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  #27  
Old 01-10-2004, 11:34 AM
Dr. Leukoma
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Default Re: Increase in "Lazy Eye" after surgery?

Ragnar Suomi <ragnarsuomi[at]yahoo.com> wrote in
news:hpitvv4fboflb5piebud4vql8reg3ed1ck[at]4ax.com:


- quote -

> That's true.. but I think it bears repeating that the woman's problems
> were the result of being kicked directly in the eye very soon after
> surgery. To blame LASIK for her mishap is absurd. People do strange
> things with infants though. Just look at Jacko and Steveo.

I am not blaming LASIK, and I didn't bring up this case, but it bears
repeating that the patient only had one good eye and it was put at risk.
What was the surgeon thinking??? When I was in optometry school, the
prevailing professional ethic was not to fit such people with contact
lenses, but to put them into protective polycarbonate eyewear. Such was
the conservatism at the time.

As I also said before, I have seen people with underlying, less severe
binocular vision disorders, without lazy eye, whose disorders were unmasked
and made more severe by the presence of higher order aberrations caused by
central islands, off-center ablations, etc., etc.

On the other hand, I have actually seen studies involving amblyopic
children who were (allegedly) unable to tolerate contact lenses and who
received LASIK for severe anisometropic amblyopia.

DrG
Alt 01-10-2004, 11:34 AM
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  #26  
Old 01-09-2004, 02:46 PM
Ragnar Suomi
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Posts: n/a
Default Re: Increase in "Lazy Eye" after surgery?

On Fri, 09 Jan 2004 13:02:05 GMT, "Dr. Leukoma"
<drgNOSPAM[at]leukoma.com> wrote:

- quote -

> Ragnar Suomi <ragnarsuomi[at]yahoo.com> wrote in
> news:jdisvv4lcbo05bfrs1pjiu7i1kh918251b[at]4ax.com:
> > I'm glad you filled in some of the puzzle pieces of that story.
> > Instead of people blaming LASIK for her misfortune, they should blame
> > the fact that she got kicked in her eye! That must have been quite a
> > whallop to dislodge the flap. In fact, unless some doctor here can
> > verify that story, I wouldn't even believe it. Dislodging a flap is
> > no easy task. How long after surgery did her flap dislodge? If the
> > story is true, she should have been more careful. How long is an
> > infant's leg? 8 inches? What was her face doing so close to the
> > infant? I would assume she was playing with the kid. That story just
> > has the smell of SE fiction on it.
> > If I've said it once, I've said it a thousand times: There are just some
> people who are not candidates for refractive surgery.
> DrG

That's true.. but I think it bears repeating that the woman's problems
were the result of being kicked directly in the eye very soon after
surgery. To blame LASIK for her mishap is absurd. People do strange
things with infants though. Just look at Jacko and Steveo.
  #25  
Old 01-09-2004, 12:02 PM
Dr. Leukoma
Guest
 
Posts: n/a
Default Re: Increase in "Lazy Eye" after surgery?

Ragnar Suomi <ragnarsuomi[at]yahoo.com> wrote in
news:jdisvv4lcbo05bfrs1pjiu7i1kh918251b[at]4ax.com:


- quote -

> I'm glad you filled in some of the puzzle pieces of that story.
> Instead of people blaming LASIK for her misfortune, they should blame
> the fact that she got kicked in her eye! That must have been quite a
> whallop to dislodge the flap. In fact, unless some doctor here can
> verify that story, I wouldn't even believe it. Dislodging a flap is
> no easy task. How long after surgery did her flap dislodge? If the
> story is true, she should have been more careful. How long is an
> infant's leg? 8 inches? What was her face doing so close to the
> infant? I would assume she was playing with the kid. That story just
> has the smell of SE fiction on it.

If I've said it once, I've said it a thousand times: There are just some
people who are not candidates for refractive surgery.

