Newly advertised therapy for refraction errors...

Discussion in 'Optometry Archives' started by John Yasar, May 19, 2005.

  1. John Yasar

    John Yasar Guest

    Sometime ago, I read a brochure at my wife's OD's office that some new
    type of contact lenses which you wear while you are sleeping overnight
    helps to re-shape your cornea (? - not sure if it said this) and during
    day time you are free from wearing any type of lenses, but you have to
    wear these lenses every night before going to sleep, if not, as the
    brochure said, you old refraction error starts to come back in a few
    days. It was advertised at about $900. My wife is at about -4.5 myopic
    astigmatism, I was wondering if you know anything about this new therapy
    and if it is suggestible ? What is it called and where can I find some
    more info?

    John Yasar, May 19, 2005
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  2. John Yasar

    John Yasar Guest

    John Yasar, May 19, 2005
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  3. John Yasar

    Dr. Leukoma Guest

    At that prescription, your wife would be at the very upper end of the
    possible treatment range. Whether or not it would work for her would
    depend on her corneal shape and eccentricity. The generally accepted
    mechanism is a redistribution of epithelium from the center of the
    cornea to the periphery to make the surface less convex. This
    redistribution is not thought to be permanent, and there is generally
    some amount of intentional over-correction in the morning.

    Dr. Leukoma, May 19, 2005
  4. John Yasar

    John Yasar Guest

    Thank you for replying, how common is this new treatment and at what
    price range does it run? Does it have any side effects in the long run?

    Thanks again.
    John Yasar, May 19, 2005
  5. John Yasar

    Dr. Leukoma Guest

    I have no handle on how many patients have been treated world-wide.
    The price ranges vary from $900 up to $1500. The visual side-effects
    are similar to LASIK, but the effects tend to be fully reversible.
    It's like LASIK. As a doctor, you either jump in with both feet and
    market the heck out of it, or you don't do it.

    Dr. Leukoma, May 19, 2005
  6. John Yasar

    John Yasar Guest

    My last question if you don't mind, are you using it on your patients?
    Due to my interest I have immediately checked if it is being used by the
    military since it sounds a very painless easy therapy and brings vision
    back to normal for a few days, however never heard this in the military,
    since I found out that the regulation says;

    AR 40–501 • 30 September 2002

    2-12 (2) c. Cornea: Laser surgery or appliance utilized to reconfigure
    the cornea is also disqualifying. Full- or part-time use of contact
    lenses, including a history of orthokeratologic procedures to correct
    refractive error. Selected aircrew may be authorized to use contact
    lenses during flying duties with a waiver.

    Now I know why I never heard of it in the military, thanks for your time
    this evening.
    John Yasar, May 19, 2005
  7. John Yasar

    LarryDoc Guest

    Anybody know what ever happened to ISTA's version (Keratoplasty) whereby
    the treatment combining RGP and hyaluronidase was a permanent re-molding
    of the cornea? It looked SO promising in phase 1 and 2 trials (worked
    up to 4.5D, possibly to 6) and then it seems to have disappeared from
    the literature, the company's website and shareholder prospectus.

    Of course, if it really did work, it would take a big, big dent out of
    the contact lens industry and would surely contribute to the death of

    --LB, O.D.
    LarryDoc, May 19, 2005
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