LASIK Results: Discrepancies Between Left and Right Eyes - Ophthalmology

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LASIK vision correction for differences between the left and right eye?


Hello, doctor.
I underwent LASIK vision correction six months ago, and last week the test results showed that my left eye is 0 diopters, while my right eye has 2.5 diopters of astigmatism.
I also had a corneal thickness scan done, which showed no issues.
However, I have the following concerns:
- My left eye sees near objects clearly, but distant objects (around 2 meters) appear blurry or scattered.
This was also the case before the surgery, and the difference is more pronounced in low light conditions.
Conversely, my right eye behaves oppositely.
When I consulted with my doctor, they said there was nothing to worry about, that my eyes are not dry, and that I can read one line better than normal.
I'm unsure how to proceed, as my eyes easily become fatigued.
I would appreciate your professional opinion.

Xiao Yu, 20~29 year old female. Ask Date: 2021/03/21

Dr. Gao Pilin reply Ophthalmology


Hello, Xiao Yu: After undergoing laser treatment, your eyes may feel drier.
Although it may not reach the level of dry eye syndrome, using some artificial tears can provide more comfort and reduce fatigue.
As for the difference in vision between the two eyes, it could be due to the fact that there is not much refractive error, and the examination did not reveal any significant issues.
The clarity of vision is related to the inherent characteristics of your eyes and your recovery after the procedure.

At Taiwan E-Hospital Puzi Hospital, the ophthalmology department is open on Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and on Wednesday from 2:00 PM to 4:30 PM.
Please note that online responses should only be used as a reference; if necessary, you should visit a medical facility for treatment.
I hope to have the opportunity to serve you.

Gao Pi-Lin

Reply Date: 2021/03/21

More Info


After undergoing LASIK eye surgery, it's not uncommon for patients to experience discrepancies in vision between their left and right eyes. In your case, with the left eye measuring 0 diopters and the right eye showing 2.5 diopters of astigmatism, there are a few factors to consider regarding your vision and the symptoms you are experiencing.

Firstly, it's important to understand that LASIK surgery aims to reshape the cornea to improve vision, but individual healing responses can vary significantly. The fact that your left eye has achieved 0 diopters indicates that it is functioning well for distance vision, but the blurred vision you experience at around 2 meters suggests that there may be some residual refractive error or a difference in how your eyes work together (binocular vision). This can be particularly noticeable in low-light conditions, where the contrast sensitivity is reduced, making any discrepancies more apparent.

The right eye, with 2.5 diopters of astigmatism, may be contributing to the visual imbalance you are experiencing. Astigmatism occurs when the cornea is irregularly shaped, causing blurred or distorted vision at all distances. In your case, while the left eye is clear for near vision, the right eye's astigmatism might be affecting your overall visual clarity, especially for distance viewing. This imbalance can lead to eye strain and fatigue, as your brain works harder to reconcile the differing inputs from each eye.

Given that your eye doctor has indicated that there are no significant issues with dryness or corneal thickness, it may be beneficial to explore a few options:
1. Follow-Up with Your Eye Doctor: It's crucial to maintain open communication with your ophthalmologist. If your symptoms persist or worsen, a follow-up appointment may be necessary to reassess your vision and discuss potential corrective measures, such as glasses or contact lenses specifically designed to address the astigmatism in your right eye.

2. Consider Corrective Lenses: If the visual discrepancy is significant enough to affect your daily activities, your eye doctor may recommend corrective lenses. Glasses or contact lenses can help balance the vision between your two eyes, reducing strain and improving overall clarity.

3. Vision Therapy: If your symptoms are related to how your eyes work together, vision therapy may be an option. This type of therapy involves exercises designed to improve coordination and focus between the eyes, which can alleviate some of the discomfort you are experiencing.

4. Artificial Tears: Although you mentioned that your eyes are not dry, using artificial tears can still provide comfort, especially if you find your eyes feeling fatigued after prolonged use. Keeping your eyes lubricated can help reduce strain.

5. Rest and Eye Care: Ensure you are taking regular breaks when using screens or reading. The 20-20-20 rule is a helpful guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds. This can help reduce eye strain and fatigue.

In summary, while your left eye has achieved a good level of correction, the astigmatism in your right eye may be contributing to the visual discrepancies and discomfort you are experiencing. It is essential to continue working with your eye care professional to monitor your condition and explore potential solutions that can enhance your visual comfort and clarity. Remember, every individual's healing process is unique, and adjustments may be necessary to achieve optimal results post-LASIK.

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