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Vision Correction Surgery - referrals

Discussion in 'Broadlands Community Issues' started by JenCo, May 18, 2004.

  1. NAKK

    NAKK New Member

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    I had my eyes done at the Lasik Vision Institute in Vienna with Dr. Roberts. It's been over a month now and no problems. Just a little dry eyes but nothing outside the norm. I love the freedom of not wearing glasses :)

    Good Luck!
     
  2. 1grtchr

    1grtchr Member

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    Wanted to resurrect this thread to see if anyone has had any recent Lasik procedures. I have a high prescription and an astigmatism in one eye. I am seeing Dr. Goerl from Sterling - anyone have any experience with Dr. Goerl in the Sterling TLC office?
     
  3. jdhauer

    jdhauer Active Member

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    No experience with Dr. Goerl but I had Lasik done on both eyes four days ago by Dr. Whitten (TLC in Reston) with all follow ups with Dr. Hinkle with Ashburn Vision Source.

    I didn't have a high prescription but did have astigmatism - contacts just didn't fit correctly.

    Entire procedure was about 10 minutes from the time I sat in the chair until I walked out of the room. No pain, just a lot of pressure on the eye with the bad astigmatism. Things looked blurry afterward like you're looking through the bottom of a glass that had milk in it. Took a nap and I was able to attend my daughter's musical that evening (although I was very glad my camera has automatic focus settings since I had no idea if anything was clear or not at the time). Again, no pain - the eyes just felt dry.

    The next morning, I was 20/15 in one eye and 20/20 in the other - the 20/20 eye showed some irritation so was slower to heal but seems the same as the other now.

    Next checkup is Friday. Most important is to keep those eye drops handy and USE them as directed. Also be sure to have sunglasses with you too!

    I'm really glad I had this done.
     
  4. flynnibus

    flynnibus Well-Known Member Forum Staff

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    I had Lasik with The Eye Center and Dr Boutrous just in January. The Eye Center is our normal optometrist, so it's nice to be able to do the follow-ups with our regular doctor.

    I think I got a pretty good price and the procedure, etc was all flawless. I'm struggling a bit now with the effectiveness afterwards, but am seeing them pretty regularly and will have a corrective procedure done if necessary depending on how the eye heals. It's expected to have a potential for the eyes to fully adapt and each can heal differently. The surgery itself is fine and long healed, but the lens portion is where the doctors must still do some predictive voodoo and they are full aware that corrections are sometimes necessary.
     
  5. Mr. Linux

    Mr. Linux Senior Member & Moderator Forum Staff

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    That's interesting; I always thought Lasik was pretty much 'get it done, let it heal for a few days, and boom! you can see perfectly!'

    What's involved after the surgery portion? Is it common to have to go in again for 'corrective surgery', etc? Is that included in the cost?
     
  6. flynnibus

    flynnibus Well-Known Member Forum Staff

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    No - you can see right away - but the eyes take time to heal fully. Your vision can vary and improve and converge for months later.

    You have a few days of 'don't touch your eyes', followed by about a week of medicated eye drops. This is the time where the flap they cut heals and you are at risk for infection, poor placement, flap moving, etc. Once the flap is considered healed and all good... the rest is the cornea itself healing - this is the portion that happens over months. The common side effect of extra dryness can persist for upwards of a year and to a lesser extent perpetually.

    During this time, people's vision tends to improve and eventually stabilize. So for instance, you could be 20/40 immediately afterwords, but 3 weeks later be 20/20.

    It's this healing time why the doctors wait and observe before they go back and do any corrections.

    For follow-ups you do a next day, one week, one month, 3 month, etc as it stretches out. Normally this follow-up is included in the price.

    The potential for needing further correction is a known risk and is something they make you aware of ahead of time. Not everyone does - but its not exactly rare either. As long as your cornea is not on the edge of treatable thickness, it's not really an issue.

    Most places offer warranties of some sort - generally at least for the initial procedure. Others may offer 'lifetime warranties', etc... and the terms and requirements are part of what differentiate between different doctors.

    TLC's parent company recently filed for bankruptcy Chp 11 to reorganize their debt - but they committed to no interruption to patient services or their lifetime guarantee.
     
  7. 1grtchr

    1grtchr Member

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    Thanks jdhauer! Glad to hear your procedure went well! If I go forward with this, the surgery would be at the Reston TLC facility and I know Dr. Goerl works with Dr. Whitten. I had no idea that they asked you to wear your glasses and not contacts for several weeks before the procedure. For those of us who normally do not wear our glasses but contacts, I was definately a bit shocked. For those of you who had high prescriptions before Lasik/eye surgery, did anyone need the aid of glasses afterwards until their eyes settled so to speak? I will be happy if I don't need anything afterwards but with a high prescription, just wondering how others did post-op.
     
  8. mdcrim

    mdcrim Member

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    I had -7.5 in one eye and -8.0 in the other. Went to Dr. Boutros 1/09. At my 1 yer checkup I was 20/15 in both. The day after my surgery, my left eye was 20/15 and has stayed that way. My right eye (dominant) was 20/20 after surgery, which took a little getting used to. It is an incredible difference between now and before. Amazing. Best thing I ever did for myself, best money I ever spent. I had my contacts out for 2 weeks before the procedure. I am lucky, I have had none of the potential problems people report.

    To answer your question, I never did need any glasses or contacts post-surgery. Things were amazing from the get go.
     
