Refractive lens exchange, rather. Or lens replacement surgery , which is cataract surgery really.
Anyone had it done?
Been thinking about it after being told I'm too old for Lasik:)
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Refractive lens exchange, rather. Or lens replacement surgery , which is cataract surgery really.
Anyone had it done?
Been thinking about it after being told I'm too old for Lasik:)
I cannot understand how you are too old - My brother recently had laser surgery at 54 yoQuote:
Originally Posted by Dillinger
I had lens replacement surgery done in September 2019.
I needed glasses for reading and distance glasses for driving.
Lasik would have given me a good compromise - I tried contact lenses for one week to emulate what the results of laser surgery would give me. Wasn' t quite good enough so I opted for Lens replacement surgery.
The operation was done one eye at a time one day apart - Painless was out for approx 30 mins. Used eye drops for one month.
Results have been way above my expectations - Eyesight now back to 20/20 tested one month after op. Slight haloing effect from far away lights at night, but normal, nothing to worry about.
Had the op done at Adelaide Eye and Laser Centre - Very professional, extensive testing on all aspects of your eye health prior to surgery.
Cost was A$8,000 - well spent imo.
I was very concerned about having my eyes operated on however it is a standard op and very little can go wrong - very glad I did it.
I was disappointed after the operation when I looked at the wife - I could have swore she was better looking!
Another bungee jump should sort it.
She doesn't read your posts . . or this would have been your last oneQuote:
Originally Posted by Iceman123
Yup, here in MY - brilliant - never looked back. (PI)Quote:
Originally Posted by Dillinger
https://www.vista.com.my/pages/locations/pj-the-curve/
I had cataract surgery / lens replacement done and the difference is something quite hard to put into words. I guess you don't really notice your eyesight degrading as it's a gradual process, but after the op (both eyes done one after the other) I could see the world in ultra hi-def again instead of it being grainy with not much colour. But I didn't realize just how shit my eyes really were till getting them fixed.
Had the op at Bumrungrad but Rutnin was the other option which was researched, cost something like 60 or 70k per eye a few years back. Totally painless as Iceman mentions above, I believe the anesthetic drops they put in your eyes are liquid Cocaine but they wouldn't put any on my tongue to know for sure despite requests...
Quote:
Originally Posted by Dillinger
I had Lasik done about 17 years ago aged 50. Never a problem.Quote:
LASIK is FDA-approved for anyone aged 18 and older. This is the only hard and fast rule when it comes to an age limit for this procedure, but since adult vision is typically at its healthiest from age 19 to 40, anyone within this range is a great candidate.
It's really an eye-opener!
(thank you, ladies and gentlemen . . . I'm here every Tuesday and Thursday)
Dill, Unless you have cataracts, I think lens replacement at your age would be unwise.
He's a smoker....that stuffs up circulation a bit and makes some doctors a bit leery about certain ops.Quote:
Originally Posted by Iceman123
Solution : give up smoking for a while and then have it done. Then for some time afterwards. When you have cravings, promise yourself that you will take it up again, then renege on your promise.:smileylaughing:
Dill, you and I might be about the same vintage and I've only just started considering this seriously last year.
What made you evaluate yourself as ineligible for Lasik, or was it a professional opinion?
Quote:
LASIK or Lasik, commonly referred to as laser eye surgery or laser vision correction, is a type of refractive surgery for the correction of myopia, hyperopia, and astigmatism.
So, to add to Dill's question ... who/where/how much for Lasik in Thailand or SE Asia?
@d48 - a colleague of mine had it last year at Shinagawa eye clinic. (Shinagawa dot ph, Japanese owned) They have lots of ads here & quite popular as many celebrities endorse them. The cost for my colleague was 70-80k pesos total, for both eyes. He's in his late 20s. Feedback was good - posted it with a thumbs up on FB. We kidded him that he could now be an endorser, lol. His eyes were at +6.0 or +7.0 before.
