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Author maybe considering Lasik
Shank

2006-04-11, 6:27 pm

I went for the initial exam in Tampa LasikPlus. The recommendation was that
I do the mono procedure making one eye for reading and one eye for distance.
My intentions are to get rid of reading glasses. I work on a computer 10+
hours a day. I can't read a magazine without my dime store 1.25X reading
glasses.

1) Anyone have good or bad opinions regarding this treatment?

2) They want $1300 for each eye plus $300 each eye for the "lifetime
warranty". That's $3200 - ouch! Does that seem overpriced?

3) Is it wise to get the "lifetime warranty"? They said 8%-10% of patients
need further service sometime in life.

thanks!


Ace

2006-04-11, 6:27 pm

you have not mentioned what pescription you are. If you are already
nearsighted, you probably wont need reading glasses much except for
fine print. If you are plano, getting both eyes done will make you
myopic and youll need distance glasses. If you are farsighted, then yes
this is a good reason because hyperopia blurs at all distances for
presbyopes and high hyperopes. H-lasik can only safely correct up to
about +4. I see tons of hyperopic old people wearing bifocals.

Glenn - USAEyes.org

2006-04-12, 1:23 am

I have nothing against LasikPlus, but you should visit at least three
refractive surgeons before making a final decision and at least one of
them should be a private practice. See which environment you like
best, check the qualities of the surgeon (use or 50 Tough Questions
For Your Doctor at http://www.usaeyes.org/faq/tough_questions.htm) and
come to your own conclusions.

I personally have a big problem with "lifetime warranties". The first
question is, "Who's lifetime?" Read
http://www.usaeyes.org/faq/subjects..._commitment.htm

The price LasikPlus is quoting you is about the average for
conventional refractive surgery. You absolutely need to evaluate
wavefront custom Lasik. See
http://www.usaeyes.org/faq/subjects...ustom_lasik.htm

Do not have monovision with surgery until you have tried monovision
with contact lenses. Adjust the power of the contacts until you get
monovision just the way you like it, and then be certain the surgeon
understands the target correction you need. For Lasik monovision
details see http://www.usaeyes.org/faq/subjects/monovision.htm

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.
Bob

2006-04-13, 11:27 am

Monovision lasek works great. See my post to Tom above. Or below depending
how you sort.



"Shank" <shank@tampabay.rr.com> wrote in message
news:CsW_f.107993$_c.31150@tornado.tampabay.rr.com...
> I went for the initial exam in Tampa LasikPlus. The recommendation was

that
> I do the mono procedure making one eye for reading and one eye for

distance.
> My intentions are to get rid of reading glasses. I work on a computer 10+
> hours a day. I can't read a magazine without my dime store 1.25X reading
> glasses.
>
> 1) Anyone have good or bad opinions regarding this treatment?
>
> 2) They want $1300 for each eye plus $300 each eye for the "lifetime
> warranty". That's $3200 - ouch! Does that seem overpriced?
>
> 3) Is it wise to get the "lifetime warranty"? They said 8%-10% of patients
> need further service sometime in life.
>
> thanks!
>
>
>



Shank

2006-04-20, 1:24 am

I went through the process to get mono vision contact lenses. What a
miserable ordeal getting the lenses in. I didn't find the vision appealing,
but my doctor said that the brain needs training and vision would definately
get better in a few days. Unfortunately, I took the damn things out today to
go swimming and couldn't get them back in. Assuming my vision with lasik is
at least that good and would get better. I think I could live with it.

I called the other local lasik joint and they want $1100 per eye for custom
lasik. The explanation sounds like it would be much better than regular
lasik. More effective anyway. Is custom lasik the way to go?

thanks!

"Glenn - USAEyes.org" <glenn.hageleSTOPSPAM@USAEyes.org> wrote in message
news:0vmo3258pq58042k4lklahbe1h18056q89@4ax.com...
>I have nothing against LasikPlus, but you should visit at least three
> refractive surgeons before making a final decision and at least one of
> them should be a private practice. See which environment you like
> best, check the qualities of the surgeon (use or 50 Tough Questions
> For Your Doctor at http://www.usaeyes.org/faq/tough_questions.htm) and
> come to your own conclusions.
>
> I personally have a big problem with "lifetime warranties". The first
> question is, "Who's lifetime?" Read
> http://www.usaeyes.org/faq/subjects..._commitment.htm
>
> The price LasikPlus is quoting you is about the average for
> conventional refractive surgery. You absolutely need to evaluate
> wavefront custom Lasik. See
> http://www.usaeyes.org/faq/subjects...ustom_lasik.htm
>
> Do not have monovision with surgery until you have tried monovision
> with contact lenses. Adjust the power of the contacts until you get
> monovision just the way you like it, and then be certain the surgeon
> understands the target correction you need. For Lasik monovision
> details see http://www.usaeyes.org/faq/subjects/monovision.htm
>
> 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.



serebel

2006-04-20, 1:24 am


Shank wrote:
> I went through the process to get mono vision contact lenses. What a
> miserable ordeal getting the lenses in. I didn't find the vision appealing,
> but my doctor said that the brain needs training and vision would definately
> get better in a few days. Unfortunately, I took the damn things out today to
> go swimming and couldn't get them back in. Assuming my vision with lasik is
> at least that good and would get better. I think I could live with it.
>
> I called the other local lasik joint and they want $1100 per eye for custom
> lasik. The explanation sounds like it would be much better than regular
> lasik. More effective anyway. Is custom lasik the way to go?
>



"Custom" lasik may or may not be the way to go. It depends on your
specific needs. One may not be better for you. Doing this by price is
also not wise. You want to set yourself up for the best possible
outcome.
Good luck.

