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 13 Feb 2017, 18:28

The U.S. President has had Lasik


Jeni 13 Feb 2017, 17:42

My friend is friom America and she had lasik before she was with -2.00 which I don't think is that bad. She can't believe I don't want the surgery and I'm more shortsighted than she was. 20 million in how many years? Is that slot or nothing compared to the amount of people that are shortsighted


Soundmanpt 11 Feb 2017, 09:14

Jeni

I have read that over 20 million people have had lasik surgery. That is a worldwide number. I don't know which country has the lead. I also read something that the rate has actually been decreasing over the past few years. They sited that there was an increases once the procedure became more perfected. So it makes sense that there was a sort of rush for getting it done. But once all those people that were holding off until they felt it was safer got it done the rate would go down some. And since eye wear has become quite a fashion statement for many women and actually I think more women was getting lasik than men anyway for vanity sake. But now many boutique store have several racks of fake glasses just for fashion. That clearly has had some effect on the number of people getting lasik. For many the price is still an expense they can't afford. And lastly many are scared of the surgery.


Jeni 11 Feb 2017, 03:29

How many people get lasik? Which county is it most popular to get it in? I'm shortsighted and don't want the surgery it didn't bother one to wear lenses. I read many people have it in America so don't wear glasses anymore


 12 Nov 2016, 12:35

Interesting story from the Instagram

girl was initially moderate myopic

http://www.instagram.com/p/0d8u3zvAgc/

then she has been diagnosed with glaucoma and her natural lens surgically removed

http://www.instagram.com/p/BD4kNO0vArC/

and now she is aphakic with moderate plus glasses (but not as high because she was nearsighted before)

http://www.instagram.com/p/994_xaPAoi/

and here is her comment about her visual acuity

http://www.instagram.com/p/9HSe7sPAte/

So glaucoma is not a rare disease, right. But is this a real chance for someone like Tino to become aphakic? Or that particular case is unusual


Soundmanpt 31 Oct 2016, 11:00

Alex

I don't think glasses will ever just be a think of the past for several reasons. First off there are some people that have corneas that are too thin to be able to do lasik on. There are also a god number of people that fear the whole idea of getting the surgery done. Then as long as the insurances don't start paying a much bigger portion of the surgery for many the cost is too high. And in recent years many women now consider wearing glasses a fashion accessory. I even read recently that the number of people getting lasik has actually dropped quite a bit recently as well. There even seems to be a good number of people that after having lasik start missing their glasses and regret having had it done.


Alex 31 Oct 2016, 02:08

Now is the record number of people with myopia ever but there are a lot of people having lasik, do you think glasses will be a thing of the past if people continue to have the surgery or is there too many people out there so glasses will always be worn?


Tino 24 Sep 2016, 01:08

Likelenses

I guess my need is more about being aphakic and requiring the correction than simply the glasses and that's maybe why I ended up having two procedures when one would have done if I'd been clearer about my goals.

Although there is a common theme, I'm sure everyone is different and, as your name suggests, perhaps the interest that brings you to Eyescene is more about the glasses than mine and I have now come to understand that these are just part of my own need. Therein lies the lesson too.... if you find yourself in the situation where surgery is an option, I can't stress the importance of establishing what your true motivation and objectives are in order to ensure you stand the best chance of achieving your underlying desire. Although I thought I knew and was sceptical at first it's testimony to the counsellor's craft that I believe this is now 100% understood in my case.

In short, having had the IOLs fitted I felt scarcely different to when I was doing GOC but now I have a different feeling which is hard to explain but essentially I feel fulfilled and complete. And it's much less uncomfortable explaining to optometrists!


Likelenses 23 Sep 2016, 17:28

Tino

I am confused. Why did you go through two surgeries to become severely hyperopic,and now wear contacts rather than glasses.


Tino 23 Sep 2016, 01:53

Hi NJ

It was just down to my own stupidity I guess and perhaps not thinking the whole thing through properly....

+8 was the GOC prescription I'd always used so this is what I requested and, when asked later, I simply said I had had cataracts removed but kept my original prescription as a matter of choice.

