Comments on: Which Laser Eye Procedure Should I Have? http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/ 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: Neha http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-3184 Neha Wed, 09 Nov 2011 15:31:04 +0000 http://lasik-truth.com/?p=582#comment-3184 Thank you so much Dr.Dave! Thank you so much Dr.Dave!

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-3175 Dave Allamby Sun, 06 Nov 2011 18:55:23 +0000 http://lasik-truth.com/?p=582#comment-3175 Hello Mimi, Laser vision correction post graft is quite possible, and can be done through LASIK, PRK or a transepithelial PRK approach. iVis is one brand of laser, but not so popular in its use. Mr Mearza at Focus is our corneal graft specialist, and would perform the procedure. The cost would be confirmed at consultation, but typically around £2,500 per eye. With best regards, David Hello Mimi, Laser vision correction post graft is quite possible, and can be done through LASIK, PRK or a transepithelial PRK approach. iVis is one brand of laser, but not so popular in its use. Mr Mearza at Focus is our corneal graft specialist, and would perform the procedure. The cost would be confirmed at consultation, but typically around £2,500 per eye.
With best regards, David

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-3174 Dave Allamby Sun, 06 Nov 2011 06:54:44 +0000 http://lasik-truth.com/?p=582#comment-3174 Dear Neha. It is better to have femtosecond LASIK if your corneas are thinner than average. With the femto laser you can create a thin flap that is more precise than using a blade, helping ensure you keep the flap thickness within a tight range. Blade cut LASIK can produce some surprisingly thicker flaps, which is not a good idea in your case, so your doc's advice is the correct one. Best regards, Dave Dear Neha. It is better to have femtosecond LASIK if your corneas are thinner than average. With the femto laser you can create a thin flap that is more precise than using a blade, helping ensure you keep the flap thickness within a tight range. Blade cut LASIK can produce some surprisingly thicker flaps, which is not a good idea in your case, so your doc’s advice is the correct one.
Best regards, Dave

]]> By: Neha http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-3173 Neha Sat, 05 Nov 2011 15:21:46 +0000 http://lasik-truth.com/?p=582#comment-3173 Hello Sir My cornea thickness is 495micron after the Aberroscans. She suggested me TO HAVE FEMTO LASIK instead of normal LASIK. but i read post op risks are high or the discomfort in Femto is higher. Should i follow my doc advice? Which one is superior and preferrable? Hello Sir
My cornea thickness is 495micron after the Aberroscans.
She suggested me TO HAVE FEMTO LASIK instead of normal LASIK.
but i read post op risks are high or the discomfort in Femto is higher.
Should i follow my doc advice?
Which one is superior and preferrable?

]]> By: Mimi Hirani http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-2954 Mimi Hirani Tue, 30 Aug 2011 13:40:02 +0000 http://lasik-truth.com/?p=582#comment-2954 Hello Dave, I am a 53 year old female. I have had a cornea graft done about 7 years a go. I have astigmatism in both eyes, and my doc suggests that get the iVis laser treatment done, since it does not touch the eye. Do you perform this surgery yourself? How much will it cost? How much time am I looking at to be away from work? Thanks Mimi Hello Dave,
I am a 53 year old female.
I have had a cornea graft done about 7 years a go. I have astigmatism in both eyes, and my doc suggests that get the iVis laser treatment done, since it does not touch the eye.
Do you perform this surgery yourself? How much will it cost? How much time am I looking at to be away from work?

