Ask Me Help Desk - Interpreting Lasik Eye Exam

My father had an eye exam and proceeded to have Lasik eye surgery two weeks ago. However, he has still yet to achieve the 20-20 vision the specialist promised. So:

My family and I looked at the documents and I have several questions. First of all, what are DS and DC?

Also, I want to know if the proper correction to eyesight was made. Here is the Operative Report. I think its only one eye, but we paid for both. I am seriously confused and worried that the company and the doctor did this exam wrong and the effects after surgery are pretty much irreversible without another surgery.

Eye: OS
Keratometer: K1: 44.30 D K2: 44.80 D K2 Axis: 61 degrees
Manifest Refraction: -6.75 DS -0.75 DC x 140 degrees 12.50 mm
WaveScan Refraction: -6.32 DS -0.73 DC x 126 degrees 12.50 mm
WaveScan Refraction Pupil Size: 6.00 mm

Treatment Information (Spectacle Plane)
Procedure: CustomVue Treatment
Desired Correction: -6.32 DS -0.73 DC x 126 degrees 12.50 mm
Physician Adjustment: -0.40 DS +0.00 DC 0.00 mm
Nomogram: 0%
Adjusted Correction: -6.25 DS -0.62 DC x 126 degrees 0.00 mm
Optical Zone: 6.3 x 6.0 mm
Ablation Zone 8.0 mm
Physician has Specified a LASIK Treatment, Superior Flap

There is other information if required. I just need answers as to what happened, why isn't my father's eyesight normal yet (because now he can't see far and can only read close with reading glasses, which is worse than before), did the surgeon perform the surgery wrong, etc. We've paid over 2k for the treatment and I want some confirmation before we take this back to the center.

P.S. My father is so pissed off and is willing to take this to court so I want to make sure that he read everything correctly.

Truly Thanks. I'm not sure if anyone can interpret these results but any opinions on the matter would also be greatly appreciated.

The DS and DC are usually omitted from a prescription. They are the spherical and cylindrical corrections. So, it reads -6.25 Diopters Spherical. Because they are both there, there is some astigmatism. See How it works | Glasses by Adam

OS and OD refer to left and right eye respectively: See Eyeglass prescription - Wikipedia, the free encyclopedia

Since that prescription is significantly worse than my eye and when I asked about Lasik, it was specifically not recommended for the following reason: You will have to use glasses for reading.

I believe the magic number is somewhere around -3 diopters correction that would make it a viable option.

My opinion (unprofessional). It should have not been done. The correction was too great.

BTW, a diopter is 1/meters, so you can basically compute the uncorrected focal length which is about 6.3 inches.

What's the post-op correction?

The doctor did not give us one. The doctor keeps rejecting us every time we go there.

Thank you for your time.

Quote:

Originally Posted by Lightning55

My father had an eye exam and proceeded to have Lasik eye surgery two weeks ago. However, he has still yet to achieve the 20-20 vision the specialist promised. So:

My family and I looked at the documents and I have several questions. First of all, what are DS and DC?

Also, I want to know if the proper correction to eyesight was made. Here is the Operative Report. I think its only one eye, but we paid for both. I am seriously confused and worried that the company and the doctor did this exam wrong and the effects after surgery are pretty much irreversible without another surgery.

Eye: OS
Keratometer: K1: 44.30 D K2: 44.80 D K2 Axis: 61 degrees
Manifest Refraction: -6.75 DS -0.75 DC x 140 degrees 12.50 mm
WaveScan Refraction: -6.32 DS -0.73 DC x 126 degrees 12.50 mm
WaveScan Refraction Pupil Size: 6.00 mm

Treatment Information (Spectacle Plane)
Procedure: CustomVue Treatment
Desired Correction: -6.32 DS -0.73 DC x 126 degrees 12.50 mm
Physician Adjustment: -0.40 DS +0.00 DC 0.00 mm
Nomogram: 0%
Adjusted Correction: -6.25 DS -0.62 DC x 126 degrees 0.00 mm
Optical Zone: 6.3 x 6.0 mm
Ablation Zone 8.0 mm
Physician has Specified a LASIK Treatment, Superior Flap

There is other information if required. I just need answers as to what happened, why isn't my father's eyesight normal yet (because now he can't see far and can only read close with reading glasses, which is worse than before), did the surgeon perform the surgery wrong, etc. We've paid over 2k for the treatment and I want some confirmation before we take this back to the center.

P.S. My father is so pissed off and is willing to take this to court so I want to make sure that he read everything correctly.

Truly Thanks. I'm not sure if anyone can interpret these results but any opinions on the matter would also be greatly appreciated.

The first sign would have been the doctor PROMISING 20/20 vision. It's not always possible. That is the report for only one eye. I actually worked at a laser center for some time, and I was input all of these numbers into the computer. Only an Ophthalmologist will tell you what some of them mean. Seeing the prescription from before surgery would surely help to see what he corrected vs what he refracted.

Quote:

Originally Posted by KeepItSimpleStupid

The DS and DC are usually omitted from a prescription. They are the spherical and cylindrical corrections. So, it reads -6.25 Diopters Spherical. Because they are both there, there is some astigmatism. See How it works | Glasses by Adam

OS and OD refer to left and right eye respectively: See Eyeglass prescription - Wikipedia, the free encyclopedia

Since that prescription is significantly worse than my eye and when I asked about Lasik, it was specifically not recomended for the following reason: You will have to use glasses for reading.

I believe the magic number is somewhere around -3 diopters correction that would make it a viable option.

My opinion (unprofessional). It should of not been done. The correction was too great.

BTW, a diopter is 1/meters, so you can basically compute the uncorrected focal length which is about 6.3 inches.

What's the post-op correction?

I agree with most everything that you've said, but a -6.25 is hardly too much for Lasik to correct. I've had patients who surgeons gave 20/15 after -11.00 before surgery.

Quote:

Originally Posted by Lightning55

The doctor did not give us one. The doctor keeps rejecting us every time we go there.

Thank you for your time.

What do you mean he keeps rejecting you? Has he seen your father's for post-op appointments?

We tried to schedule post-op appointments, but the front desk says he's busy and we arranged a meeting 3 months from now and that we cannot possibly fit into his busy schedule. I guess it could be true, but we aren't getting that feeling since the front desk is quite rude and impatient.

Quote:

Originally Posted by Lightning55

We tried to schedule post-op appointments, but the front desk says he's busy and we arranged a meeting 3 months from now and that we cannot possibly fit into his busy schedule. I guess it could be true, but we aren't getting that feeling since the front desk is quite rude and impatient.

Have you checked the place with the BBB? Doesn't sound quite right.

Quote:

Originally Posted by Lightning55

We tried to schedule post-op appointments, but the front desk says he's busy and we arranged a meeting 3 months from now and that we cannot possibly fit into his busy schedule. I guess it could be true, but we aren't getting that feeling since the front desk is quite rude and impatient.

He hasn't gotten ONE post-op visit yet? I would schedule one with another doctor in town to check to see why he isn't seeing clearly, bring the operative report with you.