You're right in that then justifying this during examinations was a bit uncomfortable and, along with an overwhelming desire to be aphakic, led to me going back to the same surgeon and asking for the implants to be removed. On his request I had some counselling where we discussed BIID and the impact of not being straight with my family etc. I'm just grateful that the counsellor and surgeon seemed to agree that surgery was the best option as I really was depressed about the prospect of having to live with any sort of lens in my eyes for the rest of my life.

In hindsight I should of course gone for the extraction straight away but I was confused about my true desire and I'm not the sort of person to opt for counselling without being told to. Not only would this have saved me a significant amount of money, the second procedure was harder to get over and of course I would have enjoyed the sense of completeness I now enjoy for the previous 3 years.

The increase in prescription to +11.5 in nice but wasn't my main motivation and, while I love the look of my glasses (particularly sunglasses), I have recently got contacts and spend a lot of time wearing these and just use reading glasses for close work


NJ 21 Sep 2016, 08:23

Sorry, that last post was for Tino, not LXW.


NJ 21 Sep 2016, 08:22

LXW, forgive me, did you have ICLs put in that were too low power? Just wondering why you didn't go for the much simpler surgery of a clear lens extraction, without IOL or ICL. You would have gotten a higher plus prescription and you won't have to answer the question from every optometrist on why your ICLs are so underpowered.


LXW 21 Sep 2016, 06:09

Hello Tino, thanks for your message! Nice to hear that everything is ok and you are happy now. It must be a dream for you...

I have worked hard in the last months, but unfortunately there is to surgeon who will put ICLs in my eyes, itīs a drama and very sad for me. But i am looking forward to "follow you" and get my dream come true - one day!


Tino 05 Sep 2016, 00:34

Nothing really to update, but if you're interested...

I ordered new glasses based on my current prescription but these are only OK (but better than the GOC ones I had been using) as I was told it would be 6 weeks before it 'settled down'. I've got a final consultation next week with my surgeon so I can hopefully be discharged and will then go for a second test so I can indeed see properly.

All in all though, I'm loving it


Likelenses 03 Sep 2016, 22:10

Very odd that Tino has not updated us.

I hope it is not because he is unable to see after the surgery.


LXW 03 Sep 2016, 06:16

Hello Tino, time is running, one month is gone... Please let us know if everything is good on your side. Hope the healing process has ended good.

Best wishes, Alex


LEOinPERTH 06 Aug 2016, 04:55

Tino

+11 +12 Would be a dream come true for me !!!

Hope all goes well ,Tino .

Take care


LXW 06 Aug 2016, 00:09

Tino, everything sounds good and prism in glasses are really nice! I hope your eyes will heal very good in the next days. You did the right steps for your life.

Please tell me, is there a little bit of light at the end of the corridor for people like me and other here? You recall what i want for my eyes? Some lines below is a description about my big dream :-)

Thanks for all, Alex


Tino 05 Aug 2016, 02:05

I reckon it's about +11 or +12 which is a bit less than anticipated but that's not really the point. I have very little accommodation and have already experienced my eyes turning out so may well need a nice bit of prism as well as an add.

One eye was done 10 days ago and is healing nicely but the second was only done this week and is still too scratchy and misty to allow me to get an eye test done. In hindsight I never should have got the IOLs fitted a few years back and gone straight for removal as in all honesty that was always my objective.


LXW 05 Aug 2016, 01:26

Yeah Tino, congrats from my side too!! I am so happy to read that you have made your dream come true :-)

Please tell us more, it could be very interesting for us.

Thank you, Alex


hyperaficionado 05 Aug 2016, 01:00

@ Tino - congratulations!

Very nice. So what's your rx now?

Best,

H.


Tino 05 Aug 2016, 00:14

Aphakic at last


helpful 01 Jun 2016, 23:23

Briangwebber posted a great deal on ES over the years on his experiences but recently has not been contactable. Any stalwarts here any news whereby i might contact him


LXW 24 Apr 2016, 23:55

bracesfan

Yes i know, but it seems that nobody is writing here about the results of searching for an surgeon. So Tino is the "little light" for me and i hope he will achieve his goal very soon! Oh, you want to go really "high" with -20 diopters, thatīs a big step. For me the range from -6 to -10 diopters would be a dream! This is the range i do GOC and i am very satisfied with it. We can also exchange by mail. MTN (a) gmx dot net - this is where anybody can reach me. I hope very much that Tino will give me some lines.

