Laser Eye Surgery Anyone?

It seems that there is something going on, whether it is just healing around the edges, or whether the healed tissue is weaker than normal tissue, I have no idea. If it hasn't healed completely after 4 years, I doubt it ever will.

This seems really bizarre to me, but it looks like it's true. Apparently it never fully adhere's back to the eye. I wonder what the rate of dislodge is. Some of the information suggests it can dislodged by a poke or deployment of an airbag, other's say it can't be dislodged by anything that wouldn't otherwise do trauma to your eye.

http://www.lasikguider.com/2010/06/does-lasik-flap-ever-heal-completely.html

http://www.usaeyes.org/lasik/faq/lasik-flap-heal.htm

I guess for those in need of an enhancement - it's a much easier process the second time around.
 
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If it takes 48 hours to completely regrow a wider section of the cornea than a flap would have been cut out of, then I don't see how you can still expect more healing after four years either... The not completely reattaching is what the surgeons (two of them) told me when I was getting consults. My neighbour is an opthamologist - I can ask him to validate as well.
 
Tons of close calls, complications and side effects, and all conclude with "Best money I ever spent!"

And you still have no idea how your new eyes will hold up over time.

For what? So you don't have to wear glasses? Do you really think you're better looking without glasses? You can shave off your beard after 20 years and nobody is going to notice.

I guess it's just me.

Cornea is tissue. If it is burnt off and regrows, it's like skin as well - it's not going to fall off with time. With a flap that doesn't fully adhere, I'd agree that one doesn't know how it will hold up with time. With PRK though where you are completely regrowing the tissue, I'm confident everything will be fine. I'm ten years in so far, and PRK has also been around a lot longer than Lasik as well I think.
 
^ Ok for just one example, if you ever get cataract surgery (and if you live long enough you will), they are going to have a harder time determining the Rx of the lense that they implant. Things will be very different by then so maybe it's not going to be a problem at all.

and there are unknowns relating to the structural integrity of the eyeball.

But still, if you read the thread, just about everybody has had some kind of a problem and then concludes as if there had been none!
 
My neighbour is an opthamologist - I can ask him to validate as well.

Thanks Dodging I would really like to hear what his feedback is on it. I also wonder if the flap comes off completely for whatever reason does the tissue grow back or is that a situation where they would have to do a transplant? I read that if there's some error with the flap - like a pin hole, or a tear in the hinge they simply seal it all back up let it heal for three months or so and then try again - which suggests there definitely is some tissue regeneration that happens.
 
^ Ok for just one example, if you ever get cataract surgery (and if you live long enough you will), they are going to have a harder time determining the Rx of the lense that they implant. Things will be very different by then so maybe it's not going to be a problem at all.

and there are unknowns relating to the structural integrity of the eyeball.

But still, if you read the thread, just about everybody has had some kind of a problem and then concludes as if there had been none!

I don't conclude that there are not problems, based on the research I did and the eventual outcome, the positive change in my life was worth the risk. I would like there to be longer term studies, but they are not yet available.

I know that I wear sunglasses almost 100% of the time I am outdoors now and before it was rare as I didn't put in contacts most days (and decent prescription sunglasses are crazy expensive). In exchange for potential future risks during cataract surgery, I have drastically minimized my eyes UV exposure. Over a lifetime of being outside, the constant UV exposure must cause problems too? Which risk is worse? I don't know and haven't look to see if there are studies, but what is clear is that neither approach is perfect or risk-free.
 
Tons of close calls, complications and side effects, and all conclude with "Best money I ever spent!"

And you still have no idea how your new eyes will hold up over time.

For what? So you don't have to wear glasses? Do you really think you're better looking without glasses? You can shave off your beard after 20 years and nobody is going to notice.

I guess it's just me.
Glasses break, get lost fog up, get misplaced, you forget to bring them, cant go underwater with them, cant play a lot of sports with them.
For certain people its a pain in the *** to find good looking/comfortable ones

Contacts are uncomfortable after a while for a whole bunch of people (as mentionned on this thread) and the taking out of your eyes every night + solution, conjunctivitis once in a while, dry eyes, dust in the eyes are a PAIN IN THE *** and for me right now after 5-6 years of wearing them daily, i cant wear them without them becoming VERY uncomfortable.

