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Scuba Forum / General / April 2006

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Corrective Vision Surgery -- Diving Contraindications?

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Grumman-581 - 04 Apr 2006 05:11 GMT
I was searching the web last night for glasses that had the 155mm temple
length that I need and got sidetracked by a link to information about the
various types of corrective vision surgery -- RK, LASIK, PRK, etc... As
sidetrack surfing usually goes, I got further off the track until I ended up
on a military site that said that for some military specialties, corrective
vision surgery was allowed and for others, it wasn't... In particular, I
noticed that for the Navy / Marine Corp, aviators, divers, and special
warfare operatives are not allowed to have any type of corrective vision
surgery... So, what's the deal here?  How many of ya'll out there have had
some sort of corrective vision surgery?  Are there any real risks (after
healing is complete and your vision has stabilized) or is the military just
being overly cautious?

I've always been kind of hesitant to have something done to my eyes that
can't be reversed, but each time I need to get a new pair of glasses and
experience the lack of choices in my temple size, I sure do wish I didn't
have to go through this trouble every few years...
chilly - 04 Apr 2006 06:51 GMT
> I was searching the web last night for glasses that had the 155mm temple
> length that I need and got sidetracked by a link to information about the
[quoted text clipped - 8 lines]
> healing is complete and your vision has stabilized) or is the military just
> being overly cautious?

You are a pilot, yes?  I dunno if I'd take the chance.

In my case, I'm happy.  Not ecstatic though.  I ended up with an astigmatism
in one eye, that I had not had before.  My long vision is good.  It even
improved after another couple of years.  My short vision went to hell within
minutes.

Let's not even start talking about how fricken frightening it is when you
are laying there with your lids peeled back and that light sucking the life
out of you through your pupil and the laser starts skimming across your
eyeball and despite all the tranqs, you still want to jump out of the chair
screaming "I CHANGED MY MIND!! I CHANGED MY MIND!!".

But then you wake up the next morning and you can see the foot of the bed,
the wall, the door, the birdies in the sky . . sigh.  Yeah, I've no regrets,
but then I'm not a pilot, so it only really bothers me when I'm trying to
read street signs at night.

> I've always been kind of hesitant to have something done to my eyes that
> can't be reversed, but each time I need to get a new pair of glasses and
> experience the lack of choices in my temple size, I sure do wish I didn't
> have to go through this trouble every few years...

I've got reading glasses in every room in the house and a few magnifiers
around too.  I do miss my short vision.   Sigh.
Grumman-581 - 04 Apr 2006 17:42 GMT
> You are a pilot, yes?  I dunno if I'd take the chance.

There are some pilots that have one form of the surgery or the other... In
some cases, the commercial pilots have one eye set for near vision and the
other for far vision... I was kind of interested in why the Navy doesn't
allow it for their pilots though... And why they don't allow it for their
divers either...Grace had the RK procedure a few years ago and she liked
it... Still has to wear low powered prescription glasses at night while
driving and gets a bit of a star refraction from oncoming headlights, but
she says that it beats the wearing of contacts for all those years... Her
prescription was high enough that she couldn't drive without glasses --
around -4.0 sphere, IIRC... Mine has alternated from around -1.5 to -2.5
over the years, so it's not that bad... I can still hit a deer at 100 yds
without my glasses... Of course I might not be able to tell the difference
between the deer and a person... <evil-grin>

Back in college, I knew this one girl who was Army ROTC and wanted to be a
pilot... She had the RK surgery and then they wouldn't let her be a pilot...

http://www.avweb.com/news/aeromed/181889-1.html
nitespark - 04 Apr 2006 11:00 GMT
> I was searching the web last night for glasses that had the 155mm temple
> length that I need and got sidetracked by a link to information about the
[quoted text clipped - 13 lines]
> experience the lack of choices in my temple size, I sure do wish I didn't
> have to go through this trouble every few years...

Grummy,
I had lasik surgery in 2000.  BEST decision I ever made.  My vision
stabilized to around 20/20 (give or take a few points).

I DO have to use reading glasses for the close up work but the doctor
told me that ahead of time.