Thanks, Alex


bracesfan 21 Apr 2016, 23:04

LXW:

Surely there are much more of us seeking for such change of their vision. My logtime, hardly real, dream is myopia about 20 diopters. Loving lenticulars I have tried a bunch of surgeons but no success. Nice to see there is at least one understanding our feelings.


LXW 21 Apr 2016, 09:02

Tino!

Thank you so much for your post. It sounds very good to me and i see a little light in the end of the corridor :-) So i think it is also possible for the surgeon to implant plus lenses into my healthy eyes. Perhaps my dream will come true...

I hope you will achieve your goal very soon! I know how you are feel at the moment.

Ok, i understand your decision. But it would be very nice if we can stay in contact, you are my last hope at the moment. Perhaps we can exchange our mail adresses if it is possible here. Or instead you can contact "Cactus", he knows about my "problem" and has my adress.

Thanks for all, Alex


Tino 20 Apr 2016, 11:11

LXW

I had a procedure in London 3 years ago to implant minus lenses into my otherwise healthy eyes to make me +8 which was a total success but my goal has always been to be aphakic and recently I have sought to obtain further surgery.

I'm currently consulting with the same surgeon who is reknowned and respected in this field with a view to achieving my goal and, as part of that also speaking to a counsellor who specialises in BIID.

The issue I have is that the lensectomy and vitrectomy I would need to have are much less reversible than the lens exchange so there is a greater reluctance on the surgeons part but, at a cost and after the specialist counselling, I'm hopeful that by the summer I will have achieved my goal.

The surgeon did say before that he was willing for me to refer people to him and while, as I'm sure you'll understand, I want to ensure my own research and efforts aren't jeopardised first, I will be in a position to think about sharing the details of both the surgeon and the counsellor once I have had the surgery


LXW 11 Apr 2016, 12:06

Hello Cactus, Likelenses, LEO in PERTH, and Stingray, thanks for your comments!

@Likelenses: Yes, i have tried it in Mexico, India and other countries around the world, but i have no luck :-(

I also was in contact with "Cactus Jack" who explained me a lot about the human eye and i am very thankful about it! He also contacted me with Brian, a man which is known here and has fullfilled his dream to become a very high myope. But all this couldnīt help me...

@Cactus: Thank you so much for your thoughts, itīs a very good idea, yes! But i have to think about it, itīs not easy to go the step to a mental health professional... But maybe the only one.

I also appreciate any other help around the world, thanks for all!!

Alex


LEO inPERTH 11 Apr 2016, 08:07

Stringray

True, but She might know someone who would understand?


Stingray 11 Apr 2016, 06:40

Renee Richards is 82 years old. I wouldn't want her operating on me at that age.


LEO in PERTH 11 Apr 2016, 06:38

Dose anybody remember DR Renee Richards (tennis player in USA), who underwent gender reassignment in 1975?

DR Renee might understand ,and Dr Renee is A EYE SURGEON in the USA.


Likelenses 10 Apr 2016, 16:34

Have you tried third world countries.

Mexico, India ,etc.?


Cactus Jack 10 Apr 2016, 16:32

LXW,

What you are running into is the Hippocratic Oath. Here is a link to it both in ancient and modern terms.

www.pbs.org/wgbh/nova/body/hippocratic-oath-today.htm

The short version is "First to no harm". Most people in the healing professions are there because they want to help people. They don't think that making you more Myopic is helping you, which clashes with their oath. Most ECPs are oriented on making people see better, not worse (in their opinion).

In the past few years, Psychiatrists and Psychologists have realized that there is such a thing as BIID - Body Integrity Identity Disorder and it is real. Most mental health professionals recognize that there are many versions of BIID and while Sex Change operations are the most publicized, there can be other conditions that are equally as serious and life affecting.

I would suggest you change the focus of your efforts and go at this from the mental health direction. Your frustration is not healthy in the long run. If a mental health professional (MHP) decides that becoming very Myopic would help your mental health, I suspect they will help you. The fact that an ICL is reversible, may make the recommendation for Refractive Surgery easier.

I wish you well.

C.


