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 LAser Eye Surgery Lasik Lasek, Stories? Recommendations?

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Really Confuse
post Jan 18 2018, 11:42 AM

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QUOTE(kotakdadu @ Jan 12 2018, 10:23 AM)
Saya sudah balik daripada pemeriksaan di Optimax sebentar tadi, vision saya masih 6/6 di kornea kanan dan kiri pada pemeriksaan hari ini dan ketidak selesaan di mata belah kanan tiada lagi sejak malam semalam, tetapi lagi 2 minggu saya dikehendaki datang kembali untuk pemeriksaan seterusnya bagi memastikan adakah selama 2 minggu ini vision saya akan menurun dan ketidakselesaan di kornea belah kanan akan datang kembali. Kenyataan daripada Dr. Lam ialah refloat flap akan dibuat untuk smoothen the wrinkle akan dibuat segera sekiranya vision saya kabur dan penglihatan saya semakin menurun, sekiranya masih 6/6 dan jelas melihat maka mereka akan monitor perkembangan fine wrinkle tersebut dari semasa ke semasa.

Lagi 2 minggu saya dikehendaki datang kembali untuk pemeriksaan seterusnya saya akan terus minta gambar kornea belah kanan saya on the spot sebagai bukti bahawa fine wrinkle tersebut tidak akan memberi kesan pada masa akan datang untuk jangka masa panjang memandangkan saya baru buka reply daripada saudara/saudari selepas saya pulang daripada pemeriksaan pada hari ini

Terima kasih saudara/saudari kerana mencadangkan bahawa perlu untuk minta bukti gambar jika berlaku sesuatu masalah pada kornea selepas lasik dan ucapan diberi semoga saya cepat sembuh, saya akan updated disini selepas pemeriksaan lagi 2 minggu berkenaan fine wrinkle tersebut sama ada ia menganggu vision dan memberi ketidakselesaan lagi atau tidak di kornea belah kanan
*
hi

YES. request the doctor to show you n explain then ask for a copy.



Really Confuse
post Jan 22 2018, 11:23 AM

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QUOTE(gogo2 @ Jan 21 2018, 08:54 PM)
You see, nobody has the same problems as you. You are not helping. You only make people scared.
*
As a patient , definitely we have right to know truth condition of our eye after the surgery and doctor has responsibility to show to patient with proof.

QUOTE(miyoko28 @ May 18 2017, 07:42 PM)
Hi ReallyConfused,

my appointment is around the corner. will let you know once I have it.
Unfortunately, so far, no improvement after enhancement. Vision is the same.
I will definitely seek clarification from doctor.

To anyone reading this,

Everyone is entitled a freedom of speech in this forum and its up to the reader's discretion.
What's worst is everyone remains anonymous in the forum. (You may say I'm also a crusader from the competitor's company or what they say a "broker". It's up to you to decide)

Dear gogo2,

I have to write this because I'm personally very hurt of what you said to ReallyConfused.  You have near perfect vision and you don't go thru the emotional impacts of failed lasik/lasek/smile patients. I don't seek for pity or sympathy. But it hurts when there's response like, "Oh you still can see with another eye,what!" or "At lease you're not blind, ma". On bad days, you think to yourself, why did I sign up for this?" or "why me?" or "Why did I pay a large sum of money for somebody to screw up my eyes?". I was led by the "rainbows&sunshine" that the commercialized Lasik industry portrayed. I did read some other forums on lasik compilations before op, I didn't believe and thought they were crusaders too, camping to hunt new applicants.

ReallyConfuse is right, choose your surgeon wisely and do tonnes of research. We are not stopping anyone.
Just our experiences. Still up to them to judge for themselves.
*
QUOTE(gogo2 @ May 19 2017, 07:14 PM)
The only way they will responsible is to sue them. Two person is great number to sue.

