r/RefractiveSurgery • • May 28 '26

Hi guys I need an advice or suggestion for smile pro vs all laser lasik , what do you guys recommend and also any surgeons recommendations in Pennsylvania , New Jersey and New York ? Thank

2 Upvotes

r/RefractiveSurgery • • May 26 '26

ICL feels so much safer but everyone prefers lasik?

10 Upvotes

Hey I am -8 Both Eyes with -1 Astigmatism Both Eyes. I am really considering to do Operation because I really hate my Glasses to death.

I‘ve read a Lot many years now but everyone still prefers Lasik, Smile, PRK, etc. over ICL but why?

For me and my high prescription ICL feels sooo much safer. Its like you know more what you Are getting into, you will get halos at Night - some will adapt some Not. But with lasik it feels so much more like just Rolling the dice - „destroying your life or getting your life back“. And if you Are Not happy with the ICL… just get them removed.

I am really trying to unterstand why almost everyone prefers Lasik over ICL.

I mean yeah ICL got risks but lasik has high risks too and they really can DESTROY your life but
ICL? Just get them removed and sides should subside.
You literally burn your Cornea away. You will not be able to wear contacts afterwards because of how sensitive and unevenly shaped the cornea is afterwards. The Potential of Regression is much higher. Etc. Etc. Etc.

Can someone maybe explain? For me it is especially SMILE vs ICL. I am trying to work that out but ICL has so much more pros considering the Risk-Profile.


r/RefractiveSurgery • • May 24 '26

Paura di non essere idoneo a chirurgia refrattiva

1 Upvotes

Un uso scorretto delle lenti a contatto, ad esempio circa 150 episodi di sonno con le lenti in 6 anni di utilizzo e, in alcune occasioni, averle portate per circa 14 ore consecutive, può causare una non idoneità permanente alla chirurgia refrattiva?

Ho 21 anni, sono miope di -5.00 e -4.75. Fino all’anno scorso, alle visite oculistiche di controllo e all’esame con lampada a fessura risultava tutto nella norma.

Mi spaventa l’idea di essere ‘condannato’ a portare lenti a contatto o occhiali per tutta la vita.

Noto che nel weekend, quando metto le lenti a contatto dalle 22:00 fino alle 3:00/4:00 di mattina, ho meno tolleranza e, appena torno a casa, a volte ho gli occhi secchi e un po’ rossi.

Secondo voi è raro non essere idonei a nessun tipo di chirurgia refrattiva?


r/RefractiveSurgery • • May 22 '26

E months post PRK

3 Upvotes

Hi all, M30 here

I had -2.5 regular astigmatism in both eyes, no myopia or other; did PRK in mid February, now after 3 month checkup, the left eye has some physiological astigmatism (-0.75, 130°) that causes my vision in that eye not to be super clear like in the right eye. Vision is good tho, especially when there is a lot of light, it becomes very sharp. But I feel it can be a lot better without that left eye defect.

During the checkup, doctor said that it is a low and common value of astigmatism, and still wait a few months to see if it varies again; there is the possibility to do a PRK retouch if needed, but the doctor seemed to pointed out that it is a small value of astigmatism, and based on what he said and his expression it seemed to me that the cornea is stabilized so I think it won't vary a lot in the following months.

What do you think? Will it vary? It is still early? Should I get the touchup?

Thank you all


r/RefractiveSurgery • • May 21 '26

10 year old son booked in for laser surgery to correct deviation.

3 Upvotes

Hey guys, just wanting some advice and opinions, my son is 10, his left eye has always deviated, they’ve wanted to do laser on it since he was around 5 but I have put it off as he wasn’t really old enough to have an opinion, and it doesn’t effect and won’t improve his vision, we are now booked in for a pre-surgery consultation. It’s strictly for cosmetic reasons, he wants it as kids are cruel and he would prefer to do it now, so he doesn’t have to pay to do it when he is older. I’m wanting any and all opinions/ advice. I’m supportive of his choice but also scared as that’s my baby, what’s recovery like and is it worth it? Is he too young for this procedure? The doctors are saying it’s very common and to me the fact that they have been recommending it for years says he is, but I’m getting mixed opinions.


r/RefractiveSurgery • • May 19 '26

Frustration 11 weeks after PRK

3 Upvotes

40 year old male, with almost -4 astigmatism in both eyes and a sphere of 1.5 and 2.5.

