Exposing the LASIK Scam

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 Post subject: Please help me help my sister
PostPosted: Sun Jul 08, 2007 5:14 am 
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Hello,

I am the sister of a Lasik victim. She has R. Arthritis, had RK eye surgery 14 years ago and went to see about Lasik in Dec, 2006. The doctor approved her surgery and told her she may only need reading glasses and he was going to make her eyes like his. Since the surgery in Dec the nighmare began. She nows see blur, 3-4 moons, ghosting, headlights are blobs. Her life has stopped. She can't see on the computer, drive, read, her face is a big blur in the mirror. She always used to fix her hair, wear her makeup and now she can't see to do that anymore. She also has very dry eye from her Arthritis and from the Lasik. She has a 14 year old son and a husband but now she wants to die. The doctor who did the procedure doesn't understand what happened so he says and referred her for hard contacts which would not work. She also tried a Z wave contact which worked at first but then after about 45 minutes clouds over and sticks because of goo in her eyes, and I guess because they are so dry. She saw another Dr. who is suggesting PRK now but said she will have to get her mental status better before he will do anything. We are now going into our 7th month since surgery and everyday has gotten worse. We the family do not know what to do. We have had her at the hospital, they have had her on anxiety pills, anti-depressents and nothing works. She is having Panic Attacks and crys everyday. She says she cannot live this way and begs us to let her die. We really don't know what to do anymore. My sister is a Registered Nurse and has been over a Healthcare Facility in the past and now she feels everyone thinks she is crazy. She is very angry, bitter, depressed and says nobody understands. I am trying so hard to help her. I am researching everyday and see on here what so many of you are going through. It breaks my heart for all of you and I don't know how to help . She is afraid of everything. She is afraid to take a shower, go anywhere or try to do anything. She will not even go in stores anymore because her eyes change in every light. She has stopped going to church but she cannot stand for any of us to go on with our normal lives. We are all there for her but nothing is helping her. She said she is so afraid of how she sees and doesn't want to live this way. She feels nobody's eyes are as bad as hers because she had RK years ago and now Lasik. She said this Dr. has stolen her life. Can any of you give me any advice on how I can help her in any way. I am desperate. I am afraid I am going to lose my sister. She has lost 20 pounds and looks like a skeleton but does not want to eat. Her husband is telling her he cannot live this way. She has lost almost everything over this and I am afraid she is going to lose her husband and child too. I tell her she is going to have to try to do stuff but she is is afraid. She wants her life back but wants it to be normal again. I never know when I go to bed if she will be alive the next day. Please if anyone can give me advice I would appreciate it because when I read some of these post and how they are talking it sounds just like my sister.

_________________
BROKEN HEARTED FOR LASIK VICTIMS


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 Post subject: Re: Please help me help my sister
PostPosted: Sun Jul 08, 2007 12:49 pm 
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Lasiksister wrote:
Hello,

I am the sister of a Lasik victim. She has R. Arthritis, had RK eye surgery 14 years ago and went to see about Lasik in Dec, 2006. The doctor approved her surgery and told her she may only need reading glasses and he was going to make her eyes like his. Since the surgery in Dec the nighmare began. She nows see blur, 3-4 moons, ghosting, headlights are blobs. Her life has stopped. She can't see on the computer, drive, read, her face is a big blur in the mirror. She always used to fix her hair, wear her makeup and now she can't see to do that anymore. She also has very dry eye from her Arthritis and from the Lasik. She has a 14 year old son and a husband but now she wants to die. The doctor who did the procedure doesn't understand what happened


Doesn't understand what happened? :roll: I know what happened. He did LASIK on top of RK. To begin with, it's not an FDA approved use of the laser. There have never been clinical trials to prove the safety and efficacy of LASIK on top of RK. Doing LASIK on top of RK is asking for trouble. :x The ONLY thing you can hope to gain from LASIK after RK is improved refractive error -- but now you have an unstable cornea, dry eyes, visual aberrations, and all the usual complications of LASIK.

Lasiksister wrote:
so he says and referred her for hard contacts which would not work. She also tried a Z wave contact which worked at first but then after about 45 minutes clouds over and sticks because of goo in her eyes and I guess because they are so dry. She saw another Dr. who is suggesting PRK now


Good grief! I would NEVER recommend PRK on top of LASIK on top of RK. I cannot believe any surgeon is recommending this! There's been too much surgery already.

