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Post Info TOPIC: Dr Brian Wachler -- any experience with him?
Anonymous

Date: Tue Jul 4 6:06 PM, 2017
Dr Brian Wachler -- any experience with him?
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Hello. I am considering going to Dr. Brian Boxer Wachler for Keratoconus treatments. Can anyone comment on their experiences with him? Thank you.



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Veteran Member

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Posts: 73
Date: Mon Jul 10 7:04 PM, 2017
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I have not had any experience with Dr. Boxer-Wachler. You might also want to consider Dr. Yaron Rabinowitz who is in the same neighborhood. I have seen Dr. Rabinowitz from time to time over the last 25 years. I've always found him to be a reliable and down to earth source of information for managing my KC. I'll tell you right up front that Dr. Rabinowitz does not believe in epi-on CXL, so he will give you an opinion that will conflict with Dr. Boxer-Wachler on that. 



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Date: Thu Jul 27 12:39 AM, 2017
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i did corneal ring implant (icsrs) and also CXL on my left eye for keratoconus. it is been 5 months now. i did have discomfort, i thing form the ring implant but it got a lot better to the point i dont even remember it now or touching my eye doesn't cause tearing up. my biggest problem was cloudiness --i think it has to do with eye dryness. i have dry eyes to begin with but after the surgery, i notice the dryness affecting the surgery eye a lot more than the other eye. but if i use artificial tears --it does get better. i dont know if i will do it on the second eye --although i could sense the vision in the untreated eye is failing and i am only 32. my Dr. does visual field and other tests and thinks the rings are helping prevent the cornea from protruding but another Dr i spoke to in Canada who has been practicing these treatments for 8+years told me he stopped doing the rings because he didnt see any improvement in his patients. so i am kind of at crossroad right now --i dont want to do it but i see my other eye is failing. any ideas are appreciated. thank you.

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Anonymous

Date: Fri Oct 6 5:53 AM, 2017
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Hi. I am the original poster of the thread. Thank you for the responses. I thought I should update in case my experience will be helpful to others, as I did end up going to Dr Brian Boxer Wachler in California and received treatment for Keratoconus there. To back up for a moment, initially I wasn't sure if I should even have treatment because my Keratoconus has really not progressed in 10+ years and I was already correctable with glasses to 20/25 in my bad (right) eye and 20/20 in my good (left) eye. And I really didn't have huge problems with halos and glare. I was pretty much fully functional despite Keratoconus, with the exception of not seeing well enough to drive at night and some mild halos when reading without glasses. Plus, the informed consent for the treatment was frankly scary. So it was a tough decision. But anyway, I did want to help ensure that the condition wouldn't progress and to possibly be able to drive at night again. So I decided to proceed -- just sort of a leap of faith I guess -- and had crosslinking in both eyes and an intac in the right on 9/19/17. Dr Brian said I was also a candidate for CK in the right eye if I wanted it, but I decided to hold off due to nervousness about having so much done at once and wondering if I was taking too many risks. The treatment itself was not painful. He does the "epi on" and I also received an anti-anxiety and pain medication just before treatment and of course a numbing agent to the eyes. So all went smoothly with the procedure itself. Over the next couple weeks post treatment, I thought subjectively I had vision improvement, though nothing miraculous. For example, I noticed I have been better able to read the words on the program guide on the tv without glasses while lying in bed and that I no longer instinctively close my bad eye when reading on my phone like I used to. Moreover, today (10/5/17), I went to my local eye doctor and found out -- objectively -- there is very good improvement!!!! Without glasses I went from 20/200 in the bad (right) eye to 20/70. And as far as with glasses, my measurement went from -2.0 to 0 and I am now correctable to 20/20 in the right instead of 20/25. I still have bad astigmatism and myopia (unrelated to Keratoconus), so I still do need glasses for distance pretty much all the time. Dr Brian was honest with me ahead of time that would be the case, so not a surprise. I am experiencing some mild dry eye and a bit of a foreign body sensation in the right eye where the intac is. These sensations come and go and I was told to expect it and that it would pass in a few weeks. I actually have not tried driving at night yet since the treatment. So I can't comment yet on whether there is improvement in that regard. Overall it was a worthwhile experience and though it's still early (since I only had it done a few weeks ago), I am glad I did it. I also feel that they were honest with me and did not overpromise. As a side note, I have a history of an additional eye condition called Optic Neuritis (yes, aren't I lucky, lol). So just to add, I was still a candidate for the Keratoconus treatment despite this additional condition. Oh and finally, it is expensive but there is some sort of payment plan. I didn't do the plan but from what I recall reading it was under $200 per month and interest only began after 24 months. I'm available to answer questions. I'll check back here from time to time to see if there are any.

