Health & Wellness

[Merged] laser eye surgery

  • Last Updated:
  • Dec 4th, 2018 2:41 pm

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

  • Total votes: 274. You have voted on this poll.
Yes
 
143
52%
No
 
40
15%
Pizza is yummy
 
91
33%
Newbie
Dec 5, 2017
22 posts
4 upvotes
alexstoev wrote:
May 24th, 2018 4:57 pm
Thanks Catchjosephnow for the fast response. I never looked at it this way (corneal surgery after having a corneal surgery), but your description is right on the spot. As you know the cornea is made of stroma (mostly) and epithelium. The superficial k does not touch the stroma, just the epithelium which grows back within 5 to 7 days. Since the PRK works on the stroma do you still believe it does not make sense to have it done? Also, if you have some suggestions for real cornea specialist would you mind sharing them with me.
I think with your previous history and age why would you take a chance with having another corneal procedure (PRK) that can likely have elongated results and possibly make your vision worse. I would get a second opinion if you are considering it. I am not sure if you will be getting an honest opinion with NVision or any other place to be honest although I would say you Bochner and Herizg are the most reputable places in North America/USA.
I can't speak for any corneal specialist that I know (I am in healthcare) but I wouldn't waste their time if you are not even a candidate for PRK in the first place.
Newbie
Jul 25, 2009
7 posts
7 upvotes
Woodbridge
I was at Bochner and they told me the same thing - I am a good candidate for PRK knowing that I've gone through superficial k. I was disappointed that at Bochner I did not speak to a doctor but that's their procedure. At least at Nvision after all the tests were done a doctor did the final checkup and then we discussed all the options. It looks like all this is way too commercial but that's our healthcare system.
Deal Fanatic
User avatar
Oct 1, 2011
6265 posts
1416 upvotes
misterlamed wrote:
May 21st, 2018 1:10 am
So who got PRK Surgery and where did you do it?? and also hows the result so far? :D
I'm 1.5 years post-surgery, still excellent. :) Occasionally dryness of eyes when I wake up but nothing painful or functionally inhibitive. After about a minute of blinking and being awake, the feeling goes away.
alexstoev wrote:
May 24th, 2018 2:13 pm
Awesome thread. Burnt69 and Peanutz you guys have done an amazing job, thank you very much.

Now it is my turn, I decided it is about time that that I get that laser vision correction. It is not that I hate my glasses, it is because now my optometrist cannot correct me even to 20/25. I’ve reached the age (now I am 54) where now I am wearing progressive lenses and I hate them, they just don’t work for me. The last 2 pair of glasses are progressive, and I had to return them to the optician at least once to be remade and still with the glasses the max I reach is I think 20/50 which is borderline to not being allowed to drive.

I had superficial keratectomy done on both eyes. Left was done last year, and right was done 2 months ago. When I asked the corneal specialist (I am not going to mention his name here) if doing PRK would correct the problem, his answer was no, you need the superficial keratectomy. Today I was told quite the opposite – that PRK would have corrected the problem that superficial k would address. Well I suffered the same way as if I’ve done PRK, so nothing would surprise me.

Sorry for the long post but I wanted all the facts in. I decided to check 3 clinics (I live in Woodbridge which is part of GTA, or greater Toronto area for the non Ontarians) – TLC, Herzig and Bochner. Googling revealed quite a lot of bad reviews for Herzig so I took them out of my list. After I read almost all of the posts here I decided that TransPRK is the only procedure that I am going to have and today I saw Nvision. Yes, I know their laser is 750 not the 1050 as the one in Vancouver but the difference is so small that would not justify me flying to Vancouver. Today I was given the option of RLE (refractive lens exchange) since my epithelium had healed so well after the superficial k. Of course Dr. Machat will evaluate the options based on the test results but what do you guys think? Should I go for RLE or do the PRK and if/when I need cataract surgery then will deal with it.

Thanks in advance for your suggestions/recommendations. BTW my surgery (PRK for now) is scheduled for now for August 14th.
I'm glad that some of the posts here were able to help you. Yours is a very difficult situation to assess for laymen, as most of us had interest about laser eye surgery for eyes without any known conditions.

Your main complications are:

1) something is preventing your eyes from being corrected to 20/25 with glasses. This underlying condition must be identified and targeted
2) the superficial keratectomy was attempted for 1) which most of us didn't have. I am assuming that since you are scheduling PRK, it did not correct the problem of 1). I cannot tell you whether PRK would correct where superficial keratectomy failed
3) At your age, you may need reading glasses after PRK
4) As for RLE, I haven't done enough research but it would definitely be something to consider the pros/cons of as the potential for cataracts is closer (or, how do any of us know whether your eyes have not started some mild cataract development?) I would look at the longevity of its safe proven use, the experience of the surgeons, and do searches for complaints/problems or warnings.

