Great Laser Eye Surgery Hunt

naughtybish

Thriftysolo wrote: »

Hi Naughtybish

I think you are being unnecessarily harsh on GotNoMoney in calling them a brainless scaremonger. In their post they raised some legitimate concerns about LASIK, namely the long term structural stability of the cornea after the procedure.

There are numerous peer-reviewed studies that suggest the cornea heals in only a limited fashion post LASIK. There are also numerous case reports of long term flap displacement. From the literature I've read it seems reasonable to say that post LASIK eyes are more fragile than post PRK eyes.

As far as LASIK disqualifying you from certain jobs, that is a complicated issue and varies by profession, country, and organization. LASIK or PRK can disqualify you from being a pilot, firefighter, or a police officer, but it often doesn't. It really depends on the exact condition of your eyes and the specific regulations of the job applied for. Overall, though, I think it is true that PRK is slightly preferred for certain occupations due to the aforementioned concerns about the long term structural integrity of the cornea after LASIK.

Craig

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My advice to anyone is :
Do Not listen to a fliptop , who just googles misleading or purporting to be posted by someone else or purporting to be validated or authorised by someone when it has not been.

I Recommend The Sheffield Vision Centre ( where i had my surgery )

http://www.sth.nhs.uk/vision-centre operated by the NHS
Mathew Edwards will put the balanced facts infront of you.

and not some made up garbage that the Trolls and Fliptops that seem to infest these kind of forums spout out ( as if they are some kind of authority on the subject :rotfl:) LOL

Don't try to argue with these kind of idiots , they will drag you down to their level and then beat you with experience .


Bishmena

Thriftysolo

Do Not listen to a fliptop

Fliptop...?

who just googles misleading or purporting to be posted by someone else or purporting to be validated or authorised by someone when it has not been.

I never did any of that. I just pointed out that there are studies that suggest that the cornea only heals in a limited fashion after LASIK, which is a concern.

and not some made up garbage that the Trolls and Fliptops that seem to infest these kind of forums spout out ( as if they are some kind of authority on the subject

Made up? Here is just one. I could post more if needed.

"J Refract Surg. 2005 Sep-Oct;21(5):433-45. Related Articles, Links

Cohesive tensile strength of human LASIK wounds with histologic, ultrastructural, and clinical correlations.

Schmack I, Dawson DG, McCarey BE, Waring GO 3rd, Grossniklaus HE, Edelhauser HF.

CONCLUSIONS: The human comeal stroma typically heals after LASIK in a limited and incomplete fashion; this results in a weak, central and paracentral hypocellular primitive stromal scar that averages 2.4% as strong as normal comeal stroma. Conversely, the LASIK flap wound margin heals by producing a 10-fold stronger, peripheral hypercellular fibrotic stromal scar that averages 28.1% as strong as normal comeal stromal, but displays marked variability."

Don't try to argue with these kind of idiots , they will drag you down to their level and then beat you with experience .

I think you are overreacting slightly.

Craig

naughtybish

well with all Shiftysolo's scaremongering

thank goodness the likes of Tiger Woods never listened to him.


UK Facts.
The Royal College of Ophthalmologists



What experience have you had and how can you demonstrate results?
In general, the more operations a surgeon has carried out the higher the success rate. In some of cases, sight without glasses might not be as good as sight with glasses before the operation. The difference is usually minor, but find out what results your surgeon has had. Also check how many patients have had to come in for further treatment to improve on the initial results. Bear in mind that one in three people will still need glasses for some purposes, such as night driving. Laser surgery will not be able to cure age-related presbyopia and the need for reading glasses in your mid 40's.

What risks are there and what is your complication rate?
Complications occur in less than 5 per cent of cases, but make sure your consultant outlines all the risks. Flap complications with LASIK arise in 0-4 per cent of cases, but can usually be corrected with little or no loss of vision. Some people have a problem with dry eyes in the months after surgery and artificial tear supplements might be needed in the long term. Many patients have experienced glare or halo effects when night driving, particularly just after treatment. This is more likely the higher the correction that has been made, but is rarely severe. In rare cases, excessive thinning of the eye wall can cause the shape of the eye to be unstable after treatment. Severe loss of vision is very unusual, but some patients could require corneal surgery or hard contact lenses to restore vision. You should find out exactly how frequently your surgeon has experienced complications and why.

Thriftysolo

Nobody is saying that severe flap complications aren't rare, but they are still a concern all the same, especially over time. The LASIK flap simply doesn't heal as well as might be expected, studies do show this. This is unfortunately one of the major negatives of the LASIK procedure, and a fair reason for some to prefer PRK.

Craig

naughtybish

Thriftysolo wrote: »

Nobody is saying that severe flap complications aren't rare, but they are still a concern all the same, especially over time. The LASIK flap simply doesn't heal as well as might be expected, studies do show this. This is unfortunately one of the major negatives of the LASIK procedure, and a fair reason for some to prefer PRK.

