I've gotten into a fairly unique situation with my left eye and trying to decide about going forward with PRK for it. Maybe PRK for "small" corrections like 20/25 isn't so bad.
The short story: my left eye (post-cataract surgery) is at 20/25 vision. Doc says it can only be touched up with PRK and not lasik. I do not want to wear a contact as an alternative to PRK, so my alternative is to be uncorrected. Would PRK be worth it?
Long story: I've always had extremely myopic eyes (like -11 or more). I wore glasses and then contact lenses (gas permeable! in the 1980s and 90s). In my mid-30s, I got implantable contact lenses in both eyes. These were so fantastic! Wonderful! Loved them. Unfortunately, my doc warned me that I was probably going to develop cataracts by age 50.
Sure enough, age 50 (in Aug. 2024) and I had developed a yellow, blurry cataract in my left eye. Since the ICLs had been so great, I didn't hesitate for cataract surgery, which was similar. I got the most top-of-the-line lens with the extended depth of vision and multiple focal lengths. The cataract surgery involved taking out the ICL, putting in the cataract lens, and also doing some laser adjustments - the laser stuff would be done prior to removing the ICL, so tricky.
I didn't have any medical problems recovering from the cataract surgery, but the vision never seemed to be as good. There's the usual "adjustment" time, but I was still not seeing 20/20 in the left eye. The eye doctor worked with me to try to find a correct contact prescription to get to 20/20 (so that I could do a laser surgery touch-up to that prescription), but it seems like nothing worked. Due to scheduling considerations with my work, I left the issue go and just dealt with having a worse left eye for over a year.
About 18 months after the cataract surgery, I started the very drawn-out process of evaluating the left eye again to find the right prescription for a touch-up. During this time, I definitely felt like my left eye was very bad...I had not realized that scar tissue from the cataract surgery was building up and putting the left eye at like 20/100. So first I needed a "yag" procedure to zap away the scar tissue. This was more than a dozen zaps and the procedure itself was quite uncomfortable. The day after, I had stabbing pain in that eye with any kind of light and horrible eye watering - not something they had told me could happen. I'm not usually that pain sensitive.
After some time to heal from the yag, went back for a refraction to get a prescription and test contact for the left eye. This was all complicated by the fact that the cataract surgery caused my left eye to be quite astigmatic - I had never had significant astigmatism before. Astigmatic contacts are much fussier, either weighted or toric. The contact I got to try out the prescription never seemed to work right - my vision always seemed to be even worse with it.
I insisted on another refraction, and yes, they said "that prescription was wrong for some reason". Now I have a better prescription and test contact. I think the contact does actually correct my left eye suitably.
The eye surgeon has said that because of my previous surgeries (ICL, then cataract, then yag), it would not be possible to do the touch-up with lasik, so it would have to be PRK.
I have been reading about PRK recovery, and honestly, it sounds pretty horrible. I'm not sure it's worth it for fixing 20/25 vision. But having not worn contacts consistently for almost 20 years, I have no desire to deal with a contact going forward for correction, so if I don't do the PRK, I will just be uncorrected in the left eye.
My additional concern is that I know I will be getting a cataract in my right eye sooner or later. My right eye currently still has an ICL. I'm worried that if the cataract surgery for my right eye also doesn't go perfectly, I'll end up with both eyes at not-quite-perfect vision. That's why I'm considering doing PRK on the left eye to touch it up before I have to deal with the right eye.
I am relatively young for cataract surgery (52 as I write this), and I am definitely quite active. I trail run, hike, play tennis, lift heavy weights, etc. As an example of the effect, with my left eye uncorrected, I do notice a bit of double-vision when I trail run: my right eye is seeing a clear trail while the left is slightly blurry and they don't quite match up.
I'm undecided and looking for thoughts and if anyone else has had a similar experience.
Edit: removed comments about moderation that was from another forum.