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  #41  
Old 19.01.2016, 12:10
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Re: Laser Eye Surgery in Zurich

I'm considering the laser surgery option to, so this is a very interesting thread, thanks for reviving it Richdog.

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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.
This is what the optician here recommended for my contact lens prescription to avoid reading glasses when I wear my lenses, dominant eye distance the other for reading, and I was a little dubious. The previous optician just sold me reading glasses (should have seen that one coming... excuse the pun), but never mentioned this approach. She set me up with test contact lenses as per her recommendation to see how I got on as she did say not everyone can get on with it, a little like varifocals I guess.

It did take a few minutes to get used to it, but after that I have to say I was impressed and couldn't really notice any loss of distance or reading vision. So when I wear them in this correction I am glasses free, which is great. I've ordered lenses and if they work as well as the test lenses it means surgery is still an option but I'll maybe stick with lenses
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  #42  
Old 19.01.2016, 13:34
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Re: Laser Eye Surgery in Zurich

The advantage is you can change the prescription every 3 years or so as your eyes change.

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I'm considering the laser surgery option to, so this is a very interesting thread, thanks for reviving it Richdog.



This is what the optician here recommended for my contact lens prescription to avoid reading glasses when I wear my lenses, dominant eye distance the other for reading, and I was a little dubious. The previous optician just sold me reading glasses (should have seen that one coming... excuse the pun), never mentioned this approach, and I was a little dubious. She set me up with test contact lenses as per her recommendation to see how I got on as she did say not everyone can get on with it, a little like varifocals I guess.

It did take a few minutes to get used to it, but after that I have to say I was impressed and couldn't really notice any loss of distance or reading vision. So when I wear them in this correction I am glasses free, which is great. I've ordered lenses and if they work as well as the test lenses it means surgery is still an option but I'll maybe stick with lenses
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  #43  
Old 20.01.2016, 18:57
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Re: Laser Eye Surgery in Zurich

Thanks for getting back to me Richdog. A tough choice, although for me it would be a simple one - I'm a wimp with pain, and as a contact lens wearer I'm pretty well trained in not rubbing my eyes. Do you play contact sports? I guess that would be the main consideration as you would have no control over potential eye trauma (unless wearing goggles is an option?).


It is WAY more expensive, but have you looked at LaserVista's newest procedure (called ReLex smile) which does not create any flap and apparently allows much quicker healing?
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  #44  
Old 24.01.2016, 18:14
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Re: Laser Eye Surgery in Zurich

Has anyone heard of or been to Pallas clinic? https://www.pallas-kliniken.ch/de

It seems to really have the most modern forms of laser eye treatment, and the TransPRK looks like a real improvement over regular PRK. It also has Femto-LASIK which is meant to be a big improvement over regular LASIK too.

TransPRK https://www.pallas-kliniken.ch/de/au.../transPRK.html

Femto-LASIK https://www.pallas-kliniken.ch/de/au...mto-lasik.html

Just use Google translate on the site, or google some english articles on them.

Sent the clinic a message so hopefully can arrange something soon!

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Thanks for getting back to me Richdog. A tough choice, although for me it would be a simple one - I'm a wimp with pain, and as a contact lens wearer I'm pretty well trained in not rubbing my eyes. Do you play contact sports? I guess that would be the main consideration as you would have no control over potential eye trauma (unless wearing goggles is an option?).


It is WAY more expensive, but have you looked at LaserVista's newest procedure (called ReLex smile) which does not create any flap and apparently allows much quicker healing?
I so martial arts on and off, and I ski, so there is chance for injury there. Either way I want to go flapless when I get my surgery as I don't want any residual wekness.

Smile ReLex looks interesting, will check it out!

EDIT - I check it out and Googled the following: https://www.quora.com/What-are-the-a...pared-to-LASIK

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ReLEx: No corneal flap. Therefore there is no risk of future flap shift if there is trauma/injury to the eye. BUT
no flap also means any subsequent enhancement has to be done on the surface (PRK). May be possible but difficult to enhance by doing a side cut and converting to LASIK (also defeats purpose of doing ReLEx).

ReLEx: Theoretically stronger cornea. BUT
There is an inevitable redundancy of the overlying corneal cap when the underlying stromal tissue has been reshaped, therefore this cap cannot contribute significantly to corneal strength, and therefore there is still a very real risk of ectasia if the residual stroma is less than 250 microns or if ReLEx is done on forme fruste keratoconus eyes.

Update 17/5/15: ReLEx SMILE has now been reported as a cause of corneal ectasia in a patient who had signs of forme fruste keratoconus pre-operatively. This supports my view that SMILE does not necessarily result in a biomechanically stronger eye when compared with LASIK.
Bilateral ectasia after femtosecond laser-assisted small-incision lenticule extraction.
El-Naggar MT.
J Cataract Refract Surg. 2015 Apr;41(4):884-8
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  #45  
Old 28.02.2016, 12:06
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Re: Laser Eye Surgery in Zurich

Well, on Friday I will be getting my Trans PRK laser eye surgery... slightly nervous but very excited, I can't wait to be free of reliance on glasses/contacts.
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  #46  
Old 28.02.2016, 17:49
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Re: Laser Eye Surgery in Zurich

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Well, on Friday I will be getting my Trans PRK laser eye surgery... slightly nervous but very excited, I can't wait to be free of reliance on glasses/contacts.
Very interested to know the results, I did not trust any of the Swiss surgeons I spoke to good luck.