I asked him about lasik and diving.  At the time, he said NO diving for
3 months after surgery.  After 3 months, then freshwater diving only.
After 6 months he said I could dive saltwater.  This was not a problem
for me since the surgery was done in December.

Have not had a problem since the surgery.  Even though I need reading
glasses for close work and the computer, I have no problem reading my
gauges underwater.

The ophtamologist is a diver himself.

Signature

I have never met a liberal street cop.

Joe English - 04 Apr 2006 13:13 GMT
>> I was searching the web last night for glasses that had the 155mm temple
>> length that I need and got sidetracked by a link to information about the
[quoted text clipped - 35 lines]
>
> The ophtamologist is a diver himself.

and the advances done since 2000 is amazing - I had mine down then too
nitespark - 04 Apr 2006 20:33 GMT
>>> I was searching the web last night for glasses that had the 155mm temple
>>> length that I need and got sidetracked by a link to information about
[quoted text clipped - 39 lines]
>>
> and the advances done since 2000 is amazing - I had mine down then too

I know they have improved the lasik to cover more instances when it
could be used.  What other advances have they made with it?

For anyone considering it, I would recommend going with a clinic that
has been around for awhile in the area and not some "doc in the box"
place that sprung up overnight and is offering the lasik procedure.

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I have never met a liberal street cop.

Joe English - 05 Apr 2006 02:41 GMT
>>>> I was searching the web last night for glasses that had the 155mm
>>>> temple
[quoted text clipped - 52 lines]
> has been around for awhile in the area and not some "doc in the box"
> place that sprung up overnight and is offering the lasik procedure.

The lasers are much more accurate - I thin the doc I went to here no
longer have to cut/remove the cornea or the peel it back with a laser -
no more using the crazy scalpel to cut thru the cornea
Joe English - 04 Apr 2006 13:10 GMT
> I was searching the web last night for glasses that had the 155mm temple
> length that I need and got sidetracked by a link to information about the
[quoted text clipped - 13 lines]
> experience the lack of choices in my temple size, I sure do wish I didn't
> have to go through this trouble every few years...

I had the lasik - great no problems - except it correct my vivion so
good I was required to use glasses to read.  Diving meant that under low
 light conditions I could not read my gauges - placed one of the
magnifying strips in the bottom of my left lens for reading gauges.  I
recommend it and would do it again
Don - 04 Apr 2006 13:24 GMT
>I was searching the web last night for glasses that had the 155mm temple
> length that I need and got sidetracked by a link to information about the
[quoted text clipped - 16 lines]
> experience the lack of choices in my temple size, I sure do wish I didn't
> have to go through this trouble every few years...

Blind as a bat in more ways than one. Get the fuckin procedure four eyes. 20
seconds for each eye and you have new vision. Big bad a.s like yourself
gonna pee your pants over that? Let some hillbilly doctor give it a
shot...................yewl bay jus fine. f.cking pussy.
mike gray - 04 Apr 2006 14:52 GMT
> I was searching the web last night for glasses that had the 155mm temple
> length that I need and got sidetracked by a link to information about the
[quoted text clipped - 13 lines]
> experience the lack of choices in my temple size, I sure do wish I didn't
> have to go through this trouble every few years...

Go to http://scuba-doc.com/
mike gray - 04 Apr 2006 14:53 GMT
> I was searching the web last night for glasses that had the 155mm temple
> length that I need and got sidetracked by a link to information about the
[quoted text clipped - 13 lines]
> experience the lack of choices in my temple size, I sure do wish I didn't
> have to go through this trouble every few years...

Go to http://scuba-doc.com/
Greg Mossman - 04 Apr 2006 16:48 GMT
> I've always been kind of hesitant to have something done to my eyes that
> can't be reversed, but each time I need to get a new pair of glasses and
> experience the lack of choices in my temple size, I sure do wish I didn't
> have to go through this trouble every few years...

Why not just get temple implants?  Maybe you'll start a new fad.
Grumman-581 - 04 Apr 2006 18:32 GMT
> Why not just get temple implants?  Maybe you'll start a new fad.

Something like Geordi La Forge on Star Trek: The Next Generation?  <grin>

Nawh, I think I'll pass on that one...

