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Category Archives: Vision Improvements

Tiny Update: Soft Lenses Rock

photo (CC) Kate Ter Haar

My newest set of soft lenses are amazing.  Comfortable (16 hours+) and I can see pretty well.  Not quite as crisp as the RGP, but the comfort trade-off is worth it.  My overall vision is amazing.

I’ve ordered a few of these lenses ($50 per pair) which are custom crafted for my topography.  I’m not wanting to order too many because the shape of my eye will probably change a bit more if sutures come out, etc.

 
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Posted by on July 30, 2012 in Recovery, Vision Improvements

 

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Trying Different RGPs – My lens tolerance is only a few hours.

Well, as usual, this is going to take some trial and error!

I have tried three different RGPs (Essilor Perimeter Lens) and cannot tolerate any of them – the mini-scleral was pushing a “grove” into my sclera – apparently my eye was swelling around it?

I can wear them 7-8 hours, but my eye is very sore afterward.    I am now going to be trying a custom-profiled soft lens.  The manufacturer apparently uses my topography to construct them.  I was hoping I could use a soft lens, so we’ll soon know.

Koffler Vision Group is doing a great job.

photo:  Lee J Haywood

 
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Posted by on May 24, 2012 in Diary Entries, Recovery, Vision Improvements

 

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New Lens In!!!! Binocular Vision! The World is in 3D Now!

Everthing was in 3-d today!

A very big day on this long journey.  Today, I inserted the mini-scleral lenses in my grafted eye at Dr. Koffler’s office…and, for the first time in 15+ years, I had clear vision in my left eye.  My brain and eye muscles are not sure what to do with the new information so the crispness came and went, but here are my unfiltered first impressions:

  • Wow.  I can read the doctor’s diploma across the room.
  • The world is sparkly!
  • Everything’s in 3D!
  • Look at the birds!
  • Look at the clouds!!!
  • I don’t want to take this out!

I was only at a 3-hour wear limit today, so pulled them out mid-morning.  I’m looking forward to inserting them again tomorrow.

The removal was touch and go because I’m out of practice, and the eye is just slighly “dry-sore” tonight.  Nothing bad at all.  Totally expected.

I got a ‘care package’ with new plungers and other solutions, etc from the office.

NEXT UP!!!

Postscript:  Day 2, 3 of lens were tricky.  Eye was a bit sore from lens and insertion / removal was difficult.  I’m clearly out of practice on this.  Still feel a lot of anxiety about damaging my graft with lens effort.

 
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Posted by on April 24, 2012 in Recovery, Surgery-Story, Vision Improvements

 

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New – DALK Transplant Chronology

Quick post to let you know that I just made a new page which covers the chronology from my first Dr. appt to one year after the surgery.  Same posts, but in chronological order.

http://corneanews.com/about-kerataconus/chronology/

 

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11 Month Checkup – Graft Clear, Pressure Down – “Go” for Contact Fitting

Had a good appointment with Dr. Holland today.  Especially amazing was the clarity I got on the vision test.  We went through the usual blur-blur-blur series as the technician flipped lenses and asked “now?”.. “now?”…”now?”   Here we go again… but then, almost startlingly, she flipped a lens and the eye chart snapped into focus.  “Whoa!” I said.  “Ah, we found the sweet spot” she said.  In 15 years I’ve never seen so clearly through that eye and any correction device.  It was almost overwhelming.

Dr. Holland examined the graft and said it was completely clear and that my eye pressure was down.  I’m reducing the pressure medicines to once daily, and staying off the steroids.  I’m reminded that I am at the peak rejection period for my graft (many, including me, thought that the rejection period peaks right after surgery, but it doesn’t.)

I have bad nearsightedness, even with the astigmatism getting resolved, so vision correction will be part of this plan.  It’s time you could get fitted for a RGP lens….   that scares me.  I have this graft which I have been treating like a delicate piece of crystal.. and now I’m to put a lens on it?   I’ll have to get over this.  Will schedule my fitting in the next couple of weeks.   There is still a possbility that I’ll go with PRK if recommended.

No sutures out this time – and the ones in there now may remain a while.

Next Appt, early Spring.

 
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Posted by on January 27, 2012 in Diary Entries, Dr. Visits, Recovery, Vision Improvements

 

Little Things #3: Ability To Really Get Back into Mountain Biking

Mountain biking in Kentucky is generally called “Cross Country” riding.  The terrain is made up of undulating hills usually 150-200 feet maximum.  A good 10 mile ride will take several hours and offers a tremendous upper and lower body workout.  It’s more like cross country skiing than downhill skiing for lack of a better example.  The reward for a long climb is usually a roller coaster ride through a tunnel of vegetation, airborne some of the time, making split-second decisions on how to manage what’s coming at you.  You’ll encounter wildlife and get away from the city in a very special way.

The wooded trails require depth perception.  Things come at you and you must make a decision, react and adjust your “line”  to overcome it.  Branches can be low, rocks can be loose, and alternative paths through difficult terrain can make the difference between a thrill and a spill.  It’s definitely possible to ride with one bad eye, but you must ride slowly and carefully or choose “open” trails like the fire-roads I rode in CA.   Kentucky has very limited trails compared to most states (go figure) and most are of the wooded variety, so this is great for me.

I’d say ride wherever and however you can, good eyes or not, and adjust your pace and path.  As my surgical eye gets better and better, I crossed a “binocular” threshold where I am comfortable on cross country wooded trails again.  When I stop in the woods to enjoy a babbling creek or to watch a white-tail deer , I’ll say “thank you” again for the priceless gift that my donor gave me.

<photo by trailsource.com used under CC license>

 

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Little Things #2: Ability to Use a Bike Mirror

After you have DALK/Corneal Transplant, you start to notice some of life’s little conveniences that were out of reach when your eye was messed up.

So… Little Things #2,  The ability to use a bike mirror…   as a bike commuter, these small glasses-mounted mirrors have always been great.  But with Keratoconus in my left eye, I’d not been able to use it.  Naturally, these only work on the left side (in the USA) as this is where the traffic is.

 

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