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Suggest Treatment For Dry Eyes

Posted on Thu, 23 Jun 2016

Question: hello
i had lassie laser back in 2002 and got back cylindrical number in 2008 and since then my number increased
now since the last 4 to 5 years my left eye number is stable at -2.75 cylindrical and my right eye number is stable at -5.5 cylindrical since the last 2 years ?
i have dry eyes problem but since i am not wearing contact lenses anymore it has greatly resolved
can i believe that my number will remain stable now as someone told me cornea becomes hard after 35 years age and i am 36 now?
also what can i do to protect my eyes or should i watch less laptop or tv?

Answered by Dr. N K Mishra (1 hour later)

Brief Answer:
Eye has stabilized now.

Detailed Answer:
My dear,
Thanks for sending your query to us
Apparently your eyes have stabilized now. so you have to concentrate on maintaining good health of eyed.The list for you includes taking care of dry eye by using lubricants. Computer work is also associated with dry eye and eye strain. During computer work have 5 minute break every half hour,when you do eye movement exercise. These measures will help you in the long run.
Do get back to me in case of any further query in this regard.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. N K Mishra (11 days later)

Thanks doctor
What libricant can i use ?
I use refresh teara normally as mybeyes get dry lot of times
Secondly can my eyes stay stable forever now i mean is it possible that my cylendrival nimber does not increase more now ?
Some one told me me about cross linking of collagen ? Is it advisable in my case or not as i can see very clearly with specks
Does cornea become strong after age of 35

Answered by Dr. N K Mishra (4 days later)

Brief Answer:
Post lasik cylindical error

Detailed Answer:
My dear,
Thanks for getting back to me.
Refresh tears is good drop and you can use it for a long time with out any side effect.Continue with this and dry eye will be under control.
We will need a follow up after some time to ensure that there will be no progression of power,still I do not expect it to increase now.Cross linkage is not a modality of choice for you.
Do get back to me in case of any further query in this regard

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. N K Mishra (7 minutes later)

Thanks sir
How long should I keep monitoring my eyes with corneal topography or do I need to monitor all my life now ?
I mean can this number get stabilised here as still my vision is 6/6 in both eyes rather 6/4 ( better than 6/6 in left eye)
When can we say the vision is stabilised ?
I mean since I got number after lasik I hope I do not need cross linking if my number is sane and not increasing ?
Is there by test to check the strength of cornea ?

Answered by Dr. N K Mishra (7 minutes later)

Brief Answer:
Post lasik cylindical error.

Detailed Answer:
My dear,
good of you to get back to me.
Six monthly checup for a year or two should give us more information.Strength or thickness of cornea can be measured by pachymetery.Since your eyesight is so good we would like to avoid any further intervention.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. N K Mishra (36 minutes later)

What is physacimatry? Sir

Answered by Dr. N K Mishra (16 hours later)

Brief Answer:
Post lasik cylindical error

Detailed Answer:
My dear,
thanks for getting back to me.
Pachymetery is measurement of thickness of cornea.This was done before lasik.This gives the measurement of thickness in microns.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. N K Mishra (1 hour later)

I have been getting corneal topography every three months since the last 17 months
My corneal thickness is same almost

Right eye
Apex. 468
Thinnest 451

Left eye
Apex. 465
Thinnest. 455
It Chenges by 2 or 3 microns every time i think that's because of the machine
Cylindrical number is 5.5 in right eye and 2.75 in left eye

Answered by Dr. N K Mishra (2 hours later)

Brief Answer:
Post lasik cylindical error.

Detailed Answer:
My dear,
Thanks for getting back to me.
Do not overdo this follow up.Six months to a year should be check up interval.This can be earlier if any problem.
Let's wait and watch and see how things change.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. N K Mishra (20 hours later)

One last question doctor
How much is the highest cylindrical power that can be corrected like I have seen minus 11 or 12 in spherical correction
What is highest in cylindrical ?

Answered by Dr. N K Mishra (27 minutes later)

Brief Answer:
Post lasik cylinder.

Detailed Answer:
My dear,
Routinely this is a high amount of cylindrical power you are having. As you have a excellent vision and follow up is good, so far there does not seem to be much of reason to worry. This is almost the highest cylinder that I have seen, as it is rare to have such cylinder.
Do get back to me in case of any further query in this regard otherwise you can rate the answer.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. N K Mishra (21 minutes later)

Thanks sir
So there is no more spectacle power than -5.5 for cylindrical
Actually I checked my records before ladki my power was -3 spherical in both eyes and now it is cylindrical
What is the difference between cyl and spherical power?
Any more power increase can lead to blindness ?
Is corneal transplant successful and can a person see 6/6 after that ?

Answered by Dr. N K Mishra (2 hours later)

Brief Answer:
Post lasik cylinder

Detailed Answer:
My dear,
This doesn't usually happen.A spherical power converting to high cylinder.. Good part being that you see very well with glasses.T here is no blindness in such cases and no need to think about outcome of keratoplasty.we are not supposed to discuss blindness and keratoplasty in a person with better than normal vision.
Have yearly follow up and you will be fine.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. N K Mishra (53 minutes later)

Thanks a lot
My eye pressure is 16
With thickness of cornea at 468 and 465
Is this pressure normal ?
What can j do to protect my eyes from any problems in future ?

Answered by Dr. N K Mishra (3 minutes later)

Brief Answer:
Post lasik cylindical error.

Detailed Answer:
My dear,
Pressure and thickness both are normal.Just have yearly checkup.That is all you need to do for the time being.

Above answer was peer-reviewed by : Dr. Prasad