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followed by custom prk for the astigmatism.

This is the part that is a problem. I had old-fashioned slice-and-dice RK surgery done 25 (30?) years ago; did a wonderful job of correcting my vision (pre surgery I couldn't see 2 feet in front of me) so I'm not complaining, but now, many years later, it makes PRK problematic. I get varying degrees of pessimism from the different doctors I consult.
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