Or, in my case, you'll get doctors to shoot your eye out. Sort of. For those of you not in-the-know, my eyes don't always like me. I'm incredibly near-sighted and decided to fix the problem in 2004 with
Lasik. What a beautiful, wonderful thing those lasers were. I could see morning, noon, and night, didn't have to wear glasses, didn't have to struggle with toric gas-permeable lenses (yes, it hurts as much as it sounds), and could finally wear sunglasses. Hooray! Knowing how near-sighted I was, we under corrected on purpose, with the intent of touching up later with a more precise laser. For those of you keeping score who understand diopters, I think I remember hearing I was around a -10 in one eye and a -12 in the other with 3-ish astigmatism in both. Translation: really, really blind.
In late 2005, I finally started noticing my 20/20 eyes weren't quite 20/20 anymore. So Xavier and I headed back to Hawaii to have my original doctor do my retouch. For lots of boring reasons, we did my retouch via
PRK instead of Lasik. Essentially, Lasik on top of the flap. If you're wondering about how these feel, Lasik is a bit scratchy and uncomfortable for a day and PRK feels like cats with red hot daggers are clawing your eyes out for almost a week.
Things were all happy again until I noticed my vision in my left eye was getting foggy. Not fuzzy and out of focus, but foggy, like my glasses (which I was not wearing) were dirty. Lucky, lucky me, I had developed a complication: when you do stuff on top of the flap, you can develop corneal scarring, which clouds your vision. Traditionally, scar tissue develops if you spend lots of time in the sun without sunglasses. That's definitely not me, but it also looks like prolonged computer use can do the same thing. Hmmm... At the time, I was working full time on computers and working on my PhD after work on computers. Busted. So in April of last year, I had a
lamellar keratectomy on my left eye, with a 20 second treatment of
mitomycin c (MMC), an anti-cancer drug that also stops corneal scar cells from forming. And the few days of "discomfort" they warned about? How about 2 months in a dark room because the pain and light sensitivity were excruciatingly painful. Apparently I have sensitive eyes.
I was back to 20/20 in my left (the scar tissue grows on top of the cornea enough to change the angle at which images hit the lens, making me near-sighted again) and seeing clearly. Imagine my surprise when away in New York, my vision seemed to decline again. Once I got back to Tucson, I visited my doctor and discovered that the scar tissue was back with a vengeance and we would have to do the surgery all over again with a longer treatment of MMC. This visit was in January, and there was no way I was letting this man touch my eyes when I had a dissertation to finish.
So here we are today: I have dropped an entire 1.5 diopters in the left eye (from -6.5 to -8) since January and it's all thanks to the scar tissue formation. Doc says it needs fixed and the big day is Thursday the 11th when we'll do another lamellar keratectomy but with a 60 second MMC treatment. I will also be treating with
serum drops, which are clinically proven** to treat dry eye (which is a side effect of messing with your eyes) and anecdotally shown to help prevent the formation of corneal haze.
I could really use some prayers here. I sorta like my eyes and I like seeing. Oh, and now that I'm back to being an intern with IBM, I only have four sick days before I have to start taking unpaid leave. I'm not whining - okay, maybe a little - I'm mostly identifying my constraints and hoping the big guy upstairs goes along with "the plan."*
Oh - and consider yourselves warned. The blogging will obviously stop, because computer screens are light sources and they hurt. I'll be sure to ask Xavier to post updates, though.
*My mom once asked me the best way to make Heavenly Father laugh. Her answer: Tell Him your plans.
**Sort of. No double blind tests have been conducted, but that's a limitation of the drops themselves. Basically, serum drops have to be frozen for storage and then thawed and kept in the fridge while you use them (one dropper lasts 3-4 days). They are also a light yellow color. A double blind test is difficult in this case because a) frozen saline drops change consistency, b) saline drops are clear, and c) patients talk to each other in waiting rooms and figure out that they're being treated differently. But there are some decent studies with promising results. I have noticed great results in relation to dry eyes and hope they'll help with the scar tissue.