd contribute my experience. I had the operation a little over 6 months ago. For the first part of the procedure a little machine latches onto your eyeball using suction, and then a blade slides through to create the "flap". This flap is pulled back, the interior of the eye is bombarded with lasers to reshape it, and then the flap is set back into place. The difference with PRK is that the flap is never created, and instead the lasers reshape the eyeball directly on the surface. During my operation, the machine lost suction on my left eye while it was in the middle of cutting the flap. This meant that the Lasik procedure had to be aborted. Rather than wait several months for the flap to heal in order to make another attempt at Lasik, I had PRK on my left eye then and there. The whole thing took about 5 minutes from start to finish including this complication. This puts me in a sort of unique position of being able to compare Lasik and PRK side by side, because my left eye received PRK while my right eye received Lasik.

The main difference between the operations is the recovery process, which I will outline below.

One day after the operation:
Lasik: Vision is very good, better than 20/20 but sometimes blurry, like you have tears in your eyes. Mainly it's just difficult to look at stuff up-close. Little or no pain, just sort of dry feeling.
PRK: Terrible vision, a blurry mess. Very painful like I have a bunch of sharp stuff in my eye. Eye is constantly tearing.

One week after the operation:
Lasik: Vision has stabilized to 20/15 (better than normal), but it's still sort of difficult to focus on things up close (like a book or computer screen) because the muscles in the eye are still adjusting to its new shape. The eye still feels a little bit dry and uncomfortable.
PRK: Vision is still terrible, like seeing quadruples. If you had PRK on both eyes at the same time, you would essentially be blind for a couple weeks (I don't think they do this, rather they treat each eye a month apart or something). Eye is still painful, tearing, and sensitive to light, but much better than the day after the operation.

One month after the operation:
Lasik: Getting better at adjusting focus for things up close. Very minor dryness, but mostly unnoticeable.
PRK: Can actually see out of the eye now. Sometimes vision is good, sometimes really blurry. Vision fluctuates a lot but generally it's better in the morning and gets worse throughout the day. Eye is dry and uncomfortable and occasionally painful.

Three months after the operation:
Lasik: Eye is good-to-go. Not much difference between a couple months after the operation and now.
PRK: Now it's almost caught up with the Lasik eye. Still the occasional blurriness or seeing double, mainly in the evenings or if it's windy out and the eye gets dry. Very minor discomfort and dryness still, sort of like how the Lasik eye was after a couple weeks.

Six months after the operation:
No difference between the two eyes. Both see 20/15. Dryness has gone away completely, or at least enough where I can't tell if my eyes feel dry anymore often than they did before the operation. Eyes feel maybe a bit more sensitive to bright light, and it's maybe a bit harder to focus on computer screens and things up close, but again, the difference is so minor that it's hard to tell if it's real or just in my head.

Overall, I would recommend Lasik over PRK in all cases where you are a candidate for Lasik (people with very thin corneas aren't). The recovery period for PRK can be very disruptive to your life, and there are no advantages to getting PRK as far as I can tell. I would probably only recommend eye surgery to people who are in similar situation that I was: horribly nearsighted, basically can't see sh#t without vision correction, you think contacts are way too much of a pain in the ass and uncomfortable, and you do a bunch of sports like rock climbing, snow boarding, and swimming, where wearing glasses is a nuisance. Because I'm only 6 months out from the operation, I can't comment on any of the long-term effects. In total I paid $5,200 for the operation, which included all subsequent check-ups, taxes, everything except for prescription eye drops for which I had to pay another $60 out of pocket. The eyedrops maybe would have been covered by insurance if I had it, but the operation is an "elective surgery" and so most likely wouldn't be covered by your insurance even if you have dental and vision. I had my procedure done at the Modesto Eye Center.
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