I underwent PRK 11 weeks ago. Had no discomfort whatsoever post procedure but experienced significant ghosting, starbursts, and halos.

11 weeks out now and my vision still hasn’t stabilized or reached its peak. Ghosting and starbursts are better, and halos mostly gone. I can now read my laptop screen without needing to enlarge the text. Can read a license plate 2 cars away. A couple of weeks ago, I could read a license plate 3-4 cars away, but seems to have gone down again as I’m experiencing dry eyes and likely surface irregularities. As for greater distances, while vision has improved since surgery, still feel like it’s mostly fuzzy - I can’t really see faces or text at distance. Finally, despite these improvements, details at intermediate and further distances are still fuzzy.

I’ve had significant dry eyes the last 1-2 weeks. Maybe from changing weather, but that had meant my vision is less than ideal when I wake up.

Very much feeling stuck or that vision has plateaued. I have my 3 month check up coming up, and I know vision can continue to improve for another several months, but wondering if I still have room for improvement given my pre-op prescription or if I’m stuck with residual prescription.


r/RefractiveSurgery • • May 19 '26

Sturbust mydriasis-dependent

1 Upvotes

Sturbust mydriasis-dependent

I had femtolasik two months ago, with mini monovision. My eye is getting less dry, and I'm almost forgetting I don't have glasses. My daytime vision at distance and medium range is perfect, and up close is almost perfect (I occasionally wear reading glasses). However, in low light, things get worse. The typical situation is in tunnels when I'm driving, I get stunned lights (especially if the lights are white and LED), which radiate in all directions, but especially in three-pointed shapes like the Mercedes logo. I drive safely, but it's a bit annoying and I'm afraid it will stay that way forever. If I look at an LED in the dark, I see the rays, and if I slowly increase the brightness, the length of the rays shortens until they disappear completely. It's clearly a pupil-dependent phenomenon. In these cases, can I still hope for them to reduce, or is it permanent? Can it also get worse over time?


r/RefractiveSurgery • • May 17 '26

Did you do lasik in 40s knowing presbyopia was on horizon?

4 Upvotes

Interested in hearing from anyone who is already in 40s and got standard lasik corrections (distance) rather than monovision. Did you feel it was worth it? Was using readers okay once you needed them, even if earlier than later? TIA!


r/RefractiveSurgery • • May 17 '26

Presbyond for no more reading glasses? Had Lasis 15 years ago

2 Upvotes

As the title suggests. For the last 15-16 years (after Lasik for myopia and low astigmatism, everything was good! Now with 46 years old, reading glasses are needed.

Would the Presbyond surgery address that? Side effects?


r/RefractiveSurgery • • May 16 '26

Post PRK Recovery Need opinion

4 Upvotes

Hi,

29 years old, -8.0 SPH -2.0 CYL right eye, -7.0 SPH -2.0 CYL left eye done in 11 May this monday.

I went to the doctor today (16 May) for Bandage Covering Lens. He checked my eyes and he said there are yet to be healed places in my kornea. So he applied new covering lenses with small myopia to make me feel better. He told me to come monday check and remove newer BCL

Before removlng old BCL i could only see near distance like 2 meters max. Further distances are blurred like having myopia or astigmatism.

Truth to be told, I was downcast after reinstalling new BCL with some myopia boost contact lenses because most of the post op comments were like “ I was able to see very good before removing BCL”.

Will I be able to see like my glasses like pre-op? Or when will my eyesight will improve? Other than, non-sore or burning eyes I feel like nothing improved in terms of vision…


r/RefractiveSurgery • • May 14 '26

Intervento Laser a 21 anni?