Or just wear the Pince-nez style glases and not have to worry about temple
lengths...

http://www.eyeglasseswarehouse.com/famoustr.html
http://www.eyeglasseswarehouse.com/pince-nez.html

Nawh, I don't think so... I like 'em attached a bit more to my head than
that... I like the cable temples, but the choices in them are rather limited
these days...
Lee Bell - 04 Apr 2006 18:59 GMT
> I like the cable temples, but the choices in them are rather limited
> these days...

Me too.  I've also noticed how hard it is to get a pair.  They're just the
thing for boating and other outdoor sports where glasses are more likely to
be dropped and damaged of lost.

Lee
Grumman-581 - 04 Apr 2006 20:06 GMT
> Me too.  I've also noticed how hard it is to get a pair.  They're just the
> thing for boating and other outdoor sports where glasses are more likely to
> be dropped and damaged of lost.

Yeah, they tend to stay attached a bit better when one gets thrown
overboard... <grin>

I went into one of the eyeglasses stores at the mall yesterday... Out of
probably a couple hundred pairs of glasses on display, there were only 3
that were with the cable temples... Of course, they didn't fit my head...

Over the years, I've bought the Ray-Ban cable temple models and had them
fitted with prescription lenses..
http://www.framesdirect.com/framesfp/RayBan-sfrbp/lb.html

The straight temple models like the HGU4/P are nice for use with aviation
headsets in that they slide on and off without needing to remove the
headset... Cable temples defintely don't work that way... The HGU4/Ps are
also very nice when wearing a full coverage motorcycle helmet, although
normal (aka "skull") temples aren't that bad... Cable temples are not that
great with full coverage helmets... They come off without too much trouble,
but they're not as quick to put on once the helmet is on the head... I'm
sure that leaving their glasses on might be an option for some people with
certain types of glasses when putting on a full coverage helmet, but I
haven't found that an option -- the glasses always get knocked off if I try
it...
Dillon Pyron - 04 Apr 2006 23:20 GMT
>I was searching the web last night for glasses that had the 155mm temple
>length that I need and got sidetracked by a link to information about the
[quoted text clipped - 8 lines]
>healing is complete and your vision has stabilized) or is the military just
>being overly cautious?

Well, there's always some risk.  But I suspect they are going more on
the paranoid mode.

>I've always been kind of hesitant to have something done to my eyes that
>can't be reversed, but each time I need to get a new pair of glasses and
>experience the lack of choices in my temple size, I sure do wish I didn't
>have to go through this trouble every few years...

My perscription hasn't changed in about 4 years now.  I agree with you
that eye surgery gives me the willies.  Which is bad news.  I've been
diagnosed with cataracts.  Not very severe, probably need surgery in
about 10 years or so.  The good news is that they should be able to
correct my myopia by then with the new lenses.  Not that I don't
shudder.

Signature

dillon

I didn't climb to the top of the
food chain to become a vegetartian.

Grumman-581 - 05 Apr 2006 00:54 GMT
> My perscription hasn't changed in about 4 years now.  I agree with you
> that eye surgery gives me the willies.  Which is bad news.  I've been
> diagnosed with cataracts.  Not very severe, probably need surgery in
> about 10 years or so.  The good news is that they should be able to
> correct my myopia by then with the new lenses.  Not that I don't
> shudder.

Well, once you start going blind from cataracts, the potential of going
blind from the corrective vision surgery isn't as big of a deal, I guess...
<sick-grin>
-hh - 05 Apr 2006 11:01 GMT
> > ... I
> >noticed that for the Navy / Marine Corp, aviators, divers, and special
[quoted text clipped - 6 lines]
> Well, there's always some risk.  But I suspect they are going more on
> the paranoid mode.

The earlier surgury techniques had some pretty significant and common
side-effects.  Between the emphasis made on night operations ("own the
night") and the magnitude of the investment made in specialty military
training, it was simply a prudent move to not risk taxpayer's dollars.

> >I've always been kind of hesitant to have something done to my eyes that
> >can't be reversed, but each time I need to get a new pair of glasses and
> >experience the lack of choices in my temple size, I sure do wish I didn't
> >have to go through this trouble every few years...
>
> My perscription hasn't changed in about 4 years now.

It probably has changed, but you may not have necessarily noticed yet.