So
If there is an alternative to all that jibba jabba, may be riskier, but hey you're riding a motorbike, you should know that a lot of good/fun things in life are risky but might be SO WORTH IT :)
 
^ I wouldn't even recommend contacts - not even gas permeable which are way way safer than the soft lenses.

In fact if by some miracle I woke up tomorrow and had perfect vision I would probably wear 'flat' window pane glasses just for the protection. I have worn eyeglasses for so long I feel naked without them - kind of like driving without a seat belt, or sleeping without a sheet.

I like the way that glasses block the wind, and stop miscellaneous crap from getting into my eyes.
 
But still, if you read the thread, just about everybody has had some kind of a problem and then concludes as if there had been none!

I know many people that have had their eyes lasered, all of them are perfectly happy with the results and say it's the best thing they ever did.

Personally, I'm reasonably content with glasses and contacts so will wait some more and see what improvements come about.
 
I haven't read anyone else's comments, but I've posted this before for others and I'll post again. I had laser eye surgery done about 3 years ago now. Wrote up my experience for a friend who asked every question under the sun, and found it helped her. So hopefully you find it informative:
**2009**
June 5th 10:30am - Appointment time
-They ran over my post op instructions:
1) no windy, smoky, or dusty situations for 2-3 weeks (basically no riding for 4 weeks to be safe)
2) no sweating in your eyes, if you work out make sure you have a sweat band on your forehead
3) no water/soap in eyes
4) follow the eye drop schedule (you get about 4 different types of drops)
5) first 2 days are CRITICAL
6) you will wear the "goggles" (they give you these tinted swimming goggles to sleep in) when you leave the centre
7) wear the sunglasses when outside, goggles when you sleep or when indoors
8) first 2 days, try to minimize any reading, or computer/tv usage (basically you can socialize...and that's it)
9) some other stuff i can't remember

-by the time i got into the surgery room, took them about 5-10 min. to prep me
Prepping involved:
-cleaning around my eyes with some sort of iodine or something
-placing gauze on the sides of my eyes, close to my ears, to catch all the liquid
-testing the machine while i'm in the chair to make sure it runs properly, and that i get used to the sound and smell of the laser. There is a cover over the laser while they are running it through the test
-a stream of freezing drops are dropped into your eye
*felt like i was lying in an alien chair waiting for a friggin' anal probe...

Actual procedure starts about 10 minutes in.
First part: Creating the flap (approx. 5 min/eye)
-to keep your lid open during the procedure, they insert something to keep your lid open (a circular plastic thing)
-then they lock a "suction cup" into the plastic ring and swing you under one laser (there are two, one to create the flap, another to laser a part of the cornea) or at least it felt like two
-you feel some pressure on your eye for about 60 seconds, this is when the "flap" is being created...(feels like someone pushing a thumb into your eye socket)...uncomfortable and odd, but certainly not painful
-they swing you back to centre, where the surgeon use's this little tool the size of a lead pencil tip to "open the flap" (the laser cuts a through the top part of your cornea, sorta like creating a door that hasn't been opened)
*again not painful, but freaky as **** as you're staring right at this thing coming at your eye...can't feel a thing, but i think i shat myself a little
-the surgeon opens the flap (opening a door) then sways you under the other laser

Laser Cornea Part: (approx 20 sec/eye)
-the laser takes approx. 20 seconds to "shave down" your cornea into it's correct shape
-all the while you are focusing on the blinking orange light, you feel nothing, this is the least scarry part of the whole process
-the laser makes a loud clicking noise, and smells like it's burning hair, but if you're as scared as i was, you barely notice this.

Closing of the flap Part: (approx 2-3 min/eye)
-back to the surgeon to close and seal the flap.
-the surgeon very carefully with the pick looking thing flips the flap back over the eye, then takes a thing that looks like a spongy paintbrush but extremely small and runs over your eye several times to smooth out the flap and close it. There's some surgical glue that is sealing the flap back down.
-there's also some cold liquid that gets poured into your eye. Feels like cold water being poured over

They repeat this for the other eye, and you always have one eye covered.

From the moment I stepped into the surgery room to the min i stepped out...the whole thing took 30 min...prep and all...it was super quick
Prep is about 10 min
The laser and flap part are 16 min. in total
then the clean up for you to get up out of the chair and check is about 4 min.

