Lasik eye Surgery

[brownpagoda]

yea,i guess they use the specs one is to have buffer "Degree" left. i always believe that in cosmetic treatment like acne scars laser or lasik for eyes, you always trade smth for smth.. For lasik, u trade ur cornea thickness for lower degree eyesight. so the more u want to lower ur eyesight with lasik, the more u have to "burn off" the cornea or smth.

They cant aim for zero degrees i think, thus, have to use ur glasses prescription.

Thanks for the explanation. I do think it makes sense what you've just shared.

Just to add on, it would then seem better to use the recent test results and include "buffer degree", rather than glasses prescription from years ago.

But then again, there might be deep technical reasons behind that I'm not aware of, and I have zero doubt in the competency of the doctor. Thanks for quenching part of my curiosity!

 

[Rieper47]

Guys please note that if you go LASEK, the recovery will take 4-6 months

 

[yeeling0108]

Hi, when Dr Lee assessed that your eyes were dry, did he still gave the green light for the surgery?

Monday: Went to Shinagawa for a first consultation with Dr Lee Sao Bing and the staff did a thorough set of eye assessments. Very friendly and professional team.

Verdict: My eyes were too dry at that time and in order to minimize procedure risk, Dr Lee recommended to use eye drops every 3 hourly until next consultation. He explained that my astigmatism was giving inconsistent angle results from my glasses prescription vs. test results. Told him I wanted to do the surgery on Friday and he went Okay! Increase intensity to every 2 hours.

This doc was downnnnn, I like.

Visited again on Thursday and doc said eyes were well moisturized and results were matching. Green light for surgery on Friday morning!

Continued spamming eye drops till next morning cos man don't want no complicationss. The surgery summarized into simpleton lingo - wait, drop numb drops, wait, suction on eye (painless) to create flap, wait, more drops, laser zap, DONE!

2 hours after when the anesthetic wears out tho..tearing like a bish. Take the nap as the doctor suggests and you'll be fine after. I would highly recommend preparing some sorta protective goggles for the nap and night sleep, instead of using the tape+housefly eye caps they provided - it's quite a hassle.

One blurry thing I didn't completely understand tho: The doc does the correction based on my glasses prescription and not the eye test results, because that is what the "baseline" is and what has been clear for me all these while. Thing is, if I have been wearing the glasses for years, there might be a possibility that my degree has changed and isn't the eye test result a more accurate measure? Maybe I might have misunderstood his explanation. BUT HEY, vision is clear now I can see every thing in HD so ain't no fuss bout it. If anyone ever knows the clarity of this, do share!

 

[brownpagoda]

Hi, when Dr Lee assessed that your eyes were dry, did he still gave the green light for the surgery?

No, he did not give the green light. Instead, he gave me eye drops to use until my second consultation, which he accessed to be moist enough at that time to proceed with the op the next day.

 

[jazzyt]

sharing of my different consultations results

Hello All, decided to register an account after observing this thread since April this year and like to share my personal experience as I went for 3 diff consultations, have diff reviews and hence still havent even done my lasik! All my consultations were done in April =x

1) went for consultation at shinagawa with Dr Lee after also reading about his positive reviews here... had to refrain wearing my soft contact lens 3 days prior the consultation. Actual day the staff there very friendly and attended to all my noob questions + very comprehensive eye tests maybe like 8 machines to go through haha... he said i have slightly thinner than average corneal thickness abt 518microns and i fall into a small % grp of people who have slight risk of post-lasik ectasia =(

He said i can still do the surgery but have to do corneal collagen cross-linking (CXL) hence its the Lasik Xtra option where it is more ex than the usual, total about $5.5K!

So far ive not seen anyone mentioned they have ectasia or require cross linking though... really sad to have fallen into that small % grp even though Dr Lee gave me green light to proceed.

2) 2nd consultation was at Dr Natasha Lim Eye Centre at Royal square (very little reviews abt Dr Lim in here but my sister had done her surgery with her 8 years ago with positive review and so i went)

2 distinct differences Ive experienced here. First, when i called to make appt, the staff told me its not necessary to refrain from wearing soft contact lens up till the day before my consultation. (other clinics all asked to refrain at least 3 days before). Second, I only had to go through only 4 machines for the eye-tests.