I think Optimax should be responsible. There must be a mistake somewhere. Could be the machine or the person who measure the thickness. Is the thickness measured by Dr Yen or other people?
*
Really Confuse
post Jan 23 2018, 04:49 PM

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QUOTE(jhkhaw @ Jul 25 2017, 09:08 AM)
Really Confuse
post Jan 23 2018, 04:52 PM

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QUOTE(gogo2 @ Jan 22 2018, 05:06 PM)
Yes, everybody has the right to know but you keep on stressing the doctor do you wrong. Yada yada yada. This scaring people.
*
it is not wrong to tell the truth from experience.

u have choice not to read it.

when a person want to make money by introducing more ppl to lasik surgery which they are not a qualified person/professional to explain the process of this type of surgery. that is wrong.

This post has been edited by Really Confuse: Jan 23 2018, 04:57 PM
Really Confuse
post Feb 5 2018, 11:25 AM

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QUOTE(gogo2 @ Jan 23 2018, 08:11 PM)
I got very good result from Lasek 10 years ago. I am sure now they learnĀ  more and improve a lot . Every surgery has risk. For Lasik/Lasek, the risk is minimal to almost non existent.
*
Even a opthamologist dare not say "risk is minimal to almost non existent" to a lasik candidate. who are we to make such statement??????

This post has been edited by Really Confuse: Feb 5 2018, 11:31 AM
Really Confuse
post Feb 5 2018, 11:27 AM

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QUOTE(MakNok @ Feb 2 2018, 04:41 PM)
it your eye and you bloody idiot to trust those doctor.
get before and after surgery so that you will know what really happen.

Really Confuse mean well here...he is helping what is after effect on his eyes.
it all boiled down to incompetent doctor who only think $$$$$

wait one day, you kena like him and you will even CONFUSE like him
cool2.gif
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Well said.salute
Really Confuse
post Feb 5 2018, 11:39 AM

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QUOTE(Miyukiyuki @ Feb 2 2018, 04:32 PM)
Omg, seriously? I thought it is the most advance technology now with minimal side effects..
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QUOTE(jialat @ Feb 2 2018, 12:35 PM)
relex smile has the highest failure rate now among all refractive surgeries available but marketing and those so called consultant always sell it to public that its the best, its actually very good profit for those lasik centre.
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Hi Miyukiyuki
True to say that miyoko28 and I underwent relex smile treatment and operated by same surgeon Yen siew siang . both of us end up with impaired vision. miyoko28 done with enhancement (cut and created with flap for 2nd surgery -enhancement) but yet vision show no improvement.

years from the initial surgery yet no solution to rectify this distorted vision.



THINK WISELY

CHOOSE THE SURGEON WISELY.

This post has been edited by Really Confuse: Feb 5 2018, 11:42 AM
Really Confuse
post Feb 21 2018, 03:31 PM

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QUOTE(jialat @ Feb 20 2018, 04:13 PM)
yes, unlikely can remove all the power with lasik.

once original lens removed and replace with lens, then you cant see near well.
*
hI Jialat

Just wanna to understand about this lens replacement surgery.


laliloo is only 32 now , if he go for lens change surgerynow . later in life if he develop presbyopia does he needs to go for surgery again to replace the lens?


in my opinion if lens is healthy why want to replace it ?




This post has been edited by Really Confuse: Feb 21 2018, 03:40 PM
Really Confuse
post Feb 21 2018, 03:36 PM

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QUOTE(Miyukiyuki @ Feb 5 2018, 04:58 PM)
Hi Really Confuse,

I honestly feel so sad on what have happened to you and miyoko28. Hopefully, you and miyoko28's vision will gets better. You are right, think wisely and choose the surgeon wisely. Thank you so much for the sharing and really appreciated that! I am disagreed to whoever say that those sharing will only scared ppl off. Well, it at least makes us think twice and raise our awareness on the consequences of the treatment. Anyhow I will still go for the eye examination first and decide again...

Thanks for the kind advice too Jialat!
*
Hi miyukiyuki

Once this lasik surgery is perform , it cant reverse. So , think wisely.

