Comments on: LASIK and PRK – Which is Safer? http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/ Your personal on-call laser eye surgeon Fri, 27 Apr 2012 13:00:14 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-2761 Dave Allamby Sun, 27 Feb 2011 15:51:56 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-2761 You can expect 20/20 vision in 6-7 days. Vision steadily improves over 3 months to often better than 20/20. Dave You can expect 20/20 vision in 6-7 days. Vision steadily improves over 3 months to often better than 20/20.
Dave

]]> By: usha http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-2760 usha Sun, 27 Feb 2011 15:35:59 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-2760 iam asking prk surgery according to my sight i have a sight -3.5on left eye -4 on right eye how long it take the recovery (zero sight)someone has told me it takes three months iam asking prk surgery according to my sight i have a sight -3.5on left eye -4 on right eye how long it take the recovery (zero sight)someone has told me it takes three months

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-2758 Dave Allamby Sun, 27 Feb 2011 15:27:03 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-2758 Yes, true. LASIK takes 4 hours for the vision to recover. PRK or LASEK takes 4-7 days. David Yes, true. LASIK takes 4 hours for the vision to recover. PRK or LASEK takes 4-7 days.
David

]]> By: usha http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-2757 usha Sun, 27 Feb 2011 12:48:06 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-2757 someone has told me prk surgery takes longer time for vision(zero sight) plz told me exactly someone has told me prk surgery takes longer time for vision(zero sight) plz told me exactly

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-2744 Dave Allamby Wed, 23 Feb 2011 10:43:44 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-2744 Dear Usha, You should have near normal vision 5-7 days after PRK. Regards, Dave Dear Usha, You should have near normal vision 5-7 days after PRK. Regards, Dave

]]> By: usha http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-2743 usha Wed, 23 Feb 2011 09:59:47 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-2743 the doctor said to me operate prk surgery i have a sight -3.5on left eye -4 on right eye cycle 0.5 axis 180 degrees how many days to take recovery to normal vision? the doctor said to me operate prk surgery i have a sight -3.5on left eye -4 on right eye cycle 0.5 axis 180 degrees how many days to take recovery to normal vision?

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-1587 Dave Allamby Wed, 05 May 2010 21:27:07 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-1587 Thanks Olivia, yes you should be able to drive about 5 days after the PRK. Say we do the consult on Monday, op on Tuesday then back on Friday to have the contact lens removed. Vision usually pretty good by Saturday or Sunday. You should be able to fly back Sunday. I will be happy to do the procedure for you. Dave Thanks Olivia, yes you should be able to drive about 5 days after the PRK. Say we do the consult on Monday, op on Tuesday then back on Friday to have the contact lens removed. Vision usually pretty good by Saturday or Sunday. You should be able to fly back Sunday. I will be happy to do the procedure for you.
Dave

]]> By: Olivia Flanagan http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-1586 Olivia Flanagan Wed, 05 May 2010 21:03:42 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-1586 Dear David, Thank you for being so straight with me. What a nightmare! I'm so sick of my glasses and I've never tolerated contact lenses well. I'll just have to plan very carefully and pick a quiet period in my husband's work schedule. If such a thing exists. Would you expect a patient to be able to drive within a week of the operation - assuming things go smoothly? Or do I need to win the lottery as well and hire a driver for the duration? And would you do the surgery for me? How many days would I need to be in the UK for? Olivia Dear David,

Thank you for being so straight with me. What a nightmare! I’m so sick of my glasses and I’ve never tolerated contact lenses well. I’ll just have to plan very carefully and pick a quiet period in my husband’s work schedule. If such a thing exists.

Would you expect a patient to be able to drive within a week of the operation – assuming things go smoothly? Or do I need to win the lottery as well and hire a driver for the duration? And would you do the surgery for me? How many days would I need to be in the UK for?

Olivia

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-1585 Dave Allamby Wed, 05 May 2010 20:54:09 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-1585 Dear Olivia Your corneas are very thin and you should NOT have LASIK. Of course, you will be able to find doctors to operate on you with LASIK, but you should not do that. Certainly PRK/LASEK (they are basically exactly the same) can be painful on the second and third day, but anaesthetic drops will control most of that and do not delay healing as earlier thought. Your vision should be pretty good on the fourth day after treatment (contact protective lenses come out on the third day), but can take 6-7 days in some patients. Logistically this will be hard from your description at home, but PRK is the only way you should go. Wait until you have the situation where you can take several days to get this done and don't need to drive. It may not feel fair bit it is just how it is, I am afraid. Don't have LASIK. Regards, Dave Dear Olivia
Your corneas are very thin and you should NOT have LASIK. Of course, you will be able to find doctors to operate on you with LASIK, but you should not do that. Certainly PRK/LASEK (they are basically exactly the same) can be painful on the second and third day, but anaesthetic drops will control most of that and do not delay healing as earlier thought. Your vision should be pretty good on the fourth day after treatment (contact protective lenses come out on the third day), but can take 6-7 days in some patients. Logistically this will be hard from your description at home, but PRK is the only way you should go. Wait until you have the situation where you can take several days to get this done and don’t need to drive. It may not feel fair bit it is just how it is, I am afraid. Don’t have LASIK.
Regards, Dave

