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 LAser Eye Surgery Lasik Lasek, Stories? Recommendations?

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Really Confuse
post Nov 4 2016, 01:39 PM

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QUOTE(jialat @ Nov 4 2016, 12:31 PM)
Hi, relex smile can fail any eyes even those with low refractive error, u remember the doctor friend i mentioned, his eyes only less than -4.00 but still ended up one eye clear, one eye blur by 3 lines, cant operate on patient without glasses nowadays. he can see equally clear on both eyes before surgery and the lasik centre doctor came up with all sort of bullshit saying that eye is complicated case.

recently i saw a patient with post relex smile ectasia, now he has to wear hard lens to reduce ghosting and starburst and halo effect on light during night time.
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yes yes. I remember you mentioned about your doctor friend b4. haiz ....

Can we say that it is not the power issue which cause the blur vision it is the type of treatment ..?

when you mentioned about this [B]lasik centre doctor came up with all sort of bullshit saying that eye is complicated case.[B] I think I know who is the doctor commented this ...

I had same experience - I had many n vary version of explaination from their doctors also.



Huh , how serious is the patient ? due to stromal bed tissue lower than recommended level ? Care to share ? by pm?

I hope I will not end up with same fate ... pray hard..

This post has been edited by Really Confuse: Nov 4 2016, 01:43 PM
Really Confuse
post Nov 4 2016, 10:14 PM

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QUOTE(jialat @ Nov 4 2016, 05:27 PM)
he ended up with zero short sightedness but -0.75 astigmatism on one eye only after relex smile. according to my corneal specialist friend in another hospital, either the cornea did not recovered well or the surgery wasnt done well, or combi of both factors.

the patient with ectasia has enough residual corneal tissue but relex smile must have triggered the protrusion and changes on cornea.
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But if he put on the glasses , does he able to see clearly?
For my case even w glasses still not able to get my VA b4 surgery.sad
Your cornea specialist friend is it the one you introduced to me earlier? But he is really close w them. ...

May I know more about your post relex smile friend?ex when he was confirmed with post lasik ectasia ? What are the symptoms? How long after the surgery?

How does he knows he suffer from post lasik ectasia ?

Really Confuse
post Nov 7 2016, 09:40 AM

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[quote=jialat,Nov 5 2016, 12:26 AM]
The doctor vision improved with glasses or contact lens but night time suffering with halo and ghosting.

The cornea specialist is not related to any lasik centre anymore, he works in private hospital now.[QUOTE]

Patient with ectasia post relex smile gets to know it after vision keeps dropping and went back for regular check up then only discover its happening after few months, its definitely less than a year time. His vision on right eye ok but left eye cant be improved by glasses or soft contact lens. Only hard lens can help him now.
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[/quote]



Hi Jialat

Many post refractive surgery patient complaint about halo , starburst . Only post relex smile patient complaint about ghosting.I am one of it . for my case even put on glasses cant get back my vision b4 surgery and seeing ghosting during day time also.

Read thru the posting here by the post refractive surgery patient which complaint about vision problem are post relex smile patient. No enhancement yet can rectify this problem at this moment.. bangwall.gif


thumbsup.gif your cornea specialist work in private hospital now.


what is his power b4 surgery? how old is he? According to the doctor , post lasik ectasia happen is due to low stromal bed tissue ?Usually lasik centre will monitor patient's cornea shape. Do you have his contact ? I would like to understand more about his situation . by looking to his situation I really scared I will end like him
sweat.gif

"CHOOSE YOUR SURGEON WISELY"


Really Confuse
post Nov 7 2016, 04:01 PM

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QUOTE(jialat @ Nov 7 2016, 03:29 PM)
i cant give out another patient details, not right to do that. u should ask your lasik centre to take full responsibility on your poor vision and find the best way to improve your vision ASAP. if u drag it longer, they will blame your eyes are getting old.
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hi Jialat

no no.Of course u cant give out the details.no ethic to do that. just wonder he can share the experience here or exchange infor . that's all.

For my case , very complicated. diff doctor commented differently .But one thing for sure I know the surgery didn't go smooth so caused all the problem now.