Lasiksister wrote:
but said she will have to get her mental status better before he will do anything. We are now going into our 7th month since surgery and everyday has got worse. We the family do not know what to do. We have had her at the hospital, they have had her on anxiety pills, anti-depressents and nothing works. She is having Panic Attacks and crys everyday. She says she cannot live this way and begs us to let her die. We really don't know what to do anymore. My sister is a Registered Nurse and has been over a Healthcare Facility in the past and now she feels everyone thinks she is crazy.


Not everyone. Just people who are uniformed about these voodoo surgeries.

Lasiksister wrote:
She is very angry, bitter, depressed and says nobody understands.


We understand.

Lasiksister wrote:
I am trying so hard to help her. I am researching everyday and see on here what so many of you are going through. It breaks my heart for all of you and I don't know how to help . She is afraid of everything. She is afraid to take a showder, go anywhere or try to do anything. She will not even go in stores anymore because her eyes change in every light. She has stopped going to church


That's the exact medicine that she needs. Trust me, I know.

Lasiksister wrote:
but she cannot stand for any of us to go on with our normal lives. We are all there for her but nothing is helping her. She said she is so afraid of how she sees and doesn't want to live this way. She feels nobody's eyes are as bad as hers because she had RK years ago and now Lasik. She said this Dr. has stole her life. Can any of you give me any advice on how I can help her in any way. I am desperate. I am afraid I am going to lose my sister. She has lost 20 pounds and looks like a skeleton but does not want to eat. Her husband is telling her he cannot live this way. She has lost almost everything over this and I am afraid she is going to lose her husband and child too. I tell her she is going to have to try to do stuff but is is afraid. She wants her life back but wants it to be normal again. I never know when I go to bed if she will be alive the next day. Please if anyone can give me advice I would appreciate it because when I read some of these post and how they are talking it sounds just like my sister.


She needs to take matters into her own hands, which means not rushing back into another surgery without being fully informed about a) exactly what's wrong with her eyes now, and b) what to expect from another surgery -- good and bad. I think educating myself is what helped me feel like I had some control back in my life. I was not able to find a fix for my vision, but I was able to carry on after coming to terms with what had happened, and accepting that my life would never be the same but it was still worth living and could be a rewarding, fulfilling life if I chose it.

I'm in a hurry to get to church this morning. No more time to write right now. Let me know if I can be of any help.

_________________
Broken Eyes

"The price good men pay for indifference to public affairs is to be ruled by evil men." Plato


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 Post subject: Finding out what's really wong with your sister's eyes
PostPosted: Sun Jul 08, 2007 4:04 pm 
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Until you understand exactly what's going on with your sister's eyes you won't know what your options are.

The most difficult challenge in obtaining this information is that corneal specialists tend to cover up for each other.

I don't know many who will not whitewash problems they see during a 2nd opinion. I do know a few, and one good doctor is all it takes to get some answers that will allow her to move forward from a position of knowledge.

If you will private-message me I will send you contact information for a good doctor who will be honest about the current state of your sister's
corneas. She may need a corneal transplant. If she needs a corneal transplant, this is not the end of the world. They are performed one at a time, and can restore excellent vision, usually with a contact lens. The transplant won't have RK incisions or a flap. That's a bonus. I know someone who has fewer aberrations in his transplant eye than his PRK eye. If it is determined that your sister requires a corneal transplant for previous botched corneal refractive surgery, her legal case will be strong.

Everyone knows that LASIK over RK is a bad idea. The cornea can fall apart! Everyone also knows that patients with pre-existing dry eye are bad candidates for corneal refractive surgery and have a hard time tolerating contact lenses.

Corneal refractive surgery is contraindicated in patients who have an autoimmune disease, so since your sister has Rheumatoid Arthritis, her surgeon is an even bigger moron.

It's no surpise that your sister is having problems. However, you need more information to determine the best course of action. Until all of you understand the root cause of her problems - and your options now, you will feel helpless and not 'in control'.

I have known many desperate and suicidal patients who have found their best options for vision and comfort and re-joined the land of the living. Your sister can do this too, but some action is required to reach this point.

I am willing to forward contact information for a doctor I trust, and to shuttle your sister from the airport to the appointment and back. If multiple visits are required she (and any traveling companion) are welcome to stay at my house. This trusted doctor, who does NOT approve of LASIK... will be candid.

Broken Eyes and I will be happy to go over her scans with you. Insurance should cover everything, and also medical travel is tax-deductible.

