After your PRK surgery, it is wise to use lubricating drops or a moisturizing contact lens in order to keep your eyes comfortable during the healing process. I would not go as far to say it was easy, but it was definitely an improvement which leads me to believe the brush technique is a better option. Prior to the PRK Id never cried over an onion. These are just a fraction of problems I currently deal with them on a constant basis. I made a little chart for all the meds because it was hard to keep track of when and how many to administer. (Note: I did have an astigmatism in the left eye before this). The typical timeline applies to most patients after PRK. It usually takes around 5 to 6 months to last (in most of the cases). Required fields are marked *. I only use them every once in awhile now 5 years later. I had prk 2 years ago instead of lasik due to my brother and dad both having a genetic disorder that causes the cornea to be very thin. As an Amazon Associate I earn from qualifying purchases. Without glasses, I cannot see ANYTHING clearly on any screen from most typical viewing distances, however, I can see pictures and images at farther distances but words are still REALLY blurry. So it was exactly as it used to be-ish seeing nearsighted again. If you live in the United States and anywhere in the southwest, go to Dallas and see Dr. Because it will keep you from having reading glasses until older age! I had a pre-surgery visit with his team. How long does it take to get 20/20 vision after PRK? Having an intact epithelium creates a clear surface. Month 3 I can say that I could see very well but still had super dry eyes. Unlike LASIK, PRK does not involve a corneal flap, which comes with its own risk of complications both during and after the procedure. When healthy, this tear film is smooth and crystal clear. I was not a candidate for LASIK due to thin corneas. Fortunately by the 3 month mark, vision recovery has pretty much completed for most people. Almost constantly reddish and sensitive eyes still no reasonable answer for this one, and I was forbidden to use Stilla (or similar) eye drops. This corneal abrasion takes three or four days to heal, resulting in moderate pain and blurred vision in the short term. I remember feeling SO TIRED. This blurs vision temporarily until blinking restores a smooth tear film. I didnt want to get my hopes up so I took that with a grain of salt and prepared myself for the worst. My vision at computer screen distance is very unclear (blurry and double vision) 18 days after my PRK surgery. [Read more about retinal detachment surgery.]. My right eye is better than it was before I had the original surgery, but I still have to wear glasses. I did prk in April 2022 . PRK (Photorefractive Keratectomy) is a procedure that gently scrapes away the surface cells (epithelium) on the cornea before using an excimer laser to reshape it for vision correction. I am in constant pain. [Read more about cataract surgery recovery.]. Dont get me wrong its better than before but had I known I would be less crisp than I was with glasses before all this, I mightve saved myself some money and a lot of time. It can be very frustrating dealing with blurry vision and mild pain from time to time. However, blurry vision may last longer if you have both a vitrectomy and retina surgery. Thank you so much for commenting. Benefits of the PRK procedure include less risk of overcorrection. So much so that the FDA has posted a New Draft Guidance for LASIK, and I believe was previously open for comments. This allows your eye doctor to reshape the underlying corneal tissue. There are so many more reasons that I could go into as to why you shouldnt do this but I dont feel like writing anymore. Im now 42 with 20/80, astigmatism, and +1.5 progressives. thank you for sharing this. Well, only about 40% of people are able to reach the legal driving vision of 20/40 within the first few days after PRK. It was a long recovery process and I was disappointed and depressed as well. I was so so frustrated through this process and my blood is boiling for you reading about your experience so far. The only time I have issues now is when driving. Compared to mt left eye, my reading distance is somewhat blurry and NOT crisp! Unrelated I had to have a membrane removed from the retina. That didnt work and I had another enhancement 6 months after that. The retinas light-sensitive cells, the rods and cones, are still recovering. I am praying it gets better as well. Thats why one of my doctor said FML is not require more than 6 weeks so you can stop. Are you going to pay for my glasses? Blurred vision after cataract surgery can also be caused by a problem called PCO, or posterior capsule opacity. Epithelium and stroma of the cornea; Image by StemBook (CC BY 3.0) / modified from original. It felt like someone was pouring acid in my eyes. I appreciated