Lasik

#53
I have not seen it mentioned yet but...

What type of LAS(I or E)K have You decided to go with?

Anybody ever heard of EPI-LASIK? They do not cut your lens and achieve the same visual result. Cutting ones' lens is usually what causes halo's at night and makes one prone to injury if they partake in impact sports.

Nerd
 
#54
I had it done about 7 years ago. Really glad that I went ahead with it. It cost about 4K when I had it done.

The only negative experience with the surgery was bright lights (headlights) at night seem to be much brighter with a "starburst" of sorts coming off of them. If that makes any sense.

I would recommend it to anyone.
 
#55
TRD1911 said:
I had it done about 7 years ago. Really glad that I went ahead with it. It cost about 4K when I had it done.

The only negative experience with the surgery was bright lights (headlights) at night seem to be much brighter with a "starburst" of sorts coming off of them. If that makes any sense.

I would recommend it to anyone.
Click to expand...

Did the "starburst" fade or go away after a while?


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#57
clmayfield said:
That would be lower on my list of priorities. My number one concern is that they use the latest technology. Experience mattered a lot more when they were using microkeratomes (oscillating razors) to make the flap. Computers guide the whole process. The main use of the surgeon is to identify and correct complications... and this is a surgery which very rarely has complications. The technology, however, is constantly changing. My cousin got RK, which was all performed with a razor. His results were great at the time, but did not fully correct his vision and he had all opf the side effects permanently. My sister had Lasik with the microkeratome about 15 years ago. She got good vision, but ended up with horrible night vision.

Current technology uses a laser to make a reverse beveled incision, which is very stable. This incision also heals better to create fewer side long-term side effects as they relate to glare and nightvision issues. The latest technology to shape the cornea tracks the motion of your eye during surgery to insure that tissue is ablated (shaved away) in the right areas.

All of these advancements are a function of the machine and not the surgeon. When it comes to identifying and correcting complications, I would as soon have an experienced ophthalmologist as a Lasik specialist. Sure, I don't want to be one of the first patients or the first patient on a new machine, but number 10,000 is hardly necessary.
Click to expand...

This is the best post in the thread in my opinion. I believe some doctors are still making the cuts with keratomes??? Most of the problems experienced with Lasik were from the keratomes and cuts. Make sure the laser is cutting the flap as well as doing the shaping. Now, not when you show up for the burn. IMHO you would not be wise to let a keratome near your eye when the much safer method of letting the laser cutting the flap is available.

There are risks with lasik but these have been minimized over the years. The area shaped by the laser is limited by the thickness of the cornea. The area shaped by the laser is called the ablation zone. A bigger ablation zone is better as when it gets dark your pupil can expand to the edge of the ablation zone. The edge of the ablation zone is not a very good lens.

I mention this so you have a begining of a understanding that your cornea tissue is limited and there are parameters that have to be balanced. For the most part the bugs have been worked out but I highly recommend you research all the facilities providing lasik in your area, understand the differences in the way they do the procedure and what you are paying for and pay for the most competent lasik provider. This is not a purchase where you want to skip consumer research and just go with the first facility that you happen upon.
 
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#58
It's all laser. I remember that. A few days before the they burn, I go in and they make a topo map of my eyes. As I understand it, the eye is not perfectly flat. There are little rises and dips. The machine maps this so the laser can hit the highs and lows as well as the flats.


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#60
areskslan said:
Having mine done the 3rd of January never had any type of surgery before, a bit apprehensive.
Click to expand...

Perfectly normal. And a good MD doesn't want to perform an elective surgery unless YOU really want it done. You've made the decision. Now go in there and let the Valium do its job.

Keep in mind that LASIK has a very high success rate. My big concern when I had mine done is 2000 was that it was still a fairly new procedure, and long-term effects weren't yet fully understood. There's enough history now to tell us that the procedure (when done well, with good patient post-surgical compliance) doesn't generally have any long-term complications to worry about.

Honestly, come back here after you've had it done. I predict that your word of the day will be:

Miraculous
 
#62
mercracing said:
Please report back how it went and everything. Mine isn't until late January.


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Click to expand...

