Starbursts and ghosting, dry eye sensation without actual dryness.. HELP

[phenix01]

Update: 5 months after lipiflow. Considerable improvement in comfort, however my eyes are still dry according to Dr, and I still have all the visual disturbance.
Vision still improves dramatically for a few seconds when I use a drop. Hoping my glands will continue improving. Feeling stressed.

[phenix01]

Update: 2 months post lipiflow, I'd say the improvement in confort is very little, and there is no improvement on visual symptoms.
My doctors told me however that it took her 3 months to get results after lipiflow.
On the official lipiflow website, they say people that had the condition for 1+ years may take up to 5 months to feel the benefit.

Anyhow, I have my fingers crossed and hoping that Lasik did not ruin my vision. When I use an eye drop at night, I notice that the starbursts go away for a few seconds, therefore hoping the issue is simply the tear film lacking lipids and that it will resolve...

[phenix01]

Update, went for a lipiview. I scored 46 and 51. Most of my glands are clogged. 20% of my glands are getting smaller.
Scheduled lipiflow in 4 days. Crossing my fingers as the pain is only increasing.

[phenix01]

dede29,

Our symptoms look like some form of corneal neuropathy. Look it up..

https://www.aao.org/eyenet/article/a...eal-neuropathy

[sophie0416]

phenix01 and dede29 :

I do see starbusts but I mean this was even before my dry eye, I think it's because of my astigmatism.

And just google: dry eye specialist near me

I used this website: https://dryeyeandmgd.com/find-a-doctor/

And btw, he told me I have MGD, which can't be cured, YUP, I cried like a baby that week.

[dede29]

I suggest that you
get a corneal topography (pentacam or orbscan)
your Lasik doc will of course never ever admit to you that something is wrong

[phenix01]

I've been to one doctor which did a wavefront test which noted strong anomalies. I have afterwards been to lasik which did a test for HOA and according to them everything was normal. I'm just confused at this point, but the symptoms started 3 months after lasik when I started to feel dry eyes.

I'll try to find a dry eyes expert.

[dede29]

have exactly the same symptoms. have you dome some corneal topography?

[phenix01]

The visual symptoms? Big stars which are longer on the bottom side. I see those even when my pupils aren't dilated. For example when I drive, I can see in my mirror that my pupil isn't dilated because of oncoming traffic lights, yet I do see starbursts to some extent. If there is no oncoming traffic lights, the bursts become huge.

I also notice that the farther away the light is, the worst it is.

With regards to ghosting, anytime there is a non-luminous pale object (white or grey mainly) on top of a dark background, I will see this object double itself towards the bottom. This is also true for white letters on a black background on TV.

I also feel like **** on most days because my eyes feel dry. Very annoying thanks to Lasik!

[dede29]

phenix01 do you have some examples how it looks like for you?

[phenix01]

sophie0416, in addition to dede29's question, what did the specialist tell you to do? Was there any solution to the problem?

Is there a name for such specialist?

[dede29]

sophie0416 : Do you also experience Star Bursts or Ghosting with your dry eyes? Does actually someone else have this problem?

[sophie0416]

I recommend a meibography. And to consult a dry eye specialist; I visited more than 6 doctors myself and they all told me me glands were fine and they didn't know why I had dry eyes. I visited an specialist, did a meibography and my glands are suuuper atrophied.

[phenix01]

What you are describing is very similar to what happened to me.
It is annoying that there seem to be no solution.. my docs can't even tell me what cause this.

[dede29]

I myself ended up with Star Bursts (pointing downwards) and lots of ghosting. This happened more or less when I got dry eyes (was not symptomatic at this point in time, 2-3 months later I have developed severe dry eyes). I never had any Lasik done. RGPs did not fix my problem. On one hand this is indicative that the tear film itself is not the main issue, but on the other hand it just must be related...

Solution? There is none for me. Fix only? There is none for me, as well. Did LipiFlow fix my issues? No.
Will it be a fix for you? No one including yourself will be able to answer this before you actually try. But if you say eye drops do not fix your visual symptoms, then it is unlikely that LipiFlow (just my opinion, can be of course wrong) will fix your HOA, but of course it can improve your dryness.