Immediately after the surgery:
You leave feeling like someone smeared vaseline all over your glasses. Everything is extremely blurry, and bright. They help you put the goggles on.
Within 10 min. the freezing drops where off, and you feel like someone kicked sand in your eye, it feels itchy and scratchy, but not painful.
I was so exausted from it all that the second I got home, my bf helped me start my drop schedule, and I did what they told me to do, SLEEP. It's the best thing for your recovery, after all it is surgery.
**please note, you WILL need someone to a) care for you for at least the first night, your vision is incredibly blurred and your eye lids are swollen from the pulling and forced opening b) need someone to drive you home

Next day:
-go for post op first thing in the morning
-woke up with dry eyes, used the drops no issues
-wore sunglasses, still a little hazy around bright lights
20/20 vision though even with the haziness, tested 20/20 with partial 20/15
-focusing on near objects and far objects was a little fuzzy for me, but could still piece it all together
**the above was pretty much what I experienced for about 3 days

1week goes by:
-still 20/20, the hazziness around lights is starting to dissipate
-still on the drop schedule
-still following 'what to avoid'
-found that my focus on the laptop would be difficult at times. (ie. looking at the laptop for 3/4 hours then looking at something far and looking near again, felt like someone shook my screen until the letters stopped shaking and came back together)

2-3 weeks go by:
-my vision is completely perfect...partial 20/15 vision...so better than 20/20...

3-4 weeks:
-hazziness is completely gone. everything is sharp, night vision is PERFECT

I went to Yonge Eglinton Eye care centre:
http://www.yongeeglintonlaser.com/
It cost me $4,500 for both eyes
I saw Dr. Kumar (he is a part of their fellowship program, and the cheapest, but Dr. Rootman overlooks his work)

The amount depends on the doctor you go with, they are all opthomologists as well as surgeons, so they are all equally qualified. They usually range from $4500 to $6000 depending on your eyes (severity in prescription, corneal thickness etc)

The amount paid includes, lifetime warranty, drops, emergency on call surgeon, 4 post ops, extra appointments if anything is of concern, both sets of glasses.

If you're going to check out a few places for consults the top three are TLC, Herzing and Yonge Eg. I personally wouldn't recommend Lazik MD. Any consult you go to, should take at least an hour and a half. It should seem like a typical optometrist appointment with a few extra checks. If you're not comfortable with the staff, don't even consider going to the institution. This is a procedure where bedside manner is crucially important. You are awake during the procedure, your eyes are numb, but there is still room for panic if given a reason for one. you want to have staff by your side who will be calm, cool, have a relaxing nature, and most of all keep you in the loop with what is going on at all times. Everything from your point of view lying in that chair looks huge, and terrifying. These are your eyes, make sure you trust the person in charge of pointing a laser at them.

Sorry it's long winded, but I hope it helped
 
I know many people that have had their eyes lasered, all of them are perfectly happy with the results and say it's the best thing they ever did. .......

Well that is exactly my point. Everybody on this thread is saying that too.
 
^ I wouldn't even recommend contacts - not even gas permeable which are way way safer than the soft lenses.

In fact if by some miracle I woke up tomorrow and had perfect vision I would probably wear 'flat' window pane glasses just for the protection. I have worn eyeglasses for so long I feel naked without them - kind of like driving without a seat belt, or sleeping without a sheet.

I like the way that glasses block the wind, and stop miscellaneous crap from getting into my eyes.
I had the surgery and would do it again in a second, I can not stand glasses ever I don't even like sunglasses. I went from nothing to contacts for 15 yrs and never had a problem but hated having to put them in in the AM and take them out at night. Glasses made me feel sick as soon as I put them on. If I ever have a problem again I will likely go back to contacts.
 
I can't believe this isn't more popular: http://en.wikipedia.org/wiki/Orthokeratology

I've been wearing Ortho-K lenses for 12 years now, I wear them while I sleep and enjoy 20/20 vision during the day. No glasses since then.

A little pricey (about the same as Laser), and somewhat difficult to find in Canada. I discovered this when talking to a military pilot, it saved his career....

It doesn't work for everyone, depends on your prescription but worth checking out in my opinion.
 
I can't believe this isn't more popular: http://en.wikipedia.org/wiki/Orthokeratology

I've been wearing Ortho-K lenses for 12 years now, I wear them while I sleep and enjoy 20/20 vision during the day. No glasses since then.

A little pricey (about the same as Laser), and somewhat difficult to find in Canada. I discovered this when talking to a military pilot, it saved his career....

