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Post Info TOPIC: Dominics PRK and crosslinking story


Senior Member

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Date: Mon Nov 3 10:25 PM, 2008
RE: Dominics PRK and crosslinking story
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Dr.k responded. 4 drops maxidex....2 drops duotrav

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Senior Member

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Date: Wed Nov 5 10:29 PM, 2008
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day 27...Saw my regular opthamologist today. He was quite impressed with my corneas and dr.k's treatment. He was quite encouraged as he is opening his own cornea treatment center.

Pressure in my eyes is completly normal with the duotrav.

Vision in right eye read 20/30, lots of ghosting and not clear,but I read it!

Vision in left eye read 20/40.Ghosting must be right over letters which made letters blurry.
I am legaly able to drive! Driving at night would be impossible though due to all the lights and glitter I see everywhere around lights. They completley make everything disappear. Pre op I was very able to drive at night, but this should settle. My doc today said 6 months to a year it can take.

Dr. still noted some corneal haze, more in the right eye. Voight stroight(i think that is what is called,,those ripples we see in the cornea at more advanced stages of keratoconus) has minimalized a ton as compared to pre-op. Vision is still hazy(mostly indoors) in the right eye and I can not read anything up close, but with patience I am sure I will be happy in the choice I made with Dr.K.

My opthamologist seemed very interested in how the operation was performed and I believe Dr.K's treatment will be recognized more world wide soon. Will keep you posted as to progression in following weeks. Just happy my eye pressure is under control and things are looking on the up and up.

Does anybody know how long this glitter around all lights up down and sideways lasts after the treatment?

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Executive

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Date: Fri Nov 7 10:13 AM, 2008
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Well done Dominic that you can get to driving standards now !

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Date: Wed Nov 12 6:18 AM, 2008
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Hi all..spoke with another keratocunus specialist today who looked at my crneas last week when I brought my friend in to get his eyes checked. She was very suprised to here that a year ago I has 20/10 vision and no eye problems and my corneas had advanced to such a stage so quickly. She spoke with her professor who does alot of keratoconus research and is a very experienced cornea disease specialist. I have not had a physical in 10 years and she advised me that I should because there may be something else going on in my body to make my eyes deteriorate so qiockly.

Apperently it can be a connective tissue disorder. Does anybody have any experience in this area or have heard of keratoconus showing up so quickly and aggressivley? I have no history of allergies or any other health problems.

My vision is still pretty much the same from last post. Have really bad ghosting(worse than pre-op). I will post as my progression from the op as it improves, but am justt curios to know about maybe figuring out why the disease happened to begin with. As I have mentioned in previous posts, Keratoconus is usually apparent for years, but mine hit hard and fast with no tome to even get lenses fit.

Another interesting thing she told me was that in her research in university, !5 perecent of keratoconus patients had some kind of heart disorder. Not sure what but I will post as I here more. I am more interested in the cause right now, as it is interesting has to how aggresive my deterioration was. Hopefully I can always say WAS:)

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Date: Wed Nov 12 9:58 AM, 2008
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I was reading the study covered in this article. Your case is interesting Dominic as you noticed your fast progression in a short period of time and I was wondering if you noticed anything else going on during this time which can give us some clues to why this progression happened.

I copy here the article from the link below (it's still a theory to be proved - like the other theories out there)

 Rubbing your eyes likely to damage vision

Sydney (IANS): Routine activities like wearing swim goggles, sleeping face down or doing a gym workout may contribute to glaucoma that damages the optic nerve and leads to blindness, according to a new study.

"The fluid pressure inside the eye increases - or spikes - during many everyday activities," said Charles McMonnies, a professor at the University of New South Wales (UNSW) School of Optometry and Vision Science.

"Eye rubbing, yoga head stands, weightlifting, sleeping face down, playing instruments like the trumpet and swimming laps are some of the many ways of causing eye pressure spikes," McMonnies said.

Any touching of the eye through the eyelids raises pressure: light touch causes a small increase but firm touch can cause a spike three to five times normal pressure, he says.

Wiping a watery eye and removing eye make-up both increase eye pressure, partly because they involve eye closure combined with lid contact.

In the case of eye rubbing, the combined effects of eye closure and rubbing forces on the eye can raise pressure to very high levels; strong rubbing may raise pressure to 10 times normal levels.

"Normally these pressure spikes are of little consequence and healthy eyes appear to be unaffected by them. But eye-pressure spikes that are large, and/or last a long time, and/or occur frequently, may contribute to the progression of pressure-related eye diseases."

These diseases include glaucoma - which affects a large proportion of elderly people and can lead to blindness - and rapidly increasing myopia, or short-sightedness. Rarer pressure-related conditions include keratoconus, or conical cornea, said a UNSW release.

"Avoiding sleeping with the eyes in contact with a pillow or sleep mask may help to slow the progression of pressure-sensitive eye diseases," he says.

These findings have been published in Optometry and Vision Science.


http://www.hindu.com/thehindu/holnus/099200810291422.htm

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Senior Member

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Date: Tue Nov 18 2:57 AM, 2008
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day 39.. Not much change in vision. My right eye is very blurry and the ghosting when looking at tv screens goes extremely up, down and to the left. Can not make out any detail with the right eye. The only way that I can explain it is that with the keratoconus I had drop images, now I have adrop image and oras to the left and up. Still can not read a thing up close at all. Are the abbrasions that I see caused by corneal haze or the prk? Lights in the dark bother me so much more now than before the operation. Left eye is pretty clear but there is ghosting and oras which prevent me from reading things with clarity at distances.

The main question I am asking is, are the images I am seeing because of keratoconus, or is it becaause of the treatment area of the surgery and the corneal haze?

The ghosting in my right eye goes up an to the left in a circular pattern. Lets say I am looking at a clock, I will not be able to make it out because of the blurrs, but I can make out the ghosted image on the bottom of the clock. The bottom of the image still seems to drop further down asthe days go on. As I explained it before, right after the surgery everything woulg light aznd go th the left in a perfect circle, now the botton of the circle sags like an ice cream cone and at the bottom of the cone there is a mirror image of the original light source.

However I remember when I first got home I could not make out a clock with the left eye vecause of the abbrasions, now I can read the clock. That is why I was curious if corneal haze causes ghosting.

Here in Toronto there is actually advertisments on the radio daily now about keratoconus. I have not heard them yet but apperently they are explaining symptoms on radio and having people getting checked. I think it is because of crosslinking and trying to save many the frustration we have all gone hand in hand through.

Excuse the spelling, I am still having a hard time reading..thank you

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Senior Member

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Date: Tue Nov 18 12:57 PM, 2008
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Dominic,

There will be swelling and haze after CXL, for the effect of CXL to happen, swelling and haze has to appear and can last up to three months but this small bit of central haze will disappear in time later in the recovery which can scatter light going in to the eye before it does.

Best wishes

Kane

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Senior Member

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Date: Wed Nov 19 1:58 AM, 2008
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Thank you Kane.

Is it the corneal haze that causes the ghosting with words on screens and stuff like that?

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