Here, I would rely on the opinions of a corneal specialist who hopefully takes the time to assess your eyes and explain their reasoning to you.
Newbie
Jul 25, 2009
7 posts
7 upvotes
Woodbridge
Peanutz, thanks for the reply. Let me give you some more info. My prescription is -6.5 left and -6.75 right plus some astigmatism (that I don’t remember the details). The superficial k is considered a minor procedure that threated so far successfully some diseased/dead cells in both my eyes. The procedures were successful so no worries there.

As my myopia is considered high, the higher the diopter the smaller the chances of reaching good correction with glasses.

So to comment on your points:

1) I believe my main problem is the high myopia and the astigmatism
2) Superficial k did the job and I am not attempting PRK to fix the problem, I want PRK in order to get better vision
3) I am considering PRK knowingly that I will need reading glasses. That’s fine with me and I will not consider mono.
4) RLE is something that I am still debating in my head. It will solve the problem with the cataract (when it comes). We all know that cataract is something that we all will get. It will also give me better vision but how good, nobody knows. On the negative side – RLE is known to increase the chances of retinal detachment. I’ve gone through some laser shots for this 6-7 years ago and am scary of retinal issues. That’s my main concern plus the fact that there will be no accommodation cause the lenses are artificial. So looking at the pros and cons, I think I am willing to go for the PRK in order to get better vision and this procedure is less intrusive than the RLE. Do you think the cons are strong enough to not consider RLE?

I will take your advice (and Catchjosephnow too) and will try to find a corneal specialist that is not interested in doing any other surgeries/procedures (not to be biased by once own financial interests).
Member
Dec 15, 2012
229 posts
122 upvotes
Toronto
peanutz wrote:
May 25th, 2018 11:08 am
I'm 1.5 years post-surgery, still excellent. :) Occasionally dryness of eyes when I wake up but nothing painful or functionally inhibitive. After about a minute of blinking and being awake, the feeling goes away.
Hmm I see now that I'ma flight attendant i fear that dry eyes maybe an issue :/
Deal Addict
Feb 10, 2006
1942 posts
120 upvotes
Kitchener
Tomorrow I have a consultation at TLC in Waterloo. They said it is $4900 for both eyes regardless of what they find.

Does that seem strange to give a price before they see me?
Sum_guy wrote:
Mar 13th, 2013 10:26 pm
but my nipples hurt for the rest of the weekend when we go.
Jr. Member
Jul 24, 2013
125 posts
31 upvotes
Double_J wrote:
Jun 5th, 2018 6:28 pm
Tomorrow I have a consultation at TLC in Waterloo. They said it is $4900 for both eyes regardless of what they find.

Does that seem strange to give a price before they see me?
Most places are $5000 give or take $400. Seems like they are agreeing to an ogliopoly.

I went to Herzig yesterday and after insisting I wanted PRK they still tried to sell me on their smile procedure. They realised prk was for me. I spent roughly an hour doing the consult. They were friendly and great all around. I asked if they had any 0% financing options (nest egg yo) and they offer 12 months at 0% BUT I lose the $400 "discount" for coming in off a referral. Overall 5000 without and 5400 with financing.

I asked for available dates and they said they could take me in Friday but I told them I'm gonna think about it so I don't rush into anything but I think it's for me. I am a former RCMP applicant who got shut down for eyes and have hated glasses my whole life. Functionally blind without them. We shall see how it goes.
Deal Addict
Feb 10, 2006
1942 posts
120 upvotes
Kitchener
So I went in today and I don't think they did the full test. On the phone she said I was going to get drops to dilate my eyes, and they didn't.

The lady said she didn't recommend me getting the procedure based on the following:
1) I have strabismus
2) I haven't had my prescription checked in nearly 6 yrs, and it's clearly changed from that stand point.

She told me I should get contacts....
Sum_guy wrote:
Mar 13th, 2013 10:26 pm
but my nipples hurt for the rest of the weekend when we go.
Deal Fanatic
User avatar
Oct 1, 2011
6265 posts
1416 upvotes
Double_J wrote:
Jun 6th, 2018 1:40 pm
So I went in today and I don't think they did the full test. On the phone she said I was going to get drops to dilate my eyes, and they didn't.

