LASIK surgery

[DaffyDuck]

Hi Brad, you handsome dude you [emoji4]
My situation is that I can see perfectly between about 8 and 20cm. That's incredibly useful for phones, reading, laptops, etc. I would really like to have LASIK for my distance vision, but everything I've read leads me to believe that it's almost certain that I'd lose my close vision and would have to wear reading glasses. Is that correct?

More or less the same question I asked - I’m sure Brad will get around to it.

[just hanging]

I am curious, if my lens is yellowed, cataract, and they slit my eye, take out that bad lens, put in a new mulitfocal lens, why is that bad? replacing one lens for another, 3o minutes.   As Brad said, you get halos when looking at bright lights like street lights but no other problem.  What is teh difference of wearing a contact over your eye or in it?

[taylor1975]

6 hours ago, Frang said:

Hi Brad, you handsome dude you
My situation is that I can see perfectly between about 8 and 20cm. That's incredibly useful for phones, reading, laptops, etc. I would really like to have LASIK for my distance vision, but everything I've read leads me to believe that it's almost certain that I'd lose my close vision and would have to wear reading glasses. Is that correct?

Thats exactly what i had ....i now use this monovision principle and its been great for about 10 years now. Took a month for my brain to recalibrate my eyes, so to speak.

my understanding is that, its less likely that i'll need any glasses when i get older, as each of my lenses don't need to move very far (as one is set to distance and the other for reading). 

[Frang]

3 hours ago, taylor1975 said:

Thats exactly what i had ....i now use this monovision principle and its been great for about 10 years now. Took a month for my brain to recalibrate my eyes, so to speak.

Yeah, I've been using monovision contact lenses on and off for a few years. Maybe I could go that route with LASIK. I guess I should really go in for a consultation to find out what my options are.

[taylor1975]

1 hour ago, Frang said:

Yeah, I've been using monovision contact lenses on and off for a few years. Maybe I could go that route with LASIK. I guess I should really go in for a consultation to find out what my options are.

Yeh, its worth it. I had the one where they cut a flap in your eye, peel it back, zap with  laser and fold flap back. Totally painless thank god.

[DaffyDuck]

Thats exactly what i had ....i now use this monovision principle and its been great for about 10 years now. Took a month for my brain to recalibrate my eyes, so to speak.
my understanding is that, its less likely that i'll need any glasses when i get older, as each of my lenses don't need to move very far (as one is set to distance and the other for reading). 

The monovision thing wasn’t acceptable to me.

[taylor1975]

1 hour ago, DaffyDuck said:

The monovision thing wasn’t acceptable to me.

 

What do you mean? .....an eye person said it wouldn't work for you?

[Brad Pitt]

22 hours ago, Frang said:

Hi Brad, you handsome dude you
My situation is that I can see perfectly between about 8 and 20cm. That's incredibly useful for phones, reading, laptops, etc. I would really like to have LASIK for my distance vision, but everything I've read leads me to believe that it's almost certain that I'd lose my close vision and would have to wear reading glasses. Is that correct?

Frang, it would be helpful to know you're distance Rx & age. 

[Brad Pitt]

21 hours ago, CyberPro said:

BP: May one ask what that means? 

Are you an Othalmologist?  Optometrist? Medical Researcher? Something else? 

And thanks for the information. Extremely interesting

Hey Cyber, I'm a "Physicians assistant" not sure if they have them in other countries but, here in the states we have the same privileges as a Physician w/ two exceptions. We can do "treatments" but, not surgeries and we have to practice w/ a licensed Medical doctor on the premises (I could not open my own practice). I can order a surgery be preformed but, not do it myself. I have a state  license to write for therapeutics as well as a federal license for narcotics.  I used to assist w/ surgeries but, in 2005 the health care laws changed in respect to the high cost of malpractice insurance. I've not been in an operating room since. :( 

That said; (in our 4th year of 6) we do non-resident rotations to see if we want to specialize in a discipline as opposed to just a basic "family practice" setting. I decided after my Ophthalmology rotation that it was what I wanted to do. I did an additional one year of training at the Estelle Doheny eye institute.

After school I worked at a 300 physician multi-specialty group "H.M.O." (in exchange for a two year p/ graduate commitment they paid a portion of my school tuition). I worked in the Ophthalmology department w/ two Ophthalmologist but, noticed that they still referred all "Retina" patients to outside specialist. Perplexed that these guys better trained then I still need to send Retina patients out, I decided to study Retina. I did a one year residency program at Bascom Palmer eye institute. After that I went to work for myself as a Retina consultant (1996-ish): I would work at different eye facilities (usually on a 1/2 day basis) for general Ophthalmologist and groups doing the consults on all of their Retina patients. Since 2001 I've been working at a Retina group in Beverly Hills. I still do consulting working on Wednesdays at a general Ophthalmology group associated w/ Martin Luther King Jr. Hospital (a state funded low income facility). 

Prior to my formal "P.A." school I have a Bachelors of science degree in Biology (w/ a minor in Computer Engineering).  

Hope that plus 23 years of working in the trenches will suffice as for my expertise opinions ?!? B.P.

