Corrective laser eye surgery (Lasik)

Medical issues, doctors, dentists, opticians and hospitals in Hua Hin and Thailand.
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barrys
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Re: Corrective laser eye surgery (Lasik)

Post by barrys »

wpcoe wrote: Rather than commit to a major alteration such as Lasik mono-vision and find *afterward* it gives you headaches and/or makes you dizzy, why not "test" it first with glasses/contacts?

Which is exactly what the professor at Rutnin advised me to do a couple of years ago.
She also pointed that, at the age of about 60, she had still not had Lasik surgery.

She also said that a vari-focal Lasik option was about to go on the market fairly soon and advised me to wait a bit longer.

I found the entire procedure at Rutnin to be very professional whereas, when I went to a Hua Hin practice, they wanted me to go for the surgery more or less the next day without extensive testing.
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Re: Corrective laser eye surgery (Lasik)

Post by wpcoe »

barrys wrote:She also said that a vari-focal Lasik option was about to go on the market fairly soon and advised me to wait a bit longer.
Now that sounds intriguing.
I found the entire procedure at Rutnin to be very professional whereas, when I went to a Hua Hin practice, they wanted me to go for the surgery more or less the next day without extensive testing.
I've heard nothing but good things about Rutnin, and if I do any more fussing with my eyes (had radial keratotomy over 25 years ago), it will be at Rutnin.
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Re: Corrective laser eye surgery (Lasik)

Post by buksida »

Ok, buksi is back! Had the Lasik surgery at Rutnin last week, here is a quick rundown (note: not for the squeamish):

Background
Worn glasses for about 22 years, contact lenses for a few years when I was younger, prescription is -4/-3.75 myopia.

Pre Op
You need to have a pre-operation assessment for the doctors to run a range of tests on your eyes to determine compatibility with the procedure. This takes about 3-4 hours and consists of testing vision, cornea thickness, light sensitivity, retina condition which needs pupil dilation, and a few other things. Vision is blurred for a few hours after this so you can't drive. Cost is 1,500 baht.

95% of the other people going for the same surgery were young, trendy Bangkok Thais.

The doctor also noted that my glasses were slightly out and one lens was too strong (got them in Top Charoen in Hua Hin - the angels in white strike again - great looking but no opticians).

The doctor will then give you the results on the same day and explain the procedures, there is Lasik and PRK - Lasik involved cutting and lifting the cornea and a short burst of laser to reshape retinal tissue and correct vision, it is the preferred procedure. He said I may need reading glasses when I get into my forties but my distance vision will be good.

Costs on their price list range from 50k to 80k depending on surgery type, eye health, current prescription, other complications etc. I was told my eyes were in good condition (aside from the vision), was quoted 54k for the procedure (both eyes), and asked when I wanted it done.

ASAP I answered - before I change my mind!

The Op
ASAP was not wrong, 07.30 the next morning I'm back at Rutnin where I sign my life away and get given a medication pack with eye shields, antibiotics and eye drops. The actual surgery is done in an adjacent building, a short wait when the nurse explains the procedure to you and then you go into the prep room. Your eyes are given several rounds of drops which are anesthetic, antibiotics and artificial tears to keep them moist.

Into the operating theatre and onto the bed, your eyes are fixed open to prevent blinking and you're told to keep vision fixed on the red light at all times. Now comes the scary bit ... the doctor will make a number of incisions on your cornea and a device comes over to remove the flap, everything goes black and all you can see are thousands of multi-coloured dots, like stars, for a few seconds.

Heart rate is through the roof and you wonder what the hell have you done.

Vision then returns, albeit blurry, then the laser fires up for about 12-15 seconds, you cant feel a thing but can smell a slight burning which is rather disturbing. The cornea is then re-attached and the left eye is done. The worst bit is knowing what they're doing, there is no pain but it is very unsettling. Whole procedure is about 20 minutes.

