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  #21  
Old 27.04.2013, 23:08
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Re: Laser Eye Surgery in Zurich

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I can read without glasses, and can also wear contact lenses (which I usually use only for sport). Is it really worth my while getting this treatment done? I don't want to need reading glasses after having surgery, plus I'm in my mid forties..

Decisions, decisions....
I did it at 49 & would say yes it was well worth doing. I never got on with glasses & thought that 20 years wearing contact lenses 7 days a week was probably enough.
If you can't read with your glasses on now, you will need glasses to read after correction! Of course you can increase the size of text on your phone & Laptop so it may be more a theoretical than real life problem.
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  #22  
Old 26.05.2013, 11:24
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Re: Laser Eye Surgery in Zurich

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You should check this laser surgeon in Geneva, he is a leading international expert:
www.hafezi.ch
So this is your first post, what is your connection with this 'leading international expert.'
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  #23  
Old 26.05.2013, 15:49
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Re: Laser Eye Surgery in Zurich

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But a laser's a laser.
Couple of points which some may find useful.

The quality of treatment has little to do with the operator, it is 90% the machine used.

The cheap as chips operators are using the oldest technology, the more expensive the job, the greater the likely hood of a positive prognosis.

The old tech has many negatives, including hazing, night flashes, halos.

So prepare to pay. Also, I don't know a single optician who has had the job done. Take from that what you will.
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  #24  
Old 26.05.2013, 16:01
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Re: Laser Eye Surgery in Zurich

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I am affiliated with Prof. Farhad Hafezi professionally. He has asked me to manage his social media presence, as I have known him for many years.

Prof. Hafezi is the new chairman of ophthalmology at the University of Geneva and Director of the Eye Clinic, Geneva University Hospitals. He is not only a refractive laser surgeon, but he also specialises in complication management and corneal surgery. In other words, refractive laser surgeries that were complication and resulted in problems are often referred to him.

The basis of the term, “leading expert,” comes from the fact that he teaches corneal complication management internationally and has received numerous awards and recognition. For more information, you can learn more about Prof. Hafezi at his website: www.hafezi.ch.
You should have come clean from the start, it was very obviously a plug, we are not all fools here.

Originally you stated 'leading international expert', which you have now reduced to 'leading expert', again your not doing your boss any favours.
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  #25  
Old 26.05.2013, 16:03
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Re: Laser Eye Surgery in Zurich

From the Wiki

Quote:
On 25 February 2010, Morris Waxler, former Food and Drug Administration (FDA) official in charge of approving laser vision correction (LASIK) devices, stated concerns about the risk of serious side-effects from LASIK and the original FDA approval process. His concerns about the safety of LASIK were discussed in an interview on Good Morning America.[53] On 6 January 2011, Waxler requested that,
"the Commissioner of Food and Drugs withdraw FDA approval (PMA) for all LASIK devices and issue a Public Health Advisory with a voluntary recall of LASIK devices in an effort to stop the epidemic of permanent eye injury caused by lasers and microkeratomes used for LASIK eye surgery."
Waxler alleged that,
"The FDA was deprived of knowledge of the full extent of LASIK injuries prior to and during FDA reviews of documents submitted in support of the safety and effectiveness of LASIK devices under 21 CFR 812 and 21 CFR 814. In addition, LASIK manufacturers and their collaborators withheld safety and effectiveness information from their investigational device exemption (IDE) reports to the FDA. In addition, they hid LASIK injuries from FDA within the context of out-of-court settlement of innumerable lawsuits. Clinic-sponsored IDE studies cherry-picked, withheld, and hid data from FDA that clearly showed LASIK with excessive adverse event rates (greater than 1%). These activities were an industry-wide effort, organized wholly or in part by the manufacturers and their collaborators in order to circumvent FDA law and regulation. I will submit confidential information on these matters separately to FDA’s Office of Criminal Investigation."
Opticians are intelligent people, they have their reasons for wearing glasses and not going for laser eye surgery.
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  #26  
Old 11.08.2015, 13:33
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Re: Laser Eye Surgery in Zurich

Time to revise the topic...

