instruction: hello doctor I am having spherical and and 5 cylindrical power in my eyes I have a border line eye pressure doctor said I cannot take laser or ice surgery but can have relax smile for that power but it also needs some cornea tissues which is a risk factor for glaucoma I do not know what to do now which treatment is better for me and the doctor just gave normal lubricant drops is there any treatment for me for refractive surgery by controlling eye pressure
output: hi how much is your eye pressure did the doctor measure it with an instrument that puffs out air at you or was it a blue light instrument that he used to touch your eye with from what you have told me I understand that you are interested in refractive surgery but the doctor refused to operate on you saying your pressures are high and that your power is too high for lasik it is true that your power is on the higher end of the patients we usually consider for surgery so doing lasik and park photorefractive keratectomy is not possible on the eye with 9d but can be done on the eye with and 5d putting an ice implantable contact lens in your eye might increase your eye pressure so I will not recommend that relax smile can be tried in both your eyes if the surgeon is confident I am guessing that he would have asked you to come for a follow up to re check pressures if the pressures were too high he would have asked for visual fields and a few other tests for glaucoma in either case it all depends on the surgeon experience and your eye pressures if you can tell me about your eye pressure and your vision in each eye with 9d and 1 5d I could help you better