|
Home > Archive > Lasik Eyes Surgery > January 2005 > Dr. Mengele's contact lenses
You are viewing an archived Text-only version of the thread.
To view this thread in it's original format and/or if you want to reply to
this thread please [click here]
| Author |
Dr. Mengele's contact lenses
|
|
| Dr. Leukoma 2005-01-28, 8:11 am |
| I just received this email in my inbox. I thought I would share it
with the group.
==============================================================
Greetings!
I just received my Allegretto wavescans from Dr. XXXXX's office, taken
1/10/05. See attachments, one HOA specific, the other not. Scans were
taken with no RGP insertion.
What I found extremely interesting was:
1 - Allegretto Wavefront Refraction = Spectacle Correction ( when RGP
inserted )
2 - Clinical Refraction = plano, plano
3 - HOAs = 0%, except for high coma (38.5%)
Could it be possible that your RGP magic eliminated HOAs completely,
except for coma ? Does RGP have any affect on coma ? If I remember
correctly, I believe you stated it does not. Note to self: when I get
my U.T. Southwestern scans, I could compare the coma values. I guess
you have my U.T. scans, did coma values decrease with RGP inserted,
increase when removed, or no change ? Excuse me, but I find this
fascinating. I am concerned with coma because if retreatment is done
with topo-guided Allegretto, how will coma be addressed ? Isn't high
coma directly related to NVD (nightime visual disturbances).
Please note, when these scans were taken, I had not had the RGP lense
inserted for least 25 days, from 12/16/04 to 1/10/05.
Your thoughts are greatly appreciated.
Thank you,
================================================================
| |
| Dr. Leukoma 2005-01-28, 8:11 am |
| I am sorry that Glenn didn't even take a nibble on this one.
Actually, the mystery of the missing higher order aberrations probably
had more to do with the pupil size for the Allegretto, which was 4.5mm
compared to previous scans done at a 6.5mm pupil.
Interestingly, this patient has a central island that was not "seen" on
wavefront.
DrG
| |
| Glenn - USAEyes.org 2005-01-28, 8:11 am |
| Sorry. I missed it.
Yes, a doctor can perform "miracles" on a patient without surgery.
Just reduce the wavefront evaluated pupil size. Suddenly all
aberrations are reduced. This is why pupil size is so very important
with wavefront evaluations. If they are not the same throughout, the
comparisons are worthless.
At the Wavefront Congress in San Francisco a couple of years ago a
presenter showed a topographical map of a significant central island
in the exact center of the patient's pupil. The wavefront of the same
eye showed nothing. Wavefront will not achieve its highest potential
until it is directly coordinated with topography.
Glenn Hagele
Executive Director
Email to glenn dot hagele at usaeyes dot org
http://www.USAEyes.org
http://www.ComplicatedEyes.org
I am not a doctor.
| |
| serebel 2005-01-28, 8:11 am |
| Isn't that fairly common that central islands are not "seen" by
wavefront?
SErebel
| |
| Dr. Leukoma 2005-01-28, 8:11 am |
| The patient was being evaluated for inclusion in a study on
topographically-guided ablation using the Allegretto. I don't know why
they didn't perform a dilated wavescan.
DrG
| |
| Dr. Leukoma 2005-01-28, 8:11 am |
| I've only seen two cases, and both have been missed.
DrG
| |
| Glenn - USAEyes.org 2005-01-28, 8:11 am |
| I don't know that I have ever seen a central island that WAS seen by
wavefront.
Glenn Hagele
Executive Director
Email to glenn dot hagele at usaeyes dot org
http://www.USAEyes.org
http://www.ComplicatedEyes.org
I am not a doctor.
|
| |
|
|