AAR:

So I went in on the 3rd of January to have this done and here we are on the 6th day after my surgery. I went in quite apprehensive, but they gave me a valium to quell that and I'm not sure if it helped or not, I've never taken and narcotics before so I don't know if I was feeling it or not. I could hear the laser from where I was sitting so that made me a bit more apprehensive, it sounded like electricity arcing between two points. When I got in and laid down they began the procedure and the ONLY part of the procedure that was a bit uncomfortable was when they put "suction" on the cornea to make it flat for the incision to be made by the laser. It was by NO MEANS painful. The only complain I have through the whole thing is: I couldn't scratch my eyes afterward when they were irritated and watering from the surgery. They told me to take a two hour nap when I got back to the Hotel so I laid down and passed out. Problem is, I woke up 1 hour in with my eyes irritated and I badly wanted to rub them but was told several times to in no way to rub them, so I didn't. That is the only part of this whole thing I'd have to "complain" about.

Had a check-up with my personal eye doc and I have 20/15 in my left eye (which wasn't nearly as bad as my right eye) and 20/25 in my right eye (which was originally 20/100 with extensive astigmatism) and my eye doc told me there was an 80% chance it'd heal to 20/20. Compared to my left eye my right eye still looks "blurry" but that is to be expected I'd assume since I still have healing to do AND the left eye is much better then the right in terms of current vision.
 
#64
Broke down and went to the Eye-doc this week, ten years since Lasik, and ten years since last Eye-doc visit. Eyes still well upwards of 20/20. He stopped giving me smaller lines to read, said I was just being greedy! Anyway, he says that folks who get Lasik may find they need reading glasses a year or two earlier than those who don't, but the years free of glasses far outweigh the possibility of needing reading glasses earlier than one might have without Lasik.
Anyway, I still believe it's the best money I ever spent.
 
#66
I had LASIK done in 2003 on both eyes. I went from wearing coke bottle glasses to not needing glasses at all. I turned 50 last year and the vision has been deteriorating to past couple of years. Finally had to get some 'minor' corrective lenses around my 50th birthday. I'm contemplating about getting a 2nd round of LASIK done but haven't pulled the trigger just yet.
 
#68
I am 4 weeks post-op. I still have dry eyes, but I have figured out a better way to apply the drops. I tilt my head back and lift my lower eyelid while putting a single drop in each eye trying to hit the pupil. The excess lubricant runs under the lower eyelid, then when I lower my lower eyelid, it spreads the lubricant pretty evenly over the eye. I am using a lot fewer drops, it is more effective, and I am not getting a bunch of dried up eyedrops tangling up my eyelashes.

I still see halos around traffic lights at dusk and see some starbursts around bright lights at night. Less than when I first had surgery, but I still get them. Some people report reduced contrast sensitivity in the dark, and I don't really get that. When it is dark outside, I can see just fine.

Another symptom that has gone away was lack of stability in my right eye, which really had me worried. My right eye is my shooting eye and some days, it would not be up to snuff. It would just not focus very well. That seems to have gone away.

And now the great news... I am 20/15 in my right eye and 20/13 in my left eye! Even with my current symptoms, I would say that the surgery was worth it. The dry eyes are supposed to clear up in 4 - 6 months and the halos and starbursts are supposed to ease. Without a doubt, it would be well worth it if I didn't have to put drops in every 3 - 4 hours. I was hoping to spend less money on contact solution, but now I have to spend more on these eye drops. Still a heck of a lot easier than carrying around solution, cases, spare contacts, etc. I used to avoid camping because all of the stuff to maintain contacts are bulky and glasses fog up during hikes. Now I want to take my kids out camping before they need glasses (damn genetics!).
 
#69
I have been considering it lately at the suggestion of my girlfriend. I have great vision from 2 foot to infinity, but have to wear 2X or sometimes 3X cheaters for anything close. So, I've been putting scopes on all long guns, which I can adjust to work goon, but then I need to put cheaters on to see the turrets for windage and elevation adjustments. My Eye Doctor told me a few years back that they had a procedure, but his daughter was just starting to use it, and I didn't want to be the test dummy. So, I'm looking into to getting something to help my near vision without degrading my long range vision.

Has anyone else had this problem and had a procedure done?
 