KARMA has no menu, this unethical surgeon will get served what she deserve.
Really Confuse
post Feb 26 2018, 03:33 PM

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QUOTE(laliloo @ Feb 23 2018, 06:23 PM)
Why is this so?

She was saying something about multifocal lens, and i asked what are the side effects and she just said need to put the eye drop for the first few months to avoid infection....
*
Hi

As far as I know multifocal lens is for those who has myopia& astig and presbyopia at the same time and developed cataract. Meaning clouding lens and it usually happen to older ppl .

you are only 32 and having healthy lens , is it wise it to change lens now? in future if your presbyopia increase , do you need to change lens again ?

May I know much is the multifocal lens per pair now ?

what are the things do & don't b4 and after this cataract surgery procedure?


thank you for the infor.

This post has been edited by Really Confuse: Feb 27 2018, 09:37 AM
Really Confuse
post Mar 2 2018, 11:54 AM

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QUOTE(Miyukiyuki @ Feb 27 2018, 04:08 PM)
I heard one of the side effect would be developing cataract much earlier than normal person, is it true?
*
Hi Miyukiyuki


I am a post lasik patient .

Optimax klang conducted a pre op comprehensive eye examination , informed me that my lens is CLEAR but provide no examination report prior to that.

right after lasik surgery , my eye cant see well. 2 months from initial surgery went checked by their corneal specialist then informed that my lens is yellowish.


back to your question ,I don't think the doctors will answer that question.

QUOTE(jialat @ Feb 27 2018, 04:20 PM)
thats even much worse if she asked u to do lens replacement when you are only so young. very unethical doctor trying to make money out of u.

think more than twice before taking out your young healthy lens, soon u will face lots of post op complications free of charge, but its ok if u have deep pocket to see doctors.
not proven medically that post lasik has higher risk of cataract, but its true if u dont use sunglasses after lasik.
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Hi Jialat

for my case

Pre op comprehensive eye examination , optometrist n surgeon report said lens is clear.
2months after surgery , their corneal specialist reported my lens is yellowish.

can laser cause the lens become yellowish ??? or lens is already yellowish b4 the surgery?

thanks

This post has been edited by Really Confuse: Mar 2 2018, 11:54 AM
Really Confuse
post Apr 9 2018, 09:48 AM

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QUOTE(jonnyha @ Apr 8 2018, 04:27 PM)
Spent a whole night on this thread. Thanks for all who shared experiences, esp. jialat, whom has been really active in providing his professional views on the thread. Would like to see if jialat (or anyone else) has any input for my case.

Context:
* Goal for going for correction surgery... is so that I don't need to dependent on contact lenses or glasses. Not that I mind, I have been wearing contact lenses for the past 17 years (On glasses past week for the eye checkup), so really want to have it done in case I age and can't wear contacts anymore or whatnot (I'm 35yo).
* Been thinking about LASIK for about 5 years, but price never went down, and it went up instead.Ā  sweat.gif
* I am thinking about this now because I am in between jobs, so it won't affect me as much and have time (if need time to recover).

Examination:
* Anyhow, did my eye test in Optimax TTDI yesterday RM100 (discounted price with certain banks). I have attached my results in this post (for those who knows how to read it). TLDR version: both eyes 600+ myopic; 300+ astig.

» Click to show Spoiler - click again to hide... «


* Have booked for the surgery for next weekend (since I have been wearing glasses for a week, and need to be on it for another week if I want to do the surgery).
* I did not put any deposit as I am still kindda on the fence.
* Quoted price: ReLEx-Smile: RM6,588; Femto-LASIK & ASA: RM4,588

Post examination:
Examiner spoke to the doctor (unsure which), and they:
* Do not recommend ReLEx-Smile, and instead informed be that I should be choosing between
* ASA; or
* Femto-LASIK.

