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Laser eye surgery

2

Comments

  • Closed Accounts Posts: 142 ✭✭Discovering


    I very much doubt they cover it either.


  • Closed Accounts Posts: 2,028 ✭✭✭oq4v3ht0u76kf2


    My mam had it done last Saturday week in the Roseville clinic in Terenure... she didn't get Lasik as her eyes weren't suitable she got another (the?) other kind. Anyway, she was in and out in an hour and she had to wear sunglasses for the first few days but now her near vision is perfect and her distance vision is improving daily... her doctor says three months is when she will have certifiable 20/20 vision again. Overall she's had a great experience and has told me she doesn't regret it for a second.


  • Closed Accounts Posts: 38 bagocans


    So, has anyone tried zyoptix since all this was posted?
    If it takes a while for your vision to correct itself how soon can you work again (on computer), would the strain be bad for your eyes?
    Just curious as to how it would work if your vision wasn't perfect and you had to get a new lower perscription!, have take more time off work.


  • Closed Accounts Posts: 18 joedublinka


    ive spoken to an eye surgeon in the states whos a friend of the family. lasik is a bad idea. in a few years the front of ur eye might start lifting off, as its flapped.

    prk is much safer but a little painful. do not even consider lasik it is way to invasive and there are no long term studies as of yet.


  • Registered Users, Registered Users 2 Posts: 6,676 ✭✭✭Blitzkrieger


    ive spoken to an eye surgeon in the states whos a friend of the family. lasik is a bad idea. in a few years the front of ur eye might start lifting off, as its flapped.

    Does he dribble a lot? I have never heard of that before in all the horror stories on the net about lasik. My sister had it done 5 years ago and has had no lasting side effects. I also had it done in the same place (Wellington Clinic) and had no side effects at all.


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  • Closed Accounts Posts: 18 joedublinka


    Does he dribble a lot? I have never heard of that before in all the horror stories on the net about lasik. My sister had it done 5 years ago and has had no lasting side effects. I also had it done in the same place (Wellington Clinic) and had no side effects at all.

    flapped being medical jargon for elevation of ur cornea, and a small flap made. this can then lift at any point and become unbonded. the reason lasik took off was it was a painless way to have it done, and generally people dont like pain. prk has more clinical data, and frankly yer man said if he was getting it done he would avoid lasik as if it was manure. having said this he does it to other people but thats life for u.
    incidentally he still wears glasses himself for shortsight, makes u wonder. this is not bull**** its the truth.

    also 5 years is nothing from a long term study point of view. time will tell in 15 or 20 years. nothing can take from the fact that lasik is very very invasive. i would avoid it. edit~ i should say lasik is still the treatment of choose in severe myopia. however the majority of people are safer with prk MUCH SAFER
    here are a few possibilities- he also mention weak cornea being a problem

    11. CORNEAL ECTASIA. - Cutting a corneal flap for LASIK can cause structural weakening of the cornea. Although LASIK has been performed since 1996 in the USA, the cutting of corneal flaps has been performed worldwide since 1959 for treating corneal diseases and refractive errors. I have learned that if I cut too deep of a flap or remove too much corneal tissue with LASIK, I can structurally compromise corneal integrity, resulting in a "weakened" cornea that may "bulge" months to years after LASIK. This is called "ectasia" and can cause significant regression of the LASIK treatment, resulting in the recurrence of significant nearsightedness and/or astigmatism. Retreatment is not possible and would even make the regression worse. In the rare case of extreme ectasia, a corneal transplant would be necessary to regain useful vision. I have a 1/1000 incidence of corneal ectasia and I have had one patient require a corneal transplant after LASIK. To minimize the risk of ectasia, I do corneal topography and measure the corneal thickness (pachymetry) of every LASIK patient prior to LASIK to identify patients that are at risk for developing ectasia. I will not perform LASIK on any patient that I think is at risk for developing ectasia. Approximately 2% of LASIK candidates that I examine are at risk for ectasia and cannot be safely treated.

    . PERMANENT UNCORRECTABLE BLURRY VISION OR "GHOST IMAGES" - Rarely, a patient may have corneal irregularity after LASIK that causes blurry vision or "ghost images". "Ghost images" are similar to a TV picture with poor reception; overlapping the main image is an identical, but dim second image. A retreatment may not be able to treat a post-LASIK corneal irregularity.