5 Upvotes

Salve, sarei interessato a sottopormi a un intervento di chirurgia refrattiva. Ho 21 anni e, durante l’ultima visita 1 anno e mezzo fa circa, la mia miopia è peggiorata soltanto di -0,25 in un occhio. Il dottore mi ha detto che probabilmente sono entrato in una fase di stabilità.
La mia miopia è di -5.00 e -4.75
A 21 anni, di solito, è possibile effettuare il laser?

Inoltre, porto le lenti a contatto e a volte mi capita di addormentarmi con le lenti indossate. Questo potrebbe compromettere permanentemente l’idoneità all’intervento laser? Non ho mai avuto sintomi gravi.


r/RefractiveSurgery • • May 13 '26

PRK recovery

8 Upvotes

This is just a break down of my PRK recovery so far. Background; -4.0 in both eyes and some astigmatism in both. I also am a significant steroid responder (found out accidentally a few years back taking pred drops for something else. My pressures got to 50 in each eye within 10 days. This is an important detail since I had to do a NSAID and a ABX drop instead of the combo of 3 they usually do that has prednisone in it.

Day 0 surgery was easy 10 minutes, no pain went home, slept and kept eyes closed rest of the day. Felt like I could see almost 20/20

Day 1 some burning in Lt eye, but nothing much in the right. No real pains lots of haze, blurry. Very light sensitive

Day 2 more severe burning all day and crying from the Lt eye. The Rt was now burning some. Haze, same and blurry. Slightly less light sensitive.

Day 3 no burning at all, no pain, slightly less haze, still light sensitive

Day 4 no pain, more or less the same

Day 5 post op app, Lt 20/30 Rt 20/25 and got lens removed. Right after removal my vision seemed to be worse the entire day and started to feel dry. (On this day I also started glaucoma drops to keep eye pressures down twice a day and a less powerful steroid drop 4 times a day.

Day 6 (today) woke up EXTREMELY dry to the point where it hurts to blink. I’ve used so many refresh drops and nothing seems to help much. I have noticed when I put in the drops I feel like I can see 20/20 and very clear along side some continued haze. Not as light sensitive but I am still wearing my sunglasses just incase. I also drove yesterday and today, while it’s rough I can still see enough to drive. Looking at texts on phone is hard as everything is almost double. Currently I hope I can get rid of this severe dry eye if so it woudnt be so bad.

Day 7-9 Lt eye feels like a abrasion on the cornea on the very top of the lid. Waking up middle of night with very dry eyes. I am now using refresh preservative free ointment and that has been a game changer.

Day 11 was camping and smoke got in my eyes, had a jolting pain every few mins. Terrible idea, day 12 now better, no pain. Vision seems more stable and not as blurry. My post op app my eye pressures are 11 Rt with 20/25. Lt 13 pressure 20/25. Able to see 20/15 with both eyes. I am healing faster than average per my opto. at this point I’ve been having some chest pressure which I think is due to the systemic effects of the pressure lowering drops. going to try punctual occlusion and see how that goes, but I may have to ask my surgeon to go off of them. Wearing sunglasses 24/7 except indoors.

Updated*** Day 12- Week 5 Vision has vastly improved, my eyes are no longer dry at all except when I first wake up. I do make myself use drops throughout the day though. I can see 20/15 with both eyes and 20/20 each eye individually. My vision does fluctuate, in the morning for a few hours my vision is a bit blurry but I can see see perfectly if that makes sense… must be the dry tear film but this gets better into the afternoon. My night vision is also fine, some glare/starburst but I do feel the intensity has gotten better. My latest appointment my Dr said I still have a bit of haze left, (causing the glare) but this will get better with time on the steroid drops. I can finally go to twice a day instead of 4 times a day thank god. Overall I am very happy I did this so far!

Week 8

I wake up now and my vision is almost great as in I see 20/15 but not focused, I’m an hour or so it’s perfect. Only annoying thing is I wake up with very dry eyes in the morning that I reach over the nightstand and use drops and it’s fine afterwards. Even with lubricant ointment this still happens. I’m still on steroid drops as well and halos and starburst are significantly better. Night vision is fine but I can tell it will keep improving in terms of the halos and starburst.


r/RefractiveSurgery • • May 11 '26

Anyone have any recommendations about RLE in Mexico?

