Is there a refractive surgeon out there who would like to help me with my post prk complications. I just found out that WASCA is not suitable for me. I had a few surgeries which left me functionally blind. I have an Orbscan image which I can send for consultation. In Poland, where I live, nobody is able to help. Please e-mail me directly:
I would appreciate is someone could help.

Alex,

1. Contact:

Dr. Dan Z Reinstein, MD MA(Cantab) FRCSC DABO
Reinstein Institute ­ London ­ New York
E-Mail:
Website: www.ReinsteinInstitute.com

2. Visit www.surgicaleyes.org and especially the bulletin board at: http://surgicaleyes.atinfopop.com/4/OpenTopic?q=Y&a=cfrm&s=636293455 . There are numerous doctors who assist those who have been harmed by refractive surgery.

Best of luck,

Jeff

Alex,

I would like to clarify my previous post. The doctors here will surely answer your questions and provide solid medical advice. My reference to Dr. Reinstein was because he is in Europe (although not very close to Poland!) my reference to www.surgicaleyes.org was because it is another good source of information for post-refractives with problems. My apologies to the doctors who participate here.

Jeff

Dear Aleksander,
Can you explain further what your problem is after PRK. Do you have an irregular corneal surface or scarring. Please let us know, and we will be happy to help with some comments about options for people with a condition such as yours.

I hope this helps

Bill Trattler, MD
Miami, FL

Here are the details:

June 1999:
PRK to my right eye (innitially – 6.0) – Machine: MEL60 – considerable decentration,
severe healing problems, haze, dry eye, lost BCVA.
My cornea finally regained transparency and I was able to read 3-4 upper rows on the Snellen chart, however, ghost images never disappeared and I could see clearly only in well-lit conditions when my pupil was contracted to the maximum, otherwise my vision was blurry, showing all sorts of debilitating abnormalities at night. The refractometer reading was +1,25/-1.75 astigmatism

March 2000:
a. TOSCA on my right eye to put the decentration right.
b. PRK in my left eye (previously –5.5) (both on MEL 70)

Re. a.: My condition deteriorated seriously following this procedure. I developed a significant haze and could not see anything for nearly two months. Then it was decided I needed a PTK treatment to remove the heavy scarring

Re. b.: My doctor decided she would only set the machine to –4.00. An amazing thing happened: I could see 20/20 from the third day post-op with few haze or night vision problems. This, however, lasted only two weeks and then nearsightedness started to set in (undercorrection plus regression combined I believe). Now the eye is quite OK. but I have to wear -2.00 glasses to see 20/20. Current refractometer reading is -1.50/-0.50 astigm.

July 2000:
PTK on my right eye to remove scarring, as a result my cornea is now fully transparent but I need a +4.00 contact lens to decipher anything on the Snellen chart. In brief: a total failure.

My current visual accuity is 1/50.
It is improved with a +4.00 (!) corrective lens so that I can read 2 – 3 upper rows on the Snellen Chart.
The cornea is totally transparent with no haze at all, and stable (no significant changes in topography for the past 6 months). The surface is irregular. The thickness in the centre is about 340 um and from 540 to 630 um.

The wording ‘functional blindness’ as you see refers only to my right eye, however, this is enough for me to be unable to perform a number of activities which used to make the ‘essence of my life’(I used to be a glider pilot).

As I said earlier, I can send an Orbscan image if anyone is interested

Thank you for sparing me a moment

Regards
Aleksander

so...is that it for the "professional consultation"? great response I must say. I just wanted to know if my condition is to be permanent. I guess there is nothing that can be done - food for thought for prospective Lasik patients...
Regards to all
from still technically blind
Aleksander
(with one eye nearly OK though)

Aleksander,
Your case is very, very complicated, and just well above the type of thing that we can make helpful comments on this website. I would love to help - but in reality you need to work with doctors that can actually examine your eyes - since your situation is so complicated.

Sorry I can not help further.

best of luck

Bill Trattler, MD
Miami, FL

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