Beauty & Wellness

[Merged] laser eye surgery

  • Last Updated:
  • Jul 19th, 2017 2:56 pm

Poll: Mid twenties a good age to get it done?

  • Total votes: 170. You have voted on this poll.
Yes
 
87
51%
No
 
25
15%
Pizza is yummy
 
58
34%
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Oct 1, 2011
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^ Of course. The Dr. Brouwer documentary by ZEMBLA I posted has some individuals saying that all laser eye surgeries should be banned. I find it hard to agree with them since I'm benefiting so happily from mine, and I wouldn't want others to miss out on making a personal decision even if it's "only" cosmetic (yet affects our overall lives, confidence, physical activities, attractiveness, etc.)

I am more gearing my cautions towards figuring out how best to advise patients regarding all the risks...and if there might be any way we could figure out how to minimize the chances of them occurring at all. Going glasses-free has been so wonderful to me, if we could make it even safer in the future and more accessible to more people, I think that'd be great.

In addition, there might be advances in the future for developing eyes (i.e. children) to wear certain contacts or other treatments like braces for teeth, that might prevent myopia before it gets bad enough to need corrective lenses. If we could figure out other lifestyle factors that led to myopia becoming so widespread, that would go a long way, too.

It is really sad that others have been so adversely affected by their elective eye surgeries.
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Oct 6, 2015
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peanutz wrote:
Jun 26th, 2017 4:29 pm
In addition, there might be advances in the future for developing eyes (i.e. children) to wear certain contacts or other treatments like braces for teeth, that might prevent myopia before it gets bad enough to need corrective lenses. If we could figure out other lifestyle factors that led to myopia becoming so widespread, that would go a long way, too.
There's orthokeratology, which is basically hard contact lenses to reshape corneas. And lack of exposure to UV light is theorized as a reason why kids that spend a lot of time indoors get myopia at a rate greater than those who live an outdoors lifestyle. My sister is a horse trainer, spent a lot of time outdoors, and she didn't suffer myopia like I did as a person who spent more time indoors.
It is really sad that others have been so adversely affected by their elective eye surgeries.
Yeah there's some other msg boards I'm on, and some of the things horrify me. I want to write, "if you had only gotten PRK .....", or "if you had only been treated with laser X", but its hardly appropriate. I'm a firm believer in getting things done right the first time around, rather than needing repairs, so that's what was so attractive about PLEC to me. They deal with many of the worst cases of botched refractive surgeries done elsewhere, so they know what *not* to do to damage their own patients. I know that not everyone can obtain treatment at a specialist center for practical reasons, but I think PLEC has done an amazing job at spreading knowledge and making their tools available to others.
Sr. Member
Dec 6, 2002
886 posts
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holy crap boy i had a rough recovery for first 2 days, just want to share with everyone how my custom PRK went. i had -5.75/-6.50 with a thick healthy cornea. so they started with numbing drops, lasered down the outer layer , took off the epthileal layer and then laser my actual cornea. the whole process was pretty painless. just a small discomfort from having the eyes stretched and abit of stinginess. so mostly the surgery was good and expected.

but soon after, about 30 mins later i felt stinginess, even with the numbing drops it became quite strong. however, it wasn't painful so i didnt take T3. so i had rested and closed my eyes while my partner drove me back.

once back home, i realize i could not open my eyes even if i tried. 2 hours later, 6 hours later, 1 day later after sleep it was the same and gotten worse. i could barely do drops . my partner had to literally gouge my eyes open to drop them and she said my eyes were almost solid blood red. called doctor and he said while not that common, this CAN happen. again, it wasn;t painful. just stinginess and uncomfortable.

so i trapped myself in a pure dark room with eyes closed for about 2.5 days as i couldnt do anytihng (blind), couldnt even operate my podcasts!

the good news ,. literally on the 3rd day, i was able to open my eyes fine and my eyes were normal white. no discomfort, nothing. on 4th day i went to followup , took bandage contacts off and have 20/30 vision! i'm so happy that was finally over. but even after many research i DID NOT expect my first 3 days to be soooo horrible.

apparently, my body is extremely sensitive to any modification.
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Oct 3, 2006
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fuc847 wrote:
Jul 4th, 2017 10:11 pm
holy crap boy i had a rough recovery for first 2 days, just want to share with everyone how my custom PRK went. i had -5.75/-6.50 with a thick healthy cornea. so they started with numbing drops, lasered down the outer layer , took off the epthileal layer and then laser my actual cornea. the whole process was pretty painless. just a small discomfort from having the eyes stretched and abit of stinginess. so mostly the surgery was good and expected.

