Hi. I'm online and happy to answer your question today.
If they expect that you have findings on corneal topography that make them worry about keratoconus I wouldn't even suggest PRK as an option. There is nothing in your current Rx that suggests possible keratoconus, but that is not unusual as corneal topography is a much more sensitive indicator of problems.
It would probably be a good idea to obtain copies of your medical records, including color copies of your topography and any other testing the lasik surgeon did and then consult with a cornea specialist for a second opinion. That way you will have a better idea of what is going on and what, if anything you need to do in the future.
Does this make sense to you?
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Oh....hi. I was just finishing up your question. Is there anything else you would like to ask me?
Hi, Thanks doctor for your reply. I have from the results that K Auto for the eyes as follows:
K1: 47.50 x 170, K2: 48.50 x 80
For the second eye: K1: 47.50 x 5, and K2 is 49.00 x 95
those are your central K readings.....Keratoconus, especially early or "form Fruste" (not sure if I spelled that right ;) shows up in the periphery first, usually inferiotemporal. Corneal topo maps are the best way to pick this up.
I have been told that the curvature of the cornea might be because of that during my childhood, my eyes were allergic and I was itching them a lot. Currently, I am suffering from the itching again, and I am trying not to do so because I heard that it may be dangerous to the cornea which may lead to Keratoconus! I think going to cornea specialist is the best solution before moving to lasek.
There was a paper many years ago that kinda linked atopy (itching, allergies, rubbing the eyes) to a risk of keratoconus but It isn't that great of a correlation such that I would worry about rubbing your eye and giving yourself this condition. Here is the actual article:
It sounds like you should see an ophthalmologist, possibly a cornea specialist, and see if there is something you can do to resolve the itching problem.
I think that it is better to go and check again with ophthalmologist. I wish I can chat with you more to gain more knowledge and learn more from you. Thanks a lot for your time and advice.
My pleasure. I'm here if you ever want to chat more.....