5 ms·

Make sure you understand the clinical outcomes and potential side-effects. When a cornea flap is cut, you are cutting a lot of innervation to the cornea surfac

Make sure you understand the clinical outcomes and potential side-effects. When a cornea flap is cut, you are cutting a lot of innervation to the cornea surface, this for many people means fairly persistent dry-eyes. In addition the scaring of the cornea in the incision flap rim, can also create visual artefacts like Halos, more visible during nightime as your pupil expands and may catch some of the visual distortion of the scar tissue. I am describing from experience so your mileage may vary. At the end of the day I would probably still go ahead with the surgery but I genuinely feel that it was not thoroughly explained to me, ahead of the surgery, what all the potential side-effects could be.

draven 5y ago
As I understand it SMILE implies a smaller cut (3mm) with less nerve damage. Thanks for the heads-up, I'll make sure I'm OK with the potential side effects if I go forward with it.
- loceng 5y ago
  Look up central sensitization and hyperalgesia, a side effect LASIK only recently admitted to, and to which LASIK caused me and has made my life hell - and why I know about Jessica Starr, the Facebook support group, and the stromal stem cell research - all things I had to find on my own as the industry is protecting itself, indoctrinated and with no real interest in helping those they harm except for billing you to treat the purposefully mislabeled "dry eye syndrome" - where research not done by LASIK shows up to 40% of people have permanent problems after.
Traubenfuchs 5y ago
I am suffering from moderate dry eye now and was suffering from severe dry eye in the past. I once had a day at work where the pain was so bad I thought: This is it. I can‘t keep on working, I will lose my job and live on disability from now on. After some conversations with healthy people, I learned that many can not even imagine dry eye pain. One sentence stuck out: „I didn‘t know eyes could hurt.“ What I wanna say is: Don‘t risk it. Lasik can ruin your life.
- loceng 5y ago
  Indeed, the idea of "informed consent" is complete non-sense because the layperson will have no way to understand what the potential consequences entail - and personally I was lied to multiple times by LASIK before getting the procedure done.
  - Traubenfuchs 5y ago
    I am bound to my glasses I loath but at least can barely stand to wear contacts to go out once a week due to my diligent eye treatments. I would love to do lasik! But any potential worsening of my dry eyes is not worth it. I would still sacrifice my whole fortune to have healthy eyes again. (to be clear: I did not have lasik, but I probably suffer from permanent isotretinoin damage)
    - DantesKite 5y ago
      I developed severe dry eyes, light sensitivity, halos, and migraines as a result of corticosteroids. But I was able to reverse a majority of it and continue to do after learning Tribulus upregulates androgen receptors in the brain, which seems to control the aqueous liquid in our eyes. I'm not sure what Vitamin A does to the body. From a cursory glance, it seems to affect skin androgen receptors, which would explain why it affected your eyes but if it has a similar affect, you might want to consider Tribulus. Start off with a low dosage. Say 1 pill daily for a week, then taper off. On and off for a few months.
      - Traubenfuchs 5y ago
        To be more precise, androgens (especially DHT) suppress inflammation in the meibomian glands. I strongly recommend dissolving an oral pill of hyaluronic acid twice daily -do not swallow the pill whole, it won‘t dissolve and you will shit a tiny gelatine egg. Besides that eye heating masks and lid-hygiene (e.g. blephacura) do wonders. As for AR expression, I believe L-Carnitin should also improve it. Creatine should increase DHT. But I am afraid to haphazardly increase my androgens or receptor expression because of my AGA.
at_a_remove 5y ago
I was talking to my eye doc while he was performing surgery on my eyelids, just sort of chit-chatting. So I was curious, my eyesight is pretty good -- but for how long? -- and I asked, "What do you think of LASIK?" Now, this guy has a dry sense of humor so he said, "You may notice that I'm wearing glasses ..." And I guess that was all of the input I needed.
- loceng 5y ago
  There are photos floating around of the doctors attending LASIK conferences, where 50%+ of doctors are wearing glasses.
- l33tman 5y ago
  A lot of people are perfectly comfortable with wearing glasses. All surgical procedures carry some non-zero risk and you have to weight the risk benefit ratio which is different for all patients.
smnrchrds 5y ago
NYT had a good article about this: <quote> His eyes are so dry and sore that he puts drops in every half-hour; sometimes they burn “like when you’re chopping onions.” His night vision is so poor that going out after dark is treacherous. But Mr. Ramirez says that as far as his surgeon is concerned, he is a success story. “My vision is considered 20/20, because I see the A’s, B’s and C’s all the way down the chart,” said Mr. Ramirez. “But I see three A’s, three B’s, three C’s.” </quote> https://www.nytimes.com/2018/06/11/well/lasik-complications-vision.html https://www.nytimes.com/2018/06/11/well/lasik-complications-...

