[Maria]

I had lasik done back around 2000. Went to see Dr. Manger last summer re eval for re do. There was way more of a push to do the surgery even that day and get $500 off basically the same price I paid to have it done back in 2000 which was a fair sum.

I've been happy with the results but have noticed changes. During the last part of the very thorough exam I was told that if cataracts occurred that would change the improvement in my vision even with the surgery.

I was told at the time of the exam I have a slight cataract starting in one eye but nothing that needed surgery now. I have been told that over the last few years. I was concerned however that slight cataract could very quickly progress esp. at my age.

Ok I decided because of my age and what I was told about cataracts I didn't want to plunk out another $3500 for redo before checking this out further.

I went home and was talking with my upstairs neighbor who told me that at 61 she had laser eye surgery and then developed cataracts at age 63 and the surgery was useless plus it made it far more difficult to measure her lens I think for an implant or something like that. In fact as I was researching this I learned that laser eye surgery period makes this more difficult should cataracts occur and one is going to get an implant.

Ok so I decided glasses are fine for me with regard to reading and even distance though I need them far less for that. I went to a local optometrist and was fitted for one contact which works for the distance prob as well as wearing some newer script glasses.

BTW I had a posterior vitreous tear a few weeks after I went to Dr. Manger's office in my left eye and that had to be watched for the first 6 weeks or so re potential for retinal tear. That also made me very very glad I didn't have a retweak of my lasik surgery because posterior vitreous tears are more common in my age group and also for people that have myopathy or even had it before laser eye surgery.

Ok also .. I got ESIs over a span of 10 years plus have done a recent course of oral steroids (Medrol dose pack) and had cortisone shots over the last 30 years in my knee, my shoulder, etc.

I think that in some people it's possible there is an increased chance that steroid induced eye changes can occur but also cataracts are more common if one is out in the sun a lot and not wearing proper protective sunglasses as well as age related and just genetically influenced.

So I don't know Mark ...not sure the progression could be pinned on the steroids without some of the other potential factors weighing in there as well. Let us know what you find out upon seeing an eye specialist (or another) if you'll be doing that.

I went to Harvard Eye Clinic over near Saddleback Hospital in Laguna Hills and liked them very much. Also have a good ophthalmologist in LB that I used to see.

Good luck~ growing older sure is challenging!