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Q. I read on the Massachusetts eye and ear web site, that when performing lasek they only do one eye at a time, is that possible for me also?
A. This is old info, they now do bilateral. I was actually trained by the guy who invented LASEK there, Jon Talamo MD
Q. I also read that in many of lasek procedures the epithelium is placed back and has an increased healing rate then if it were to be removed, why do you opt for removing it all together?
A. We need to put this on our website. We did a trial with 100 eyes, 50 had epithielium replaced, 50 fellow eyes of same patient removed. The removed eyes healed quicker so this is what we and most docs in the US now do.
Q. It’s not necessary to go through it in email maybe in the office, but while I am convinced that LASEK is a much safer procedure and I wouldn’t even consider LASIK at this point, there still has to be potential complications, I definitely would want to know what the worst complications you have heard about and seen especially in your own patients. You have to be crazy to not realize that refractive surgery - while it can be unbelievable - can also be a disaster. I am not looking for comfort as I would be completely confident in the surgeon if I do it, just I would want to know exactly what the worst possible outcomes are and what to expect if God forbid there are complications. Especially since all you can read about complications online are with LASIK procedures and not LASEK complications!
A. I have had 1 woman needing a corneal transplant, which is taking a cornea from a dead person and sewing it into her eye. She swam 2-3 days post-op instead of waiting 1-2 weeks as we advise, so this is her fault for ignoring the instructions. I have had similar complications e.g. infections, also due to noncompliance, but these are all w LASIK not LASEK. I have not had a single bad complication with LASEK. Maybe because it’s a more involved procedure so patients seem to understand this and are more careful post-op!
Q. I am sure you calibrate the laser often but could you do it before I would have my procedure?
A. We do it before every day and after every 3rd eye, the laser actually forces us to do this.
Q. I clearly don’t have a typical case farsighted/nearsighted, are there any other specialists I should see aside from a pediatric opthalmologist and is there anything the else the good doctor would do to try to get the best results?
A. You are not that atypical, I have lasered other people like you. Ask me for some names and emails when you come in next and you can contact them yourself!
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