but soon after, about 30 mins later i felt stinginess, even with the numbing drops it became quite strong. however, it wasn't painful so i didnt take T3. so i had rested and closed my eyes while my partner drove me back.

once back home, i realize i could not open my eyes even if i tried. 2 hours later, 6 hours later, 1 day later after sleep it was the same and gotten worse. i could barely do drops . my partner had to literally gouge my eyes open to drop them and she said my eyes were almost solid blood red. called doctor and he said while not that common, this CAN happen. again, it wasn;t painful. just stinginess and uncomfortable.

so i trapped myself in a pure dark room with eyes closed for about 2.5 days as i couldnt do anytihng (blind), couldnt even operate my podcasts!

the good news ,. literally on the 3rd day, i was able to open my eyes fine and my eyes were normal white. no discomfort, nothing. on 4th day i went to followup , took bandage contacts off and have 20/30 vision! i'm so happy that was finally over. but even after many research i DID NOT expect my first 3 days to be soooo horrible.

apparently, my body is extremely sensitive to any modification.
Thanks for sharing your experience. Where did you do your custom PRK?
Jr. Member
Mar 6, 2013
142 posts
15 upvotes
Does one need a recent prescription before making an appointment to go?
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toaster5 wrote:
Jul 18th, 2017 2:23 pm
Does one need a recent prescription before making an appointment to go?
Yes...not just a prescription. A comprehensive check-up with an optometrist, ideally within 1 month of surgery (according to them), but if there are delays in making the appointment, perhaps within 3 months at the most generous (here I'm just guessing).
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Oct 6, 2015
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toaster5 wrote:
Jul 18th, 2017 2:23 pm
Does one need a recent prescription before making an appointment to go?
Some clinics do that stuff all in-house. Some, like PLEC, require that your optometrist do all the pre-op stuff. They want a full retinal work-up, cycloplegic and manifest refraction, pachymetry, etc. Probably the most important aspect, by far, is that any dry eye disease or tear film evaporation problems be evaluated and treated!!!

And yes, not only should you have a recent prescription, but your optometrist should be able to supply a 'refractive history' to the surgeon. To make sure that you are stable enough to undergo the surgery, and to plan any over-correction, particularly in younger patients. If you're over 40, you definitely should also discuss monovision and perhaps undergo a monovision trial with contact lenses with your optometrist.
Jr. Member
Mar 6, 2013
142 posts
15 upvotes
My last eye exam was 2 years ago. So I guess I need to go again before I make an appointment even to get a quote? I just don't want to have to go twice (to my optometrist) within the span of a couple months if I do end up being a suitable candidate.
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toaster5 wrote:
Jul 19th, 2017 11:55 am
My last eye exam was 2 years ago. So I guess I need to go again before I make an appointment even to get a quote? I just don't want to have to go twice (to my optometrist) within the span of a couple months if I do end up being a suitable candidate.
Sorry, I thought you meant to "go and do the surgery." No, if you want a quote from a local laser eye clinic, all the ones I know do in-house tests (with their own optometrist or technician) to confirm that a patient is a good candidate and which surgeries/parameters are ideal for them, and thereby give you a quote or multiple quotes for different options.

However, burnt69's commends still apply; you want your prescription to have been stable for a few years, and no obvious ocular diseases/changes to vision. Most laser clinics will rely on some sort of history provided by your regular optometrist to confirm these things.
Member
Oct 6, 2015
461 posts
233 upvotes
toaster5 wrote:
Jul 19th, 2017 11:55 am
My last eye exam was 2 years ago. So I guess I need to go again before I make an appointment even to get a quote? I just don't want to have to go twice (to my optometrist) within the span of a couple months if I do end up being a suitable candidate.
My optometrist was pretty cool about it. She only charged me one fee for my regular eye exam + 2 pre-op appointments, knowing that she'd be able to charge me for 6 additional appointments after the surgery was done.

An extra appointment shouldn't be a big deal. A minor extra cost and inconvenience if you're going through a surgeon who has you pay for all of the follow-up appointments individually.

edit: Brief update from my 6-month follow-up appointment today. Seeing 20/12 uncorrected (can't quite get to 20/10 yet). Dry eye is way, way better than it was at the 3 month appointment. I am overcorrected at the moment, by roughly +0.75 in both eyes. Its manageable, but hoping for a bit of regression over the next number of years so the presbyopia doesn't kick me too hard. The optometrist claims she's never seen a 20/10 patient after surgery, so I might end up being her first :).

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