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Anonymous

Date: Sat Jan 6 8:22 AM, 2018
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Thank you for the information you provided.  I too am considering making the trip to see Dr. Boxer Wachler.  It seems to me that epi on crosslinking carries fewer risks.  Additionally, it makes sense to me to go to an opthamologist who has performed cross linking thousands of times rather than tens or hundreds of times.  The office staff with whom I have communicated have been rather helpful compared to many other offices as well.  One concern I have is that the webside for Boxer Wachler Vision Institute appears to be very sales oriented.  Also, I have been told by a couple of opthamologists that epi off is more likely to halt progression of keratoconus than epi on.  The majority of research articles also tend to make this statement.

Per office staff, Dr. Boxer Wachler has reviewed my records and recommended crosslinking in both eyes and possible intacs in both eyes.  I was thinking of having my worst eye done and waiting a year or two before deciding on a course of treatment for my other eye.  It sounds like the price tag for one eye (cross linking and intac) would be $10,000 provided Dr. Boxer Wachler's recommendations remain the same following my office visit.  Do you know if this sounds like what I should expect to pay there or will there be other fees/options presented to me once I come to the office in person?  

Are you still happy with the results of your procedures?  I would gladly pay the money if I knew results would be favorable.  However the website and info provided seem so sales oriented.  It kind of worries me. 

I am glad your results were positive per your last post.  I hope all is well.      



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Anonymous

Date: Thu Jan 25 2:15 AM, 2018
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Hi. I am the original poster of this string and just saw your post. In answer to your questions, I felt the same way about the salesy website and it was a turn off to me too. I also read lots of positive reviews on various sites and I did go back and forth on whether to proceed -- thinking what if it was a scam. Eventually I decided to go for the consult after they told me by phone that I didn't have to proceed with the treatment on the day following the consult (though they scheduled the treatment in case I did want to proceed but said I didn't have to proceed). And since the consult was only a few hundred, I decided to do it. And my initial plan was to only do one eye if I did proceed because I was very ambivalent. Once I got there and saw the fancy office and upscale vibe and top equipment and good staff and met the doctor, I felt more certain it wasn't a scam. But I still wasn't 100% sure, especially after reading the consent with all the risks. Yet I decided to go for it anyway. And yes I'm still happy I did. (it's been 4 months now). I ended up having cxl in both eyes and the intac in one eye. I should say I only got improvement in the eye with the intac. The eye with the cxl only is the same (which they told me to expect). As for price, I recall it being less than 10k for one eye. I thought it was something closer to $8000 for one eye for cxl and intac. But I can't remember. Maybe the price went up since I did it? They had sent me some info and one of the pages had the price list on it. But again, I don't remember the exact price. Lastly re epi on versus epi off, I had the same concern you mentioned and I didn't research it much. I didn't really want epi off though because I had read some bad stories about it and heard it was painful as well. The epi on seemed less invasive, which I liked. And my results are certainly very good, so I'm glad I chose a doctor who believes epi on is better. Hope that helps and feel free to email me directly if you have any more questions. My email is bwaventura@aol.com

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Anonymous

Date: Fri Jan 26 2:37 AM, 2018
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Oh I forgot to say I am able to see well enough to drive at night now, which I couldn't before the treatment.

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