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 LAser Eye Surgery Lasik Lasek, Stories? Recommendations?

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ThEmAGpiE
post Oct 20 2019, 12:45 AM

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QUOTE(konbawa @ Oct 19 2019, 12:57 PM)
Any good surgeon recommended for modern prk?
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I have a few friends who went for transprk at Advance Vision in damansara uptown and are very happy with the results.
ThEmAGpiE
post Oct 20 2019, 12:50 AM

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QUOTE(chloetsl @ Oct 16 2019, 07:58 PM)
Well, I just did ReLEx 5 weeks ago but from what I have read femto can do more that ReLEx.
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How was your result? May I ask what is your original power & astig (if any) and what is the current power?
ThEmAGpiE
post Oct 20 2019, 12:52 AM

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QUOTE(konbawa @ Oct 16 2019, 05:01 PM)
hi, based on what i recently researched, now the best treatment to correct eyesight is relex smile with water-front check, and the most important of all is to find a good surgeon. and also after treatment services and care. am i correct? mind to share more ?
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Hi Konbawa, can refer me to your research which says Smile is the best now? Based on my research, topography guided lasik gives the best visual outcome compared to PRK, Lasik and Smile.
ThEmAGpiE
post Oct 20 2019, 12:56 AM

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QUOTE(Ms Americano L @ Oct 16 2019, 10:18 PM)
Thanks.. Based on the table can i say TransPRK is the best among all 4?
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Do note that Clearvision only does TransPRK hence they would be definitely more positive on this procedure v lasik and smile.

Depends on what you want - TransPRK maintains the most corneal strength among the 3 procedures and hence has the lowest risk of ectasia happening (Lasik being the highest risk at about 1% complication rate).

In terms of visual outcome, TransPRK data not as good as Lasik and Smile (topography guided lasik having the best result among the 3)
chloetsl
post Oct 20 2019, 06:18 PM

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QUOTE(ThEmAGpiE @ Oct 20 2019, 01:50 AM)
How was your result? May I ask what is your original power & astig (if any) and what is the current power?
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Pre-op
Re -3.00/-0.75 x20 6/6
Le -3.75/-1.00 x180 6/6

4wk 2D
Re -0.25/-0.25 x60 6/6 (blur although just -0.25)
Le Plano 6/6

5wk 2D
Re -1.25/-0.75 x10 6/7.5 (WTF)
Le - 0.25 Ds 6/6
De said the maxidex slightly increase my eye pressure ( but it’s within normal range!) see dr again in 2 weeks time.

U might get satisfactory result with Relex but I think it’s really depends on your luck!

choonkeong
post Oct 20 2019, 07:47 PM

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I have done my PRK 6.5 months ago. Eyesight stable after 4.5 month.
ThEmAGpiE
post Oct 20 2019, 10:22 PM

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QUOTE(chloetsl @ Oct 20 2019, 06:18 PM)
Pre-op
Re -3.00/-0.75 x20      6/6
Le -3.75/-1.00 x180    6/6

4wk 2D
Re -0.25/-0.25 x60        6/6 (blur although just -0.25)
Le Plano                        6/6

5wk 2D
Re -1.25/-0.75 x10      6/7.5 (WTF)
Le - 0.25 Ds                  6/6
De said the maxidex slightly increase my eye pressure ( but it’s within normal range!) see dr again in 2 weeks time.

U might get satisfactory result with Relex but I think it’s really depends on your luck!
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Who was your doctor? You did at Optimax?

So basically your right eye astig went back to original 0.75??


chloetsl
post Oct 20 2019, 11:32 PM

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QUOTE(ThEmAGpiE @ Oct 20 2019, 11:22 PM)
Who was your doctor? You did at Optimax?

So basically your right eye astig went back to original 0.75??
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Optimax TTDI Dr Stephen. I think it’s too soon to tell? have to wait for 3 months. Maybe my right eyes heals slower. Worst case do enhancement.
chloetsl
post Oct 20 2019, 11:34 PM

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QUOTE(choonkeong @ Oct 20 2019, 08:47 PM)
I have done my PRK 6.5 months ago. Eyesight stable after 4.5 month.
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Hi, where u did your PRK? Now still got residue?
Stable after 4.5 months? So slow? U got infection?
konbawa
post Oct 21 2019, 02:46 PM

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QUOTE(ThEmAGpiE @ Oct 20 2019, 12:52 AM)
Hi Konbawa, can refer me to your research which says Smile is the best now? Based on my research, topography guided lasik gives the best visual outcome compared to PRK, Lasik and Smile.
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What i meant was smile is the least invasive type of lasik as no flap is opened but after reading more, smile requires skillful surgeon as they need to fully remove the residue within the lens. Thats tricky. And basically conclusion from i found is all lasik are invasive n luck whether ull be getting those side effects.
And topography guided or wavefront op those are basically custom lasik like a full scan of ur eyeball for optimise alteration on ur eyesights if im not wrong. So u still have to come to the choice of prk lasik or smile...am i right by the way?
ThEmAGpiE
post Oct 21 2019, 04:36 PM

