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 LAser Eye Surgery Lasik Lasek, Stories? Recommendations?

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k3llying
post Jan 18 2019, 03:59 PM

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QUOTE(jialat @ Nov 29 2018, 02:10 PM)
Its using blade, old method. Thats why it’s cheap. You can call the clinic to confirm.
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Hi Jialat

I just did my eye check with Optimax and according to them I can opt for both relax smile and femto. I am planning to get it done in February as my night vision is getting bad due to my astig *fingers crossed* it will get corrected after the lasek. After reading your comments, I should think femto is safer. However I am contemplating whether which surgeon should I go for, Dr Stephan or Dr Chuah ? Could you please advice.

Also, read the older posts by you on the discount letter to get RM1k off per eye. Is it still effective now for the discount ?
nevland
post Jan 18 2019, 04:04 PM

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QUOTE(ashthephoenix @ Jan 17 2019, 11:41 PM)
If you are planning for prk, you can consider for trans prk as well, it's a newer and better technology, you would have a safer, lesser discomfort, lesser risk of complications and faster recovery as compare to prk, trans prk is known as "touchless", meaning that nothing touches your eyeballs throughout the surgery, prk use device to mark and remove the epithelium manually using a scalpel like thingy, but trans prk use laser to remove the epithelium before laser on the cornea to correct vision. So far, in Malaysia, trans prk surgery is only available at Advance Vision Eye Specialist Centre if I wasn't mistaken, and they are currently using the most high tech device, Schwind Amaris 1050RS for the trans prk surgery since April/May 2017. In Singapore, this procedure is already widely available using the same device. Cost wise if your power is low, you can opt for standard RM2988, if your power is high, you would have to go for customised RM5588 for both eyes.

PRK surgery
https://youtu.be/BJz_G8mLSB4

Trans PRK surgery
https://youtu.be/HSHVf5B7QJ0

From the video, you can clearly see the difference between the procedure of both of these surgery (the way they remove the epithelium) . And if you read further, you can understand more on why trans prk clearly outweigh prk as a better option for the eye surgery.

Con is just that the centre is always full of patients, you would have to wait very long for your turn, if you wouldn't mind about that.

*Just my personal opinion based on my personal understanding
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i did trans PRK at Advance Vision last Dec. Some discomfort felt initially and also sometimes after few weeks of surgery. now on my 6th week, everything seems good
nevland
post Jan 18 2019, 04:06 PM

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QUOTE(sandwraith92 @ Dec 17 2018, 01:28 PM)
I went to Advance Vision Damansara today, thinking bout doing refractive surgery. Im 26 and my power is approx -2.75 on both eye. Corneal thickness is approx 580 on both eye. Been using contacts and glasses before this. Hoping to be free of visual aid.

Went to advance vision last year for their part 1 eye checkup but didnt proceed with surgery as was going oversea for study.  Fast forward 12 month after, went to do another part 1 checkup, which didnt show much changes in parameters. I also did the part 2 exam with Dr Yeoh Phee Liang. He did 2-4 min eye check which i believe is a slit lamp and then check using a magnifying glass and directly looking at my eye as he instructed me to look at directions. After that he says im a good candidate for the surgery.

The only new thing in advance vision is that they no longer do LASIK surgery as they previously did when i came here last year and currently only offers TransPRK surgery using Scwind Amaris 1050S. Both eye for rm2988. Check few blog website shows that this machine is the most advance for transprk (as for 2017 entry in blog). I understand transprk takes longer time to heal but i dont really mind that coz no commitment at the moment.
Ive check background for Dr. Yeoh. Graduated dublin 1994, specialist FRCSE dublin 2001 (no speciality mentioned in NSR recorda). Seems like a nice guy. Does seem a bit rush doing exam with minimal explanation to patients unless asked.

Im sorta keen on doing it. But still on fence. Theres a few blogs saying their positive experience which mostly was for LASIK in this centre. I havent found anyone complaining about the centre nor Dr.Yeoh yet and this thread have minimal discussion for this centre. Does anyone got any suggestion/view?

Eye check result for reference both 2017 and 2018
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i did mine on last Dec. so far, ok..
jialat
post Jan 19 2019, 11:49 AM

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QUOTE(k3llying @ Jan 18 2019, 03:59 PM)
Hi Jialat

I just did my eye check with Optimax and according to them I can opt for both relax smile and femto. I am planning to get it done in February as my night vision is getting bad due to my astig *fingers crossed* it will get corrected after the lasek. After reading your comments, I should think femto is safer. However I am contemplating whether which surgeon should I go for, Dr Stephan or Dr Chuah ? Could you please advice.