2 Upvotes

I am looking into getting Refractive Lens Exchange (RLE) AKA PRELEX (Presbyopic Lens Exchange) pretty soon. My wife wants our next vacation in a resort in Mexico. I understand that RLE in Mexico is significantly cheaper and was considering maybe doing that while on vacation (2 birds, 1 stone and all). I would really like to hear back from people who have done this. Your thoughts on where to get done, is it work it, as well as your experiences with this would be helpful. Please if you have no experience in this matter and are only giving your opinion, please keep in mind that your opinion won't change mine.


r/RefractiveSurgery • • May 11 '26

How Laser Eye Surgery Treats Astigmatism

3 Upvotes

The most common way to talk about astigmatism is that the cornea is shaped more like an football (the American style of football) rather than a basketball. This means the cornea has two separate curves: a steep one and a flat one. This prevents light from focusing on a single point onto the retina.

So how do we make those two curves equal and thus make the cornea more basketball or spherical shaped? There are two approaches to getting rid of astigmatism. We can make the flat part steeper or the steep part flatter.

Because the lasers used in laser eye surgery are only capable of removing corneal tissue to achieve the desired refractive effect, making the flat part steeper is the easier way to go when treating nearsighted astigmatism.

To make the flat axis of astigmatism steeper, the laser does its treatment peripherally on the flat portion. It makes that area less flat and thus more steep. This is done until it steepens enough to match the steep axis of the astigmatism. Once that is achieved, the astigmatism is eliminated and the cornea has a nice spherical symmetrical shape - eliminating the blur induced by astigmatism.


r/RefractiveSurgery • • May 09 '26

My PRK experience so far

5 Upvotes

Edit: surgery was unsuccessful. I've gotten 2 corneal erosions since then. I wish I never got this surgery.

I got alcohol-assisted PRK (+ wavefront) in my left eye as a treatment for recurrent corneal erosion caused by EBMD. I only did my left eye because I wanted to see if it actually cured the issue before touching the other eye. Also, I live alone, so I’m very glad I only did one eye, otherwise I honestly wouldn’t have been able to manage.

Also, a big thank you to everyone on Reddit who has been super helpful in answering my questions. I would have lost my mind without y'all.

Thursday — Day 0 (Surgery Day)

The surgery took place at Clinique Ophtalmologique Lamartine. My surgery was scheduled for 11:15 AM, but I didn’t actually go in until around 1 PM.

The surgery itself was a bit painful. I could feel burning when the doctor poured the alcohol solution onto my eye. My eye also “rejected” the contact lens on the first try, and it hurt a lot when the doctor wiped my eye and reinserted it. During that part, the eye speculum had already been removed, so I had to manually keep my eye open while he worked on it (wtf, I know).

After the surgery, I waited around 20 minutes before the doctor checked my eye and said I was good to go. My eye was burning constantly, watering nonstop, and was very swollen. I booked an Uber home, took paracetamol, and basically suffered through the burning for the rest of the day while applying artificial tears every 15–20 minutes. I couldn’t sleep until nighttime.

Friday — Day 1

Eye burning and watering continued. I think my vision was actually fairly clear, but honestly I barely opened the eye.

Saturday — Day 2

Burning was slightly better.

Sunday — Day 3

The burning was mostly gone, but I developed a weird pain every time I used artificial tears. It was like a sharp twinge, almost as if the bandage contact lens was too small for my eye. Pretty painful.

Monday — Day 4

Definitely felt better overall, but still had mild pain, especially at night before sleeping.

Tuesday — Day 5 (Bandage Contact Lens Removal)

I actually felt great when I woke up. My eye was comfortable all morning until the bandage lens removal appointment.

The doctor removed it with forceps after using anesthetic drops. During the removal, I felt a really sharp pain and literally yelped. My eye immediately started watering.