Here is the surprising results from Dr Lim - she said im a perfect candidate for standard lasik as my cornea is thick enough (i forgot to ask her whats my microns) and there is nothing else she can say to me because my surgery is gonna be very straightforward. I showed her Shinagawa's test results and asked her:
i) why is there no need for me to refrain wearing contact lens 3 days before seeing you? She said wearing or not does not matter actually. In fact, by wearing my contact lens up till the day before my consultation and my results can still show my cornea is thick enough, it means to say if i refrain at least for 3 days prior, wouldnt my cornea be even thicker than?
ii) why do i go through only 4 machines here but 8 machines at other? She said going through more machines doesnt mean the results will be more accurate. Its still the skill of your doctor.

Dr Lim recommended me to do Standard-Guided option. Cost abt $4.4K

3) 3rd consultation at The Lasik Surgery Clinic at Paragon with Dr Mark. Same no. of machines to go through like Shinagawa; had to refrain 3 days of contact lens prior too... Also about similar comments with Dr Lee from Shinagawa where i have below than average cornea thickness but still can proceed with lasik with cross linking option. Recommended to do Lasik Bladeless Standard + Xtra option at cost of $4.5K...

Only difference between the 2 docs, Dr Mark and Dr Lee (Shinagawa) is that someone posted in here before that Dr Mark got kena 2 lawsuits before for operating on unsuitable patients abt 8yrs ago =x

So thats my experience guys... Im thinking to go for 2 more other consultations perhaps at Clear vision and SNEC to know if i have thick enough cornea or not... 2 vs 1 said I have abit thin cornea but still want to operate me.... i may just go for shinagawa hence, can some kind soul share with me your referral code please?

 

[hisugaya]

@jazzyt

What is your degree? Laser 1 dioper is about 14 microns. The flap that lasik do is about 140 micros. So if your degree is 100 myopia, 140 + 14 microns = 154 microns taken away.

If you do epi lasik you dont have to care about the flap, just the per dioper taken away. But comes at slight longer healing time.

All comes down to your needs and whether you can afford to do the down time. I did mine at Clearvision w/o crosslinking with about 550 microns and about 700 degrees with myopia and astig.

Sent from HTC 10 using GAGT

 

[thegardens3b]

Hello All, decided to register an account after observing this thread since April this year and like to share my personal experience as I went for 3 diff consultations, have diff reviews and hence still havent even done my lasik! All my consultations were done in April =x

1) went for consultation at shinagawa with Dr Lee after also reading about his positive reviews here... had to refrain wearing my soft contact lens 3 days prior the consultation. Actual day the staff there very friendly and attended to all my noob questions + very comprehensive eye tests maybe like 8 machines to go through haha... he said i have slightly thinner than average corneal thickness abt 518microns and i fall into a small % grp of people who have slight risk of post-lasik ectasia =(

He said i can still do the surgery but have to do corneal collagen cross-linking (CXL) hence its the Lasik Xtra option where it is more ex than the usual, total about $5.5K!

So far ive not seen anyone mentioned they have ectasia or require cross linking though... really sad to have fallen into that small % grp even though Dr Lee gave me green light to proceed.

2) 2nd consultation was at Dr Natasha Lim Eye Centre at Royal square (very little reviews abt Dr Lim in here but my sister had done her surgery with her 8 years ago with positive review and so i went)

2 distinct differences Ive experienced here. First, when i called to make appt, the staff told me its not necessary to refrain from wearing soft contact lens up till the day before my consultation. (other clinics all asked to refrain at least 3 days before). Second, I only had to go through only 4 machines for the eye-tests.

Here is the surprising results from Dr Lim - she said im a perfect candidate for standard lasik as my cornea is thick enough (i forgot to ask her whats my microns) and there is nothing else she can say to me because my surgery is gonna be very straightforward. I showed her Shinagawa's test results and asked her:
i) why is there no need for me to refrain wearing contact lens 3 days before seeing you? She said wearing or not does not matter actually. In fact, by wearing my contact lens up till the day before my consultation and my results can still show my cornea is thick enough, it means to say if i refrain at least for 3 days prior, wouldnt my cornea be even thicker than?
ii) why do i go through only 4 machines here but 8 machines at other? She said going through more machines doesnt mean the results will be more accurate. Its still the skill of your doctor.

Dr Lim recommended me to do Standard-Guided option. Cost abt $4.4K

3) 3rd consultation at The Lasik Surgery Clinic at Paragon with Dr Mark. Same no. of machines to go through like Shinagawa; had to refrain 3 days of contact lens prior too... Also about similar comments with Dr Lee from Shinagawa where i have below than average cornea thickness but still can proceed with lasik with cross linking option. Recommended to do Lasik Bladeless Standard + Xtra option at cost of $4.5K...

