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Table of Contents
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Post LASIK Enhancement, Mike - New York, NY, 10/08/99
 criteria for enhancements, Debra Tennen, MD Agoura Hills, CA 10/08/99, (#1)
 Enhancements, Dean Hu , 10/08/99, (#2)
 Enhancements, Deborah - St. Louis, MO, 10/13/99, (#3)
 Hyperopic astigmatism, Steven Ofner, M.D. Eugene, OR 10/13/99, (#4)
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"Post LASIK Enhancement" Posted by Mike - New York, NY on 16:10:25 10/08/99
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Hello Doctors,
Can someone please tell me based on what a doctor can decide whether a patient's case calls for enhancement? As a short sighted patient with lots of astigmatism, I won't personally know if I can do better after I get my LASIK done and therefor I won't know by myself whether I can use an enhancement.
Thank you.
Mike.
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1. "criteria for enhancements" Posted by Debra Tennen, MD on 16:45:49 10/08/99
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my personal criteria is that the testing in the office must unequivocally improve the patient's vision at least one line. if the improvement with glasses is only marginal, then it is probably irregular astigmatism or an uneven cornea which is causing the decreased vision, and this cna only currently be treated with customized ablation patterns, not yet approved by the fda.
i also discourage patients from trying to improve beyond 20/25, as i feel there is much greater chance of worsening the vision rather than umproving it.
the bottom line is are you functional with the new vision, and does the surgeon feel that a correction is practical with the current lasers, and that the odds of improving your vision are better than the odds of decreasing your vision.
good luck with your surgery.
debra tennen, md
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2. "Enhancements" Posted by Dean Hu on 20:09:22 10/08/99
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Whether one needs an enhancement is based on the patient's subjective vision and the objective refraction after surgery. You and your doctor will only know if you need an enhancement after the surgery has been done and the outcome has stabilized.
You will usually know if you need an enhancement (your vision may be blurrier that you'd like). However, because people perceive things differently, some people complain of 20/25 vision while others are quite content with 20/40. So if your vision is not as clear as you like after surgery, ask you doctor if an enhancement is reasonable.
Keep in mind, though, that although most eyes can be enhanced, certain outcomes cannot be improved at this time, like hyperopic astigmatism and mixed asigmatism.
Good Luck, Dean Hu.
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3. "Enhancements" Posted by Deborah - St. Louis, MO on 13:08:31 10/13/99
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Any idea when the procedure for hyperopic astigmatism will be approved? Is there a particular web site I can go to which would explain more about it.
Thanks.
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4. "Hyperopic astigmatism" Posted by Steven Ofner, M.D. on 21:34:59 10/13/99
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?End of the year? The wheels of government turn slowly.
You might try www.visx.com
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