Also, read the older posts by you on the discount letter to get RM1k off per eye. Is it still effective now for the discount ?
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hi, i no longer recommending optimax after seeing many negative feedback from members here and from my previous referral. Always seek second opinion because surgery is irreversible. thanks
Insane
post Jan 22 2019, 05:51 PM

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QUOTE(RedPotato @ Dec 16 2018, 11:52 AM)
I did my femto-lasik recently, thanks jialat smile.gif
So far so good, my left eye was around - 8.0 and my right was around - 11.0.
Now my both of them are about 0 with some left over astigmatism( I had high astig previously around 3-3.5 iirc for both eyes).
Overall, I'm satisfied with the outcome. The only complication I have faced so far is dry eyes which is common. I would recommend you to do a full eye examination before you make a decision. I was told that if you possess a high power, your eye power "could" change after lasik
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Hi redpotato, may I know which clinic you went for the lasik? Is it the femtolasik? We have about the same eye power and astigmatism. Where can I get discount so I can avail it? Hehe
Insane
post Jan 22 2019, 05:55 PM

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QUOTE(jialat @ Jan 19 2019, 11:49 AM)
hi, i no longer recommending optimax after seeing many negative feedback from members here and from my previous referral. Always seek second opinion because surgery is irreversible. thanks
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Hi jialat, I went for comprehensive eye tests in vista and my power is L975 with 275 astigmatism and R850. Corneal thickness is 535. They only gave me 2 options; tissue saving and ICL. I wanted a second opinion and wanted to go to Optimax. But after reading some comments here, I kind of changed my mind.

Any recommendations for me? And do you have discount letter that I can avail?

Please advise. πŸ˜ŠπŸ™πŸ»
jialat
post Jan 23 2019, 12:01 AM

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QUOTE(Insane @ Jan 22 2019, 05:55 PM)
Hi jialat, I went for comprehensive eye tests in vista and my power is L975 with 275 astigmatism and R850. Corneal thickness is 535. They only gave me 2 options; tissue saving and ICL. I wanted a second opinion and wanted to go to Optimax. But after reading some comments here, I kind of changed my mind.

Any recommendations for me? And do you have discount letter that I can avail?

Please advise. πŸ˜ŠπŸ™πŸ»
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Best to seek for a second opinion before any surgery given your high amount of refractive error. Already replied your email and pm, thanks.
k3llying
post Jan 23 2019, 10:17 PM

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QUOTE(jialat @ Jan 19 2019, 11:49 AM)
hi, i no longer recommending optimax after seeing many negative feedback from members here and from my previous referral. Always seek second opinion because surgery is irreversible. thanks
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oh..thanks for the heads up thumbup.gif ! Definitely taking in your advice. Which would you recommend then ? Can I obtain the referral discount if you have for that clinic that you recommend ? smile.gif

jialat
post Jan 23 2019, 11:51 PM

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QUOTE(k3llying @ Jan 23 2019, 10:17 PM)
oh..thanks for the heads up  thumbup.gif  ! Definitely taking in your advice. Which would you recommend then ? Can I obtain the referral discount if you have for that clinic that you recommend ?  smile.gif
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Depending on which state u are in, if kl or selangor then i strongly recommend Ara Damansara medical centre dr Ainur Rahman and i can get you the discount on custom femto lasik and doctor consultation fee. Just pm me name and hp, i get the clinic nurse to call u set up appointment.

zzzxtreme
post Jan 24 2019, 11:17 PM

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Advance Vision uptown damansara, yay or nay?
Leslee97
post Jan 31 2019, 09:49 PM

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Hi, i am wondering can i do the customised femto lasik at optimax ttdi as i have an irregular cornea and astigmatisms? Because i have already tested my eyes at vista and the doctor said that i have an irregular shaped cornea. So i was wondering if i am able to do it or not. If not what is the best surgery to do instead of this, because i read all the forums about the relex smile and they said that the relex smile hs negative effect on the eyes. Thank you very much.