DrG
  #24  
Old 01-09-2004, 11:49 AM
Dr. Leukoma
Guest
 
Posts: n/a
Default Re: Increase in "Lazy Eye" after surgery?

Ragnar Suomi <ragnarsuomi[at]yahoo.com> wrote in
news:jdisvv4lcbo05bfrs1pjiu7i1kh918251b[at]4ax.com:


- quote -

> I'm glad you filled in some of the puzzle pieces of that story.
> Instead of people blaming LASIK for her misfortune, they should blame
> the fact that she got kicked in her eye! That must have been quite a
> whallop to dislodge the flap. In fact, unless some doctor here can
> verify that story, I wouldn't even believe it. Dislodging a flap is
> no easy task. How long after surgery did her flap dislodge? If the
> story is true, she should have been more careful. How long is an
> infant's leg? 8 inches? What was her face doing so close to the
> infant? I would assume she was playing with the kid. That story just
> has the smell of SE fiction on it.

No, I think it is true enough. One of those freak accidents that happened
fairly soon after surgery.

DrG
  #23  
Old 01-09-2004, 05:36 AM
Ragnar Suomi
Guest
 
Posts: n/a
Default Re: Increase in "Lazy Eye" after surgery?

On Thu, 08 Jan 2004 13:23:37 GMT, "Dr. Leukoma"
<drgNOSPAM[at]leukoma.com> wrote:

- quote -

> Ragnar Suomi <ragnarsuomi[at]yahoo.com> wrote in
> news:gthqvvoo1ofhu1cvr4vvknjl01c46flaek[at]4ax.com:
> > On Thu, 08 Jan 2004 02:45:44 GMT, "Dr. Leukoma"
> > <drgNOSPAM[at]leukoma.com> wrote:
> > > f
> > > > > > > > I concur that binocular vision problems can be exceedingly complex.
> > > Constant diplopia has another term: "horror fusionis" to describe how
> > > terrible an experience it can be when the two images cannot merge.
> > > > > DrG
> > > Assuming the worst case... wouldn't an eye patch over the worse eye be
> > the best solution?
> > I remember the case that Frank alludes to quite well. That woman
> definitely had a lazy eye as well as esotropia, i.e the eye turned in. Her
> infant kicked her in the good eye and dislodged the flap, although there
> was possibly more to the story. This ruined the vision in the good eye,
> making it see worse than the amblyopic eye. After a lifetime of suppressed
> vision in that eye, she then developed constant diplopia. Of course
> patching would have alleviated the double vision, but somehow that didn't
> work out.
> While that is certainly a worse case scenario, I have seen several less
> severe situations where fusion was altered, especially in a reading
> situation.
> DrG
I'm glad you filled in some of the puzzle pieces of that story.
Instead of people blaming LASIK for her misfortune, they should blame
the fact that she got kicked in her eye! That must have been quite a
whallop to dislodge the flap. In fact, unless some doctor here can
verify that story, I wouldn't even believe it. Dislodging a flap is
no easy task. How long after surgery did her flap dislodge? If the
story is true, she should have been more careful. How long is an
infant's leg? 8 inches? What was her face doing so close to the
infant? I would assume she was playing with the kid. That story just
has the smell of SE fiction on it.
  #22  
Old 01-08-2004, 12:23 PM
Dr. Leukoma
Guest
 
Posts: n/a
Default Re: Increase in "Lazy Eye" after surgery?

Ragnar Suomi <ragnarsuomi[at]yahoo.com> wrote in
news:gthqvvoo1ofhu1cvr4vvknjl01c46flaek[at]4ax.com:

- quote -

> On Thu, 08 Jan 2004 02:45:44 GMT, "Dr. Leukoma"
> <drgNOSPAM[at]leukoma.com> wrote:
> f
> > > > > I concur that binocular vision problems can be exceedingly complex.
> > Constant diplopia has another term: "horror fusionis" to describe how
> > terrible an experience it can be when the two images cannot merge.
> > > DrG
> Assuming the worst case... wouldn't an eye patch over the worse eye be
> the best solution?

