Comments on: Z-LASIK and iLASIK laser eye surgery explained http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/ 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/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3609 Dave Allamby Fri, 30 Mar 2012 07:17:10 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3609 Dear Jenn, Yes it’s a superb laser, and the same one we use. David Dear Jenn, Yes it’s a superb laser, and the same one we use.
David

]]> By: jenn http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3608 jenn Thu, 29 Mar 2012 21:22:52 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3608 the place i wanted to get my surgery done uses allegretto wave light? is that okay? i have stigmatism and they said my cornea is shaped like a football, so they would have to reshape it. the place i wanted to get my surgery done uses allegretto wave light? is that okay? i have stigmatism and they said my cornea is shaped like a football, so they would have to reshape it.

]]> By: Irene http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3287 Irene Wed, 04 Jan 2012 18:44:41 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3287 Hi David, Sorry I forgot to add if you could answer with cornea thickness of around 506 microns if I would be suitable for ZLasik or would I be better off with LASEK? Thanks again. Irene Hi David,
Sorry I forgot to add if you could answer with cornea thickness of around 506 microns if I would be suitable for ZLasik or would I be better off with LASEK?
Thanks again.
Irene

]]> By: Irene http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3251 Irene Mon, 12 Dec 2011 19:40:45 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3251 Hi David, Thank you for your response. I normally have my contact lenses in when going for my eyesight test with my Optician but did have them out for 24 hours when having the laser eye consultations. I have recently changed Optician so will wait and see what they get my prescription as when I'm due an eye sight test. Thanks Irene Hi David,

Thank you for your response. I normally have my contact lenses in when going for my eyesight test with my Optician but did have them out for 24 hours when having the laser eye consultations.
I have recently changed Optician so will wait and see what they get my prescription as when I’m due an eye sight test.
Thanks
Irene

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3246 Dave Allamby Mon, 12 Dec 2011 17:29:12 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3246 hi Irene. I think one issue here is the change in astigmatism in your left eye. It was low in 2009 at -0.25 (or -0.75 in 2007), and now is measured at 1.75D. It could relate to how long your contact lenses were left out prior to the test, if at all. I like to see a stable prescription, with only 0.25 change over 1 year. There is also progression of the myopia in your right eye, of 1.25 dioptres over 1 or 2 years (depending if your current opticians measurements were from 2010 or 2011 - not clear which it was). I suggest waiting and having a repeat test at the same optician in 1 year. Best regards David hi Irene. I think one issue here is the change in astigmatism in your left eye. It was low in 2009 at -0.25 (or -0.75 in 2007), and now is measured at 1.75D. It could relate to how long your contact lenses were left out prior to the test, if at all. I like to see a stable prescription, with only 0.25 change over 1 year. There is also progression of the myopia in your right eye, of 1.25 dioptres over 1 or 2 years (depending if your current opticians measurements were from 2010 or 2011 – not clear which it was).
I suggest waiting and having a repeat test at the same optician in 1 year.
Best regards
David

]]> By: Irene http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3242 Irene Fri, 09 Dec 2011 21:00:33 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3242 Forgot to add my corne thickness is around 506 microns. I would have to travel to London as don't live locally, would it be easy to arrange consultation/surgery etc. Thanks Irene Forgot to add my corne thickness is around 506 microns.
I would have to travel to London as don’t live locally, would it be easy to arrange consultation/surgery etc.
Thanks
Irene

]]> By: Irene http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3241 Irene Fri, 09 Dec 2011 20:57:03 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3241 Hi David, Are you able to advise me if I would be suitable for Z-LASIK? I have wore glasses since I was 8, and contacts since about 17 years - am now 29. My current prescription from my optician is RIGHT -5.50 LEFT -3.25 -1.25 My right eye has been the same since 2007 but my left eye pescription has been different: 2007 LEFT EYE -4.50 +0.75 2009 LEFT EYE -4.25 -0.25 I have recently been for a couple of laser eye consultations locally and they have my LEFT eye as either -3.00 -1.75 or -3.75 -1.50 and my RIGHT eye as -5.75 -0.25 or -6.00 -0.50 I am seriously considering laser eye surgery and would like to have it done with FOCUS due your success rate but am worried about if my left eye has stabilised? I thought it had. Also I have had trouble with my contact lenses over the last 6-12 months. I have had a couple of reactions to contact lens solution and also have some dry eye problems and mild bleuphatirits. Though my optician (and the optomoterists I've seen at the laser eye consultations) seem to think the dry eye is from contact lens intolerance. Would I still be suitable for laser eye surgery? Also please could you let me know what my chances are of achieving 20/20 vision due to my prescription? Many thanks. Irene Hi David,