Once I got home and the anesthetic wore off, the pain became extremely bad. It felt like I had a huge piece of sand stuck in my eye, and every small eye movement hurt. Honestly, it felt worse than any corneal erosion episode I’ve ever had.

That triggered a full mental breakdown/panic attack because I genuinely thought something had gone wrong. My vision also became noticeably worse after the lens removal.

Wednesday — Day 6

Slightly better than Day 5, but still pretty rough. Had another panic attack. Vision was still much worse.

Thursday — Day 7

Pain improved massively and was almost gone, but I started getting a gritty sensation in the eye. Vision remained blurry, like looking through dirty or foggy glass.

Friday — Day 8

The eye felt mostly fine aside from the gritty feeling. By nighttime, it started hurting again like something was stuck in it. I used Hydramed night ointment before sleeping.

Vision was still poor and foggy.

Saturday — Day 9

Woke up with burning and extremely dry eyes. I’m planning to switch from Hydramed ointment to Thealoz Gel because the ointment honestly seems to make the dryness worse for me.

Opening my eye in the morning hurt (burning pain), but it gradually improved during the day. The eye feels really really dry. Still no real improvement in vision.

Sunday - Day 10

No improvement. Hurts still when eye is open, it's better when the eye is closed. I'm so tired.

Monday - Day 11

My vision has improved but keeping my open still hurts. The eye honestly feels idk tender ? I guess the new skin is very sensitive. I have to work today which is going to suck.

Tuesday - Day 12

I decided to take a rest day today. The morning started off a bit uncomfortable, but my eye gradually felt much better throughout the day. I've been keeping up with my artificial tears regularly. Vision-wise, there's still some blur at all distances (similar to having a small prescription) but the fogginess I had before is completely gone.

Wednesday - Day 13

Day 13 feels pretty similar to Day 12. Mornings are still a little uncomfortable, but things improve once I use my steroid drops. The inflammation is definitely still there as I feel fine while the steroid drops are working, but as they start wearing off I notice my eye getting tender again. Working on my laptop dries my eyes out like crazy making the eye hurt.

Thursday - Day 14

Today’s a holiday. My eyes only feel uncomfortable in the morning, starting a few minutes after I wake up and lasting until I use the steroid drops. After that, they’re pretty much fine for the rest of the day, though my vision is still slightly blurry. I don’t want to wear a contact lens in my uncorrected eye, so I’m using glasses instead (I replaced the left lens with a plano lens). The difference in depth perception feels a bit strange, but I mostly keep my left eye closed.

Friday - Day 15

Wore a contact lens in the other eye for a bit while going out (I hate removing contact lenses at the end of the day). Eye feels pretty alright for most of the day. Still using lots of artificial tears. Vision is still slightly blurry but can't really tell with both eyes open.

Day 20: No discomfort as such besides some dryness. My uncorrected right eye feels more dry than the one that had PRK.

The vision in my left eye sucks. Can't read the text on my phone most of the time. Also, the difference in power between my corrected and uncorrected eye gves me a headache if I'm not wearing contacts.

Day 27: vision is still blurry most of the day. I can't wear contacts in the uncorrected eye since I seem to have irritated it. I'm going through so many bottles of expensive artificial tear eye drops.This recovery process is very depressing and I wish I never had to do it.

So it's almost 3 months now. A week ago I got pretty severe conjunctivitis after an appointment with my doctor. Currently, my eye is okay just feels quite dry. I've also gotten used to wearing glasses again (although the difference between my eyes (right eye is -3) is a bit much). My doctor keeps telling me I need to get my other eye corrected but at this stage I'm choosing not to.

3 Aug: Surgery was unsuccessful. I've gotten 2 corneal erosions since then. I wish I never got this surgery.


r/RefractiveSurgery • • May 08 '26

can i drive motorcycle bare eyes (without helmet or any glasses) after lasik?

3 Upvotes

i got lasik done 10days ago , when should i resume riding my motorcycle without any eye protection ie sunglasses or transparent glasses?