Does anyone have any experience with Focuslaser? http://www.focuslaser.ch/en/homepage

I am looking to get laser eye surgery done and want to do it in Zürich as opposed ot have to go back to the UK, so I can be sure of easy-access to follow-up checks etc.
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  #27  
Old 11.08.2015, 14:39
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Re: Laser Eye Surgery in Zurich

Sorry Richdog I can't help you with your query I have not used them.

I have my own questions after reading the whole thread, is it possible to have laser surgery on the same eye a second time, also is it worth having a correction from -1.25?

I had one eye done in 2003 when I was 22. I had it done at Boots the chemist, I chose it because it was the most expensive (£1250 per eye) and boasted NASA technology for micro-guidance.. idk if I was being naive and falling for marketing here I confess I didn't research it myself at that young age I just took the word for it and assumed price correlated to quality. Anyways I had no complications and had improved my vision from -6.75 to -0.25. I did have the halos around lights at night for around 6 months but they did eventually disappear. It was LASIK I had I think

After about 5 years the vision gradually started to "wear off" and my prescription is now down to -1.25

My other eye is -1.25 as well so I do need glasses/contacts for driving, cinema, stargazing and open spaces. But I haaaaaate glasses so much, it's not a cosmetic thing I hate the feeling of them resting on my nose and my ears, it's ok for an hour but after that they start to drive me bonkers. I have contacts but don't wear every day because not keen on all the infection risks etc! Most days I walk around uncorrected.. it does lead to embarassment sometimes, not recognising people etc

I've been toying with the notion of another surgery for a while now so will be watching this thread!

How much has the technology improved since 2003? Are there any newer types of laser now?
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  #28  
Old 11.08.2015, 14:39
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Re: Laser Eye Surgery in Zurich

I sometimes consider this.. so I checked out their site.

Tricky thing.. English..

A LASIK treatment with Focuslaser for only CHF 1,695.- per eye. This offer is one of the fairest in Switzerland (other providers could ask for almost double the price for both eyes).
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  #29  
Old 11.08.2015, 16:05
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Re: Laser Eye Surgery in Zurich

Lasers have improved, The Allegretto 400 operated by focuslaser, has a far bigger range of prescriptions than one used by Boots in 2002. I have personal experience of this laser in the UK a couple of years ago, it was the best laser available, it removes less tissue than other eyes, hence the bigger range that can be treated. Accuvision.co.uk are now using the EX 500 so the 400 is no longer the latest model.

You can have laser more than once, if it's fairly recent they will lift the old flap. This is where the skill of the surgeon comes in. The price seems very reasonable, I would want to find out the experience of the surgeon before making a decision.

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Sorry Richdog I can't help you with your query I have not used them.

I have my own questions after reading the whole thread, is it possible to have laser surgery on the same eye a second time, also is it worth having a correction from -1.25?

I had one eye done in 2003 when I was 22. I had it done at Boots the chemist, I chose it because it was the most expensive (£1250 per eye) and boasted NASA technology for micro-guidance.. idk if I was being naive and falling for marketing here I confess I didn't research it myself at that young age I just took the word for it and assumed price correlated to quality. Anyways I had no complications and had improved my vision from -6.75 to -0.25. I did have the halos around lights at night for around 6 months but they did eventually disappear. It was LASIK I had I think

After about 5 years the vision gradually started to "wear off" and my prescription is now down to -1.25

My other eye is -1.25 as well so I do need glasses/contacts for driving, cinema, stargazing and open spaces. But I haaaaaate glasses so much, it's not a cosmetic thing I hate the feeling of them resting on my nose and my ears, it's ok for an hour but after that they start to drive me bonkers. I have contacts but don't wear every day because not keen on all the infection risks etc! Most days I walk around uncorrected.. it does lead to embarassment sometimes, not recognising people etc

I've been toying with the notion of another surgery for a while now so will be watching this thread!

How much has the technology improved since 2003? Are there any newer types of laser now?
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  #30  
Old 11.08.2015, 17:13
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Re: Laser Eye Surgery in Zurich

My two cents on that topic.

