Laser eye surgery

Author
Discussion

R Mutt

5,892 posts

72 months

Friday 27th September 2019
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Such variation in pricing. Obviously depends on prescription at the fundamental level but as this is something you wouldn't want to scrimp on, do high prices justify themselves?

How much do the operations vary, assuming all LASIK?

Yes basically I don't want to get it done on Harley Street paying for posh offices and pretty receptionists when the technology and safety are to the same standard anywhere else.

RobM77

35,349 posts

234 months

Friday 27th September 2019
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The operation is pretty routine, with most problems occurring in aftercare, so I'd recommend looking at the aftercare options available, plus of course make sure you follow instructions to the letter (not showering, rubbing your eyes, etc). That said, I was so nervous about someone operating on my eyes that I paid decent money to a well regarded surgeon in London to do the operation.

So

26,288 posts

222 months

Friday 27th September 2019
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MOBB said:
So tempted to go for this - I’m 47 and slowly over the years I’ve needed reading glasses which got stronger and stronger, but still only about -2 I think

I’m now getting annoyed trying to read things in shops, in the car etc and fed up with glasses faff

I know I probably won’t get the best return for the money but a good say 5-7 years would be nice

Any recommendations for a good place to go, quality more important than cost within reason
Maybe you should look at lens replacement surgery. It should sort you out permanently. 47 is about as early as they will do I think, I was your age when I had it done and it has changed my life.

Blown2CV

28,820 posts

203 months

Monday 7th October 2019
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RobM77 said:
Milnero said:
I'm interested in having laser eye surgery and wondered if anyone on here could tell me if I'm suitable for the treatment before I go ahead and book a consultation

I've recently had my eyes checked and I've been told I have healthy eyes with no issues.

My eye sight prescription is,

Right eye, SPH -1.25 CYL -0.25 AXIS 180
left eye, SPH -0.75 CYL -0.50 AXIS 20

The above prescription means absolutely nothing to me so I hope I've given some information enabling my question to be answered to a degree.

Thanks
We can't give medical advice on here, but that's a very mild prescription, so I don't see why laser would be an issue. From memory I think I was about SPH -6.8 and CYL -4.5 in each eye and I was corrected to 6/4.

Edited by RobM77 on Friday 27th September 09:37
it's more likely to be the other way, that as they don't guarantee results after treatment of better eyesight than he already has, they may refuse to undertake it?

Blown2CV

28,820 posts

203 months

Monday 7th October 2019
quotequote all
RobM77 said:
The operation is pretty routine, with most problems occurring in aftercare, so I'd recommend looking at the aftercare options available, plus of course make sure you follow instructions to the letter (not showering, rubbing your eyes, etc). That said, I was so nervous about someone operating on my eyes that I paid decent money to a well regarded surgeon in London to do the operation.
it isn't really routine. Unless you have the wavefront then if you move your eye even the slightest it can compromise the result. You are more of an active participant in the treatment than people realise.

Speed 3

4,573 posts

119 months

Tuesday 8th October 2019
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MOBB said:
So tempted to go for this - I’m 47 and slowly over the years I’ve needed reading glasses which got stronger and stronger, but still only about -2 I think

I’m now getting annoyed trying to read things in shops, in the car etc and fed up with glasses faff

I know I probably won’t get the best return for the money but a good say 5-7 years would be nice

Any recommendations for a good place to go, quality more important than cost within reason
Not sure I understand your description. -2 correction would suggest short sight (ie distance) but you are describing long sight (ie reading) and the fact you say its getting worse would suggest its aging long sight (Presbyopia) rather than natural long sight (Hypermetropia). You'd need to have a consultation to see whether Lasik would correct this combination. 47 is getting quite old for this and the Presbyopia will continue.

MOBB

3,617 posts

127 months

Tuesday 8th October 2019
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Maybe it’s +2, it’s certainly close up I struggle with

Blackpuddin

16,525 posts

205 months

Tuesday 8th October 2019
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I think I may have been one of the first to have Lasik in this country, must have been 35 years ago, I was minus 10 and minus 11 and fed up with contacts. I think it was around £750 an eye back then, had it done at the place in north London, possibly Optimax. No pain whatsoever. Only relatively recently have I needed help in the form of specs for close-up work and reading. Just had my cataracts done, no ill effects there. Best thing I ever did.

Trailhead

2,628 posts

147 months

Wednesday 8th January 2020
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I’m currently looking at having LASIK and have had consultations with Optical express and Optegra (Birmingham Eye Hospital).

They have both offered LASIK wavefront at different prices - £3600 vs £5500.