LXW 10 Apr 2016, 12:40

Hello again! Sorry for this, but i would to ask you something - only for my understanding...

It is possible to get your leg(s), arm(s), or whatever, amputated because you have BIID (Body Integrity Identity Disorder). And you canīt make this irreversible and itīs a big change for the person.

But apparently itīs a drama for the surgeons to implant lenses (ICL) in minutes to a "normal sight" people although itīs reversible... I think i donīt understand the world, i am sorry. Yes, ok, there is always a risk, but hey, they do it hundred times a day, so why not to me??!!

Thanks, Alex (LXW)


LXW 09 Apr 2016, 08:13

Hello everybody, i am desperate and at the end of my power... I found nobody who can make me a (high) myope person forever. My dream is to be short sighted in the range between -6 and -10 dpt. It is possible with ICLs (with plus power) in both eyes, i am convinced. And some readings through the net confirmed me.

But i come from germany and have sent several mails around the world to eye clinics. I get always the same answer: Yes itīs possible, but we are sorry we canīt do it because of ethics. (Or something like this)

I often do GOC or wear contacts (with very little power), so the people around me knows about "my eye weakness", and even at work i have no problem with glasses (GOC) or contacts. But doing GOC is not the same as beeing a really myope person.

So i donīt know who to make my dream come true. Is there anybody outhere who could help me? Please, please... Thank you so much!

Greets from germany, LXW


Tino 19 Jan 2016, 03:00

Likelenses

I'm not sure if your comment was tongue in cheek but if I could I would. Displacing the implants I currently have is something I regularly attempt in the hope that I will cause a surgical need to be left aphakic


Likelenses 18 Jan 2016, 16:43

Tino

perhaps you could do it yourself.


Tino 18 Jan 2016, 11:10

Thanks NJ

If I was able to travel to Mexico I would but leaving the country would alert my family to the fact that my requirements maybe aren't as they first seem.

I've considered finding a surgeon to replace the implanted lenses I already have but then trying to terminate the surgery part way through after the natural lens had been removed but before the new one was implanted....


NJ 18 Jan 2016, 10:05

Tino, I think BIID is an accurate diagnosis but I'm not sure how far you'll get going down this path. I have to assume that so few people manifest BIID in terms of wanting a visual impairment that there just isn't the epidemiological data to be convincing. Most docs are very conservative in this respect.

It sounds like all you need is a simple explantation surgery to remove the IOL. Like CJ said, becoming an extreme hyperope is quite easy compared to becoming an extreme myope.

Perhaps you can use the argument that you have low vision, in the 20/60 range or so, and the added magnification will help you to read normal print and distant details. This was my cover story, but in the end I didn't really need it as no one really asked.

I don't know what you budget for travel and surgery is, but here's a place in Mexico that I think will d it: http://www.angeleshealth.com/

I found two places in Mexico and one in India, but Mexico is much closer to me. I don't remember the costs.


Tino 18 Jan 2016, 05:08

Hyperaficionado

Thanks for that, I've tried to talk to someone about this before and they seem only concerned in talking me out of it but nonetheless, it's an avenue I'm exploring again.


hyperaficionado 18 Jan 2016, 02:51

@Tino

you should consider contacting or looking for a psychologist who specializes in BIID. I'm not sure if this is a matter for psychologists or psychiatrists.

I'm sure you know what BIID stands for. Just in case: it stands for Body Integrity Identity Disorder.

I'm certain that if you don't find a surgeon who's willing to do what you want with the help of an official diagnosis of BIID they'll perform the surgery you wish for.

Just an idea.

Best,

hyperaficionado


Tino 18 Jan 2016, 02:12

Cactus Jack

Many thanks for your reply.

My needs are so much part of me that after 30+ years of having this need and 10+ of simulation there is zero chance of me changing my mind now and my need is now consuming me so much that it impacts on my daily routine.

Incidentally, I also had some correspondence from the 'Mexican patient' as well as quite an amusing one claiming to be from his surgeon. Needless to say, even if I was able to travel to Mexico from the UK for surgery, I don't think I'd humour him with my enquiry.

I'm all too aware that I have probably spent more time and with possibly more success than most in finding a surgeon to help me but I now feel further than ever from fulfilling my needs so remain desperate to hear from anyone that could point me in the right direction.