You should consider finding an attorney to take on a malpractice case against your sister's surgeon. You will need a medical opinion in writing, so this ethical doctor will be important toward this end as well.

I also did not want to eat for about a year after my surgery. It was tough. I know what your sister is going through. One thing that's really surprising to discover is how comforting other people with similar problems can be. We have all been through the depression, the crying, despair... and have come out on the other side.

There is a warm, supportive and educated network of patients who are here to help your sister and those like her.

_________________
We can easily forgive a child who is afraid of the dark. The real tragedy of life is when men are afraid of the light. -Plato


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 Post subject:
PostPosted: Sun Jul 08, 2007 7:25 pm 
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Hi Broken Eyes and Scientist,

I so appreciate your information and willingness to help. My questions to you are how do you see now? What steps did you take to get there? The doctor who wants to do PRK is supposed to be one of the best in the USA and supposed to be a very trusting doctor. I am afraid also another surgery is a bad idea. How do you know who to trust? This doctor is also saying a Cornea transplant is a last resort. I feel possibly that is the only answer. My sister feels that is not even an option for her since she has no tears. She said it will not heal and she thinks nobody will do one because of that and because of her Arthritis. She is so nervous today and everyday she can't even get her words out where you can understand her. She is terrified of how she is seeing and cannot get a grip on the FEAR. I pray everyday so hard for God to help her and us but it seems every door for her is closing. We might could get her help with her eyes if her nerves would calm down. She shakes all over. This is the most horrible thing I have ever been through. The doctor has now took her off of her anxiety pills and changed her antidepressent again. He thinks the anxiety medication was not working anymore and she was having to take more and more to be calm so he took her off all at once. I just don't know about these doctors. The family is doing everything to take care of her but is has lost her will and wants us to pray for her to die.

_________________
BROKEN HEARTED FOR LASIK VICTIMS


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 Post subject: None of us have restored terrific vision
PostPosted: Sun Jul 08, 2007 7:43 pm 
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You should know that there is no patient who has gotten normal vision back unaided. Some have been helped considerably with contacts. Transplants have helped some. We may not have normal vision, but we have found our best options and ways to cope. Your sister has not yet found her best option, and ways to cope.

I only trust doctors who have been honest with me (I would know) and with other patients. There are not too many honest corneal specialists out there.

It is absolutely correct that your sister's RA makes the transplant option more risky. It should have ruled out the LASIK that got her in this situation. But a really good transplant surgeon could help her weigh all of the odds and monitor her healing if she goes for the transplant option.

Keep in mind that the transplanted cornea has intact corneal nerves. This is not to say that transplants are not drier than normal eyes... but you should not assume her dry eye will be worse. She's getting rid of some sliced and burned nerves in the transplant procedure, after all.

I spoke on the phone for many months with a patient who was so distraught from her horrible post-LASIK vision and dry eye pain that I could barely understand her through the crying. She made several serious attempts to commit suicide. Now she's madly in love again and deleriously happy. It's possible to get back from rock bottom.

For now, I would try another psychiatrist who is willing to prescribe some more powerful meds. and try to use contacts on this board to find one of the handful of honest doctors who will actually try to help your sister.


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 Post subject:
PostPosted: Sun Jul 08, 2007 11:38 pm 
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Lasiksister wrote:
Hi Broken Eyes and Scientist,

I so appreciate your information and willingness to help. My questions to you are how do you see now? What steps did you take to get there?


I see like absolute crap now! Total visual garbage. Thank God, though, I am able to tolerate SynergEyes lenses for most of the day. They restore a great deal of my vision. It's not perfect, but it's enough that I feel safe to drive at night and I will venture out a bit at night with them.

I went through absolute hell to get to this point. I've "been there, done that" many times over.

As I said, what helped me was educating myself. The first step is understanding the problem(s), then the journey begins to address the problems. Do not expect a quick fix for this. That was my first mistake. I was scheduled for an "enhancement" that would have made matters worse -- Thank God I cancelled it.

Lasiksister wrote:
The doctor who wants to do PRK is supposed to be one of the best in the USA and supposed to be a very trusting doctor.


A word of advice -- Beware of wolves in sheeps clothing. Send me a PM with the doctor's name and I'll tell you if I know anything about him or her.

Lasiksister wrote:
I am afraid also another surgery is a bad idea. How do you know who to trust? This doctor is also saying a Cornea transplant is a last resort.


