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RandyL
Do you have to stop your coumadin for this short procedure. It doesn't look to be any bleeding involved. Anybody know?
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Ross
Well-known member
Man what are you doing, getting rebuilt? I really don't know Randy, I would suspect the answer to be yes, but better talk to the Eye surgeon and Cardiologist to be sure.
hensylee
Well-known member
I watched my brother's cataract surgery via TV in the next room from him - no bleeding. I was awake during my own cataract surgeries - later had yag surgery, both eyes. No bleeding. My sister and her husband had lasik surgery. She had pain, he had none but neither had bleeding. Brother was not on coumadin at the time, none of the rest of us are on it. But like Ross, I'd run it by the cardio. Or ask Al Lodwick as a backup, our very own expert.
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RandyL
Ross said:
LOL. yes it sure seems it doesn't it. Guess what? I have had 3 epidurals for my back now and nothing has changed. It looks like I will be getting micro back surgery also. What canI do, my body is fallin apart by the hour. I had the lasik thing planned for a long time, finally saved enough money to get it done. My vision is just bad enough to have to wear glasses which are a pita.
Randy,RandyL said:
You might want to do a search of Tobagotwo's threads as he posted a real nice piece about his eye surgery. He is not on warfarin, so it won't help you on that point, but it was really interesting. He is such a talented writer!
Good luck and let us know how everything went.
Randy & Robyn
Well-known member
Question: With me having to take Coumadin am I safe to have the Laser Vision Correction. This is something I'm interested in but don't know when I'll be able to. JL Stroud
Answer: Because Coumadin is a blood thinner it may increase the potential for a reported serious LASIK complication, a subretinal/submacular hemorhage. People on bloodthinners should consider other means of refractive surgery if they are suitable candidates.(PRK/LASEK) Another option would be to come off the bloodthinners if you get the blessing of the doctor that prescribed them. Do not stop your blood thinners without consulting your primary medical doctor.
This is where I found it:
http://www.locateadoc.com/questions.cfm/372/4
Answer: Because Coumadin is a blood thinner it may increase the potential for a reported serious LASIK complication, a subretinal/submacular hemorhage. People on bloodthinners should consider other means of refractive surgery if they are suitable candidates.(PRK/LASEK) Another option would be to come off the bloodthinners if you get the blessing of the doctor that prescribed them. Do not stop your blood thinners without consulting your primary medical doctor.
This is where I found it:
http://www.locateadoc.com/questions.cfm/372/4
G
Guest
The only problem with stopping warfarin for the surgery is that you may be able to see better but if you have a stroke, you might not be able to hold the newspaper.
Marty
Well-known member
I asked my eye surgeon how he would do my cataracts with out holding warfarin. He answered " very carefully"!
G
Guest
That is how I'd want mine done, too.
Natanni
Well-known member
RandyL-have you talked about this with the Ophthalmologist? In LASIK, the flap that is made by the microkeratome can bleed a little. I have never seen LASIK done on someone anticoagulated. PRK, the choice for some with thin corneas, is gaining popularity even with normal corneas. No suction ring is required for PRK. All that is used is a ring well and a diluted solution of dehydrated alcohol. Our ophthalmologists never have anyone come off of their anticoagulation for cataract surgery.
I asked my LASIK surgeon's staff about anticogulation and LASIK shortly after my surgery (out of curiosity for the VR site), and they touched base with the doctor. He doesn't understand the furor. There are no restrictions due to anticoagulation for the types of LASIK eye surgery done at his practice (which are extensive), and I am sure at many others.
Dr. Hersh is the fellow they bring you to when your less expensive LASIK surgeon causes a problem that needs to be fixed. Without intending to advertise for him specifically, this search on Google will bring up a lot of information about his credentials and LASIK, including a place to email him, which may be of interest to you: 'LASIK Dr. Peter Hersh'
He doesn't use a microkeratome anymore. Based on the extensive testing of your eyes before the procedure, the entire process is preprogrammed with the laser, including the original flap. It's virtually all done by lasers so smart, they can shut off in time if you move your head. (I had visions of being placed in some sort of midieval head vise for the procedure, but, "'Not so, Dartanion!") It's less than five minutes per eye; in fact, it was probably less than five minutes for the actual whole procedure for both eyes combined.
You don't feel a thing. However, you might just get a slight whiff of savory singed flesh. That night, you'll have to wear special goggles to keep you from accidentally rubbing your eyes. You'll use drops for a few days. You don't premedicate with antibiotics like for a trip to the dentist, although if you tend to have dry eyes, there is an antibiotic they can use which will render them "juicier" for the process, but that's it.
I have read some statements posted about possible issues, but they sound mostly like issues from older types of LASIK. This is one area where keeping up-to-date is a big plus. LASIK is not without its risks for anyone who is interested, and you should consider them carefully. But the truth is that if you're looking for problems, anything can go bad. A cut on the finger for one person is a deadly infection for the next.
It may be the best money I ever spent in my life. I have vision better than when I was a child, better than any glasses ever gave me. It's a gift that keeps on giving. I doubt that even one full day has gone by since that I haven't marvelled for a moment at the fact that I can see, really see.
Best wishes,
Dr. Hersh is the fellow they bring you to when your less expensive LASIK surgeon causes a problem that needs to be fixed. Without intending to advertise for him specifically, this search on Google will bring up a lot of information about his credentials and LASIK, including a place to email him, which may be of interest to you: 'LASIK Dr. Peter Hersh'
He doesn't use a microkeratome anymore. Based on the extensive testing of your eyes before the procedure, the entire process is preprogrammed with the laser, including the original flap. It's virtually all done by lasers so smart, they can shut off in time if you move your head. (I had visions of being placed in some sort of midieval head vise for the procedure, but, "'Not so, Dartanion!") It's less than five minutes per eye; in fact, it was probably less than five minutes for the actual whole procedure for both eyes combined.