Only difference between the 2 docs, Dr Mark and Dr Lee (Shinagawa) is that someone posted in here before that Dr Mark got kena 2 lawsuits before for operating on unsuitable patients abt 8yrs ago =x

So thats my experience guys... Im thinking to go for 2 more other consultations perhaps at Clear vision and SNEC to know if i have thick enough cornea or not... 2 vs 1 said I have abit thin cornea but still want to operate me.... i may just go for shinagawa hence, can some kind soul share with me your referral code please?

in short - one advice. Proceed with care. cross linking procedure is done for weak corneas and it might hinder the result of your LASIK after.
u will have to sign disclaimer which you cant sue the dr who did the LASIK for you should it occur. i believe you have done your extensive research regarding the procedure and will still go ahead. in my opinion, no need to search for more opinions because at the end of the day, the dr will still want to operate because it is money to be earned..

 

[divasion]

in short - one advice. Proceed with care. cross linking procedure is done for weak corneas and it might hinder the result of your LASIK after.
u will have to sign disclaimer which you cant sue the dr who did the LASIK for you should it occur. i believe you have done your extensive research regarding the procedure and will still go ahead. in my opinion, no need to search for more opinions because at the end of the day, the dr will still want to operate because it is money to be earned..

so thats the reason why some ppl with high degree cant do lasik right? because too much cornea will be burn off, even for someone with super thick cornea...

but the funny thingis right, some doctor give red light,some give green light.. If there is one that give red light,i think safer not to do..

 

[thegardens3b]

so thats the reason why some ppl with high degree cant do lasik right? because too much cornea will be burn off, even for someone with super thick cornea...

but the funny thingis right, some doctor give red light,some give green light.. If there is one that give red light,i think safer not to do..

the first part - yes. and for other various reasons which are more technical/indepth

whether or not dr give red/green light is up to their comfort level as well.
ultimately is up to the patient if they want to go ahead as well.
for me i prefer wearing glasses as LASIK is a permanent procedure. come 40 years old they will have reading problems. can't escape wearing glasses then

 

[freedomissl]

Thanks for the explanation. I do think it makes sense what you've just shared.

Just to add on, it would then seem better to use the recent test results and include "buffer degree", rather than glasses prescription from years ago.

But then again, there might be deep technical reasons behind that I'm not aware of, and I have zero doubt in the competency of the doctor. Thanks for quenching part of my curiosity!

Hi brownpagoda ,
Understand that you went shinagawa for Lasik procedure and congrats ! Do you mind that I get referral from you?
Do let me know here I unable to pm you
Thanks

 

[jazzyt]

@jazzyt

What is your degree? Laser 1 dioper is about 14 microns. The flap that lasik do is about 140 micros. So if your degree is 100 myopia, 140 + 14 microns = 154 microns taken away.

If you do epi lasik you dont have to care about the flap, just the per dioper taken away. But comes at slight longer healing time.

All comes down to your needs and whether you can afford to do the down time. I did mine at Clearvision w/o crosslinking with about 550 microns and about 700 degrees with myopia and astig.

Sent from HTC 10 using GAGT

hi, my degrees abt 600plus in each eye with nominal astig... im not quite familiar abt the microns/micros thing, guess i gotta research somemore.... even though your microns is 550 which is average corneal thickness, were you advised by your doc to do crosslinking? Did you also seek more than 1 opinions? would you be able to recommend me your doc at clearvision as well? how was your experience there?

Thanks!

 

[jazzyt]

the first part - yes. and for other various reasons which are more technical/indepth

whether or not dr give red/green light is up to their comfort level as well.
ultimately is up to the patient if they want to go ahead as well.
for me i prefer wearing glasses as LASIK is a permanent procedure. come 40 years old they will have reading problems. can't escape wearing glasses then

Thanks both for the advice... im always 1 step forward but 5 steps back... thats why since April till now ive not even make any decision le sigh... will update again when ive gone for perhaps 2 more opinions...