    DISLOCATED CORNEAL FLAP - The corneal flap is remarkably stable after LASIK, but I have had one patient's flap dislocate after surgery. The patient had an uneventful LASIK procedure. However, when I saw her the day after surgery, her flap had come loose, and was tucked up under the upper eye lid. It was still attached at its base to the cornea. The patient had experienced significant non-LASIK emotional distress three hours after her LASIK procedure, and had sobbed heavily for approximately five minutes. This probably caused the flap to dislocate. I brought the patient back to the Laser Center and easily repositioned the flap. Fortunately, the flap remained in position and the patient had 20/20 vision 48 hours after the flap was repositioned.

    EPITHELIAL INGROWTH - Small cells from the corneal epithelium, the "clear skin" that covers the cornea, can become embedded under the LASIK flap. This occurs in less than 1% of LASIK cases. The cells can start to grow and form a thin sheet of epithelium under the flap. This will affect the vision. The epithelial cells are usually easy to remove by anesthetizing the eye with eye drops, painlessly lifting the flap, and irrigating or mechanically removing the aberrant epithelial cells. I have had two patients with epithelial ingrowth; both were very successfully treated and have had no further problems.

    FLAP WRINKLES - When I replace the corneal flap after performing the LASIK procedure, small folds in the flap are common, and are easy to identify and remove at the time of the LASIK by simply refloating the flap. However, small folds can occur rarely in the flap in the first few hours following the procedure. Wrinkles probably occur when the patient inadvertently squeezes the eye tightly shut. Visually significant wrinkles occur in less than 1% of cases. If wrinkles occur, I take the patient back to the Laser Center, anesthetize the eye with an eye drop, relift the flap and smooth out the flap to remove the wrinkles. This usually removes the wrinkles successfully. If this does not, I repeat the retreatment procedure a second time.

    THIN FLAP - When we use the Microkeratome to cut the LASIK flap, there is less than a 1% chance of a thin flap occurring. If the flap is too thin, I cannot perform LASIK. If I did Laser over a thin LASIK flap, visually threatening corneal irregularities and haze would occur. Fortunately, it is easy to identify a thin flap. If one occurs, I reposition the flap immediately, and do nothing more. Within 2 to 3 days, the patient will have usually regained his or her original vision, and can see again with their original glasses or contact lenses. We can then repeat the LASIK procedure in 3 months.


  • Closed Accounts Posts: 1,587 ✭✭✭hshortt


    I had Lasik in the Wellington last November. Excellent staff and very helpful. The procedure while not painful is not comfortable, and the sound of the laser can be un-nerving. My prescription was -8 and -7. My eyes are still healing and I occasionally need the drops for some additional lubrication, however I see much better than I have ever done. I see some fuzziness around lights at night time but it's not uncomfortable.

    My left eye did not heal as quickly as my right, and in fact it may have been overcorrected which is a common thing with this type of surgery, I've been advised by the clinic that if it's not perfect by my next appointment (May) then they'll re-do the left eye.

    Total cost 4,200.00, expensive but clearly (!) worth it.

    Cheers


  • Closed Accounts Posts: 18 joedublinka


    the problem is people think of lasik like buying a bigmac. the reality is that they use a micro buzzsaw to cut a wafer thin flap-this is the bit i have the problem with not the next bit which is the nukingbit with the laser.
    anything this invasive cannot be good. however if one has poor sight then this can still be the best option ie more than -6.


  • Closed Accounts Posts: 393 ✭✭JaneyMackers


    I had this done about 4 years ago in the mater private.

    I would strongly suggest the following.

    If you thinking about go and get assessed by a consultant. At least you will know if you are a candidate. Do not get both eyes done at once. Just in case.

    I had about -4.5 in both eyes and my eyes have been perfect ever since. I notice they take longer then they used to to get refocused after reading etc. But who cares about that.

    One thing is on-coming lights in traffic esp on country roads at night are brighter and I try to avoid that where possible.

    However, I would ultimatly recommend it. The money is steep. But how much would you spend on glasses, lenses and solutions etc in 4 to 5 years? Let alone 10.

    JM


  • Closed Accounts Posts: 393 ✭✭JaneyMackers


    KlodaX wrote:
    I can't wear contacts ... well I can but I've dry eyes so they just irrate ...I can only wear them every so often... and I've a tendancy to break glasses and keep touching my face when I wear them.. really annoying .. just never got used to glasses..... so I'm left with no other option. I really want to be able to see. People keep saying to me that their auntys or cousins have it done and its great.... but I don't know where they are getting it done? I'm looking for recommendations of someone who has had it done successfully. I'm pretty certain I'm getting it done... I just need to find a place. Likewise if anyone has had difficulties .. where and when did you have it done?

    where is the wellington clinic?