The doctor will then check your eyes, apply moisturising eye patches and you're sent on your way. They tell you to sleep for six hours so I pop a Xanax, fire up my audio book and nod off. I groggily surface at about 4pm and fumble for my glasses ...

Being able to see without them is amazing, there are so many things that you miss without full peripheral vision - the world is clear once again! Switching between close and distance is also instant whereas there was a delay in focusing before, probably due to the incorrect glasses lens.

Post Op
You have to go back the next day for a post op eye exam, this took 15 minutes and the doc said all was healing fine, I have 20/20 vision. You need to apply the eye drops often and wear sunglasses for about a month as they are still quite sensitive.

Another appointment to check healing progress is required a week later (which is tomorrow). Basically told to avoid water, sunlight, smoke, dust and touching your eyes, they also advised not to overdo the computer work, reading, bright light or TV too much initially.

Welcome to a new world. :thumb:
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Re: Corrective laser eye surgery (Lasik)

Post by Roel »

Stephen King could not have described it better! Congratulations Buksi.
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Re: Corrective laser eye surgery (Lasik)

Post by richard »

Congrats Buksi

Welcome to the new world. I've never looked back (to coin a phrase)

I had mine done a few years back as you know and last year had a slight blurring. Went back as still covered on a rolling treatment program and was told by my original doctor that I needed a lazer polish on one eye. I said ok but how much. Oh only 10 minute job and 1500 baht
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Re: Corrective laser eye surgery (Lasik)

Post by richard »

THE GOOD NEWS :thumb: :thumb: :thumb:

Well I'm just back from BK after having my eyes checked at the RUTNIN hospital

I had both eyes lased 4 years ago followed by a series of check ups for 12 months. Then annual checks to make sure all is well. Obviously as one grows older no matter how good the laser treatment has been you expect minor deterioration. You are informed of that before surgery.

My visit entailed a 4 hour series of tests and consultation with very little waiting between tests and only because drops were administered.

So six high tec tests (1800 bht), two doctor visits spanning a total of 40 minutes (710 bht) , In-house medication (215 bht), out-patient medication (1645bht for 6 months) Total cost for 4 hours 4370 bht

The process is run with military precision. Always a guide with you, always your file with you, always advice about what is going to happen next, when and why.

Hospitals (BKH, SP and HHH) should take note. RUTNIN are exceptionally efficient, exceptionally clean and thorough and exceptionally good value for money.

My local doctor (used him for 7 years) shuns hospitals in HH and always recommends Petcharat to which I have been and found the nearest thing to a RUTNIN type operation


THE BAD NEWS :guns: :guns: :guns:

My visits to BKH, SP and HHH have been abysmal and seemingly only intent on unloading your wallet. Their premises are shabby. their staff in disarray and their doctors only intent on subscription overloading and wallet relief. With SP after an operation trey refused me any documentation for my local doctor and informed me that should I have any future problems I should go back to my local doctor and get him to recommend some other hospital for treatment. MY BKH visits to see a doctor never resulted in a medical check by the doctor

Hospitals aside, local eye specialists do not seem to be interested in you if you have taken your trade to the RUTNIN and freely admit that they price according to whether you are Thai or farang

:rant:
RICHARD OF LOXLEY

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Re: Corrective laser eye surgery (Lasik)

Post by dtaai-maai »

richard wrote: With SP after an operation they ... informed me that should I have any future problems I should go back to my local doctor and get him to recommend some other hospital for treatment.
Not that desperate for your money then! :laugh:


As far as Bangkok Hospital is concerned, I have to say that I've accompanied elderly friends there for various reasons and found the premises anything but shabby, the staff very well organised and the doctors thinking only of the welfare of their patients. I wish could afford to use it myself.
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Re: Corrective laser eye surgery (Lasik)

Post by T.I.G.R. »

