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TOPIC: Over Correction

Over Correction 07 Feb 2013 15:25 #1

  • Poppy
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As soon as the independent Opthalmic Surgeon informed me that my condition was a direct result of surgery I immediately commenced legal action. By then I had decided I wanted absolutely nothing to do with OE or their miserable staff. I was told by the surgeon that I had a pre existing eye condition that should have been clear to any qualified optometrist. OE either failed to notice or chose to ignore it.
No tear film test was carried out at my initial examination. On the day of surgery it is recorded that I had a poor tear film but of course this was not mentioned to me at the time.
I use an eye bag, Lacrilube at night and cellulosic throughout the day. The surgeon told me that bandage contact lenses are sometimes prescribed for corneal erosion but they can also present additional problems. I am now nearly 3 post surgery with absolutely no improvement, if anything my eyes are significantly worse.
Poppy

Over Correction 07 Feb 2013 12:05 #2

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Hi Nick
The reality I believe is that OE knowingly lie to everyone and anyone that they can sell surgery to.
After LASEK surgery I was referred to an Opthalmic Surgeon by my GP. He told me that OE have a reputation for employing inexperienced staff with the minimum of qualifications. His view is that the staff who we have entrusted our eyesight to probably don't even know how to examine people's eyes for suitability, let alone perform surgery successfully.
My corneas are permanently damaged and my vision cannot be corrected with spectacles. My vision is as if I'm looking through a steamed up window. In addition I suffer floaters constantly and the pain of corneal erosions every night of my life. I have not had an uninterrupted nights sleep since surgery in June 2010. THEY DID NOT MENTION THE POSSIBILITY OF THIS ON THEIR CONSENT FORM.
Depending on the degree of myopia the likelihood of failure is high and therefore somewhat predictable. I do not believe that surgery is suitable for those with myopia or a high prescription. Not with OE anyway. They just DO NOT have the skills.

Epithelium regrowth 06 Feb 2013 21:59 #3

  • Nick
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The use of the anti-metabolite mitomycin, which is referred as M-LASEK, can minimize the risk of post-operative haze in persons requiring larger PRK corrections, although the medication can worsen the dry eye that occurs after surgery in some patients.
en.wikipedia.org/wiki/Recurrent_corneal_erosion

Epithelium regrowth 06 Feb 2013 21:09 #4

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My understanding is that it's not the epithelium which is the main concern after problem laser surgery, whether IK or EK:

"The deeper layers of the cornea, as opposed to the outer epithelium, are laid down early in life and have very limited regenerative capacity. The deeper layers, if reshaped by a laser or cut by a microtome, will remain that way permanently with only limited healing or remodelling."
en.wikipedia.org/wiki/Photorefractive_keratectomy
The following user(s) said Thank You: Nick

Over Correction 06 Feb 2013 19:56 #5

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Hi Poppy, that makes it sound like "it's your fault"!!!!

OE seems to have standard lines, because no matter which Optrom I saw they all said the same thing. "it looks great", " it takes time", "all eyes heal differently".

What I would really like to know is, what is the expectation for the successful regeneration of the epithelium following LASEK, (Lasek usually follows an unsuccessful Lasik procedure). Successful as in, it returns to the same thickness as it was prior to surgery.

Having come across the attached PDF. From a lay-persons view-point, I form the impression, it is an unknown entity, given there are so many variables.

Is this the reason so many patients end up over-corrected?
Was LASEK the best option for me rather than LASIK, given my poor vision in my other eye.

Certainly surgery was a high risk procedure for myself (numbers given priority over what is best for the patient!) , can't help wondering if was I given the best option for success? Lasek v's Lasik, while appreciating the ethical & moral answer should have been no treatment at all, as advised by a few other sources.

What next I wonder, "refractive eye surgery for the blind" :woohoo:

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Over Correction 03 Feb 2013 10:28 #6

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I wish I had consulted Mr Mantos and NOT OE.
I was told precisely this AFTER the procedure and WHEN I realised I could not see clearly. Following surgery and many many consultations with numerous inept and disinterested optometrist across three different branches of OE my condition was summarised by Laura Davies Optometrist at Shrewsbury branch with her findings " your eyes haven't healed properly and that's why you've got RUBBISH VISION".
I was speechless. These were the words of the woman who originally established that I was a suitable candidate for surgery. She epitomises the level of experience and professionalism of OE staff.
I believe that OE are TOTALLY aware of the likelihood of failed surgery for those with myopia. They just don't care that they are butchering the eyes of innocent and trusting people.

Over Correction 16 Jan 2013 14:23 #7

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I'm confused here.

During Lasek, is the regrowth of the epithelium an expected entity? In most cases is it expected to regrow 100% prior to surgery, or a case of 'suck it and see'?

I googled "regrowth of epithelium after lasek" plenty of info on the web.

Here is one such link;

bmctoday.net/crstoday/2010/04/article.as...prk-over-prior-lasik

"MARK A. KONTOS, MD
Although PRK over prior LASIK has advantages, it carries a degree of uncertainty regarding the surgical outcome. Multiple factors probably cause variable outcomes. Mitomycin C (MMC) may have a less predictable effect in this setting, and epithelial hyperplasia is also a significant factor in many of these cases. When I looked through my past cases, I noticed that the patients who had a hyperopic overcorrection tended also to have moderate-to-high myopia at the time of their primary LASIK. The patients who had little or no effect after PRK often had lower myopia at the time of their primary LASIK. I try to keep this in mind when planning treatments. Because of the unpredictable nature of this type of enhancement, a detailed discussion with the patient about all possible outcomes is critical. Sometimes, the best plan of action is to leave things as they are".

As a lay person, I'm wondering if surgeons don't know 100% the expected regrowth of the epithelium, which may also be influenced by the use of Mitomycin C (MMC) as used by the High Street chains, then what the hell is going on, is every Lasek procedure a journey into the unknown?

Feel free to enlighten / correct me.

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