I don't think they don't have anymore doctor who is wiling to tell me the truth , to help or knows how to fix my problem. bangwall.gif

This post has been edited by Really Confuse: Nov 7 2016, 04:08 PM
Really Confuse
post Nov 8 2016, 09:16 AM

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QUOTE(jialat @ Nov 7 2016, 04:29 PM)
next year there will be a very corneal specialist coming back from UK, perhaps u can get an extra opinion on what he can do to help.
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Hi Jialat

Really ? Joining the group also ? or will work in a private hospital?


From all the doctor' I met I think for post relex smile patient , if end up with unsatisfied result /problem. Hardly got solution for you..
No flap , how to do enhancement ?
Just like your doctor friend now , no solution for him. Usual bullshit comment will throw to patient but not telling you the truth condition of your eye.


If the doctor as mentioned by you coming back to Malaysia next year , I will consider to meet him/her to find my truth condition of my eye...

keep me posted.


thanks jialat.




This post has been edited by Really Confuse: Nov 8 2016, 09:35 AM
Really Confuse
post Nov 8 2016, 02:58 PM

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QUOTE(jialat @ Nov 8 2016, 12:05 PM)
hi, he will be back next year, in fact he left one of the popular lasik centre in msia and join hospital setting for some time now, he is too ethical to work in commercialized lasik centre, lol

will keep u posted once he is back.
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hi


lol. thumbsup.gif


Unlike other doctor , just want the money but NEVER CARE ABOUT PATIENT

thx Jialat

This post has been edited by Really Confuse: Nov 8 2016, 05:13 PM
Really Confuse
post Nov 8 2016, 08:50 PM

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My experience

Unlucky me .found out my dry eye test is only 3 after the surgery. Means optometrist lied to me says everything is OK during comprehensive eye test.

Now already more than 6 months after the surgery I still suffering serious dry eye problem.

Bear in mind , long term use of artificial eye drop is a cost to patient.

Sometimes it depends on individual also la....

Your power very high? That is y they offer you femto only?

If they told u not to worry , then u ask them back can he/she guarantee u will not suffer dry eye issue?

CHOOSE YOUR SURGEON WISELY

This post has been edited by Really Confuse: Nov 8 2016, 10:53 PM
Really Confuse
post Nov 9 2016, 11:02 AM

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QUOTE(poor_engineer @ Nov 9 2016, 09:26 AM)
-3.00 for both left and right. She recommended femto and relex smile but I a bit pulled back for relex smile after reading so many bad reviews. My plan is to visit another surgeon in Singapore to get more feedback whether is a right choice to perform the surgery.
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if my power is as low as yours , I will stick to spec. No risk no worry.. smile.gif just a bit inconvenient . so what....at least still have perfect eye / original eye

You are smart .good to ask for a second opinion if you really wan to be spec free.

Unlike me ,too stupid to believe everything they says b4 surgery . Now suffering .

Ask about the post op side effect also .ex: dry eye , halo , starburst , ghosting....quality of eye vision might not as good as wearing spec.. especially night driving problem , once cornea tissue remove it will not grow back



Good luck to you , keep us posted your status. thumbup.gif


CHOOSE YOUR SURGEON WISELY

This post has been edited by Really Confuse: Nov 9 2016, 04:15 PM
Really Confuse
post Nov 9 2016, 04:18 PM

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QUOTE(jialat @ Nov 9 2016, 12:54 AM)
Dry eye gets worse after lasik.

Dry eyes caused blur vision. Can be worse than before surgery spectacle vision.
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thumbsup.gif clear and true fact.

This post has been edited by Really Confuse: Nov 9 2016, 04:25 PM
Really Confuse
post Nov 11 2016, 12:49 PM

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Hi

All Refractive surgery -Post op Patient

Any of you experience this -eye power overcorrected after refractive surgery?

Mind to share ?

thank you
Really Confuse
post Nov 14 2016, 09:18 AM

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QUOTE(badai @ Nov 13 2016, 10:17 PM)
if the dry eye test is 3 seconds, still can do lasik? because i read it must be more than 10 secs.
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Refer below
QUOTE(jialat @ Nov 9 2016, 12:54 AM)
Dry eye gets worse after lasik.