I know of another person who had lasik surgery, cost was ~150k pesos total. It was more costly than the usual 70k since he had other eye problems. I saw him wear sunglasses & laboratory goggles for 1 or 2 months after the operation, but now he's fine. Good feedback too. Guy is in his early 20s.
Btw ~51 pesos = 1 USD
(I've no plan for lasik since my eyesight is still OK)
Had lens replacement surgery five years ago. Best money I've ever spent. Eyesight now at 62 the same as when I was a teenager.
Cheers for all the replies.
Been humming and harring about it for a week now.
Here in Malaysia the place I've heard great things about, the price is 9999myr per eye which is twice the price of Lasik there.Then its another 1999 per eye to have the lenses lasered instead of them using blade, which they said doesn't always cut a perfect circle like the laser.
I was thinking they may be trying it on at first, seeing as they haven't even checked my eyes yet.
So thats about 180,000 baht or 8700 AUD
I had the consultation now need to go there for 3 hours of tests.
The other reason they said it would be no good for me is because I'm long sighted, +3.50 in both eyes and after age 48 they don't recommend Lasik.
My eyes have been awful for ages now though. I wouldn't recognise someone without glasses on and must just walk straight past people I know sometimes without knowing, :)plus I need them for everything now, reading, driving, squinting at food jar labels, walking around.
So I've heard more great reports on here to add to others I've seen and will see you fuckos when I get my new eyes.... hopefully:).
The one thing that was putting me off is that its not FDA approved but is legal and there can be problems in surgery but thats a slim chance and most can be rectified through further surgery.
The other thing in its favour though is you will never get cataracts afterwards and they will last the rest of my life.
So yeah gonna get it done now, thanks
Will let you know how it goes.
I admire your quick decision making, Dill.
:tumbs:
And good luck with the op.
This may explain why you think you're in great shape and are going hard on the bread/gelato :)Quote:
Originally Posted by Dillinger
There's actually a good chance you will get cataracts again afterwards but it's no prob, they just zap them out with a laser and you're out the door with no chance of them coming back after that.Quote:
Originally Posted by Dillinger
Well then ... I'll be A OK ... David48 :)Quote:
Originally Posted by Dillinger
I just need glasses for reading ... everything else is fine.
You may be surprised and find your distance has deteriorated slowly without you realising.Quote:
Originally Posted by David48atTD
If I’m right it will aid your curtain twitching no end. :)
:smileylaughing:
Ahh, so Chitty and Mendip bought the monofocal package then:)
https://teakdoor.com/images/imported/2020/02/71.jpg
I had a retina detachment - emergency operation at Chiang Mar Ram. Fixed it but side effect was a cataract that developed within a month. Put a new lens in but I could not get new glasses as they put a 20/20 lens in the operated eye. I wear a pretty strong prescription. They said if they made lenses (glasses) for both eye the difference in prescription would mess the brain up and create headaches. They then wanted to operate on the good eye. I declined. Following that it developed another cataract and then a year later the lens came off. Its been floating around in my eye for two years now.
All those adventures cost me 300,000 baht. Tentatively they will operate in April this year and put in a lens that matches my good(but poor vision) eye.
I wouldn't try and talk you out it but it doesn't always go great. Good luck. :)
The weird thing is one of the slim dangers from this cateract surgery is that you can detach your retinas.:)Quote:
Originally Posted by marcusb
So a reverse of what you've had.
Whats it like having a detached retina?
They advise you not to bend over and stop any rigorous exercise for a Month after the op.
Before the retina blew all the way off I had a black triangle that would appear on the left side of my left eye. It would bounce from the edge to the centre. Kept jerking the motorcycle thinking something was coming. At night in total dark I'd close my eyes and see shapes and bizarre colours, like a lava lamp or something. I spent good money on drugs when I was a youth for those kind of effects, but in this case it was scary.