Cactus Jack 17 Jan 2016, 18:36

Owlish,

You are absolutely correct. I should have said it differently because there is an occasional need for low plus IOL when a person with High Myopia needs an IOL. All the lenses in the eye are PLUS and the natural Crystalline Lenses range in power from about +17 to +26 according to this paper. http://www.lhup.edu/~dsimanek/scenario/labman3/eye.htm

Myopia is generally caused by too much PLUS in the eye's lens system for the distance from the Crystalline Lens to the Retina. If it becomes necessary or even desirable to remove the natural Crystalline Lens, it is a great opportunity to reduce the total PLUS in the Lens System by installing an IOL of very low power. I really should have thought of that. Before I had Cataract Surgery, my left eye was -4.50 if I remember right. A +11 IOL was installed and now my left eye is about +0.50.

It would be interesting to know what her final prescription is.

If you do the vertex distance calculations for -22 glasses, her prescription at the cornea was -16. There is no way to estimate the actual power of her Crystalline Lenses because there are too many factors involved. Prior to the surgery, I am pretty sure all the dimensions involved were measured by ultra sound and the IOL power determined weeks before the surgery. At least that is the way it was before my Surgeries.

I sincerely hope your friend is doing well. While it is common to correct major refractive errors during refractive surgery, it has no effect on the risks high Myopes have of Retinal Detachment.

I did a little research on available lens powers. Bausch and Lomb offers IOLs in the +10 to +33 range, but I found one vendor that made specialty IOLs for high Myopia in the -6.00 to +5.00 range. I had not seen that in previous searches.

C.


Cactus Jack 17 Jan 2016, 18:36

Owlish,

You are absolutely correct. I should have said it differently because there is an occasional need for low plus IOL when a person with High Myopia needs an IOL. All the lenses in the eye are PLUS and the natural Crystalline Lenses range in power from about +17 to +26 according to this paper. http://www.lhup.edu/~dsimanek/scenario/labman3/eye.htm

Myopia is generally caused by too much PLUS in the eye's lens system for the distance from the Crystalline Lens to the Retina. If it becomes necessary or even desirable to remove the natural Crystalline Lens, it is a great opportunity to reduce the total PLUS in the Lens System by installing an IOL of very low power. I really should have thought of that. Before I had Cataract Surgery, my left eye was -4.50 if I remember right. A +11 IOL was installed and now my left eye is about +0.50.

It would be interesting to know what her final prescription is.

If you do the vertex distance calculations for -22 glasses, her prescription at the cornea was -16. There is no way to estimate the actual power of her Crystalline Lenses because there are too many factors involved. Prior to the surgery, I am pretty sure all the dimensions involved were measured by ultra sound and the IOL power determined weeks before the surgery. At least that is the way it was before my Surgeries.

I sincerely hope your friend is doing well. While it is common to correct major refractive errors during refractive surgery, it has no effect on the risks high Myopes have of Retinal Detachment.

I did a little research on available lens powers. Bausch and Lomb offers IOLs in the +10 to +33 range, but I found one vendor that made specialty IOLs for high Myopia in the -6.00 to +5.00 range. I had not seen that in previous searches.

C.


Owlish 17 Jan 2016, 15:54

Cactus Jack, yes, ordinarily "IOLs are not made in low powers or MINUS powers because there is no need." but occasionally there is a need and they can be used.

A good friend of mine who was very myopic developed cataract in one eye. Her glasses lens for that side was -22. After surgery I saw the paper record of the procedure and the doctor had implanted a low plus (+4?)IOL. I was surprised at the time that plus would be needed in such a myopic eye.

I didn't hear anything about delay or difficulty in obtaining such lenses and I don't know whether minus lenses are a possibility or not.


Cactus Jack 17 Jan 2016, 11:29

lentifan,

It is certainly possible that it was a hoax. If it was, it was not he first and will not the last. I have to admit that I was a bit skeptical, Hoaxes are one of the hazards of using websites such as ES.

I guess the point of all of this is: "Be careful what you wish for!". It may happen in ways you never expected.