Glenn - USAEyes.org

2006-04-20, 1:24 am

We have a detailed article on custom wavefront Lasik at
http://www.usaeyes.org/faq/subjects...ustom_lasik.htm that
will help you with your decision.

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.
blindedbylaser@yahoo.com

2006-04-22, 6:24 pm

Not all patients adjust well to monovision. If you have monovision by
refractive surgery it is sort of permanent. If you don't like it you
could have your undercorrected eye retreated, but keep in mind
retreatments are NOT FDA APPROVED. This means they are off-label, or
experimental.

You should go to http://www.lasikflap.com/forum to learn more about
LASIK.

You should know some basics, such as:

1. The flap never heals
2. Likely you will end up having distortions introduced into your
cornea called higher order aberrations and they cannot be fixed with
glasses
3. Blasting away at non-renewable corneal tissue compromises the
strength of your cornea and damages corneal nerves. The FDA LASIK
website reminds us that the resulting LASIK dry eye cam be PERMANENT.

Hit the flap, do some reading, ask some questions. Ask your doctor if
your corneal integrity is ever truly restored after LASIK (answer- no,
the flap is sort of like a tupperware lid that is sealed a bit at the
edges, but nothing is holding it at the middle. A study demonstrated
the flap has only 2.4% the strength of a normal cornea.
The flap is vulnerable to traumatic injury for life.

Don't risk your precious vision on a refractive surgeon's promises and
some laser.

serebel

2006-04-23, 1:26 am


blindedbylaser@yahoo.com wrote:
> Not all patients adjust well to monovision.


Only statement that's true.


If you have monovision by
> refractive surgery it is sort of permanent. If you don't like it you
> could have your undercorrected eye retreated, but keep in mind
> retreatments are NOT FDA APPROVED. This means they are off-label, or
> experimental.


The surgeries non't require FDA approval.

>
> You should go to http://www.lasikflap.com/forum to learn more about
> LASIK.
>


If you need a good laugh. It's the best fiction on the web.





> You should know some basics, such as:
>
> 1. The flap never heals
> 2. Likely you will end up having distortions introduced into your
> cornea called higher order aberrations and they cannot be fixed with
> glasses
> 3. Blasting away at non-renewable corneal tissue compromises the
> strength of your cornea and damages corneal nerves. The FDA LASIK
> website reminds us that the resulting LASIK dry eye cam be PERMANENT.
>
> Hit the flap, do some reading, ask some questions. Ask your doctor if
> your corneal integrity is ever truly restored after LASIK (answer- no,
> the flap is sort of like a tupperware lid that is sealed a bit at the
> edges, but nothing is holding it at the middle. A study demonstrated
> the flap has only 2.4% the strength of a normal cornea.
> The flap is vulnerable to traumatic injury for life.
>
> Don't risk your precious vision on a refractive surgeon's promises and
> some laser.



This "basics" thing above, is the typical "flappie" creed. It's
complete bullshit.

Ragnar

2006-04-23, 1:26 am

Once again... everything you said below is false.

What is your mental problem?

On 22 Apr 2006 13:45:55 -0700, blindedbylaser@yahoo.com wrote:

>Not all patients adjust well to monovision. If you have monovision by
>refractive surgery it is sort of permanent. If you don't like it you
>could have your undercorrected eye retreated, but keep in mind
>retreatments are NOT FDA APPROVED. This means they are off-label, or
>experimental.
>
>You should go to http://www.lasikflap.com/forum to learn more about
>LASIK.
>
>You should know some basics, such as:
>
>1. The flap never heals
>2. Likely you will end up having distortions introduced into your
>cornea called higher order aberrations and they cannot be fixed with
>glasses
>3. Blasting away at non-renewable corneal tissue compromises the
>strength of your cornea and damages corneal nerves. The FDA LASIK
>website reminds us that the resulting LASIK dry eye cam be PERMANENT.
>
>Hit the flap, do some reading, ask some questions. Ask your doctor if
>your corneal integrity is ever truly restored after LASIK (answer- no,
>the flap is sort of like a tupperware lid that is sealed a bit at the
>edges, but nothing is holding it at the middle. A study demonstrated
>the flap has only 2.4% the strength of a normal cornea.
>The flap is vulnerable to traumatic injury for life.
>
>Don't risk your precious vision on a refractive surgeon's promises and
>some laser.

