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TOPIC: Airline Pilot's PRK and Crosslinking Experience


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Date: Fri Apr 9 10:36 PM, 2010
RE: Airline Pilot's PRK and Crosslinking Experience
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my left eye is still flattening and thickening,the right eye has been quite stable but do suffer from much upwards to the left ghosting with soft toric and rgp"s in the right eye.I actually have better vision withe soft toric lenses using the alphagen p drops which shrink my pupil.my bcva is 20/15,20/20. Once i am stabalized i am going to undergo an enhancment. I do seem to suffer from spk quite often which really effects the vision in the right eye.

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Date: Mon Apr 12 3:08 PM, 2010
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Thanks much Dom.....
I know everything will continue to work out. It just appears to require a little more time.
As for your left eye, are you contact lens free?

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Date: Tue Apr 13 8:56 PM, 2010
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wow, this stuff all sounds really scary to me...I've read a bit about the CXL Procedure but am not sure when one should opt for this procedure.

Right now I am able to get by with RGP's, but I am thinking in the future if I god forbid contacts do not work for me, would CXL be the next step?

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Date: Tue Apr 13 8:56 PM, 2010
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Hi, theese Alphagan P drops interests me, I have been curious about them before.

They seems to increase the pressure in the eye mainly used for glaucoma. Do anyone know if such drops are commonly prescribed also for KC? Are there any risks? I saw in some forum some people getting less disturbances watching movies etc, would be worth it if the risks are not too big.

Pereira you use the drops and then put in lenses after a while? How long do they manage to shrink the pupil? Any pain or other sideeffects with the drops? For me its huge different with pupilsize, so if they could be small it would be worth alot.

Br Henrik.F





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Date: Tue Apr 13 10:31 PM, 2010
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Hi RIshi P,

TOday I learned something enw and I suppose that reading and continue research, will always lend itself to one's familiarity and education about any subject-case in point Keratoconus.

You have two avenues in which to take when it comes to having the crosslinking procedure done. If you are apprehensive about having the CXL done, try and consider doing the C3R. Now that's what Ive learnt today. C3R and CLX are the same but different in one noticeable difference. CXL-they remove your epithelium before X Linking. Now this offers itself to be more invasive than its counter part C3R. WIth C3R, subscribed greatly by Dr. Brian Boxer Wachler, the Epi Remains on. He suggests that there is no evidence that the procedure is more effective and advantageous if the Epi is removed. However so, the C3R is said to cost just about a thousand dollars more.

EIther which way that you have the surgery/treatment performed, it is the most viable method in which to halt the progression of KC. The effectiveness of RGPs maybe short lived. In addition, the stage of Keratoconus at which you are at this moment, might be beneficial to maintaining your vision at you current state. In a number of cases, there have been considerable reductions in the steepness of the cone.
If your cone steepens and the thickness of your cornea is reduced to a point, you may be putting yourself into a corner where there would be limited areas of treatment in the future if it is something that you might later consider.




Recovery Day 20


Vision is still blurry. Not really sure on my acuity but I don't think that there has been any vast improvement. There has been ghosting in both eyes. Still having the appearance of night bursts at night when looking on lights. Comfortable to drive in the day but not at night.
I have just been sticking to the medicinal regiment so I'm hopeful that things will get better. You literally have to talk yourself out of being frustrated. It's almost an impossible task but what other choice do I have. I'm hopeful that in a couple of days, the conditions/state of my eyes will be better so as to be fitted with soft toric lenses or maybe back on to RGPs.

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Date: Wed Apr 14 4:07 PM, 2010
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So if I understand correctly, you're saying I should maybe think about getting crosslinking done, which in turn will help stop the progression of KC and thus keep my vision unaltered?

Or, should I wait until my vision gets worse to the point where RGP's may not help anymore?

Sorry, but this is all new to me.

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Date: Wed Apr 14 8:56 PM, 2010
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I and most Eye doctors and even opticians would recommend CXL if you have a measured progression of KC. At my hospital they wanted to see 1D astigmastism to the worse in different orbscans done at the same place.

Personally i think that is pretty big change to wait for, I got 0.2D worse and got alot of strange ghosting and glares even though BCVA is not worsened maybe it is even better.

Br Henrik.F

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Date: Thu Apr 15 6:59 PM, 2010
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@DEFPOTEC: Everything will be alright, it just needs to be patient. As for myself, I don't remember my BCVA before the procedure, and now I just take measurements of my BSCVA. Before CXL, I used to wear soft toric lenses which were giving me a vision of 50% or less. My topography measurements are:

Before CXL:
Right Eye                         Left Eye
K1 52.1                            K1 53.8
K2 60.2                            K2 57.1
Thinnest 467um              Thinnest 469um

Now:
Right Eye                         Left Eye
K1 48.2                            K1 51.4
K2 54.5                            K2 54.5
Thinnest 353um              Thinnest 377um

There is a substantial difference in all of them, I am a bit worried about the thinnest local but if it continues this way, I hope there won't be any problems.

Every good wish

Lars

-- Edited by Lars on Thursday 15th of April 2010 06:02:09 PM

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