"They advise you not to bend over and stop any rigorous exercise for a Month after the op." I will do that in April,proper rest. Last operation was done at 9:00pm, I was unconscious. Next morning at 9:00 a.m. I was on my bike for a 5 hour ride back home. I do take blame for some of the problems. :)
Sister (nurse) strongly suggested I quit smoking prior to another op as the recovery is much better. (damn it)
If that doesn't drag Tomcat out of posting retirement, nothing will.Quote:
Originally Posted by Dillinger
There seems to be some confusion here.
IOL replacement is a procedure lasting about 15 -20 minutes by which your own lens that has become cloudy with age is removed and replaced by a plastic lens inserted inside the old lens "wallet", a capsule shaped sheath inside the eye.
LASIK is a procedure whereby the cornea is cut in such a way that reshapes it to cure myopia and astigmatism.
Two different tings entirely.
IOL is relatively safe with only a 2-5% risk of adverse outcomes.
The monofocal lens implant is fine for a fixed median distance judged to offer the best "cover" but often reading glasses will be nvessary and a prescription for shortsightedness might still be required but usually this is marginal. Variofocal lenses can be prescribed but these are more expensive and may induce some "halo-ing" at night with bright lights.
Rutnin is the "gold standard" eye hospital in Thailand. A racist policy is pursued and farang will now pay 100,000 per monofocal lens plus medicines - eye drops are required for up to three weeks after the procedure. Thai pay 60,000 baht.
Often, after the procedure the other eye may well flip in a year or so and require the same procedure.
The brain is pretty nifty in sorting out things that go wrong with the eyes and can absorb changes i.e exclude floaters and accommodate strong prescriptions for different glasses but there is a limit. The brain can cope with both eyes that require a difference of three diopters between them but once you hit four then the imbalance is too much and the brain starts to fight over which eye should be favoured and in the end it says 'fuck it' and tries to process both images which gives it one big headache and double vision.
Which is why there will come a time when your ophthalmologist says it is time to re-balance your eyesight with an IOL replacement.
The biggest noticeable difference is the brightening and clarity of your vision - from a smudgy yellow tint you assumed to b normal to a brilliant blue crisp hue.
The procedure is permanent but up to 30% of recipients experience an opacification behind the implant which is your own cells re-growing over the back of it. This is easily removed permanently by YAG laser.
No professional ethical surgeon will do both eyes together - there is a chance of infection afterwards, hence the eye drops, and if this were to take hold in both eyes then.....
Personally, given the increased costs, eight years ago it would have cost 40-50,000 baht in Rutnin, and taking into account the poor exchange rates I would have the procedure done now in the UK. Some NHS hospitals offer a self-pay option costing £2,000 per eye.
The thing is, if it goes wrong, and it can, then in Blighty they can sort it for free - provided of course they assume you are a Brit Brit and not living/working elsewhere.
You'd best stop watching 'Pornhub' then. Probably what affected your eyesight in the first place. :tosser1:Quote:
Originally Posted by Dillinger
Don't be crude.
Quote:
Originally Posted by Pragmatic
:smileylaughing:
Either that or get on the wagon and back in training...
https://teakdoor.com/images/imported/2020/02/80.jpg
Quote:
Originally Posted by Seekingasylum
From what I gather, RLE is the same as cataract surgery and IOL surgery, ie. exchange of your retractive or intra ocular lens but you can now have it done by blade or laser
For £4,888 in Malaysia you can get it done by laser which is quicker and cuts a perfect circle and with no waiting around like you'd get in an NHS waiting room for what takes less time than it does to get a filling at the dentist.
And yes there's a week I think before they start on the second eye.
Thats not what the poor old one legged guy on the scooter thought as you mowed him down, playing air guitar to Only the Lonely:)Quote:
Originally Posted by Pragmatic
Good luck with it Dill.
Mother had both lens replaced (a week apart). Couldn't believe how good you can see. Vision degrades slowly over time. Unnoticeable as you lose your comparative frame of reference. Quote "If I had know how good it would turn out I would have done it years ago".
I think you have misunderstood but there it is.Quote:
Originally Posted by Dillinger
HAs your ophthalmologist diagnosed a cataract development in your eye to a degree that no lens prescription can correct your eyesight?