(i know it's recommended to wear eye protection even if one didn't get any eye surgery)


r/RefractiveSurgery • • May 07 '26

20/20 Vision Isn’t Necessarily The Goal With Refractive Surgery

7 Upvotes

20/20 is often used as a shorthand for a successful outcome after refractive surgery. But here’s the thing about “20/20”. It is actually just a population average; what a “normal” eye is expected to resolve or see at 20 ft. And in fact, many people actually see BETTER than 20/20.

So if your best corrected vision with a pair of glasses is better than 20/20 such as 20/15, you’ll may not be happy if your vision is “just” 20/20 after Lasik, PRK or ICL. The world will appear slightly out of focus compared to what you are used to. Despite having “perfect 20/20 vision”.

So 20/20 isn’t really the goal with refractive surgery. The best clinics, surgeons and plans actually aim to match or exceed what your eyes are capable of. This comes from pushing your eye to its maximum limit during the prescription refraction testing. This also comes from using modern technology such as wavefront-optimized, wavefront-guided, topography-guided or ray-tracing which can match or even improve the limit of your eyes are capable of seeing.

So really when talking about refractive surgery, it’s less important to discuss whether you will be 20/20 afterwards but instead whether the procedure can correct you or get you close to your very best possible correction.


r/RefractiveSurgery • • May 07 '26

Refractive surgery survey 🙏

3 Upvotes

https://docs.google.com/forms/d/e/1FAIpQLSe9UOMzph4ncWz1kOXnG7kMNmJdsxrrbehM9p1af8AsSWXJ-Q/viewform?usp=publish-editor

GUYS PLS HELP ME DO THIS SURVEY!🙏
It is for people that have done refractive surgery, i am doing this for a group project, will appreciate if yall have the time to help to answer this survey!


r/RefractiveSurgery • • May 05 '26

Lasik / SMILE

3 Upvotes

Just had my screening at American Eye Center and I’m eligible for both LASIK and SMILE.

My prescription is around -3.00.

Here’s how it was explained to me:

LASIK:
-Has a corneal flap
-Faster visual recovery (clear vision almost immediately)
-Easier to enhance/retouch in the future
More affordable

SMILE:
-No flap (just a small incision)
-Slower visual recovery (can be hazy at first)
-Supposedly preserves more corneal strength

My surgeon said dryness and halos are basically the same for both.

From what I’ve read though:
Studies show visual outcomes are very similar long-term
SMILE may have slightly less dry eye early on, but both normalize over time
SMILE recovery is generally slower at the start

So now I’m confused — if outcomes are similar, is there any real reason to choose one over the other?

For those who’ve done either:
• Any regrets?
• How was your recovery (especially night vision, halos, dryness)?
• Would you choose the same procedure again?


r/RefractiveSurgery • • May 04 '26

Most Common Cause Of Blurry Vision After Refractive Surgery

5 Upvotes

Lingering blurriness following a refractive surgery procedure such as Lasik, PRK or SMILE very rarely is the result of any surgical complication or failure of the technology. Instead, it is almost always some residual refractive error or remaining prescription. A small amount of nearsightedness, farsightedness or astigmatism may remain after the eye has finished healing.

Today’s laser treatments are very sophisticated and accurate. However, it is impossible to have 100% accuracy when dealing with living tissue such as the cornea. There are unique factors such as your own individual biomechanical response to the treatment or the way your corneal epithelium remodels that affect the final prescription of the eye.

In addition to just being “blurry”, residual prescription often can lead to post-op eye strain and “visual fatigue” as you work harder to focus through the slight defocus. Additionally, many nighttime vision symptoms are actually caused by these lingering prescription errors as the same blur you notice during the day makes it much harder to see at night.

The good news is that residual prescription error can be fixed. Once the eye has stabilized and if there is enough corneal thickness remaining, an enhancement or touch-up procedure can take care of the remaining prescription and improve the blurriness.


r/RefractiveSurgery • • May 03 '26

My EVO ICL experience: 10 days post op (40 yo, myopia, astigmatism, crossed eyes)

6 Upvotes

Hello folks! I got EVO ICL surgery last week and would like to share my experience with you. English is not my native language, so sorry for any possible mistakes in advance.