 

[thegardens3b]

Thanks both for the advice... im always 1 step forward but 5 steps back... thats why since April till now ive not even make any decision le sigh... will update again when ive gone for perhaps 2 more opinions...

whats the main motivating factor for doing LASIK

in actual fact. CXL is mostly done for people with a really steep/weak cornea.
the fact that you have to do it after LASIK to strengthen it just says something behind the procedure... just giving advice from someone who knows the more technical stuff for people to weigh the options

 

[brownpagoda]

Hi brownpagoda ,
Understand that you went shinagawa for Lasik procedure and congrats ! Do you mind that I get referral from you?
Do let me know here I unable to pm you
Thanks

Hey Freedom,

PM sent.

 

[EMPt1ness]

Hello all,

I did my lasik surgery about 10 days ago. But since then i had v bad case of dry eyes, and i was told by the doctor that my eyes do not closed fully when i am asleep. As such, my eyes always get very irritated and dry when i fall asleep after a while

I was advised to wear an eye mask when i sleep to block out the airways to prevent the eyes from drying out and to force the eyelids to close

However when i woke up today morning, my eyes was super blur and it is still slightly blurry now... i think the pressure from the masks on my eyeball cause the blurriness... is there a chance the cornea flap dislodged?

Also, anyone here has this problem and how did you solve it to get a good night sleep?

 

[hisugaya]

hi, my degrees abt 600plus in each eye with nominal astig... im not quite familiar abt the microns/micros thing, guess i gotta research somemore.... even though your microns is 550 which is average corneal thickness, were you advised by your doc to do crosslinking? Did you also seek more than 1 opinions? would you be able to recommend me your doc at clearvision as well? how was your experience there?

Thanks!

Yes, I went to atlas and Shinagawa also. Both suggested CXL but only Clearvision said I don't need waste money even though i prompt that I want. So I guess it is for those that really needs it depending on eye test. Just go for the check up and specify Dr Ho, cos he does most of the operations and very experienced. I got write about my experience in previous few pages.

Sent from HTC 10 using GAGT

 

[thegardens3b]

Hello all,

I did my lasik surgery about 10 days ago. But since then i had v bad case of dry eyes, and i was told by the doctor that my eyes do not closed fully when i am asleep. As such, my eyes always get very irritated and dry when i fall asleep after a while

I was advised to wear an eye mask when i sleep to block out the airways to prevent the eyes from drying out and to force the eyelids to close

However when i woke up today morning, my eyes was super blur and it is still slightly blurry now... i think the pressure from the masks on my eyeball cause the blurriness... is there a chance the cornea flap dislodged?

Also, anyone here has this problem and how did you solve it to get a good night sleep?

hi there, good idea to wear the mask but make sure the mask is not pressing against your eyes too hard. this causes pressure in the eye to build up and thus cause blurry vision when you wake up in the morning.
usually people wake up already have blur vision and takes awhile for the eye to clear the extra fluid inside... with the tight mask, it might make the situation worse. so i advise a loose eye mask rather than a tight one. best if its not too loose or tight but looser is better than tight.

some people naturally have shorter lids to cover the eyes...
dont sleep with aircon and dont sleep with fan blowing directly to your face my advice

 

[EMPt1ness]

hi there, good idea to wear the mask but make sure the mask is not pressing against your eyes too hard. this causes pressure in the eye to build up and thus cause blurry vision when you wake up in the morning.
usually people wake up already have blur vision and takes awhile for the eye to clear the extra fluid inside... with the tight mask, it might make the situation worse. so i advise a loose eye mask rather than a tight one. best if its not too loose or tight but looser is better than tight.

some people naturally have shorter lids to cover the eyes...
dont sleep with aircon and dont sleep with fan blowing directly to your face my advice

Its kindda difficult situation for me. If its not tight enough air will go in and my eyes will get super dry fast.. do u have any recommendations where i can get those eye masks with contours around theeye area such tt it will not put pressure onto thr eyeballs?

 

[thegardens3b]

Its kindda difficult situation for me. If its not tight enough air will go in and my eyes will get super dry fast.. do u have any recommendations where i can get those eye masks with contours around theeye area such tt it will not put pressure onto thr eyeballs?

go q10 and see. quality wise im unsure.

if you really kiasu get those goggles to wear to sleep. best alr. swimming goggles.
abit funny looking but its sort of the best solution off hand.
it is a closed environment, the other good point is that it can be adjustable. so not too tight/loose

hope my suggestion helps

 

[crazyfellow24]

Referral code for Shinagawa

Thinking to have my lasik done at Shinagawa end of this month. Any kind soul can PM me their referral code please?? Thank you in advance!