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POST LASIK QUERY
I was moderately myopic along with moderate astigmatism in both of my eyes. 5 weeks have been passed since LASIK. One day post op in the right eye I was 6/6 with PMT of +0.5 -1.25*72° but one month post op I was 6/9 (P) with PMT of -0.25 -2.00 * 16°. Now things seems too blurry and spreading outwards with right eye. Squeezing right eye makes things clear. My osmolarity value of right eye is 280 ( no dry eye). Pentacam and topography and pressure reports are normal. So I want to ask 1. Why cylindrical power was increased from -1.25 to -2.00 ? Will it further increase? 2. Right eye vision is too blurry should I order specs of that cylindrical power now? ( Although doctor forbade me to do so) P.S. I was -4.00 D cylindrical in pre op in right eye, but doctor corrected for -2.75 D, still residual astigmatism should be -1.25, but it is -2. My RSBT in this eye is 374. 3. Is this a case of vision deterioration due to keratoconus progression? ( Km = 45.9 post op). What should I do to improve
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Hello A.. Change in cylinder power is just a part of healing process... Yes... It may still change but as it's already 5weeks.. So now chances of change are less and moreover there will not be gross change in power B. You may order glasses of this power if you are facing problem in routine work... Having said that.. As already mentioned  power may still change and you may need to change your glasses  again C. How can keratoconus progress when you never had keratoconus before? As you mentioned pentacam is normal.. So there is no keratoconus
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.