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Treating Adult Ambloyopes (people with “lazy” eyes) with LASEK

Greetings Dr. Chynn!,

Would you able to correct amblyopia in a 58 year old male patient, who was treated briefly as a young child with patching and not provided corrective lenses as the vision correction needed at the time as considered at the time to be borderline. Eventually, the corrective lenses were provided at the age of 18 years old but solely for reading at the time. Later, the need for corrective lenses expanded three separate prescriptions for ready, distance and computer usage, respectively. The most recent Rx on hand reads as follows:
OD -100
OS +075 -075 x 45
add +200
(50% Intermediate for computer.)

Your procedure with Lasek to treat adult amblyopia sound very promising to me. Please kindly reply to this inquiry as I would very much like to assess my viability for Lasek Treatment for adult amblyopia.
Very truly yours,
S

Dear S,

Typically, we can achieve whatever corrected visual acuity you can obtain in glasses or contacts. So if your desire is to see as well as in contacts or glasses in your amblyopic eye, we can do that

The question is what functional improvement you would experience. Typically we would need to do a contact lens trial, where we order a custom lens, put it on your eye, you wear it for a week, to see what functional gain you have. Normally a patient can’t tolerate the full prescription in glasses, so your glasses would be "balanced" and not have the full correction in the bad eye. So you might not even know what your best possible visual acuity is in the lazy eye, if you haven’t tried contacts for a week

Your medical insurance would pay for part of the procedure (about $1000) if you have a low deductible, but most of the cost you would have to pay. We offer financing for $1/day per $1000 financed, so if you want to finance $2000 you would pay only $60/month

I’m sorry I can’t waive the $500 second opinion fee, or I would be spending my entire day offering complicated medical opinions to strangers for free. Reading your email and writing this reply is free. After you pay your $500, you can come in and be examined, or have a remote second opinion, and I will review your old records, and then we will clear your medical insurance to confirm that it will partially (not fully) pay for your surgery

Yours,

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