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not really, because if a contact is over the eye, how is the tear-film even hitting the cornea if the contact is over the eye.
There are tears underneath the contact lens. The contact lens does not act like a water-tight bandage over the cornea, but the contact lens acts more like a ship in a sea (floats within the tear film, on top of the cornea).
Does that make sense?
oh yes, so when i blink the tear film lipids from the eye lids makes its way to the overall tears that the contact lens is floating on?
Dam Doc, i never knew Lasik can cause this tear film in the eyelids to dry up like mine. This has been the cause of my bad vision. My tear film is not their. My doctor also abadndoned me and left me with no doctor. I am scared for my vision.
do you know of any contact lenses besides schleral, preferably daily wear that i can wear with this eye lid condition
preferably that can protect my eye
I'm sorry; I had to step away to see a patient (I'm in clinic right now).
You got it right about the blinking and the tear film.
Unfortunately, there are some surgeons who do not either mention that risk of dry eye that can result from corneal refractive surgery, or who do not do a sufficient dry eye evaluation in their patients who are going to have surgery. But yes, LASIK can definitely mess with your tear film. The daily disposable, high dK lenses are going to be the best to wearl; however, I would suggest that you actually get a pair of glasses (for right now--I know--that's exactly what you didn't want to do after LASIK) and stay out of contacts for right now, if you need anything at all, at least until you can get your dry eyes under control. I would recommend seeing a corneal specialist as a second opinion to get you better controlled with your dry eyes before you try going into contact lenses. Make sense?
yes, i want to wear glasses, but seems that this tear film thing is causing higher order aberrations, basically my eyes are dry and the first layer of the optics where the light goes to the eye is missing, the tear filme, so causing glasses not to work. I guess i should just get the glasses even though i wont be seeing good, just alright, Thanks for your help. I will take your advice and I should of took your advice when you told me that you yourself wouldnt do lasik that you are seeing just fine with the glasses,
I'm sorry that it's come to this, though I hope with proper and sustained dry eye treatments that you can recover good vision. Good luck.
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one more question, if lasik caused this tear film thing, will these treatments effect this differently then a person who just got this condition over time