Making the final call soon, please help

If you are thinking about having Lasik, IntraLasik, PRK, LASEK, Epi-Lasik, RLE, or P-IOL eye surgery, this is the forum to research your concerns or ask your questions.

Making the final call soon, please help

Postby ah_tee » Tue Jul 21, 2009 3:08 am

Hi all

I have just booked a surgery in 2 weeks

However after reading thru the forum , I m having 2nd tots,

I started doing more reading and realize I m in the heightened risk group as I am -10d in the left and -11d on the right

I been wearing specs since 3rd grade,

Before I was enlisted in the army, I was taken out on a research program to study on the patterns of myopia, apparently they view this as combat flaw in their soldiers.

Here in Singapore, the myopic penetration rate for males is around 70-80% (all males here got to serve in the army for 2yrs)

I believe it has something to do with inheritance as my entire family is myopic.

The med officer that time did warn me to avoid pressurized actitivities like sky diving and deep sea diving due to my high myopia, he mention something that my cornea is slighty lengthened and my blood vessles are stretched, high pressure may cause my blood vessels to burst, I am sorry I may have some facts wrong as this happened half a decade ago

It’s a shame I didn’t obtain a report from him.

I was evaluated by the local lasik surgeon and is cleared for the op, however, sad to say here, lasik surgery is very “commercialised” , a lot of marketing, hardselling are in place, if clinic A dosent accept you for lasik, high chance clinic B will and it will cost abit more.

As mention, I have read for high myopia or rather extreme myopia, there are high percentage of residual shortsightedness and in the long run the risk of regression.

That is coupled on the standard risk of ecstasia , flap displacement.

I have thought of consulting a specialist but healthcare is very full here and an appointment usually takes 2-3months unless its an emergency.


i am 26yrs old, my prescription glasses are around 5 yrs old, during the evaluation they did mention my power is very stable considering the power of my glasses 5 yrs ago as there is little difference, around 0.25D 1 eye.


My current vision without glasses is crap, I cant see the face features of someone standing infront of me, plently of floaters , starbursts, halos at night, but with glasses, everything is well.

I felt so lucky to have read this forum before I went for it, I would like some final inputs before I make the final call esp for people like glenn (you should be a doc).

I can live with specs, just that going spec-less is a dream and I want to avoid my eyesight getting worse if I am fortunate enough to live for another 50 yrs.

Have a few pointers I need from you guys

1) will my myopia further deteriorate as I aged, chronically speaking without environment factors, if it does, then I might as well take this risk now

2) is it worthwhile to run this risk considering I am still ok with my specs, I read a lot of complications with extreme myopia undergoing surgery

3) personally , will you go for it if you are me?

Thanks alot
ah_tee
 
Posts: 2
Joined: Mon Jul 20, 2009 3:33 am

Re: Making the final call soon, please help

Postby LasikExpert » Wed Jul 22, 2009 9:30 pm

ah_tee wrote:I started doing more reading and realize I m in the heightened risk group as I am -10d in the left and -11d on the right


You are indeed in a high risk group. You have a much higher probability of needing enhancement surgery to "fine tune" your results. You need to have thick corneas to maintian corneal stability. You are at a much higher risk of retinal detachment caused by the trauma of surgery. See Lasik and high myopia (nearsighted, shortsighted) vision, but you may also want to read a positive study that Lasik is stable for high myopia.

ah_tee wrote:I have thought of consulting a specialist but healthcare is very full here and an appointment usually takes 2-3months unless its an emergency.


This is not an option. This is a requirement. You must have evaluations by a retina and a corneal specialist before you make a decision about elective eye surgery of any kind.

ah_tee wrote:My current vision without glasses is crap, I cant see the face features of someone standing infront of me, plently of floaters , starbursts, halos at night, but with glasses, everything is well.


The most you can expect from Lasik would be vision after surgery equal to your vision before surgery with glasses.

ah_tee wrote:I felt so lucky to have read this forum before I went for it, I would like some final inputs before I make the final call esp for people like glenn (you should be a doc).


Thanks for the kind words.

ah_tee wrote:1) will my myopia further deteriorate as I aged, chronically speaking without environment factors, if it does, then I might as well take this risk now


You have been stable for five years and you have passed age 25. It is likely your myopia will stay the same until around age 65+ when cataracts develop.

ah_tee wrote:2) is it worthwhile to run this risk considering I am still ok with my specs, I read a lot of complications with extreme myopia undergoing surgery


In my opinion, it is not worth the risk, but my opinion is based on incomplete information. If your retina and corneal specialists clear you for Lasik, then thier opinions most certainly are more valuable than mine.

ah_tee wrote:3) personally , will you go for it if you are me?


Only you can decide if the convenience of a reduced need for glasses is worth the potential risk. Each person's needs and wants are going to be different.
Glenn Hagele
Volunteer Executive Director
USAEyes

Lasik Info &
Lasik Doctor Certification

I am not a doctor.
LasikExpert
Site Admin
 
Posts: 3309
Joined: Fri May 12, 2006 6:43 am
Location: California

Re: Making the final call soon, please help

Postby ah_tee » Mon Jul 27, 2009 4:23 am

hi glenn

thanks for the informative reply

the lasik surgeon is a qualified person however the regulating authority here is rather lax, as mention sometimes u will get rejected by a clinic but another might take u in

anyway i will shelve the idea for now, prolly there be a day we wont need the suction ring anymore

thanks
ah_tee
 
Posts: 2
Joined: Mon Jul 20, 2009 3:33 am

Re: Making the final call soon, please help

Postby LasikExpert » Mon Jul 27, 2009 5:50 pm

ah_tee wrote:anyway i will shelve the idea for now, prolly there be a day we wont need the suction ring anymore


That day has already arrived. PRK and LASEK do not require the suction ring. A surface ablation technique like PRK or LASEK does not create a flap of corneal tissue - the laser energy is applied to the front of the cornea. A concern with as much correction as you need was that the cornea would haze, however the use of Mitomycin C has all but eliminated this concern. You may want to talk with your surgeon about a surface ablation technique to see if it may be appropriate.
Glenn Hagele
Volunteer Executive Director
USAEyes

Lasik Info &
Lasik Doctor Certification

I am not a doctor.
LasikExpert
Site Admin
 
Posts: 3309
Joined: Fri May 12, 2006 6:43 am
Location: California


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