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 LAser Eye Surgery Lasik Lasek, Stories? Recommendations?

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jialat
post Nov 4 2016, 12:31 PM

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QUOTE(Really Confuse @ Nov 4 2016, 10:04 AM)
Hi Jialat

Read the post here , can say that you are the person who has interact with most of pre & post refractive surgery patient.

May I just ask you something or your opinion?

So far any post lasik patient complaint about seeing ghosting image and end up with scar at cornea surface ?

is it true that high power post lasik patient
1)will end up seeing ghosting image after the refractive surgery?
2) quality vision is not as good as wearing glasses?
3)VA will drop after refractive surgery due to ablation of the cornea surface?
a post lasik patient : member's name "miaka_tama " . his power is also very high > 10.00 dioptre. he didn't complaint about ghosting image or reduction in vision quality at all ?
thanks
Any post relex smile patient here mind to share your experience or status ? I mean those with high power. patient. thanks
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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.
jialat
post Nov 4 2016, 05:27 PM

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QUOTE(Really Confuse @ Nov 4 2016, 01:39 PM)
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..
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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.
jialat
post Nov 5 2016, 12:26 AM

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QUOTE(Really Confuse @ Nov 4 2016, 10:14 PM)
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 ?
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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.

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.
jialat
post Nov 5 2016, 09:31 AM

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[quote=intel55,Nov 5 2016, 12:48 AM]
[quote=jialat,Nov 5 2016, 12:26 AM]

Jialat, can i get the referral letter for femtosecond custom lasik from you to get the discounted rate?

i had pm my details to your inbox alrd.

Thank you very much.
*

[/quote]


Sure, will arrange it for u.
jialat
post Nov 7 2016, 03:29 PM

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QUOTE(Really Confuse @ Nov 7 2016, 09:40 AM)
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"
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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.
jialat
post Nov 7 2016, 04:29 PM

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QUOTE(Really Confuse @ Nov 7 2016, 04:01 PM)
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
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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.
jialat
post Nov 8 2016, 12:05 PM

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QUOTE(Really Confuse @ Nov 8 2016, 09:16 AM)
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.
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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.
jialat
post Nov 9 2016, 12:54 AM

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Dry eye gets worse after lasik.

Dry eyes caused blur vision. Can be worse than before surgery spectacle vision.
jialat
post Nov 15 2016, 02:22 PM

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QUOTE(Duckies @ Nov 14 2016, 03:53 PM)
Holy cow, always thought it was in the 7k price range. Sudah naik til 10k. She's gonna wear specs for the rest of her life then cry.gif
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bladeless procedure cost much more than old technology (which cost ard 6k for 2 eyes nowadays). she can wear contact lens.


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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its not their eye, they are trained to close deal and hit target. Most of us have dry eyes even non contact lens user, they will ask u to put eyedrops for at least few months till you adapted to the dryness.


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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you got thick and round cornea, they would love to do lasik on u. lol


QUOTE(k town shit @ Nov 15 2016, 01:42 PM)
which type of procedure u took? relex smile or cutting flap?
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10 years ago no relex smile, thank god! otherwise many more will suffer.
jialat
post Nov 15 2016, 02:46 PM

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QUOTE(badai @ Nov 15 2016, 02:32 PM)
meaning?
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your both cornea are thick to do lasik. curvatures are quite even, nice and round eyes u have. easy to perform lasik on them.
jialat
post Nov 15 2016, 02:55 PM

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QUOTE(badai @ Nov 15 2016, 02:49 PM)
easy for them, but would be hard for me later because of the dry eyes.

I don't mind using eye drop, but my concern is my vision will be worst compare to using glasses now.
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yes, u need to put eyedrops frequently esp the first few months after lasik, which is common and applicable to all eyes whether there were normal or dry before op.
jialat
post Nov 15 2016, 03:07 PM

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QUOTE(badai @ Nov 15 2016, 02:59 PM)
with this 3 sec dryness, do you think my vision would be worst than now (with glasses)
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yes for the first few months post op
jialat
post Nov 15 2016, 04:55 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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you are 40s, then its not a good idea to do lasik. if you fully correct your distance, then u will need reading glasses also. U wont be spec free. ur eyes are getting more dry soon!


QUOTE(Really Confuse @ Nov 15 2016, 04:16 PM)
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?
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monovision sacrifice 3D vision, night driving will be tougher.