I'm extremely shortsighted (-9.00) since about as long as I can remember, and I've been using contact lenses since age 7 (over 30 years and counting). Never really used glasses.

I've asked several ophthalmologist for their advice on whether I should get my eyes operated or not, and so far they've all told me the risk is higher than the gain in my case, as long as I don't have any problems with lenses. The probability that I would have to wear glasses after the operation is just too high given the fact that I don't have any issues with lenses (so far). If I start having problems with my lenses, then I'll reconsider, but until then, as someone wrote above, I've only got two eyes...

Another thing is that, although the technology isn't that new anymore, there isn't much history yet about how the operated patients evolve as they age. Specifically, in the words of one of my doctors (who was at -8.00 and refused to get operated herself), the uncertainty is be about how eyes that have undergone refractive surgery would react to cataract surgery in old age. Since pretty much everyone in my family has had cataract issues in their 60s-70s, I'd rather not take the chance.

That said, it's been 2 years since last time I asked about laser. Science evolves and possibly there is no issue at all. But I'd make sure not only to ask about how my sight will be right after the operation, but also in 30-40 years, and how robust my eyes will be if I require surgery at a later time.
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  #31  
Old 11.08.2015, 18:05
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Re: Laser Eye Surgery in Zurich

I went to FocusZone last year, they were good, no complaints. 3,000 CHF total (both eyes), all followup appointments included. PM me if you have any questions.
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  #32  
Old 11.08.2015, 18:10
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Re: Laser Eye Surgery in Zurich

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I went to FocusZone last year, they were good, no complaints. 3,000 CHF total (both eyes), all followup appointments included. PM me if you have any questions.
Excellent to have some feedback, thanks Esto! Can you maybe write a little about:
  • Your opinion of the surgeon you had?
  • Facilities?
  • Quality of the after-care and follow-ups?
  • How bad was your prescription and how are your eyes now?

Cheers!
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  #33  
Old 12.08.2015, 11:45
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Re: Laser Eye Surgery in Zurich

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Excellent to have some feedback, thanks Esto! Can you maybe write a little about:
  • Your opinion of the surgeon you had?
  • Facilities?
  • Quality of the after-care and follow-ups?
  • How bad was your prescription and how are your eyes now?

Cheers!
There's 2 surgeons there, I had the "newer" Austrian guy (just joined last year). He seemed competent. You can read his bio on the FocusZone website, there's a link to his private website. The other guy is the founder, and I suppose he's good as well.

Facilities were fine. Like any other doctor office I guess.

After care and follow-ups were nothing special, they just take pictures of your eyes and ask you to read an eye chart. If you do the eye drops as prescribed, and there isn't any infections, then there isn't much for them to do. If there's any infections, it's usually in the first two weeks or so when the wound is still raw. After a week or two, the chance of infection goes down alot.

My eyes were around -4 before, and I think they are perfect now.

-------


Some other things to consider:

Read if you want LASIK or PRK. By default they do LASIK, because the healing time is much faster. I decided I wanted PRK, the doctor said no problem, that it's easier for him to do actually, but joked I was a bit of a masochist for wanting PRK.

I chose PRK because I'm active in sports and don't want to worry about the "flap" coming loose, plus PRK has less "dry eye" because the surface isn't cut as deep. The only down-side is the longer healing time. The first day or two was kind of mildly painful, like someone shining a flashlight in my eye. The next couple of weeks the pain went away, but alot of trouble seeing (60-70% vision). Then after a couple of months one eye healed faster than the other, so I still wasn't seeing too good (I mean 90% good, just some annoyance). After 1 year, I can say everything is perfect and I am happy with it

As for reading up close, I never needed glasses for that, and I can still read up close fine, but notice sometimes I hold my phone/newspaper slightly further away than I did before. The doctor said once you hit middle age (ie: 40-50's) your eyes change, and warned I may need reading glasses in the future. So far I'm ok, and I'm not really too concerned about that.