There are currently two forms of wavefront laser treatments available; wavefront guided and wavefront optimised.

Wavefront guided treatments use a device known as an aberrometer to measure the existing imperfections of the eye known as higher order aberrations. The aberrometer produces a map which then guides the treatment. The I-Design is simply a type of aberrometer that is used by Optical Express. Wavefront guided treatments produce good visual outcomes, however there are various flaws associated with these treatments. The main issue is that the treatment will correct the existing imperfections of the eye but will not compensate for the imperfections induced by the laser treatment itself. The higher the prescription, the greater the amount of aberrations induced by the laser treatment. Therefore it is entirely possible that some patients can even end up with a greater degree of aberrations after the treatment.

Wavefront optimised treatments aim to minimise the induction of aberrations from the laser treatment by ensuring the natural aspheric shape of the cornea is maintained afterwards. This ensures visual quality remains at optimal levels after treatment. It is the preferred approach used by Optegra.

R Mutt

5,892 posts

72 months

Wednesday 8th January 2020
quotequote all
Blackpuddin said:
I think I may have been one of the first to have Lasik in this country, must have been 35 years ago, I was minus 10 and minus 11 and fed up with contacts. I think it was around £750 an eye back then
Trailhead said:
They have both offered LASIK wavefront at different prices - £3600 vs £5500.
This really doesn't help my confusion over the prices.

Someone mentioned it's all in the aftercare, but the difference between 1500 and 5500 quid's worth seems like being thrown out of the hospital window after the operation vs a young nurse driving you home for personal care.

Anyway, which method has the least physical contact with my cornea?

Edited by R Mutt on Wednesday 8th January 16:12

Trailhead

2,628 posts

147 months

Wednesday 8th January 2020
quotequote all
Trailhead said:
I’m currently looking at having LASIK and have had consultations with Optical express and Optegra (Birmingham Eye Hospital).

They have both offered LASIK wavefront at different prices - £3600 vs £5500.

There are currently two forms of wavefront laser treatments available; wavefront guided and wavefront optimised.

Wavefront guided treatments use a device known as an aberrometer to measure the existing imperfections of the eye known as higher order aberrations. The aberrometer produces a map which then guides the treatment. The I-Design is simply a type of aberrometer that is used by Optical Express. Wavefront guided treatments produce good visual outcomes, however there are various flaws associated with these treatments. The main issue is that the treatment will correct the existing imperfections of the eye but will not compensate for the imperfections induced by the laser treatment itself. The higher the prescription, the greater the amount of aberrations induced by the laser treatment. Therefore it is entirely possible that some patients can even end up with a greater degree of aberrations after the treatment.

Wavefront optimised treatments aim to minimise the induction of aberrations from the laser treatment by ensuring the natural aspheric shape of the cornea is maintained afterwards. This ensures visual quality remains at optimal levels after treatment. It is the preferred approach used by Optegra.
Also; just to add - from my google research, everything points towards lasik wavefront guided giving better results in various clinical trials.

Has anyone had wavefront guided or wavefront optimised?

Johnniem

2,674 posts

223 months

Wednesday 8th January 2020
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968 said:
He's talking bks.

Wavefront is an established technique which is not unique to any hospital, least of all Moorfields. iLasik is just using a femtosecond laser to produce the lasik flap. This is certainly not unique to OE or Moorfields. This kind of jargonese really annoys me.

You haven't given me your age but if you're young ie <35 then I'd say LASIK or LASEK would be perfectly reasonable, and should result in a good corrected acuity and probably spectacle independence. If you're in London go and see Mr Ali Mearza.

Edited by 968 on Friday 19th June 16:50
My wife had both her eye lasered (in the same visit) by Mr Mearza. He was recommended by a friend of hers who had already had the surgery done. She did, however, have some problems with night vision, particularly with on-coming headlights (producing multiple halos around the light source). This made night driving difficult. She hasn't mentioned it again for well over 18 months so it may well have dissipated. +1 for Mr Mearza. He is more expensive than OE or any other chain, obv!

RobM77

35,349 posts

234 months

Wednesday 8th January 2020
quotequote all
Johnniem said:
968 said:
He's talking bks.

Wavefront is an established technique which is not unique to any hospital, least of all Moorfields. iLasik is just using a femtosecond laser to produce the lasik flap. This is certainly not unique to OE or Moorfields. This kind of jargonese really annoys me.

You haven't given me your age but if you're young ie <35 then I'd say LASIK or LASEK would be perfectly reasonable, and should result in a good corrected acuity and probably spectacle independence. If you're in London go and see Mr Ali Mearza.