Options:
* ASA seems more "bio-conservative", and could have possibility of a followup surgery (fingers crossed that I never need one).
* Femto-LASIK will have faster recovery, but unlikely able to have any type of followup due to my thin corneas.

Questions:
1) Seems like both option will cause dry eyes -- Which I don't mind it, but don't want to get off dependency of glasses to just be dependent on eye-drops for the rest of my life. Which is better for dry eyes? I don't mind a couple of weeks recovery time, so leaning towards ASA at the moment.
2) Is it true that post-ASA, I can opt for Femto-LASIK as a followup (IF I do need it), and not the other way around? (provided my cornea thickness allows it?)
3) Recommendation of doctors in Optimax TTDI? Dr CHUAH, or Dr STEPHEN?

Of course, I will be continuing to do my own research, and decisions, but would like some thoughts from experienced users here (-:
*
hi

1)Your are already 35 , in few years time you will need reading glasses.

2)Bear in mind , femto & relex smile procedure will burn your cornea tissue . once burned it is gone it will not re-grow. Always ask if sign up for this procedure , what will be your residue cornea tissue. recommended is at least 250 exclude cap(smile) , femto (flap)
By looking at your eye exam , you do not have enough tissue to correct your high power with femto & smile. I know bc my power and pre op corneal tissue are almost same as yours. after surgery, corneal tissue of 1 of my eye go below recommended level.
And smile has higher complication case. if your post op corneal residue tissue go below 250um , your eyes is expose to post lasik ectasia.

3) Your power is rather high. According to post op medical report which provided by optimax corneal specialist . common occurring for high power patient --corneal scaring. What is the use to furnish this infor after surgery???? you get what I mean?

4)Based on the eye exam , your have a serious dry eyes. my test also didn't meet the requirement , but the surgeon n optometrist just mentioned dry eyes issue will disappear between 6 months during pre op consultation .Now already 2 years from initial surgery, I still having this dry eyes problem . I got to spend RM100+ permonth just for eye drops. you judge by yourself how thru is this statement ?

5) how come , your eye exam didn't mentioned your lens is clear ? your may ask for information. This information is important bc the corneal specialist said higher power patient like us might get cataract much earlier compare to others.if lens is already turn yellowish , no point go for lasik surgery now. I am concern bc my case is whereby pre op eye exam said both of my lens is clear so can proceed for lasik. After surgery , my eye with smile procedure can't see well . Struggle for months , pushing optimax for answer then only they told me my lens(both lens) are confirmed yellowish. See , how unethical .

6) ASA - no experience . but Dr.Stephen told me face to face. this procedure is a painfull/uncomfortable procedure. you have to take off for at least a week.

7) of course , surgeon skill is more important too. Dr.Chuah is more willing to tell you about your eye condition (for my case) but very cocky and bad temper. Only he talk , you will never has chance to talk unless he is in good mood.
Dr.Stephen , he might be good in doing lasik surgery but lousy in diagnosis. if you end up with issue , he will take you round the whole garden but the firm answer to your eye condition.

8) 1 last thing , this statement is from corneal specialist " lost of quality of vision is common for a high power lasik patient". it all depends on what you expert from this lasik surgery.


All above are my personal experience.A horrible experience with this optimax doctors and management.Eyes screw up and struggle with this post op vision.

Think wisely , judge by yourself.

This post has been edited by Really Confuse: Apr 9 2018, 09:58 AM
Really Confuse
post Apr 9 2018, 10:08 AM

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QUOTE(jialat @ Apr 8 2018, 10:15 PM)
Please do the berlin advance ectasia test to make sure no post surgery complications. Double check that your cornea are not keratoconic because your astigmatism seems to increase and cornea not very thick. Best to consult Dr Ainur Rahman, the corneal specialist in ara damansara medical centre for that test and seek his opinion on suitability for refractive surgery. You can call ‭0 3 7839 9303‬ to make an appointment.
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[quote=jonnyha,Apr 8 2018, 04:27 PM]

Hi jonnyha

if you really want to go for the surgery . maybe you can take jialat advise. no harm to get a second opinion from a professional doctor.