]]> By: Olivia Flanagan http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-1584 Olivia Flanagan Wed, 05 May 2010 19:10:10 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-1584 Dear David, I wrote a while ago to ask whether Z Lasik gave greater scope to those of us with thin corneas for having Lasik as opposed to Lasek or PRK. At the time, I didn't know what my actual measurement was - I have since had my notes from my previous check and they read L 465, R 473. However, reading recent posts on your blog I see that you do not recommend any 'flap cutting' to anyone with a corneal thickness measurement of under 500. I suppose what I'm asking, is if that is completely set in stone? Does Z Lasik not allow you to consider previously borderline cases? Am I realistically looking at Lasek? Does it hurt as much as everyone says it does?? And is the recovery as long? Realistically, I live in Switzerland at the moment, have 3 small children, a husband who travels all the time and I have to drive everywhere - making Lasek a logistic nightmare and possibly a complete no-no for the forseeable future! Am I a hopeless case? Regards, Olivia Dear David, I wrote a while ago to ask whether Z Lasik gave greater scope to those of us with thin corneas for having Lasik as opposed to Lasek or PRK. At the time, I didn’t know what my actual measurement was – I have since had my notes from my previous check and they read L 465, R 473. However, reading recent posts on your blog I see that you do not recommend any ‘flap cutting’ to anyone with a corneal thickness measurement of under 500.

I suppose what I’m asking, is if that is completely set in stone? Does Z Lasik not allow you to consider previously borderline cases? Am I realistically looking at Lasek? Does it hurt as much as everyone says it does?? And is the recovery as long? Realistically, I live in Switzerland at the moment, have 3 small children, a husband who travels all the time and I have to drive everywhere – making Lasek a logistic nightmare and possibly a complete no-no for the forseeable future!

Am I a hopeless case?

Regards, Olivia

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-1581 Dave Allamby Tue, 27 Apr 2010 16:08:29 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-1581 Hi Thomas Many surgeons, myself included, don't cut flaps in corneas less than 500 microns. So I would offer PRK and use mitomycin C to prevent haze. Thanks Dave Hi Thomas
Many surgeons, myself included, don’t cut flaps in corneas less than 500 microns. So I would offer PRK and use mitomycin C to prevent haze.
Thanks
Dave

]]> By: Thomas http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-1580 Thomas Tue, 27 Apr 2010 06:57:38 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-1580 Hi Dave, I have myopia of -6.5 and -2 for astigma. I have a corneal thickness of 490 micron. I went for 2 different consultations. One surgeon recommend that i should do PRK because he said that it is safer than iLasik (intralase) due to zero flap create. The other doctor recommended me to go with Intralase because he said that it is possible. I know that both procedures are safe. But i am just a bit concern in the long term. Also, what is the down side of having intralase over PRK or the other way around? Thanks, Hi Dave,
I have myopia of -6.5 and -2 for astigma. I have a corneal thickness of 490 micron. I went for 2 different consultations. One surgeon recommend that i should do PRK because he said that it is safer than iLasik (intralase) due to zero flap create. The other doctor recommended me to go with Intralase because he said that it is possible. I know that both procedures are safe. But i am just a bit concern in the long term. Also, what is the down side of having intralase over PRK or the other way around?

Thanks,

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-1579 Dave Allamby Mon, 26 Apr 2010 19:30:40 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-1579 Dear John Should be no signs to an optometrist that you have had PRK. You can have traces of haze in the first year but they will fade. We dont see the major haze from very high treatments now due to use of MMC to block haze in these cases. Regards, Dave Dear John
Should be no signs to an optometrist that you have had PRK. You can have traces of haze in the first year but they will fade. We dont see the major haze from very high treatments now due to use of MMC to block haze in these cases.
Regards, Dave

]]> By: John Baker http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-1578 John Baker Sun, 25 Apr 2010 12:52:50 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-1578 Does PRK surgery leave a lasting scar? In other words, 5 years after the surgery, would an optometrist be able to examine my eyes and know that I had PRK surgery? Or will it fix the eye to make it appear like I was born with 20/20 vision? Thanks, John Does PRK surgery leave a lasting scar? In other words, 5 years after the surgery, would an optometrist be able to examine my eyes and know that I had PRK surgery? Or will it fix the eye to make it appear like I was born with 20/20 vision?

Thanks,
John

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/comment-page-1/#comment-1558 Dave Allamby Mon, 12 Apr 2010 14:33:42 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/lasik-and-prk-which-is-safer/#comment-1558 Hi Irfan Thank you for letting me know how great your vision is still, one year on from your Z-LASIK! Yes, of course happy to see you here for your 1 year check up. Yes, those methods you mentioned are still essentially PRK. Ziemer Z-LASIK together with the WaveLight laser is still our recommendation for the best technology approach for LASIK. The Ziemer has upgrades through software just to make operation easier for the use, and also for complex non-LASIK procedures, e.g. ring inserts for keratoconus (an eye disease) though the core femto delivery is the same and still in my opinion the best available. I will ask one of my team to contact you to arrange. With best regards Dave Hi Irfan
Thank you for letting me know how great your vision is still, one year on from your Z-LASIK! Yes, of course happy to see you here for your 1 year check up.
Yes, those methods you mentioned are still essentially PRK. Ziemer Z-LASIK together with the WaveLight laser is still our recommendation for the best technology approach for LASIK. The Ziemer has upgrades through software just to make operation easier for the use, and also for complex non-LASIK procedures, e.g. ring inserts for keratoconus (an eye disease) though the core femto delivery is the same and still in my opinion the best available. I will ask one of my team to contact you to arrange.
With best regards
Dave

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