  9. exrook

    exrook New Member

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    I had mine done back in 2001 by Dr. Perraut at TLC in Reston. I had to go back for one eye (the first burn didn't get all the astigmatism). Loved the results then, still love them now.
     
  10. esubscribe

    esubscribe Gadget Freak!

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    For those of you who had the surgery, would you mind sharing the overall cost for the procedure and whether any additional costs are involved, post-surgery? TIA.
     
  11. mdcrim

    mdcrim Member

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    Mine was $3800 for both eyes (they were running a special). This included all initial appointments, surgery and all post-op appts for one year. My surgery came with a one year warranty but I was ineligible to purchase the lifetime enhancement warranty due to my strong prescription. The only other costs I had were pre-op eye drops and I can't recall if those were covered by insurance. After the surgery, they prescribed my one eye drop (I think to prevent dry eyes) that was WAY expensive (not covered by insurance) but I did not fill that, due to the costs and they fact I was not experiencing any dry eyes.

    To this day I don't even need OTC eye drops.
     
  12. jdhauer

    jdhauer Active Member

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    Mine was $3990 - the initial price was $4990 - minus $500 for insurance and then we negotiated another $500 down. It includes everything mdcrim mentioned except mine does have the lifetime enhancement warranty.

    The Zymar drops (pre-op and post op) run about $100 without insurance - mine covered a small portion b/c we haven't hit our deductible yet.

    My regular eye doctor suggested Restasis (dry eyes) if I had problems but I have declined. It is very expensive.

    I had to discontinue my contacts six weeks out. They said it was longer because I had toric lenses.

    The weirdest part is looking across the room and realizing I don't have to squint in order to see.
     
  13. KTdid

    KTdid Well-Known Member

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    I had an interest in lasik but my opthamologist and optometrist agreed that I was not a good candidate. They both said my near-sightedness would improve but my far sightedness would seriously worsen to where I would need glasses as soon as I open my eyes in the morning. By the way, how do you put a warranty on a surgical procedure?
     
  14. lisas

    lisas New Member

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    I saw Dr. Goerl from TLC 2 years ago when I got lasik. He is not the doctor who does the procedure, but does the initial evaluation and consultation. He also gives you the prescription and instructions for all the drops that you have to put in your eye daily before the lasik. I actually had Dr. Whitten for the procedure and it was done in the Reston office. I had the lasik/interlase, which is the bladeless cut method. You have to go to the Reston office to get your eye mapped out beforehand. The whole procedure took about 15-20 seconds per eye.
     
  15. flynnibus

    flynnibus Well-Known Member Forum Staff

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    You'll have prescription eye drops for immediately afterwards. The one drops were the top tier for me, so it was $40 for that one prescription. But I've had 3 different drops, and last time when I mentioned the cost, they simply gave me a sample kit which covered my need. But you could expect 2-3 different prescriptions to fill. Beyond that, all immediate costs are included.

    Mine was (on special) $1600 x 2 + $300 for the warranty beyond one year.

    When did you inquire?

    Re warranty - it's simply that they include follow-up needs, including additional procedures w/o additional cost.
     
  16. tyger31

    tyger31 Member

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    I wear contacts and have since I was a teenager, love them and have never had problems ever. I was thinking about Lasik for about a couple years ago....but I'm pretty chicken when it comes to surgery of the eye.......Kudos to those brave people! It must be great to see without any glasses or contacts....but as I said - I'm chicken...
     
  17. esubscribe

    esubscribe Gadget Freak!

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    Thanks to everyone who shared their surgery costs and provided additional information on pre/post surgery routines. I find this thread very helpful with good data points for anyone who is on the fence (like myself) or those that are looking for new or additional information.

    Personally...I have been putting away the LASIK for few years...but after reading this thread and the recent posts...I am now ready for the initial consult...!
     
  18. tyger31

    tyger31 Member

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    Good luck! Keep us posted.
     
  19. Mr. Linux

    Mr. Linux Senior Member & Moderator Forum Staff

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    I'm with Tyger31, lasers hitting my eyeballs freaks me out. That being said, I would love to one day be able to be free of glasses and really envy you all for going forward with this. Waking up in the morning and being able to immediately see perfectly as soon as you open your eyes must be really satisfying happygeek
     
  20. flynnibus

    flynnibus Well-Known Member Forum Staff

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    The surgery part is really so inconsequential to the bigger picture I think. You really go through more trauma getting a doctor's physical then you do on your procedure day.

    I think the more important things to decide for yourself on are
    - The cost - this is generally an out of pocket expense. (for me, I planned ahead and used my FSA dollars for it.. allowing me to pay for it over the entire year, and tax free)
    - The potential side effects (halos, glare, dry eye)
    - The fact you will likely need reading glasses as you age still (true regardless of the surgery though)

    There really is little to worry about that is permanent beyond dry eyes and risk of impact on night vision (halos). For over/under correction, if the correction can't be done perfectly, you'll simply go back to wearing glasses or contacts. There is a minor risk of the end goal not being as good as where you started with correction - but this is very minute. It's not a 'all or nothing thing' and the risks of real eye damage that is not correctable is so tiny. The biggest problem is with the healing of the eye flap, and this is significantly improved now with the all laser methods vs the old cutting methods.

    On the cost front - just think about how many pairs of glasses you buy at what cost.. or refilling contacts. Multiply that by 5-10 years and see where that gets you :)

    IMO - the balancing of the potential side effects vs your freedom from correction is the decision maker. The side effects are the big unknown because they can't really predict and effectively communicate the degree or risk of impacting you.
     

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