C.


lentifan 17 Jan 2016, 07:46

Cactus Jack

In your very detailed reply to Tino below you refer to one of our members who had capsule removal done in Mexico. While one can never be sure, I suspect that was a hoax. I corresponded with him for a little after his story appeared here as I too was interested in the process. However a few of his replies seemed to me not very convincing, such as that his +28 distance glasses were 'full field' and not lenticular, that despite being aphakic he had no bifocal or monovision glasses and had to change from distance to reading glasses in the supermarket to read a label. His first few messages had a lot of typos, as though he was trying to exhibit poor vision, but were in a very large font, which would scarcely be required with +28 glasses. He would not need to see things bigger!

After I gently queried one or two of those surprising aspects, the conversation stopped and they announced they were going somewhere there was no Wi-Fi. My attempts to contact him have just bounced back. If you or anyone else has heard of his progress I would be interested, if only to prove my suspicions misplaced.


Cactus Jack 16 Jan 2016, 09:52

Tino,

Fundamentally, you had Cataract Surgery with a substantially lower power IOL than your natural Crystalline lens. The natural Crystalline Lens is between +17 and +26 and IOLs are not made in low powers or MINUS powers because there is no need.

I had Cataract Surgery in 2001. My prescription before the surgery was about -4.50 in my left eye and to achieve close to 20/20 in that eye required a +11 IOL. I opted for Mono Vision and mild Myopia in my right eye. The prescription in my right eye was about -2.75 and I wound up with +16 in that eye.

Today's Cataract Surgery is extremely safe and is commonly done as a very quick Outpatient Procedure. Several events occur after the IOL is inserted. The most important one is that the back membrane of the Crystalline Lens Capsule (sack) attaches itself to the IOL and removal of the IOL without removal of the remainder of the Lens Capsule is impossible.

The Lens Capsule is left pretty much intact in modern Cataract Surgery. Only the front membrane is removed to allow installation of the IOL. The reason for preserving as much of the Capsule as possible is that it performs a very important secondary function. It provides a seal between the Vitreous Humor (thick gel) inside the eyeball and the Aqueous Humor (watery fluid) between the Cornea and the Crystalline Lens. Complete removal of the Crystalline Lens Capsule, as had to be done in Cataract Surgery before the development of IOLs, was VERY serious surgery.

You may have heard that in old days, the rule was that Cataract Surgery SHOULD NOT be performed until the Cataract was "ripe". I think the real hope was that the patient would die before Cataract Surgery was necessary. In those days, the recovery from Cataract Surgery requires MONTHS rather than hours or days with modern surgery. Often the patient had to remain in bed with sand bags to prevent head movement. Occasionally, it is still necessary to completely remove the Crystalline Lens Capsule in Cataract Surgery. The recovery is a bit shorter, if there are no complications, but there is no guarantee that there will be NO complications.

A while back, one of our members made arrangements for complete Capsule Removal in Mexico. Even with modern surgical techniques he developed Retinal Inflammation and lost his vision. Fortunately, he recovered from that and was able to see with +26 glasses. During his re-habilitation process, his lack of peripheral vision with his glasses led to his falling down a stairway. Fortunately, nothing was broken. He was very fortunate in another way, his brother was able to accompany him to Mexico and stay with him during recovery. The last post I saw from his brother was that they were going to some remote location to finish his re-hab.

The point of all this is that complete removal of the Crystalline Lens capsule is a very serious, life changing event. In some respects, the only thing more serious is complete loss of sight and all the things that go along with that. You have to learn how to live and function all over again.

I think you need to think long and hard before considering Complete Capsule Removal, because of the potential, non-reversible, consequences. There is another procedure that is potentially reversible and not as dangerous. You may be able to find a surgeon that would install an Internal MINUS lens (ICL) between your Cornea and Pupil. That also requires a tiny incision in the side of your cornea and it is removable.

Of course, you can also do GOC with a strong MINUS contact and that is very reversible. However, I suspect you have considered that and does not satisfy your needs. Let me ask you a question. You were initially satisfied with the IOL that requires you to wear +8 glasses. If you have your Capsule and IOL removed and become dis-satisfied with wearing glasses in the +30 range, what will you do as an encore?

C.


Tino 16 Jan 2016, 04:42

Cactus Jack

I'm 48 by the way


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