draven 5y ago

As I understand it SMILE implies a smaller cut (3mm) with less nerve damage. Thanks for the heads-up, I'll make sure I'm OK with the potential side effects if I go forward with it.

loceng 5y ago
Look up central sensitization and hyperalgesia, a side effect LASIK only recently admitted to, and to which LASIK caused me and has made my life hell - and why I know about Jessica Starr, the Facebook support group, and the stromal stem cell research - all things I had to find on my own as the industry is protecting itself, indoctrinated and with no real interest in helping those they harm except for billing you to treat the purposefully mislabeled "dry eye syndrome" - where research not done by LASIK shows up to 40% of people have permanent problems after.

Traubenfuchs 5y ago

I am suffering from moderate dry eye now and was suffering from severe dry eye in the past. I once had a day at work where the pain was so bad I thought: This is it. I can‘t keep on working, I will lose my job and live on disability from now on. After some conversations with healthy people, I learned that many can not even imagine dry eye pain. One sentence stuck out: „I didn‘t know eyes could hurt.“ What I wanna say is: Don‘t risk it. Lasik can ruin your life.

loceng 5y ago
Indeed, the idea of "informed consent" is complete non-sense because the layperson will have no way to understand what the potential consequences entail - and personally I was lied to multiple times by LASIK before getting the procedure done.
- Traubenfuchs 5y ago
  I am bound to my glasses I loath but at least can barely stand to wear contacts to go out once a week due to my diligent eye treatments. I would love to do lasik! But any potential worsening of my dry eyes is not worth it. I would still sacrifice my whole fortune to have healthy eyes again. (to be clear: I did not have lasik, but I probably suffer from permanent isotretinoin damage)
  - DantesKite 5y ago
    I developed severe dry eyes, light sensitivity, halos, and migraines as a result of corticosteroids. But I was able to reverse a majority of it and continue to do after learning Tribulus upregulates androgen receptors in the brain, which seems to control the aqueous liquid in our eyes. I'm not sure what Vitamin A does to the body. From a cursory glance, it seems to affect skin androgen receptors, which would explain why it affected your eyes but if it has a similar affect, you might want to consider Tribulus. Start off with a low dosage. Say 1 pill daily for a week, then taper off. On and off for a few months.
    - Traubenfuchs 5y ago
      To be more precise, androgens (especially DHT) suppress inflammation in the meibomian glands. I strongly recommend dissolving an oral pill of hyaluronic acid twice daily -do not swallow the pill whole, it won‘t dissolve and you will shit a tiny gelatine egg. Besides that eye heating masks and lid-hygiene (e.g. blephacura) do wonders. As for AR expression, I believe L-Carnitin should also improve it. Creatine should increase DHT. But I am afraid to haphazardly increase my androgens or receptor expression because of my AGA.

at_a_remove 5y ago

I was talking to my eye doc while he was performing surgery on my eyelids, just sort of chit-chatting. So I was curious, my eyesight is pretty good -- but for how long? -- and I asked, "What do you think of LASIK?" Now, this guy has a dry sense of humor so he said, "You may notice that I'm wearing glasses ..." And I guess that was all of the input I needed.

loceng 5y ago
There are photos floating around of the doctors attending LASIK conferences, where 50%+ of doctors are wearing glasses.
l33tman 5y ago
A lot of people are perfectly comfortable with wearing glasses. All surgical procedures carry some non-zero risk and you have to weight the risk benefit ratio which is different for all patients.

smnrchrds 5y ago

NYT had a good article about this: <quote> His eyes are so dry and sore that he puts drops in every half-hour; sometimes they burn “like when you’re chopping onions.” His night vision is so poor that going out after dark is treacherous. But Mr. Ramirez says that as far as his surgeon is concerned, he is a success story. “My vision is considered 20/20, because I see the A’s, B’s and C’s all the way down the chart,” said Mr. Ramirez. “But I see three A’s, three B’s, three C’s.” </quote> https://www.nytimes.com/2018/06/11/well/lasik-complications-vision.html https://www.nytimes.com/2018/06/11/well/lasik-complications-...