Craig

Well Shiftysolo ( Scaremonger of MSE )


that may well be true with a thick flap cut with a blade . circa 1991
( 20 yrs ago )






There appears to be a fundamental difference between LASIK flaps cut either with a blade or created with a laser. Laser created flaps mean a safer surgery as the results are more accurate, so fewer enhancements needed, and the eye is left stronger.


We know that thicker flaps cut with a blade do not fully heal and can be lifted up surgically even many years later. Traditional blade flaps are thicker and cut deeper into the cornea. However laser flaps are thinner and leave the eye stronger afterwards.

However a key difference highlighted by Professor John Marshall in London is that because these very thin laser flaps pass through near the surface of the cornea where the collagen is different from deeper down, they actually heal down and are NOT able to be lifted later on. This means the eye regains strength again with a laser flap, but not with a blade flap.

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Now this part is ONLY for those serious about getting lasik.
An update
I am now 8 months post lasik op.
and have to say everythings brilliant , no halo's ( they just gradually went over a 3 months after the op) i also have fantastic night vision .
and no dry eye problems , use to need the drops throughout June,July, every couple of days in August , one or two times during Sept and not since.
been away on holiday twice october and skiing last month
thinking that aircraft may be a bit dry i had them with me in case
but turned out never required them even on the october trip :j


only issue i had during the first month , my left eye which has/was a stigmatism had poor distant vision in certain types of fluoresent lighting.

ie , it was ok and middle vision. ( it was great outdoors and with incandescent lights indoors ,the miniture low energy pl's fluoresents
they where all fine ,only certain strip lights seemed to effect detail at distance)
i worked it out , in my own garage with the twin lighting on ( it was bright enough ) a poster at the far end of the garage was not clear , but when i opened the side door and let daylight hit it it was crystal clear. my right eye
was never a problem.

Anyways ,surgeon told me at the time it was not unusual differant lighting has differant light waves , and it was simply down to the eye still healing.

however after a month it was fine and has not troubled me since.
as the eye is still healing for several months it is normal.
so a heads up anyone having that kind of issue.;)


I did ask the question of flap healing
the surgeon said that on blade free lasik's where he has had to perform an enhancement 'he can usually relift the flap up to about 10 months maximum. with a flap lift device.

however several patients at just 6 months have proved impossible to lift the lasik flap.

As i said i cannot say enough how happy i am and everyday i still have the wow factor

I just need to make an appointment around 12 months time
just to look at the overall health of my eyes

Bish

Thriftysolo

Well Shiftysolo ( Scaremonger of MSE )

Shiftysolo? If anything is shifty it is you linking to known Optimax referral spammer Stephen B on the other Lasik Eye Surgery thread. Try to be a little more mature. I'm the second person within only a few posts you've childishly insulted and branded scaremonger. And we probably won't be the last as anyone who raises any negative opinions on LASIK will probably get the same treatment from you.

that may well be true with a thick flap cut with a blade . circa 1991

Yes, and circa-1991 patients still walking around will unfortunately have to suffer any future consequences of this inferior technology.

There appears to be a fundamental difference between LASIK flaps cut either with a blade or created with a laser. Laser created flaps mean a safer surgery as the results are more accurate, so fewer enhancements needed, and the eye is left stronger.

While the femtosecond laser flap creation may be better than blade creation, the procedure is still the the same, and comes with the same inherent problems. I don't think it's controversial to say that the biomechanical stability of a post LASIK eye is worse than that of a post PRK eye.

Craig

naughtybish

Oh dear it does sound like Shifty has indeed spat his dummy out!

Are you saying Shiftysolo , that you ( having never had any eye surgery whatsover )
actaully care about those of us that have actually had it ?

ReflexReaction

Hear Hear. Get over yourself - what do you think you've actually achieved by posting here? Only a complete fool would take anything you, or anyone else has to say, on an internet forum, with any more than a pinch of salt.

That's because you're NOT an expert, you are a passenger driver. Infact, no. You've not had laser eye surgery before, so you're on the back seat.

Leave off and let this topic get back on track - which is the discussion of where to get cheap laser eye surgery...

naughtybish

GREAT NEWS !!

10% off laser surgery at the NHS Sheffield eye centre.

http://www.sth.nhs.uk/vision-centre

I can highly recommend them.





Bishy



*WARNING to TROLLS*
MSE GREAT LASER EYE SURGERY HUNT.
keep it TROLL FREE!

ReflexReaction

Just worth mentioning that after my consultation at Optimax, I then cancelled my eye surgery and got a refund for my £100 deposit.

2 days later I have just recieved an e-mail claiming that they'll do the surgery for £1700 for both eyes. That's full whack, intralase lasik wavefront. I am still going with Optical Express as they were just £130 more and do the surgery on a saturday - but anyone looking to save the pennies would be wise in doing the above!