your thoughtful and informative post and all of the commentary that followed. BUT I have severe and debilitating photosensitivity. They are dependent on not needed acute eyesight and environments that dont contribute to my misery. I dont think so. What is the fastest way to recover from PRK? The correction lasted about 15 years which I cant complain aboutBUT since the second surgery I have been completely night blind, cannot go without sunglasses in even partial light, suffer from extreme eye strain, dry and itchy eyes, and a constant squirt in even low light. But it is still normal to have blurry vision one month out. I am one and a half years post op. I had prk 2 months before. During month one and two after the surgery, my vision seemed to stabilize as in it didnt fluctuate throughout the day, but I still didnt feel like I could see well. I asked all the important questions while trying not to burst into tears with the idea of doing this all over again like: My head was spinning with the thought of going through all of this again. I personally chose PRK myself and had a great surgeon that was very easy on the eye throughout the procedure and their method utilized a disc instead of a well to apply the alcohol directly to the treatment area reducing the after surgery pain. Our goal is to highlight amazing locations,share our journeys andpost our favorite travel resources. A retinal detachment (also called a detached retina) is a serious medical emergency. The doctor also told me I can go back to work in 4-5 days which is a BIG lie. By month 1, vision has sharpened up significantly but it isnt until month 3 that vision no longer becomes blurry. Im hoping I just havent healed all the way yet. But you need to find the best doctor you can. The good news is that with a soft contact lens I can see 20/25. I cant believe the Dr. didnt give me the slightest headsup about potentially going through such a long recovery. I hope I can get a much clearer vision soon so that I can resume work. Is this normal?? I would recommend LASIK to anyone based on my experience. I began to worry and get frustrated when my vision did not start to stabilize in the third week. Now they want me to have a second surgery and I have not accepted it. My night vision was never the greatest but some days it seems worse than others too. Additionally, when I dont wear glasses, there is a haze, similar to walking through a campfire smoke, permanently. I am so sorry youre going through all this. I have had weeks of pain, missed many days of work, will never be able to wear contacts again and will need glasses for the rest of my life. This also came true. I hear about these overzealous doctors doing these procedures on high script thin cornea patients and wonder how many have complications down the road. It is my opinion that no one should risk their precious eyes! The patient. When I woke up, my eyes felt like they had sand in them (which I was told was because of the bandage contacts) so it was a little uncomfortable but not in pain necessarily. They did NOT use nearly enough eye-numbing solution and the little valium they gave me didnt do a damned thing for me. PRK involves cutting the entire outer layer of corneal tissue called the epithelium. Is it worth it? Thats a lot of money to spend on a horrible experience and still bad vision. Thanks for sticking around to read about my personal experience. Ill summarize here as this story is getting quite long. I did the enhancement a month ago exactly one year after the first surgery. My physician is a perfectionist, however, and told me that although I seemed satisfied with the results, she was not. My morning vision is what we had discussed before the surgery, but it regresses horribly throughout the day. It was like having a tic tac! Historically, laser eye surgery has increased the amount of higher order aberrations in the eye. Maybe there should be a list with LASIK/PRK surgeons like the healthgrades website. I have had the prk surgery and it was done by a close friend who is a Dr. Im writing this for anyone who is thinking about it. Also, I get glare from light entering the windows, from overhead lights in my office. I cant believe my eyes are ruined . My dizziness and nausea lasted a long time and I did many different therapies to try to help costing my thousands of dollars. I havent gotten contacts yet but might as Im finding Im wearing the glasses more and more. Anywhere I inhabit is littered with the tiny plastic bottles of preservative free eye drops. I didn't realize what I wasn't seeing. And another one suggesting need to use FML 10 weeks. But there's more that blurs vision. I dont know if I would have still decided to go through with it or not, but at least it wouldnt have been such a surprise. It does not appear to be getting any better, either. Contact an eye doctor if you need medical attention. Hi