Dear David et al Sorry for my delay in responding. I’m visiting my girlfriend’s family in a rural part of Bulgaria wo internet – can you believe that?;) It’s important to always search very carefully for the cause of over and under-corrections, or you won’t really get at the root problem, and might then just …
Minas, Clive, et al First of all, I’d like to congratulate Minas on finding an article I had published in Arch Ophth over 20 years ago, that I myself had forgotten about. It does speak to the point that I’ve both performed “real hard” research myself (eg as a PI for the FDA trial for …
Q: I think a lot of this can be simply answered by asking ourselves the following question: If your wife/sister/daughter were pregnant and wanted refractive surgery, would any of us do it? Or wait till post delivery and post nursing? No need for further studies, IMHO. — Kamran A by Emil W. Chynn MD: Kamran …
Working with Dr. Chynn as a refractive fellow at PAL is a great experience I will never forget. It’s very hard to summarise all what I gained in such few words. At PAL all staff are multifunction, well trained and continuously educated. Any mistake is analysed in front of all so nothing there is kept …
Q: I would be most thankful if you could give me your precious input in this case. The 35 yo patient had a LASIK in both eyes 8 months ago, in her 1st post op day, she had both eyes dislocated flaps and epithelial ingrowth after that. However, the bilateral weird lesions were found in addition to the epithelial …
A doctor had post-LASIK complications, here is Dr. Chynn’s answer Read More »
A college of Dr. Chynn inquired about the new SMILE ReLEX procedure Q: I have a friend in London with myopia (-1.75 & -2.75, Aet ~ 40 & female) considering refractive surgery. Is it time for SMILE (1,2) or if it were your family member would you do LASIK … or PRK? Any recommendations re surgeon …
Q: Gurus I have been asked to defend the ophthalmic surgeons request to use multidose eye drops for dilating patients in pre op prior to ophthalmic surgery Our pharmacy and risk management leaders are against this despite the recent and seemingly never ending shortage and high cost of single use dropsPlease see article enclosed What …
Q: There being no hard evidence that postop antibiotics reduce the incidence of endophthalmitis, we do this because it makes some logical sense, and if challenged we can say we did “something” to prevent endophthalmitis postop. But, we could also make a defensible argument that they are not necessary. That said, there is no “perfect” …
Q: Dear Not sure if this topic has already been discussed (and if so, can somebody please forward me the conclusion of that discussion?) If you receive a post LASIK Ectasia in one eye after bilateral LASIK treatment, would you do CXL only in the affected eye or would you do it “prophylactically” also in …
Comment from another MD Evan’s post was asking “anyone had issues with poor epithelial healing (or even corneal melting) with Besivance”. My response is based on my clinical referral practice and the attached document. Please note this section from the attached document: These medications contain vehicles that have the potential to be sequestered beneath a …
Dr. Chynn on NSAID effects on overcorrections post PRK Read More »