Post RK/AK/corneal transplant high myopia

[pbug56]

I'm 54.  17 years ago I had AK + RK in both eyes.  My right eye mostly OK.  My left eye does little for me now.  The cornea was full of scar tissue and highly irregular.  I had a corneal transplnt summer 2009.  9 months later much less irregular but now I'm high myopia -12.  BTW, I have cataracts developing in both eyes.  I don't have steady enough hands for contacts to be a good choice.  I sit all day at a computer.  I need to be able to drive, to read, etc.  I have enough trouble now walking down steps in my byfocals.

I'd like to know what approach to take for glasses.  Of course, high index with anti reflective coating.  Beyond that any advice is appreciated.

[pbug56]

Dr.,

Are any of the newer types of contacts that would work for me - hybrid, GP, soft, etc. extended wear?  And resistant to getting clogged up (my allergies)?  I might be able to wear contacts if I don't have to handle them so often.

Thanks,

Ron

[pbug56]

Hi,

I will likely try contacts again, but it takes very little to irritate my left eyelid, one of the reasons I got rid of contacts years ago.  And I know I will have huge problems putting in and removing contacts in either eye.  So if I can't use contacts and I can't use glasses, I guess I'm stuck with a nearly useless left eye.

[Sandy Feldman, MD, MS]

Dear pbug56,

I would recommend that you discuss this with your eyeMD as glasses might not work, if you have a large disparity with the prescription between the two eyes.

Dr. Feldman

Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California