Patient Profiles: LASIK

Bill J
45, Executive, Software Company

Treatment Type:
  • LASIK
Tags:
  • Nearsightedness
  • Astigmatism
  • Nearsightedness Mild to Moderate
Pre/Post Unassisted Vision
  Pre-UCVA Post-UCVA
OD (right): Counts Fingers 20/15
OS (left:): Counts Fingers 20/15
Pre/Post Refractive
  Pre-Refractive Post-Refractive
OD (right): -3.75 -2.50 x067 0
OS (left:): -4.00 -2.25 x175 -0.25

Bill J says:

Dr. Wallace,

Let me share my thoughts with you about my experience after my initial LASIK treatment, and after enhancement, as the two are very different!

I had my initial laser treatment in August '04. You recommended ""Custom Cornea"" treatment with the LADAR laser, and that is what we did. After treatment, the first week of driving at night was very difficult, almost scary, due to glare and excessive halo. I was aware of rather pronounced haloes for 2 to 3 months at least, with ghosting even in daylight after one month. At about 2 months after treatment, the ghosting in daylight had pretty much disappeared, but driving at night was still uncomfortable. It was not until month 4 or month 5 that the halo awareness dropped to a more tolerable level.

To be honest, I was a little nervous about having any enhancement. I didn't want to have more halo as a result of treatment. You were encouraging, and told me that this would be highly unlikely. I did have enhancement treatment on the right eye in June '05, by which time you had brought the Allegretto laser into your office.

All I can say is that the enhancement was a piece of cake compared to the original treatment. And the visual results are incredible. I noted absolutely no increase no increase in night driving discomfort, and no increase in glare. I did have a tiny bit of halo for a couple of weeks but this is steadily decreasing and is already much better than what I experienced after the first treatment.

I would definitely say that I appreciated a huge difference between treatment initial on the LADAR laser and enhancement treatment on the Allegretto. Allegretto was for me less stressful (no need for dilating drops and hours of blurred vision afterwards), much more comfortable, and overall less eventful for me. Post-op halo is dramatically less than after primary LASIK (WGA) on LADAR. After primary surgery, Bill was recommending LASIK “with caution” and explaining that it was not “completely without issues or side effects” He would say “After LASIK you need to know that there may be side effects, glare, visual consequences, etc.” His experience after enhance on Allegretto has dramatically changed his attitude. He now would say, “It’s awesome, go for it!"

Doctor Wallace says:

Bill's comments are certainly interesting. They show that even with wavefront treatment on one of the best laser systems available today (LADAR), some people can experience annoying or bothersome glare, halo and driving difficulty after treatment.

One of the reasons we went to such great lengths to bring the Allegretto laser system into our practice was to try to make things even better. That means better vision after treatment and a more comfortable treatment experience for our patients. It is helpful indeed to get this kind of feedback from some of our tougher, more demanding clients; this helps us know that we are definitely moving in the right direction!

Dr. Wallace