6 Months post Epi-Lasek. Induced dry eyes

[Silverlady]

Oh..so sad and happy

Hi Ian,
Your message was so sad and yet so happy to me. Sad because we won't be hearing from you as much, but happy that things are going so much better for you.

Take care and let us hear from you soon,
Billye

Thanks Rebecca

Sorry that I have had such little input in the board over the past couple of months, not having regular access to the internet is a problem where we are.

I am starting to plan my return to the UK but I think that it will be very short lived.

My eyes have felt really good in Australia, it must be the hot weather that helps.

They actually look white again and I am starting to feel happy in myself again.

I have certainly come along way since my first posting nearly 10 months ago and have found so much help from you guys posting on this board.

I have had a quick scan of the recent posts but will get more involved again when I get back to the UK.

I am certainly not cured and my eyes certainly do not look like they did before my epi-lasek butchery but they are feeling better on the odd occasion and I am thankful for that.

I still have a long way to travel but am certainly feeling more positive about being on the road to recovery at least manageability.

Take care and warm regards till next time....
Ian

[Rebecca Petris]

Just fyi, i'm moving this over to My Dry Eye Story. If anybody's earned a place in the DEZ hall of fame...

[neil0502]

Great to hear things are moving in a positive direction, Ian. Also good to hear that what you've found on the shelves there is more, better, cheaper.

As to flying: when I was prepping for my trip across the pond, the docs agreed: knock him out and let him sleep until arrival. For each of my two flights to and from Europe, I popped a pain pill and a sleeper (in this case, Ativan). There was too much concern about the pain, risk of corneal ulcer, and extensive recuperation time if my eyes were open.

I also used an unpreserved antibiotic ointment and a pair of moisture goggles before I konked out.

On the way there, it was nearly perfect. On the way home, though--for whatever reason--I woke up a few times and had to struggle to get back to sleep. Either way, though, I pretty much kept my eyes closed the entire time.

Continued good luck in Oz. Mind your step on the farm, ya' hear?

Neil

Month 13/14

I have finally arrived in Australia after months of planning and I must say that the humidity is a nice and welcomed change.

Firstly I will say that the flight was horrendeous. I could never have imagined how revolting it was to fly with DES, it never occurred to me that I would spend an entire 14 hour long haul with a wet towel over my dry burning eyes - something else I have to thank Lasek for.

Once I recovered from this flight, I had another 7 hour flight from Singapore to Brisbane, it was nearly as enjoyable as the 14 hour one, at least this time I only used half the amount of warm towels.

I found the tranquil eyes an essential travelling companion and would certainly recommend them to anyone doing the long haul.

The weather in Australia has been fantastic, very warm and humid. In general I would say that my eyes feel better, although the air conditioning really sucks the life out of them pretty quickly.

Thanks Rebecca for the glasses, they have been fantastic, using them in the car with the AC on full blast is a welcomed relief.

One thing I have noticed here in Oz is that there seems to be quite a selection of drops available and compared to UK prices they seem quite reasonably priced. Quite a welcomed relief from what I was paying for this kind of stuff.

There also seems to be some generic product marketing going on, for example there is a generic equivalent to Genteal Gel that sells for A$5.95 (approx £2.20) and the real Thera Tears that we pay a fortune for in the UK retails here for about $10 (£4).

I have also started on my experiement with Dwelle/Dakrina (thanks again Rebecca). I am having mixed success with it. Dakrina and I just don't seemt to get on so I am using Theratears during the day and now Dwelle of a night.

There has been the odd occasion where I feel an abrasion has been imminent so I have quickly put some Genteal gel (well now the generic product after my bargain hunting trip) and avoided it.

I am determined to win this battle and will persevere with Dwelle as I believe it will help me.

Whilst I am using two completely different products, I feel that Theratears during the day with Dwelle of a night seems to be doing the trick.

I don't feel I have a burning need (no pun intended) to use tears during the day now (not doing any computer stuff/reading or anything taxing - just lots of sleeping and wandering around the farm) but I still instill TT every 2-3 hours as I think a bit of prevention will work wonders and give my eyes some quality time to heal.

I wouldn't say that the change in weather has had the wow factor - yet, but I can categorically say that I do not miss the central heating or my office or my countless hours in front of a PC.

Life has just got a little better and more comfortable.

Regards

Ian

[Lucy]

couldn't understand what those of you with reflex tearing or tear overflow were on about - how could too many tears be a problem I used to think. Now I sympathize, been there, done that, didn't like it either.

