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Hi. I'm online and happy to answer your question today.
Why did you have PRK instead of LASIK?
are you available to chat?
What you are experiencing in not a sign or regression, nor will the excessive tearing cause any damage to your eyes or regression in your PRK treatment.
What you are experiencing in the most common side effect/complication of PRK and LASIK........dry eyes. This is caused because of the loss of the normal nerves in your cornea that are needed to maintain the constant, background, lubricating tear production that is normally present to soothe and protect your eyes...
But, you say: "How can my eyes be dry, when all they do is water"? That is a very good question. Let me explain:
When your eyes are "dry" and irritated they make more tears....this is the "something is in my eye" mode of tear production, not the "my eye feels fine and I'm making tears to keep things moist" mode. The use of natural tears will help your eye turn off the flood of "something in my eye" tears that comes from your eyes being dry. Does this make sense?
So. What should you do? Continue using the restasis and artificial tears. Also, do this simple treatment for any blepharitis you might have...
The best treatment for this condition daily lid scrubs combined with warm compresses. I like to use baby shampoo for lid scrubs. In the shower, place the shampoo on your index fingers, close your eyes, raise your eyebrows (to stretch the skin on your eyelids) and scrub back and forth along your eyelashes for 3 to 5 minutes. The hot water in the shower helps to soften the plugged oils in the glands while the mechanical scrubbing with your soapy fingers removes the oils.
Dry eyes are very common and can be improved by a stepwise series of therapies. First, the use of natural tears 4-6+ times/day to augment your natural tear production, if this doesn’t work then you can try temporary punctal occlusion of the lower puncta, then, if needed, temporary occlusion of all 4 puncta then, if indicated, surgical ( non-reversible) closure of the puncta. The openings to your tear drainage system are called puncta and you have one opening on each lid, near your nose.
So. As you can see, there are more things that can be done to help.
Is there anything else you would like to discuss at this point or have all your questions been answered to your satisfaction?
I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you don’t feel that I’ve earned a “10” rating in all areas, please let me know what I can do to meet your expectations. Thanks in advance, Dr. Rick MD FACS
We have been experiencing problems with the chat system for the last few days. Our engineers are working on it. However, I'll switch over to the Q&A system. This system works a lot like 'text messaging' but an email is sent to each of us anytime something is posted to this thread. We can continue to work on your question there..... :)
I had PRK because my corneas were too thin for LASIK. I will keep using restasis and lubricating drops, and try to treat for blepharitis. That could be an issue. But why is my vision in one eye at a point that all distances are blurry. How many times can an eye be treated with PRK? Or are more revisions not safe or productive?
THank you for your previous answers. I will rate you after this.