This post has been edited by Leslee97: Jan 31 2019, 10:12 PM
zaFrOoNaLdO
post Feb 4 2019, 05:19 PM

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QUOTE(Leslee97 @ Jan 31 2019, 09:49 PM)
Hi, i am wondering can i do the customised femto lasik at optimax ttdi as i have an irregular cornea and astigmatisms? Because i have already tested my eyes at vista and the doctor said that i have an irregular shaped cornea. So i was wondering if i am able to do it or not. If not what is the best surgery to do instead of this, because i read all the forums about the relex smile and they said that the relex smile hs negative effect on the eyes. Thank you very much.
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check if ur suitable for PRK or ICL.
nizaa
post Feb 6 2019, 10:26 AM

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Hi.. i did check up at advance vision. But i am not suitable foe PRK due to thin cornea & dry eyes. Power is about 700+.

So, what option do i have at other places and how much?


zaFrOoNaLdO
post Feb 7 2019, 09:07 AM

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QUOTE(nizaa @ Feb 6 2019, 10:26 AM)
Hi.. i did check up at advance vision. But i am not suitable foe PRK due to thin cornea & dry eyes. Power is about 700+.

So, what option do i have at other places and how much?
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check if ur suitable for PRK or ICL.
cy97
post Feb 7 2019, 11:52 AM

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QUOTE(jialat @ Oct 10 2018, 06:13 PM)
No bro, PRK is old school technology.

Custom lasik is the so called femto lasik done according to your corneal shape and prescription.
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Hi guy I m new to this topic. My friend would like to do LASIK and she is 21 years old and the power is around 400. May I know what is the best options and prices? Which is the newer and safer tech. LASIK , ilasik or ICL ?
sandwraith92
post Feb 8 2019, 08:42 AM

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QUOTE(ashthephoenix @ Jan 17 2019, 11:41 PM)
If you are planning for prk, you can consider for trans prk as well, it's a newer and better technology, you would have a safer, lesser discomfort, lesser risk of complications and faster recovery as compare to prk, trans prk is known as "touchless", meaning that nothing touches your eyeballs throughout the surgery, prk use device to mark and remove the epithelium manually using a scalpel like thingy, but trans prk use laser to remove the epithelium before laser on the cornea to correct vision. So far, in Malaysia, trans prk surgery is only available at Advance Vision Eye Specialist Centre if I wasn't mistaken, and they are currently using the most high tech device, Schwind Amaris 1050RS for the trans prk surgery since April/May 2017. In Singapore, this procedure is already widely available using the same device. Cost wise if your power is low, you can opt for standard RM2988, if your power is high, you would have to go for customised RM5588 for both eyes.

PRK surgery
https://youtu.be/BJz_G8mLSB4

Trans PRK surgery
https://youtu.be/HSHVf5B7QJ0

From the video, you can clearly see the difference between the procedure of both of these surgery (the way they remove the epithelium) . And if you read further, you can understand more on why trans prk clearly outweigh prk as a better option for the eye surgery.

Con is just that the centre is always full of patients, you would have to wait very long for your turn, if you wouldn't mind about that.

*Just my personal opinion based on my personal understanding
*
I did my trans prk here exactly 4 weeks ago. Advance vision no longer offer lasik nowadays, only trans prk. My recovery was steady even though week 2 i got viral conjuctivitis, week 4 i got bout 3mm corneal abrasion. This is just me being unlucky. My previous power was -2.75

Heres my experience. Operation itself was about 10 minutes. During operation need to look steady the green blinking light. I find it annoying because it was blinking as when its gone i cant find the green light to focus. I did move my during surgery and the dr warned me 3x to refocus my vision. Felt bad bout this so post op did some googling, fortunately the machine scans eye position 1050 times per second and compensate beam accordingly. Postop night, i need to take the tramadol coz too lazy to deal with pain/discomfort. Day 1 post op theres like 1 gritty sand stuck on my eye, very annoying but next day fortunately no more gritty sensation.

Initially my left eyes always more blurry than my right eye, then theres a phase where there fluctuations where one day its good the next day its blurry. Then theres a phase where unless you use eye drops u get blurry vision. Was able to drive bout 1 week post op.

At 1 month post op i would say i can see bout 80-90% with no halos and minor starburst. I would highly recommend

This post has been edited by sandwraith92: Feb 8 2019, 08:52 AM
jialat
post Feb 8 2019, 02:23 PM

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QUOTE(cy97 @ Feb 7 2019, 11:52 AM)
Hi guy I m new to this topic. My friend would like to do LASIK and she is 21 years old and the power is around 400. May I know what is the best options and prices? Which is the newer and safer tech. LASIK , ilasik or ICL ?
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go for custom femto lasik, safest and best result so far among all. price range from 7500-10000 depending on centre, must do it by corneal surgeon and check the belin test before surgery.
lamkafeira
post Feb 12 2019, 12:05 PM