Dry eyes caused blur vision. Can be worse than before surgery spectacle vision.
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Really Confuse
post Nov 14 2016, 01:28 PM

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QUOTE(badai @ Nov 14 2016, 01:02 PM)
So the optometrist lied to me when she said I can do lasik? Even in Optimax they didn't tell this?

I already paid my deposit. Today they are not working. Need to call them tomorrow.
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Badai

It is not too late for you to find out now. Since you know already b4 surgery , it is up to you to make the decision now.
Did they go thru the eye comprehensive report-every single item with you? Insists them to explain main key point and remember every single thing they says to you.

"Just to add my two cents , think carefully b4 decide."

I am a post up patient with poor result -My experience

The senior optometrist also lied to me that I am suitable for refractive surgery after eye comprehensive test . Didn't even inform me my dry eye test is below <10.

Already more than six month after the initial surgery , I am still suffering a serious dry eye.

If you read thru all my post here, you will realise that you need to do research and homework.


"CHOOSE YOUR SURGEON WISELY"

This post has been edited by Really Confuse: Nov 14 2016, 02:04 PM
Really Confuse
post Nov 14 2016, 05:43 PM

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QUOTE(badai @ Nov 14 2016, 03:48 PM)
ya la, in the form clearly stated > 10, and my result only 3. I wonder why she didn't tell me that. it was like "70% not qualified".
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Hi badai

U mean u get your eye test report right after the eye examination ? DId the optometrist go thru with you or the doctor ? I mean the report

enough cornea tissue ? ask question if you have doubt , if not after surgery some surgeon never bother to answer you.

u get what I mean ?


Really Confuse
post Nov 15 2016, 03:29 AM

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QUOTE(badai @ Nov 14 2016, 05:57 PM)
i did not get the report immediately. she just said i am qualified to do it without showing me any report to go through one by one. she just explain the lasik procedure (3 of it) and since i already told her i want to do femto lasik, she skipped the other 2, then proceed to make appointment.

after that i pay deposit and only after that i got the report in envelope which i didn't bother to read until i'm at home. at first i think 3 secs is "not dry" but then i noticed all other values exceed the printed value on right, and 3 secs is less than 10 secs. only then i realised and that is when i asked in this thread if 3 secs can still proceed.

i just think big company like optimax shouldn't cincai2 do thing like this. they should go through the report one by one and when i come to test which is below the required value, they should show and explain. at least tell lah "your value is 3, but some smart ass pandai2 put the required value as 10 in the form, but don't worry, as long it's not zero, you can just pay us to do your lasik". but no, she just skipped it.

ha... anybody from optimax read this? better give good answer before this get viral. i can still edit/delete this post if got good explanation.
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U did your eye test at TTDI or other branch?

Well ,I ask same question after surgery when doctor told my eyes are super dry , optometrist answer is bc my cornea surface is smooth enough to go for surgery. U have dry eye now apply more drops lo....it is temporary only....

I also did the same mistake. Terrible optometrist - she told me everything is good to go for refractive surgery. Push me to pay the deposit . Never go thru the report with me n not even provide a copy of the eye test report until I request for it after surgery .


I also thought this lasik centre is reputable so bodoh bodoh trust them.

What happen to the trust???

The surgeon is worst , no doctor ethic ,poor skill n lousy post op service.

All above are my experience with this lasik centre. All true
Nothing but the true

It is good for you to find out now b4 surgery. Lucky u.

If u seach online , u will find out many post op patients complaint about dry eye but never get a good response.

Did she mentioned to U, u have enough cornea tissue to go for femto? Explain about the side effect of reflactive surgery. Femto will cause your eye more dry than b4 surgery. Comments from a honest doctor.

Decision is on u. If u really want to be spec free then u have to accept the dry eye issue. U might need to apply every hr or 2 hrs.it is inconvenient n incurred cost also.

1 more important point-just my personal advice , remember to ask will you still have recommended/minimum cornea tissue level after the surgery.


I hope u will make a wise choice.