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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ask your optometrist to write u a guarantee letter, or reserve the right to sue that optometrist. ask them to write in black and white that your eyes wont be dry after 2 months.


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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as usual, they keep increasing the price.

QUOTE(Really Confuse @ Nov 15 2016, 04:45 PM)
do u know about the life time warranty?
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no such thing as life time warranty, they will blame on your eyes when any problem arises.
jialat
post Nov 15 2016, 09:54 PM

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QUOTE(badai @ Nov 15 2016, 05:06 PM)
i am aware of that "rabun dekat", that we all cannot escape, other than that, is there any other issue being 40?
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40 is the time you would want to protect your eyes from getting disease. 50 is when you cant escape if u dont start taking care at 40!


QUOTE(ozak @ Nov 15 2016, 05:25 PM)
I have to checkup at optimax for the warranty.

My eye lasik have lifetime warranty. But must do annual checkup.
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Yes they earn from your annual eye check. Then when u want to claim warranty if your power comes back, u better make sure your cornea is still thick enough, otherwise they cant do much about it. They are waiting for you to develop eye disease and they can earn from treatment and surgery.
jialat
post Nov 16 2016, 04:39 PM

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QUOTE(Really Confuse @ Nov 16 2016, 09:05 AM)
Hi Jialat

Just wanna to find out from you ,

1) if we do lasik at lasik centre A can we go other lasik centre B for annual check up? Will they accept?

2) compare femto and relex smile , which treatment remove more cornea tissue per dioptre? And idea?
thanks
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of course, in fact the other lasik centre doctors will try their best to help solve your problem to prove they are better. Its always good to get second and third opinions before going for another surgery.


QUOTE(badai @ Nov 16 2016, 10:20 AM)
just wondering, does the optometrist aware if she  gave "wrong" or misleading advice their license will kena tarik, and didn't optimax have reputation to hold?
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optimax will sacrifice that particular optometrist if kena complain, and train another to do same job. Once you signed that consent form, it means you have understood and willing to take all the necessary risk for lasik. They are well protected and patients can only blame themselves for not checking thoroughly. Commercial lasik centres are like that.


QUOTE(k town shit @ Nov 16 2016, 10:29 AM)
Means old technology is more reliable? what kind of technology is that?  notworthy.gif
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femto is still the most reliable one if you really want to do it.


QUOTE(ozak @ Nov 16 2016, 10:54 AM)
I know their so called "warranty trick".

As long as I still can afford, just go for the checkup. It is like my annual medical checkup.
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Its good to get annual eye check, keep away from ocular disease. Its well worth.


QUOTE(bzz07 @ Nov 16 2016, 11:30 AM)
hi badai,

just to share.. i have the same problem with u.. did eye examination at optimax ttdi, dry eye test is 3 seconds for both eyes.. and have a flat cornea.. but the optometrist said that i'm suitable for all type of lasik.. but i have doubt since the min requirement is 10 secs.. so decided to get a second opinion at another place.. the result still same suitable to do lasik.. but i'm still not satisfied with both results.. start googling more and have decided that better to not waste money.. dun wan to suffer from dry eyes and permanent halos/glares at night..
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Nowadays all lasik centres want to sapu all cases, do first then belakang baru kira. If they dont do, you ended up do it in another lasik centre, they rugi.


jialat
post Nov 16 2016, 04:40 PM

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QUOTE(Akimo @ Nov 16 2016, 03:21 PM)
i m post patient for femto lasik, since i people here was discuss about dry eye issue, heres i going to  share mine.

i do my lasik on middle of January 2016, my condition was fulfil all the required for the lasik, except the dry eye issue which they mentioned to me but not emphasis, my tears dry was about 3-4 sec just like you all.

After  done my lasik, my vision recover was great, I can even play computer game on the next morning. Dry issue on recover period (1months) wasn’t really bother to me since I have my eyes drop daily.

On the 2nd month, post check-up result satisfied, only right eye with +25 astig, I highlighted my dry eye , optometrist told me is normal issue, just wait after month will be ok.

On the 3month, post check-up result still remaining satisfied, only right eye with +25 astig, I highlighted my dry eye issue (Redness), optometrist told me is normal issue. Have to apply more eye drop every2 hours.

