A lot of people ask me about my Lasik process, but it’s a long story and hard to tell. It’s not easy to admit spending a huge amount of money and time on something that didn’t work out very well, especially when it involves radically altering one of my primary senses. I also feel deeply humiliated talking about problems that may very well have been caused by my own bad choices. My hope is that by writing publicly, I’ll help other people make better choices and avoid having to retell the whole saga in person.

Very early in life, in grade school, everyone smart and cool that I knew wore glasses. My dad and his scientist friends from around the world were energetic, smart and creative. My mom worked at libraries full of books and the people who read them. As far as I could tell from a quick survey of adults, before growing to the age where my peer group was supposed to shun them, being a nerd was awesome. So of course I saw glasses as graduation into the club.
When it came time to test my eyes, I acted like my vision was worse than it was to get my first pair. I was so proud of them. I’ve never been one to recognize a tauntworthy act before it was too late, and so the glasses immediately became a prop in my lifelong trend of unwittingly and constantly assuring my place as a whacky outcast. At some point I had a pair of glasses with little superman logos on the sides. Those tiny logos branded me for years. On “punk day” in Jr. High, I famously wore a big plastic white lawn chain and had multicolored yarn hanging from the corners of my glasses. Yes, every one of my classmates still has a copy of that photo in their yearbooks.
Later in life I got with the program. I started paying for haircuts and went to the mall with my lawnmowing money to get a couple of pairs of trendy shorts covered in brightly colored flowers. I swapped my glasses for contact lenses and got my first girlfriend. Years later the dusts of Burning Man brought the glasses back and the convenience made them stick. Somewhere around that point I started researching lasers, and followed their evolution over the years, waiting for the right moment.
Squeamish: Skip this paragraph
The first round of surgeries required a tiny metal blade that cut a flap out of the surface of the eyeball, allowed the laser to make adjustments, and then let the flap close back into place and heal. Then tiny water jets were used for the cutting. At last, lasers were built that could both make the flap and do the adjustment. I decided that I would let people play with those lasers for a while, and then get the process done at the sweet spot where I was still young enough to heal quickly but the lasers had been around for long enough to be well tested.
There were a number of reasons I decided to do the process at all. The most valid was my love of travel. If I wanted to continue making documentaries in third world countries, I had to seriously consider the risks of having my glasses crushed or stolen and ending up blind in a remote place where I didn’t speak the language.

I also deeply love swimming and, now, surfing. Contacts washed out, goggles were repeatedly snatched by the ocean, and wearing nothing meant not being able to see land from the ocean, or whomever is trying to get my attention from the side of the pool, or that old man in bright yellow floaties who’s screaming and trying to get out of my way. My vision was so bad I couldn’t see much at all beyond a few feet.
Lastly, I really liked the idea of being able to wake up and look, and see, deep into the eyes of someone I love.
So I researched a variety of places when the time seemed right. I found two large places that seemed decent and one smaller place where the doc had just invested in a newer machine. I then made two important choices.
Squeamish: Skip this paragraph
The one remaining negative side effect with any real chance of happening was that some people had a reduced ability to produce tears. This lead to dry eyes and the potential need, in the worst case, to keep eye drops around. This would have defeated my goal of being totally independent in a remote village somewhere. From what I read, there was a procedure that took longer but was almost certain not to produce this potential side effect. Instead of making a small flap and replacing it, the top surface of the cornea is actually removed and is allowed to grow back. Thanks to a wood splinter and a circular saw before I started wearing safety glasses, I’d actually done this part of the procedure to myself once before and it worked out fine in the end.
So I decided to do this more lengthy process and to go with the smaller place. Someone had recommended it to me, and I liked the idea of the individualized care and attention I’d get there.
I wasn’t wrong about the care. The doctor spent a lot of time with me and I appreciated her attention to detail, right up until the operation. When I arrived I discovered that someone had forgotten to order a tool needed for the initial procedure. There was an alternative way of doing the same thing, and from my research it was just as valid, but I was already nervous and that certainly didn’t help. I finally decided that I needed to stop worrying and trust the professional. I’d also carefully planned the whole recovery process into the crazy calendar of my life and it would be a lot to reshuffle. I went for it.

