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Medical Forum / General / Vision / June 2007

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Fluidic Internal Limiting Membrane Separation (FILMS) - MP

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Raj - 22 Jun 2007 17:21 GMT
Hello there,

I read about this procedure - FILMS, for removing the layer over the
retina to eliminate the condition of Macula Pucker. Trials reports
shows that this procedure is more safe and easier to perform.
Also it appears to me that this is being only carried out in US, esp
in Callahan Eye Foundation Hospital.

Has any of you undergone this kind of procedure?
Is this procedure being used by doctors in UK?
If you wish to get a medical treatment in US, if you are NON-US
citizen, do somebody point out me to sources where i can find the
official procedures for starting the application process.

Thanks
Raj
Dr Judy - 23 Jun 2007 00:07 GMT
> Hello there,
>
[quoted text clipped - 6 lines]
> Has any of you undergone this kind of procedure?
> Is this procedure being used by doctors in UK?

If a new procedure, may be only in clinical trials.  Ask your retinal
surgeon about it, whether it has other complications, suitable for
you, available in UK

> If you wish to get a medical treatment in US, if you are NON-US
> citizen, do somebody point out me to sources where i can find the
> official procedures for starting the application process.

Usually in the US the only requirment for treatment, citizen or not,
is wads of cash.  Unlike the UK and Canada, Americans pay for medical
treatment themselves, it is not provided by the government.

Dr Judy
Ms.Brainy - 23 Jun 2007 00:14 GMT
> Usually in the US the only requirment for treatment, citizen or not,
> is wads of cash.  Unlike the UK and Canada, Americans pay for medical
> treatment themselves, it is not provided by the government.
>
> Dr Judy

True, it's not provided by the U.S. government (and nobody cares about
your citizenship), unless you are a prisoner, on welfare, on medicare
or some other gov program.  Moreover, if you have the proper
insurance, it will pay for necessary surgery at least in part,
depending on the term of your insurance policy.  Good luck.  Bring
cash.
Jane - 23 Jun 2007 02:58 GMT
Raj, it's definitely my impression that the FILMS technique is rarely
(if ever) used outside of Alabama, where it was apparently invented.
One poster at Yahoo's retina/vitreous support group wrote that when he
asked the doctors about the FILMS procedure at Wills Eye Hospital
(which has an excellent reputation), they were less than impressed by
it.  I questioned my own surgeon (at a major teaching hospital in
Chicago) about it, and he told me that ILM peeling was only done when
a macular hole is present.  The website describing the FILMS technique
gets a lot of hits from the big search engines.  It might be a fine
procedure, but I don't believe that the "top" American retinal
surgeons use it.

My advice is to get a second opinion about surgery from the best
retinal surgeon in your area.  In the US, such a doctor would probably
be located at a major teaching hospital in a large metropolitan area.
There are skilled and experienced retinal surgeons practicing all over
the world.  If the doctor feels that the benefits of surgery out way
the risks in your case, I suggest that you let him/her decide which
techniques/equipment would work best

I'd also recommend that you check out Yahoo's retina/vitreous support
group.  Hopefully, you'd get more feedback about your specific
concerns.

Jane

> Hello there,
>
[quoted text clipped - 12 lines]
> Thanks
> Raj
 
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