Health & Wellness

[Merged] laser eye surgery

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

  • Total votes: 376. You have voted on this poll.
Yes
 
198
53%
No
 
58
15%
Pizza is yummy
 
120
32%
Deal Addict
Aug 17, 2008
1079 posts
492 upvotes
Inclemental wrote: Not getting into the technical PROs/CONs between LASIK vs SMILE. In business aspect, cost of a new machine is a major setback for many clinic to go for SMILE. It is a completely new machine which cost at least $500k to purchase + all other ongoing cost. If a clinic is doing well on LASIK and PRK which operate on the same machines. They don't benefit by investing a new machine and new tech. After all, our benefit is not their priority concern. Business is business.
True, but if SMILE was thought to be better, more would have adopted it by now. Plus, as per Bochner aritcile -- there is the example of Moorfields Eye Hospital in London(England) that did spend the money to buy SMILE equipment, tried it, saw some issues, and dropped it.
Addendum: Moorfields is the oldest and largest centre for ophthalmic treatment, teaching and research in Europe.
Last edited by multimut on Aug 7th, 2020 9:41 am, edited 2 times in total.
Deal Addict
Aug 17, 2008
1079 posts
492 upvotes
tvwatcher wrote:
I believe TLC in London (which is the closest city to me) does cataract surgery - would the wait list be shorter there since you have to pay for it (I think). I was thinking of going that route if it would get me done sooner? I can't really wait until next year, and I can't lose my license (husband with a brain tumor, had his license returned but will lose it if the tumor starts coming back). This is so stressful - I can appreciate that everyone has their reasons for needing this done sooner rather than later, and this virus has sure made a mess of things!
As I mentioned in my earlier psot #3337, all cataract surgery is publicly funded in Ontario, whether you go to a hospital or a private clinic. The private clinics act as arms of the public system for cataract surgery, and are only truly private for laser vision correction. Whether you go to a hospital or private clinic, you will have the option of free cataract surgery, or you can opt to pay extra for premium lens, etc... But paying extra does not put you at the front of the line. They do prioritize patients, and if your cataracts are really bad, they will put you in category 1 priority. At private clinic, the wait times for laser vision correction and cataract surgery are different.
Deal Addict
User avatar
Nov 24, 2005
2275 posts
993 upvotes
SW Ontario
multimut wrote: As I mentioned in my earlier psot #3337, all cataract surgery is publicly funded in Ontario, whether you go to a hospital or a private clinic. The private clinics act as arms of the public system for cataract surgery, and are only truly private for laser vision correction. Whether you go to a hospital or private clinic, you will have the option of free cataract surgery, or you can opt to pay extra for premium lens, etc... But paying extra does not put you at the front of the line. They do prioritize patients, and if your cataracts are really bad, they will put you in category 1 priority. At private clinic, the wait times for laser vision correction and cataract surgery are different.
thanks - I had found a post from a few years ago where someone said they opted for private cataract surgery because of the long hospital wait times - I guess they must have been in another province
Deal Addict
Aug 17, 2008
1079 posts
492 upvotes
tvwatcher wrote: thanks - I had found a post from a few years ago where someone said they opted for private cataract surgery because of the long hospital wait times - I guess they must have been in another province
It is possible that a private clinic could have a shorter wait time than a hospital. Wait times for cataract surgery will vary by region and even by clinic within the region. You can try checking with some private clinics. Or since you are in London, Sarnia/Chatham area has the shortest wait times for cataract surgery and is not too far from you -- you could also check hospitals and private clinics in that area.
Newbie
Dec 5, 2017
42 posts
8 upvotes
multimut wrote: True, but if SMILE was thought to be better, more would have adopted it by now. Plus, as per Bochner aritcile -- there is the example of Moorfields Eye Hospital in London(England) that did spend the money to buy SMILE equipment, tried it, saw some issues, and dropped it.
Addendum: Moorfields is the oldest and largest centre for ophthalmic treatment, teaching and research in Europe.
Guess what laser system is used at London Vision Clinic -which is one of the most reputable laser centres in the world...you guessed it... SMILE

If you are in Asia or Europe (like above) and you are still doing LASIK they laugh at you... Bochner has their own agenda and so does everyone else..
The whole "SMILE" is new is outdated .. it's like telling people that Tesla is too 'new' and 'unproven'...

Do your research.

