Q: I have had laser surgery 9 days ago. i am 50 years old and fit and healthy. i was shortsighted. since the surgery, i have had burst blood vessels in both eyes, still present now, do i keep using the drops and saline solution. my vision is not as good as i expected. my eye muscles are taking time to settle. i have seen my doctor once.i need reading glasses to see now and my distance vision is not sharp. i am not in pain. thanks jenny A: The broken blood vessels will usually heal in 2 weeks or so. Everything else you describe is perfectly normal. Andrew Caster, MD

Q: I assume this is probably for people looking to get the surgery done but it's worth a try. I had PRK done (here in Canada) last Friday, 10 days ago. So far I am extremely disappointed with the results. My Rx prior was about 3.5 diopters, moderate at worst. Now, I am unable to see clearly at any distance. Faces, numbers and street signs are nearly unrecognizable. My doctor here tells me not to be worried but (admittedly) its been awhile since he's done a PRK and doesn't remember well how long it takes to heal. Do I just keep waiting? Thanks in advance, Andrew A: PRK can take several months to obtain optimal vision. Andrew Caster, MD

Q: I am farsighted with astigmatism. I am 51 yrs.old. What is the best lasik for me? I had a consultation. They said I could correct for distance and then I would just need reading glasses. Or I could fix close up but then it would be blurry for far away. ( That did not sound good to me.) Or I could fix one eye for far and one for close up. What do you think about the last one? Does that work well and is it bothersome? I actually made the appointment for the 1st solution but I am thinking about doing the last solution of one eye far one eye near. What do you think? A: The best solution is what works best for you personally. Your doctor should show you with glasses each of the options and then you can make an informed choice. Andrew Caster, MD

Q:  I had Lasik 1 year ago so can I have custom Lasik now?? A: Yes, if you need it. Most probably you will not need it. Andrew Caster, MD

Q: I had LASIK; ladarvision; about two weeks ago. My left eye is fine. Great vision. My right eye is terrible. Very blurry vision. I have been back three times, and I am scheduled to go back in a week. The doctor says that the right eye is very dry and swollen and that is why the vision is bad. She says the flap is fine. Is this true? Should I get a second opinion? How long will it take before I know if this is going to clear up or not? Currently her advise is to continue to use non-perservative artificial tears and Muro 128 5 three times a day. Is there anything else I should be doing? Thanks. A: It might ease your mind to get a second opinion, but dryness and swelling certainly do occur. Andrew Caster, MD

Q: Hi. I've had a consultation for laser eye surgery and have been told that I have larger than normal pupils in dimmed light. I think around 8-8.2mm. Does this mean that I will more than likely have glare/halos or is there a chance that I may not? They said that it would probably no worse that what I already experience with contact lenses and glasses - is this true? If so surely I'm no worse off. Also could I wear glasses when driving to correct the glare/halos. Thank you in advance for you help. A: Some patients have glare and halos after Lasik. Usually it is correctable with an enhancement, but not in all cases. It is not clear what the role of larger pupils is in resulting halos, but they may play some role. I tell patients that larger pupils are a risk factor for halos, though this is not defintitely proven. Andrew Caster, MD

Q: had lasik done 2 weeks ago..i am undercorrected according to my doctor....he said enhanchment can be done in several months. my worry is that i had -6.50 and -5.00 in both eyes before lasik..now my eyes are about 20/70 and dr prescribe temporary glasses for me for driving until enhanchment can be done..i got my glasses back today and i still cannot see clearly..just little better in left eye....when he was tryng to my reading on me to get glasses i was having problems seeing anything clear..he said at that time my eyes are still healing and that is why cannot get a good reading for glasses..my close vision is now excellent with reading glasses. i am worried that i have lost the ability to get my corrected vision back forever after laser surgery..any thoughts would be appreciated. thanks johna A: I would not be worried at this time, as it can take several weeks or sometimes months to stabilize. If you continue to be concerned then get a second opinion. Andrew Caster, MD

Q: I HAD LASIK SURGERY AND I WOULD SAY MY VISION IS WORSE AND MY UPPER EYELIDS DROUP TO THE POINT THAT IT MORE THAN JUST ANNOYING. ITS BECOMEING DIFFICULT TO SEE .I CAN'T REALLY EXPLAIN, HAVE YOU HEARD OF THIS HAPPENING? SUSIE A: In very rare situations, the eyelids can droop a little bit after Lasik, but not to the degree that you describe. I would get an evaluation by a doctor, but would think about another casue. Andrew Caster, MD

Q: After my first Lasik I was 20/30 Three days ago I had an enhancement and I am still so blurry. I use Restasis as well. Can you have a second enhancement? or is it too risky? I am 54...have a fairly thin flap, but was ok for the first two. A: Usually, more than one enhancement is possible. Andrew Caster, MD

Q: I've wanted Lasik surgery ever since I heard about it for the first time. Well, I'm at a point financially when I would be able to do it. However, my mom had read somewhere that this time of year (fall) is a bad time to get the procedure done. Unfortunately, she can't remember where she read it or why it was a bad time. I live in Minnesota, so I'm wondering if it could have something to do with the weather!? Also, I work as a surgical technologist, so with the air flow in the OR, I'm slightly worried about my eyes getting dried out during surgery. Any suggestions? A: The temperature and humidity in the laser room must be controlled to compensate for changes in weather during the year. If this is done, there is no concern about the time of year. Andrew Caster, MD