As your interested in Photography hopefully you will only do 1 eye at a time as there is no going back, then you can compare final result v glasses/contact lenses.
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  #47  
Old 28.02.2016, 19:25
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Re: Laser Eye Surgery in Zurich

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Very interested to know the results, I did not trust any of the Swiss surgeons I spoke to good luck.

As your interested in Photography hopefully you will only do 1 eye at a time as there is no going back, then you can compare final result v glasses/contact lenses.
No I'm doing both at the same time, thought that was normal? Everyone else I know that had it done, did it that way.
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  #48  
Old 28.02.2016, 21:52
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Re: Laser Eye Surgery in Zurich

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No I'm doing both at the same time, thought that was normal? Everyone else I know that had it done, did it that way.
They like to do both eyes st the same time, however they charge per eye.... They make twice as much money

I only did 1 eye, everybody in CH wanted to do both, there us a difference in the quality of vision its slight. Some people describe it as 20:20 LASIK vision.
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  #49  
Old 28.02.2016, 23:17
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Re: Laser Eye Surgery in Zurich

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They like to do both eyes st the same time, however they charge per eye.... They make twice as much money

I only did 1 eye, everybody in CH wanted to do both, there us a difference in the quality of vision its slight. Some people describe it as 20:20 LASIK vision.
So you got both eyes done, but on separate occasions?
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Old 29.02.2016, 13:43
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Re: Laser Eye Surgery in Zurich

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So you got both eyes done, but on separate occasions?
I only bothered to do 1 eye, as the correction in the other eye was quite subtle + 0.75. Well above the legal requirement to drive a car. Both Swiss Surgeons insisted that both eyes needed doing, from my own experience that glasses never made an improvement & I never bothered to use a contact lens in the better eye.

Fast forward 5 years, in bright light looking at a lens chart I can read slightly more with the corrected eye however the contrast is less good. Riding a motorbike through a tunnel I always close the corrected eye as the resolution is far superior with the iris wide open with the uncorrected eye.

In photographic terms, any lens will be very good stopped down to F5.6, however at F1.4 only the very best modern lens will be pin sharp. If you compare a 30 year old Zeiss lens wide open to a modern Nikon lens, thats about the difference.

The UK surgeon said as I worked with my eyes I might notice this & refused to touch the functionally good eye until 6 months after doing the 1st eye to be quite sure I was convinced I was 100% satisfied. Had I had both eyes done I would have not been able to compare.

Have you read the consent form & warnings of possible complications yet? or will you be given it 5 minutes before they operate?......
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  #51  
Old 29.02.2016, 13:52
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Re: Laser Eye Surgery in Zurich

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I only bothered to do 1 eye, as the correction in the other eye was quite subtle + 0.75. Well above the legal requirement to drive a car. Both Swiss Surgeons insisted that both eyes needed doing, from my own experience that glasses never made an improvement & I never bothered to use a contact lens in the better eye.
My correction is completely different to your, so if I only did one eye I would need new glasses to see out of the one unaltered eye. When my glasses were off, it would give me headaches as one eye struggled to compensate for the other.

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Have you read the consent form & warnings of possible complications yet? or will you be given it 5 minutes before they operate?......
Not sure if that really justifies an answer.
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  #52  
Old 29.02.2016, 13:56
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Re: Laser Eye Surgery in Zurich

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My correction is completely different to your, so if I only did one eye I would need new glasses to see out of the one unaltered eye. When my glasses were off, it owuld give me headaches as one eye struggled to compensate for the other.



Not sure if that really justifies an answer.
Use a single contact lens, which I did for 25 years. You could easily just change your prescription to zero correction in 1 eye cost about 25 CHF or just take the lens out....

I think I have the answer, you obviously trust your surgeon (assuming you have met him) good luck with the operation.

Type Trans PRK into google & complications is the first suggestion.
http://www.lasikcomplications.com/PRK-complications.htm
Interesting reading, plenty of unhappy military pilots. I would never expect you to take any notice of anything I say. Good luck.

Last edited by fatmanfilms; 29.02.2016 at 14:08. Reason: Adding link
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  #53  
Old 29.02.2016, 14:40
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Re: Laser Eye Surgery in Zurich

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Use a single contact lens, which I did for 25 years. You could easily just change your prescription to zero correction in 1 eye cost about 25 CHF or just take the lens out....

I think I have the answer, you obviously trust your surgeon (assuming you have met him) good luck with the operation.

