Recently, I had a 50yr old patient who had such corneal distortion from his keratoconus that he could not see the top line of the distance reading chart in the consulting room, with or without his glasses, in either eye. His solution, a corneal intrastromal ring called a KeraRing. After much discussion about the procedure, including possible poor result, he elected to proceed. What a great result he had, now having 20/20 (6/6) uncorrected acuity in one eye and N5 (almost the smallest test print for near reading vision) with the other eye. So after having such poor vision, for such a long time, and after being told for many years that nothing could be done, he is now almost totally spectacle independent, with good near and distance vision even in his presbyopic years.
She was so short sighted (high myopia) that she wore “coke bottle” glasses. She was a very pretty girl in her early 20′s , yet she had absolutely no confidence in herself. Throughout her life, she had thought of herself as ugly.
Such was the myopia that laser could not be used to correct her vision adequately. She went ahead with what is called a phakic intraocular lens, and the one most suitable for her was the ICL, acronym for Implantable Contact Lens. She went ahead with the surgery and on followup the next day she saw better than she had ever seen before.
She returned for her two year followup recently – what a transformation in personality from the shy quiet person she was, to a bright and bubbly confident young woman!