QUOTE(badai @ Nov 22 2016, 06:19 PM)
I think u better call them, deposit taken, they think you have confirmed doing it.LAser Eye Surgery Lasik Lasek, Stories? Recommendations?
LAser Eye Surgery Lasik Lasek, Stories? Recommendations?
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Nov 23 2016, 01:32 AM
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#341
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2,364 posts Joined: Jun 2005 From: malaysia |
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Nov 24 2016, 01:50 PM
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#342
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(BEE001 @ Nov 24 2016, 01:31 PM) I’m lucky to have come across this forum. My mom both of her eyes has been diagnosed to have cataract and glaucoma. I have brought her to optimax ttdi for consultation. I also have brought my mother to see other specialist in Ipoh, since we are from perak, but it seems that they are not quite experience in glaucoma. If we were to do the surgery at optimax, can I get the referral letter from you for a discounted price? Thanks in advance. if you want the best glaucoma specialist who can also remove cataract for your mum, then i will send you to another eye specialist. optimax has no glaucoma specialist. pm me your mum name, and hp, age i will arrange referral letter to pos to your place. give mailing address in pm. |
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Nov 25 2016, 11:55 AM
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#343
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(Really Confuse @ Nov 24 2016, 03:48 PM) Hi , Jialat hi, KPJ centre for sight has a corneal specialist, Dr Choong yean yaw. He is always busy and doesn't really spend much time for patient. You can wait for more than half an hour to see him for 2-3 min only. U can seek his opinion on your post relex corneal problem.One of the member here pm me that KPJ - Centre for sight also offer relex smile surgery. Do you have any contact which good in treatment post lasik patient ? Is it true that it is advisable to seek a consultation from a surgeon who got experience in relex smile surgery? I mean for post op - relex smile patient . What is your opinion? thanks The doctor who is doing relex smile for KPJ in KL was previously the same doctor from optimax. |
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Nov 29 2016, 01:53 PM
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#344
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2,364 posts Joined: Jun 2005 From: malaysia |
Ozak is trying to warn you that if any complication happens after surgery, u might need to extend the stay there unless you dont mind paying much more to get it sorted here in Msia. I would agree with Ozak to get it done in Msia given the frequent follow up required.
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Dec 22 2016, 02:40 AM
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#345
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(Really Confuse @ Dec 21 2016, 01:02 PM) Hi Jialat Hi, all visual acuity test are done with light on, except for only a few test is done with light off.would like to ask you for your opinion. When go to normal optical shop to make glasses rite , while checking the VA they switch the light. But why lasik centre let the light on while checking post op patient VA? Do you know why ar ? What is the impact ? thanks Those shops that off light to take VA is not qualified optometrist. |
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Dec 23 2016, 04:17 PM
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#346
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(Really Confuse @ Dec 22 2016, 03:40 PM) hi Jialat I work in government hospital and locum in some eye clinics, none of the optometrist or eye specialist switch off light when checking VA, both old type snellen light box or projector chart.Are you certain about this ? All the years , when the optometrist test me on snellen chart , they do switch off the light. Even when I bring my children for eye examination by eye specialist doctor , the doctor do switch off the light as well. |
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Dec 27 2016, 05:45 PM
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#347
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2,364 posts Joined: Jun 2005 From: malaysia |
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Jan 4 2017, 12:10 PM
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#348
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(Really Confuse @ Jan 4 2017, 09:05 AM) hi Jialat 1. yes, floaters is from the back, not from cornea.Would like to ask for your professional opinion. 1)For those who has floaters , can they go for lasik treatment ? I mean reflactive surgery . 2)As a optometrist , are they able to detect/sees patient lens is clear or turn yellowish? If lens is not clear , is it advisable to go for reflactive surgery? 3) If ablation is not at the centre of visual axis , what will be the impact to the vision? thanks 2. all qualified optometrist can detect cataractous changes in lens. sadly many optometrist in shops especially in chain stores dont even have a slit lamp or cant operate one 3. lights entering pupil out of treatment zone contribute to blur or shadow vision (ghosting) and starburst or halo effect |
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Jan 4 2017, 03:12 PM
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#349
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(Really Confuse @ Jan 4 2017, 02:11 PM) hi Jialat 2. yes can detect lens color using slit lamp.thanks for your professional opinion. 1. noted 2. Do you mean by using slit lamp , optometrist should be able to see patient's len ? whether is clear or yellowish? 3. noted. is it possible flatten (due to reflactive surgery) of cornea will cause shadow vision (ghosting) ? 3. flatten cornea doesn't caused ghosting. pupil bigger than treatment zone does, or light enter through untreated cornea zone also do. |
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Jan 4 2017, 04:40 PM
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#350
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(Really Confuse @ Jan 4 2017, 04:15 PM) hi Jialat 3. common in dimmed environment, its important to check pupil dilated size pre op to decide on treatment zone.thank you for your opinion 2.noted 3.does it common to have starburst or halo after refractive surgery ? or under what type of condition , post op patient will get it ? I mean starburst / halo? 4. is it common to have debris/white deposit left inside our cornea after refractive surgery ?Actually what is this debris ? Do you have any idea? thanks 4. depends on individual, normally uncommon. need to be examined to determine what caused those white deposit |