Ian, don't speak too loudly, as this too can pass as swiftly as well...water over a dam. Or should I say damn? I can remember having tissues all around me at work, every time I'd speak or smile at someone--the overflow would start. Actually, while not fun..........for me, those were the days.

1 extreme to the other

After my plug fiasco yesterday, I braved yet another visit to the DR today. I am still in shock that my local A&E didn't know what punctul plugs are and where they should look to see if they are abnormal (I could have told them what I really thought but I don't think you will find punctul plugs there ) - what are we dealing with in this country.

I ended up coaxing the temporary plug out last night with a bit of saline and a cotton tip (and some trusty forceps). Couldn't put up with that all night - warning - don't try this at home!!!!!!

Anyway, today, I have had yet another appointment (I am going to take my sleeping bag next time and set up home in the surgery, I seem to spend more time there then I do at my own home), at least they see whenever there is a problem.

Long and sort of the visit today, I now have permanent plugs (Oasis), top and bottom - should be excited I hear you say, not at all, I have had overflow all day since I had them instilled.

Fortunately, I have a visit next week where if they don't settle down, I will be asking for the top suckers to come back out, the DR asked me whether I was sure I wanted the top as my eyes looked pretty well lubricated.

It is quite strange, but I noticed a remarkable difference between the permanent plugs and the temporary ones just in the bottom alone. The permanent plugs seem to retain more moisture, and whilst they are called permanent, I have been assured that they can be removed if the need arises.

Another exciting drawback is that when you swing your head around on the motorway to check to see if there is approaching traffic, my cornea connects with the plug and that triggers reflex tearing and a jabbing feeling that is not what I would describe as a pleasurable experience.

I am sure there is a happy medium somewhere between not enough and too many tears, the too many seem really watery anyway. At least my eyes look a little whiter today, my own tears must be doing some good.

I couldn't understand what those of you with reflex tearing or tear overflow were on about - how could too many tears be a problem I used to think. Now I sympathize, been there, done that, didn't like it either.

Just another experience on my journey wandering aimlessly through the Dry Eye minefield.

Cheers

Ian

Heather

I am sorry to hear that you are having similar challenges to me. Just because I am at this point, doesn't necessarily mean you will be also.

I think that an recurrent corneal erosion starts as an abrasion and when it happens continually, it is then referred to as recurrent corneal erosion (RCE) - this is what i have managed to piece together.

I was the perfect laser candidate - so I have been told time and again. I used to wear contact lenses for 8-12 hours per day with minimal problem. I did notice that some days around 8:00pm I was ready to remove them but they had been in all day.

The debridement is supposed to remove the epithelium and let it regrow completely on it's own, the theory is it will be strong as the whole thing completely regrows.

Remember i had epi-lasek where just the epithelium was weakened and folded back to perform the laser, this is supposed to be better for people with dry eye anyway.

I am off to the DR today so I will let you know how I get on.

Keep up the fight, we will get through this, just some tough days to get through along the way.

Regards

Ian

[heather g]

First let me wish you a Happy belated Birthday. I just started reading the posts and I was sorry to hear about your setback. I myself am at the 6 month post lasik mark. It is disheartening to realize in 6 more months there is the chance this will still be a bad situation.
I know everyone is different but at this time I am regressing due to the change in weather and the heat being turned on. I can relate to you opening the windows at work. I find myself doing it at night and then freezing my family.
Tomorrow I am going to Cleveland clinic for an evaluation. My own doctor has admitted defeat! I am keeping the hope (even though most days it is very difficult to do). I was feeling a small level of comfort until this past 2 weeks. Your story has made me realize I must never let down my guard when things are slightly better.
I have had the abrasion is an erosion the same thing? What does you doctor feel the debridement will do? Is there scar tissue or infection?
Lastly, before your surgery were you unable to wear contacts or having any dry eye?
Keep the faith and remember to enjoy those carefree times (like your birthday party) We can't let the dry eye ruin everything about us.
Good luck !
Heather

[Rebecca Petris]

Care to share Rebecca? I guess you lost them eh! Shame, we could always do with a laugh on here as you know!

Yeah unfortunately it all got deleted at some point. We do need to get some more doses of humor around here though, esp. this time of year when things get harder. Hmmmmmmm

[SusieD]

LOL! Reminiscence-ville. I look back on that in wonder sometimes. I am afraid I even wrote a couple of poems about these stupid !@#$ eyeballs of mine.

