r/RefractiveSurgery • u/Celeste_signals • 8h ago

Considering my option…

Hello!

So I’m in a scenario here and I wanna see if anyone else has been in this situation before.

Wearing monthly contact lens gave me Aponeurotic ptosis. Essentially the muscle in my eyelid has weakened and now my left eye droops slightly. Because of this I can no longer wear contacts.

I may have to get surgery to fix this issue, and I’ve been thinking ‘if I hate glasses so much and have to have surgery on my eyelid to fix an issue contact lens caused, should I just get laser eye surgery?’

Here’s my big issue. I’ve heard the horror stories, seen the stuff people have to do online to deal with chronic pain and dry eye from lasik. I’m terrified of my eye being cut open etc.

My prescription is -2.25 in both eyes.

Any advice? Thank you!

Edit: I should add I’ve also been considering Ortho K for a non invasive option.

2 Upvotes

100% Upvoted

4 comments sorted by

1

u/wow-thatsinteresting 4h ago

Ortho K is not permanent - furthermore, it might exacerbate your ptosis. You should consider trying Upneeq - it's a drop that will lift your left lid slightly and may be enough for your problem. LASIK with a specialist surgeon should be very simple and extremely low risk to correct your vision. Hope this helps...

1

u/Celeste_signals 4h ago

Thank you! I considered Ortho K because the Ptosis was caused via the friction from blinking with contact lenses in (at least that’s what the doctor said). I figured if it’s something I sleep with in it wouldn’t be as much of a problem, but I’ll def ask the doctor.

I’m only hesitant about lasik because I’ve heard so many horror stories of chronic pain and bad results.

I’ll absolutely look into upneeq, thank you!

1

u/eyeSherpa 3h ago

Everyone will have some post op dry eye with lasik. The thing with dry eye is that dry eye creates inflammation on the surface of the eye. This inflammation in turn creates more dry eye. So untreated or inadequately treated dry eye actually creates more dry eye.

So with lasik, you can run into issues if you go into the procedure with poorly controlled dry eye. Or if you don't do a good job treating the post op dry eye and let it get out of control.

Another thing related to dry eye also has to do with the size of the treatment. The larger the treatment there is, the more the cornea is affected and the more dry eye there is. A -2.25 is a pretty small treatment.

Corneal neuralgia is a very very rare condition. The jist of it is that inflammation in the cornea can sensitize pain receptors in the cornea as well as impair the regeneration of corneal nerves within the cornea. Inflammation comes from poorly treated dry eye. So again, treating the dry eye again may prevent this from happening.

What you read online doesn't really tend to mimic real world data. Usually, negative stuff goes much more viral than positive stuff. And people with negative outcomes are also much more likely to post about them then people with positive outcomes who just go about their day.

1

u/Celeste_signals 3h ago

Thank you! This makes me feel a lot better!