One thing I noticed here was there has been only slight mention of deterioration as one ages. I had RK done on both eyes in 1992 and was always happy with the result. As I aged my near vision became so bad I couldn't read even my auto gauges without glasses, and then my far sight began to deteriorate so I went to LaserVision and had PRK....wasn't eligible for the good stuff as my cornea was too thin. This was three years ago. I opted for mono vision even though I had tried it previously with contacts and was unhappy with the result. This time I waited it out and after a couple of weeks I was rewarded with perfect reading vision and pretty good far vision......unfortunately my far vision has left me for the most part as I've aged. (65 to 68 now). I am now wearing glasses again but my annual tests at LaserVision indicate the eyes are testing O.K. which has led me to accept the fact that it's the amount of light they need, not the quality of my eyesight. I have to watch TV even with glasses as I cannot read small print from twelve feet or so. I also can no longer follow my golf ball which I really hate but there's seemingly nothing that can be done for it. My near vision continues to astound me as it has maintained the original quality. I've been happy with LaserVision, and the two eyes cost a total of 99,000 baht......annual checkups are free.
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Re: Corrective laser eye surgery (Lasik)

Post by richard »

dtaai-maai wrote:
richard wrote: With SP after an operation they ... informed me that should I have any future problems I should go back to my local doctor and get him to recommend some other hospital for treatment.
Not that desperate for your money then! :laugh:


As far as Bangkok Hospital is concerned, I have to say that I've accompanied elderly friends there for various reasons and found the premises anything but shabby, the staff very well organised and the doctors thinking only of the welfare of their patients. I wish could afford to use it myself.
Desperate for money? No freelance roaming consultant as many are. Hospital management not really aware of the situation.

Accompanying elders ? so not stopped there for a spell? Well all seems spick and spam until you are in a bed and the roaches and mossies are around

K.I.A. try it at 4am in the morning mate with or without your elders
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Re: Corrective laser eye surgery (Lasik)

Post by T.I.G.R. »

Might be a bit over the top Richard. I had back surgery at Bangkok Hospital (in Bangkok) on March 8 and found everything to be up to par. Some of the facilities are older and in need of modernization but clean and well attended to. My doctor and all the nursing staffs, even in the early hours, have been of the highest quality.
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Re: Corrective laser eye surgery (Lasik)

Post by Big Boy »

Personally, both my wife and I were delighted with the treatment my wife received when she was admitted to Bangkok Hospital for a couple of nights. However, she was not admitted for eye surgery.

Is this hearsay richard, or have you personally suffered as an inpatient at the hands of Bangkok Hospital?
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richard
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Re: Corrective laser eye surgery (Lasik)

Post by richard »

T.I.G.R. wrote:Might be a bit over the top Richard. I had back surgery at Bangkok Hospital (in Bangkok) o
BKH in Bangkok is a different matter I think

I've been told HH BKH is a franchise

Anyway I'm only expressing my experiences and therefore not gospel according to------------
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Re: Corrective laser eye surgery (Lasik)

Post by richard »

Big Boy wrote:Personally, both my wife and I were delighted with the treatment my wife received when she was admitted to Bangkok Hospital for a couple of nights. However, she was not admitted for eye surgery.

Is this hearsay richard, or have you personally suffered as an inpatient at the hands of Bangkok Hospital?

TWICE :(
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Re: Corrective laser eye surgery (Lasik)

Post by Big Boy »

They obviously save the decent rooms for Thai nationals then :wink:
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Re: Corrective laser eye surgery (Lasik)

Post by richard »

Maybe, but after trips to BKH, SP, and HHH in Hua Hin on many occasions as an in-patient, out-patient or visitor to friends many times I think I qualify to pass judgment on the establishments.

For Christs sake guys and gals I'm posting a view based on personal experience, This is not a conspiracy theory it is factual info that I assume some will apprehend and learn from. You want to view the exorbitant bills then please PM me to come and view

UP TO YOU :cheers:
















-patient and visitor to many friends
RICHARD OF LOXLEY

It’s none of my business what people say and think of me. I am what I am and do what I do. I expect nothing and accept everything. It makes life so much easier.
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