Care to share Rebecca? I guess you lost them eh! Shame, we could always do with a laugh on here as you know!

[Rebecca Petris]

I only wish you'd been around another bb a few years ago and listened to some of my, Rebecca's and other's rantings.

LOL! Reminiscence-ville. I look back on that in wonder sometimes. I am afraid I even wrote a couple of poems about these stupid !@#$ eyeballs of mine.

[Rebecca Petris]

From one 37-year-old to another happy birthday (late). You've come a long way and that will continue, temporary setbacks notwithstanding. You're a terrific guy, Ian, and have been a great support to others here with all your sharing. I feel sure things will continue to get better for you, with or without debridement. It can be excruciatingly slow sometimes and we don't see the progress until we look back on it retrospectively - sometimes much later.

[Lucy]

Ian, in early 2000, it was well versed that most people with dry eye were post-menopausal females. When dry eye began showing up post-op, it was still being told that "this was the case." Those of us who frequented the bbs realized this was NOT the case. Being in the older female category, I fit perfectly into the "reason." No further explanations necessary. After all, what did I expect?

Men began having the same problems post-op. What? Why? Men? Must be some sort of oddball thing. YOUNG MEN? No. Yes. It really didn't take long for me and others to realize the "older female" reason was just an excuse some docs could use.

I'm sorry you are having trouble. I only wish you'd been around another bb a few years ago and listened to some of my, Rebecca's and other's rantings. Keep us informed, please? It sounds like you had fun with your drunken birthday party. We just must throw caution to the wind sometimes! Can you envision me sitting in a smoky casino perched on a stool wearing Panoptx goggles? I do get some funny looks, but they work quite well and I will not give up all enjoyment. You shouldn't either.

12 Months Post Epi-Lasek (Anniversary Today)

Today is the 12 month anniversary of my epi-lasek procedure and it seemed timely to post my current challenges.

It was my birthday last Saturday, decided to have a party to take attention off my eyes at least for an evening. I had a fantastic night, had a few too many drinks, fell up the stairs and went to bed without putting in my eye gel - this drunken oversight resulted in a severe corneal erosion on Sunday morning. I guess the positive side of this story is that I made it to bed and didn't end up falling asleep in the garden.

Since Sunday I have had horribly blurred vision in my right eye, have had 2 trips to the doctor and have been quite distressed with my vision and the Doctor's suggestion that Debridement of my right eye whilst radical may be a solution to these recurrent erosions although there is no guarantees (heard that somewhere before 12 months ago - I believe, consent form comes to mind).

Until this week, my left eye feels comfortable most of the time, it is primarily my right eye that continues to give me grief, however, with the vision disturbance in my right eye, the left has gone out in sympathy because it is working overtime compensating for the poor vision in the right, resulting in serious headaches behind my left eye most of this week - give me strength.

I started another thread about the debridement, I am quite reluctant at the moment. I will be spending 3 months in Australia in about 4 weeks time so I am hoping that the change in humidity will give me some relief and not having to stare at a PC for 3 months should help (I live in hope).

You would think that with all the stuff that my tired eyes have read lately that they would jump at the opportunity to heal themselves, surely they must be uncomfortable within themselves - poor little souls - no I haven't lost the plot just trying to make this a light moment.

Since my last post, I feel as though I am getting my daytime dryness under control, however with winter fast approaching the radiators are just not helping.

I went into the office today and it was like walking into a furnace. I upset my colleagues by opening the windows and suggesting that their coats could be put to better use in keeping their own back warm as hanging it over the back of the chair really didn't serve any useful purpose. At least the atmosphere in the office was a little colder after that even if the radiators were at boiling point.

I am hoping that my vision will settle down again soon, it is about 6 months since my last serious erosion and I was getting excited that maybe - just maybe they had passed. It was only last week that I was commenting to people that my vision was the best it has been since the surgery. Such a shame the erosion has set me back again. I am sure that if my previous experience is anything to go by, my vision will improve again.

If you are considering laser surgery, let me just remind you that 12 months ago, I was a perfect candidate also, the last year of my life has been the most challenging in my short 37 years.

Thanks to all of you who have provided me inspiration to keep up the fight over the past 6 months. I have had some really tough days but I am even more determined now that I will get this horrid condition under control and stop letting it rule my life.

Cheers

Ian