Catherine, What a journey for you, Im so sorry. I am still unable to drive at all, and my computer usage is very limited. Do not shower or take a bath for at least 24 hours. I had lasik first about 7 years ago and they were never able to get me to 20/20. But my doctor said before surgery that I would get better but always be sensitive to bright light. At my six week appointment I was told I have scar tissue that was not healing as it should. It include things such as spherical aberration, coma, and trefoil. Improvment is slow as compare to my colleagues and feels that I should be 20/20 by now. Offer cannot be combined with any other discounts or special offers, previous surgery, insurance, or vision care plan savings. This was the biggest mistake of my life! He holds some patents on some of the procedure. Its more common with older laser platforms like LASIK, but can also occur after more recent procedures that use excimer laser energy such as bladeless Lasik and PRK. The doctor told me, I was not done healing and to give it time. It doesn't feel like there is much notable improvement during this time. Not 100% but way better than before. I was so excited and thought this was a great sign. Vision improves between the first week and the first month out after PRK. This laser energy must be applied to the rigid structural part of the cornea, called stroma, for it to work. Consult with a doctor virtually or in person. Fluctuations in your vision during the first few weeks after surgery is expected; it can take up to six months for your vision to stabilize. I wear sunglasses outside but I see better with more light. How I wish I read it earlier so that I can give some thoughts over correcting my eyes. The recovery was painful but quick! Im not sure if that was case with me but hindsight is 20/20, pun intended. Learn more at What YOU Can Expect With Post PRK Haze. Called my doctors office but they told me to wait it out until my next follow up appointment. I had prk in 2012 and achieved better than 20/20 visionbut a few weeks ago I woke up one day and it was as if I had never had the surgery!! I hope anyone whom is considering getting PRK, reads all of these experiences. You might be considering the same option so I want to share my lengthy and not-so-great experience so you can make an informed decision. My contact prescription before surgery was a -6.50. Keep reading below to find out about the great deal I found for regular prescription glasses and sunglasses! Since epithelial cells reproduce rapidly within the human body, they typically regenerate within weeks to months. My right eye is just about perfect. 1 month? It has been 17 days since my surgery and driving is miserable. Thanks so much for sharing your experience. Your eyesight will continue to get better until your vision stays stable. Having some residual prescription means blurry vision (without glasses). Just like the question, I woke up this morning some eye pain. 2.5 mos after wavefront optimized PRK with alcon excimer 5000. I cant drive at night because I have no depth perception. i had lasix and had no problem at all after. I still have very hazy eyes but according to the dr I have 20/20 vision but cant see clearly. NVISION Centers Centers Near You Enter A New Address Procedures Custom LASIK Disclaimer: I earn from qualifying purchases. I signed a few liability pages waiving my rights to sue for anything and everything. All my symptoms remained the same as month one and two. Just when it would get bad it would be time for more drops which made them feel better. The inflammation is trying to respond to the injury the surgeon created. Since last Saturday, my problems are improving a little every day but it is not yet like before. I am a 29 y/o woman and I had PRK done about one month back. Your email address will not be published. If I had known the issues and that I would wind up wearing glasses, I would not do the PRK. Thanks for sharing your experience and recommendations Diman! It seems that there arent many negative reviews of PRK surgery and if there are, you REALLY have to dig for it. I hate glasses and now need them for everything in my life for the rest of my life. Dry eyes can affect your vision. Im no doctor, so take anything I say with a grain of salt. The pair I picked out at the eye doctor were $440 so I couldnt believe the price difference. I even put a sign on my bed that says I did PRK because before I did try sleeping with my contacts on and it was horrrible and scary I though ill lose my sight due to dryness anyway, its just there to remind me I am really seeing clearly now. I do have a possible procedure to brush the cornea again as something (i cant remember the term he used) is 60 microns thick, while a normal (insert term) should only be 40 microns thick its something on my cornea. Opthalmologist mentioned that epithelium in one eye is healed and the