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Home > Archive > Lasik Eyes Surgery > August 2005 > UK companies policy on surgery for one eye only?
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UK companies policy on surgery for one eye only?
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| I had a consultation with Optical Express recently, to be told that the
astigmatism in my right eye was just slightly too great for them to treat.
Was astonished that they were not prepared to do the left eye only, they
said it was "against their policy" to do one eye only.
Anyone know if this policy applies to all (reputable!) UK companies offering
laser surgery? I personally don't understand their logic, I would be
delighted to have a good standard of unaided vision in one eye only. Because
I wear toric lenses which only have a comfortable wearing time of around 8-9
hours, I sometimes wear one lens only at a time, switching over to the other
eye and lens after 8 hours or so, so am used to 'monocular' vision.
Regards
Gary
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| Glenn - USAEyes.org 2005-07-31, 6:01 pm |
| Gary,
Assuming that your refractive error is significant, the clinic is
trying to save you from a lot of potential trouble.
Depending upon the exact situation, having one eye fully corrected and
the other uncorrected can cause many problems including loss of depth
perception, loss of contrast sensitivity, poor vision at night, an
imbalance in image size from one eye to the other, and a host of other
problems that you want to avoid.
You can work around many of these problems with the constant use of a
contact lens, but what do you do if you become contact lens
intolerant?
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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"Glenn - USAEyes.org" <glenn.hageleSTOPSPAM@USAEyes.org> wrote in message
news:0p0qe1d0jeeviu7qp15ofto9pqogumc4cl@4ax.com...
> Assuming that your refractive error is significant, the clinic is
> trying to save you from a lot of potential trouble.
Well it's nice to not have someone frantically grasping the money from my
hand regardless... ;-)
FWIW:
RE: Sph: -4.5, Cyl -3.5
LE: Sph: -6.25, Cyl -2.25
> Depending upon the exact situation, having one eye fully corrected and
> the other uncorrected can cause many problems including loss of depth
> perception, loss of contrast sensitivity, poor vision at night, an
> imbalance in image size from one eye to the other, and a host of other
> problems that you want to avoid.
Thanks for the info Glenn. None of these were mentioned by the consultant.
As mentioned, I commonly extend my contact lens wearing time by using the
method described and have had no ill-effects, or certainly nothing I'm aware
of. I'll concede that they may become apparent with that kind of vision 24/7
though.
> You can work around many of these problems with the constant use of a
> contact lens, but what do you do if you become contact lens
> intolerant?
Have been wearing lenses for over 20 years now, is that likely?
Regards
Gary
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| Gary,
Having one eye with LASIK means you can have loss of contrast
senstitivity, poor vision at night and a host of other problems... in
one eye. Getting bilateral LASIK exposes you to a host of problems in
both eyes and denies you informed consent in the 2nd eye. I wish I had
one 'good' eye that had decent vision and didn't hurt all the time.
Sadly I had simultaneous bilateral LASIK. If I had just one at a time I
would never have had the 2nd. What a horrible loss of visual quality
LASIK can cause!
Gary, did you know that contrast sensitivity data was collected in the
VISX laser clinical trials and not reported. Wonder why? Hint: all
LASIK patients lose contrast sensitivity... what would it do for
business if that were widely known?
Hey Glenn, what if you have LASIK damage in BOTH eyes and you are
contact lens intolerant in BOTH eyes! I can speak with some authority
on this subject... you're SCREWED!
Even 'custom LASIK' induces distortions in your cornea called higher
order aberrrations that cannot be corrected with glasses.
LASIK severs corneal nerves. Two MAYO Clinic studies show they don't
regenerate, even at the 3 year point they are decreased more than 40%!
Also studies of post-mortem corneas of patients who had LASIK show
pathology (disease) in ALL post-LASIK corneas. See below.
Study shows permanent pathologic changes present in all post-LASIK
corneas:
-------------------------------------------------------------------------
Pathologic Findings in Postmortem Corneas After Successful Laser In
Situ Keratomileusis.
Cornea. 24(1):92-102, January 2005.
Kramer, Theresa R MD, MBA; Chuckpaiwong, Varintorn MD; Dawson, Daniel G
MD; L'Hernault, Nancy; Grossniklaus, Hans E MD; Edelhauser, Henry F PHD
Abstract:
Purpose: To examine the histologic and ultrastructural features of
human corneas after successful laser in situ keratomileusis (LASIK).
