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Lasik while on TKI


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#1 CDW

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Posted 30 June 2011 - 09:03 PM

Hello All,

chatting with onc this week about the implications of laser eye surgery while on TKIs. Been on Tasigna for 7 months now and am PCRU. Has anyone had LASIK while on TKI? Anyone been warned against it by their onc or optical surgeon?

Although I've got bigger things to think about these days, before i was dx I was considering eye surgery this year. I've had glasses/lenses now for 12 years and my eyesight is pretty stable - contact lenses do irritate me though.

Chris



#2 Trey

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Posted 30 June 2011 - 10:42 PM

Had Lasik last year.  All went well.  Didn't tell them about CML since I am PCRU.  Telling them would have caused too much wasted motion.



#3 GerryL

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Posted 30 June 2011 - 11:49 PM

I agree with Trey, I had lasik about 10 or more years ago prior to CML - not really surgery as such.

The only thing I would add is it does slowly reverse itself, my distance is slowly getting worse again. I need glasses for driving now hoping it doesn't return to what it was. Good news is I don't need glasses to read where as a few people around my age now need glasses to read. 



#4 hannibellemo

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Posted 01 July 2011 - 07:25 AM

Wish I could have Lasik, contacts became unbearable 15 years ago after 25 years of no problems (not due to CML or TKI); but I am not a candidate - hidden astimatism. Good luck!

Pat


Pat

 

"You can't change the direction of the wind but you can adjust your sails."

DX 12/08; Gleevec 400mg; liver toxicity; Sprycel 100mg.; CCyR 4/10; MMR 8/10; Pleural Effusion 2/12; Sprycel 50mg. Maintaining MMR; 2/15 PCRU; 8/16 drifting in and out of undetected like a wave meeting the shore. Retired 12/23/2016! 18 months of PCRU, most recent at Mayo on 7/25/17 was negative at their new sensitivity reporting of 0.003.<p>


#5 GerryL

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Posted 01 July 2011 - 10:12 PM

Hi Pat,

Had a similar issue with contacts, in the end they irritated my eyes too much to continue wearing them. I wore contacts for about 20 years. Never regretted having the lasik done, apart from the fact they tore my cornea whilst doing the first eye, thankfully eyes are quick to heal.

Gerry



#6 hannibellemo

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Posted 02 July 2011 - 07:03 AM

Gerry,

I would imagine the torn cornea was pretty painful! Glad everything healed with no problems.

I've tried the toric gas permeable lenses and they were pretty comfortable. What I couldn't stand was the fact that my vision wasn't very crisp. It drove me nuts not to be able to read traffic signs from a long distance. Then I went into bifocals; I had one lense for near and one for far vision. I adapted pretty well to that, too. It was just the fact that no matter how the technology improved they still can't come close to the clarity of vision I had with hard contacts.

Every couple of years I try again. There have been a couple of people in the office recently with pretty nasty bacterial infections in their eye. I wonder if people are trying to stretch the length of time they wear their disposal lenses too far? I can't even imagine being able to sleep while wearing contacts.

I remember in college when others were complaining about corneal abrasions from falling asleep with their contacts in (remember era of hard contacts) that no matter how much I'd had to drink I always remembered to take my contacts out. I'm pleased to say that I've tried to set the bar a little higher for myself since then! 

Pat


Pat

 

"You can't change the direction of the wind but you can adjust your sails."

DX 12/08; Gleevec 400mg; liver toxicity; Sprycel 100mg.; CCyR 4/10; MMR 8/10; Pleural Effusion 2/12; Sprycel 50mg. Maintaining MMR; 2/15 PCRU; 8/16 drifting in and out of undetected like a wave meeting the shore. Retired 12/23/2016! 18 months of PCRU, most recent at Mayo on 7/25/17 was negative at their new sensitivity reporting of 0.003.<p>


#7 Trey

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Posted 02 July 2011 - 10:40 AM

I had astigmatism and the newer type of Lasik machines can handle most astigmatisms and other "higher order aberations".  Look at the "wavefront" technologies.

http://www.usaeyes.o...astigmatism.htm

http://www.usaeyes.o...ront-custom.htm



#8 GerryL

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Posted 02 July 2011 - 07:39 PM

Hi Pat,

Not sure what their process is now, but they used to put equipment in your eye that would stretch apart your eyelids, unfortunately I have smaller eyes which wasn't taken into account. So it was pretty painful them stretching my eye further than it was meant to go, then when they went to do the slice, the cornea just tore from the tension. There was no pain after that. They only lasered that eye then sent me home. Can't tell you how grateful I felt when I opened my eye after 48 hours and could still see colours. They got a smaller (don't know what else to call it) eye stretcher in and did the second eye a couple of weeks later, and then I had the first eye touched up again. I think the process has changed again - haven't read Trey's info yet, if my eyes get any worse I might consider seeing if I can get it done again. By the way I also had/have astigmatisms.

I started wearing contacts just as the soft contact lenses came in and like you I never forgot to take them out, though I did loose one or two on the floor over the years. I eventually changed to the soft disposable ones, but even those irritated my eyes. My Optometrist told me that sometimes your eyes just don't want to wear contacts anymore.

It might be worth seeing whether you can have Lasik done since all those changes have happened.

Gerry



#9 hannibellemo

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Posted 03 July 2011 - 09:04 AM

Thanks for the info, Gerry and Trey.

I'll take a look and see what I can discuss with my opthamologist. At my last visit, in 2010, we discussed my leukemia and possible issues with my vision and his feeling was that as long as the leukemia is controlled there should be no adverse effects. We also discussed Lasik (again) and I was also told that Lasik can affect surface astigmatism only. In addition to the normal surface astigmatism, I have some deeper in the corneal layers. His feeling was that Lasik would not be beneficial at this point because I would still need to wear glasses or contacts to correct the "hidden" astigmatism.

Looking forward to checking out your links, Trey. Thanks.

Pat

PS Happy 4th of July to all of my American friends! We have a carburetor soaking right now in hopes of getting out on the sailboat later today, <sigh> "hole in the water" syndrome!


Pat

 

"You can't change the direction of the wind but you can adjust your sails."

DX 12/08; Gleevec 400mg; liver toxicity; Sprycel 100mg.; CCyR 4/10; MMR 8/10; Pleural Effusion 2/12; Sprycel 50mg. Maintaining MMR; 2/15 PCRU; 8/16 drifting in and out of undetected like a wave meeting the shore. Retired 12/23/2016! 18 months of PCRU, most recent at Mayo on 7/25/17 was negative at their new sensitivity reporting of 0.003.<p>


#10 hannibellemo

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Posted 03 July 2011 - 09:25 AM

Gerry,

I don't know what the equipment you are referring to is called either, but if anyone has seen "A Clockwork Orange" they know what it is.

When our youngest son was just born I was holding him above us in bed and Steve asked what was wrong with his right eye. Of course, being the "Queen of Denial" that I am I snatched him back down and said, "Nothing"!

At his next check up however I mentioned it to the pediatrician and he was able to get a good look and thought Jeremy had PPM, persistant pupillary membrane. When the eye is developing the pupil is covered with a membrane that slowly dissolves. Sometimes it doesn't completely dissolve and you are left with cobwebby looking strands in the middle of the pupil. Jeremy was sent to a specialist at the very young age of 3 months.

They didn't notice this earlier because that child could shut his eyelids so tight when he was mad, most times he was at the pediatrician's, you couldn't pry them open with a crowbar (not that we tried ).

To make a long story short, the pediatric opthomologist used that "instrument of torture" you are referring to to be able to examine Jer's eye. (I kept hearing Beethoven in the background).

He's 27 now and technology has improved to the point that he is looking into corrective surgeries for this, at the time it was thought laser surgery could very likely make it worse.

Pat


Pat

 

"You can't change the direction of the wind but you can adjust your sails."

DX 12/08; Gleevec 400mg; liver toxicity; Sprycel 100mg.; CCyR 4/10; MMR 8/10; Pleural Effusion 2/12; Sprycel 50mg. Maintaining MMR; 2/15 PCRU; 8/16 drifting in and out of undetected like a wave meeting the shore. Retired 12/23/2016! 18 months of PCRU, most recent at Mayo on 7/25/17 was negative at their new sensitivity reporting of 0.003.<p>


#11 Trey

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Posted 03 July 2011 - 12:46 PM

Try this link also:

http://lasikeye.co/l...or-astigmatism/






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