Medical Thread

[Michin Khel]

Barakazai sahab what are risks of laser eye treatment?

[BarakzaiAbdali]

Barakazai sahab what are risks of laser eye treatment?

Salaam Luffy,

Im not an opthalmologist, but the source we most commonly run to on the wards here is called UptoDate. I have attached the table UptoDate has regarding most common complications. I will read more on it to see if there is anything to add. Generally though, for clinical queries post them under dreamer's thread. Most common post op complaints were night driving difficulties and glare. 11% in a prospective study, underwent retreatment for visual acuity changes post op that more often result from over or under correction and may lead to sustained myopia. The issue is that they ablate corneal stroma and more often undercorrect, leaving residual corneal stroma behind that would require retreatment. My assumption is that undercorrection is better than over correction because they can always go back in and ablate the left over stroma.

[BarakzaiAbdali]

As I read up on it though, its actually a pretty damn amazing and ingenius procedure. They use excimer lasers that limit nearly any local tissue damage not at the target zone of the laser and technology has allowed smaller and smaller beam widths to be utilized. There is some post op care involved with antibiotic drops, steroidal drops, and topical nonsteroidal drops as well. In general LASIK is accompanied by little pain at all and has a quick recovery, and enhacements and retreatments are generally easier to do. It looks like the PRK brand of the procedure involves an actually reshaped cornea hence its delay in visual acuity correction. An excellent source uptodate cites is

Wilson, SE. Use of lasers for vision correction of nearsightedness and farsightedness. N Engl J Med 2004; 351:470

See if you can visualize this as I am on campus right now and can access it:

http://www.nejm.org/doi/full/10.1056/NEJMcp033210

If not, tell me and I can try and send the article to you.

Here are the bottom line answers per UptoDate for you questions:

"Proper patient selection is critical for successful surgery (table 2). The patient's eye must be healthy and the refractive error must be stable over a one year period of time. Contraindications to refractive surgery include active autoimmune or vascular disease, use of Accutane or amiodarone, severe dry eyes, keratitis, and other eye conditions."

"The most common complaints following refractive surgery are dry eyes and difficulty with night driving and glare. Surgical complications include over- or under correction and infectious or inflammatory keratitis. Ten year outcome studies for PRK and LASIK demonstrate stability of visual correction, following the first two years, and high patient satisfaction."

So it appears to be a generally low risk and high yield procedure in the hands of the right operator and preoperative evaluator.

[Michin Khel]

Sir send me the article, only first 100 words are appearing

[BarakzaiAbdali]

Attempt to attach article. Tell me if this works or not.

[Michin Khel]

Thank you its working.

[BarakzaiAbdali]

I thought I would move this discussion over here for the sake of furthering it:

"
We should think one day about doing a PF merit based collective scholarship for 1 student on the KP side and 1 on the Afghan side. The awardees should know of eachother and this may help also build bonds across the border. The history of the namesakes on the award could be given to awardees as well to educate them about their ethnic heroes. The individual should derive from the village and have an actual financial need. The scholarship could be called the Ahmad Shah Abdali-Sher Shah Suri Scholar Award. It should fund those going for an engineering or medical degree back home and would allow said individuals to build links to those of us here in the West. We could have a committee perhaps headed by Admin Khan, or others that have the credentials, to screens applications and maintains tight control over the monetary funds that would be based off collective contributions here. We would try to not have PF family or governmental/local malik involved members apply to avoid nepotism and to sustain a meritocracy. I dont know maybe a paypal account or something would allow for contributions to be collected. We could perhaps get an estimate of costs (room, bording, tuition, etc) for prominent medical or engineering schools in Afghanistan/Pakistan and see what the associated costs would amount to across 4-5 years. Members could potentially help dessiminate information back in their respective villages. A major goal would be to avoid paying for the kalaay mashar's son based on forged documents etc. Perhaps we could have a fact finding group ensure who we give it to is truly in need and that submitted documents are authentic. The individual should have scored high on standadized competitive tests. I have no idea what testing is done in Pakistan or Afghanistan, so others would have to guide us.:

Found originally and extended here:

http://www.pashtunforums.com/educati...60/index2.html

[Iqra]

hmmm

[Admin Khan]

I thought I would move this discussion over here for the sake of furthering it:

"
We should think one day about doing a PF merit based collective scholarship for 1 student on the KP side and 1 on the Afghan side. The awardees should know of eachother and this may help also build bonds across the border. The history of the namesakes on the award could be given to awardees as well to educate them about their ethnic heroes. The individual should derive from the village and have an actual financial need. The scholarship could be called the Ahmad Shah Abdali-Sher Shah Suri Scholar Award. It should fund those going for an engineering or medical degree back home and would allow said individuals to build links to those of us here in the West. We could have a committee perhaps headed by Admin Khan, or others that have the credentials, to screens applications and maintains tight control over the monetary funds that would be based off collective contributions here. We would try to not have PF family or governmental/local malik involved members apply to avoid nepotism and to sustain a meritocracy. I dont know maybe a paypal account or something would allow for contributions to be collected. We could perhaps get an estimate of costs (room, bording, tuition, etc) for prominent medical or engineering schools in Afghanistan/Pakistan and see what the associated costs would amount to across 4-5 years. Members could potentially help dessiminate information back in their respective villages. A major goal would be to avoid paying for the kalaay mashar's son based on forged documents etc. Perhaps we could have a fact finding group ensure who we give it to is truly in need and that submitted documents are authentic. The individual should have scored high on standadized competitive tests. I have no idea what testing is done in Pakistan or Afghanistan, so others would have to guide us.:

Found originally and extended here:

http://www.pashtunforums.com/educati...60/index2.html

You have my full support. You can lead the project, and I am willing to do whatever it takes to help you.

[ghundal]

You have my full support. You can lead the project, and I am willing to do whatever it takes to help you.

this is great news. I hope you guys can get together, and work on this. We can inshAllah evolve PF into an organization.

[qunduz92]

Aab e hayat

there's a procedure thats less risky called orthoK..its done via contact lenses that reshape your cornea in a matter of a few hours i believe. you should look into that. i have heard of people that have done lasik and they have permanent dry eye, halos, fuzzy vision, and light sensitivity... but i think many people would do fine.


edit: but actually its not permanent i think you need to keep wearing them for a few hours each day but im not sure if there are newer advances

[Michin Khel]

Aab e hayat

there's a procedure thats less risky called orthoK..its done via contact lenses that reshape your cornea in a matter of a few hours i believe. you should look into that. i have heard of people that have done lasik and they have permanent dry eye, halos, fuzzy vision, and light sensitivity... but i think many people would do fine.


edit: but actually its not permanent i think you need to keep wearing them for a few hours each day but im not sure if there are newer advances

manana qunduz, i did'nt know about orthrok ....lets see whether it is available in pakistan

[BarakzaiAbdali]

I thought I would move this discussion over here for the sake of furthering it:

"
We should think one day about doing a PF merit based collective scholarship for 1 student on the KP side and 1 on the Afghan side. The awardees should know of eachother and this may help also build bonds across the border. The history of the namesakes on the award could be given to awardees as well to educate them about their ethnic heroes. The individual should derive from the village and have an actual financial need. The scholarship could be called the Ahmad Shah Abdali-Sher Shah Suri Scholar Award. It should fund those going for an engineering or medical degree back home and would allow said individuals to build links to those of us here in the West. We could have a committee perhaps headed by Admin Khan, or others that have the credentials, to screens applications and maintains tight control over the monetary funds that would be based off collective contributions here. We would try to not have PF family or governmental/local malik involved members apply to avoid nepotism and to sustain a meritocracy. I dont know maybe a paypal account or something would allow for contributions to be collected. We could perhaps get an estimate of costs (room, bording, tuition, etc) for prominent medical or engineering schools in Afghanistan/Pakistan and see what the associated costs would amount to across 4-5 years. Members could potentially help dessiminate information back in their respective villages. A major goal would be to avoid paying for the kalaay mashar's son based on forged documents etc. Perhaps we could have a fact finding group ensure who we give it to is truly in need and that submitted documents are authentic. The individual should have scored high on standadized competitive tests. I have no idea what testing is done in Pakistan or Afghanistan, so others would have to guide us.:

Found originally and extended here:

http://www.pashtunforums.com/educati...60/index2.html

I had the good fortune of meeting Dr. Wazir, a well known Pashtun cardiologist in the US, who has already started this effort in his native Wana:

http://www.wawa.org.pk/career.aspx

http://wazirischolars.com/wp/?page_id=34

So I think the above is doable here Admin Khan. I figure if they can do it in Wana, this can be done anywhere.

www.facebook.com/group.php?gid=236137720701

"It was only last year that Dr Badshah Jan Wazir, who is based in West Virginia, USA, announced a scholarship of US$60,000 for the talented students of the school through the Aisha Wazir Scholarship Foundation (AWSF). Twenty-five talented students were given AWSF cash awards worth Rs0.5 million in Nov, 2010, while this year 74 more qualified to take a test for receiving the AWSF cash prize worth Rs3 million."

[Admin Khan]

BarakzaiAbdali,

Just let me know what to do to initiate this. Meeting up in the city to discuss, or discussing via PM, I'm all yours. I really want to help our people.

[Admin Khan]

BarakzaiAbdali,

Just let me know what to do to initiate this. Meeting up in the city to discuss, or discussing via PM, I'm all yours. I really want to help our people.