Exposing the LASIK Scam

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 Post subject: What they were saying about dry eyes years ago
PostPosted: Thu Apr 27, 2006 2:15 am 
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EyeWorld
March 2000

http://www.eyeworld.org/article.php?sid=1634

INSIDE LASIK
Dry eyes and LASIK:
Broadening the map
--------------------------------------------------------------------------------
by Maxine Lipner Contributing Editor

Excerpt:

"A troubling link between refractive surgery procedures such as laser in-situ keratomileusis and resulting dry eyes is beginning to emerge and is taking some patients by unwelcome surprise. One dissatisfied patient recently recounted her experience in a Time magazine article titled "The Laser Fix." The journalist featured in the article claimed that following LASIK, she found herself suddenly besieged by extremely dry eyes, Marguerite B. McDonald, MD, clinical professor of ophthalmology at Tulane University, in New Orleans, told attendees at the American Academy of Ophthalmology meeting in Orlando.
Her surgeon advised the woman to apply drops every 15 minutes. "Impractical for a journalist; it didn't do the trick," said McDonald, also director of the Refractive Surgery Center of the South. This case is by no means an isolated incident - there appears to be an emerging dry-eye syndrome that effects many LASIK patients."



It truly amazes me that they have known about, and been writing about the serious problem of LASIK-induced dry eye practically from the beginning. Yet it did not slow them down one bit, and patients were not informed.

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Broken Eyes

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


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PostPosted: Thu May 11, 2006 11:41 am 
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http://www.osnsupersite.com/

OCULAR SURGERY NEWS 12/15/1999

LASIK-dry eye connection gets attention at AAO-PAAO

Excerpts:

Quote:
At this year?s meeting, there was an emerging recognition of an important complication of laser in situ keratomileusis (LASIK) ? postoperative dry eye.


Quote:
However, he said, dry eye is being seen with increasing frequency, is making patients very unhappy and must be recognized and treated aggressively. In his practice in Minneapolis, he said, he often uses punctal occlusion to address patient complaints of dry eye.

Roger F. Steinert, MD, echoed these remarks in his address later in the same complications session. He noted that LASIK patients tend to be ?self-selected dry eye patients.? That is, many seek LASIK because of contact lens intolerance. He too noted that silicone punctum plugs are being used frequently in his practice.

Marguerite B. McDonald, MD, devoted her entire address during the Late Breaking News segment of the Subspecialty Day to a discussion of this emerging complication. She noted several possible explanations for this phenomenon. These include exacerbation of pre-existing dry eye by the use of multiple medications after LASIK, including steroids; the possibility that previous contact lens use has disrupted normal corneal physiology; and the possibility that hormonal changes from menopause or birth control pills may be to blame in some women.

Other possible explanations take into account the effects of the surgery itself, she said. The microkeratome may damage the cilia and affect the mucous layer of the tear film. Additionally, the cutting of the nerves of the central cornea by the microkeratome may affect corneal sensation, which in turn affects the level of tear secretion, Dr. McDonald said.

Whatever the explanation, the take-home message was that this is a serious, newly recognized complication of LASIK that surgeons should be aware of and ready to address.

_________________
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: Ophthalmologists knew about dry eye years ago
PostPosted: Sun May 21, 2006 2:32 pm 
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But they did made NO effort to study the long term effects of dry eye on patients eye health and ultimate well-being before continuing to perform surgeries.

As it turns out, nerve damage from corneal refractive laser eye surgery is permanent. There is no cure for dry eye - dry eye from corneal refractive surgerey may be progressive and corneal refractive surgeons may be responsible for an epidemic of dry eye.

Shame on these surgeons for thinking that it is OK to sentence patients to a lifetime of wearing platic plugs in their tear ducts.

Punctal plugs can be uncomfortable, can fall out, become infected...

Tear ducts are there for a reason. Poor tear production and tear flow turns the tear pool into a cesspool.

There is another cesspool under the LASIK flap. Hasn't anyone stopped slicing and burning eyes long enough to wonder why cells are dying?

_________________
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: Re: Ophthalmologists knew about dry eye years ago
PostPosted: Mon May 22, 2006 8:00 am 
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Scientist wrote:
Punctal plugs can be uncomfortable, can fall out, become infected...

Tear ducts are there for a reason. Poor tear production and tear flow turns the tear pool into a cesspool.



http://www.eyeworld.org/article.php?sid=3200
Quote:
?The tears have a number of different roles,? Dr. Price said. One of those roles includes flushing debris, bacteria, contaminants, and allergens from the surface of the eye, he said. If you plug both ducts, you can form what can be likened to a stagnant pond near the eye, and a place ripe for infection.


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 Post subject: While you are on the subject of "years ago...."
PostPosted: Mon Oct 30, 2006 10:08 pm 
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Location: Rockford, IL
I submitted my first article to OPTOMETRIC MANAGEMENT magazine about refractive surgery complications all the way back in 1991. It was published in 1992. The "sidebar" to the article seems almost haunting now, as it forshadows the rift between the doctor and the unhappy patient.
I'll quote it here:

OVERCOMING THE BARRIER OF RK
Is it time to overcome the barrier that separates O.D.'s from M.D.'s who perform radial keratotomy (RK)? I believe it is. We need to get past our personal fears and objections to give post-RK patients the quality of follow-up care they deserve.
Understandably, many of us are reluctant to deal with the complications of a procedure that an M.D. has performed, especially when it is a procedure that optometry hasn't fully embraced or participate in. But, we also have to consider these patients' needs, the real priority here. The fact is, many of them really need our help.
I've had the opportunity to work with many post-RK patients because I provide follow-up care for M.D.'s. These patients are generally young, affluent, well-educated and very easy to work with on a personal level. On a clinical level, their eyes can be as challenging as any you'll ever encounter.
Keep in mind that thousands of RK patients couldn't be happier at first, having left their ophthalmologists' office with 20/20 vision. But when the unhappy ones walk into your office, you need a strategy for taking care of them.
- Kenneth R. Minarik, O.D.



Ironically, while I was waiting for this article to be published, Ron Link was having his RK. As you know, Ron's original "Surgical Eyes" site is considered the first step in the anti-refractive surgery movement.

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For resources, check www.doctormyeye.com


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 Post subject:
PostPosted: Sun Mar 04, 2007 3:52 am 
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http://www.eyeworld.org/article.php?sid=1110

EyeWorld
Feb 01

Quote:
Dry eye has developed into the most common complication after laser in-situ keratomileusis, affecting what some estimate to be the majority of all LASIK patients.

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Broken Eyes

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


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