The lady said she didn't recommend me getting the procedure based on the following:
1) I have strabismus
2) I haven't had my prescription checked in nearly 6 yrs, and it's clearly changed from that stand point.

She told me I should get contacts....
I have no answer for you and this is not an endorsement of this blog, but I found this after a quick search.

I guess there are different kinds, and degrees of, strabismus. So you may try for another consultation with someone else, but maybe it isn't right for you as well.

http://hopeforstrabismus.com/lasik-surg ... trabismus/
Newbie
Dec 5, 2017
22 posts
4 upvotes
Zarko1 wrote:
Jun 6th, 2018 10:50 am
Most places are $5000 give or take $400. Seems like they are agreeing to an ogliopoly.

I went to Herzig yesterday and after insisting I wanted PRK they still tried to sell me on their smile procedure. They realised prk was for me. I spent roughly an hour doing the consult. They were friendly and great all around. I asked if they had any 0% financing options (nest egg yo) and they offer 12 months at 0% BUT I lose the $400 "discount" for coming in off a referral. Overall 5000 without and 5400 with financing.

I asked for available dates and they said they could take me in Friday but I told them I'm gonna think about it so I don't rush into anything but I think it's for me. I am a former RCMP applicant who got shut down for eyes and have hated glasses my whole life. Functionally blind without them. We shall see how it goes.
Me and my family all had our procedures with Dr. Herzig. I wouldn't hesitate if you are really frustrated with your glasses. I've had a couple family members who have had LASIK and PRK and recently SMILE.
Banned
Jun 9, 2018
37 posts
11 upvotes
Anybody have any ideas on how to stack various kinds of cashbacks and discounts for maximum return?

I was going to apply for a BMO CC which has 4% C.B. in first 3 months, and stack that with Venngo discounts. 4% of 4k is $160. Anybody have any other ideas?

Any other CC with better return for this kind of spend? I've already churned Scotia Amex Gold, Scotia VISA INF, MBNA Rewards.
Jr. Member
Jul 17, 2010
168 posts
22 upvotes
Toronto
Subject: Pre-existing dry eye conditions and vision correction surgery

First ,thank all contributing to this post, very valuable information indeed!

I have a long (+10 years) history of dry eye syndrome, tried all treatments available out there. In addition to dry eyes, i also have developed contact dermatitis around my nose, making it very difficult for me to wear regular glasses (irritation, distraction no matter what frames/materials/nosepads). So, ideally i should wear contact lenses due to contact dermatitis, which however, becomes tricky due to my dry eyes. I tried quite many brands, no luck, too dry or feeling of object inside eyes. Currently i am on Dailies Total 1 daily disposable. These are so comfortable, i can wear them for longer than 12 hours, no dryness or whatsoever, except for one problem: blurriness caused by fitting. My eye doctor told me the shape of Total 1 doesn't fit the shape of eyeballs very well. Even though i am still wearing Total 1 (i wear lower-than-should power so that i get less blurriness to make it doable), i have to consider Lasik/PRK/TCL, or whatever possible/feasible procedure to make my life a little easier.

So here are my concerns and would really appreciate if anyone can provide some information/experience before i book a consultation:
1. Pre-existing dry eye conditions: my overall dry conditions are quite well under control except for contact lenses. I don't need eye drops while wearing glasses or Dailies Total 1 daily disposables. However, i know surgery will cause dry eyes even for those candidates without pre-existing dry eye conditions, i am very fearful that the surgery will worsen my dry-eye conditions to an unacceptable extent (i am fine as long as they are acceptable if i use eye drops). This is my main concern, and life-critical.

2. The overall side effects of Lasik or PRK, considering it will cut some out of eye balls. I know this might sound superstitious, thinking it's 2018 and technology is so advanced. If this thing goes wrong, i will be doomed.....Disappointed But Relieved Face.

3. Choice of clinic and surgeon: after reading this post, i am thinking of Nvision(Dr. Machat) and Herzig(Dr. Herzig). Any ideas here considering cost, type of technology, quality of procedure, after-surgery followup service, etc...

Any thought or information would be greatly appreciated! thank you for reading.
Deal Fanatic
User avatar
Oct 1, 2011
6265 posts
1416 upvotes
GreenYou wrote:
Jun 13th, 2018 11:20 am
So here are my concerns and would really appreciate if anyone can provide some information/experience before i book a consultation:
1. Pre-existing dry eye conditions: my overall dry conditions are quite well under control except for contact lenses. I don't need eye drops while wearing glasses or Dailies Total 1 daily disposables. However, i know surgery will cause dry eyes even for those candidates without pre-existing dry eye conditions, i am very fearful that the surgery will worsen my dry-eye conditions to an unacceptable extent (i am fine as long as they are acceptable if i use eye drops). This is my main concern, and life-critical.