Are you able to advise me if I would be suitable for Z-LASIK?
I have wore glasses since I was 8, and contacts since about 17 years – am now 29.
My current prescription from my optician is
RIGHT -5.50 LEFT -3.25 -1.25
My right eye has been the same since 2007 but my left eye pescription has been different:
2007 LEFT EYE -4.50 +0.75
2009 LEFT EYE -4.25 -0.25
I have recently been for a couple of laser eye consultations locally and they have my LEFT eye as either -3.00 -1.75 or -3.75 -1.50 and my RIGHT eye as -5.75 -0.25 or -6.00 -0.50
I am seriously considering laser eye surgery and would like to have it done with FOCUS due your success rate but am worried about if my left eye has stabilised? I thought it had.
Also I have had trouble with my contact lenses over the last 6-12 months. I have had a couple of reactions to contact lens solution and also have some dry eye problems and mild bleuphatirits. Though my optician (and the optomoterists I’ve seen at the laser eye consultations) seem to think the dry eye is from contact lens intolerance. Would I still be suitable for laser eye surgery?
Also please could you let me know what my chances are of achieving 20/20 vision due to my prescription?
Many thanks.
Irene

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3233 Dave Allamby Mon, 05 Dec 2011 13:31:21 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3233 hi Mike, high prescription and thin corneas mean yes not suitable for LASIK or PRK. An ICL is a much better option than it used to be. We prefer the Starr ICL, now on its 4th version. You will be best to wait until you are 21 for the eye to slow its growth. Main long term risk is cataract, which currently happens in less than 5% of cases. This can be addressed with more surgery if necessary. Presumably future versions will help reduce this risk, which should be available by the time you are 21. WIth regards, Dave hi Mike, high prescription and thin corneas mean yes not suitable for LASIK or PRK. An ICL is a much better option than it used to be. We prefer the Starr ICL, now on its 4th version. You will be best to wait until you are 21 for the eye to slow its growth. Main long term risk is cataract, which currently happens in less than 5% of cases. This can be addressed with more surgery if necessary. Presumably future versions will help reduce this risk, which should be available by the time you are 21. WIth regards, Dave

]]> By: mike http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3210 mike Mon, 28 Nov 2011 21:26:23 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3210 Dave i m 18een and unfortunately i have a high myopia -7.5 for both eyes and a thin cornea 470 so lasik is not adequate for me thats why i m thinking of having an ICL surgery so i really need ur opinion about this one and is it safe as lasik and is it Guaranteed i really dont want to lose my vision . thnxx dr regards big fan :) Dave
i m 18een and unfortunately i have a high myopia -7.5 for both eyes and a thin cornea 470 so lasik is not adequate for me thats why i m thinking of having an ICL surgery so i really need ur opinion about this one and is it safe as lasik and is it Guaranteed i really dont want to lose my vision . thnxx dr
regards
big fan :)

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3188 Dave Allamby Fri, 11 Nov 2011 13:45:43 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3188 hi Brian. Monovision or blended vision can be a good option for your prescription, assuming your corneas have sufficient thickness. For technology, I think that the Ziemer laser outperforms the Intralase, as used at Moorfields, and a recent study comparing the two confirms that. The Intralase market share is falling, as surgeons adopt the Ziemer Z-LASIK platform. For the excimer treating system, the WaveLight laser is my clear choice for myopia, especially high myopia. With best regards, David hi Brian. Monovision or blended vision can be a good option for your prescription, assuming your corneas have sufficient thickness. For technology, I think that the Ziemer laser outperforms the Intralase, as used at Moorfields, and a recent study comparing the two confirms that. The Intralase market share is falling, as surgeons adopt the Ziemer Z-LASIK platform. For the excimer treating system, the WaveLight laser is my clear choice for myopia, especially high myopia.
With best regards, David

]]> By: Erin http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3186 Erin Fri, 11 Nov 2011 03:05:39 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3186 We do have z-lasik in Canada. I will be getting it done in a few weeks. The cost is $4200 for both eyes and it is done in BC We do have z-lasik in Canada. I will be getting it done in a few weeks. The cost is $4200 for both eyes and it is done in BC