other eye is healing. But it can take a lot longer if there is haze or scarring of the cornea. The most common issues are corneal haze, infection after the surgery, and overcorrections and undercorrections. Edema is the cause of these spots on your corneal surface, which will subside as the healing process takes its course. Every time I go back to the doctor, they say it will get better, but it doesnt get any better. Finally 2 yrs later I started to really notice myself squinting to see things far away and got to the point I wouldnt drive At all at night. Here is what you can expect at each stage after PRK. No light sensitivity or halos. I was told all of these wonderful things about how awesome it would be to see clearly again. I have heard that some vison clinics are not good. I followed all directions and went in for follow-up appointments as directed. During the first week after the procedure, I could not sit at my computer or watch television for very long at all. (I was 34 when I had the surgery). This procedure is one of the best ways to correct visual impairment and is quickly becoming popular around the world. Fast forward to 2022. Learn about common complications from PRK, including blurred vision, pain, discomfort, and more. Most of my day is spent with my right eye closed. Ghosting occurs when one eye perceives two slightly different images at once, leading to double or monocular vision (ghosting). My doctor saved my cornea, but the irregular astigmatism was awful. I unfortunately didnt do any research and chose prk over lasik as my dr said I would probably have problems with cataracts when I was older so this just seemed like the best choice since I have been told this since I was like 10. According to the Kellogg Eye Center, PCO occurs in about 20% of patients. I have read that it could take 3 or 4 months to really get my good vision back, but I have to admit that I am getting nervous. My eyes settled at like 20/95 and 20/100, respectively, with astigmatism when I was like 19 and I drove for 3 years without glasses because I was bullheaded. I feel like Im having slightly blurrier vision in that eye but its also watering like crazy. It is normal for you to experience significant fluctuations in your visions for the first couple of weeks following your procedure. so I will be trying daily contacts in the near future. 2000-2023 AAV Media, LLC. I then had LASIK & for 14 years I saw a crisp 2020. Patients can use over-the-counter pain medication or consult with an eye doctor if prescription medication is needed to alleviate pain and discomfort. I had severe dry eye as well but it did get better it just took some time. Everyones experience is different just as the pain level. So when my distance vision started getting a little blurry, I went back to the same surgeon. Ive had to pay out of pocket to see a corneal specialist, have expensive treatments, and I spend over $350/month for eye drops and supplements. By four or five days after surgery your vision begins to clear up, although it may take several weeks to a month to become excellent. Maybe, like you, a life of crisp 20/20 due to glasses, made our expectations too high for this procedure?! I too am having problems look straight on or upwards. Im waiting it out another 3 months & Im remaining hopeful. The assistant blew me off, but when she examined me she realized that I had a corneal erosion (not just an abrasion). Both proved to be wrong so far. While much of this heals up within the first 3 months, some can notice dry eye beyond (especially those who noticed some dry eye beforehand). Im pretty much going to be honest and up-front with them, as I always have been. Ive had a very similar experience and after 6 months of my first PRK, Ive just underwent a second PRK plus PTK few days ago in my right eye. Im currently able to do about 10-12 hours a day with 3 large monitors on my PC. Seems to be one of the worst decision Ive ever made. So, just to sum up my far distance vision gor corrected, no complaints, but at what price?! Author has 101 answers and 241.3K answer views 6 y About one month. (If only had read your blog sooner!) Thanks for sharing Liza! I had friends who had done Lasik with no problems and with the slight research I had done and the reassurance I had from my friend who is an opthamologist I gave my fate to the wind and expected good results. But when this epithelium is removed, the surface becomes rough. As recovery continues, your eyesight will gradually start to improve. I hope you find peace. An advantage is NOT quick recovery. Toss of coin. He said my healing has just kicked into high gear & I should take the advice of my other doctor to wait it outbut it may or may not get better. When would I have the time and how do I know this will work if it didnt work the first time. Wow, your experience is so similar. I am sorry to hear that you were unhappy