    Klodax if you have dry eyes you'll likely not be allowed get the surgery. I'd advise against it.


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  • Closed Accounts Posts: 5,215 ✭✭✭FX Meister


    It is rad dude, you should get it done, I did and it's the best money I've ever spent. So many people here think it's expensive but it's not. Do you really expect to get your vision corrected and it to be cheap? It cost me over €4000 and it was worth every penny, and it's only last December I got around to claiming my tax back on it, €800. I'm going to spend it on trendy glasses with plain glass lenses.


  • Closed Accounts Posts: 38 bagocans


    flapped being medical jargon for elevation of ur cornea, and a small flap made. this can then lift at any point and become unbonded.
    I would presume the eye like any other part of the body will heal, thats like saying scars from any operation/accident could burst open at anytime.


  • Closed Accounts Posts: 18 joedublinka


    bagocans wrote:
    I would presume the eye like any other part of the body will heal, thats like saying scars from any operation/accident could burst open at anytime.

    yes but, the eye is very unique in that nutrients diffuse thru it, it has very few/ no blood vessels in the cornea. no other part of the body lacks a blood supply so your analogy isnt correct although good thinking :D . from what he was saying the flap is never really 'stuck down' and is only lightly reattached by epithelium not by a connective tissue attachment hence the weak cornea issue as well as it coming 'undone in the future'

    this is why prk is the treatment of choice for mil/moderate myopia. avoid lasik like the plague imho.


  • Closed Accounts Posts: 38 bagocans


    Suppose so. Would your ability to heal have any bearing on this?, some people heal faster after operations than others for example!
    What about Zyoptix, still the same amount of cutting involved?


  • Registered Users, Registered Users 2 Posts: 92 ✭✭bang_bang_rosie


    ok from someone who actually knows what PRK is don't do it, PRK involves making radial sutures across the cornea, which works brill during the day, however in dim lighting and nighttime your pupils dilate and you tend to suffer from a lot of glare, esp when driving at night. The severity of this will vary from person to person, but the younger you are and if you are myopic (short-sighted) the more your pupils will dilate.

    LASIK so far has been pretty successful, the main side effects/consequences being; 1 your prescription may regress a bit towards your original presciption,
    2 you may suffer from dry eye after the surgery because your corneal surface has been disrupted, ie not as smooth.
    3 you will still have to wear glasses when you reach your 40's for reading, and maybe later on for distance.
    4 you may have to go back for a "top up". good clinics should not charge you for this if they didnt correct it fully at the time.
    there has been some instances of the 'flap' coming away but i've yet to know of anyone this has happened to.
    5 as said before, it hasn't been around long enough to determine long term consequences.
    most cases i have seen have been excellent. i am not trying to put you off.

    go for a good reputable clinic not for a price.

    wavefront laser surgery is one of the best.

    don't pay attention to the press.


  • Registered Users, Registered Users 2 Posts: 25 nospamjl


    Was very interested in the views of people who have had lasik surgery.

    My problem is that my eye sight suffers from astigmatism (-3.5 in left
    eye and -5.5 in right eye) which unforuntately causes me to wear glasses like the bottom of coke bottles(well not quite) and is aparently the least successful with surgery.

    I attened Blackrock and Wellington clinics for asessments - Blackrock advised against my prescription whereas the surgeon at wellington said they could do it but I was at the edge of what they could do.

    Anyone had lasik to fix astigmatism?


  • Closed Accounts Posts: 2,767 ✭✭✭Hugh Hefner


    I knew someone who had laser eye surgery and they seem pretty happy with the result.

    That is all.


  • Closed Accounts Posts: 1,135 ✭✭✭KlodaX


    For anyone who is curious... I've given up on Optiliase in Dublin. I've been waiting since Jan and they where supposed to call me last week with dates and never did. They are so unorganised they have actually put me off the procedure. I wasn't nervous before but now I am! I've heard of 2 people who got it done in the Mater hospital and didn't have to go back for corrections but 1 or 2 stories of people going back to Optiliase.. granted they didn't have to pay for the post surgery treatment ... I'd rather it go well the first time without messing. For peace of mind I'm gonna save the extra cash and get it done in the Mater. Time to head to specsavers!


  • Registered Users, Registered Users 2 Posts: 4,775 ✭✭✭JohnK


    Have you tried calling them since January? I rang them for the first time in January and had it done in June.


