News

Q: I have a 26 yo healthy female (only med is a birth control pill, which she has been on for years) with the following refractive error:Current wear in glasses:OD:  -2.50+1.00×83OS:  -1.75+1.25x96Manifest June 2014:OD: -2.25+1.75×80OS: -1.75+1.50×100Manifest Dec 2014:OD: -2.50+1.00×85OS: -1.75+1.25×95Her topos from June and December 2014 are attached in pdf format.  The inferior portion of […]

Fluence/mm2/sec but then got bogged down by the math and units and didn’t want to post something I wasn’t confident about I guess we should just say: “Haze can be induced by the (mild) thermal damage caused when the excimer laser photo disrupts covalent bonds of the collagen stroma. This is why techniques such as

Q: New pt came to see me earlier this week for a refractive evaluation. 26yo male with past ocular hx of high astigmatism, no family hx of keratoconus. Highly motivated, and understands higher likelihood for enhancement. I was thinking of ASA for him, but wanted some input. BCVA OD: +0.5-4.50×005 20/25 pach 588 BCVA OS:

Q: Inspired by Emil, I made epithelial flaps for two patient on my last LVC day. One patient 20/20- POD#1 the other 20/30 POD#1 and 20/20 OD and 20/25 OS POW#1 (-3.50 preop MRx). Second patient had discomfort on POD#4; I think it likely was from a very tight CTL fit and not the technique.

Q: Dear All, I’ve noticed during PRK enhancements over prior PRK, even years later, using a brush, that the epithelium is quite obviously not as adherent over the ablation zone as it generally is during primary PRK’s. This phenomenon would probably not be apparent during alcohol-assisted enhancements, since that method loosens the epithelium before the

Q: Are there corneal thicknesses below which you would avoid any refractive surgery? I am considering PRK on this 34 y/o woman. Stable refraction for years. No family history of corneal disease MR: -3.00 -1.00 x 180 -3.00 -1.00 x 180 Pachymetry: 460 470 A: before 2005 or so we mostly worried about RSB, like

Q: Emil: I’d like to try your technique. Can you share what your preferred trephine for ASA is (vendor, size, catalog #) ? For yours and the group’s interest: I’ve been using a corneal light protector sponge saturated with 70% Isopropyl alcohol (yep good old rubbing alcohol!) for 12 secs followed by chilled BSS rinse.

I’m not sure what the point of your original question was. You seem to be implying that if one of us shares his or her vast experience accumulated over decades of careful observations, until it’s published it isn’t in some sense “real” (or believable) We are all very busy and unfortunately have to earn livings

Q by Doctor Randy: Dear All, I have not seen the patient yet, but was called by a colleague who wanted to refer a 55 year old patient with the above to me for “corneal laser treatment”. I asked of the patient had any ocular surface disease/recurrent erosions, and was told that the only problem was

Q by Doctor P: I have a 37 yo high myope  (-9.00) with 500 u corneas. She has a small area in the left nasal cornea of endothelial haze No other signs/symptoms No history of HSV etc. specular right and left eyes clearly abnormal OS>OD (increased coefficient of variation, lower cell count, weird dark centers