The care I got following the procedure was great at first. Again, I received lots of attention and things seems to be coming along well. The first few months are the fastest part of the healing process, but I knew the whole thing could take as long as six months. I started to have some issues and got a few types of drops to deal with them. It was amazing to be able to walk around and, while still a little wonky, see. Swimming in the ocean was an incredible experience. Taking a shower was an incredible experience. Waking up was amazing.
Six months in, things had stagnated. I still couldn’t see computer screens very well. I wasn’t producing tears well at all. I was using a lot of different drops to deal with blepharitis, dry eyes and inflammation. Eventually the doctor, despite all of the time spent with me and attempts to work with me, gave up and admitted not understanding the problem. Lack of experience had won out over effort.
A few months later I went out to California to help a friend go through the same procedure. Her doctor at the Stanford medical center was excellent. I almost considered flying out to have him work with me, but he instead recommended an Austin based doctor I should try, a Dr. Dell, who not only had years of experience by was also known as a researcher as well as a practitioner.

My first experience with Dr. Dell was exactly what I had avoided the first time around. I arrived to a huge, crowded, noisy space packed with exhausted or bored people heaped in chairs under incessant television screens. My first appointment took, literally, more than four hours, only ten minutes of which were spent talking to the doctor. The preceding hours were spent being shuffled from dark room to dark room to wait or fill out yet another form. I will say that within seconds of looking at my eyes he recognized and named all of the problems I’d been having and thus at least demonstrated some skill.
Almost immediately he noticed something he thought looked like an allergic reaction. He suggested I ditch the pile of eye drops I was putting in each day and within weeks my eyes improved enormously. With a brief series of steroid drops he managed to get rid of the inflammation and get things stabilized to the point that we started talking about another procedure to correct the first.
The advantage of now working with a researcher was that he was aware of all of the latest information about the field and had been working on new techniques. The risk, of course, was that I was going to be a test subject. While I was certainly not the first to be corrected, I was definitely part of a small group of people being used to try a new technique. In effect, the first operation had given me lenses that were slightly off center and this approach would shape things up. I was assured that the worst that would happen was that I wouldn’t experience much benefit. Of course, I would also have spent months unable to see and even more thousands of hard to replace dollars.

Having already spent months and months and the equivalent of my yearly salary on this project, I wasn’t about to quit. Knowing I’d have to live with my eyes for the rest of my life based on whatever I did, I made the choice to give it a shot.
We started with the right eye first, as it’s the eye my brain decided years ago wasn’t going to do much of the work anyway. I hardly noticed that it was blurry those first months, and it actually healed quite quickly. My eye stayed healthy and eventually I was able to see much more clearly at night and my ability to see computer screens and lit objects improved. It never got to the level of my vision years ago, but I’m pretty happy about it.
I just had my precious left eye zapped this last week. Again it seems to be doing quite well, and by watching how the right eye healed the doctors were able to better calibrate this adjustment. They anticipate it being even better. My right eye became famous a few months back when it was held up at a conference in vegas as an example of a success story with the new procedure, thus getting more screen time than me. I hope that didn’t use up my fifteen minutes. Really. There’s more to me than meeting the eye.
So of course the obvious question everyone asks at the end is, “would you recommend this”? Despite the assembly line, cattle style introduction to working with Dr. Dell, once I was farmed out to his optometrist, Dr. Cunningham, I was much happier with the time and attention I got. While Dr. Dell still performs the operations, Dr. Cunningham takes the time to work with patients on a daily basis. I think if you found a solid doctor, and if your vision was as bad as mine was, this could really be a wonderful life-changing experience. While it’s impossible to know for sure, I think if I’d started where I am now, with this doctor, I would have been happy and healthy long ago.
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