This is where Scientist and I disagree. I believe a corneal transplant is the last resort. I personally know a patient who had LASIK on top of RK and later had a transplant and now he is legally blind with the transplant. I have heard too many bad stories about transplants. I know one success -- the one Scientist mentioned.

Lasiksister wrote:
I feel possibly that is the only answer. My sister feels that is not even an option for her since she has no tears. She said it will not heal and she thinks nobody will do one because of that and because of her Arthritis. She is so nervous today and everyday she can't even get her words out where you can understand her. She is terrified of how she is seeing and cannot get a grip on the FEAR. I pray everyday so hard for God to help her and us but it seems every door for her is closing.


No one will ever make me believe that God is not providing for her to pull through this. I thought God had thrown me to the devil during my darkest days, but I pulled through. Now I know he was blessing me the entire time.

Lasiksister wrote:
We might could get her help with her eyes if her nerves would calm down. She shakes all over. This is the most horrible thing I have ever been through. The doctor has now took her off of her anxiety pills and changed her antidepressent again. He thinks the anxiety medication was not working anymore and she was having to take more and more to be calm so he took her off all at once. I just don't know about these doctors. The family is doing everything to take care of her but is has lost her will and wants us to pray for her to die.


I wish I could give her a big hug and tell her that God has a plan for her, and He will provide whatever she needs to fulfill it.

I agree with Scientist that your sister needs to find a great corneal specialist who will be honest with her. She needs diagnostic tests. We can help you/her understand these tests.

_________________
Broken Eyes

"The price good men pay for indifference to public affairs is to be ruled by evil men." Plato


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 Post subject:
PostPosted: Mon Jul 09, 2007 12:41 am 
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Dear Lasik Sister;

Your sister's cornea is probably very dry and distorted. Soft lenses will not restore quality vision. Gas permeable lenses will probably wobble and be unstable on her irregular, compromised cornea.
It has been my experience that gas permeable scleral lenses work very well on corneas such as your sister's. These lenses are very large and vault over the compromised cornea and are supported by the white portion of the eye(the sclera). The back surface of the lens does not touch the front of the cornea. A special liquid fills the space between the back of the lens and the front surface of the cornea. Vision and comfort is usually very good. Very often, the liquid environment that the cornea is exposed to promotes healing.
Whatever your sister decides to do, I would strongly encourage her to avoid any other invasive corneal procedures.

Edward Boshnick, O.D. ,F.A.A.O.
Miami, Fl
www.eyefreedom.com

_________________
I specialize in treating post-refractive surgical problems


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 Post subject:
PostPosted: Mon Jul 09, 2007 11:08 pm 
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Broken Eyes said:

Quote:
This is where Scientist and I disagree. I believe a corneal transplant is the last resort. I personally know a patient who had LASIK on top of RK and later had a transplant and now he is legally blind with the transplant. I have heard too many bad stories about transplants. I know one success -- the one Scientist mentioned.


I also feel a corneal transplant is a last resort. If you have functional vision in that eye you shouldn' t have a corneal transplant. A corneal transplant should be reserved for when there's no place to go but 'up'.

I am more optimistic about transplant outcomes... and have heard of patients who claim to have fairly decent with a transplant + correction.

Your sister should exhaust all other possibilties... trying a scleral lens fitting with Dr. Boshnick may be the way to go. She will also need to see one of those rare pro-patient corneal specialists to obtain a corneal specialist's opinion of her current condition.

_________________
We can easily forgive a child who is afraid of the dark. The real tragedy of life is when men are afraid of the light. -Plato


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 Post subject:
PostPosted: Wed Jul 11, 2007 2:30 pm 
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Your sister was a very poor candidate for surgery in the first place. Rheumatoid arthritis is a known contraindication and previous surgery in patients with previous RK is very tricky. I wonder how she was counselled before the surgery. Your immediate concern must be to get her mental state stabilized. If some form of contacts such as Dr. Bosh's will help, then she should try them immediately.


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 Post subject: Re: Please help me help my sister
PostPosted: Wed Jul 11, 2007 5:12 pm 
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Lasiksister wrote:
The doctor who did the procedure doesn't understand what happened so he says and referred her for hard contacts which would not work. She also tried a Z wave contact which worked at first but then after about 45 minutes clouds over and sticks because of goo in her eyes, and I guess because they are so dry. She saw another Dr. who is suggesting PRK now but said she will have to get her mental status better before he will do anything.