Methods: Corneas from 48 eyes of 25 postmortem patients were processed
for histology and transmission electron microscopy (TEM). The 25
patients had LASIK between 3 months and 7 years prior to death.
Evaluation of all 5 layers of the cornea and the LASIK flap interface
region was done using routine histology, periodic acid-Schiff
(PAS)-stained specimens, toluidine blue-stained thick sections, and
TEM.
Results: In patients for whom visual acuity was known, the first
postoperative day uncorrected visual acuity was 20/15 to 20/30. In
patients for whom clinical records were available, the postoperative
corneal topography was normal and clinical examination showed a
semicircular ring of haze at the wound margin of the LASIK flap.
Histologically, the LASIK flap measured, on average, 142.7 [mu]m
(range, 100-200). A spectrum of abnormal histopathologic and
ultrastructural findings was present in all corneas. Findings at the
flap surface included elongated basal epithelial cells, epithelial
hyperplasia, thickening and undulations of the epithelial basement
membrane (EBM), and undulations of Bowman's layer. Findings in or
adjacent to the wound included collagen lamellar disarray; activated
keratocytes; quiescent keratocytes with small vacuoles; epithelial
ingrowth; eosinophilic deposits; PAS-positive, electron-dense granular
material interspersed with randomly ordered collagen fibrils; increased
spacing between collagen fibrils; and widely spaced banded collagen.
There was no observable correlation between postoperative intervals and
the severity or type of pathologic change except for the accumulation
the electron-dense granular material.
Conclusions: Permanent pathologic changes were present in all
post-LASIK corneas. These changes were most prevalent in the lamellar
interface wound. These changes along with other pathologic alterations
in post-LASIK corneas may change the functionality of the cornea after
LASIK.
Glenn - USAEyes.org wrote:
> Gary,
>
> Assuming that your refractive error is significant, the clinic is
> trying to save you from a lot of potential trouble.
>
> Depending upon the exact situation, having one eye fully corrected and
> the other uncorrected can cause many problems including loss of depth
> perception, loss of contrast sensitivity, poor vision at night, an
> imbalance in image size from one eye to the other, and a host of other
> problems that you want to avoid.
>
> You can work around many of these problems with the constant use of a
> contact lens, but what do you do if you become contact lens
> intolerant?
>
> 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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| Glenn - USAEyes.org 2005-07-31, 6:01 pm |
| It would be necessary to use a corrective lens on the uncorrected eye
during the waking hours. Yes, you can become contact lens intolerant
after years of usage.
On a more practical level; what is the purpose of refractive surgery?
It is to reduce the need for corrective lenses. In your situation, you
would not be free of corrective lenses. You would either need to wear
glasses, or wear a contact. Either way you are still tied to
corrective lenses. You would still need to carry around all your
contact lens gear when you travel. You would still be reaching for
your glasses the first thing every morning. You really would not have
much benefit from refractive surgery, and may have some detriment.
And yes, it is nice that you went to a doctor who is not frantically
grasping your money anyway.
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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| SadbadLASIK.com 2005-08-04, 8:58 am |
| Gary, the British National Health Service has stopped supporting LASIK
because of problems inherent in the surgery. This news was posted on
many bulletin boards. Take a hint from this and get some really hot
looking glasses. Be glad your corneas are still healthy and untouched by
this bad surgery.
"Gary" <gary@deletethisbitfranklin49.nospamfreeserve.co.uk> wrote in message
news:dciu0f$8l2$1@news6.svr.pol.co.uk...
>I had a consultation with Optical Express recently, to be told that the
> astigmatism in my right eye was just slightly too great for them to treat.
> Was astonished that they were not prepared to do the left eye only, they
> said it was "against their policy" to do one eye only.
>
> Anyone know if this policy applies to all (reputable!) UK companies
> offering
> laser surgery? I personally don't understand their logic, I would be
> delighted to have a good standard of unaided vision in one eye only.
> Because
> I wear toric lenses which only have a comfortable wearing time of around
> 8-9
> hours, I sometimes wear one lens only at a time, switching over to the
> other
> eye and lens after 8 hours or so, so am used to 'monocular' vision.
>
> Regards
> Gary
>
>
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| Glenn - USAEyes.org 2005-08-05, 5:57 pm |
| The British National Health Service has NEVER provided LASIK, PRK, RK,
or virtually any other elective (arguably cosmetic) surgery of any
kind.
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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