I'll be back around the 28th of April.
Glenn Hagele
Executive Director
Council for Refractive Surgery Quality Assurance
Email to glenn dot hagele at usaeyes dot org
http://www.USAEyes.org
http://www.ComplicatedEyes.org
I am not a doctor.
Glenn,
Any update from your conference on this thread? See original snipet below.
Along the same train of thought:
I have since seen two surgeons and they both say I can get this new
wavefront procedure on my RK eyes. Also they both are leaning towards making
a flap, saying this is not an issue these days. I have some concerns about
the VISX Waveprint reading nondilated. I got a wavefront with Ladarvision
and it shows an extra diopiter over VISX. The VISX folks say there are
tricks to getting the extra diopiter to show up with VISX and this concerns
me.
Any news on the front of Ladarvision and their Hyperopic treatment with
Wavefront? I am starting to think that that dialation is the best way to
scan for RK eyes. RK eyes tend to make up for extra power and this fools the
VISX wavefront. Have you heard any comments between the two lasers in
regards to these statements?
Thanks in advance.
Here is the original question: ** Begin original Snipet **
Hi Glenn,
A while back you stated:
>Since hyperopic ablation is usually outside of the visual axis, there
>is little change in the wavefront due to ablation, so a
>wavefront-guided ablation will have limited benefit compared to
>conventional ablation. It is possible, but I do not know that this is
>the plan, to ablate not only the periphery of the cornea for hyperopic
>correction, but to also ablate the central cornea for HOA correction.
At your conference you are planning to attend can you find out the details
of how this new procedure is being performed. I am real curious to know if
the laser does indeed ablate the central cornea for HOA correction.
Also, please let me know if any Hyperopic RK eyes have been zapped yet by
this new VISX S4 Hyperopic Wavefront Software?
Are other vendors about ready to come out with their Hyperopic Wavefront
version?
Thanks!
> I'll be back around the 28th of April.
>
[quoted text clipped - 8 lines]
>
> I am not a doctor.
Glenn - USAEyes.org - 10 May 2005 04:46 GMT
Arrangements are being made for me to meet with the designers at Visx
and possibly attend a training program. Nothing firm yet. I don't
have much in the way of details about hyperopic wavefront.
I only found a handful of doctors who had used the wavefront-guided
hyperopic correction with the Visx S4. They seemed pleased with the
results, but half of these doctors are consultants for Visx. I don't
think they would outright lie about outcomes data, but their
interpretation of why that data ended up that way may be influenced by
their obvious fondness of the Visx machine.
I have not heard much of anything from the "rank and file" refractive
surgeons yet.
I readily admit my bias toward the LADARvision's gaussian beam flying
spot laser and high hertz closed loop tracking over the scanning slit
broadbeam of the Visx, but I have no data to support one over the
other when it comes to Complex Wavefront Retreatment (CWR).
What I see are case studies, and that is to be expected. Every
patient going in has a complicated eye. There is no starting
baseline, so it is difficult to say which does better for what,
because every patient has a starting point that is different.
As to the "tricks", expect any doctor worth his/her salt to pull out a
whole bag of tricks for CWR. It is necessary. No laser is designed
for CWR (Alcon is working on this), they are all designed for nice
healthy virgin eyes. Yet another reason to select your CWR doctor
very carefully. I think even Keller would agree that some doctors are
"trickier" than others.
8^)
Glenn Hagele
Executive Director
USAEyes.org
"Consider and Choose With Confidence"
Email to glenn dot hagele at usaeyes dot org
http://www.USAEyes.org
http://www.ComplicatedEyes.org
I am not a doctor.