| Glenn - USAEyes.org 2005-12-27, 1:04 am |
| On 26 Dec 2005 17:35:00 -0800, Trulytelling@yahoo.com wrote:
>Glenn, these patients are using drops because they have nerve damage
>from an elective procedure. Likely they were not told that persistent,
>perhaps permanent nerve damage was part and parcel of corneal
>refractive surgical procedures.
Patients are likely not told that "persistent, perhaps permanent nerve
damage was part and parcel of corneal refractive surgical procedures",
because it is not a wholly truthful statement. You are doing what I
call "lying the truth". In the abstract what you say is accurate, but
in consideration of the whole it is a misrepresentation.
Tissue is removed to reshape the cornea. Every patient is told this.
Some of that tissue is nerve tissue,and such nerves regenerate to
preoperative levels in 3 years (PRK) to 5 years (LASIK) and
sensitivity function returns within the normal six month healing
period for at least 97% of refractive surgery patients.
>How can you say that symptoms of dry eye are less than 3% at 6 months
>when the peer-reviewd article posted above states "Symptom severity
>scores were significantly
>increased at 1 week, 12 months, and 16 months postoperatively (P <
>0.007 at all time points)."
Perhaps because I talk to the authors of studies if someone quotes out
of context or misinterprets a finding. The study relates to the
OCCURRANCE of dry eye symptoms, not UNRESOLVED symptoms. More than 40%
having the OCCURRANCE of dry eyes postoperatively is not at all
surprising, however they heal and the symptoms are RESOLVED.
>The Mayo Clinic longitudinal study did not include PRK patients, and
>nothing has been published since the 3 year study showing nerves were
>decreased over 40% at the 3 year mark. You keep talking about data
>you're not showing Glenn. Provide a reference if you expect to be
>believed.
The Mayo study to which I refer compared PRK and LASIK patients. And
for the umpteenth time, here is a link back to one of the other
umpteenth times I've cited the study.
http://makeashorterlink.com/?B23551F5C and
http://makeashorterlink.com/?P21531F5C
Glenn Hagele
Executive Director
USAEyes.org
"Consider and Choose With Confidence"
Email to glenn dot hagele at usaeyes dot org
http://www.USAEyes.org
http://www.ComplicatedEyes.org
I am not a doctor.
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