Thanks
Mimi

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-2258 Dave Allamby Wed, 28 Jul 2010 19:26:25 +0000 http://lasik-truth.com/?p=582#comment-2258 Hi Freda Not sure why LASEK is being offered here. I do prefer LASEK enhancements for older LASIK cases when there is a longer period since the original surgery. We routinely lift the LASIK flap at 3 months post op, which is usually straightforward. There is an increased risk from a flap lift, from epithelial ingrowth, where the surface cells can grow under the edge of the flap. But if this occurs is usually minor and not troublesome. You will have to ask your surgeon as to any other reasons why LASEK this time, rather than a flap lift. There are sometimes indications for opting for LASEK so it may be the correct choice, but I can't add more without knowing the full story. Regards. Dave Hi Freda
Not sure why LASEK is being offered here. I do prefer LASEK enhancements for older LASIK cases when there is a longer period since the original surgery. We routinely lift the LASIK flap at 3 months post op, which is usually straightforward. There is an increased risk from a flap lift, from epithelial ingrowth, where the surface cells can grow under the edge of the flap. But if this occurs is usually minor and not troublesome.
You will have to ask your surgeon as to any other reasons why LASEK this time, rather than a flap lift. There are sometimes indications for opting for LASEK so it may be the correct choice, but I can’t add more without knowing the full story.
Regards. Dave

]]> By: Freda http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-2256 Freda Wed, 28 Jul 2010 18:07:38 +0000 http://lasik-truth.com/?p=582#comment-2256 Hi Dave, I had Lasik treatment on both eyes three months ago. I now need a recorrection. My surgeon told me that they will do Lasek this time because it is less risks for me. Can this be the real cause? Thank in advance. Freda Hi Dave,

I had Lasik treatment on both eyes three months ago. I now need a recorrection. My surgeon told me that they will do Lasek this time because it is less risks for me. Can this be the real cause?

Thank in advance.

Freda

]]> By: Ellie http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-2111 Ellie Fri, 16 Jul 2010 17:03:18 +0000 http://lasik-truth.com/?p=582#comment-2111 Thank you very much for your answer, it really calmed me down a bit. Best regards, Eleonora Thank you very much for your answer, it really calmed me down a bit.
Best regards,
Eleonora

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-2078 Dave Allamby Wed, 14 Jul 2010 14:20:27 +0000 http://lasik-truth.com/?p=582#comment-2078 Hi Ellie No not common at all in LASIK surgery, but it is possible. Under-correction of that degree is rare but it is feasible it could happen/ The high pressure afterwards could have led to some increased swelling in the cornea which would change the vision significantly. The pressure rise occasionally happens with steroid drops, and rapidly goes back to normal once stopped. As for what is next? You should wait around 12 weeks to let the eyes and corneas settle and ensure all swelling has resolved. You may find the myopia decreases more. If not, then the flaps can be easily lifted and eyes re-treated around 3 months post. Keep in contact with your clinic and let time pass to see how it settles. It's still pretty early at 4 weeks. It's normal for some patients to need an enhancement to finish off the result. Our own clinic rate is less than 1% for myopia, and it can vary between clinics - but we ALL perform enhancement procedures. Certainly must be disappointing as most patients see 20/20 or better the following day, and yours is a pretty big under-correction. Hang on and I suspect your end result will be good. Regards, Dave Hi Ellie
No not common at all in LASIK surgery, but it is possible. Under-correction of that degree is rare but it is feasible it could happen/ The high pressure afterwards could have led to some increased swelling in the cornea which would change the vision significantly. The pressure rise occasionally happens with steroid drops, and rapidly goes back to normal once stopped.
As for what is next? You should wait around 12 weeks to let the eyes and corneas settle and ensure all swelling has resolved. You may find the myopia decreases more. If not, then the flaps can be easily lifted and eyes re-treated around 3 months post. Keep in contact with your clinic and let time pass to see how it settles. It’s still pretty early at 4 weeks.
It’s normal for some patients to need an enhancement to finish off the result. Our own clinic rate is less than 1% for myopia, and it can vary between clinics – but we ALL perform enhancement procedures.
Certainly must be disappointing as most patients see 20/20 or better the following day, and yours is a pretty big under-correction. Hang on and I suspect your end result will be good.
Regards, Dave