If so then the solution is an IOL implant. I have no idea what you mean by a laser cutting a perfect hole - the IOL is implanted by injection after your natural lens is removed by suction once it has been phaecoemulsified i.e the lens within the capsule containing it is destroyed by ultra-high vibration. The plastic lens is inserted into the "lens capsule" in a folded up state by a tiny syringe which then unfolds automatically once inside the lens capsule into the shape of your erstwhile natural lens. It takes about 15 minutes. If done privately in the UK you can have it as quick as you like, within days of initial consultation.
Sounds as if you don't know what you are talking about but then, no surprise there.
LASIK is simply the laser correction of an aberrant curvature of the cornea curing myopia and astigmatism. Some folk are not suited to it but opt for IOL replacement which solves the problem but that is not as a consequence of a cataract forming and accordingly cannot be undertaken within the NHS scheme. I think this is what you mean by RLE.
Cataracts that affect eyesight to a degree that 6/10ths function is lost qualify for NHS treatment but the average waiting time for a consultation is around 10 weeks and then a further 4 weeks for the actual procedure.
Fuck knows what you mean by a "perfectly tasered hole". The IOL incision is microscopically small and requires no post-op stitches, the "cut" is self healing.
The actual process whereby you are prepared for the op involves the periodic application of a topical anaesthetic given in the form of eye drops which takes around twenty minutes to kick in. You feel nothing at all and if you wish you can have two diazepam to help you relax - most do. You feel nothing during the procedure and your face including your good eye is covered so you see nothing either. When I had it they also provided a nurse to hold your hands and comfort you - they are heart scared you might freak out at the wrong moment and move suddenly which some folk do apparently.
The eye drops after the op combat any likely infection and contain an antibiotic and a steroid. You should have a follow up examination about two weeks later in which, inter alia, they test the pressure in the eye which can build up because of the drops, in which event they will give another prescription to reduce it and two weeks later you should have your final exam. and get signed off, good to go. They also give you a perspex eye guard to cover your eye socket while you sleep at night to prevent you rubbing your eye or knocking it. This should BE worn for the length of time you take the drops. Also, you should make sure you avoid any water contamination, so one has to be wary when washing the face and hair. Any strenuous straining, heavy lifting or the like should be avoided.
I put off having Lasik coz I keep getting poked in the eye:)
No. I haven't had any tests yet but by telling them I am far sighted and need glasses for reading too they tell me I am not suitable for Lasik being over the age of 48. I could wear multi-focal glasses and see properly.Quote:
Originally Posted by Seekingasylum
But to get away from glasses I need RFE or IOL surgery as you call it, which are the same thing and the surgery used for cataracts also. So having clear lenses and no cataracts I wouldn't qualify on that shitty NHS anyway.
You seem to know what you are talking about but the only thing you are missing is that it is possible now to have the lens lasered instead of a blade being used and it makes a perfect 'circle' not hole PRIOR to this part of the operation...
... which they charge an extra 1998myr an eye for.Quote:
Originally Posted by Seekingasylum
Look on the pamphlet below for the circled areas and you will see I need trifocals @ 9999myr per eye and to have it performed by laser instead of a blade at 1998myr per eye instead of 2998myr as in the brochure...
I take it you can't see that brochure too well old chap?:)
If you zoom in you can see on the right of the brochure FOR A BETTER SAFER AND FASTER SURGERY, they've crossed out the 2998myr and pencilled in 1998myr.
Can you also see the words NO BLADE you blind fukker?:)
https://teakdoor.com/images/imported/2020/02/83.jpg
So Gent, if I did have cataracts and had the same procedure as done on the NHS which would I imagine invole a blade to start with not a laser, it is still cheaper here...