I remember the case that Frank alludes to quite well. That woman
definitely had a lazy eye as well as esotropia, i.e the eye turned in. Her
infant kicked her in the good eye and dislodged the flap, although there
was possibly more to the story. This ruined the vision in the good eye,
making it see worse than the amblyopic eye. After a lifetime of suppressed
vision in that eye, she then developed constant diplopia. Of course
patching would have alleviated the double vision, but somehow that didn't
work out.

While that is certainly a worse case scenario, I have seen several less
severe situations where fusion was altered, especially in a reading
situation.

DrG
  #21  
Old 01-08-2004, 11:07 AM
Ragnar Suomi
Guest
 
Posts: n/a
Default Re: Increase in "Lazy Eye" after surgery?

On Thu, 08 Jan 2004 02:45:44 GMT, "Dr. Leukoma"
<drgNOSPAM[at]leukoma.com> wrote:

f
- quote -

> > I concur that binocular vision problems can be exceedingly complex.
> Constant diplopia has another term: "horror fusionis" to describe how
> terrible an experience it can be when the two images cannot merge.
> DrG

Assuming the worst case... wouldn't an eye patch over the worse eye be
the best solution?
  #20  
Old 01-08-2004, 01:45 AM
Dr. Leukoma
Guest
 
Posts: n/a
Default Re: Increase in "Lazy Eye" after surgery?

the_boydstons[at]hotmail.com (ycdbsoya) wrote in
news:d6260d64.0401070830.60e57c28[at]posting.google.com:

- quote -

> "Jim" <jim_NOSPAM[at]ditdah.net> wrote in message
> news:<SMIKb.46182$HQ.39148[at]okepread02> ...
> > DrG,
> > Yes my eye is correctly to 20/20 with glasses. The ONLY time my
> > eye turns
> > out is when I'm tired or have spent too much time awake or in front
> > of the computer.
> > > Jim
> > > Tomorrow is the day!
> > > > "Dr. Leukoma" <drgNOSPAM[at]leukoma.com> wrote in message
> > news:Xns94684B16AB583drgleukomacom[at]204.127.199.17...
> > > "Jim" <jim_NOSPAM[at]ditdah.net> wrote in
> > > news:6RxKb.44964$HQ.34075[at]okepread02:
> > > > > > All,
> > > > When I described my 'lazy eye', I guess I didn't understand
> > > > what an
> > > > actual 'lazy eye' is called in the medical world. I was just
> > > > repeating what I had been told throughout my life.
> > > > > > > When I get tired my right eye turns out. When I notice this,
> > > > I can pull
> > > > it back. When I have my glasses off my eye does not
> > > > turn out and I am not 20/20 in the eye. Both eyes are approx
> > > > -6.00 with a mild astigmatism. I have spoken to the doctor who is
> > > > doing my surgery tomorrow. He told me that he has turned down
> > > > patients in the past who have a 'lazy eye' and he deemed
> > > > the surgery would do more harm than good. When the doctor
> > > > performed my pre-op, he knew of my condition but does
> > > > not feel the surgery will have any impact on my 'lazy eye'
> > > > condition.
> > > > > > > > Jim.
> > > > > If your eye is not correctable to 20/20 with glasses, then it
> > > probably IS
> > a
> > > lazy eye. The turning out part is called strabismus. The two
> > > conditions are often found together, which is why the terms are
> > > often confused.
> > > > > The thing is that if everything always went perfectly and without a
> > > hitch in refractive surgery, there would be no worries. Most
> > > people can readily tolerate some imperfections in their vision, as
> > > the visual system is quite adaptable. However, there are some
> > > people whose system is constantly
> > under
> > > stress, like yours, where even a small change in the wrong
> > > direction can cause it to unravel. Your ability to pull your eye
> > > in and keep it there breaks down when you are tired. If the
> > > prescription were to be "off" to some degree, this would also
> > > interfere with your ability to hold the eyes together.
> > > > > Now, the final thing is that you have one dominant eye that sees
> > > well. Consider for a moment what might happen if that eye lost its
> > > ability to
> > see
> > > clearly. You don't have the luxury of a fully functioning second
> > > eye to take up the slack. Just as an experiment, try fogging the
> > > vision in your good eye by smearing a thin coat of vaseline over
> > > the lens...just enough
> > to
> > > make things out-of-focus. Then, see how you function.
> > > > > Just my two cents.
> > > > > DrG
> Hi Jim:
> I promised myself I wouldn't post on the alt.lasik NG anymore, but I
> saw yours and I was very concerned.
> Please take the time to review the series of threads concerning a
> poster named "mermaid" on the surgical eyes website. just do a search
> function using the keyword "mermaid," and then read them. This young
> woman had strabismus and LASIK, and was driven to the point of
> considering enucleation and suicide as solutions. In the least, it
> ruined her career as a medical professional and almost caused loss of
> her family. As mentioned by other posters, LASIK may initiate a
> cascade of events which seriously and adversely affect your visual
> functioning for the rest of your life.
> Good luck in whatever you decide.
> Frank

