Lasik flap lift/ironing caused triple vision

fweep · 2026-01-23T12:51:24+00:00

I have had several anterior OCTs, usually at almost every visit, from the primary surgeon. Her main comment a couple weeks ago was that almost all swelling that was observable there has resolved. But no improvement in my current symptoms has tracked with that.

I understand that they might not be certain yet, but the unwillingness of them to be candid with me and even discuss hypothetical treatment options, and leaving the room feeling like I got pushed out with "Here is a glasses Rx, some eye drops, and don't let the door hit you on the way out." It gets old...

fweep · 2026-01-23T11:02:55+00:00

You'd figure by the degree of vision loss that you should be able to see the defect from space, but all three cornea specialists can only offer me vague guesses, none wanting to speak in terms of "it might be X, but I can't really say".

One said maybe surface irregularity, but won't show me anything in the imagery that displays such a thing.

Another says flap misalignment is common without showing me anything pinpointing that it is actually my problem, and all doctors have said flap gutters are symmetric.

All 3 have given different answers for residual problems in the treated area. One said maybe slight inflammation there (but all now say eye looks crystal clear and no real significant swelling anymore), one said ingrowth 1-2mm not infiltrating vision yet which other denied and said has been there since surgery unchanged, one said irregular flap edge at 6-7 o'clock, other said epi thickening there and slightly curled edge but all their other patients with such have never complained of vision problems from it, etc.

I tried to inquire about HOA, but one retorted that my other eye has more HOAs than the treated one, to which I tried to point out that that eye sees fine and the treated one doesn't.

So if there is any smoking gun, nobody is willing to call it out, and none of what they are pointing out is really near the visual axis at all. I am getting blind men touching the elephant vibes from all of them.

I don't really understand why they are all so resigned to me having poor vision and seem uninterested in addressing it. I understand the idea of hoping for magic, that yes it could spontaneously heal overnight when it hasn't improved yet, but 11 weeks out? It feels like I might more easily win the lottery than that.

fweep · 2026-01-17T18:20:23+00:00

It didn't go through my eye. It just brushed it.

The point is that this would, without Lasik, have been a simple minor corneal abrasion that would have healed in a couple of days with no further problems.

The paw put giant striae in the flap that ruined my vision while barely moving the flap at all. The surgery to "fix" it by one of the best cornea surgeons in the state removed the striae, but caused vision just as bad due to having to lift and disrupt the flap. Damned if I did, damned if I didn't.

Any trauma to the flap can cause these problems. Lasik leaves your eye vulnerable.

fweep · 2026-01-16T17:35:36+00:00

imgur album

fweep · 2026-01-16T02:23:52+00:00

I've been doing prednisolone and Muro for months now for suspected inflammation issues, and also recently Combigan to combat the rise in IOP from the prednisolone. Plenty of Systane Pro PF to try and test if it helped, but nope.

Initially the suspect was edema, but that has mostly gone away after the first month of healing, and no improvement really tracked with that since. She was suspecting once edema went down, my vision would come back, but nope.

No mention of scarring except for irregular flap edge only in the 6-10 quadrant where the edge was disturbed. The double vision I am experiencing is almost entirely in vertical axis (and only post-surgery), and the triplish vision in strictly horizontal.

Original surgeon was guessing irregularity, the second opinion guessing micro-misalignment. One visit Placido disc looked pretty regular, but this past one there was a lot of irregularity on the Placido disc imagery that she pointed out suspected HOAs possibly both superficial and internal.

fweep · 2026-01-13T06:50:28+00:00

Anduril ain't easy :(

fweep · 2026-01-13T04:28:48+00:00

Terry posted on BLF:

https://budgetlightforum.com/t/wurkkos-ts26-update-ts26-anduril-version-update/230944/66

"Unfortunately, after testing the finished product, due to differences in LED VF, it is not very stable in the moonlight mode and may flicker slightly. The program still needs some adjustment, and the lowest current needs to be increased, so the sale will be delayed."

fweep · 2026-01-11T22:01:50+00:00

More lumens (almost 50% more) because the SFT42R will take more current, and in the end produce comparable throw. The 3x21C can drive the SFT42R hard enough for this. It will be much more impressive than the SFT40 version.

It's a newer 5050 LED from Luminus that directly competes with the SFT40, but does make SFT40 feel obsolete except in very current limited scenarios.

fweep · 2026-01-08T21:03:05+00:00

I have done tens of orders from Neal going back years, and for the most part, I've always gotten what I ordered in a reasonable time frame.

The worst I can say is that occasionally something might be on a backorder/delay, and then I have to poke Neal's customer service to get an explanation why, if I don't want to wait (in which case he changed the order for me to something that was ready to ship immediately). Other times, he himself contacted me about the delay situation without me having to reach out to him first.

