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Laser Eye Surgery

DocDoc Registered User, ClubPA regular
edited October 2007 in Help / Advice Forum
I've been thinking about getting laser eye surgery. My eye doctor told me I'm a really good candidate for it, and I trust him since he doesn't even do laser surgeries and didn't mention any specific place to get it done, so I don't think he wasn't trying to sell anything to me. Thoughts/opinions?

Doc on

Posts

  • Grid SystemGrid System Registered User regular
    edited October 2007
    Are you talking about just refractive laser surgery? Like LASIK or something? If so, you just need to ask yourself if the surgery is worth it. On the upside, you won't have to worry about glasses or contacts for a while, and it's generally safe and patient satisfaction tends to be very high.

    Downsides are that if something does go wrong, your eyes could be permanently fucked, and the procedures are still sufficiently new that nobody knows what will happen 30 years down the road.

    Grid System on
  • NrthstarNrthstar Registered User regular
    edited October 2007
    Call around. My friend used to work for a Laser Eye Surgery office. In the Northern VA area, there are multiple offices, but there's actually one middle man company that will give you a huge discount. It's some sort of government right off company. All you have to do for the middle man is do your examination with them. They don't actually do the surgery itself, they just do the examination and set you up with the doctor that would be best for your case. In most cases, it saved people 3k. Just grab your phone book and start calling.

    Oh and be prepared to have your eyes feel like sandpaper for about a week. Which is a small price to pay to never wear contacts/glasses ever again.

    Nrthstar on
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  • jotatejotate Registered User regular
    edited October 2007
    The procedures aren't *that* new. And almost everywhere (that I know of) insists that you do things one eye at a time, so if there are any complications, you aren't totally fucked. Keep in mind, very often, you don't have perfect eye sight forever. It still will change over time and you may, albeit several years down the road, end up in glasses again.

    jotate on
  • NrthstarNrthstar Registered User regular
    edited October 2007
    jotate wrote: »
    The procedures aren't *that* new. And almost everywhere (that I know of) insists that you do things one eye at a time, so if there are any complications, you aren't totally fucked. Keep in mind, very often, you don't have perfect eye sight forever. It still will change over time and you may, albeit several years down the road, end up in glasses again.

    I know with lasek, you have to make checkup surgeries down the road to avoid going back to glasses. But the initial cost covers any further maintenance.

    Nrthstar on
    "Shut up and Die"
  • jotatejotate Registered User regular
    edited October 2007
    Ah. I know my aunt was legally blind without her specially made contacts. She got Lasek and still wears reading glasses. Clearly, she's not the standard by which to judge these things, but who knows how blind Doc truly is.

    jotate on
  • DocDoc Registered User, ClubPA regular
    edited October 2007
    I have a medium myopia (OD -4.00, OS -3.50 for those who know/care) with slight astygmatism.

    Doc on
  • mastmanmastman Registered User regular
    edited October 2007
    2 of my best friends recently got it. They couldn't be any happier. None of the halo effects or anything.

    mastman on
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  • RuckusRuckus Registered User regular
    edited October 2007
    I got LASIK, I had medium halo effects post op to three months or so, and even now I have slight halo'ing, but it's nothing that interferes with night driving or anything.

    I don't know what my pre-op correction was, but post-op my vision has been 20/20 in both eyes, and I guess that I've just passed the two year mark now (October 2005 is when I got it done).

    It cost me $2100 cdn for each eye.

    Ruckus on
  • ImprovoloneImprovolone Registered User regular
    edited October 2007
    My dad got it done when they were still using a blade to cut the eye for the surgery.
    It's pretty worth it from what I understand.

    Improvolone on
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  • Limp mooseLimp moose Registered User regular
    edited October 2007
    I had PRK surgery preformed at the laser vision center in Indianapolis. It was the best thing I ever did medically. PRK is a slightly more invasive procedure that was required for me because I am in the military and did it for flying reasons. The main difference between It and Lasik is that instead of cutting your eye and peeling back a flap and lazing it and then putting it back and letting the flap heal solid. The PRK chops the flap off lazes it and then lets it grow back solid over a week. The only reason I did prk over lasik is because the navy thinks that if you pull high g moves with lasik that flap might open back up. I have never had that happen.

    The recovery time is about 2 weeks per eye. With maybe 2 days of fuzzy vision at about the 3 day mark. They did my two eyes separate so I could always see fine out of at least one eye. The whole thing was done over a Christmas break from college. I have 20/15 vision still 4 years later and fly for the navy. Was the best procedure I have ever had utterly painless. (some people say it hurts mine didnt)

    Cost about 2400 an Eye. Thats for prk though lasik is usually cheaper. If you have any questions PM me.

    Limp moose on
  • corcorigancorcorigan Registered User regular
    edited October 2007
    My Dad had his eyes done a while ago. Seems fine. Certainly safer and cheaper and better for your eyes than using contacts every day.

    Make sure the various different options are explained to you, and go somewhere which has plenty of experience doing it.