Glenn - USAEyes.org

2006-04-23, 1:26 am

On 22 Apr 2006 13:45:55 -0700, blindedbylaser@yahoo.com wrote:

>Not all patients adjust well to monovision. If you have monovision by
>refractive surgery it is sort of permanent. If you don't like it you
>could have your undercorrected eye retreated, but keep in mind
>retreatments are NOT FDA APPROVED. This means they are off-label, or
>experimental.


There is a tremendous difference between "off-label" and
"experimental". The off-label use of a medical device for a purpose
other than what it was originally approved is legal and medically
appropriate if a physician determines the proposed use would benefit
the patient.

>
>You should go to http://www.lasikflap.com/forum to learn more about
>LASIK.


One may learn some people's opinions about Lasik, but one will learn
few substantiated facts about Lasik at this particular website.

>You should know some basics, such as:
>
>1. The flap never heals


Not quite true. The flap heals, but differently than a cut on your
arm. See http://www.usaeyes.org/faq/subjects/lasik_flap_heal.htm

>2. Likely you will end up having distortions introduced into your
>cornea called higher order aberrations and they cannot be fixed with
>glasses


Not necessarily true and is a very incomplete statement. On the whole,
higher order aberrations are increased with all refractive surgery,
however the vast majority of patients do not have any degradation in
vision quality. The change is objectively measurable, but not
subjectively noticed by the patient.

>3. Blasting away at non-renewable corneal tissue compromises the
>strength of your cornea


So long as a minimum of 250 microns of corneal tissue remains
untouched (more is always better) a health cornea will remain stable.
Measurements to determine how much tissue will remain can be made
before any decision about surgery.

>and damages corneal nerves.


Multiple studies have shown that nerve density returns to preoperative
levels at about 3 years postop for PRK/LASEK/Epi-Lasik and about 5
years postop for Lasik/IntraLasik, however density is not the most
important measurement. What is important is sensitivity.

A slight majority of Lasik patients have no negative effects from
disruption of corneal nerves during surgery. The vast majority have no
unresolved issues at the end of the normal six month healing period.
Keep in mind that of all refractive surgery patients, 97% have no
unresolved complications at six months postop.

> The FDA LASIK
>website reminds us that the resulting LASIK dry eye cam be PERMANENT.


There is a tremendous difference between possibility and probability.
It is possible that Lasik induced dry eye can per permanent, but the
probability is relatively low. There are a gazillion things that can
kill you every day, but the probability of seeing tomorrow is pretty
darn good.

>Hit the flap, do some reading, ask some questions.


All potential patients should become informed with accurate and
substantiated information that directly relates to their unique and
individual circumstances.

>Ask your doctor if
>your corneal integrity is ever truly restored after LASIK (answer- no,


This is an inaccurate statement. Stable cornea before surgery and
stable cornea after surgery is the norm.

>the flap is sort of like a tupperware lid that is sealed a bit at the
>edges, but nothing is holding it at the middle.


Not quite true. See above referenced link.

>A study demonstrated
>the flap has only 2.4% the strength of a normal cornea.


This is why it is important that the amount of cornea under the flap
is enough to maintain stability. These measurements are performed
prior to a decision about surgery.

>The flap is vulnerable to traumatic injury for life.


Finally, something that is an accurate statement. Once you have had
Lasik, you have always had Lasik. If you are involved in extreme
contact sports you may want to consider a surface ablation technique
like PRK, LASEK, or Epi-Lasik. These laser eye surgery techniques do
not require a stromal flap. Details on each are at our website.

>Don't risk your precious vision on a refractive surgeon's promises and
>some laser.


The most refractive surgery can provide is the convenience of a
reduced need for corrective lenses. To achieve that convenience, one
must accept some risk. What is an acceptable level of risk is unique
to each individual and situation. Become informed, be evaluated by a
competent doctor, and make an informed decision is the potential risk
is worth the potential benefit.

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.
Bob

2006-04-27, 1:26 pm


<blindedbylaser@yahoo.com> wrote in message
news:1145738755.059301.250420@v46g2000cwv.googlegroups.com...
> Not all patients adjust well to monovision. If you have monovision by
> refractive surgery it is sort of permanent. If you don't like it you
> could have your undercorrected eye retreated, but keep in mind
> retreatments are NOT FDA APPROVED. This means they are off-label, or
> experimental.


I agree. Not all patients would adjust well to monovision.

That's why they should first try monovision with contacts.

If it works out with contacts, then they'd most likely be fine with
monovision lasik


Ryan

2006-04-27, 1:26 pm


Bob wrote:
> <blindedbylaser@yahoo.com> wrote in message
> news:1145738755.059301.250420@v46g2000cwv.googlegroups.com...
>
> I agree. Not all patients would adjust well to monovision.
>
> That's why they should first try monovision with contacts.
>
> If it works out with contacts, then they'd most likely be fine with
> monovision lasik


If it were me, I'd have LASIK done the same on both eyes, and try to
re-popularize the monacle.

HoGANNNN!

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