Exposing the LASIK Scam

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 Post subject: Pupil Question
PostPosted: Thu May 04, 2006 2:13 am 
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Joined: Tue May 02, 2006 3:35 am
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Location: south pasadena
Does anyone know if there's anything that can be taken, outside of prescription drugs, that makes ones pupils smaller? Like vitamins or herbs or something along those lines.
Thanks


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 Post subject:
PostPosted: Thu May 04, 2006 11:50 am 
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I'm not aware of anything other than drugs.

Hard lenses can make a big difference!

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


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 Post subject: Drugs that shrink pupils are 'hell on the ocular surface'
PostPosted: Fri May 05, 2006 1:06 am 
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Both pilocarpine and Alphagan can cause serious ocular surface damage and pain to patients who suffer from dry eye. Whenever I use either drug my eyes hurt worse than usual the next day.

Prolonged use of pilocarpine carries risk of retinal detachment, and Alphagan's effect wears off (and actually rebounds in the other direction) with repeated use.

Corneal refractive surgeons hand these drugs to damaged patients as if they are a solution to their problems. They are NOT. They are temporary solutions at best and have their own side effects and problems with repeated use.

Once your corneas are damaged by a corneal refractive surgeon there is no getting back to your pristine corneas with low aberrations, intact corneal nerves and your full corneal thickness. More surgery? You will lose more cornea, and risk even worse vision. Consider surgical retreatment very carefully!


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 Post subject: Alphagan questions?
PostPosted: Mon May 08, 2006 7:18 pm 
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Here?s my take on Alphagan.

I had tried Alpahgan about 3 yrs ago and didn?t like it. It was effective and lasted whole night long, but when I woke up the next morning, my eyes had a difficult time focusing.

When I started using Alphagan, I noticed some spider-web-like floaters popping up on my right eye and some black-dots-like stuff on my left. I had never noticed any floaters before the use of Alphagan.

I have stopped using Alphagan for quite some time and things are kind of back to normal even though the floaters remain and they seem to stay forever. If I ever use Alphagan again, it would probably for emergency only.

Here I have a couple questions about Alphagan:

I have a relative who has glaucoma. She told me Alphagan lost its effectiveness after about 6 months. My question is that if Alphagan lost its effectiveness on a patient, will it work again if the patient reuses the drug one year later?

If the drug is still not working one year later, doesn?t it indicate that Alphagan may have damaged certain part of the eyes beyond recovery?


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 Post subject: Information about Alphagan P (Brimonidine tartrate)
PostPosted: Mon May 08, 2006 11:10 pm 
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http://www.pdrhealth.com/drug_info/rxdrugprofiles/drugs/alp1632.shtml

Brand name:
Alphagan P
Pronounced: AL-fuh-gan
Generic name: Brimonidine tartrate


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Why is Alphagan P prescribed?

Alphagan P lowers high pressure in the eye, a problem typically caused by the condition known as open-angle glaucoma. Alphagan P works in two ways: it reduces production of the liquid that fills the eyeball, and it promotes drainage of this liquid. This drug is free of the preservative benzalkonium chloride.

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Most important fact about Alphagan P

Alphagan P may have a slight effect on blood pressure. If you have severe heart disease, make sure the doctor is aware of it. Caution is warranted.

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How should you take Alphagan P?

Alphagan P is administered with an eyedropper. If you are using other eyedrops or ointments, allow at least 5 minutes between doses of each product.

--If you miss a dose...

Take the forgotten dose as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular schedule. Do not take two doses at once.

--Storage instructions...

Store at room temperature.

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Alphagan P side effects

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe to continue using Alphagan P.

Side effects may include:
Abnormal vision, allergic reaction, blurred vision, burning and stinging, dizziness, drowsiness, dry eyes, dry mouth, eye pain or irritation, fatigue, feeling of foreign body in the eye, headache, inflamed or swollen eyelids, itchy eyes, loss of tissue or staining of the cornea, muscle pain, red or swollen eyes, sensitivity to light, stomach problems, tearing, upper respiratory symptoms, watery eyes, weakness.


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Why should Alphagan P not be prescribed?

You'll need to avoid Alphagan P if it gives you an allergic reaction, or if you're taking a medication classified as an MAO inhibitor, such as the antidepressants Nardil and Parnate.

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Special warnings about Alphagan P

Use Alphagan P with caution if you have circulation problems, low blood pressure, or depression. Caution is also warranted if you have liver or kidney problems, since the effects of Alphagan P under these conditions have not been studied.

The effect of Alphagan P may diminish over time. The doctor should check your eye pressure periodically.

Alphagan P makes some people drowsy. Do not engage in hazardous activities such as driving until you know how Alphagan P affects you.

Alphagan P has not been studied in children under 2 years of age.

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Possible food and drug interactions when taking Alphagan P

If Alphagan P is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Alphagan P with the following:

Barbiturates such as phenobarbital and Seconal
Other sleep medications such as Ambien and Sonata
Narcotic painkillers such as Darvon, Percodan, and Vicodin
Alcohol
Drugs classified as beta blockers, such as the high blood pressure medications Inderal, Sectral, and Tenormin
Other high blood pressure drugs
Heart drugs such as Isordil, Lanoxin, and Nitro-Dur
Tricyclic antidepressant drugs such as Sinequan, Surmontil, and Vivactil

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Special information if you are pregnant or breastfeeding

Although there is no evidence that Alphagan P can cause harm, the effects of the drug during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately.

It is not known whether Alphagan P appears in breast milk. If you are nursing, its use is not recommended.

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Recommended dosage for Alphagan P

The usual dose is 1 drop in the affected eye(s) 3 times daily, approximately 8 hours apart.