Specifically, I'm referring to Presbyopia:  the age-related 'hardening'
of the lens that results in reduced focusing range and bifocals.  Its
initial onset is typically age ~45 (mid-40's).

The simple bottom line is that we could all go have perfect Lasik done
this afternoon, but for most of us, by the time we turn 50, we're going
to be needing reading glasses anyway, and those of us that have limited
choices in temple sizes will still have that problem.  So it is at best
a temporary fix, whose duration depends on your current age.  This
really won't be going away any time soon...at least with the lens that
Mother Nature provided us.

-hh
Dillon Pyron - 06 Apr 2006 05:58 GMT
>> > ... I
>> >noticed that for the Navy / Marine Corp, aviators, divers, and special
[quoted text clipped - 20 lines]
>
>It probably has changed, but you may not have necessarily noticed yet.

Nope, doc says it hasn't changed.

>Specifically, I'm referring to Presbyopia:  the age-related 'hardening'
>of the lens that results in reduced focusing range and bifocals.  Its
>initial onset is typically age ~45 (mid-40's).

49.  I've been wearing 1.5 progressives for 4 years now.

>The simple bottom line is that we could all go have perfect Lasik done
>this afternoon, but for most of us, by the time we turn 50, we're going
[quoted text clipped - 3 lines]
>really won't be going away any time soon...at least with the lens that
>Mother Nature provided us.

Can't argue with any of that.

>-hh
Signature

dillon

I didn't climb to the top of the
food chain to become a vegetartian.

Danlw - 07 Apr 2006 02:02 GMT
>>The simple bottom line is that we could all go have perfect Lasik done
>>this afternoon, but for most of us, by the time we turn 50, we're going
[quoted text clipped - 7 lines]
>
>>-hh

While I agree that lasik can't fix age, before I had to have contacts to
find my glasses. Now I am 20-20 in one eye and 20-30 in the other, done
intentionally to improve close up vision.  I can most things except very
fine print with no glasses, but do use 1.5 OTC readers for the fine stuff
and when eyes are tired.  Would do it again if required. Doc says he would
not know I had had lasick if I had not told him.
May not be for everyone, but sure worked for me!  Dan
Whistler - 05 Apr 2006 05:57 GMT
> I was searching the web last night for glasses that had the 155mm temple
> length that I need and got sidetracked by a link to information about the
[quoted text clipped - 5 lines]
> warfare operatives are not allowed to have any type of corrective vision
> surgery...

Hmm...  That doesn't match what I've heard, I'm just not sure where I
heard it.  There's an outfit in La Jolla that plays a
documentary/advertisement on one of the local cable channels.  I think
it was their claim that they've been operating on Navy Seals for years.
Grumman-581 - 05 Apr 2006 07:03 GMT
> Hmm...  That doesn't match what I've heard, I'm just not sure where I
> heard it.  There's an outfit in La Jolla that plays a
> documentary/advertisement on one of the local cable channels.  I think
> it was their claim that they've been operating on Navy Seals for years.

Maybe the page was out of date... It's not the first time a website didn't
have the latest info on it...

According to the following URL, "PRK or Lasik surgery waivers are granted
case by case by BUMED"... That's at least a bit better than the link I saw
previously...
http://www.seal.navy.mil/swcc/req_vision.asp
Al Wells - 05 Apr 2006 22:04 GMT
> I think it was their claim that they've been operating on Navy Seals for years.

Maybe it was the "secret unit" SEALS found in diveshops everywhere.
Whistler - 09 Apr 2006 00:02 GMT
>> I think it was their claim that they've been operating on Navy Seals for years.
>
> Maybe it was the "secret unit" SEALS found in diveshops everywhere.

Yeah.  Or the harbor seals down at the Children's Pool.
Okidiver - 08 Apr 2006 15:22 GMT
Not true.  Some special operators can have PRK and have.  Trust me.

My prescription was ~-7 and 'stig was ~-3.  Needed bifocals and was ready
for trifocals.  A real challenge.

I had LASIK done (painless), but the flaps didn't heal right and doc did PTK
on me.  5 days of hell.  Now no reading glasses needed.  20-15 in right eye
and 20-40 in left.  Doc might redo the left eye in a few months.  I'll be
late 40s then.