#70
My oldest son recently had lasic done at 25 years old. His vision was terrible. Coke bottle glasses, contacts that irritated his eyes, and everything else that goes along with with bad vision. He had the surgery done by a reputable doctor.
He's about a year post-op and commented the other day about not being able to read a sign about 50 yards away that I could see clearly. I was kinda surprised by this seeing as how my vision isn't the best. He's always been bull-headed, so I'm not sure how well he took care of himself post-op, (rubbing eyes, etc). Anyone else experienced this?
For what it's worth, his vision is vastly improved inside a few feet, and he said he wouldn't hesitate to have it done again.

Regards,

Matt
 
#71
I was playing semi-pro hockey when I had my eyes done.

As a goalie, I've been poked in the eye/eye area at least 30 times over the past 20ish years...I'm also a hard candidate for RCS...So, my eyes are precious.

Instead of lasic, I opted for PRK.

I opted for PRK because if I ever actually took a real hit to the eye, be it a fight, a stick or god forbid a puck breaking through the welds, I'd have some major damage as a result of the lens shifting.

That being said, with PRK, they actually carve your eye to 20-20...

I had some minor pain, especially when waking up for @ a year but, that was dryness. I initially had the procedure done in 2008...I'm not a drops kind of person, I forgot constantly...That being said, in hindsight, I wish I had but, it is what it is...

I had to have my dominant eye enhanced last year...It went well and now my left eye is slowly getting blurry *sigh*...
 
#72
79jeepcj5 said:
He's about a year post-op and commented the other day about not being able to read a sign about 50 yards away that I could see clearly. I was kinda surprised by this seeing as how my vision isn't the best. He's always been bull-headed, so I'm not sure how well he took care of himself post-op, (rubbing eyes, etc). Anyone else experienced this?
For what it's worth, his vision is vastly improved inside a few feet, and he said he wouldn't hesitate to have it done again.
Click to expand...

A couple of comments:
1) If it has been a year since surgery, he might want to do a touch up. Usually, they do those inside of 6 months to make an extra refractive error change. While they carve away the tissue with an idea of what best vision should look like, if they have to get rid of a lot of tissue, they don't have a 100% sure way of knowing what the vision will be once that tissue is removed and the eye heals back up. It is not uncommon to do a touch up after the initial procedure to make a final adjustment. They don't like to do this if the refractive error change is a half diopter or less. Your son might not want to do this as it restarts the healing process, so you have to deal with dry eye, etc. all over again.

2) The reason you are not supposed to rub your eyes is because you might displace the lens flap. You would know if this happens. The eye drops are antibiotics and steroids. The antibiotics prevent infection. If this was an issue, he would be in pain. The steroids are just to boost the healing process. If he skipped out on those, there might be a chance that it wouldn't heal smoothly, which would lead to some of those side effects like halos, starbursts, and ghosting. If he doesn't have those issues, I don't think his vision issues are based on anything he has done. Some doctors claim that people who regularly use lubricating drops end up with better results. There are no studies to back this up, but basically, the theory is the epithelium (the outer layer of skin) will get a better chance to heal if it is bathed in artificial tears. The thing about dry eye is that it is bothersome. If you need eye drops, your eye is going to tell you, so again, I don't think vision issues are based on anything your son did.

3) Your vision is constantly changing. This is due to 2 factors: the change in the shape of your skull, and the strength of your muscles that allow your eye to accommodate (for instance, help you to change focus to things up close versus far away). Most doctors want to wait to do the surgery after your vision has stabilized. I had 20/20 vision when I was 8, and it was all downhill from there. My vision didn't stabilize until I hit 30, which is to say my contact lens prescription was constantly changing. The last 3 years, I have kept the exact same prescription, which means I was ok to get it done. Had I done the procedure when I was younger, it would have had to redo the procedure or just use contact lenses or glasses. This is where a good doctor can come in and advise you on your eyes.