  • Posts: 18,160 ✭✭✭✭ [Deleted User]


    I would love to get it done but probably can't. I want to eventually become a train driver and in the UK you will immediately fail your aptitude test if they find you've had laser surgery. I don't know if that's the case over here but I won't take the chance.

    Apparently its to do with evidence that it can potentially make night vision worse. (like bang bang rosie said above)


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  • Closed Accounts Posts: 981 ✭✭✭tj-music.com


    FX Meister wrote:
    €3 for a muffin in Arnotts is expensive

    € 4,50 for a piece of cake is expensive and quite frankly unacceptable :mad:


  • Closed Accounts Posts: 620 ✭✭✭spanner


    It has been my dream to get the proceedure done. I have only pure hatred for glasses, I cant seem to keep the contacts in for more than 5 hours without them giving me trouble. Waiting for the SSIA to mature next year to do it. 4000 grand is a bit steep, I am sure I could scrap it together. Thank you to the other posters, its good to get some conise info from Irish people. because when you go to the website all you seem to get is how brillant everything they do is with no prices.
    I would not go abroad to get, it would be a bit messy for post op care


  • Registered Users, Registered Users 2 Posts: 4,775 ✭✭✭JohnK


    spanner wrote:
    It has been my dream to get the proceedure done. I have only pure hatred for glasses, I cant seem to keep the contacts in for more than 5 hours without them giving me trouble. Waiting for the SSIA to mature next year to do it. 4000 grand is a bit steep, I am sure I could scrap it together. Thank you to the other posters, its good to get some conise info from Irish people. because when you go to the website all you seem to get is how brillant everything they do is with no prices.
    I would not go abroad to get, it would be a bit messy for post op care
    Only €3,000 with Optilase and if you join Vivas you can claim back €1,000. Dont forget that you can also claim back the tax on the remaining amount.


  • Closed Accounts Posts: 579 ✭✭✭cupthehand


    JohnK wrote:
    Only €3,000 with Optilase and if you join Vivas you can claim back €1,000. Dont forget that you can also claim back the tax on the remaining amount.


    Is it not that you can claim back tax relief on the total ammount i.e. €3000 regardless of whatever deductions have been made.


  • Registered Users, Registered Users 2 Posts: 4,775 ✭✭✭JohnK


    Possibly but I can’t imagine you being able to claim tax back for money that you haven’t actually spent. I haven’t submitted my tax form yet so haven’t really looked at it.


  • Registered Users, Registered Users 2 Posts: 682 ✭✭✭kevinmcc


    I had LASIK done in both eyes last Thursday at Wellington Eye Clinic and I am very happy. When I had my check up the following morning I was told that I had better than 20:20 vision. Eyes felt a tiny bit gritty for a few hours after having it done but by the afternoon I had no discomfort. They give you solpadene and other eye drops for pain relief but I didnt need them.


  • Closed Accounts Posts: 1,135 ✭✭✭KlodaX


    JohnK wrote:
    Have you tried calling them since January? I rang them for the first time in January and had it done in June.


    How?? I kept calling them cause I knew if I didn't get it done before Sept with them I wouldn't be getting it done at all! I've been up to visit them over the 8 months 3 times. I'm still waiting on the call!!

    I might give the wellington clinic a try ... how much did that set you back Kevinmcc? and how long where you waiting?


  • Registered Users, Registered Users 2 Posts: 4,775 ✭✭✭JohnK


    Did you tell them that you had to have it done by September? I hadn’t heard from them for ages then sent an email telling them that as I was going to Australia in September for a year that I needed to get it done before the end of July or I’d be going elsewhere. 10 minutes after hitting send they rang me with a date and time.


  • Closed Accounts Posts: 142 ✭✭smallpaws


    My dad got it done, and he loves it, he says he can see around corners now.;)


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  • Registered Users, Registered Users 2 Posts: 682 ✭✭✭kevinmcc


    KlodaX wrote:
    How?? I kept calling them cause I knew if I didn't get it done before Sept with them I wouldn't be getting it done at all! I've been up to visit them over the 8 months 3 times. I'm still waiting on the call!!

    I might give the wellington clinic a try ... how much did that set you back Kevinmcc? and how long where you waiting?

    I was given an appointment for about 3/4 weeks later to have it done.. would have been sooner I think only with it being summer some of them were on holidays. Set me back €4,000 but worth it. It might be dearer than optilase but remember that the wellington offers a lifetime warranty and not 12 months like the others. They also have a 15% discount for VHI members. They were also the only place that would offer me LASIK. Everyone else wants you to be 21 and im 19.


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