Once lasik is done , there is no reverse.


Really Confuse
post Apr 9 2018, 03:18 PM

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[quote=jonnyha,Apr 9 2018, 12:04 PM]


1) The age is a concern, I just don't want to have both myoptic as well as need for reading glasses later. Double the trouble.
3) Not sure if I understand, that attachment is my eye examination result. Yes, power is rather high.
4) The mentioned 'dry eyes', but didn't say it was serious. My concern is not so much on the money spent on the eyedrops, but like I mentioned, I don't want to move one dependency (glasses/contacts), to another (eyedrops). 2 years from initial surgery is a long time, will the dry eyes be permenent?
7) I believe I might not even have time to speak to the doctors. I asked about it yesterday, stating that if I go in earlier next Saturday, could I speak to the doctor. They responded stating that I might just need to speak to an optometrist/consultant, and doctor may not have time. That's quite disappointing.
8) Lost of quality vision is common -- but for a high myoptic person, there is already no quality vision, correct? I guess this is why most people would think about doing this in the first place.



1) they not able to tell whether your power can fully corrected.
2) Not many really understand the result of the eye exam. sad.gif
4) Your dry eye test didn't meet the minimum requirement . Ask them to explain the meaning of test result 4/5? your tears dry out in how many second? their doctors NOT ABLE to tell you how long i hv to depend on eye drops. it is very unconvenient.once eye get dry vision also get blur.
7) you are going for eye surgery , my advice talk to a doctor before decide. optometrist are not really professional to tell you about your eye condition as a whole. it is your right to request to speak a doctor.
8)"Lost of quality vision is common -- but for a high myoptic person, there is already no quality vision, correct? I guess this is why most people would think about doing this in the first place." what I meant is after surgery , you will lost your vision clarity due to higher aberration. by that time contact len or glasses not able to help you .
Really Confuse
post Apr 12 2018, 10:05 AM

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QUOTE(jonnyha @ Apr 11 2018, 11:11 AM)
Is this normal practice for Optimax?
I've also requested my test results (the one with the bow tie shape thingy); and they say that it's confidential and I can't have it.

I don't understand, it's *my* result, so it can't be confidential to myself? I repeated my request and said I technically paid for it, and they say the price paid does not include this...
That really got on my nerves...

Anyways, let's see how the second opinion goes this Friday. Thanks again jialat.
Edit: Fixed some typo.
*
hi

You ask them what does he/she mean confidential???? that is medical exam on your eyes , you have right to have a copy.

All medical centre provide a copy of all test carry out by them. why optimax cant provide unless they have hidden agenda.

it is a package , of course fees paid is for exam + report.



Yes. get a second opinion. Don't rush for eye surgery.


Really Confuse
post Apr 12 2018, 10:15 AM

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QUOTE(jialat @ Apr 11 2018, 11:18 AM)
I think they are hiding something from you.

They do that all the time, cheap exam dont come good, they wont give you alot of information and they wont let you see the doctor till you paid and confirmed the surgery.
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Hi Jialat

Yes. you are totally rite on this. They also will pass the "letter of consent" just b4 the surgery then patient don't have enough time to think/consider carefully.


I will say it is nothing to do with cheap or expensive fees. it is professional ethical.

Are they earning commission based? I mean the optimax optometrist

Wonder when KARMA will knock their door???? mega_shok.gif
Really Confuse
post Apr 13 2018, 05:36 PM

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QUOTE(jonnyha @ Apr 13 2018, 12:16 PM)
Spoke to someone else to delay my surgery (I'm at Ara Damansara now with jialat's recommendation), and asked about the result again. They said for a copy of the test results (the one with the bowtie thingy, I assume it's the berlin advance ectasia test), I'd need to pay RM80 for it, and is not included in what I paid the first time.