I have had conversations with people who said that their LASIK "wore off" and some even blame the doctor for it. This procedure does not "wear off." It is a permanent procedure. What happens is that your skull changes shape and that changes the shape of your lens. There is nothing you can do about it. If you get this surgery for nearsightedness, it WILL change your close vision for the worse. I had freaky close vision before the surgery where I could focus clearly on things less than an inch away from my face. This is due to the messed up shape of my eyes that were horrible at far vision. Now I can still focus close, but it is more like 2 inches from my face, which is fine with me. The other factor, the accommodating capability, goes away with age. Your muscles just wear out and eventually, we will all need reading glasses because of this. LASIK surgery for nearsightedness will cause you to need reading glasses sooner, but for me, it was an easy tradeoff. My close vision is pretty good, but eventually I will need reading glasses unless I go with "monovision" which is where they adjust one eye for close vision and one eye for far vision. For us shooters, that is a little less appealing as we only shoot with one eye at a time.
 
#73
I had it done Friday morning by Dr. Tayfour in Windsor, Ontario. I went in at 9am with moderate astigmatism and far sightedness and walked out at 11am with better than 20/20. The procedure itself is completely painless but I can see a person being uncomfortable with the equipment so close to their eye. By far the strangest part was being able to see the tools they use (it looked kind of like a dental pick, although I'm sure that's not right) moving the corneal flap around. I had about an hour's drive home, so I loaded up on the Lorazepan (sp?) they gave me and made everything as dark as I could when I got back. Saturday morning my eyes were a bit sensitive on the way to the post op check, but by 1030 or so I could go outside with no eyewear.

I can honestly say it's life changing, especially if you've got a bad set of peepers like I had.
 
#74
I am currently wearing soft contacts that, according to the manufacturer, you can leave in for one month without taking them out. Well, I tend to stretch that to 3-4 months. One of the biggest reasons I'm having it done is because in my line of work(diesel mechanic) it's very dusty and dirty and it messes with my eyes. I can't tell you how many time I would try to gently rub my eyes and it would move my contact. Worse then that, twice this deer season I blinked and my contact fell out of my dominant eye!! Unacceptable!! So 12 days from today I go in.


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#75
$5,000 for procedure and all follow ups. I had it done in 2000. 14 years later still 20/20 or better. I second spending the money on a top Dr. I could only see the big E on the chart. Side effects Starry vision at night from headlights and some signs that are really reflective I get a halo. Its caused from the scarring from the Flap cut they do on your eye. It goes away a little after surgery but is still not the same as I had before surgery... All in All I would not change a thing. I love it and recommend it to anyone looking into it. I would also say do not get it done until your eyes have stabilized. Meaning if your prescription keeps changing every year or two wait till it stops. You don't want to get it done and then have your eyes keep getting worse and then needing more procedures or corrective procedures after..
 
#76
So I had Lasik yesterday afternoon. As I was laying back, I could see there was writing on the ceiling but not having my glasses or contacts in I couldnt read it. I said to the doc, Way to go man, putting words up on the ceiling that no one can read!! Then they did the procedure. It wasnt bad, it didnt hurt and was pretty quick. Once they were done and got everything out of the way, I smiled. I could read the words on the ceiling!! I take half the blame for being a big mouth, the other half I blame on the Valium. My wife took me home and I took a nap. Things have been pretty good so far!! I go in for a quick follow up in an hour. SO FAR I LOVE IT!!
 
#77
mercracing said:
So I had Lasik yesterday afternoon. As I was laying back, I could see there was writing on the ceiling but not having my glasses or contacts in I couldnt read it. I said to the doc, Way to go man, putting words up on the ceiling that no one can read!! Then they did the procedure. It wasnt bad, it didnt hurt and was pretty quick. Once they were done and got everything out of the way, I smiled. I could read the words on the ceiling!! I take half the blame for being a big mouth, the other half I blame on the Valium. My wife took me home and I took a nap. Things have been pretty good so far!! I go in for a quick follow up in an hour. SO FAR I LOVE IT!!
Click to expand...

How much did it run you if you don't mind me asking.


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#79
I met with an ophthalmologist to consider the procedure last month. 10,000+ procedures performed and one of the few who performs EPI-LASIK (a different approach to PRK) and the preferred procedure for those of us who can not risk a detached flap.
aka - The type of LASIK recommended for Soldiers.

All sounded good and then my research started.

How does an ophthalmologist get his hands on a LASIK machine? Exactly what is the relationship between the Dr and the manufacturer? How long is the Dr locked into said machine? When You ask a doctor if the technology has changed... Of course they are going to tell you: No!
That's the only machine they have and they are locked into it for X-years.