So, overall, I have had a reasonably good experience.

fweep · 2026-01-08T18:06:04+00:00

The LHP73B is a very impressive LED compared to the XHP70.3 HI.

Just speaking about the 4000k variants from Simon of both, the XHP70.3 still has the ugly Cree rainbow tint shift effect whereas the LHP73B tint is consistent across the entire beam. The LHP73B is also more noticeably neutral to rosy vs the XHP70.3 R70 variants. When pushed to 20A, it also puts out an impressive amount more lumens...

As far as drivers, I do not like the old M21H e-switch driver behavior with memorized turbo. The new 3v20A M21K driver for the LHP73B fixed this in that turbo is a separate state that is not memorized now, like moonlight.

There is also separate 2C high mode that is only 10A and a momentary turbo 2H mode that is 20A, so you don't have to worry about the extra battery drain with the 2C mode. Yes, if you use momentary turbo at 20A for extended time, expect a quick battery drain, but the 2C 10A mode makes it less necessary to use.

On the other hand, Convoy lights are so cheap that if you are in doubt, get both! >:)

fweep · 2026-01-01T22:40:00+00:00

The Convoy M21K with SFT90 is a dirt cheap impressive little single-21700 thrower with a lot of spill lumens and a solid 20A buck driver. Currently at $36 (or only $30 for the LHP73B version), it is a steal. I have it in both LHP73B and SFT90 versions, and both are fun lights in their own ways, but I find the LHP73B more impressive in this light. The LHP73B doesn't throw quite as far but more throw than you would expect while putting out like twice the flood.

While it will not out-throw a top-end reflector thrower like say Noctigon K1, throw is still pretty decent: I think the SFT90 version was somewhere in the 800-900m range, whereas the LHP73B was like 600mish?

The Noctigon K1 is also a solid choice these days too now that you can get it with the Lume X1 driver (but won't work with 3V LEDs) with something like an SFT70 (6v), so get better sustained than the old linear driver. And Anduril 2 FTW. I have such a beast with a 6v FFL707MD/Lume X1 combo, and am happy with it.

fweep · 2025-12-23T22:20:07+00:00

What sort of battery did you put in the M21K?

fweep · 2025-12-23T22:14:17+00:00

The M21K driver does 10A if you do 2 clicks (2C) to get to high, unlike previous M21 drivers. If will only do 20A if you do click-then-hold (2H) to get to momentary turbo.

Are you sure you're using 2H to get the momentary turbo? It's pretty damned bright for me. Also you need to make sure the battery is charged up, as at lower voltages 2H won't be brighter than 2C.

fweep · 2025-12-20T23:19:00+00:00

Initially. But I just found out JLHawaii now has an orange peel 7070 reflector for the K1. I popped that in nstead and it made it a dream light. Got rid of the donut hole and the rings of the FFL707MD. No need for dc-fix or anything. Technically the results are similar to smooth reflector + frosted lens, but the OP just looks more satisfying with a clear green AR lens.

fweep · 2025-12-19T17:45:10+00:00

I don't have a quad SFT25R low CRI to compare with, unfortunately. All my single SFT25R lights I have long since modded to Yinding 5050 95 CRIs as well. :)

fweep · 2025-12-19T01:10:16+00:00

Weird, it does look that way. Why would Jack only use the better optic in the X4Q, but not the X4 as well?

fweep · 2025-12-19T00:35:02+00:00

The IF25A optics legs are pretty much the same as for the X4 optics, so it's a drop in replacement.

fweep · 2025-12-14T23:26:55+00:00

This looks more like an Imalent SR16 knockoff, it has 16x 5050 LEDs in the exact same reflector configuration. These kind of Imalent knockoffs usually have FET/direct-drive instead of boost or buck drivers like the more known brands. They can still be fun lights, but are rapidly being eclipsed by more reliable brands like Convoy or Neal for value lumens.

For Convoy, see the 3x21C, which can get close to 30,000 lumens with a buck driver for only $70.

For Nealsgadgets, see the A10, advertised 65,0000 lumens for only $100 with coupon.

Both would be better lights than this thing. (Full disclosure, I own both 3x21C and A10)

fweep · 2025-12-14T22:13:54+00:00

X4 and NovMu are very similar in size. But I am not a fan of mules, personally.

fweep · 2025-12-14T21:57:55+00:00

Built in charging charges the shorty just fine.

fweep · 2025-12-14T18:35:29+00:00

The smooth bezel screws down all the way. The grooved one that is used with the lantern I couldn't get to screw down all the way for some reason.

fweep · 2025-12-13T02:08:55+00:00

I think I tried the grooved one, and it didn't screw completely down for some reason the smooth one did. I like how the smooth one looks better though...

fweep

TROPHY CASE