This post has been edited by Really Confuse: Nov 15 2016, 08:54 AM
Really Confuse
post Nov 15 2016, 11:00 AM

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QUOTE(poor_engineer @ Nov 15 2016, 09:22 AM)
Just share my assessment experience with Optimax. I feel that we need to do enough research so that we know what to question during the checkup process. The optometrist did feedback my conditions honestly and highlighted my dry eye is "slightly worse" (i don't know if 4/5s vs 10s still considered slightly or not...). For me they tend to be optimistic with our results. I'm not a risk taker so I would consistently ask if every single test result has enough margin before hitting the healthy point. Take cornea tissue for example, they will recommend the surgery as long as you pass the thickness but how much left after the surgery is my concern too.

They quoted me around RM8000 for both eyes femto lasik after referral discount by JIALAT's letter. This is cheaper than doing in Singapore but not significant cheaper though. Singapore price is around $3.5-4.5k dollar for similar method. Still the most important thing is to understand the risk and I believe in gathering advice from more doctors will help me to gain confidence for the surgery.
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Hi

thumbsup.gif


poor engineer

During your process looking for a good surgeon , if you ever meet a good Ophthalmologists . kindly update me ya.



Really Confuse
post Nov 15 2016, 11:58 AM

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QUOTE(badai @ Nov 15 2016, 11:17 AM)
did at TTDI. when I got the discount letter at USJ optometrist, they specifically told me to go to TTDI, beside jialat also recommend a doctor there.

where did u do yours?

as for the cornea tissue, here's my result:
thickness R: 571,583 L:564,576 required: 499
shape got 2 values L: 42.75@161 & 43.00@71 R: 42.75@163 & 43.50@73 required 48

don't really know about the shape part.

so is my cornea thick enough?
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hi

u smart did it at TTDI.

cornea tissue and the shape , insists them to explain .if can consult a doctor in TTDI

My understanding -
Cornea tissue - even you pass the eye test, doesn't mean you are suitable candidate.
they have to calculate how many micron u need for the treatment base on your prescription. -100 = 1 dioptre = ? micron
balance of cornea tissue (bed + flap/cap) must have minimum / recommended level

cornea shape - my reading is higher than yours .but result not good. all depends on the treatment requirement.

If you don't have the minimum cornea tissue level , you will expose to risk of developing post op ectasia.

You may refer to post by "poor engineer" - his point of view is very solid thumbsup.gif







Really Confuse
post Nov 15 2016, 03:10 PM

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QUOTE(badai @ Nov 15 2016, 02:32 PM)
meaning?
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hi badai

1)yes you have the minimum cornea tissue (eye test) but you need to know how many micron need to remove from your eye.it is depend on your eye power. This one you need to find out from them. From the calculation then only you will know balance of cornea tissue still above minimum.

2) cornea shape - same . you need to find out from them. If you eye power very high , it will flatten your cornea very much.




Really Confuse
post Nov 15 2016, 04:16 PM

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QUOTE(badai @ Nov 15 2016, 04:11 PM)
how much cornea do i need left. i'm already 40s and my power has been stable for years. at first thinking of making new glasses (with the same power) then i come upon this thread and thinking why waste money on glasses when power already stable. why not waste more money on lasek? hahaha

anyway, managed to call optimax and the optometrist is very confident that I wouldn't have any issue because even my eyes are dry, my cornea is thick enough to adapt to the dryness.

haih... can't really figure out if it's true.
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Hi badai

do you mind to disclose your eye power?

recommended level for stromal bed is 250micron plus flap 120 micron .


High power not very suitable for lasik. you going for full correction or monovision?

This post has been edited by Really Confuse: Nov 15 2016, 04:26 PM
Really Confuse
post Nov 15 2016, 04:25 PM

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QUOTE(badai @ Nov 15 2016, 04:17 PM)
after few months my vision will be good?

the optometrist told me at most 2 months only I have to depend on eye drop
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hi badai

I am a post op lasik patient , visit a eye specialist doctor(also a experience refractive surgeon)-after 6 mths . this is the comment from this doctor " lasik cause dry eye.

If your eye already so dry , it will make the situation more worse.

it is up to you to decide.

if you are worry y not get a consultation from other doctor for 2nd opinion.


Really Confuse
post Nov 15 2016, 04:33 PM

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QUOTE(ozak @ Nov 15 2016, 04:31 PM)
For your information, annually eye checkup cost will be go up next yrs for optimax.

From RM65 to RM100+
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wow , increase so much shocking.gif


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