Most of the LASIK machines used in the US are based on technology 10+ years old. That's a really long time in the optics game!

Look at when the LASIK machines were manufactured and when they were subsequently approved by the FDA. When it comes to LASIK, the US is behind in technology. Only one "new" LASIK machine has been FDA approved since 2007!!
http://www.fda.gov/MedicalDevices/P...res/SurgeryandLifeSupport/LASIK/ucm192109.htm

All said, There are many people in the US who have had LASIK surgery and are happy with the result but, even better technology is available. Just not in the USA.


Read more here... "Cataract and Refractive Surgery Today" magazine.
**********************************************************
CRSToday.com > February*2013 > US Ophthalmologists? Wish Lists
**********************************************************
A quick quote from the article:

February 2013 - US Ophthalmologists’ Wish Lists - By Conni Bergmann Koury, Executive Editor

"[ Both Drs. MacRae and Stulting are disappointed that Schwind’s Amaris laser is not available in the US market. “The Schwind laser has been dubbed ‘the best laser we’ll never see,’” said Dr. Stulting. “The most commonly used lasers in the United States are rarely used outside of [this country]—not because we are so far ahead of the rest of the world, but because we are so far behind it.” ]"

**********************************************************

There is Hope!

In the article, A machine described as "the best laser we’ll never see" has received some support from a US company to start the FDA process. The German manufacturer is not interested in dealing with the FDA so, this is good for those of us the US.

---November 2013---
"AMARIS® technology for the US market. ALPHAEON Corporation acquires exclusive license to advanced technology for vision correction."

The following link is a PDF doc:
http://www.eye-tech-solutions.com/e...wnload&cHash=afc2518596fecf35f4a949e184ad61bf



For now, I'm waiting and considering getting the procedure out of country. I travel a lot so, it's an option for me.

AnschutzNerd
 
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#80
I went in to get a qualifying exam for LASIK. Turned out I had early stages of Cataracts. Had some browning of the lenses. It worked our for me as I ended up getting lens implants. Insurance covered it as a medical procedure. The worst part was having to wait the 2-3 weeks to get both eyes done. Having 1 eye 20/20 or better and colors and whites more vivid and bright. The other eye even with a corrective contact lens to balance out the vision drove me crazy because of the greenish yellow tint of the remaining cataract. When I got the second eye done it seemed like I was out for about 30 seconds but it was amazing having both eyes in focus. After the second eye was done I had hazy but clear vision. It cleared after 2 days as it was corneal contusion. I didn't experience it on the first eye. I'm now 20/15 in my left and 20/20 or better in my right. Have to wear the reading cheaters but now I can appreciate good quality glass on the rifle and iron sights are crisp and clear with no fuzz or shadows.


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#81
threetrees said:
a simple consideration: look up any page of good eye doctors that offer lasik or similar treatments. you will notice that almost all the doctor wear glasses themselves ... and they didn't do the operation on themselves that they are offering to perform on you. guess why?
Click to expand...

Because he knows his classmates are morons?
 
#82
I went from really shitty sight and astigmatism (couldnt see my toes in the shower!) ro 20/15 and 20/20
The period right after surgery is VERY important. Take the week off for healing, follow directions religiously. When going to sleep wear goggles so you do not bump or scratch the eyes.
Half the trick is letting it heal right.
 
#83
I had my one week apt last Friday. Eyes are getting better. Swelling is going down as it should. Some things are still minorly blurry but I hear that takes a few weeks to completely heal.


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#85
When I was considering it, all I heard from people that already had Lasik done was "I wish I would've done it sooner." So, my wife dropped some $$ into a flex spending account (pre-tax $$) each paycheck for a year. If you have the means of putting $ into a flex spending acct through your insurance carrier, it is probably the easiest way to save up for the procedure.

Had it done a few years ago...and like most everyone has said here "best money I ever spent" and if anyone asks me about I say what I heard for years - "I wish I had done it sooner!"

Yes, I still have some slight halos around lights at night. But, I'll take that for 20/13 vision.....ANY DAY. I wore contacts for at least 20 years before having it done and while they never really caused me too many problems, not having to mess with them at all and being able to see, even better than most people now, is fantastic! Since having it done several years ago, I still on occasion tell my wife "Thanks for my eyes, baby."