I?m sorry for what happened to your sister. I had RK more than 15 yrs ago. I chose not to have LASIK after I had spent quite a bit of time learning about it. Every refractive surgery has its share of complications, don?t rush into another surgery until you know what you are getting into.

It?s challenging to fit RK eyes with contacts. I can imagine how difficult it is to fit eyes that had both RK and LASIK. Treating your sister?s dry eyes and fitting her with contact lens can lessen her anxiety, it?s not easy and it takes time, but it?s a lot safer than another surgery. Surgery is the last resort.

In case your sister chooses to have surgery, it?s important to do it ONE EYE AT A TIME. If her LASIK were done ONE EYE AT A TIME, she would have at least the other eye to rely on, and her shock would not have been this traumatic.

Take good care of your sister and yourself.

My best regards.


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 Post subject: Surgical alternatives, for the record... are a last resort
PostPosted: Sat Jul 14, 2007 5:50 pm 
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We should agree on some sort of position on the flap with regard to surgical solutions to LASIK complications. I'm actually no more enthusiastic about trying to fix a corneal refractive surgical complicaton with more surgery than Broken Eyes.

I do feel that if the cornea is destroyed, the patient has no useful vision in an eye [legally blind with correction] and has tried all the lenses out there... a corneal graft or full transplant may be considered.

I do know of several people who have had vision restored by transplants.

I think your sister may benefit from sclerals - some people do well with them, others don't. If there is too much vault, vision can be poor and they can fog up. It is essential to go to a fitter experienced in fitting lenses on surgically altered corneas.

Perhaps your sister could make an appointment with Dr. Boschnick? She should also go immediately to an Optometrist unafiliated with her surgeon and ask for a good refraction. If she has refractive error that can be addressed with glasses, get her some glasses. Anything that improves vision now is a good thing.

She also needs to go to a good corneal specialist who will be honest about her condition. These docs are hard to find, but a private message to regulars on this board will likely turn up someone who can help.

_________________
We can easily forgive a child who is afraid of the dark. The real tragedy of life is when men are afraid of the light. -Plato


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 Post subject:
PostPosted: Wed Jul 25, 2007 9:53 pm 
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http://www.jcrsjournal.org/article/PIIS ... 5/abstract
Volume 33, Issue 7, Pages 1183-1189 (July 2007)

Femtosecond laser in situ keratomileusis for consecutive hyperopia after radial keratotomy

Gonzalo Mu?oz, MD, PhD, FEBOCorresponding Author Informationemail address, C?sar Albarr?n-Diego, OD, Hani F. Sakla, MD, PhD, Jaime Javaloy, MD, PhD

Purpose
To assess the use of the femtosecond laser for laser in situ keratomileusis (LASIK) in eyes with consecutive hyperopia after radial keratotomy (RK).

Setting
Private ambulatory surgical center, Valencia, Spain.

Methods
This prospective noncomparative interventional case series study included 13 eyes of 9 patients with secondary hyperopia after previous RK. The patients were operated on with the IntraLase femtosecond laser (IntraLase Corp.) and the Star S2 excimer laser (Visx, Inc.). Postoperative uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), manifest refraction, flap thickness, flap diameter, and complications were evaluated at 6 months.

Results
The mean spherical equivalent (SE) decreased from 2.00 diopters (D) ? 0.40 (SD) to −0.41 ? 0.61 D, with 8 eyes (61.5%) within ?0.50 D of the targeted refraction. Twelve eyes (92.3%) had a UCVA of 20/40 or better, and 3 eyes (23.1%) lost 1 line of BSCVA. A mean change in SE of 0.10 D was observed at the 6-month follow-up. The mean flap thickness and diameter were 117 ? 14 μm and 9.18 ? 0.12 mm, respectively. Most complications were in eyes with more than 8 RK incisions than in eyes with 8 RK incisions. These complications were multiple intraoperative incision openings (100% versus 28.6%, respectively), interface inflammation (66.6% versus 0%, respectively), haze (83.3% versus 14.3%, respectively), and loss of BSCVA (50% versus 0%, respectively).

Conclusions
The femtosecond laser provided large, thin corneal flaps for hyperopic LASIK. However, the procedure should be avoided in eyes with more than 8 RK incisions because of the increased risk for multiple intraoperative incision openings, interface inflammation, haze, and loss of BSCVA.


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