Anyways, said that I'm getting second opinion, and left it there. 10 mins later, I got a call back they said can arrange with Dr Stephen to speak to me if I want. This wasn't possible before when I asked.

I don't know, I guess little things like this really affect the experience and perception of a specific clinic.

I'm here waiting for Dr Ainu's consultation now, and based on my personal observation so far, I can say that Optimax's equipment feels more advance, and less manual (likely because they have the volume or patients), and the price here in Sime Darby Ara Damansara Medical Centre isn't as cheap. But you're right, it's not the cost -- but about the professionalism and ethical behaviour.

I'll update again after I have been consulted, if anyone is interested.
*
hi


I am not surprise to see this happen . I mean comment from optimax.

Bc I also ask for report & data when my eyes cant see/function right after initial operation and surgeon refuse / unable to tell me what's wrong with my eyes. Spoke to optometrist she refuse to provide any information unless I paid RM80. So I spoke to the operation manager then only they release the data. But I took the data n refer to 3rd party doctor , u know what I found out . the data is incorrect. Until know they refuse to provide the requested data but just sent an email to inform me that they no longer has the complete diagnosis data of my eyes.
worst thing , surgeon knows that there are debris left in my eyes n corneal is swollen but she just ignore it . Luckly another doctor help to do wash out n remove the debris from my eye-interface.
Seriously I do not hope to see another victim.

Yes. update us your status. hope you are good.

This post has been edited by Really Confuse: Apr 13 2018, 05:38 PM
Really Confuse
post Apr 16 2018, 10:50 AM

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QUOTE(jonnyha @ Apr 13 2018, 05:46 PM)
Thanks Really Confuse, I am feeling better that I am better informed and can make a decision.

Update:
Total about 3.5 hours at Ara Damansara Medical Centre. Most of it are waiting time.
Optometrist: Dr/Ms. Yeo
Ophthalmologist: Dr Ainur

These are the outcome of my consultation.
1) Dry eyes, can try to improve first (with natural tear drops) - regardless if doing any type of surgery or procedures or not
2) Post-op, Customized Femto-LASIK may reduce halo & ghost vision -- but:
3) Cornea thickness could be a warning sign for keratoconic and risk for ectasia, better to monitor and see the progression (Recommended to go back checkup in 6 months), before making decision.
4) Due to high astig, it may be better to opt for ICL (Implantable Collamer Lens) -- if really want eye surgery done.
5) If I do not possess strong urgency for correctional surgery; and due to age, perhaps it may be better to wait for a few years to person a Cataracts surgery (IOL Implants (Intraocular Lens)) -- which could fix both myopia & hyperopia

I liked it because I have all the options, risks laid down, and decision up to me.
Again, it seems like Optimax may have better equipment when doing checkups, but it seems like they are pushing everyone to do the surgery as soon as possible (like factory workers); whereas Dr Ainur explains it really well, highlights all the risks and my options.

Thanks jialat for the recommendation.
I will forfeit 10% of my deposit with Optimax, and go for another checkup in 6 months (and possibly another one in 12 months), before making a hasty decision.
*
Hi
Good to know that you are well informed about your eyes status.
Really Confuse
post Apr 16 2018, 10:52 AM

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QUOTE(shinchan326 @ Apr 15 2018, 10:16 PM)
Hi..this is my third days after the lasik surgery..

However i saw glare on lights...something like light circle surrounding the street lights..

Is it normal?
*
Hi

Usually post lasik patient will see halo , glare n starburst.

But you will be seeing it for how long or serious it depends on individual.
Really Confuse
post Apr 17 2018, 09:13 AM

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QUOTE(shinchan326 @ Apr 16 2018, 11:48 AM)
Will be getting better?
Need how long?
*
I suggest you check with your surgeon when you go back for check up.

Bc I am still seeing halo,glare , starburst even though 2years+ already from initial surgery. Optimax doctor not able to tell me it need how long to recover.

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