It doesn't work for everyone, depends on your prescription but worth checking out in my opinion.
I like the idea!

Thanks for bringing that other option up! I like that "less invasive" option
 
Had it done Feb/05 and paid $2500 with lifetime retreatment at Lasil MD at VictoriaPark/Sheppard. They told me the price starts going up after +/- 1 and at that time it was $690 per eye. My vision was -2.25/-2.50. After surgery I could immediately see the results even though it was a little blurry (like coming out of a swimming pool). I actually drove myself home after surgery and rested for the rest of the day.

They told me that I had larger than normal pupils and that one of the side effects was seeing halos permanently. That lasted about six months but I didn't let it bother me. My vision was 20/10 and 20/20. I haven't had my eyes checked in the last 5 years so I don't know how much it has regressed.

The reason I had it done was I was tired of replacing my glasses and I couldn't really wear contacts because I had tight eyelids so it was extremely uncomfortable. Since I got divorced and received a settlement I decided to splurge on myself.

Would I do it again? In a heartbeat!

One of my best friends did his a year after me and my girlfriend at the time did hers two years later.

One thing I kept doing for nearly a year was poking between my eyes because I thought I had glasses on. I guess it was just a habit. LOL
 
Lil Sushi - that was an amazing in depth post operative diary!! Thanks so much! I actually really liked that center as well compared to others.

Cruisergonesport - the Ortho K seems very interesting! Although it doesn't eliminate the necessity of having to put in contacts and take them out each day - you just do it in reverse order. Very fascinating development though in vision correction options. I would imagine you're eyes would regress once you stop the cornea shaping as there's a tendency for it to revert back to its natural shape.

Chrias thanks for your feedback. The consensus seems overwhelming that most people are very happy with their decision this is great to hear!
 
Had it done about 10 years ago - eyes will eventually age - back to glasses now.

It was great while it lasted.
 
2-3 weeks go by:
-my vision is completely perfect...partial 20/15 vision...so better than 20/20...

3-4 weeks:
-hazziness is completely gone. everything is sharp, night vision is PERFECT


Sorry it's long winded, but I hope it helped

Your story is almost exactly like mine to the T. Except personally I did find the procedure to be painful - not the laser or any of the operating procedure itself per say but I found the apparatus they use to keep you're eye open and apply "pressure" to be extremely painful and I left feeling like someone had punched me in both eyes. The area around my eyes was very sore for the first week.

I'm now two weeks post op going into my third week. I was similarly assessed at 20/15 in both eyes... but I have the haziness and I find it frustrating. Although the doctor said I can ride the bike if I want to - I don't feel comfortable riding it with this haziness.

I'm hopeful that as you had said - by the third and fourth week it will be all cleared up. Keeping my fingers crossed.
 
Different for everybody but I'll share my experience (June of this year):

1) What was your/their prescription before you/they got it done?
-5.00 both eyes. Stable at that for many years. Thick corneas at 620mic. Don't even consider it if you're under 500mic. They'll tell you you're a candidate and on the morning of your surgery they'll tell you they changed their mind but "if you really want to go through with it we'll do it." You'll be disappointed and will probably cry.

2) Who did you/they go with and why?
Got measured locally. Went to a buddy's clinic in California. If you're out that way I'll forward the info. These procedures in the USA are less expensive because there are more options.

3) How much did it cost?
In Toronto it would've cost ~$5k. In the states it'll be ~3k. Same equipment. Be aware that the latest/greatest machines cost at least $1200 in royalties to the manufacturers (that's just to turn them on!) so the places that advertise for much less use an inferior/antiquated process.

4) Happy with the results? Side effects? Regrets? Things that would have been done differently?
'couldn't be happier. I wasn't prepared for the sensitivity to light immediately after the procedure. I couldn't open my eyes for hours afterwards. Obviously couldn't drive home or even walk to my hotel room. You'll need full time care for a day. I imagine it's because of the amount of cornea they burned off that contributed to the discomfort. Either that or I'm a big wimp. Don't touch your eyes because you'll shift the flap and you might compromise your final results.
Two days later on followup I had 20/15 in both eyes.
Night vision was hazy for 2 weeks. Afterwards it disappeared.

5) How long before you got back on the bike after surgery?
'couple of weeks. No swimming for a month.

Good luck!
 
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