The price with a blade incision per eye, here...
https://teakdoor.com/images/imported/2020/02/84.jpg
The total price using a laser to cut through your membrane initially...
https://teakdoor.com/images/imported/2020/02/85.jpg
The way they mentioned you get a perfect circle with the laser and some Harold Shipmanesque fucker can't slip or have a hand spasm and that it's faster and safer makes it compulsory in my eyes:)
Okay, may be just one problem. :)Quote:
Originally Posted by Dillinger
You can avoid that by keeping your trousers on.Quote:
Originally Posted by Chittychangchang
^^ Hey, I saw that video. KUDO's to Somchai - his aim was true. Twas a most difficult shot at a moving target. He zero'd in on Prag's front bumper and nailed it. :rolleyes:
By the way Prag - belated thanks for taking the time to post that video. Got me off my fat ass and got a front and back video recorder for my ride. Moved task from the "gotta do that one day" column to the "completed - past history" column. :)
:thankyou:
Don't understand this cutting a perfect circle business.
When they replaced my natural lens with a multi-focal plastic one, they made a 3mm incision where the iris meets the sclera and inserted the rolled up plastic lens. No cutting circles in anything.
^ When was yours done. Read the following and you should understand what a perfect circular capsulotomy is.
https://www.google.com/amp/s/markets...sia-1027999173Quote:
VISTA Eye Specialist Unveils a New Cataract Surgery Advancement in Asia.
Mar. 3, 2019, 07:00 PM
Combining the Ziemer LDV Z8 Femtosecond Laser and the Oculentis FEMTIS Intraocular Lens (IOL) , toofferover five times the precision of a manual procedure during surgery.
KUALA LUMPUR, Malaysia, March 4, 2019 /PRNewswire/ -- VISTA Eye Specialist(VISTA), one of the leading Eye Specialist Centers in Malaysia, today announced a new advancement in Cataract Surgery by uniting the Z8 Femtosecond Laser and the FEMTIS. This combination offers high level precision and results to the procedure, ensuring optimum vision that lasts.
"We have definitely impressed upon the future of eye surgery by providing a highly precise and accurate procedure in a Cataract Surgery which satisfies the high expectations of surgeons and their patients. We have also committed a dedicated team of experts and the resources to redefine the way we improve eyesight after surgery as part of our efforts to set Malaysia as one of the top medical destination globally," said Lim Boon Siong, CEO of VISTA.
"As one of Asia's pioneers in offering this new combination, VISTA is now leading a new effort to combine the top two emerging Cataract technologies, which have previously been developed separately, to exponentially increase the stability and safety of Cataract Surgery as a whole. This combination has multiple possibilities to evolve and change the future of how Cataract Surgery is done and elevate Eye Care to the next stage," added Lim Boon Siong.
Voted no.6 on the Top Ten Medical Innovations by Cleveland Clinic, one of the world's top healthcare providers, Femtosecond Laser-Assisted Cataract Surgery (FLACS) was introduced in 2009 and has since seen its popularity and usage surge all over the world. As the forefront of FLACS technology, VISTA's Z8 Femtosecond Laser by Ziemer Ophthalmic Systems from Switzerland, allows Cataract Surgery an unsurpassed level of precision, over five times that of the manual processes. The treatment, supported by real-time analysis and mapping via an intelligent Optical Coherence Tomography (OCT) visualization system, will create incisions, lens fragmentation, and perform a much more precise capsulotomy (a circular incision in the lens capsular bag).
"This laser technology helps overcome many challenges experienced in the manual Cataract procedure, especially when creating the opening in the capsular bag. An improperly created opening may cause for higher risks of shrinkage, resulting in a decentered, tilted or rotated lens. This could significantly affect the quality of vision as patients' age. With longer life expectancies and more active lifestyles, there is a rising demand for quality vision during the patient's golden years," added Dr. Aloysius Joseph Low, Chief Consultant Ophthalmic Surgeon at VISTA.
Taking advantage of the benefits of a superior capsular opening done by a laser, the FEMTIS IOL by Oculentis from Germany, sought to solve the problem by introducing specially designed haptics that can be anchored to the perfectly circular capsulotomy. Studies have shown that this allows the lens to stay right in the middle of the capsular opening, resulting in a perfect centration with high rotational stability to optimize the lens function, thus allowing patients to enjoy lasting visual quality even as they age.