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Hi @jialat. What's the rate for eye consultation with Dr Ainul Rahman?
jialat
post Feb 12 2019, 12:32 PM

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QUOTE(lamkafeira @ Feb 12 2019, 12:05 PM)
Hi @jialat. What's the rate for eye consultation with Dr Ainul Rahman?
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Hi, consultation with dr Ainur after discount is around RM 150. U must do the belin test and corneal test to rule out any post op complications which will cost rm 250.
ashthephoenix
post Feb 14 2019, 10:02 AM

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QUOTE(zzzxtreme @ Jan 24 2019, 11:17 PM)
Advance Vision uptown damansara, yay or nay?
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I just had mine on 25 Jan, by far, everything went well.

I would say this is the type of eye laser surgery with the simplest procedure you would have to go through during the surgery. Basically all you would have to do is lying down at the bed and look at the green light, you feel nothing at that moment, but you will smell a bit of the smell like the hair burnt smell when the lasering start, a high oxygen permeable lens are placed on your eyes (to protect the growing epithelium tissues after sugery) after the lasering then it is done. It's a rather quick procedure.

Day 1 post surgery, I don't really feel anything after the surgery, vision right after surgery is better than the vision when you are not wearing spec. A few hours later, I started feeling some pain and discomfort on my eyes, anaesthetic drop are given, so use then to relieve the discomfort. In the evening, my eyes feel very tiring, I just doesn't really feel like opening my eyes, whether I open my eyes, the eye lids are like so heavy they will try to close back.

Day 2 post surgery, have to went back for follow up, vision that that time were 7.5/6. eyes discomfort is still there, can be relieved by anaesthetic drop, still the same thing, my eyes are like tired to open, so most of the time, I do lie on my bed to sleep and rest.

Day 3 post surgery, I have lesser eye discomfort which I didn't have to use anesthetic drop on that day. The tired eyes feeling are not really there anymore. However, I do have fluctuations on my vision.

Day 4 post surgery, everything feels rather normal except that my vision fluctuate.

Day 5, went to remove the lens. Vision still fluctuating.

Generally, I would say my vision is fluctuating during the first week. I would say it is not so safe to drive when your vision is fluctuating.

By the second, it is already quite stable. I don't experience fluctuations of vision, I can see everything very well, but I know vision is still not 6/6. I can say I'm safe to drive starting from second week.

Up till now, everything feel just normal as long as you comply to using all the eyes drop given.

*A good nutritional status will allow you to have a faster recovery. Meaning that you have always been eating a healthy and balanced diet, which provides your body with good nutritions.

This guy shared everything about the whole procedure of getting it done, you can read it here
https://bit.ly/pembedahanlasik

Service wise at the centre is okay, as they have many patients, so they let their optometrist to do the general explanations about the procedure, for further clarification, you can ask the doctor about it, due to many patients, you wouldn't really have a long time to speak to the doctor unless you already have your questions well ready. If you are a fussy person who want tip top service and fast procedures for the whole thing, you can go over to Singapore for trans prk.

The personal reason why I prefer trans prk over femto lasik is because
- Lasik, they will have negative suction procedures (it is use to create the flap) where you will experience total black out at the moment and it increases your intraocular pressure (which studies show might induce changes of retinal structure).
- Without creating the flap, there would be no possible complications related to the flap (like incomplete/irregular/decenter flap, infection underneath the flap etc.).
- Till now, studies still couldn't prove that the flap will fully heal after Lasik. Large evidences show that the flap never really heal after Lasik, hence there is chances of tear/dislocation even after many years later. Which is why people who plays contact sport, it is recommended to have prk/trans prk, because no cut no flap no such complications.
- However, femto lasik has its own advantages too, it has fast recovery and the percentage of people having such complications above are very minimal, its just that personally I myself prefer no risk than minimal risk for such complications and cost wise over here trans prk is much cheaper than femto lasik.
- Do take note that trans prk have longer recovery period, by one month, trans prk will have vision recovery that is comparable to one week after Lasik, full recovery of epithelium tissues is up to 1 year. You would have to wear sunglasses with UV protection for 6 months after trans prk, as UV rays can have damaging effect on the recovery of epithelium tissues.
- There are pros and cons for both type of surgery and it is totally up to your preference.

Do take note that all of these are just my personal opinion, do your own reading and always refer to your eye surgeon/specialist for more thorough info and better clarification.

This post has been edited by ashthephoenix: Feb 14 2019, 10:34 AM

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