Best refractive surgeon in the Pacific Northwest for PRK/LASIK/ICL?

[Ligament]

Howdy All,

I am a 39 y/o Interventional Pain Management doc in Seattle, WA. Do image-guided injections all day.

I want to see the "best" refractive surgeon in the area to consider my options regarding ICL vs. LASIK vs. PRK.

Rx is:
OS= -5.00, +175 at 161
OD= -5.0, +225 at 005

Providing Rx not necessarily for diagnostic info but rather if it helps make a recommendation to the right surgeon.

Any suggestions for specific surgeons to see? Feel free to PM me if you'd prefer.

Many thanks!

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[mydodger]

High myope. Should've been an Ophthalmologist. Lost another one to gas money!

 

[Eyefixer]

Cross posted on Sermo. You should also post on ASCRS website and all bases are covered!

 

[mydodger]

Cross posted on Sermo. You should also post on ASCRS website and all bases are covered!

Sermo, the one place we can go that is Shnurek-free. Although I'm sure he's sending them daily emails about how Optometrists are physicians and they should be included.

 

[Eyefixer]

Sermo, the one place we can go that is Shnurek-free. Although I'm sure he's sending them daily emails about how Optometrists are physicians and they should be included.

 

[Eyefixer]

Howdy All,

I am a 39 y/o Interventional Pain Management doc in Seattle, WA. Do image-guided injections all day.

I want to see the "best" refractive surgeon in the area to consider my options regarding ICL vs. LASIK vs. PRK.

Rx is:
OS= -5.00, +175 at 161
OD= -5.0, +225 at 005

Providing Rx not necessarily for diagnostic info but rather if it helps make a recommendation to the right surgeon.

Any suggestions for specific surgeons to see? Feel free to PM me if you'd prefer.

Many thanks!

I would recommend checking her out:

http://www.medical.washington.edu/bios/view.aspx?CentralId=58015

Given your moderate prescription, I would not consider nICL as a first choice. You should be fine with LASIK or PRK (given a choice, I would opt for PRK myself but that depends how much time off you can take 🙂). You also have to take your age into consideration given the fact that with full correction you will be completely glasses free just for a few years (averag age of presbyopia onset is 44). Monovision is out of the question for you given you need good stereo. Hope this helps.

 

[Ligament]

I would recommend checking her out:

http://www.medical.washington.edu/bios/view.aspx?CentralId=58015

Given your moderate prescription, I would not consider nICL as a first choice. You should be fine with LASIK or PRK (given a choice, I would opt for PRK myself but that depends how much time off you can take 🙂). You also have to take your age into consideration given the fact that with full correction you will be completely glasses free just for a few years (averag age of presbyopia onset is 44). Monovision is out of the question for you given you need good stereo. Hope this helps.

Thank you so much. I will check her out. I can take whatever time off I require for the right procedure. May I ask why you would opt for PRK? Looks like lack of corneal flap is a good enough reason for me.

 

[Eyefixer]

Thank you so much. I will check her out. I can take whatever time off I require for the right procedure. May I ask why you would opt for PRK? Looks like lack of corneal flap is a good enough reason for me.

Correct. Fewer parts to the procedure fewer things can go wrong. Once you are healed, no one can tell you had anything done. Can not have flap dislocation when your kid pokes you in the eye, playing basketball, etc. You can probably get away with 4-5 days off after bilateral procedure (2-3 days plus a weekend).

 

[Ligament]

Dr. David Lin in Vancouver, BC was also recommended to me by the Sermo guys. Any thoughts on him?

 

[Dusn]

I think the best bet would be to ask ophthalmology friends in the area who they would go to. You're a physician; you probably have some personal connections to ophthalmologists in the area? The reason I say this is because the nationally well-known refractive surgeons in my area operate their practice a little bit like a mill. They barely know or have spoken to their patients before performing surgery. I think the most important part of refractive surgery is figuring out exactly what your patient wants, giving realistic expectations, taking a good medical/ocular history, taking your time and retaking corneal maps weeks to months apart prior to the surgery if needed, definitely giving patients enough time out of contact lenses prior to measurements.. etc. All of this might be better done by a less well-known conscientious surgeon with time, rather a refractive surgery mill.
Any cornea specialists have an opinion about the type of surgeon they would go to? Is super-high volume really all that important?

In short, the names you get on these boards are more likely high volume well known practices (although I don't know anything about David Lin's practice). Unless you're getting a personal opinion on a surgeon (preferably by an ophtho friend or colleague you trust) I'm not sure how valuable that opinion really is.

 

[OjoCinco]

i would fly across the country and have emil chynn's fellow work on you

 

[Tiburon]

First I've heard of Sermo, but I'm just an intern. Can residents join it?

 

[Eyefixer]

Yes

 

[MR1]

You just have to have a license to join sermo I think