You don't feel a thing. However, you might just get a slight whiff of savory singed flesh. That night, you'll have to wear special goggles to keep you from accidentally rubbing your eyes. You'll use drops for a few days. You don't premedicate with antibiotics like for a trip to the dentist, although if you tend to have dry eyes, there is an antibiotic they can use which will render them "juicier" for the process, but that's it.
I have read some statements posted about possible issues, but they sound mostly like issues from older types of LASIK. This is one area where keeping up-to-date is a big plus. LASIK is not without its risks for anyone who is interested, and you should consider them carefully. But the truth is that if you're looking for problems, anything can go bad. A cut on the finger for one person is a deadly infection for the next.
It may be the best money I ever spent in my life. I have vision better than when I was a child, better than any glasses ever gave me. It's a gift that keeps on giving. I doubt that even one full day has gone by since that I haven't marvelled for a moment at the fact that I can see, really see.
Best wishes,
Natanni
Well-known member
Bob-
What type of laser did Dr Hersh use? Just cusious
Also, how does he make a flap or treatment area without a keratome or PRK? We have been using the Zywave and Orbscan by Zeiss (allows measures of the front and back surface of cornea), I am guessing this is the same as our B&L laser tracks the eye and will abort with movement.
The smell reminds me of static (if that makes sense), or some sort of gas fumes almost.
What type of laser did Dr Hersh use? Just cusious
Also, how does he make a flap or treatment area without a keratome or PRK? We have been using the Zywave and Orbscan by Zeiss (allows measures of the front and back surface of cornea), I am guessing this is the same as our B&L laser tracks the eye and will abort with movement. The smell reminds me of static (if that makes sense), or some sort of gas fumes almost.
I know an Excimer laser is involved, but you could get more and better from his website than from me: http://www.vision-institute.com/ or send an email to him.
I know that he said he would come over during the process and move the "flap" out of the way, and remember a discussion that he wouldn't be cutting it manually. As I was wide awake, I would have been aware if he'd done it then. He'd have to have hands like David Copperfield to have done it that quickly.
It was really anticlimactic. No big deal, no scary machines. No hours of worry while they check this and set up that. Just lie on your back and look at the dot. I remember a little reflected "splash" light from the laser doing the cutting. Green, I think.
Best wishes,
I know that he said he would come over during the process and move the "flap" out of the way, and remember a discussion that he wouldn't be cutting it manually. As I was wide awake, I would have been aware if he'd done it then. He'd have to have hands like David Copperfield to have done it that quickly.
It was really anticlimactic. No big deal, no scary machines. No hours of worry while they check this and set up that. Just lie on your back and look at the dot. I remember a little reflected "splash" light from the laser doing the cutting. Green, I think.
Best wishes,
R
RandyL
Well I just got mono vision contacts today to prep for Lasik I have never worn contacts before, had a heck of a time gettin the little buggers in. One contact sees up close while the other sees far away. They work great already, as you can see I am typing with no glasses. Have to wear these for a month and then decide about the Lasik. I love not wearing glasses, I should of got these contacts years ago.
My brother just graduated from optometry school. He's not an MD, so he can't do surgery in Texas, but he had to study all about LASIK and other procedures. I said something to him awhile back about wondering if I'd have problems with LASIK because of my heart/coumadin issues. He didn't know, but he brought up an option I'd never heard about: reverse contact lenses. Apparently they have contacts that you wear at night, kind of like a retainer, that reshape your eye so that during the day you don't have to wear anything. Eventually, you only have to wear the contacts a couple of nights a week, instead of every night. This is something I'm very interested in. I told him that as soon as he's set up in his new position, I'm going to have him fit me for some of those reverse contacts. I'd sure like to not need contacts during the day! Imagine swimming without the risk of loosing your eyewear!
Imagine swimming without the risk of loosing your eyewear!
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RandyL
Granbonny said:Do you have to take them out every night? saok. ect..and put them in the next day?I would love to wear contacts..but, I'm so clumsy..afraid I would drop one..
No Bonnie you can sleep with them and keep them in the whole time. Mine are for 2 weeks and I keep them in 24/7 and after 2 weeks I throw them away. They also have 30 day ones but the Doc recommended these for me, don't know why. I go back in a week for a checkup to see how they are doing and I will sak more questions. So far Far away is perfect and close up is a little blurry but okay, however if I close my right eye I can see the puter screen perfect. It takes a whle for your brain to adjust to the monovision.
RandyL said:
It's amazing what they can do with contacts these days, I actually wear bifocal contacts I still haven't figuresd out how they work, but am happy they do
bonnie, the contacts they have today are so relatively cheap and are disposable that losing them isn't that big a deal when I first started wearing contact 30 some years ago, they were hard contacts and so expensive we had to pay insurance for them to replace any lost, it took me a long time mentally to be able just to throw them away when I started the disposable,
lyn
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RandyL
Lynn
I would of got the bifocals also but since I am considering Lasik I could't see having my eyes operated on and then still have to wear glasses to read with. This way if it works I will be glasses and contacts free and still be able to see far away and also read with nothing. We will see what happens
I would of got the bifocals also but since I am considering Lasik I could't see having my eyes operated on and then still have to wear glasses to read with. This way if it works I will be glasses and contacts free and still be able to see far away and also read with nothing. We will see what happens
perkicar
Well-known member
I had LASIK done 4 years ago and I have to wear glasses to read and use the computer. It has gotten worse over the last year or so. I'm supposed to go in for a checkup this summer, so guess I'll find out if this is to be expected since I'm maturing (I'll be 49 on Wednesday) or not. Seems to me they told me not to be surprised if I needed something for close work.RandyL said:
