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Post Info TOPIC: Dominics PRK and crosslinking story


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Date: Sat Oct 18 7:20 AM, 2008
RE: Dominics PRK and crosslinking story
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-- Edited by pereira951 at 07:21, 2008-10-18

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Date: Sat Oct 18 7:21 AM, 2008
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I am now heading into day 9. Vision still extremely blurry in the right eye. In the outdoors, however, I think it is clearing up because at first I could not even see a licence plate. Now I can read the letters on it, even from about 20 feet. I can actually read signs better with the right eye, because the ghosting is so far away from the original object that it makes me able to read the original object. I guess this is also the same reason that as my keratoconus in my right eye had gotton worse, my acuity got better(I'd trade my acuity to get rid of ghosting any day!)

The left eye is pretty clear but ghosting makes it hard to read far. Up close I can read perfect. My left eye was only possible kc b4 op, but we all know what that means, just a matter of time. And for me, time was not on my side. I was only diagnosed 5 months ago. My opthamologist wanted a 4 month pentacam to see where I was. By the time my lens fitter was finished, the lens was no good. So i went and saw my opthamologist in betwwen because I had a feeling the kc was getting bad fast.He told me, stick with John,(the lens fitter), and come and see me in two months. Well at the four month point, I went from a curvature of 48 to 54. And never mind, paid 800 dollars for a pair of contacts I could only wear 2 times. @!#$%#

So not much change in vision since yesterday, except I think I am noticing that outdoors I can see a little bit better.(I can't wait to be able to see people's faces again, right now they are just a big blurrrrrrrr)

I will try and keep logs quite frequent so everybody can have something to check on, and have more than one story to read up on for this procedure.

The main reason I did not go see Dr.Lombardi in Itally, was because I could only find Hari's experience with him. No other info was really available except through his clinics website.

I will be posting my topogrophies right away. I will post my 5 day post op topogrophy so people can actually understand the normalization of the cornea with limited topogrophy guided prk, by seeing b4 and after.

-- Edited by pereira951 at 07:24, 2008-10-18

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Date: Sun Oct 19 12:00 PM, 2008
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It is the morning of day 10. Vision is still pretty much the same. The right eye is quiet blurry indoors, and has alot of ghosting up and down. Outside I can read quiet a bit more on signs, but there is still alot of ghosting because when I read the sign there is another sign above it and below it.

Left eye is clearing up quiet well but hard to read from far because the ghosting is so close to the letters that it makes them unable to read.

When I am in less lit places like the shower, the ghosting in my right eye is only downwards(as it was pre op) but I am sure lighting plays a big factor.

When looking at my cornea by eye now, it actually looks cemetrical again, you can not see the point anymore.I wil post next time when there happens to be a considerable change.

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Date: Mon Oct 20 7:05 PM, 2008
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Pereira, did you say shower ? how many days after the treatment did Dr K say you allowed to get water in to your eyes like with having a shower ?

Anyway, this news below came out recently, I thought I'll copy it here.


OSN SuperSite Breaking News 9/16/2008

Sequential PRK and collagen cross-linking enhance results in keratoconus eyes

BERLIN — A combination of collagen cross-linking and partial PRK allows better and more stable results, according to one surgeon here.
After many years of experience, John Kanellopoulos, MD, said the two procedures can be performed sequentially.
"I do epithelial removal, partial PRK with [mitomycin C] and directly go on to cross-linking," he said at the European Society of Cataract and Refractive Surgeons meeting. In these cases, the aim of PRK is regularizing the cornea, rather than correcting refraction, Dr. Kanellopoulos said.
"It is more like a [phototherapeutic keratectomy] procedure," he said.
A more regular cornea will then allow a better distribution of forces by the cross-linking procedure.
A series of 325 patients was divided into two groups. In group A, corneal cross-linking was performed first and followed by PRK at a 6-month interval. In group B, the two procedures were performed sequentially and in the reverse order.
Statistically, group B did better in all of the fields evaluated, namely visual acuity, refraction, keratometry topography, endothelial integrity and corneal clarity. The sequential procedure is also easier and less stressful for the patient, Dr. Kanellopoulos said.

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Date: Tue Oct 21 2:13 AM, 2008
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Dr. K said 5 - 10 days for not getting eyes wet, so i just bathed until day 8. I still have not gotten my eyes wet, I will tomorrow being day 12. There is not much change in vision today, I don't think I could even read an eye chart. Thank you for the article and your response.

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Date: Tue Oct 21 11:26 PM, 2008
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now on day 12....vision is even worse in the right eye.really blurry.

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Date: Wed Oct 22 12:34 AM, 2008
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Hey Dominic, best wishes from Berlin!

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Date: Wed Oct 22 12:47 AM, 2008
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Hello dominic,

I think this blur will clear up in the next weeks.Give time to your corneas to recover.

Can you upload a pre surgery topography?The wider the cones are at your cornea then i think more time is needed to settle down.

You choose the best treatment possible.I know you want immediately results but we perfomed  TOPO-PRK not Lasik.I remember that the best vision after the treatment is at 30 days.So wait a little bit more.Dr K must have talked with you what your vision will be after the treatment.In my case he said to me without glasses i would have more than 6/10 vision.That was his aim.I am saying his exact words.Now i have with both eyes open 8/10 plus two lines from 10/10.But i have aberrations.I am not seeing the chart crisp and clear as i do with refraction glasses.The reason that i have aberrations is that as a kcer i had limited TOPO PRK meaning 50 microns ablation only.So a refraction error always stays.This is not a full PRK correction.That is why it is safe to perform it.It is more providing a better balance to the cornea rather correcting the refractive error.We should have in mind that.

All the best,


P.S I wish to the future patients of kc if it is proved to be safe that will have full laser correction(Topography guided PRK) to get rid of this lifealtering disease and then the crosslinking for freezing the cornea for life.This i think is like a CURE.



 

-- Edited by Zeus at 00:53, 2008-10-22

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