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Jan 18 2017, 04:27 PM
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#351
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(Really Confuse @ Jan 18 2017, 02:46 PM) hi Jialat if the crystalline lens is not clear or opaque, then you should not do refractive surgery. Wait till cataract is bad to disturb the vision, then get it removed and neutralized all the refractive error.Refer to item 2" If lens is not clear , is it advisable to go for reflactive surgery?". Do you mind to share your opinion? Based on all your comments/advice here and whatever you had share with readers here , I am quite sure you are very experience. Just have 2 question here to seek for your professional opinion. 1)how to balance up vision for a post refractive surgery patient with one eye overcorrected and one eye under corrected ?Experiencing daily headache due to this imbalance vision. What is the impact for overcorrected vision in future? 2)Scar on cornea surface caused by smile surgery, will it cause other problem beside impact on the vision? Do you have any idea? thank you for sharing Q1. Need glasses to correct it. Contact lens not a good option for dry eyes even though retinal image size will be more balanced. overcorrected rx will give you eye strain, lead to smaller retinal image size, brain cant use it to fuse with another eye images, you lose the stereoacuity. Q2. scar on cornea caused blurred vision, loss of transparency and clarity. your brain will use vision from another eye instead. |
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Jan 19 2017, 12:22 PM
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#352
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(Really Confuse @ Jan 19 2017, 11:54 AM) hi Jialat you meant there is corneal scar post relex smile and there is residual refractive error and there is also cataract?Really appreciate your help. Refer to Q1 & Q2 , If these 2 condition happen to one/same eye at the same time , what will the possible solution ? Is there a alternative way to get a comfortable vision or more balance vision to solve the headache issue? talking about the scar on cornea surface , will it create other problem in future beside vision as mentioned? thank you I will seek help from a good cornea specialist and correct the vision and remove the scar by femto lasik if the cataract is not very serious, as long as the scar is not very bad (need to check by specialist to know better). If scar is deep then its difficult to treat, vision can be improved by removing the cataract but scar still block the vision. |
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Jan 20 2017, 01:19 AM
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#353
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(Really Confuse @ Jan 19 2017, 05:08 PM) Hi Jialat That statement applies to post relex smile, not common for femto lasik patient.Yes , corneal scar post relex smile n residual refractive error ,ghosting vision, yellowish lens. all these happen to one eye . After went thru a long long long ..... way , these are the comment on my eye condition from the lasik centre.Even with spectacles , still cant get pre op VA 6/6. "patient with high power and underwent refractive surgery will experience ghosting or shadow vision after surgery" How true is this statement? |
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Jan 25 2017, 05:07 PM
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#354
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(Really Confuse @ Jan 25 2017, 04:17 PM) hi Jialat Topoguided? I think its a very common procedure nowadays, we look at topography before we decide the candidate is suitable or not.Do you aware about this type of treatment called "topoguided" to rectify post refractive surgery patient' vision ? Do you mind to share your opinion? Does your doctor friend - cornea specialist back to Malaysia? thanks Yes he is back from UK but he has not got the lasik machine yet. |
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Feb 7 2017, 04:08 PM
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#355
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(Really Confuse @ Feb 7 2017, 02:13 PM) U mean orbscan ? Taken b4 surgery. Yeah, he is back.topoguided is treatment to rectify poor post up lasik surgery result. Not available at TTDI. that is y I would like to gather more information. O. He is back to Malaysia? Do you mind to PM me the doctor's name ? I want to know more about this doctor b4 make appointment. thanks Will pm you his name and hosp he practice. |
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Feb 19 2017, 04:12 PM
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#356
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(russelx @ Feb 18 2017, 09:27 AM) QUOTE(theresa000 @ Feb 19 2017, 03:30 PM) I recommend dr Lee, please pm me your details as below, i arrange a discount letter for both of ufull name hp email address birth date mailing address to pos the letter |
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Feb 20 2017, 11:18 AM
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#357
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2,364 posts Joined: Jun 2005 From: malaysia |
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Feb 25 2017, 08:09 PM
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#358
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2,364 posts Joined: Jun 2005 From: malaysia |
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Feb 27 2017, 12:23 PM
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#359
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(Really Confuse @ Feb 27 2017, 12:13 PM) Hi Jialat hard to describe but ghosting and shadow are quite commonly described by these patients.Do you mind to elaborate on this distortion vision? Ghosting image one of it? any of your contact having this decentred problem and get corrected? any correction surgery can be done? thanks I have not came across any yet for femto lasik patients. I heard from seniors that many suffered from this esp those use blade for flap. |
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Feb 27 2017, 01:36 PM
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#360
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2,364 posts Joined: Jun 2005 From: malaysia |
QUOTE(Really Confuse @ Feb 27 2017, 12:37 PM) Hi Jialat his case wasn't because of decentration. He corrected with astigmatism correction glasses.How about post relex smile patient? Remember that you told me b4 your doctor friend - post relex smile has some issue with one of his eye. His VA drop to 6/9 . But with glasses does he get a clear vision? |
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