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TOPIC: Airline Pilot's PRK and Crosslinking Experience
zk


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Date: Tue Apr 6 4:42 AM, 2010
RE: Airline Pilot's PRK and Crosslinking Experience
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I never liked intacs or implants where you are going to have a foreign object in the eyes, that is why I hopefully can see if prk or future promising procedures like keraflex might work for me. Wow that is a dramatic improvement from cross linking hopefully it will get better and better.

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zk


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Date: Tue Apr 6 4:43 AM, 2010
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And btw thanks for the doctor names I think I will start with my prk journey around august after 1 year after my cxl

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Date: Tue Apr 6 5:57 PM, 2010
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Hey ZK
I completely understand your apprehensions about having the INTACTS or ICLs procedure done. Keep in mind though, that you won't be able to feel a thing due to thte fact that the Rings and ICLs lay below the smooth surface of the cornea.  INTACTS, as my Ophthalmologist explains, is a good form of treatment when it comes to refractive surgery however, halos can be a more prevalent side effect. The good thing about it is that its reverse-able. I, in fact, wanted to get them but Dr. Trattler said to me in these same words, "If it was my family member, I would go for TOPO Guided PRK with Dr. Dave Lin (Pacific Eye Care Centre) any day over Intacts."
Well that was good enough for me.

ICLs, on the other hand, doesn't correct for Astigmatisms. Only the Toric verysion which are the VISIAN TICL which like I said are available in Ottawa-if my memory services me right.
But trust me when i say this, I appreciate your apprehension. The reason as to why I urge you look into those are because of the risks involved and for the fact that, these procedures can be undone with little or no harm to the cornea/vision.

Topo Guided PRK is without doubt cutting edge and to cement the sentiments of my Ophthalmologist, the Risks associated thankfully are low.
Do your research on it. It's truly a remarkable procedure and often enough, a viable option for KC patients. Another draw back of having PRK done is the long healing as well as stabilization time required.

Food for cnosideration, In measuring your Corneal thickness, if it is that is is thicker than 450 ums (microns), you may escape all of this 20/20 without glasses.




RECOVERY Day 13..


Went to Dr. Trattler for a check up. All seems to be healing well. There was a little haze in my RIGHT eye and as a result of this, he asked me to reduce the frequency of my Steroid and Anti Pressure drop. Vigomox (Antibiotics) were removed from the regiment. Every thing else remains the same.
So it wold be : Steroid,Pressure and Restasis in AM and PM.



The Epithelium has completely regrown so once again, I can resume back to normal day activity. Showers, Exercising, etc...Continue to wear your sunglasses up to 6 months
My Vision was BCVA 20/40 -20/50 respectively. Soft Contacts he said might promote a better acuity. My UCVA is still however blurry. Im pretty sure its just around the 20/80 region. Ghosting is obth eyes are more present than in the first week.
Next visit for a check up, 3 weeks from now on April 27.

-- Edited by DEFPOTEC on Tuesday 6th of April 2010 05:11:49 PM

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zk


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Date: Wed Apr 7 3:24 PM, 2010
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Nice, everything seems going well as supposed to for you.
Thanks for the information. I will bring this up in my next cxl follow up appointment after I do my research and I will definitely start a topic on my experience.
My corneas I think are 480 and 440, but I am not sure what has changed after surgery. Do you know if cxl reduces corneal thickness?
The thought of having 20/20 with no glasses is a miracle for us, going from the fear of having to deal with rgps all our life to complete freedom from glasses and contacts. I hope you get this end result, first of all of course it would be a great thing for you esp being a pilot and second of all, sends out hope to all the people out there who feel hopeless and down at times.
Best of luck with the recovery I will be checking this thread everyday to see how your doing.