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Overdosage

No information is available on Alphagan P overdose. However, any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.


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 Post subject: Re: Alphagan questions?
PostPosted: Tue May 09, 2006 1:36 am 
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surgieyes wrote:
I have a relative who has glaucoma. She told me Alphagan lost its effectiveness after about 6 months. My question is that if Alphagan lost its effectiveness on a patient, will it work again if the patient reuses the drug one year later?

If the drug is still not working one year later, doesn?t it indicate that Alphagan may have damaged certain part of the eyes beyond recovery?


When you say it lost its effectiveness after 6 months, are you referring to its pressuring-lowering effectiveness or its effectiveness at reducing the pupil size?

For me, it only takes a few days of continued use to lose its effectiveness at reducing my pupil size and the length of time my pupil size stays small is less and less with each consecutive use.

If I don't use it for a few weeks, it seems to work as well as it did in the beginning.

However, I also have some nasty side effects from it such as worse dry eye and drowsiness. And it has a nasty rebound effect when I stop using it, meaning my pupils rebound to even larger than normal! :shock:

I use it only for emergencies.

_________________
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: Pupil shrinking drugs can be 'hell on the ocular surface'
PostPosted: Tue May 09, 2006 1:42 am 
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I have very a very painful ocular surface for at least a day after using Alphagan or pilocarpine. A doctor once told me that these drugs are 'hell on the ocular surface' and for corneal refractive surgery patients who have already acquired nerve damage, this isn't a happy thing. I also use these drugs ONLY for emergencies, because I know I'll really pay for it the next day.


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 Post subject:
PostPosted: Fri Jul 07, 2006 4:41 am 
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Quote:
For me, it only takes a few days of continued use to lose its effectiveness at reducing my pupil size and the length of time my pupil size stays small is less and less with each consecutive use.


This is true..It is also true that Alphagan makes my eyes feel like crap, however, there are some days that my symptoms become totally un-manageable. Miotic drops are not a cure by any stretch of the imagination but they can provide a temporary escape from the aberrations that we suffer through every day. I have huge floaters and I am concerned about making them worse with Alphagan but sometimes my symptoms become so unbearable that I just don't care. The ghosting and star bursts become so overwhelming that I just need to get away. Alphagan is not a solution but it has provided me a $42.00 ticket to semi-normalcy on more than one occasion.


Last edited by Maverick on Sat Jul 08, 2006 11:17 pm, edited 1 time in total.

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 Post subject: My only brush with semi-normalcy
PostPosted: Sat Jul 08, 2006 3:22 pm 
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My only experience with seminormal vision post-LASIK came when I used BOTH pilocarpine and hard lenses. I paid for this brief respite with much pain the next day.


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 Post subject:
PostPosted: Sat Jul 08, 2006 11:19 pm 
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I took Pilocarpine 1% one time and I was in bed for three hours. My head hurt so bad and my vision got so blurry that I could not even keep my eyes open. Alphagan does not eliminate my symptoms completely either. It makes the huge starbursts and ghosting become much smaller. My vision is still bad but I have much less trouble functioning in the dark.


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 Post subject: Latest model laser, Duke doctor - still vision is ruined!
PostPosted: Sun Jul 09, 2006 11:52 am 
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Who could have imagined that so many of us could have trouble with basic functioning in different environments after LASIK .... driving after dark, finding something in a drawer or closet, shopping in dimly lit stores, eating in dimly lit restaurants...

My LASIK was on the VISX S4 and there were no microkeratome disasters that can account for my bad vision (OK, my doctor, LASIK surgeon Dr. Terry Kim, MD, of Duke University Medical Center, did cut thin and irregular flaps according to the report attached to my Artemis scan and the associated images - in the scans you can clearly see the flaps are of varying thickness and VERY rumpled).

My night vision problems and dry eye have NOT gone away after 2 years. They will NEVER 'resolve'.

I have regressed a great deal and require glasses full time. If anything, my vision and my dryness discomfort is WORSE now than immediately after LASIK. I was told nothing about regression and the fact that I would not have enough tissure remaining after the initial surgery for an enhancement.

Two different 2nd opinion doctors gave me pupil shrinking drugs - one gave me pilocarpine (free of charge - perhaps he felt sorry for the pupil/optical zone size mismatch that is clearly a vision disaster). Another doctor prescribed Alphagan to shrink my pupils.

All patients should know that pupil shrinking drugs have side effects. some serious... and are no cure for poor night vision after LASIK.

Thanks for telling us about your reaction to pilocarpine, Maverick!

_________________
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: Mon Jul 24, 2006 2:56 pm 
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I used Pilo once and got a brow-ache, blurred vision, and a pin-head sized pupil! :shock: All of the visual aberrations were eliminated, but I couldn't see because my pupils were so small *no* light could pass through!!! I was practically running into walls!!!

_________________
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: More dilute pilocarpine
PostPosted: Sat Aug 19, 2006 9:19 pm 
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B.E., perhaps you could have had better results with more dilute pilocarpine. You could experiment with how low you can go to still get an effect, minimizing symptoms.

I use it only for emergencies, because even at very low doses it ravages my ocular surface and I have pain the next day. When I use it it gets rid of a lot of my aberrations (my pupils are a tiny pinpoint) and I get really pissed off at the visual quality that was stolen from me by a dishonest Ophthalmologist.

The whole pupil size/loss of contrast sensitivity/higher order aberrations aspect of LASIK is well known to doctors, and those who do the surgeries without educating their patients about these consequences are worse than criminals. They are stealing patients visual health and acuity while masquerading as healers.

LASIK surgeons are NOT healers!


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