The Beginnings of Custom Cornea and Wavefront LASIK

Discussion in 'Laser Eye Surgery' started by Irv Arons, Apr 2, 2006.

  1. Irv Arons

    Irv Arons Guest

    If anyone is interested in how customized ablation or wavefront driven
    LASIK got its start, I have just posted the first four articles in a
    series of eight about the beginnings of "custom cornea" and
    "wavefront LASIK".

    Here are the titles and links:

    Customized Ablation #1: I've Seen the Future....and it's CustomCornea!

    I first learned about custom ablation at the 1998 American Academy of
    Ophthalmology (AAO) meeting, but it was at the following Spring
    American Society of Cataract and Refractive Surgery (ASCRS) meeting
    that I came to realize that it was the future of refractive surgery.

    Customized Ablations #2: The Future is Close

    In the previous column, I learned about using topography and other
    corneal diagnostics that might lead to better LASIK surgery. At the
    1999 AAO meeting, I had my first encounter with wavefront and
    ray-tracing measurements, that would eventually be linked to the laser
    for even better LASIK results.

    Customized Ablations #3: Getting Closer Yet

    At the ASCRS meeting of 2000, the first human clinical trial results
    were announced. These were the first linking wavefront measurements
    with the laser.

    Customized Ablation #4: The Wave Moves Forward - but Keep an Eye on a
    Newly Developing Technique - LASEK!

    At the 2000 AAO pre-meetings (sponsored by the International Society of
    Refractive Surgeons and the AAO's Refractive Surgery Interest Group),
    I got my first exposure to LASEK, laser epithelial keratoplasty. In
    this column, this technique is explained in detail, along with the
    newest wavefront guided LASIK results (to that time).

    There are four more articles/columns to go. These will be posted over
    the next week or so.
    Irv Arons, Apr 2, 2006
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  2. Irv Arons

    serebel Guest

    Please post this at "alt.lasik eyes."
    serebel, Apr 2, 2006
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  3. Irv Arons

    Irv Arons Guest


    I've looked at alt.lasik eyes and decided it was not a place that I
    wanted to post -- too much animosity!

    Irv Arons
    Irv Arons, Apr 2, 2006
  4. Irv Arons

    acemanvx Guest

    I read about custom lasik, it does it job in inducing less aberrations
    vs. standard lasik.
    acemanvx, Apr 2, 2006
  5. Irv Arons

    Roy Starrin Guest

    Based upon your considerable expertise, can you help me resolve a
    dilemma, or point me to some appropriate research.
    I am considering some form of custom lasik (or Intralasik) OR PRK to
    resolve an astigmatism vision problem in one eye after cataract
    surgery/LRI. I have dry eyes, not severe I read an info sheet from
    CustomVue which says " If you currently have dry eye disease, most
    eye care professionals would not consider you to be a good candidate
    for LASIK." My other research seems to point toward PRK for this
    reason. Prime eyedoc says not a problem. Consultant says PRK better
    plan and it could still be done with some form of WaveFront.
    Help please!!! Anyone!!!
    Roy Starrin, Apr 2, 2006
  6. Irv Arons

    Roy Starrin Guest

    Guess I should have read this first:

    Anyone else?
    Maybe the idea of finding a really good OD and let him/her build me a
    set of glasses that will take care of the problem is rising higher up
    the option list
    Roy Starrin, Apr 2, 2006
  7. Irv Arons

    Charles Guest

    Did you have astigmatism before the surgery? How long ago did you have
    the cataract surgery? After my surgery I had some astigmatism but it
    disappeared after a couple of months.
    Charles, Apr 2, 2006
  8. Irv Arons

    Roy Starrin Guest

    I had a a limbal relaxing incision (LRI) done to correct an existing
    astigmatism, incident to cataract surgery in December. He misplaced
    the LRI and the astigmatism nearly tripled. Waiting will not make it
    disappear; but I am not going to have anything else done until I am
    completely satisified that I have selected the proper method, and the
    proper surgeon - if I choose surgery as the answer. Hence the
    Roy Starrin, Apr 2, 2006
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