"There's also a strong demand from younger patients in their forties, particularly those who experience problems reading, a condition known as presbyopia. A Refractive Lens Exchange (RLE) procedure employing the above combination would certainly help," mentions Dr Alan Koh, Senior Consultant Ophthalmologist at VISTA.
"A RLE procedure involves removing the patient's natural lens before it becomes a Cataract and replacing it with premium multifocal IOLs, allowing for greater ease in their daily activities, such as reading, driving, and using a computer. The FEMTIS IOL and Ziemer LDV Z8 combination offers an opportunity for the patient to enjoy that vision longer and better than it would have been."
References:
Femtosecond Laser–Assisted Cataract Surgery with Integrated Optical Coherence Tomography , Femtosecond Laser–Assisted Cataract Surgery with Integrated Optical Coherence Tomography | Science Translational Medicine
Top Ten Medical Innovations: #6 - Femtosecond Laser Cataract Surgery YouTube
Oculentis FEMTIS Intraocular Lenses -- A Revolutionary New Design Oculentis FEMTIS Intraocular Lenses - A Revolutionary New Design - mivision
Best Kept Secrets -- Femtis Laser Lens CRSTEurope | The Lens: Femtis Laser Lens
About VISTA Eye Specialist
VISTA is one of the largest Eye Specialist Centers in Malaysia, with 8 branches that specializes in Cataract and Refractive Surgeries - including FemtoLASIK and Visian ICL (Implantable Contact Lenses), Cataract Surgeries with the Ziemer Z8 Femtosecond Laser, and the Oculentis Family of lenses among its large selection of IOL lenses and many more. As of to date, VISTA has performed over 30,000 surgeries and has now a dedicated team of over 80 highly trained and committed staff that has served over 230,000 patients since 1999.
VISTA is also one of the pioneer centers in the world to be involved in Femtosecond Cataract Surgeries since 2011 and has gone on to perform over 5,000 FLACS surgeries as of this writing. VISTA has also been implanting the Oculentis Family of LENTIS lenses since 2012 - offering the most complete range of IOLs to provide patients with unique visual needs the right lens for their lifestyle.
For more information, visit: Vista Eye Specialist | Lasik Eye Surgery Malaysia
KKLIU: 0352/2019
Logo - https://photos.prnasia.com/prnh/20190301/2390451-1logo
SOURCE VISTA Eye Specialist
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I think you are exaggerating the differences in the procedures.
Femtosecond laser assisted cataract surgeries ( Flacs ) are an improvement to the established IOL procedure in that the initial incision and fragmentation of the redundant lens is quicker and less traumatic to the surrounding wallet but the differences are marginal and not that significant overall according to research but it is now in use in the NHS already - your reference to the surgeon's 'blade' is misleading in that the standard IOL excision requires no stitches and is self healing in much the same way the Flacs system is.
It is not quicker to any significant degree and is no more efficient than a skilled surgeon at the top of his game - my chap had 12,000 procedures under his belt and lectured at Moorfields on technique.
The improvement is marginal but nevertheless is becoming the new standard but in the end it resolves to the same thing - a plastic implant inserted surgically.
The thing is, if I did not need to remove my lens there is no way in hell I would risk the procedure - although minimal, the danger of retinal detachment is still there and why would you risk invasive surgery for no reason other than vanity?
But if I did, then it would be in the UK where I can research the consultant doing the biz.
As postscript, the femtosecond blast of hot energy is infinitesimally short in duration but if it were to fail albeit in nano terms then vaporised cells on the retina wall would be the fallout and there ain't no way back from that.
Just saying like in case you thought it was sans risk.
on the upside - he would not be able to see the ladyboy horror sucking on his knob
Or be able to read all this horseshit:)
My eyes are still not great even with these specs on. I still need to photograph jar labels with my phone and zoom in.
I want this crystal clear HD vision I hear people talking about.
As for vanity, I have never been vain, just an adonis of a man with a huge penis(previous surgery :))