PS:.I've had 4 family members who have had SMILE all with great results.. this was after I had LASIK/PRK many years ago..
Newbie
Dec 5, 2017
42 posts
8 upvotes
huskylord wrote: Hi Everyone,

I"m doing research on behalf of my dad (he's 82) and just told me he was diagnosed with cataracts and his eye test for driving scheduled for Feb 2020. His doc told him he's 50/50 for passing, so he's now terrified at the thought of losing his license. The backlog for cataract surgery will likely not happen before Feb, so now I'm trying to research the private route. Lots to read through here which is great, but my dad's situation might be somewhat different than the younger profile for most people inquiring here. Obviously we need a professional consultation, but just trying to do some of the ground work ahead of time. If anyone has been in a similar situation for private cataract surgery, please share what you can. Much appreicated.
If you are in the GTA then Herzig and Bochner are world-renowned.
Jr. Member
Apr 4, 2017
132 posts
94 upvotes
So I had a consultation at King Lasik and basically my corneas are too thin to correct my prescription with laser surgery but they recommended ICL. With laser surgery I know the technology and procedure can change from clinic to clinic, but is the same true for ICL? As far as I know there's only like 1 branch of ICL lenses for astigmatism and the surgery should really be similar no matter where it happens? Or am I wrong? Thanks.
Newbie
Aug 16, 2020
1 posts
Has anyone done SMILE at Herzig or Clearview?

Looking for some feedback from others that have gone through the procedure.
Member
Feb 7, 2008
464 posts
230 upvotes
St Catharines
I had my initial consult at Lasik in Hamilton, I'm a candidate for either Lasik or PRK for an astigmatism. No complications and good thick corneas apparently. They recommended the advanced wavefront to dial in my prescription.
They suggested Lasik but that I could certainly choose PRK (no change in cost).
  • Anyone have any experience with either at Hamilton?
  • From my reading here it seems that PRK is the better option (i.e., no flap) - when I asked about it there they said the main drawback was lengthier recovery (no problem for me), and possibly less predictable recovery.
Thank you all for sharing your experiences on here!
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Member
Sep 8, 2004
237 posts
23 upvotes
Toronto
Sr. Member
Jan 18, 2017
680 posts
252 upvotes
Wanted to update this thread with my consult experiences at TLC Mississauga and Herzig.

TLC Mississauga,
Did a bunch of tests with a tech; she was very friendly. Spoke to an optometrist to review my results; she said all my concerns for LASIK has been thoroughly debunked (risk of flap dislodge, cornea structural integrity compromised, risk of ectasia, difficulty of retreatment, etc) and was very dismissive of my questions (when I asked about the type of laser, software the laser was running, it's capabilities of pulse frequency, treating pupil size, etc). She says they only provide PRK for patients that do not qualify for LASIK. Overall it felt a bit rushed, and very sales-y. The salesperson put a date down even though I didn't say I was going to move forward just yet, (assumptive close, good technique haha)

Herzig
Far more relaxed. Also did a bunch of tests with a tech; then spoke to an optometrist. Optometrist did a few more tests; and very patient with answering all my questions. She said I was a candidate for SMILE, LASIK, and PRK. I expressed my concerns about LASIK, and she said they were valid and was totally OK if I decided to go with PRK (given I understood the longer recovery time with PRK).

Herzig has a Zeiss Visumax laser for SMILE and a Johnson & Johnson VISX laser for LASIK/PRK. When asked about model/software, they weren't forthcoming with the information.

Here is the response I received from TLC:

Image
Newbie
Sep 3, 2020
1 posts
Had a consultation at TLC on Wednesday. I’ve got my surgery scheduled for October 16. Was hoping it would be sooner to give me less time to think about it lol
Newbie
Sep 6, 2020
1 posts
I’m booked for ICL next month. After surgery, can I ride the subway home with my escort or are we better off taking an Uber? It’s honestly the same amount of time for me. Just wondering out loud and also being mindful of staying in more ventilated areas these days (car vs. subway).
Deal Addict
Apr 5, 2016
4463 posts
3045 upvotes
Calgary/Vancouver
Posted 3 years ago but never had the chance to do it. With COVID and all, my two weeks off in December probably going to waste so might as well take this time to finally get to it. Last time I think PLEC was the most recommended. Is it still the same, or are there new guys on the block that have better procedures and/or service?
Current Fido and Rogers customer.
Ex Koodo customer.
Member
Sep 8, 2004
237 posts
23 upvotes
Toronto
You guys are still considering TLC, even with the impending bankruptcy and exodus of key staff? It's a repeat of the fiasco from last year's Crystal Clear Vision aka NVISION Canada's abrupt closure, with the same doctor founding both companies:

merged-laser-eye-surgery-249780/208/

https://eyewire.news/articles/nvision-e ... t-to-team/

https://fullerllp.com/active_engagement ... anada-inc/

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