15 months update

Today is exactly 15 months since I did my trans-PRK eye laser surgery in Switzerland. 

Vision is great, a few days I ago I even got a live confirmation on this fact. Was waiting for a tramway with a few friends and when I could see the right train coming  I said "great nr 4 is arriving soon", my friend then said "wow, you see good, I can't see the number of that team yet". Small thing, but felt good. This friend of mine did LASIK, but 10 years ago.

I also often compare to my girlfriend who always had great vision, I always see things slightly before her, confirming that while she is around 20/20 (1.0) I am slightly better (20/17-16, 1.20-1.25).

Dryness is getting much better. Not sure if it's my eyes that healed or if its just the higher humidity during the summer that helps.

14 months update

Friday 13th of May was my 14th months since surgery day. Nothing new to say really, I still see good and I still use lubricating eye drops, slightly less of that then one month ago I giving. 

One thing I do notice happens over time though is that I accept my new vision more and more. First year I constantly reflected on what I could see and not see, and if that was normal or not. On top of that I had a constant fear of that things would get worse, and a constant hope that things would get even better. Now at 14 months, I have kind of accepted the new reality. Thinking less and less about my eyes (but still more then before surgery).

13 months update

Hi readers, today its 13 months and 3 days since I did my TransPRK surgery. Not much news to reports versus 12 months. I have a very good and stable vision. I still drop a bit of lubricating drops, but much less then before!

PRK Vision recovery timeline

During my own research I did before deciding to do eye laser surgery I noticed that many people are wondering how long time it takes for the vision to recover after a PRK surgery. The recovery time varies of course a great deal between individuals, but to share some light on the question I will share my own recovery line below. I did the single TransPRK (single step, no-cut)  version but its more or less the same surgery as LASEK and normal PRK so the information below should shed some light for all people thinking about any of the three versions.

Vision recovery timeline

T = Surgery day

• T+1 day: Very poor vision. Binocular: 20/100, Decimal 0.2
• T+4 days: Poor.  Binocular: 20/60, Decimal 0.35
• T+7 days: Okay. Left: 20/25, Decimal 0.8, Right: 0.63. Binocular: 20/22, 0.9
• T+35 days: Good. Left 20/20, 1.0. Right 20/20, 1.0. Binocular: 20/17, 1.20.
• 3 months: Excellent. Left 20/17, 1.2. Right 20/17, 1.2. Binocular: 20/16, 1.25.
• 6 months: Excellent. Left 20/17, 1.2. Right 20/17, 1.2. Binocular: 20/16, 1.25.
• 12 months: Excellent. Left 20/17, 1.2. Right 20/17, 1.2. Binocular: 20/16, 1.25.

In terms of refractive power I ended up: 

Left: 0.0 = Perfect
Right: +0.125 = slightly slightly over-corrected but well within the errormargin of +/- 0.5 diopter.

Conclusion: I reached my final vision after 3 months. From month 3 to 12 vision didn't change despite the fact that my right eye epithelium grew 20 micro meter thicker from month 3 to 6.

LASEK vs TRANSPRK and a note on Corneal Wound healing after EYE laser surgery

Hi readers

Since a good friend of mine just did LASEK surgery at the same clinic I did my TransPRK surgery last year I googled a bit on how these operations compare. Different researchers say different things, since I am not a eye researcher I will not try to form my own opinion, instead I will just summarize a few things I read.

Uncorrected Visual Acuity and Residual refractive error  - or how good will you see and how fast

I found  an interesting and recent study comparing LASEK and TransPRK recovery and results. Summary:

After 1 month 58% of TransPRK and 75% of LASEK patients could see 20/20 or better.
After 3 months 83% of TransPRK and 83% of LASEK patients could see 20/20 or better.
At 6 and 12 months 92% of TransPRK and 92% of LASEK patients could see 20/20 or better.

20/20 = Snellen 1.0.

So according to this study the end result is the same, but LASEK patients seems to recover a bit faster on average. The same study also says that the epithelium heels a bit faster in TransPRK (3 days) vs LASEK (4 days). The initial pain was also higher after TransPRK according to this study.

Residual refractive error also declined slightly faster in LASEK vs TransPRK, after 1 month 83% of TransPRK patients and 92% of LASEK patients was within +/-0.5 Dioptre but already from 3 months and forward 92% of patients are within +/-0.5 Dioptre for both types of surgeries.

Then I also found another similar study. Here the results were slightly different as you can see here. This study indicates that TransPRK patients recover there vision slightly faster then LASEK patients (in this study TransPRK = ASLA, LASEK = Alcohol PRK).

Regarding wound healing an interesting aspect is the dry eye symptoms often felt after eye laser surgery. The reason is likely that a lot of the Corneal nerves are also removed when doing the eye laser. Some interesting numbers from this study :

After PRK based surgeries (including LASEK and TransPRK) the nerve density was 59% of preoperative level at 1 year, and near 100% after 2 years. After LASIK based surgeries, the preoperative level is firstly reached after 5 years.

So according to this study I would now be on around 59% of my preoperative nerve density. Maybe this can explain why I still have slightly dry eyes around 1 year after TransPRK. I symptoms are slowly disappearing however, but maybe it will take the full 24 months until I am complete free or lubricating eye drops. Will keep you posted here on my blog.


My friend will soon post a more in depth article about the healing process, follow him here Ongoing LASEK recovery.

12 months / 1 year checkup

Had the 12 months checkup today. To be exact it is 11 months and 20 days since I did my TransPRK/notouch eye laser surgery.

Vision test result - unchanged since the 6 month checkup which is positive!

Left eye: 1.2 

Right eye: 1.2 

Binocular: 1.25

The thickness of my residual cornea and epithelium was also unchanged.

I still have slightly dry eyes but also this is improving. Doctor said this is likely due to the fact that I work 12 hours a day in front of 8 screens. For the eyes this is comparable to running a marathon every day he said.

All in all the conclusion was my results are as good as it's gets. 

For people interested in the details:

The precision of eye laser is +/-0.5 diopter. My result is:

Left eye: 0.0 - perfect

Right eye: +0.125 - so a tiny tiny bit overcorrected.

Eyes looked fully healthy and no more checkups requires for 2-3 years now. Nice !!!

Custom Wavefront LASEK story

A good friend of mine just did Custom Wavefront LASEK at the same laser clinic I did my TransPRK at, follow his story here:

http://wonderswondersmighthavehad.tumblr.com/