I concur that binocular vision problems can be exceedingly complex.
Constant diplopia has another term: "horror fusionis" to describe how
terrible an experience it can be when the two images cannot merge.

DrG
  #19  
Old 01-07-2004, 03:30 PM
ycdbsoya
Guest
 
Posts: n/a
Default Re: Increase in "Lazy Eye" after surgery?

"Jim" <jim_NOSPAM[at]ditdah.net> wrote in message news:<SMIKb.46182$HQ.39148[at]okepread02> ...
- quote -

> DrG,
> Yes my eye is correctly to 20/20 with glasses. The ONLY time my eye turns
> out is when I'm tired or have spent too much time awake or in front of the
> computer.
> Jim
> Tomorrow is the day!
> "Dr. Leukoma" <drgNOSPAM[at]leukoma.com> wrote in message
> news:Xns94684B16AB583drgleukomacom[at]204.127.199.17...
> > "Jim" <jim_NOSPAM[at]ditdah.net> wrote in
> > news:6RxKb.44964$HQ.34075[at]okepread02:
> > > > All,
> > > When I described my 'lazy eye', I guess I didn't understand what
> > > an
> > > actual 'lazy eye' is called in the medical world. I was just
> > > repeating what I had been told throughout my life.
> > > > > When I get tired my right eye turns out. When I notice this, I
> > > can pull
> > > it back. When I have my glasses off my eye does not
> > > turn out and I am not 20/20 in the eye. Both eyes are approx -6.00
> > > with a mild astigmatism. I have spoken to the doctor who is
> > > doing my surgery tomorrow. He told me that he has turned down patients
> > > in the past who have a 'lazy eye' and he deemed
> > > the surgery would do more harm than good. When the doctor performed my
> > > pre-op, he knew of my condition but does
> > > not feel the surgery will have any impact on my 'lazy eye' condition.
> > > > > Jim.
> > > If your eye is not correctable to 20/20 with glasses, then it probably IS
> a
> > lazy eye. The turning out part is called strabismus. The two conditions
> > are often found together, which is why the terms are often confused.
> > > The thing is that if everything always went perfectly and without a hitch
> > in refractive surgery, there would be no worries. Most people can readily
> > tolerate some imperfections in their vision, as the visual system is quite
> > adaptable. However, there are some people whose system is constantly
> under
> > stress, like yours, where even a small change in the wrong direction can
> > cause it to unravel. Your ability to pull your eye in and keep it there
> > breaks down when you are tired. If the prescription were to be "off" to
> > some degree, this would also interfere with your ability to hold the eyes
> > together.
> > > Now, the final thing is that you have one dominant eye that sees well.
> > Consider for a moment what might happen if that eye lost its ability to
> see
> > clearly. You don't have the luxury of a fully functioning second eye to
> > take up the slack. Just as an experiment, try fogging the vision in your
> > good eye by smearing a thin coat of vaseline over the lens...just enough
> to
> > make things out-of-focus. Then, see how you function.
> > > Just my two cents.
> > > DrG

Hi Jim:

I promised myself I wouldn't post on the alt.lasik NG anymore, but I
saw yours and I was very concerned.