On the 6th  month (Discharging month), post check-up result still remaining satisfied, I highlighted my dry eye issue, I told them my eye is RED, I did exactly what you all told me to do so. Still the problem exists. They referring me to the doctor, and the doctor recommend another stronger eye drop (Ultra Systane -  if I spell correctly). I apply every 1-2 hours, eye getting better, however, it did not last long.

Today is the 10th month after my lasik, The problem for what I facing now, I  wake up every morning with RED EYE , both eye consist on discharge (eye shits) , doctor told me this is  due to dryness. The function of the tears is help to discharge bacteria, dust on eye to the nose. After I apply for eye drop, the redness slowly dilute, but redness still persists after 1-2 hours.

Most of the time I have to rely on the eye drop. Whenever I go even when I staying in the house.

So my advice if you guys those having dry eye issue, PLEASE make your Choice wisely, else you all facing the problem just like me. As what Jialat Say , dry eye will get worse after lasik which I didn’t pay much attention on this.  And this is what I facing all the time……
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Chronic severe dry eyes problem is REAL as shared by this member, you might need lifelong management with artificial eyedrops.

Systane ultra is the strongest eyedrops among all now, ard RM 60 per box for less than a month supply if you get those preservative free type.

Akimo, u may want to consider genteal gel or visidic gel at night before you sleep to reduce red eyes upon waking. It will give some eye shit also but better than red eyes every morning.
jialat
post Nov 16 2016, 05:20 PM

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QUOTE(Akimo @ Nov 16 2016, 05:07 PM)
sorry for the mistake, is -25, previously was 50 to 75 i cant really remember, most of the time i facing blur vision. but sometime i will feel sore on eyes, rasa macam pedih...
hiii...jialat, i really feel worried regard redness and dryness...but what done is done, yes, is cost RM50 purchase from watson, available 24 tubes only.......what is the function for the genteal gel or visidic gel and where can i get it, i willing to have a try on this .....
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the gel keeps your eyes wet but blur your vision, thus use it at night only, can get from pharmacy also.
jialat
post Nov 16 2016, 08:15 PM

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QUOTE(badai @ Nov 16 2016, 05:39 PM)
like this, cancel lah this lasik. will call tomorrow
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consult their doctor if you have doubt. we are just giving our opinion & feedback.
jialat
post Nov 17 2016, 04:24 PM

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QUOTE(Really Confuse @ Nov 17 2016, 09:15 AM)
Hi Jialat . what do you mean by "they are well protected " ?
BTW , I am still waiting for doctor that u mentioned earlier that he is coming back to Malaysia.
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consent form that u have signed before surgery is meant to protect them stating that you are taking own risk for the surgery.


QUOTE(badai @ Nov 17 2016, 11:40 AM)
how about if i make appointment with vista to check if i am eligible for lasik, kind of like second opinion.
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Dont go to another lasik centre for 2nd opinion.


QUOTE(ozak @ Nov 17 2016, 01:43 PM)
If you looking for a 2nd opinion, don't go to this lasik surgery.

There is no different between A lasik and B lasik. Their main is to get customer. What also ok.

Go to eye doc.
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Thats very true!


QUOTE(keyser soze @ Nov 17 2016, 03:10 PM)
Anyone have any comments on Lasik service provided by Tun Hussein Onn Eye Hospital?
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Dont go there, with the same consultation fee, u can go to many other good private medical centres.


QUOTE(Really Confuse @ Nov 17 2016, 03:50 PM)
Hi badai

Did u meet any optimax doctor  for consultation during eye test?then u can compare their opinion.
I remember jialat has a cornea specialist doctor friend from lasik centre but now work in a private hospital.

Try ask Jialat
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He is not back until January 2017.
Will keep you guys posted once he is back.
jialat
post Nov 18 2016, 11:39 AM

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QUOTE(Really Confuse @ Nov 17 2016, 08:06 PM)
Hi Jialat

Western country lawyer comment  "signed consent letter" doesn't means grant surgeon a license to make mistake.

Above statement from a medical negligence case in western country.
Jialat
I thought u have another doctor friend at  private hospital now.
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I have a few good corneal specialists that are good at handling post lasik case, one in penang, one in UK now, one in government hospital (retiring soon).

If you need to see one urgently in klang valley, i can ask my friend to arrange a referral letter for u to see the senior corneal specialist in private medical center on weekends only.

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