]]> By: Brian http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3167 Brian Wed, 26 Oct 2011 22:05:50 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3167 Hi I am 54 and have -7.5 in my right dominant eye and -11.5 in my left eye with a bit of astigmatism in both eyes and about 1.5 of presbyopia. I have had a consultation with moorfields who have suggested that they can fully correct the right eye and partially correct the left eye to give me monovision. I have tried monovision with hard lenses and can tolerate it reasonably. I was about to go to moorfields but then read about laser blended vision. Is that a better option and is Focus better than Moorfields. Being a cautions person, I always assumed Moorfields would be the place to go but is your technology ahead of theirs ? Hi

I am 54 and have -7.5 in my right dominant eye and -11.5 in my left eye with a bit of astigmatism in both eyes and about 1.5 of presbyopia.

I have had a consultation with moorfields who have suggested that they can fully correct the right eye and partially correct the left eye to give me monovision. I have tried monovision with hard lenses and can tolerate it reasonably.

I was about to go to moorfields but then read about laser blended vision. Is that a better option and is Focus better than Moorfields.

Being a cautions person, I always assumed Moorfields would be the place to go but is your technology ahead of theirs ?

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3162 Dave Allamby Mon, 17 Oct 2011 20:53:25 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3162 hi Carrera You unfortunately have a very high prescription and thin corneas, and your doctor is correct that there is not enough tissue there to fully correct your problem. Your corneal thickness will not increase with age, sadly, so waiting will not help. Your only treatment option is an implantable contact lens (ICL). If you do this, then you will need ongoing monitoring of the health of the inner layer of your corneas each year thereafter. Best regards, David hi Carrera
You unfortunately have a very high prescription and thin corneas, and your doctor is correct that there is not enough tissue there to fully correct your problem. Your corneal thickness will not increase with age, sadly, so waiting will not help. Your only treatment option is an implantable contact lens (ICL). If you do this, then you will need ongoing monitoring of the health of the inner layer of your corneas each year thereafter.
Best regards, David

]]> By: carrera http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3161 carrera Mon, 17 Oct 2011 19:40:02 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3161 dear dave so this is my situation : -myopie -8.00 for both eyes :( - age 18een and when i went to the eye doc in my area i realise that the thickness of my cornea is 481 for both eyes so the doc told me that i cant have lasik surgery or phemto-second or epi-lasik is that true and is there another solution for my condition and can my cornea get thicker by te time pls help and thnx thnx for ur help dave Regards dear dave
so this is my situation :
-myopie -8.00 for both eyes :(
– age 18een
and when i went to the eye doc in my area i realise that the thickness of my cornea is 481 for both eyes so the doc told me that i cant have lasik surgery or phemto-second or epi-lasik is that true and is there another solution for my condition and can my cornea get thicker by te time pls help and thnx thnx for ur help dave
Regards

]]> By: Dave Allamby http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-surgery-explained/comment-page-1/#comment-3158 Dave Allamby Thu, 13 Oct 2011 05:46:00 +0000 http://lasik-truth.com/lasik-laser-eye-surgery/z-lasik-and-ilasik-laser-eye-terms-explained/#comment-3158 hi Allen. I don't think that surface laser (PRK, LASEK, EpiLASIK) will lead to fewer complications down the road compared to LASIK, and 2 decades of LASIK hasn’t thrown up any issues for flaps long-term. We only perform about 3% of cases with surface laser now. I think you will get the drawbacks from surface laser that you mentioned but without any real gain down the line. Direct trauma to an eye, sharp trauma, sufficient to move a flap is a pretty rare event so the only time I advocate PRK for occupational reasons is for martial artists who do regular sparring to the head, and where they are not wearing boxing gloves. Hope that helps. Dave hi Allen. I don’t think that surface laser (PRK, LASEK, EpiLASIK) will lead to fewer complications down the road compared to LASIK, and 2 decades of LASIK hasn’t thrown up any issues for flaps long-term. We only perform about 3% of cases with surface laser now. I think you will get the drawbacks from surface laser that you mentioned but without any real gain down the line. Direct trauma to an eye, sharp trauma, sufficient to move a flap is a pretty rare event so the only time I advocate PRK for occupational reasons is for martial artists who do regular sparring to the head, and where they are not wearing boxing gloves.
Hope that helps. Dave

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