]]> By: Ellie http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-2071 Ellie Tue, 13 Jul 2010 20:36:25 +0000 http://lasik-truth.com/?p=582#comment-2071 Hi Dave, I got iLasik performed 4 weeks ago. Since then I got 3 exams and they show I still got -2 and -1,75( was -4,75 both eyes before the op)I also got very high pressure in the eyes - like 34-40...The doctor said it's normal - comes from the eye drops and will go away, got new drops now, but still can not see clear, still got miopia that I can not watch Tv or drive...is this normal? I was told with Lasik the sight is improved right after the surgery, I still can see as far as my nose...What is next? Thanks. Hi Dave,
I got iLasik performed 4 weeks ago.
Since then I got 3 exams and they show I still got -2 and -1,75( was -4,75 both eyes before the op)I also got very high pressure in the eyes – like 34-40…The doctor said it’s normal – comes from the eye drops and will go away, got new drops now, but still can not see clear, still got miopia that I can not watch Tv or drive…is this normal?
I was told with Lasik the sight is improved right after the surgery, I still can see as far as my nose…What is next?
Thanks.

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-1989 Dave Allamby Thu, 01 Jul 2010 14:22:57 +0000 http://lasik-truth.com/?p=582#comment-1989 Hi Gilbert OK, so planned under-correction may be an option. However, with the WaveLight not being 'tissue hungry' we may still be able to achieve a full correction. When you see one of my team for consultation they will cover that. If you want to see me personally for the consult, it would be £200 in addition. You can reach the clinic on 0845 5000 500. Best regards, Dave Hi Gilbert
OK, so planned under-correction may be an option. However, with the WaveLight not being ’tissue hungry’ we may still be able to achieve a full correction. When you see one of my team for consultation they will cover that. If you want to see me personally for the consult, it would be £200 in addition. You can reach the clinic on 0845 5000 500.
Best regards, Dave

]]> By: Gilbert http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-1986 Gilbert Wed, 30 Jun 2010 18:40:37 +0000 http://lasik-truth.com/?p=582#comment-1986 Hi Dave, Yes, the reason given by Ultralase was that my corneal tissue was not thick enough to restore 20-20 vision. We did not discuss any reduction in the short-sightedness. I assume in any consultation with LASIK that all these options will be discussed? Hi Dave,

Yes, the reason given by Ultralase was that my corneal tissue was not thick enough to restore 20-20 vision. We did not discuss any reduction in the short-sightedness.
I assume in any consultation with LASIK that all these options will be discussed?

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-1960 Dave Allamby Thu, 24 Jun 2010 14:23:33 +0000 http://lasik-truth.com/?p=582#comment-1960 Dear Alan, Yes I do operate at Focus. Best regards, Dave Dear Alan, Yes I do operate at Focus. Best regards, Dave

]]> By: Alan http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-1959 Alan Thu, 24 Jun 2010 13:55:59 +0000 http://lasik-truth.com/?p=582#comment-1959 Mr. Allamby, do you still perform laser eye surgery at Focus Laser Vision Clinic ? Mr. Allamby, do you still perform laser eye surgery at Focus Laser Vision Clinic ?

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/which-laser-eye-procedure-should-i-have/comment-page-1/#comment-1958 Dave Allamby Thu, 24 Jun 2010 11:42:33 +0000 http://lasik-truth.com/?p=582#comment-1958 Hi Gilbert, may well be possible to correct but will depend on your pupil size and corneal thickness primarily assuming no other problems. Our Wavelight laser removes less tissue compared to other systems so often helpful in these high prescription cases. Did Ultralase say why they would not operate? Leaving you at say -2.00 can be a very good option if corneal tissue is not adequate for a full treatment as this will allow you to read without glasses from age 45 plus when your friends are starting to wear reading correction. Best regards Dave Hi Gilbert, may well be possible to correct but will depend on your pupil size and corneal thickness primarily assuming no other problems. Our Wavelight laser removes less tissue compared to other systems so often helpful in these high prescription cases.
Did Ultralase say why they would not operate?
Leaving you at say -2.00 can be a very good option if corneal tissue is not adequate for a full treatment as this will allow you to read without glasses from age 45 plus when your friends are starting to wear reading correction.
Best regards Dave

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