Lasik eye Surgery

eyz

Arch-Supremacy Member
Joined
Jul 10, 2002
Messages
12,066
Reaction score
2,123
great piece of information.

realised that you posted some info earlier, and you mentioned that you are gonna make an appt to see Dr.
Jerry Tan. So did you see him in the end?

so Epi-LASIK and LASEK do keep the epithelium flap right?

whereas the PRK and TransPRK remove the epithelium completely.

I thought the custom measurement of the cornea dimension is already available in the form of custom wavefront with LASIK surgery.

I think it should be available soon for TransPRK.

other than preference and protocol, I think the type of machines that is available to the doctor also plays an important part. cos if the clinic has only the older version of the amaris schwind 750, the doctor can't be marketing how good the 1050 is, likewise if their machine is unable to perform 2 procedure consecutively.

but come to think of it, eye correction surgery has come a long way, does the difference in the laser pulse of 750 and 1050 per sec makes any huge difference. and in the operating theatre where it's sterile, how much risk is eye exposed to during the switching of the equipment.

the only difference i can see that with the more advance in the technology, there is just a lesser hands on by the doctor himself. everything is automated.


PRK is using the laser to ablate the cornea. However, there are many variants of removing the epithelium in PRK.

Epi-lasik is the mechanical means of separating the epithelium by using a epikeratome.

LASEK is to use alcohol to loosen the epithelium for separation. The typical procedure is to use put a well on the eye and pour a alcohol solution into the well for around 30s and use mechanical instruments to separate the epithelium.

Transepithelial PRK is to use a laser to ablate the epithelium .In the past, the technology was not so advanced so surgeons had to perform 2 steps. 1st step was to ablate the epithelium manually by observing the blue light disappearance under the laser. 2nd step was to ablate the cornea. There was a short transition time between these 2 steps, leaving the cornea exposed to the environment. Due to the above, this was not popular I believe thus in the past, it was epi-lasik or LASEK.

The latest technology is the TransPRK by Schwind Amaris. It has the monogram for ablating the epithelium better and it ablate the epithelium and cornea in a single step. It's model is based on the sample dimensions and thickness of the epithelium based on the general population. Apparently, the thickness and dimensions of the epithelium is pretty consistent among individuals.. It's not perfect but it is better than ablating manually as I described above.

I believe the future technology is that the machine can scan and detect and model the epithelium of an eye and ablate precisely. This is not available yet.

Different surgeons will have different protocols and procedures which they are comfortable with and their preferred machines. This is why every surgeon may give a different opinion.

As usual, caveat emptor.
 

Michi_84

Member
Joined
Oct 9, 2007
Messages
172
Reaction score
0
Hi All, been secretly reading up reviews here and finally done my lasik at EEC today by Dr Julian Theng.

The recommendation for me is Epi-lasik as I have thin cornea. Procedure is quite fast like all was completed in 20 min? And Dr Theng is so handsome! Hahahaha

Luckily quoted Dr Ethan Goh for referral and save some money. Vision now is abt 60-70% visible. No pain at all though my eyes feel tired after I left the clinic. Hopefully vision will get better fast, tml will go Mt A for 1st review
 

HCS_HCS

Member
Joined
Jun 25, 2017
Messages
164
Reaction score
1
All the best! Do update us along the way after your review sessions.

Heal well and have perfect vision :)

Hi All, been secretly reading up reviews here and finally done my lasik at EEC today by Dr Julian Theng.

The recommendation for me is Epi-lasik as I have thin cornea. Procedure is quite fast like all was completed in 20 min? And Dr Theng is so handsome! Hahahaha

Luckily quoted Dr Ethan Goh for referral and save some money. Vision now is abt 60-70% visible. No pain at all though my eyes feel tired after I left the clinic. Hopefully vision will get better fast, tml will go Mt A for 1st review
 

Michi_84

Member
Joined
Oct 9, 2007
Messages
172
Reaction score
0
All the best! Do update us along the way after your review sessions.

Heal well and have perfect vision :)
Thanks HCS_HCS. Sorry to hear abt your bad experience. Today went Mt A for 1st review. The doc examine my eye to see if I can read some of the letter on the screen. Covered my left eye first, image is totally blur, can't really read the letter on screen. Left eye is better as I still can see some letter.

Then awhile later, got to see Dr Theng and he assure everything is fine after checking the eyes. Handed me the photo which was taken yesterday and given me 2 of his published books, still got 2 cookies nicely wrapped. Guess it's all in the package, review price also got discount. Wah luckily got quote someone for referral.

However, subsequent review won't be done by Dr Theng as his schedule is fully booked till Oct. The next time which I will get to see him will only be at 3 month review which is the graduation. Sian
 

notorand

Senior Member
Joined
Jun 29, 2002
Messages
821
Reaction score
6
Hi All, been secretly reading up reviews here and finally done my lasik at EEC today by Dr Julian Theng.

The recommendation for me is Epi-lasik as I have thin cornea. Procedure is quite fast like all was completed in 20 min? And Dr Theng is so handsome! Hahahaha

Luckily quoted Dr Ethan Goh for referral and save some money. Vision now is abt 60-70% visible. No pain at all though my eyes feel tired after I left the clinic. Hopefully vision will get better fast, tml will go Mt A for 1st review
If put Dr Ethan Goh for referral how much is the discount?