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Date: Wed Apr 7 8:51 PM, 2010
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Well done DEFPOTEC! Thanks for your posts, they are really helpful and encouraging. I have had the same procedure here in Greece, my situation was worse than yours though, but it seems that the situation is stable (there is also a slight improvement) 2 years after having it. I am now able to see 80+% in both eyes with glasses, I have no idea though about my UCVA.
Keep us informed! Every best wish

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Date: Wed Apr 7 11:11 PM, 2010
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Good day to ZK and Lars... Thanks very much for your response to my posts. Trust me when i say that it is very well received. Never the less, thanking me is absolutely not necessary. Let me assure you by saying that this blog and its ability to pair conversations of people that share the same frustrations and so forth, offers itself symbiotically as it allows me to not only self educate myself but even more so to VENT and expel my frustrations.


Zk:
To answer Zlks question regarding XLinking Shrinking the thickness of your cornea: Yes it does. X LInking tends to as the name implies, cross links the collagen tissue or fibers of the cornea. In addition to doing so and as result of, it compresses this tissue and makes the density more compact. That's why its the preference of some Ophthalmologist to do the XLinking first and then PRK on the same treatment. Getting enough of corneal space in which to work when doing the PRK and then after immediately 'locking' that correction into place with the XLinking is the preference of Dr Lin and if I'm not mistaken Dr. K. (I could be wrong so please don't quote me)
Other Ophthalmologist believe that it's better to stabilize the Cornea first and then perform PRK some time after-say 6 months to a year. (mine was 5 months). Again, until most studies are conducted, who really knows which one is better.
If you are accurate on knowing your corneal thickness, you are in very good standing. I really wish that I could have had that thickness as I believe that more could have been done, especially for my Stubborn right eye.

Lars:
Nice to meet you my friend. If I'm not mistaken, I have read quite a bit of you entries so I should be thanking you for making me more knowledgeable of what this disease presents and also specifically what to expect from having the PRK and Xlinking performed.

What is your BCVA and BSCVA? and what what was it before?
What has your overall experience been like?
How long did you eyes take to stabilize?

I'm very happy to know that you are stable. I only hope to follow in the same path. All we can do is keep our fingers crossed


To Both, Thanks very much for your well wishes.





RECOVERY: DAY 14


Went to my Optometrist today. I cant explain what it feels like to walk into my deliverer of RGPs without the need to either fine tune or order new lenses. Rose Ks have done good but Im thankful that my eyes will no longer require them ..... Hmmmm I better not say that too loud. If my luck may have it, I might have to revisit their usage in the future. Arg !....
As for the general inspection of the eye, I got a first hand view of the topography's today. For my LEFT eye, It was nice a blue in the optical zone of the eye. I must say, it was a beautiful sight. Normally there's a build up of RED passing through the center as this is the signature of our meddling and troublesome friend (Keratoconus). The RIGHT eye's depiction on the other hand was not as pleasing to see. Although the presence of RED that passed through and occupied the surrounding periphery of the optical zone had been absent, there was still the presence of shades of green and yellow. I'm having a feeling that an enhancement will be required for this eye. However so, I'll try my best to be patient and not to get too ahead of myself.
Visual acuity remain around the same to what was experienced the previous day.
I was also trying to get a soft pair of contact lens going so that my vision could be improved. Contrary to what Dr. Trattler was saying, my Optometrist recommended that I just keep the eye 'naked' until a further time later on so as to propagate as much healing as possible in the ensuing weeks/months. I thought that that was fine. It's best to be conservative vs the contrary.
When I go back to Dr. Trattler on the 27th, hopefully things will be much improved.





-- Edited by DEFPOTEC on Wednesday 7th of April 2010 10:19:56 PM

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Date: Thu Apr 8 12:08 AM, 2010
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the topo guided prk would of rduced corneal thickness by 50 micron.The cxl does shrink th cornea  only or the first year,due to th compacting of the cornea.Aftr th first yar it actually start to thickn.my pre op thickness was 520 and 490, then first year was 465 and 425.Now the left is back to 500 and the right eye is 435.

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Date: Thu Apr 8 12:14 AM, 2010
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Thanks very much my friend.. How are you doing thus far? How is your visual acuity. Have you stabilized as yet?

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