Everybody's different, but I dig the lifestyle change.  Get to wear my
wife's Oakley and Ray Bans that she don't like anymore.  Going diving to Coz
next month and will be pulling out prescription lenses!  I'd do it again,
HUA?

Signature

Rapid Rick
"Just drive, baby"

>I was searching the web last night for glasses that had the 155mm temple
> length that I need and got sidetracked by a link to information about the
[quoted text clipped - 16 lines]
> experience the lack of choices in my temple size, I sure do wish I didn't
> have to go through this trouble every few years...
Grumman-581 - 08 Apr 2006 20:58 GMT
> Everybody's different, but I dig the lifestyle change.  Get to wear my
> wife's Oakley and Ray Bans that she don't like anymore.  Going diving to Coz
> next month and will be pulling out prescription lenses!  I'd do it again,
> HUA?

I went and had my eyes checked for a new prescription yesterday... Turns out
that they've actually gotten better than I remember them being at one time,
but it appears that the current prescription is the same as it was around 5
years ago when I last have my eyes checked... One eye's at -1.50 and the
other is at -0.75... I seem to remember the first glasses I had way back
when I was in Junior High School being -1.50 for both eyes... I think that I
remember one prescription being -1.75 at some point over the years... As
much as I hate searching for new frames, I suspect I'll stay with 'em for
awhile... I'm probably going to be changing from the 'progressive' type
lense to seperate glasses for the various distance ranges... I've found that
I don't like the 'progressive' type lenses, especially while on a
computer... They force me to look out the bottom portion of my lenses and if
the monitor is at desk height, I sometimes get headaches and cramps in the
neck muscles from contantly having to lean my head backwards to look out the
bottom portion of the lenses... I was over at the optometrist's shop
yesterday and he was having a problem utilizing mail merge to print out
subsets of his mailing list labels... I helped him and he was appreciative
enough to offer me two pairs frames & lenses (clear distance and computer)
and a 3rd pair of lenses for my existing frames (distance sunglass
tinted)... Of all the frames he had, only 2 of them fit my head in anything
other than the very large lense styles -- I wanted a bit shorter lenses this
time...
dazed and confuzzed - 08 Apr 2006 21:33 GMT
>>Everybody's different, but I dig the lifestyle change.  Get to wear my
>>wife's Oakley and Ray Bans that she don't like anymore.  Going diving to
[quoted text clipped - 26 lines]
> other than the very large lense styles -- I wanted a bit shorter lenses this
> time...

If yer gonna have to buy glasses, check out WWW.Zennioptical.com.
Cheapest glasses that I have found. A decent pair of single vision
glasses (frames and lenses) for about $40.

Takes about 2 weeks for delivery.

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“Striving for mediocrity”
____________________________________________________________________________
"A prudent man foresees the difficulties ahead and prepares for them;
The simpleton goes blindly on and suffers the consequences." - Proverbs 22:3

Grumman-581 - 08 Apr 2006 22:32 GMT
> If yer gonna have to buy glasses, check out WWW.Zennioptical.com.
> Cheapest glasses that I have found. A decent pair of single vision
> glasses (frames and lenses) for about $40.
>
> Takes about 2 weeks for delivery.

Yeah, I stumbled across their website while trying find some frames that
would fit me... They're pretty good about listing the actual frame width...
Some of the sites only list the lense width, height, and bridge width...
That's not enough to determine the total frame width... I would have
probably gone with them for 2 or 3 pairs if the optometrist hadn't offered
me the free ones... Can't beat that price...
Okidiver - 09 Apr 2006 12:55 GMT
Back in the old days a few months ago when I was wearing glasses, I had a
pair that had the prescription with the bifocal as the entire lens.  No
distance prescription--just like a pair of reading glasses, but with my
blind-a.s prescription laid in also.  Loved em.

Signature

Rapid Rick
"Just dive, baby"

"Grumman-581"

I've found that

> I don't like the 'progressive' type lenses, especially while on a
> computer... They force me to look out the bottom portion of my lenses and
> if
> the monitor is at desk height, I sometimes get headaches and cramps in the
> neck muscles from contantly having to lean my head backwards to look out
> the
 
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