Edited by 968 on Friday 19th June 16:50
My wife had both her eye lasered (in the same visit) by Mr Mearza. He was recommended by a friend of hers who had already had the surgery done. She did, however, have some problems with night vision, particularly with on-coming headlights (producing multiple halos around the light source). This made night driving difficult. She hasn't mentioned it again for well over 18 months so it may well have dissipated. +1 for Mr Mearza. He is more expensive than OE or any other chain, obv!
Sounds about right. I had LASEK done in 2007 and had halos around light sources after dark (streetlights, car headlights etc) after the procedure. They faded over about 10-11 months and I never experienced them again.

XJSJohn

15,966 posts

219 months

Wednesday 8th January 2020
quotequote all
another LASEK done in '07 out in Singapore.

about 30 seconds an eye and sent packing with a care pack (wash bag).

Was down the pub that night and driving to work the following morning.

eyes were itchy as buggery for a week then all good

had an eye test 6 months ago (SWMBO was getting her new bins and i was just curious as was the optician), still 20/20 distance but i am just starting to notice some strain on extra small print, but i guess thats just age catching up. so thats getting on for 12 years and still working well!

i was -3 in the left and -3.75 in the right eye.

one of the best things i have ever done.


Blown2CV

28,820 posts

203 months

Wednesday 8th January 2020
quotequote all
anyone going into this and thinking they can go with the lowest price offerings... just don't do it. You have to disclaim lots of risk in the contract anyway and these things are really just designed to get people in the door when they can then be upsold. People shouldn't really be buying the cheaper treatments!

harveys

160 posts

124 months

Wednesday 8th January 2020
quotequote all
I’m in the midlands. Any recommendations of where to go?

Blackpuddin

16,525 posts

205 months

Wednesday 8th January 2020
quotequote all
Trailhead said:
I’m currently looking at having LASIK and have had consultations with Optical express and Optegra (Birmingham Eye Hospital).

They have both offered LASIK wavefront at different prices - £3600 vs £5500.

There are currently two forms of wavefront laser treatments available; wavefront guided and wavefront optimised.

Wavefront guided treatments use a device known as an aberrometer to measure the existing imperfections of the eye known as higher order aberrations. The aberrometer produces a map which then guides the treatment. The I-Design is simply a type of aberrometer that is used by Optical Express. Wavefront guided treatments produce good visual outcomes, however there are various flaws associated with these treatments. The main issue is that the treatment will correct the existing imperfections of the eye but will not compensate for the imperfections induced by the laser treatment itself. The higher the prescription, the greater the amount of aberrations induced by the laser treatment. Therefore it is entirely possible that some patients can even end up with a greater degree of aberrations after the treatment.

Wavefront optimised treatments aim to minimise the induction of aberrations from the laser treatment by ensuring the natural aspheric shape of the cornea is maintained afterwards. This ensures visual quality remains at optimal levels after treatment. It is the preferred approach used by Optegra.
I'm no expert but on a gut feeling alone this sounds like pure marketing guff designed to justify ridiculous prices. The guy who did my eyes in the 1980s didn't have any of that and it doesn't seem to have done me any harm.

Blackpuddin

16,525 posts

205 months

Wednesday 8th January 2020
quotequote all
harveys said:
I’m in the midlands. Any recommendations of where to go?
Neither of the places above I'd say.
Have you cast your eyes (sic) abroad?

RobM77

35,349 posts

234 months

Wednesday 8th January 2020
quotequote all
XJSJohn said:
another LASEK done in '07 out in Singapore.

about 30 seconds an eye and sent packing with a care pack (wash bag).

Was down the pub that night and driving to work the following morning.

eyes were itchy as buggery for a week then all good

had an eye test 6 months ago (SWMBO was getting her new bins and i was just curious as was the optician), still 20/20 distance but i am just starting to notice some strain on extra small print, but i guess thats just age catching up. so thats getting on for 12 years and still working well!

i was -3 in the left and -3.75 in the right eye.

one of the best things i have ever done.
LASIK I'm guessing, not LASEK. With LASEK I was lying in a dark room for two days in immense pain and took about a week to be functioning normally again.

Chris Stott

13,379 posts

197 months

Wednesday 8th January 2020
quotequote all
Just back from the opticians - needed new reading glasses.

Had mine lasered 17 years ago. Cost me £800 at Optimax for both eyes. Eye test I just had shows I still have 20:20 in my right eye and better than 20:20 in my left.

Reading glasses now +2.25 though.