Sent from Motorola MOTO G (4) using GAGT
 

Honda91

Junior Member
Joined
Feb 6, 2012
Messages
83
Reaction score
0
i will be going for my lasik procedure next wk too.

initially wanted to go dr julian also... but his schedules fully pack till oct
so end i enquired with SNEC and got schedule at 14 july for the procedure

seen the video of how the procedure was being done, abit scarry thought. lol
anyway how long after the procedure u got back ur vision ?
as in after the procedure, you able to go back by urself ? driving ?
any pain or whatever after the procedure ?
 

notorand

Senior Member
Joined
Jun 29, 2002
Messages
821
Reaction score
6
i will be going for my lasik procedure next wk too.

initially wanted to go dr julian also... but his schedules fully pack till oct
so end i enquired with SNEC and got schedule at 14 july for the procedure

seen the video of how the procedure was being done, abit scarry thought. lol
anyway how long after the procedure u got back ur vision ?
as in after the procedure, you able to go back by urself ? driving ?
any pain or whatever after the procedure ?
Between eec and snec, cost wise what is the difference?

Sent from Motorola MOTO G (4) using GAGT
 

mudxblood

Master Member
Joined
Oct 6, 2014
Messages
2,579
Reaction score
0
i will be going for my lasik procedure next wk too.

initially wanted to go dr julian also... but his schedules fully pack till oct
so end i enquired with SNEC and got schedule at 14 july for the procedure

seen the video of how the procedure was being done, abit scarry thought. lol
anyway how long after the procedure u got back ur vision ?
as in after the procedure, you able to go back by urself ? driving ?
any pain or whatever after the procedure ?

Mine is next Monday with SNEC. Who's your doctor?

Sent from OnePlus ONEPLUS A5000 using GAGT
 

mudxblood

Master Member
Joined
Oct 6, 2014
Messages
2,579
Reaction score
0
nice nice..

mine is dr khor wei boon
urs ?

u done ur eye assessment already?

i will be hving my eye assessment on thruday n procedure on friday

Initially I was like you, picked a random assigned doctor and got Dr. Allen Fong. However my cornea thickness is considered below average. So my surgeon will be Dr. Rosman. My procedure is Lasek ASA. My lasek assessment was 1 month back. Surgery next Monday early morning 7.45am

Sent from OnePlus ONEPLUS A5000 using GAGT
 

notorand

Senior Member
Joined
Jun 29, 2002
Messages
821
Reaction score
6
Just went to EEC westgate and shocked at waiting list of Julian Theng. If cost is secondary concern shld I just wait? Or maybe just go SNEC? I am more concern on the skill of the doc, not sure if SNEC docs are better than Julian Theng ...

Sent from Motorola MOTO G (4) using GAGT
 

Honda91

Junior Member
Joined
Feb 6, 2012
Messages
83
Reaction score
0
Initially I was like you, picked a random assigned doctor and got Dr. Allen Fong. However my cornea thickness is considered below average. So my surgeon will be Dr. Rosman. My procedure is Lasek ASA. My lasek assessment was 1 month back. Surgery next Monday early morning 7.45am

Sent from OnePlus ONEPLUS A5000 using GAGT

oh ic ... so in this case, meaning after my assessment, chances that i may not be able to proceed with the procedure the next day?

i supposed to hv my assessment done ytd, but upon reaching there, they didnt allow me to do the assessment as i didnt stop wearing contact lens for a week.

hopefully the assessment goes well ..arbo keep delaying
 

mudxblood

Master Member
Joined
Oct 6, 2014
Messages
2,579
Reaction score
0
oh ic ... so in this case, meaning after my assessment, chances that i may not be able to proceed with the procedure the next day?

i supposed to hv my assessment done ytd, but upon reaching there, they didnt allow me to do the assessment as i didnt stop wearing contact lens for a week.

hopefully the assessment goes well ..arbo keep delaying

It's possible to do the day after if the doctor is free. As for me, I have reservist thus need to delay abit.

Sent from OnePlus ONEPLUS A5000 using GAGT
 

Honda91

Junior Member
Joined
Feb 6, 2012
Messages
83
Reaction score
0
It's possible to do the day after if the doctor is free. As for me, I have reservist thus need to delay abit.

Sent from OnePlus ONEPLUS A5000 using GAGT

i got my eye assessment appointment on thurday
lasik procedure appoint on friday
follow up appointment on sat

all schedule for already

what i mean is after the assessment, is it possible due whatever result that i cant proceed withe the procedure?

or doesn't affect at all ? just a pre assessment to prior to the procedure?
 

mudxblood

Master Member
Joined
Oct 6, 2014
Messages
2,579
Reaction score
0
i got my eye assessment appointment on thurday
lasik procedure appoint on friday
follow up appointment on sat

all schedule for already

what i mean is after the assessment, is it possible due whatever result that i cant proceed withe the procedure?

or doesn't affect at all ? just a pre assessment to prior to the procedure?

It's possible that you can't go through with the surgery if say for example, your cornea thickness is too thin. I only booked surgery date after doctor confirmed my suitability for any of the procedures offered at SNEC.

Sent from OnePlus ONEPLUS A5000 using GAGT
 

Michi_84

Member
Joined
Oct 9, 2007
Messages
172
Reaction score
0
It's possible that you can't go through with the surgery if say for example, your cornea thickness is too thin. I only booked surgery date after doctor confirmed my suitability for any of the procedures offered at SNEC.

Sent from OnePlus ONEPLUS A5000 using GAGT

For my case, I have thin cornea, so the only option for me is Epi-lasik. Dunno what will ur doc suggest as different clinic has different practice? I guess EEC is the only one that does assessment and surgery on the same day?
 
Important Forum Advisory Note
This forum is moderated by volunteer moderators who will react only to members' feedback on posts. Moderators are not employees or representatives of HWZ Forums. Forum members and moderators are responsible for their own posts. Please refer to our Community Guidelines and Standards and Terms and Conditions for more information.
Top