[Brad Pitt]

Daffy - J.H. - Taylor - Frang - Taylor - Daffy: I'm getting to that, there is an individual component that I've yet covered. But, I really feel that I needed to educate you guys on the "how and why" it works (and sometimes doesn't) first.

I'm tired as fook and Fridays are the worst: you get the usual schedule + the people that have had some sort of lingering issue all week and Friday comes along and they "can't take it anymore" and have to be seen before the weekend > I always get 5++ emergency add-ons on Fridays. I've got to get sleep.    

Hang in there - I sincerely appreciate all of the interest & support ! 

[Harry Brown]

Very interesting BP, thanks for the info, I was contemplating the multi focal lens, but you've given me reason to think more about it and some questions I will ask my doctor. At least I know what to ask, and what some of the risks are.

 

[DaffyDuck]

What do you mean? .....an eye person said it wouldn't work for you?

No. It’s a hack that is not acceptable to me.

 

I tried it via contact lenses and it was simply a crappy experience.

 

I want both my eyes to be done the same way, and both to work well for close up as well as distance, without any risk of bright light halos. That’s really all there is to it. ;-)

[DaffyDuck]

Prior Hope that plus 23 years of working in the trenches will suffice as for my expertise opinions ?!? B.P.

Hey, I live in Los Angeles - let me buy you a drink, coffee or such one of these days. I’m really finding your explanations and lectures super interesting.

[taylor1975]

53 minutes ago, DaffyDuck said:

No. It’s a hack that is not acceptable to me.

 

I tried it via contact lenses and it was simply a crappy experience.

 

I want both my eyes to be done the same way, and both to work well for close up as well as distance, without any risk of bright light halos. That’s really all there is to it. ;-)

It can take a bit of time to get used too. As in a month of forcing yourself to read with both eyes without closing the one thats set for distance. And not driving with one eye lol. 

The benefits are that only one eye is operated on. 50% less chance of something going wrong compared to 2 eyes getting done. I believe, better chance of not needing glasses, 20 yrs down the line. 

Yes risk of the halo thing with this procedure. Another good reason to only get one eye done. Its worked great for me and i'm quite an advocate. Funny how the eye people that sold the procedures never mention it, until you tell them what you want. Dissapointment when they realise their commission is cut in half.

[dannyth]

Everyone is different, but to be honest when it comes to eyes I would not be going anywhere other than the Rutnin eye hospital in Bangkok.

I generally tend to avoid Bangkok Pattaya hospital, I know of too many people who have had bad experiences and also too many who went in for something simple and never came out.

 

[Frang]

13 hours ago, Brad Pitt said:

Frang, it would be helpful to know you're distance Rx & age. 

Hi Brad, I'm 50. My current contact lens prescription is -1.75, -2.00, if that's what you're asking.  I'm going to ask him to reduce the 1.75 because I'm not completely happy with the close vision.

[splitpin]

Here is my fear for those that have had it done, if someone has a pointy thing a foot away fro my eyes I cringe in terror, even reading this thread makes me shiver

 

Is this a needless fear?

[taylor1975]

1 hour ago, splitpin said:

Here is my fear for those that have had it done, if someone has a pointy thing a foot away fro my eyes I cringe in terror, even reading this thread makes me shiver

 

Is this a needless fear?

You know those devices that cut the end off a cigar ...they use something similar to cut a flap across my eyeball. You can see it sliding across lol. You then see the brush as they peel the flap back.

still interested? 555

[splitpin]

1 hour ago, taylor1975 said:

You know those devices that cut the end off a cigar ...they use something similar to cut a flap across my eyeball. You can see it sliding across lol. You then see the brush as they peel the flap back.

still interested? 555

Nope, but thanks for telling me

[Brad Pitt]

20 hours ago, DaffyDuck said:

 

Hey, I live in Los Angeles - let me buy you a drink, coffee or such one of these days. I’m really finding your explanations and lectures super interesting.

 

Daffy, a beer, a coffee, a roast at: Fogo de Chão: I'd love to ! 

Where in Los Angeles are you located? 

[Brad Pitt]

I've had a long week and had a little Cuban when I got home tonight (didn't expect to be on the forum tonight). My little Cuban GF went home and I'm just freak'n tired from the week. Catch up w/ you guys tomorrow ? 

[DaffyDuck]

You know those devices that cut the end off a cigar ...they use something similar to cut a flap across my eyeball. You can see it sliding across lol. You then see the brush as they peel the flap back.
still interested? 555

I would hope they offer an option with anesthesia, or at least some strong loopy drugs.

[DaffyDuck]

Daffy, a beer, a coffee, a roast at: Fogo de Chão: I'd love to ! 

Where in Los Angeles are you located? 

 

South Bay, Redondo Area.

 

I’m up in the LA area several times a week.

 

Forgo de Chão sounds good.

[taylor1975]

2 hours ago, DaffyDuck said:

I would hope they offer an option with anesthesia, or at least some strong loopy drugs.

 

Just eye drops that numb it. And when they clamp your eyeball ...that is no fun lol

[DaffyDuck]

Just eye drops that numb it. And when they clamp your eyeball ...that is no fun lol

Yeah, I think I’ll take a dozen Valium or two... ;-)

Some things I do not want to be aware of.