They can also do the operation where they make one eye less than the other, so that you will use that eye for reading and the other eye for seeing far away, but I wouldn't recommend that, when my eyes healed at different rates and one was stronger than the other, it made me feel dizzy alot. If you wear contact lenses, you can experiment now with that by using a weaker prescription in one eye and see how it feels. Just consider your eyes will need some time to adjust.
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  #34  
Old 12.08.2015, 13:54
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Re: Laser Eye Surgery in Zurich

Here is my two pence worth having worked in the business for the last 10 years or so with different laser companies.

I would avoid the big UK chains especially if you are living in CH. If you do have a complication it is almost impossible to see the surgeon who operated on you as many fly around to different clinics so are not based where you did your operation.

As regards the laser technology, where they are now is really where they will be in 5 years time as the technology is more or less fully evolved. There is still more room for improvement on the biometric analysis of your eye and planning the treatment but this is also at a very advanced stage. If you are myopic with a certain prescription, there is a new treatment that avoids the use of excimer laser which is proving quite successful.

Laser Vista in Basel is a good place or I know someone who had it done in Palace Clinic in Zurich and was quite happy.
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  #35  
Old 12.08.2015, 17:24
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Re: Laser Eye Surgery in Zurich

I did LESEK(quite similar to what esto described in his PRK experience) this year in March, cannot contribute much as I had it done in US, but happy to discuss the differences and my post-op experience.
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  #36  
Old 15.12.2015, 10:55
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Re: Laser Eye Surgery in Zurich

Well, I am aiming for early next year to finally rid myself of my glasses and enjoy at least 10-15 years of worry-free sight. Focuszone AG seems like the best option form the reports I have read and the proximity to my home. The website says it's also fully finance-able so may be convenient to spread the cost if the interest isn't too bad.
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  #37  
Old 19.01.2016, 09:42
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Re: Laser Eye Surgery in Zurich

Hi Richdog. I'd be really interested to hear your experience - I am also looking at FocusZone as one of the options for laser eye treatment. I'm torn between them and LaserVista (for 3x the price).
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  #38  
Old 19.01.2016, 10:50
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Re: Laser Eye Surgery in Zurich

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I am aware of some people in their 60's having it done, but bear in mind if the eyes focus at infinity reading glasses will be needed for most people over about 45.
Some people intentionally get 1 eye under corrected for this reason.
An ophtalmologist suggested this same thing to me...dunno... I suppose the brain gets used to it but rationally it just seems weird.

What about one's driver license then? Is it going to state "one eye OK, but the other one is buggered"?

Paul
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Old 19.01.2016, 11:10
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Re: Laser Eye Surgery in Zurich

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An ophtalmologist suggested this same thing to me...dunno... I suppose the brain gets used to it but rationally it just seems weird.

What about one's driver license then? Is it going to state "one eye OK, but the other one is buggered"?

Paul
In CH you only need 80% vision in one eye or 60% in both, to drive without glasses or contact lenses, so it's not an issue. Normal vision is assumed to be 100% / 20:20 / 6:6, however many people will be better a Snellen chart has 2 additional lines below 100%
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  #40  
Old 19.01.2016, 11:19
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Re: Laser Eye Surgery in Zurich

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Hi Richdog. I'd be really interested to hear your experience - I am also looking at FocusZone as one of the options for laser eye treatment. I'm torn between them and LaserVista (for 3x the price).
Hi Monkey, I'm really have a crisis at the moment deciding what type of laser eye surgery I want done. The way I see it:

---------------------------

LASIK:

Quick, easy and painless with a short recovery time. However, you have to be very careful about the flap on your cornea, and make concerted efforts not to rub your eyes or give them any trauma until they heal for a few months.

PRK:

Quick, easy, painless, but from many reports it has a much longer and more painful recovery time. Patients report dry and sore eyes for weeks after the procedure, with full visual acuity arriving 3-6 months after the operation. However, no flap to worry about dislodging.

---------------------------

My head tells me PRK, but at the same time I don't want months of not being able to see computer screens properly etc...
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