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QUOTE(konbawa @ Oct 21 2019, 02:46 PM)
What i meant was smile is the least invasive type of lasik as no flap is opened but after reading more, smile requires skillful surgeon as they need to fully remove the residue within the lens. Thats tricky. And basically conclusion from i found is all lasik are invasive n luck whether ull be getting those side effects.
And topography guided or wavefront op those are basically custom lasik like a full scan of ur eyeball for optimise alteration on ur eyesights if im not wrong. So u still have to come to the choice of prk lasik or smile...am i right by the way?
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There are some difference between wavefront guided lasik and topography guided lasik. The two latest lasik technology now is Idesign lasik by Johnson and Johnson (combine wavefront and topography) and Contoura topography guided lasik by Alcon. Solely based on FDA study results Contoura seems to have better visual outcome, but Im not an expert so I will leave it to you to decide which is better.

On a very high level, my conclusion is:

a) Smile - For people who want a fast recovery (compared to PRK), worried about dry eyes (common for Lasik for 3-6 months) and worried about flap complications (which is quite rare).

b) Lasik - For people who prioritize visual outcome and long track record.

c) PRK - For people with thin corneas and who are worried about risk of ectasia. I believe this is still the safest procedure at the cost of longer recovery period, pain and slightly less impressive visual outcome compared to Smile and Lasik.

I have a pre-op appointment with Dr Stephen of Optimax this week where I will decide which procedure I want. At the moment I lean towards topography guided lasik (however I noted that Optimax does not use the latest excimer laser machine, they use the Allergretto Wave Eye Q but there is a newer generation machine available). Choices Choices choices.

This post has been edited by ThEmAGpiE: Oct 21 2019, 04:46 PM
konbawa
post Oct 21 2019, 06:02 PM

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QUOTE(ThEmAGpiE @ Oct 21 2019, 04:36 PM)
There are some difference between wavefront guided lasik and topography guided lasik. The two latest lasik technology now is Idesign lasik by Johnson and Johnson (combine wavefront and topography) and Contoura topography guided lasik by Alcon. Solely based on FDA study results Contoura seems to have better visual outcome, but Im not an expert so I will leave it to you to decide which is better.

On a very high level, my conclusion is:

a) Smile - For people who want a fast recovery (compared to PRK), worried about dry eyes (common for Lasik for 3-6 months) and worried about flap complications (which is quite rare).

b) Lasik - For people who prioritize visual outcome and long track record.

c) PRK - For people with thin corneas and who are worried about risk of ectasia. I believe this is still the safest procedure at the cost of longer recovery period, pain and slightly less impressive visual outcome compared to Smile and Lasik.

I have a pre-op appointment with Dr Stephen of Optimax this week where I will decide which procedure I want. At the moment I lean towards topography guided lasik (however I noted that Optimax does not use the latest excimer laser machine, they use the Allergretto Wave Eye Q but there is a newer generation machine available). Choices Choices choices.
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Do you mind share with us what's ur final decision n reason. And how much r they? Pls
chloetsl
post Oct 21 2019, 07:28 PM

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QUOTE(ThEmAGpiE @ Oct 21 2019, 05:36 PM)
There are some difference between wavefront guided lasik and topography guided lasik. The two latest lasik technology now is Idesign lasik by Johnson and Johnson (combine wavefront and topography) and Contoura topography guided lasik by Alcon. Solely based on FDA study results Contoura seems to have better visual outcome, but Im not an expert so I will leave it to you to decide which is better.

On a very high level, my conclusion is:

a) Smile - For people who want a fast recovery (compared to PRK), worried about dry eyes (common for Lasik for 3-6 months) and worried about flap complications (which is quite rare).

b) Lasik - For people who prioritize visual outcome and long track record.

c) PRK - For people with thin corneas and who are worried about risk of ectasia. I believe this is still the safest procedure at the cost of longer recovery period, pain and slightly less impressive visual outcome compared to Smile and Lasik.

I have a pre-op appointment with Dr Stephen of Optimax this week where I will decide which procedure I want. At the moment I lean towards topography guided lasik (however I noted that Optimax does not use the latest excimer laser machine, they use the Allergretto Wave Eye Q but there is a newer generation machine available). Choices Choices choices.
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I think u better don’t choose Relex. From what I read, visual outcome is not better than femto.
ezze22
post Oct 22 2019, 03:04 PM

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It has been 1 year+ since my last surgery. I did PRK at UIA Kuantan for RM4k both eyes. It was a slow recovery for me as I have quite high power to begin with at 600++ SPH and 400++ CYL for both eyes.