The worst part about my procedure was taking the valium. LOL They took me in for the procedure like 8-10 minutes after taking it, so no way it had started working, BUT on my way home I wanted to open my eyes to look at things and just couldnt! I know that was a good thing as I need to let the corneal flap stay put and heal up correctly, but it was just frustrating at the time. ;-)
 
#87
I personally did not. The halos around lights at night were worse for the first couple months but got a little better, but didnt completely go away. Your blurriness could be some dryness. My Doc Rx'd me Restasis which is supposed to help - its not a lubricant itself, it's to help make your tear ducts keep your eyes lubricated better. I used it for a few months. Does the blurriness go away if you put a few rewetting or natural tear drops in?
 
#90
mercracing said:
Has anyone had a slight bluryness like I'm having?


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Click to expand...

Yes I am and it is intermittent. Some days are better than others. I find even though my eyes don't feel dry and I don't put drops in they get dry and my vision is blurry. Also, if I'm dehydrated they get blurry too. I'm right at a month after the surgery.

P.s. refresh optive are some bad ass eye drops

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#91
Ok. It's been about a month since my LASIK. The blurriness is pretty much gone. I bought more refresh optive drops and they work when my eyes are weird. Overall. Very glad I did it. Wish I would have done it sooner.


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#94
Had it 2 yrs ago oct, i didn't have that instant oh I can see thought. I actually couldn't see shit but I went home and went to sleep woke up 20-15 and it's stayed.

The dry eyes thing lasted a few days but I never had dry eyes in the first place. The halo effect was a good 2 months.

I wish I'd have gotten it done years ago. It's actually a life time warrenty on mine, if it fades they'll redo it although they say when I hit my 50s or so I'll need reading glasses and hers nothing they can do for that


I did the bladeless at a place called LasikPlus. Dr has been doimg this for years and doesmt seem to have complaints.
Wounded Warrior Project was doing a program when I got it to have it done absolutely free. I was absolutely terrified I couldn't even put drops in my eyes before but it was a breeze.

Lay on the table amd watch a light, they walk you to another table and watch another light, done and done
 
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#95
Coming up on two months for me. I will say I was somewhat unimpressed with my eye I had bad astigmatism in but come to find out it is 20/20 from 20/100 or more. I still find I get dry eyes occasionally but it's getting fewer and further between. The halos are diminishing and overall my sight is still great.

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#96
I had my 3 month appointment today. 20/15 in both eyes and I could read about half of the letters on the 20/10 line with both eyes open. Pretty incredible.

I am still getting a bit of glare/ starbursts at night, but I forget how much of that I had before the surgery.

I mentioned my concern about my pupils being big and he said that more recent studies have dispelled that myth for two reasons: 1) the ablation area is much wider than the diameter of the pupils, and 2) modern lasers create a more gradual transition than older style lasers. He said the old style laser looked like a plateau where the current lasers create a topographical map that gradually tapers off the ablation area. He gave me some stuff to reduce the size of my pupils at night to see if it makes a difference, and it hasn't really. It is more of a minor annoyance than anything.

As for the dry eye, he says that the only patients who he has that have residual dry eye long after the surgery are old ladies. I still have it, but it is not so bad now that I have to run to grab my drops first thing in the morning. In 3 month, I should be GTG. Will see.
 
#97
Lasik is a great option for folks with thick, heavy glasses even if your prescription does change a little. Wearing a thin, light pair of glasses is way better than a pair of thick, heavy ones any day. Everyone will eventually need reading glasses because the surgery does not correct your eyes ability to focus up close. This is what everyone expiriences when they get 35-45. Some sooner, some later. Most people can be corrected to a great distance prescription even without needing any glasses. This is great for a shooter. I would highly recommend it to anyone. I havnt had it done myself because I was blessed with great vision but I have dealt with many patients over 12 years as an optician. To see someone be able to get rid of a heavy, thick pair of lenses is priceless.


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#98
Had it done in 2000. About ready for a "touch up" this year. Best money I ever spent, even if it was "minor" (20/80 previously, but enough to be disqualified for SS school back then in the late 80's/early 90's). I hear they even offer it in the Corps now, via a waiting list...
 
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