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Post Info TOPIC: How painful is epi-off CXL method?


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Date: Tue Aug 25 8:18 PM, 2009
How painful is epi-off CXL method?
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Can someone please tell me how painful the epi-off CXL method is? 

What is the pain like? 


 I mainly want to know the pain after anesthesia wears off.

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Date: Tue Aug 25 8:50 PM, 2009
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Tommyboy,

It is painful, about an hour after the treatment the pain kicks in. Its when you blink it occurs mostly. Its like getting a cramp in the front of the eye. I had a double bandage which means your eye lid is kept shut, that does help a lot. However others have had a bandage contact lens put in which helps a lot even more I heard, but there is a small chance of infection due to having a bandage lens in the eye with the Epi exposed. The pain killing tabs helped to reduce the pain in addition. By 24 hours I had no pain, the pain killing drops was used when ever mild irritation occurred after that.

But I am glad I went through it, as it was not something that was too terrible and I would go thropugh it again if I had to.

Best Wishes

Kane

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Date: Wed Aug 26 3:21 PM, 2009
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Hi it was actually quite painful, for me worse than breaking the arm, i only took normal painkillers first night and my epi healing was a bit slow, after that i got some morphine like pills that took the pain.

So ask for some better pills than normal painkillers, for me it took away the pain nearly completely :)

I also discussed with my doctors, there is some eyedrop which does not prevent epi healing, (the normal eye anaesthesia drops you get during operation are toxic hence prevent healing)

Just be prepared for the pain if you only use normal painkillers ( I took like double allowed doze and it didnt help, might be possible that my bandage wasnt 100% applied )

Br henrik

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Date: Wed Aug 26 9:24 PM, 2009
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Does the pain occur because of Riboflavin penetration in cornea during the procedure or the pain occurs because epi is removed and cornea is exposed?



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Date: Thu Aug 27 1:07 AM, 2009
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tommyboy wrote:

 

Does the pain occur because of Riboflavin penetration in cornea during the procedure or the pain occurs because epi is removed and cornea is exposed?

 



Its the latter, Tommyboy,

The strong meds as Zenke says help, an hour after the treatment the pain develops. During the treatment there is no pain.

The eye lid kept shut with a bandage was the most help, I thought. Are you about to get treated with CXL ? Is your KC progressing ? Have you been advised to ?

Best Regards

Remo


 



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Date: Thu Aug 27 4:45 PM, 2009
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Hi Remo,

Thanks for the info.  Yes, I am thinking about getting CXL very soon.  I went to local surgeon (who does not do CXL) and he encourages me to get it.  However, I been reading horryfying stories about post-op pain and I am nervous about that.  If you keep your eyes shut does the pain get reduced?  I know its about one or two days of pain but its still a pain.  Is the pain like someone poking your eye ?  After taking the pain medicine how long does it take for pain to reduce?

Once again thanks for your help.


-- Edited by tommyboy on Thursday 27th of August 2009 03:48:35 PM

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Date: Thu Aug 27 8:08 PM, 2009
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tommyboy wrote:

Hi Remo,

Thanks for the info.  Yes, I am thinking about getting CXL very soon.  I went to local surgeon (who does not do CXL) and he encourages me to get it.  However, I been reading horryfying stories about post-op pain and I am nervous about that.  If you keep your eyes shut does the pain get reduced?  I know its about one or two days of pain but its still a pain.  Is the pain like someone poking your eye ?  After taking the pain medicine how long does it take for pain to reduce?

Once again thanks for your help.


-- Edited by tommyboy on Thursday 27th of August 2009 03:48:35 PM



Tommy,

Keeping the eye does reduce setting the pain off, in the first few hours you learn about it ! but you may not be able to stop your reflex to not blink.

To me the pain was like a dull growing menacing pain which grew and grew and just when you think its just too much to handle, it fades away slowly.

I think the pain reducing effect of the pain killers, once taken comes around half an hour after taking them. However it does not take the pain away fully.

If your worried - ask for a appropriate soft contact lens be put on your eye after the procedure,but ask also of the risks to it, its small, but worth asdking.

Remember :

1) don't touch your eyes after the procedure.

2) don't wash your face or have a shower or bath until the epi is grown back (to stop any water getting in to your eyes by mistake), and your Dr will take a look to make sure it is healed and once it has you are able to. So have a shower before you get the procedure done

If you do the procedure, do it late in the day as possible, as you can go a sleep right after (you will be tried anyway due to the pain tabs), that way you would be way in to your healing by the time you have woken up.

Best wishes

Remo



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Date: Sun Aug 30 2:58 PM, 2009
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Hi, just ask for some strong pain killer, atleast for me tramadol (http://en.wikipedia.org/wiki/Tramadol) took away almost all pain and made me calm enough to just relax and sleep really good, i had no side effects with it at all. Also as i mentioned there should be eye drop which isnt toxic to the cornea, some hospitals use them.

My first night with only normal painkillers wasnt fun but i survied, it hurt so i started to laugh, but i am a rather sensitive person.

For me the pain took like 30-45 min to start after the suregy, i even took the bus home halfblind and spoke with some collegues, this is nothing i thought.

I am in the position to think about doing my best eye, (it wasnt that bad) cause i dont now if KC progresses i think it does but very slowly, then i will just have a stash of tramadol and someone to help me get home then it wont be any problem.

I could actually see that the epi was healing, it was like a smal ring shrinking and healing away.

The good thing i got out of it is, that the RGP fits much better, it does itch half as much and the psychological part that now it wont get worse in that eye.

I saw some movies just like 6-7 years old, i didnt even have glasses and 20/20 uncorrected in both eyes, KC "slowly" snucked onto me, makes me kinda sad when i look back. But when the eye is CXL i can start looking for better and better lenses without beeing worried.

Good luck



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