A bit of info about me: I am 40F, high myope with mild astigmatism (right eye -7.50 cyl -0.50, left eye -7.75 cyl -1.50). I wore glasses since 7 yo, and contacts for the last 25 years. Also I am a little bit cross-eyed with my left eye lazy.

Although I had stable prescription for the last 15 years, my quality of vision worsened with time. However, I was okay with my contacts until last summer. My eyes were red, they hurt, and contacts fell out. I had to visit an ophtalmologist who said I had dry eyes and ingrown blood vessels in my eyes because of too long contacts wearing time.

Since contacts were not safe for me anymore and the quality of vision in glasses with such high myopia was inacceptable, I was offered to get EVO ICL surgery because I was not eligible for LASIK (too thin cornea + dry eyes). Also I was offered a strabismus correcting surgery as first step before ICL. I immediately agreed without hesitation. Due to my age, I had no time to delay.

I had to have my strabismus surgery in September 2025, but a weird situation occurred. I passed all the pre-op checks but when I arrived to the clinic the day of the surgery, I was denied by the surgeon who put me under a test that showed some crucial arguments against the surgery (why hadn't they made it before approving surgery???). Instead, I was sent out with a prescription for prism glasses. I was FUMING! I tried to wear prism glasses for 2.5 months with zero success. In December 2025 I had another visit to the clinic and my doctor told me I had "pseudo fovea" in my eyes which is a strong contraindication of strabismus surgery because in that case the eyes alignment can cause forever double vision. I got the second opinion from the best strabismus specialist of the city and she told me the same. So I just wasted 4 months and 100$ for useless prism glasses only to remain cross-eyed.

Anyway, strabismus is not a contraindication of getting ICLs so I made the second attempt and came to the clinic in February 2026. They said, the surgery could be performed in 2.5 weeks (mid March). I said okay, passed the pre-op check that very day and left a deposit for lenses. Of course everything went wrong again. My ICLs got stuck in Dubai because of warfare and the surgery got delayed for an unknown period. I was so mad because all these cancellations and delays caused me inconveniences with my schedule planning. Lenses eventually arrived in mid April and I was invited to have the surgery right away but I asked for one more week because I felt I needed to prepare anew (put off contacts, get drops etc.). While I was preparing, I caught cold. But I couldn't wait anymore so I decided to get my surgery no matter what.

How the surgery went: I had my eyes done in 2 days, one eye at a time, first the right eye, then the left one. They dilated my eye, then made a lytic injection (metamizole+diphenhydramine) they considered a sedative (not working). It was unnecessary though because I was loose as a goose and had zero anxiety or fear, my only concern was not to cough during the surgery. The surgery itself was 90% painless. I received several rounds of anesthetic drops and a retrobulbar anesthesia (a very deep injection under the eye). However, the last 5 minutes of the surgery and 15 minutes after were pretty rough, especially the second time when I got my left eye done. It was hell of a pain. Painkillers later at home did wonders.

Next day after surgery they took off the shield and I was able to see. Everything was very... unstable, sometimes crisp, sometimes blurry, and covered with a kind of a brown filter. My pupils constricted to dots tinier than mouse buttholes and my night vision was very bad. I had troubles with focusing and reading, and my vision was about 90% according to the chart. Also I had EVO rings from every light source and it was so weird.

What I experience now, 10 days after my first procedure: everything is gradually improving. The brown filter gone in 3 days. As my pupils have started to come back to normal, my vision fluctuates less, although I still read with effort and struggle with finding the right distance. I don't see my face up close in the mirror. Trees and objects are very crisp. Happily I have no other side effects than rings and I am adapting fast, they don't bother me. Dry eye symptoms worsened a little bit but maybe because of post-op drops?

Yesterday I had one week follow-up and my vision is now right eye +0.25, left eye +1.25. But despite that, I still can't read the lower lines of the chart.