Type Trans PRK into google & complications is the first suggestion.
http://www.lasikcomplications.com/PRK-complications.htm
Interesting reading, plenty of unhappy military pilots. I would never expect you to take any notice of anything I say. Good luck.
The problem is that you make all of your statements in such a condescending way, that it's hard for me to take it so seriously. I have obviously Googled shlt-loads of info about complications before I committed to the surgery, just as I would do with any major life-altering surgery where the information is freely available on the internet, why would you think I haven't? Was it ever implied or stated? Answer: no.

Yes I have met the doctor and yes I have placed my trust in him as much as I can place my trust in any professional whom I do not personally know operating on the only pair of eyes I have. I have numerous friends who have had the surgery done (not at the same surgery) and they said it was the best decision they ever made. Is there a risk of complications? Yes, obviously. Am I willing to take that risk? Yes.

The main risk with PRK is... Bowman's layer http://www.healio.com/optometry/corn...ern-during-prk

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Problems are rare

Talamo said that of the hundreds of PRKs he has performed over 6 years, he has seen only one case where the absence of Bowman's layer may have caused a problem. His patient developed epidemic keratoconjunctivitis (EKC) in one of her eyes a year after uneventful PRK. The eye showed subepithelial infiltrates and associated scarring that resulted in irregular epithelium of the cornea, irregular astigmatism and decreased best corrected vision.
C'est la vie.
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  #54  
Old 29.02.2016, 15:03
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Re: Laser Eye Surgery in Zurich

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The problem is that you make all of your statements in such a condescending way, that it's hard for me to take it so seriously. I have obviously Googled shlt-loads of info about complications before I committed to the surgery, just as I would do with any major life-altering surgery where the information is freely available on the internet, why would you think I haven't? Was it ever implied or stated? Answer: no.

Yes I have met the doctor and yes I have placed my trust in him as much as I can place my trust in any professional whom I do not personally know operating on the only pair of eyes I have. I have numerous friends who have had the surgery done (not at the same surgery) and they said it was the best decision they ever made. Is there a risk of complications? Yes, obviously. Am I willing to take that risk? Yes.

The main risk with PRK is... Bowman's layer http://www.healio.com/optometry/corn...ern-during-prk



C'est la vie.
I will be genuinely interested to hear your views in 6 months, 1 year & 5 years.

You will think it's a miracle when you walk out of the operation & can read the clock on the wall on Friday. Driving at night on Saturday may well be less pleasant especially if it's raining.

What stats did you get for spot on correction & +/- 0.25 & interested to know where you are after 6 months, the eye can change shape during the healing process, mine was spot on after 24 hours.
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  #55  
Old 29.02.2016, 15:29
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Re: Laser Eye Surgery in Zurich

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I will be genuinely interested to hear your views in 6 months, 1 year & 5 years.

You will think it's a miracle when you walk out of the operation & can read the clock on the wall on Friday. Driving at night on Saturday may well be less pleasant especially if it's raining.

What stats did you get for spot on correction & +/- 0.25 & interested to know where you are after 6 months, the eye can change shape during the healing process, mine was spot on after 24 hours.
You have my word that I will update this thread with my feedback after the surgery in the following days (when I can bear to see a computer screen again).

I don't drive in CH and plan to stay home all weekend to sleep and recover before doing home office on Monday and then thinking about being back in the office on Tuesday.

During my pre-visit I was told the results I can expect will be very, very good as they were surprised how good my augmented vision was when testing with the slide-in lenses. I am quite heavily long-sighted, so not the usual prescription.
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Old 29.02.2016, 16:42
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Re: Laser Eye Surgery in Zurich

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I am quite heavily long-sighted, so not the usual prescription.
So your issue is reading / screens etc.
I believe the spot on or close to spot success rate is rather lower going from long sight to normal. The eye I did not correct is long sighted.
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  #57  
Old 29.02.2016, 16:52
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Re: Laser Eye Surgery in Zurich

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So your issue is reading / screens etc.
I believe the spot on or close to spot success rate is rather lower going from long sight to normal. The eye I did not correct is long sighted.
I have not read of major issues with long-sightedness laser correction, and the nurse at the clinic was a very similar prescription to me (+3) and she says her eyes are great now after surgery.
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Old 29.02.2016, 17:46
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Re: Laser Eye Surgery in Zurich

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I have not read of major issues with long-sightedness laser correction, and the nurse at the clinic was a very similar prescription to me (+3) and she says her eyes are great now after surgery.
It's not major however you have a much higher chance of having an error of + 1.00 or -1.00 after the first correction & re-treatments are not uncommon.

To make the thread more interesting, if both your eyes are spot on with a 0.00 0.00 prescription with only 1 procedure I will give you 100 CHF.
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  #59  
Old 29.02.2016, 18:35
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Re: Laser Eye Surgery in Zurich

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To make the thread more interesting, if both your eyes are spot on with a 0.00 0.00 prescription with only 1 procedure I will give you 100 CHF.
.....................

You have issues, you know that right?

Last edited by Richdog; 29.02.2016 at 18:47.
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Old 29.02.2016, 19:12
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Re: Laser Eye Surgery in Zurich

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.....................

You have issues, you know that right?
Do you want to turn it into a bet & up the odds?
I don't have any issues just see the possibility of making some easy money.
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