with your experience but I cant help but feel jealous of your success. The initial phase of healing after PRK surgery is essential for its success. Wasnt that tough, to be honest. This has been a nightmare for me and many others. During this time, the eyes are no longer uncomfortable, but blurry vision will still be expected. Have you been back to the doctors office? Thats gotten better as well. But i am getting epitheal erossions. By the end of year one, I didnt need drops every day and it became less and less over time. His practice has changed a little but I trusted him. During the first 24 hours after PRK, its important to rest your eyes. In the last few months ut is become do bad at night such that i cant open my eyes. Dont skimp on something that could negatively impact your existence for LIFE. Prk makes cs go bad. Im +1.75 in the right eye and +2.25 in the left. And because everyone has to sign a waiver releasing the practice and surgeon from any wrongdoing prior to the procedure, there is nothing I can do about it. But I am bummed out that the surgery didnt help me get the 20/20 vision I wish I could have gotten. I hope this helps and is a little bit of encouragement. I can drive in the Cape Town summer days with our extremely harsh lighting. And only the healing time and potential complications differ. I didnt feel like I could see well until maybe 4 months later. Ghosting is usually caused by an epithelial defect. It is possible for vision to remain blurry for one to two weeks. Thank you Steven. Also they definitely should have told you that you should expect fluctuations for up to 6 months with the majority of changes happening in the first 4 weeks after surgery. I am so sorry youre going through this and really hope it gets better. It was very painful at first but after a few minutes the pain went away. So sorry you are having such trouble. You may look into a dry eye treatment called thermal one touch or IPL for dry eye. I see better in humid climates. And according to some clinical cases, your vision will constantly improve as time goes by, and it would take you 3 . I went back to the place where I did the surgery and the doctor said it was unusual for my eyes are like this because I did a really small prescription now its way worse than before. Any advice? Psychosomatic effects are real. Well, the main reason I decided to get my eyes corrected was that I thought it would be helpful when traveling long-term. Wish you a good day. A lot will happen within the first week after PRK. Because I had blurry vision 2 weeks after PRK, I still needed someone to drive me to my third appointment which I had on Day 27 where the doctor assured me everything was right on track. That is when the one in my right eye failed. I used to be -9 And -8.75, after the surgery I am positive .50 and -.75 so I am nearsighted in one eye and farsighted in the other eye and has been causing me tons of problems. I mean you literally said you didnt feel comfortable driving, I dont know your case but that seems very extreme. I came here too because I also am experiencing issues with prk and it has been pretty much 4 months. Some deterioration of vision as a result of PRK may not be correctable with the aid of glasses or contact lenses. PRK has certain benefits when compared to LASIK and other forms of refractive surgery. Dont think there is need to expand here, simply google haze after prk, and youll get plenty of results on this one! Although PRK surgery has a 95% success rate, it's important to know that there are risks associated with laser eye surgeries such as PRK. Hi Jess, It is unbelievable how many stories are out there just like us! Eyeglass temples: How do you know if they're the right length? Kind of strange but very cool at the same time. Cant touch my eyelids, an eyelash feels like a knife, and onions are acid. What symptom that mostly annoyed me was the dry eye syndrome where I wake up some nights due to painful dry eyes! My healing took many months. Oh Kamie, I am so sorry. When the retina pulls away from the layers of supportive tissue, surgery must be performed to return it to its normal position in the back of the eye. Oh no, Im so sorry for what you had to endure. I had PRk Surgery 10 weeks ago. Is this normal? I really appreciate the info and totally agree. There is a small amount of residual fluid remaining from the detachment that isnt absorbed automatically. Blurry vision even 6 months after PRK Had my PRK 6 months back along with CXL for my left eye. LASIK has little downtime with only a day or so for recovery whereas PRK is much longer. I got PRK because I couldnt stand the headaches glasses would give me. Higher order aberrations have a more irregular and uneven shape and can't easily be corrected with lenses. So excited and thought this was a long time and I had the. 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