At my 6-month post-op checkup, I only got 6/9 vision. At my 12-month post-op checkup, I am very happy as I manage to get 6/6 vision.

During the recovery, I did not encounter any complications. My eyesight was normal, just slow recovery to 6/6. I was on steroid eyedrops for almost 5 months as advise by the doctor. Artificial tears eyedrops for almost 1 year.

Any of you guys who is still unsure or scared to do Lasik/Smile/prk, just do it NOW. One thing I regret is that I should have done it earlier when I was younger and enjoy the glasses free vision.

konbawa
post Oct 23 2019, 12:17 PM

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QUOTE(ezze22 @ Oct 22 2019, 03:04 PM)
It has been 1 year+ since my last surgery. I did PRK at UIA Kuantan for RM4k both eyes. It was a slow recovery for me as I have quite high power to begin with at 600++ SPH and 400++ CYL for both eyes.

At my 6-month post-op checkup, I only got 6/9 vision. At my 12-month post-op checkup, I am very happy as I manage to get 6/6 vision.

During the recovery, I did not encounter any complications. My eyesight was normal, just slow recovery to 6/6. I was on steroid eyedrops for almost 5 months as advise by the doctor. Artificial tears eyedrops for almost 1 year.

Any of you guys who is still unsure or scared to do Lasik/Smile/prk, just do it NOW. One thing I regret is that I should have done it earlier when I was younger and enjoy the glasses free vision.
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So u dont have to use Any medication after 1yr of the surgery? N now ur eyes are perfect vision n none any problems from the surgery. I mean like any activities u have to avoid or how is your night vision etc. Dont get offended, I just wonder side effects less scenario is possible with laser treament to our eyes.

ThEmAGpiE
post Nov 4 2019, 11:52 PM

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QUOTE(konbawa @ Oct 21 2019, 06:02 PM)
Do you mind share with us what's ur final decision n reason.  And how much r they? Pls
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I decided on Lasik and had surgery on 23/10/19. Surgery went okay, only felt onion in the eyes for 3-4 hours after surgery. Vision improved gradually over 1 week.

Pre Op - Right Eye 725 Myopia and 200 astig, Left Eye 750 myopia and 150 astig.

Post Op Day 1: Right Eye 50 Myopia 125 astig, Left Eye 125 Myopia 0 astig

Post op Day 7 - Right Eye 0 Myopia 125 astig, Left Eye 75 Myopia 25 astig.

Currently waiting for 1 month follow up. Can basically drive, go to work and work on the laptop, watch tv. I dont actually feel my eyes being extremely dry but the vision does get noticeably blurry and eyes tired when they do get dry (clearer after putting artificial tears). Eyes do get tired easier but overall no pain or side effects felt (after initial 4-6 hours after surgery).

Hopefully vision continues to improve over the next month, if things stand as they are its livable but will probably get a touch up for my right eye and maybe left eye as well.

Paid RM4388 per eye nett (signed up for roadshow offer).



Daveliew
post Nov 6 2019, 09:46 AM

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Hi guys, had anyone inquire about the latest REX Lasik offered by Optimax?
jialat
post Nov 6 2019, 10:07 AM

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QUOTE(Daveliew @ Nov 6 2019, 09:46 AM)
Hi guys, had anyone inquire about the latest REX Lasik offered by Optimax?
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Its PRK if not mistaken. Photorefractive Keratectomy using excimer laser. Old technology with new name.
iqlaservision P
post Nov 7 2019, 01:06 AM

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Hello, I thought this might give you some insights regarding "Laser Eye surgery Lasek, Lasik"

Before deciding to have surgery you might ask if 'does Lasik hurt?" Basically this kind of mindset is pretty normal if it is your first time but in reality, is that
Some individuals aren't concerned about whether Lasik injures during the actual surgery, yet they are stressed over whether they'll really feel any kind of pain throughout the recovery procedure. The first thing you need to recognize is that you will not be able to drive on the day of the treatment. Although Lasik does not harm, as well as you'll be awake for the procedure, you'll still be incapable to utilize your eyes correctly, and your medical professional will need you to relax for the very first few hours complying with the surgical procedure. It's not an easy decision to make so better have the expert on Lasik https://www.iqlaservision.com/ => check this out! or find other eye doctors near you.

Daveliew
post Nov 7 2019, 11:14 AM

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QUOTE(syahrul37 @ Sep 12 2019, 03:10 PM)
Done TransPRK at the Advance Vision Eye. smile.gif

Nearly a month and vision seems better than wearing glass previously now. No dry eye issue.
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This interest me a lot. As I was considering REX offered by Optimax. However they mentioned that they are lacking in experience doing REX surgery.

QUOTE(jialat @ Nov 6 2019, 10:07 AM)
Its PRK if not mistaken. Photorefractive Keratectomy using excimer laser. Old technology with new name.
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As both are the same, I would rather go to one that is both more experienced and cheaper. blush.gif

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