    You can get it done for about £300 an eye in the UK though (no idea what method that uses).

    corcorigan on
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  • DrFrylockDrFrylock Registered User regular
    edited October 2007
    It's quite tempting, but I've avoided it for a number of reasons.

    1. You are voluntarily and irreversibly damaging a vital organ.
    2. Vision changes over the years. In fact, as your eyes harden as you get older, your myopia may actually cause your vision to get slightly better. Either way, don't expect laser corrective surgery to last 20 years.
    3. Every couple years a new, more effective treatment comes out.
    4. Alternatives, like Intacs, are reversible and don't remove tissue.
    5. Glasses aren't that much of a pain in the ass.

    DrFrylock on
  • KazhiimKazhiim __BANNED USERS regular
    edited October 2007
    DrFrylock wrote: »
    1. You are voluntarily and irreversibly damaging a vital organ..


    Are you against stomache stapling and pacemakers, as well?

    I think that, assuming you get at least 6 or 7 years of good vision out of it, a couple thousand bucks is worth it.

    Kazhiim on
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  • Shifty FisterShifty Fister Registered User regular
    edited October 2007
    My dad had it done and it mostly worked for him. I say mostly because he travelled overseas quite soon after after being OK'd by the doctor. The dry air caused the edges of the front of his eye to curl up. So, y'know, if you do end up getting it, don't go on a plane.

    Shifty Fister on
  • DocDoc Registered User, ClubPA regular
    edited October 2007
    KingPleb wrote: »
    My dad had it done and it mostly worked for him. I say mostly because he travelled overseas quite soon after after being OK'd by the doctor. The dry air caused the edges of the front of his eye to curl up. So, y'know, if you do end up getting it, don't go on a plane.

    Uh, ever, or just for the next few weeks?

    Doc on
  • Shifty FisterShifty Fister Registered User regular
    edited October 2007
    Just the next few weeks. Otherwise I think my old man would be blind by now.

    Shifty Fister on
  • ege02ege02 __BANNED USERS regular
    edited October 2007
    My dad is an eye doctor specializing in laser eye surgery.

    He said that with today's technology, possibility of fuck-ups is, statistically speaking, extremely low to the point of "virtually non-existent." Of course like every surgery there are some inherent risks, but it is one of the least risky operations out there and patient satisfaction post-op is incredibly high.

    ege02 on
  • DrFrylockDrFrylock Registered User regular
    edited October 2007
    Kazhiim wrote: »
    Are you against stomache stapling and pacemakers, as well?

    I'm against stomach stapling in principle, yes. Will doctors even recommend it if the adverse health effects of not doing it aren't worse than the effects of doing it? As for pacemakers, do people get those electively? Those usually correct fairly major heart defects that can't be corrected by, e.g., wearing unobtrusive lenses on your face.
    I think that, assuming you get at least 6 or 7 years of good vision out of it, a couple thousand bucks is worth it.

    Yeah, see, that's where we differ. So I have 6-7 years of good vision, followed by a slow, permanent regression into glasses and contacts again. At that point, I'm probably precluded from having any more corrective surgery. Also, although the jury is still out, I'm really having a difficult time believing there are no long-term implications of this. You're removing tissue and thinning the front of the eye. The problem with your eye isn't that you were born with some extra tissue up there, it's that the eye isn't shaped right as a whole. This surgery doesn't correct that problem, it just introduces a compensatory imperfection. Is that going to complicate my cataract surgery when I'm 80? Is my long-term vision going to be worse than if I hadn't done anything?

    When my opthalmologist stops wearing glasses, I'll think about it.

    DrFrylock on
  • JAEFJAEF Unstoppably Bald Registered User regular
    edited October 2007
    Hi there. I got custom PRK recently (February of this year) and to update on Limp moose's comments about PRK, since he had his 4 years ago:

    About $3800 for both eyes. They were both done at once, and I was on my back in bed for a solid 2 days with cold compresses over my eyes mostly listening to audio shows queued up from my computer. It was fairly uncomfortable for that period. Day 3 I was able to move about with blurry but usable vision, even play a little WoW, and after 5-7 days I had solid eyesight. At 10 or so I could drive with sunglasses comfortably.

    I was light sensitive before the surgery and always squinting in bright sunlight. I have a condition with my eyes where they tend to get a bit crusty and if I don't wash em with warm water once or twice a day the light sensitivity worsens. This is unrelated to the surgery, but the light sensitivity was magnified by it initially. It has since, and continues to, become less and less of an issue and I can drive comfortably in situations where I could before and simply wear sunglasses for very high sunlight situations. I imagine that by next February I'll probably be back at where I was at.

    I have had no problems with my night vision or any sort of halos and otherwise feel that the surgery was a resounding success. I feel people that I meet for the first time approach me differently and I feel much more confident in general, although most of this may be for separate reasons. I could never get a good glasses look going for me and could not stand shoving contacts in my eyes. Not having the hassle of constantly having to be aware of the glasses on my face, nudging them up, cleaning them, every single day, and the freedom I now have with my eyes I feel was worth every penny spent.

    JAEF on
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