Please take the time to review the series of threads concerning a
poster named "mermaid" on the surgical eyes website. just do a search
function using the keyword "mermaid," and then read them. This young
woman had strabismus and LASIK, and was driven to the point of
considering enucleation and suicide as solutions. In the least, it
ruined her career as a medical professional and almost caused loss of
her family. As mentioned by other posters, LASIK may initiate a
cascade of events which seriously and adversely affect your visual
functioning for the rest of your life.

Good luck in whatever you decide.

Frank
  #18  
Old 01-07-2004, 01:57 AM
Ragnar Suomi
Guest
 
Posts: n/a
Default Re: Increase in "Lazy Eye" after surgery?

Then you don't have "lazy eye". You have strabismus. Why your
doctors keep saying "lazy eye" is disturbing. That is similar to
doctors who scare patients by not explaining that dry eyes do not mean
you have the condition known as "dry eye".

On Tue, 6 Jan 2004 18:51:48 -0600, "Jim" <jim_NOSPAM[at]ditdah.netwrote:

- quote -

> DrG,
> Yes my eye is correctly to 20/20 with glasses. The ONLY time my eye turns
> out is when I'm tired or have spent too much time awake or in front of the
> computer.
> Jim
> Tomorrow is the day!
> "Dr. Leukoma" <drgNOSPAM[at]leukoma.com> wrote in message
> news:Xns94684B16AB583drgleukomacom[at]204.127.199.17...
> > "Jim" <jim_NOSPAM[at]ditdah.net> wrote in
> > news:6RxKb.44964$HQ.34075[at]okepread02:
> > > > All,
> > > When I described my 'lazy eye', I guess I didn't understand what
> > > an
> > > actual 'lazy eye' is called in the medical world. I was just
> > > repeating what I had been told throughout my life.
> > > > > When I get tired my right eye turns out. When I notice this, I
> > > can pull
> > > it back. When I have my glasses off my eye does not
> > > turn out and I am not 20/20 in the eye. Both eyes are approx -6.00
> > > with a mild astigmatism. I have spoken to the doctor who is
> > > doing my surgery tomorrow. He told me that he has turned down patients
> > > in the past who have a 'lazy eye' and he deemed
> > > the surgery would do more harm than good. When the doctor performed my
> > > pre-op, he knew of my condition but does
> > > not feel the surgery will have any impact on my 'lazy eye' condition.
> > > > > Jim.
> > > If your eye is not correctable to 20/20 with glasses, then it probably IS
> a
> > lazy eye. The turning out part is called strabismus. The two conditions
> > are often found together, which is why the terms are often confused.
> > > The thing is that if everything always went perfectly and without a hitch
> > in refractive surgery, there would be no worries. Most people can readily
> > tolerate some imperfections in their vision, as the visual system is quite
> > adaptable. However, there are some people whose system is constantly
> under
> > stress, like yours, where even a small change in the wrong direction can
> > cause it to unravel. Your ability to pull your eye in and keep it there
> > breaks down when you are tired. If the prescription were to be "off" to
> > some degree, this would also interfere with your ability to hold the eyes
> > together.
> > > Now, the final thing is that you have one dominant eye that sees well.
> > Consider for a moment what might happen if that eye lost its ability to
> see
> > clearly. You don't have the luxury of a fully functioning second eye to
> > take up the slack. Just as an experiment, try fogging the vision in your
> > good eye by smearing a thin coat of vaseline over the lens...just enough
> to
> > make things out-of-focus. Then, see how you function.
> > > Just my two cents.
> > > DrG

 

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