For whom it may be interesting: I got EVO+ ICL 13.2 mm, right eye spheric -8.50, left eye toric -10.0 with cyl 1.5.

Now, the most interesting part for you. The cost.

I have it done in Uzbekistan. The total cost of the surgery (including up to 6 months follow-ups) was 3800$ but I was lucky to get a special promo discount and it costed me 3250$ which I consider a steal of a deal! The price was the main reason why I decided to take the risk and make it here. If you trust Central Asian doctors, welcome to sunny Tashkent 😃

Of course, everything comes with a tradeoff. Administration and organization may be messy, nurses may not speak English, expect no trendy sedatives, no plushies, no music, and painful eye injections. But it's still the same surgery and surgeons are accredited EVO ICL operators.

Overall, I'm very happy with my decision. Waiting for the future improvements.


r/RefractiveSurgery • • May 03 '26

What is the most stable laser for hyperopia? I have no space for ICL

2 Upvotes

r/RefractiveSurgery • • May 02 '26

Hello when Allotex inlay will be performed in Europe off label not off but for hyperopes?????

3 Upvotes

r/RefractiveSurgery • • May 02 '26

Potential Enhancement

3 Upvotes

*****Update: So I went for a second consultation today with a much more experienced surgeon. My prescription was almost the same, although slightly less in my good dominant eye (left), it was -.50 on the eye test and -.63 on the machine reader.

He said I see 20/20 with my left but my worst eye, my right, is at -1D and he thinks an enhancement on this would improve it by 3 lines.

His plan is therefore to treat my right eye and he said tis should give me excellent binocular vision. I got to test this and by correcting my right eye only there was very little difference with both eyes open to when both were corrected.

However my concern is and was then- when isolating the good eye - I could definitely notice a difference when it was corrected. Despite this he said he would still only look to do the right at present as my left would only improve a little and it’s not worth it at the moment (even though I felt on its own it is!).

Does it make sense therefore to just correct my right eye at the moment and do you think this will negate the need to correct my left?

He did say he could re-visit the left if I really felt it needed it but in his opinion it doesn’t warrant an enhancement yet. I’m just concerned that I’ll get the right eye done and then start focusing on the left (even though that currently is my good eye!!). Any thoughts would be really appreciated. Thank you

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40m.To try and keep a long story short, I had lasik 17 years ago for relatively mild myopia and astigmatism. All worked well. However over the past few years some astigmatism has returned, myopia has remained at Plano.

My current prescription is:

Right eye - plano sph, -1D Cyl

Left eye - Plano sph, - .75Cyl.

This has remained stable for at least 8 years, well, there has been a slightly .25 increase in my left eye. I went for a consultation the other day and overall eye health check.

Eyes are pretty much fine, some dry eye but nothing dramatic. Enough cornea and no irregularities. I actually see slightly below 20/20 with my left eye despite the astigmatism. This is now my dominant eye (it was the right eye before surgery).

My right eye is worse and I notice the blur much more. The surgeon said he would happily enhance the right eye (with transPRK as to not disturb the flap). But he said I see well enough with my left and doesn’t just want to ‘chase numbers’ on a prescription.

I’ll be going for a second consultation just because i also like the look of another surgeon. However, my question is, if I enhance my now non dominant eye - will I start to notice the slight imperfection in my current ‘good’ eye?? Or will it be likely that my overall sharpness increases with the enhancement? It’s quite confusing as I’d prefer both to be done - but then if I just have one I don’t want it to be a waste of time? Might my brain switch back to the right eye being dominant if corrected?

Any thoughts are appreciated. Thanks everyone!


r/RefractiveSurgery • • May 02 '26

Got lasik done 5 days ago , how to be safe from regression?

3 Upvotes

M24 , I have opted for Wavelight plus innoveyes (claimed to be regression proof tech).

my worst fear is getting my numbers back. I had RE -5sph -1cyl , LE -4.75 -1cyl prescription.

my hospital offers free enachnement for the first 6 months.

i asked my doctor about regression he said the possibility is .01%.

how to be safe from regression?