2. The overall side effects of Lasik or PRK, considering it will cut some out of eye balls. I know this might sound superstitious, thinking it's 2018 and technology is so advanced. If this thing goes wrong, i will be doomed.....Disappointed But Relieved Face.

3. Choice of clinic and surgeon: after reading this post, i am thinking of Nvision(Dr. Machat) and Herzig(Dr. Herzig). Any ideas here considering cost, type of technology, quality of procedure, after-surgery followup service, etc...

Any thought or information would be greatly appreciated! thank you for reading.
Regardless, you should book a consultation at more than one place, just to receive different opinions and also sometimes one professional will voice a concern that another missed or didn't mention.

1. Pre-existing dry eyes: I am trying to find definitive research showing whether modern PRK is better for dry eyes over modern LASIK, and apparently it's not consistent. In theory, it's supposed to be...because PRK is known to sever less corneal nerves than LASIK (by the nature of not having a flap, it makes a shallower cut)...and also there has been some research to suggest the suction in LASIK to lift the flap during surgery damages some goblet cells. However, it's not clear whether tear levels for both types of surgery return to baseline in 2-5 years anyway. The corneal nerves eventually regrow to some extent. I can't find the research right now either but I read an average for PRK is 2-3 years, and LASIK 5+ years.

https://www.hindawi.com/journals/joph/2018/4903831/ is a fairly recent summary of the info so far.

2. The overall side effects assuming healthy eyes in 2018, experienced surgeon and modern technology...the most common adverse effects are dry eye, sometimes starbursts, etc. It's also important that they make the treatment area large enough for the size of your pupils to minimize any aberrations at night.

3. I'm biased towards transPRK w/ SmartSurface so I'd suggest you visit Dr. Machat/NVision for sure. Plus I read in this thread that they consider giving some patients Restasis Rx beforehand to reduce dry eye. However, as I said, I strongly suggest you visit at least 2 consults so if you're thinking of Herzig, then visit Herzig as well.
Jr. Member
Jul 17, 2010
168 posts
22 upvotes
Toronto
Hi peanutz:

thank you very much for your informative reply, really appreciate.

I am also inclined towards, Surface PRK after reading lots of stuff, i don't mind the longer recovery time. Much more important to me is possible complications.

My pre-existing dry-eye conditions are the main concern. The Restasis you mentioned didn't work for me at all, i tried long time, and still have one box unopened in my drawer, but they areDisappointed But Relieved Faceexpensive.

I plan to make a consultation appointment with Nvision first, then Herzig maybe.

thank you again...
peanutz wrote:
Jun 13th, 2018 12:08 pm
Regardless, you should book a consultation at more than one place, just to receive different opinions and also sometimes one professional will voice a concern that another missed or didn't mention.

1. Pre-existing dry eyes: I am trying to find definitive research showing whether modern PRK is better for dry eyes over modern LASIK, and apparently it's not consistent. In theory, it's supposed to be...because PRK is known to sever less corneal nerves than LASIK (by the nature of not having a flap, it makes a shallower cut)...and also there has been some research to suggest the suction in LASIK to lift the flap during surgery damages some goblet cells. However, it's not clear whether tear levels for both types of surgery return to baseline in 2-5 years anyway. The corneal nerves eventually regrow to some extent. I can't find the research right now either but I read an average for PRK is 2-3 years, and LASIK 5+ years.

https://www.hindawi.com/journals/joph/2018/4903831/ is a fairly recent summary of the info so far.

2. The overall side effects assuming healthy eyes in 2018, experienced surgeon and modern technology...the most common adverse effects are dry eye, sometimes starbursts, etc. It's also important that they make the treatment area large enough for the size of your pupils to minimize any aberrations at night.

3. I'm biased towards transPRK w/ SmartSurface so I'd suggest you visit Dr. Machat/NVision for sure. Plus I read in this thread that they consider giving some patients Restasis Rx beforehand to reduce dry eye. However, as I said, I strongly suggest you visit at least 2 consults so if you're thinking of Herzig, then visit Herzig as well.
Newbie
Mar 16, 2007
53 posts
Hey guys My wife did the smile at Herzig last week and she still has a 150 and 200 eyesights as of today. She was at 600ish before the surgery. Is it still chance for the recovery? The doc basically said to wait for a month and if still not improved she has to do something like Lasik again.

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